|
Wrist X-ray
|
$299.00 |
$299.00 |
$447.60 |
$342.80
|
|
Xcellistem, 1 mg
|
$8,694.44 |
$8,694.44 |
$8,694.44 |
$2,859.19
|
|
Xe133 xenon 10mci
|
$822.96 |
$822.96 |
$822.96 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,816.50 |
$1,816.50 |
$2,397.60 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$4,148.00 |
$4,148.00 |
$4,148.00 |
$2,837.09
|
|
X-ray abdomen 1 view
|
$277.00 |
$277.00 |
$388.20 |
$258.50
|
|
X-ray abdomen 2 views
|
$327.60 |
$327.60 |
$400.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$455.00 |
$455.00 |
$455.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$494.50 |
$494.50 |
$708.60 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$181.20 |
$181.20 |
$308.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$269.00 |
$269.00 |
$422.40 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$917.00 |
$917.00 |
$917.00 |
$773.40
|
|
X-ray bone age studies
|
$91.50 |
$91.50 |
$250.20 |
$251.40
|
|
X-ray bone length studies
|
$130.00 |
$130.00 |
$584.40 |
$285.30
|
|
X-ray bone survey complete
|
$897.00 |
$897.00 |
$1,675.20 |
$660.00
|
|
X-ray bone survey infant
|
$226.50 |
$226.50 |
$405.60 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$402.00 |
$402.00 |
$803.40 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$444.00 |
$444.00 |
$1,170.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$597.50 |
$597.50 |
$1,330.20 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$296.50 |
$296.50 |
$558.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$871.20 |
$871.20 |
$975.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$268.50 |
$268.50 |
$411.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$451.00 |
$451.00 |
$633.60 |
$364.12
|
|
Xray endovasc thor ao repr
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$1,307.00 |
$1,307.00 |
$1,307.00 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$587.50 |
$587.50 |
$820.20 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$322.00 |
$322.00 |
$322.00 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$322.00 |
$322.00 |
$322.00 |
$517.80
|
|
X-ray exam of arm infant
|
$163.00 |
$163.00 |
$163.00 |
$248.44
|
|
X-ray exam of eye sockets
|
$517.80 |
$517.80 |
$533.50 |
$328.35
|
|
X-ray exam of femur 1
|
$343.20 |
$343.20 |
$380.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$186.60 |
$186.60 |
$341.50 |
$188.40
|
|
X-ray exam of mastoids
|
$140.00 |
$140.00 |
$140.00 |
$193.41
|
|
X-ray exam of sinuses
|
$476.50 |
$476.50 |
$500.40 |
$214.50
|
|
X-ray exam of tear duct
|
$367.50 |
$367.50 |
$367.50 |
$467.50
|
|
X-ray exam of teeth
|
$74.00 |
$74.00 |
$74.00 |
$119.66
|
|
X-ray exam of teeth
|
$165.50 |
$165.50 |
$165.50 |
$328.08
|
|
X-ray exam si joints
|
$244.50 |
$244.50 |
$583.80 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$588.50 |
$588.50 |
$814.20 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$181.50 |
$181.50 |
$546.60 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$527.40 |
$527.40 |
$534.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$334.00 |
$334.00 |
$519.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$202.00 |
$202.00 |
$410.40 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$296.00 |
$296.00 |
$384.60 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$329.50 |
$329.50 |
$509.40 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$244.00 |
$244.00 |
$414.60 |
$291.20
|
|
X-ray head for orthodontia
|
$158.50 |
$158.50 |
$158.50 |
$158.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$280.00 |
$280.00 |
$480.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$255.60 |
$255.60 |
$340.50 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$352.00 |
$352.00 |
$615.60 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$357.50 |
$357.50 |
$615.60 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$417.50 |
$417.50 |
$417.50 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$219.50 |
$219.50 |
$343.80 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$337.00 |
$337.00 |
$476.40 |
$309.31
|
|
X-ray joint survey 1 view
|
$386.50 |
$386.50 |
$386.50 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$262.00 |
$262.00 |
$461.40 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$335.00 |
$335.00 |
$467.40 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$216.00 |
$216.00 |
$413.40 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$238.50 |
$238.50 |
$304.20 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$436.20 |
$436.20 |
$570.50 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$528.00 |
$528.00 |
$1,325.40 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$779.50 |
$779.50 |
$1,333.80 |
$535.91
|
|
X-ray male genital tract
|
$603.50 |
$603.50 |
$603.50 |
$603.50
|
|
X-ray mandible complete > 4 views
|
$411.00 |
$411.00 |
$553.20 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$193.50 |
$193.50 |
$267.00 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$298.00 |
$298.00 |
$504.00 |
$274.65
|
|
X-ray neck soft tissue
|
$438.50 |
$438.50 |
$440.40 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$165.50 |
$165.50 |
$181.20 |
$225.60
|
|
X-ray of mammary ducts
|
$715.00 |
$715.00 |
$715.00 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$328.00 |
$328.00 |
$462.60 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$434.00 |
$434.00 |
$568.80 |
$348.19
|
|
Xray place dist ext thor ao
|
$868.00 |
$868.00 |
$868.00 |
$1,194.70
|
|
Xray place prox ext thor ao
|
$820.00 |
$820.00 |
$820.00 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$685.20 |
$685.20 |
$965.00 |
$755.50
|
|
X-ray ribs 2 views left
|
$330.00 |
$330.00 |
$336.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$612.50 |
$612.50 |
$624.60 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$411.00 |
$411.00 |
$446.50 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$705.00 |
$705.00 |
$784.80 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$420.50 |
$420.50 |
$841.80 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$419.50 |
$419.50 |
$519.00 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$388.00 |
$388.00 |
$519.60 |
$285.00
|
|
X-ray sella turcica
|
$158.50 |
$158.50 |
$158.50 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$222.50 |
$222.50 |
$327.60 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$803.50 |
$803.50 |
$898.80 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$326.50 |
$326.50 |
$326.50 |
$606.89
|
|
X-ray skull < 4 views
|
$405.60 |
$405.60 |
$529.00 |
$292.50
|
|
X-ray skull > 4 views complete
|
$704.50 |
$704.50 |
$793.80 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$154.50 |
$154.50 |
$154.50 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$596.40 |
$596.40 |
$788.50 |
$557.70
|
|
X-ray small intestine follow-through study
|
$499.50 |
$499.50 |
$609.60 |
$499.50
|
|
X-ray spine single view
|
$281.00 |
$281.00 |
$408.00 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$240.60 |
$240.60 |
$399.50 |
$264.48
|
|
X-ray sternum > 2 views
|
$347.00 |
$347.00 |
$410.40 |
$274.65
|
|
X-ray surgical specimen
|
$392.40 |
$392.40 |
$610.00 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$329.40 |
$329.40 |
$486.00 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$365.50 |
$365.50 |
$538.80 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$362.50 |
$362.50 |
$625.20 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$360.50 |
$360.50 |
$768.00 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$480.00 |
$480.00 |
$516.00 |
$282.50
|
