Xray Chargemaster

CPT CODESDESCRIPTION


Technical &   Professional Fees

70360Neck, Soft tissue$40 / $43
71010Chest, Single View$45 / $43
71020Chest, 2View$45 / $53
71100Ribs, unilateral, 2 view$50 / $61
71101Ribs, 2 view including PA chest, minimum of 3 views$45 / $66
71110Ribs, bilateral, 3 view$55 / $68
71111Ribs, bilateral, 3 view including PA chest, minimum 4 view$55 / $82
72020Spine, single view, specify level$45 / $41
72040Spine, Cervical, 2 or 3 views$65 / $57
72050Spine, Cervical,minimum 4 view$75 / $73
72052Spine Cervical, complete, including oblique and flexion and/or extension$75 / $79
72070Spine, Thoracic, 2 view$60 / $57
72072Spine, Thoracic, 3 view$65 / $61
72110Spine, Lumbosacral,minimum of 4 view$60 / $77
72114Spine, Lumbosacral,complete,including bending views$75 / $81
72170Pelvis, 1 or 2 view$45 / $47
72190Pelvis, Complete, minimum 3 views$60 / $57
72220Sacrum and Coccyx, minimum 2 views$50 / $52
73000Clavicle, complete$50 / $43
73010Scapula, Complete$50 / $49
73020Shoulder, 1 view$45 / $41
73030Shoulder, Complete,minimum of 2 view$50 / $51
73060Humerus, minimum 2 view$50 / $47
73070Elbow, 2 view$60 / $43
73080Elbow, 3 view$65 / $49
73090Forearm, 2 view$60 / $43
73100Wrist, 2 view$60 / $42
73110Wrist, 3 view$70 / $46
73120Hand, 2 view$50 / $43
73130Hand, 3 view$65 / $46
73140Fingers,mininmum 2 view$55 / $39
73500Hip,unilateral, 1 view$45 / $46
73510Hip,complete,minimum 2 view$60 / $57
73520Hips,bilateral,minimum 2 view of each hip,including AP pelvis$70 / $66
73550Femur, 2 view$60 / $46
73560Knee,1 or 2 view$60 / $44
73562Knee,3 view$65 / $53
73564Knee,minimum 4 view$75 / $59
73565Both Knee, Standing, AP$55 / $51
73590Tibia and Fibula, 2 view$60 / $44
73600Ankle, 2 views$60 / $42
73610Ankle, complete,minimum 3 view$65 / $46
73620Foot,2 view $50 / $42
73630Foot, complete,mininmum 3 view$55 / $46
73650 Calcaneus,minimum 2 view$50 / $43
73660Toes,minimum 2 view$45 / $39
74000Abdomen, single AP$45 / $46
74020Abdomen,complete,including decubitus and/or erect views$65 / $68
74022Abdomen,complete acute abdomen series, including suspine, erect, and/or decubitus views, single view chest$80 / $83