| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 80 | $10 | $850 |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 90 | $10 | $810 |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 70 | $10 | $760 |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 60 | $10 | $500 |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 60 | $10 | $470 |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 60 | $10 | $420 |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 50 | $10 | $390 |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 50 | $10 | $330 |
| 77075 | In this procedure, the provider performs a series of X–rays imaging all the bones of the body to evaluate the spread of cancer or to detect any other abnormality. | 10 | $20 | $230 |
| 72040 | The patient has a 2– or 3–view X–ray of the neck vertebrae. | 30 | $10 | $160 |