Service Description CPT Code Charge Type PrimaryCare Practice Price
XRAY,SACRUM/COCCYX,MINIMUM 2 VIEWS PG 72220 Prof $66.00
XRAY,SCAPULA,COMPLETE PG 73010 Prof $74.00
XRAY,SHOULDER,1 VIEW PG 73020 Prof $54.00
XRAY,SHOULDER,COMPLETE,MINIMUM 2 VIEWS PG 73030 Prof $71.00
XRAY,SINUSES/PARANASAL,COMPLETE,MINIMUM 3 VIEWS PG 70220 Prof $27.00
XRAY,SKULL,COMPLETE,MINIMUM 4 VIEWS PG 70260 Prof $107.00
XRAY,SKULL,LESS THAN 4 VIEWS PG 70250 Prof $85.00
XRAY,SKULL,LESS THAN 4 VIEWS PP 70250 Prof $27.00
XRAY,SPINE,CERVICAL,2 OR 3 VIEWS PG 72040 Prof $81.00
XRAY,SPINE,CERVICAL,2 OR 3 VIEWS PP 72040 Prof $26.00
XRAY,SPINE,CERVICAL,4-5 VIEWS PG 72050 Prof $110.00
XRAY,SPINE,CERVICAL,=>6 VIEWS PG 72052 Prof $141.00
XRAY,SPINE,LOWER DISK PP 72295 Prof $92.00
XRAY,SPINE,LUMBOSACRAL,2 OR 3 VIEWS PG 72100 Prof $82.00
XRAY,SPINE,LUMBOSACRAL,BENDING,FLEX/EXT ONLY PG 72120 Prof $26.00
XRAY,SPINE,LUMBOSACRAL,COMPLETE,W BENDING VIEWS,MIN 6 VIEWS PG 72114 Prof $146.00
XRAY,SPINE,LUMBOSACRAL,MINIMUM 4 VIEWS PG 72110 Prof $111.00
XRAY,SPINE,SINGLE VIEW PG 72020 Prof $53.00
XRAY,SPINE,THORACIC,2 VIEWS PG 72070 Prof $24.00
XRAY,SPINE,THORACIC,3 VIEWS PG 72072 Prof $84.00
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