| Chest PA/ AP | 200.00 |
| Chest API/ PAL | 400.00 |
| Abdomen Supine and Upright | 750.00 |
| Cervical Spine APL | 440.00 |
| KUB X-Ray | 520.00 |
| Lumbosacral API | 640.00 |
| Skull AP Only | 160.00 |
| Mandible PA and Oblique | 130.00 |
| Mandible PA Only | 130.00 |
| T-Tube Cholangiogram | 380.00 |
| UGIS | 625.00 |
| Skull AP Hnly | 400.00 |
| Mandible PA and Oblique | 536.00 |
| Mandible PA Only | 400.00 |
| T-Tube Cholangiogram | 800.00 |
| UGIS | 1000.00 |
| Chest AP or Lateral Only | 200.00 |
| Apicolordotic | 200.00 |
| Chest Bucky | 600.00 |
| Abdomen Lateral Decubitus | 440.00 |
| Abdomen Supine Only | 440.00 |
| Cervical Spine AP | 400.00 |
| Cervical Spine Both Oblique | 800.00 |
| Clavicle AP and Angulated | 440.00 |
| Clavicle AP Only | 400.00 |
| Finger/ Toe Only | 360.00 |
| Foot APO | 440.00 |
| Both Feet APO | 880.00 |
| Hand APL / APO | 440.00 |
| Both Hands APO | 800.00 |
| Humerus APL | 440.00 |
| Knee APL | 480.00 |
| Both Knee APL | 880.00 |
| Patella Sunset/ Lateral | 480.00 |
| Both Patella Sunset/ Lateral | 800.00 |
| Lumbar Spine APL | 440.00 |
| Lumbar Scoliotic Study | 1200.00 |
| Thoracic Spine AP Only | 720.00 |
| Thoracic Spine AFL | 1000.00 |
| Thoracic Scoliotic Study | 1200.00 |
| Thoracolumbar AP or Lateral Only | 440.00 |
| Thoracolumbar APL | 760.00 |
| Thoracolumbar Semiotic Study | 1800.00 |
| Ankle Mortise | 360.00 |
| Ankle APL | 440.00 |
| Pelvis AP Only | 440.00 |
| Pelvis Inlet and Outlet | 6400.00 |
| Pelvis Inlet or Outlet Only | 440.00 |
| Pelvis Froglet | 440.00 |
| Pelvis APL | 600.00 |
| Nasal Bone | 440.00 |
| Neck Soft Tissue Lateral | 400.00 |
| Bilirubin(B IB2) | 700.00 |
| Towne's View | 400.00 |
| Waters' View | 400.00 |
| Skull APL | 550.00 |
| Skeletal Survey All AP Views | 1,800 00 |
| Babygram | 560.00 |
| Wrist APL | 400.00 |
| Both Wrist APL | 760.00 |
| Hand APO | 600.00 |
| Leg APL | 560.00 |
| Forearm APL | 440.00 |
| Arm APL | 440.00 |
| Ankle APO | 440.00 |
| Ankle Mortise and APL | 440.00 |
| Elbow APL | 440.00 |
| Foot APO or APL | 440.00 |
| Foot APOL | 600.00 |
| Both Feet Lateral | 440.00 |
| Thigh APL | 560.00 |
| Both Thigh AP or Lateral Only | 560.00 |
| Shoulder APL Only | 400.00 |
| Shoulder APY | 600.00 |
| Calcaneus APL | 700.00 |
| Both Calcaneus APL | 960.00 |
| Mandible Both AP and Oblique | 640.00 |
| Additional X-Ray | 160.00 |
| Invertogram | 520.00 |
| Fistulogram | 880.00 |
| IVP | 1000.00 |
| Intraoperative Cholangiogram | 900.00 |
| Small lntestinal Series | 1000.00 |
| UGl and Esophagogram | 1900.00 |
| Voiding Cystourethrography | 900.00 |
| Retrograde Pyelography | 1240.00 |
| Bariulvi Enema/ LGIS | 1880.00 |
