Service Description CPT Code Charge Type PrimaryCare Practice Price
XRAY,ANKLE,2 VIEWS PG 73600 Prof $18.00
XRAY,ANKLE,COMPLETE,MINIMUM 3 VIEWS PG 73610 Prof $77.00
XRAY,ARTHROGRAPHY,ELBOW,RS&I PP 73085 Prof $62.00
XRAY,ARTHROGRAPHY,WRIST,RS&I PP 73115 Prof $61.00
XRAY,CALCANEUS,MINIMUM 2 VIEWS PG 73650 Prof $65.00
XRAY,CHEST,2 VIEWS,FRONTAL/LATERAL PG 71046 Prof $68.00
XRAY,CHEST,SINGLE VIEW,FRONTAL PG 71045 Prof $53.00
XRAY,CHEST,SINGLE VIEW,FRONTAL PP 71045 Prof $20.00
XRAY,CLAVICLE,COMPLETE PG 73000 Prof $66.00
XRAY,ELBOW,2 VIEWS PG 73070 Prof $65.00
XRAY,ELBOW,COMPLETE,MINIMUM 3 VIEWS PG 73080 Prof $77.00
XRAY,FEMUR,2 VIEWS PG 73552 Prof $65.00
XRAY,FINGER(S),MINIMUM 2 VIEWS PG 73140 Prof $15.00
XRAY,FOOT,2 VIEWS PG 73620 Prof $63.00
XRAY,FOOT,COMPLETE,MINIMUM 3 VIEWS PG 73630 Prof $72.00
XRAY,FOREARM,2 VIEWS PG 73090 Prof $64.00
XRAY,HAND,2 VIEWS PG 73120 Prof $63.00
XRAY,HAND,MINIMUM 3 VIEWS PG 73130 Prof $74.00
XRAY,HIP,UNI,1 VIEW PG 73501 Prof $20.00
XRAY,HIP,UNI,COMPLETE,2-3 VIEWS PG 73502 Prof $90.00
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