| Name | Cost range | |
|---|---|---|
| 1 | X RAY ORBIT PA | 346.50-346.50 |
| 2 | X-Ray - ANKLE AP | 346.50-346.50 |
| 3 | X-Ray - Ankle Lat | 346.50-346.50 |
| 4 | X-Ray - Finger LAT | 346.50-346.50 |
| 5 | X-Ray - Foot AP | 346.50-346.50 |
| 6 | X-Ray - Foot Lat | 346.50-346.50 |
| 7 | X-RAY - RIGHT WRIST AP | 346.50-346.50 |
| 8 | X-RAY - RIGHT WRIST LAT | 346.50-346.50 |
| 9 | X-RAY Left Oblique | 346.50-346.50 |
| 10 | X-RAY Right Oblique | 346.50-346.50 |
| 11 | X-RAY RIGHT WRIST AP/LAT VIEWS | 630.00-630.00 |
| 12 | Xray Left Toe AP/LAT | 630.00-630.00 |
| 13 | Xray Right Hand AP | 346.50-346.50 |
| 14 | Xray Right Toe AP/LAT | 630.00-630.00 |