|
X-ray cervical spine >= 6 views
|
$889.35 |
$889.35 |
$889.35 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$271.70 |
$271.70 |
$271.70 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$831.60 |
$831.60 |
$831.60 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,247.95 |
$1,247.95 |
$1,247.95 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$267.30 |
$267.30 |
$267.30 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$364.65 |
$364.65 |
$364.65 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$494.45 |
$494.45 |
$494.45 |
$486.24
|
|
X-ray exam of arm infant
|
$272.80 |
$272.80 |
$272.80 |
$248.82
|
|
X-ray exam of femur 1
|
$256.85 |
$256.85 |
$256.85 |
$232.36
|
|
X-ray exam of salivary gland
|
$376.75 |
$376.75 |
$376.75 |
$124.24
|
|
X-ray exam of sinuses
|
$152.90 |
$152.90 |
$152.90 |
$211.00
|
|
X-ray eye detection foreign body (both sides)
|
$202.40 |
$202.40 |
$202.40 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$421.85 |
$421.85 |
$421.85 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$388.85 |
$388.85 |
$388.85 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$333.30 |
$333.30 |
$333.30 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$325.05 |
$325.05 |
$325.05 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$330.55 |
$330.55 |
$330.55 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$331.65 |
$331.65 |
$331.65 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$264.00 |
$264.00 |
$264.00 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$392.70 |
$392.70 |
$392.70 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$427.35 |
$427.35 |
$427.35 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$647.35 |
$647.35 |
$647.35 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$647.35 |
$647.35 |
$647.35 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$122.10 |
$122.10 |
$122.10 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$255.75 |
$255.75 |
$255.75 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$304.15 |
$304.15 |
$304.15 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$316.25 |
$316.25 |
$316.25 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$348.70 |
$348.70 |
$348.70 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$224.95 |
$224.95 |
$224.95 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$248.60 |
$248.60 |
$248.60 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$770.55 |
$770.55 |
$770.55 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$840.40 |
$840.40 |
$840.40 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$462.00 |
$462.00 |
$462.00 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$389.40 |
$389.40 |
$389.40 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$370.15 |
$370.15 |
$370.15 |
$277.70
|
|
X-ray neck soft tissue
|
$351.45 |
$351.45 |
$351.45 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$361.35 |
$361.35 |
$361.35 |
$225.96
|
|
X-ray of mammary ducts
|
$697.95 |
$697.95 |
$697.95 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$390.50 |
$390.50 |
$390.50 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$416.35 |
$416.35 |
$416.35 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$765.60 |
$765.60 |
$765.60 |
$742.00
|
|
X-ray ribs 2 views left
|
$449.35 |
$449.35 |
$449.35 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$586.85 |
$586.85 |
$586.85 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$524.15 |
$524.15 |
$524.15 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$792.55 |
$792.55 |
$792.55 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$369.05 |
$369.05 |
$369.05 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$367.40 |
$367.40 |
$367.40 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$413.05 |
$413.05 |
$413.05 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$186.45 |
$186.45 |
$186.45 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$547.25 |
$547.25 |
$547.25 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$429.00 |
$429.00 |
$429.00 |
$601.30
|
|
X-ray skull < 4 views
|
$331.65 |
$331.65 |
$331.65 |
$291.78
|
|
X-ray skull > 4 views complete
|
$630.30 |
$630.30 |
$630.30 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$833.25 |
$833.25 |
$833.25 |
$557.70
|
|
X-ray small intestine follow-through study
|
$1,436.05 |
$1,436.05 |
$1,436.05 |
$504.14
|
|
X-ray spine single view
|
$237.05 |
$237.05 |
$237.05 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$322.30 |
$322.30 |
$322.30 |
$263.49
|
|
X-ray sternum > 2 views
|
$356.95 |
$356.95 |
$356.95 |
$269.75
|
|
X-ray surgical specimen
|
$123.75 |
$123.75 |
$123.75 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$633.05 |
$633.05 |
$633.05 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$727.10 |
$727.10 |
$727.10 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$354.75 |
$354.75 |
$354.75 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$403.15 |
$403.15 |
$403.15 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$361.35 |
$361.35 |
$361.35 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$699.05 |
$699.05 |
$699.05 |
$256.85
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$986.15 |
$986.15 |
$986.15 |
$385.80
|
|
X-ray tibia/fibula 2 views (both sides)
|
$370.70 |
$370.70 |
$370.70 |
$328.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$201.85 |
$201.85 |
$201.85 |
$264.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$1,000.45 |
$1,000.45 |
$1,000.45 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$800.25 |
$800.25 |
$800.25 |
$555.04
|
|
X-ray wrist 2 views (both sides)
|
$325.05 |
$325.05 |
$325.05 |
$290.40
|