| Abdomen 2 views (74019) |
$1,283.25 |
$1,711 |
11.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$5,248.50 |
$6,998 |
12.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$8,360.25 |
$11,147 |
2.5× |
| Angiography extremity bilateral rs&i (75716) |
$6,942.75 |
$9,257 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$7,100.62 |
$9,467.50 |
2.1× |
| Angiography internal mammary rs&i (75756) |
$6,708.75 |
$8,945 |
2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,210.12 |
$9,613.50 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$8,380.12 |
$11,173.50 |
2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$9,406.50 |
$12,542 |
2.8× |
| Angiography Spinal Selective Rs&I (75705) |
$13,409.25 |
$17,879 |
2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$12,063.38 |
$16,084.50 |
2.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,013.50 |
$4,018 |
0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,372.75 |
$4,497 |
1.0× |
| Ankle 2 views (73600) |
$924.75 |
$1,233 |
10.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,808.75 |
$3,745 |
7.5× |
| Aortogram thoracic (75605) |
$6,945 |
$9,260 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$16,287.75 |
$21,717 |
4.8× |
| Aortography abdominal serialography rs&i (75625) |
$9,045.75 |
$12,061 |
2.7× |
| Artery X-Rays Adrenal Gland (75731) |
$14,219.25 |
$18,959 |
4.2× |
| Arthrogram hip (73525) |
$2,595.75 |
$3,461 |
7.0× |
| Arthrogram shoulder (73040) |
$2,606.25 |
$3,475 |
7.0× |
| Arthrogram wrist (73115) |
$1,126.12 |
$1,501.50 |
3.0× |
| Arthrography knee lt (73580) |
$1,364.25 |
$1,819 |
3.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$4,488.75 |
$5,985 |
10.5× |
| Bone &/joint imaging whole body (78306) |
$6,023.25 |
$8,031 |
14.1× |
| Bone age studies (77072) |
$338.25 |
$451 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$6,591.75 |
$8,789 |
15.5× |
| Bone Marrow Imaging Limited Area (78102) |
$3,078 |
$4,104 |
7.2× |
| Bone survey complete (77075) |
$2,198.25 |
$2,931 |
19.7× |
| Brain image w/flow 4 + views (78606) |
$3,348.75 |
$4,465 |
5.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$6,210.75 |
$8,281 |
16.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,516.50 |
$6,022 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$1,188 |
$1,584 |
12.8× |
| Chest 1 view (71045) |
$729 |
$972 |
7.9× |
| Chest 3 views (71047) |
$999.75 |
$1,333 |
10.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,731 |
$2,308 |
9.2× |
| Clavicle complete (73000) |
$935.25 |
$1,247 |
10.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$451.50 |
$602 |
4.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$13,579.50 |
$18,106 |
36.5× |
| CT abdomen and pelvis without contrast (74176) |
$17,352.75 |
$23,137 |
68.2× |
| CT abdomen w contrast (74160) |
$6,606 |
$8,808 |
35.3× |
| CT abdomen w wo contrast (74170) |
$6,462 |
$8,616 |
34.5× |
| CT abdomen w/o contrast (74150) |
$6,387 |
$8,516 |
57.3× |
| CT angio hrt w/3d image (75574) |
$2,042.25 |
$2,723 |
5.5× |
| CT angiography upper extremity lt (73206) |
$4,263.38 |
$5,684.50 |
22.8× |
| CT c-spine w/o contrast (72125) |
$10,448.25 |
$13,931 |
93.7× |
| CT cervical spine w&w/o contrast (72127) |
$9,391.50 |
$12,522 |
50.2× |
| CT cervical spine with contrast (72126) |
$8,138.25 |
$10,851 |
21.9× |
| CT chest w/wo contrast (71270) |
$7,130.25 |
$9,507 |
38.1× |
| CT chest with contrast (71260) |
$7,010.25 |
$9,347 |
37.5× |
| CT head/brain with contrast (70460) |
$5,431.50 |
$7,242 |
29.0× |
| CT head/brain without and with contrast (70470) |
$7,999.50 |
$10,666 |
42.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,042.25 |
$2,723 |
5.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$669.75 |
$893 |
7.2× |
| CT iac w contrast (70481) |
$5,916 |
$7,888 |
31.6× |
| CT limited/localized follow up study (76380) |
$1,506 |
$2,008 |
16.2× |
| CT lower ext w/o (73700) |
$6,203.25 |
$8,271 |
55.6× |
| CT lower extremity w wo contrast (73702) |
$5,148 |
$6,864 |
27.5× |
| CT lower extremity with contrast (73701) |
$4,506 |
$6,008 |
24.1× |
| CT lumbar spine w & w/o contrast (72133) |
$12,113.25 |
$16,151 |
64.7× |
| CT lumbar spine w/o contrast (72131) |
$11,091.75 |
$14,789 |
99.4× |
| CT lumbar spine with contrast (72132) |
$9,792.75 |
$13,057 |
26.3× |
| CT maxillofacial w contrast (70487) |
$4,869.75 |
$6,493 |
26.0× |
| CT maxillofacial w/o contrast (70486) |
$5,293.50 |
$7,058 |
47.4× |
| CT maxillofacial w/wo contrast (70488) |
$5,047.50 |
$6,730 |
27.0× |
| CT neck soft tissue w contrast (70491) |
$6,357.75 |
$8,477 |
34.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$7,250.25 |
$9,667 |
38.7× |
| CT orbits w/o contrast (70480) |
$5,244.75 |
$6,993 |
47.0× |
| CT pelvis w & w/o contrast (72194) |
$7,540.50 |
$10,054 |
40.3× |
| CT pelvis w/o contrast (72192) |
$5,373.75 |
$7,165 |
48.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,801.50 |
$6,402 |
25.7× |
| CT soft tissue neck w/o contrast (70490) |
$4,245 |
$5,660 |
38.1× |
| CT thoracic spine w/contrast (72129) |
$7,283.25 |
$9,711 |
38.9× |
| CT thoracic spine w/o contrast (72128) |
$9,304.50 |
$12,406 |
83.4× |
| CT thoracic spine w/wo contrast (72130) |
$10,073.25 |
$13,431 |
53.8× |
| CT thorax w/o contrast (71250) |
$5,651.25 |
$7,535 |
50.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,229.25 |
$5,639 |
22.6× |
| CT upper extremity w/o contrast rt (73200) |
$4,643.25 |
$6,191 |
41.6× |
| CT upper extremity with contrast (73201) |
$3,873 |
$5,164 |
10.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,623 |
$10,164 |
40.7× |
| Cta Abdomen (74175) |
$6,136.50 |
$8,182 |
32.8× |
| CTA abdomen pelvis (74174) |
$17,014.88 |
$22,686.50 |
45.7× |
| CTA chest (71275) |
$7,269.75 |
$9,693 |
38.8× |
| Cta Head (70496) |
$7,287 |
$9,716 |
38.9× |
| CTA lwr ext w&w/o contrast (73706) |
$6,010.12 |
$8,013.50 |
32.1× |
| Cta Neck (70498) |
$6,746.25 |
$8,995 |
36.0× |
| Cta Pelvis (72191) |
$9,714.38 |
$12,952.50 |
51.9× |
| Cystography minimum 3 views rs&i (74430) |
$1,690.12 |
$2,253.50 |
4.5× |
| Diskogram cervical (72285) |
$10,308.75 |
$13,745 |
4.9× |
| Diskography lumbar (72295) |
$9,686.25 |
$12,915 |
4.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,419 |
$1,892 |
12.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,326 |
$1,768 |
11.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,458.75 |
$1,945 |
15.7× |
| Dxa bone density study axial skeleton (77085) |
$540 |
$720 |
4.8× |
| Echoencephalography real time imaging (76506) |
$1,369.50 |
$1,826 |
12.3× |
| Esophagus (74220) |
$1,545 |
$2,060 |
8.3× |
| Fetal biophysical profile non-stress testing (76818) |
$2,083.88 |
$2,778.50 |
18.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,923 |
$2,564 |
17.2× |
| Fluoroscopy up to 1 hr (76000) |
$1,845.75 |
$2,461 |
7.2× |
| Foot 2 views (73620) |
$816 |
$1,088 |
8.8× |
| Forearm 2 views (73090) |
$1,398.75 |
$1,865 |
15.1× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$5,349.75 |
$7,133 |
9.2× |
| Gated Heart Planar Single (78472) |
$4,696.50 |
$6,262 |
11.0× |
| Hand 2 views (73120) |
$1,057.50 |
$1,410 |
9.5× |
| Hand 3 views (73130) |
$1,586.25 |
$2,115 |
17.1× |
| Heart Infarct Image (78466) |
$3,652.50 |
$4,870 |
8.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$10,415.25 |
$13,887 |
3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,818.75 |
$2,425 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,818.75 |
$2,425 |
4.3× |
| Ht muscle image spect sing (78451) |
$3,122.25 |
$4,163 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$1,226.25 |
$1,635 |
13.2× |
| Hysterosalpingogram (74740) |
$2,537.25 |
$3,383 |
10.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$847.50 |
$1,130 |
7.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,518.25 |
$4,691 |
6.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,866.25 |
$5,155 |
6.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$3,861 |
$5,148 |
6.7× |
| Knee 3 views (73562) |
$1,684.50 |
$2,246 |
18.1× |
| Liver & spleen imaging static only (78215) |
$5,111.25 |
$6,815 |
12.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$7,329 |
$9,772 |
17.2× |
| Lung perf&ventilat diferentl (78598) |
$1,994.25 |
$2,659 |
3.4× |
| Lung perfusion differential (78597) |
$1,275 |
$1,700 |
3.0× |
| Lung Ventilation Imaging (78579) |
$1,275 |
$1,700 |
3.0× |
| Lymphoscintigraphy (78195) |
$4,556.25 |
$6,075 |
7.9× |
| Mammary ductogram or galactogram single (77053) |
$666.75 |
$889 |
2.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$966 |
$1,288 |
10.4× |
| Meckels Diverticulum (78290) |
$6,265.50 |
$8,354 |
14.7× |
| Mr safety determination physician/other qhp (76016) |
$360 |
$480 |
3.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$243 |
$324 |
3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$99.75 |
$133 |
3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$375 |
$500 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$987.75 |
$1,317 |
3.9× |
| MRA head w & w/o contrast (70546) |
$5,326.50 |
$7,102 |
14.3× |
| MRA head w/o contrast (70544) |
$3,996 |
$5,328 |
15.7× |
| MRA neck w contrast (70548) |
$4,908.75 |
$6,545 |
13.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,953.75 |
$6,605 |
13.3× |
| MRA neck w/o contrast (70547) |
$4,590.75 |
$6,121 |
18.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,077 |
$9,436 |
19.0× |
| MRI abdomen w/o contrast (74181) |
$7,349.25 |
$9,799 |
28.9× |
| MRI any jnt lwr ext with con lt (73722) |
$10,712.25 |
$14,283 |
12.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$9,056.25 |
$12,075 |
10.8× |
| MRI breast w/o contrast unilat (77046) |
$4,652.25 |
$6,203 |
18.3× |
| MRI cardiac w/o contrast (75557) |
$5,210.25 |
$6,947 |
20.5× |
| MRI cervical spine w/o contrast (72141) |
$9,329.25 |
$12,439 |
36.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,852 |
$5,136 |
10.3× |
| MRI chest w/o contrast (71550) |
$3,990 |
$5,320 |
15.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$14,364.75 |
$19,153 |
38.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$10,683.75 |
$14,245 |
28.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,285.50 |
$9,714 |
28.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$9,066.75 |
$12,089 |
35.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,172.25 |
$9,563 |
19.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,809.50 |
$15,746 |
31.7× |
| MRI pelvis w/o contrast (72195) |
$7,224 |
$9,632 |
28.4× |
| MRI scan of arm joint before and after contrast (73223) |
$12,114.75 |
$16,153 |
32.5× |
| MRI scan of leg joint before and after contrast (73723) |
$9,232.50 |
$12,310 |
24.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$12,438 |
$16,584 |
33.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,211.25 |
$13,615 |
27.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$12,190.50 |
$16,254 |
32.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$13,243.50 |
$17,658 |
35.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,402.50 |
$13,870 |
27.9× |
| MRI thoracic spine w/o contrast (72146) |
$8,894.25 |
$11,859 |
34.9× |
| MRI tmj (70336) |
$4,992 |
$6,656 |
19.6× |
| MRI upper ext joint w/o contrast (73221) |
$8,126.25 |
$10,835 |
31.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$8,765.25 |
$11,687 |
23.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$8,617.50 |
$11,490 |
33.8× |
| Myelogram Cervical (72240) |
$6,824.25 |
$9,099 |
8.2× |
| Myelogram Lumbar (72265) |
$3,573.75 |
$4,765 |
4.3× |
| Myelogram thoracic (72255) |
$5,466.75 |
$7,289 |
6.5× |
| Myelography 2 or more regions (72270) |
$3,763.50 |
$5,018 |
4.5× |
| Myocardial Spect Multiple Studies (78452) |
$11,170.50 |
$14,894 |
8.1× |
| Neck soft tissue (70360) |
$1,116.75 |
$1,489 |
12.0× |
| Nm adrenal scan (78075) |
$5,601.75 |
$7,469 |
4.1× |
| Nm bone marrow wb (78104) |
$4,794.75 |
$6,393 |
11.2× |
| Nm cisternogram (78630) |
$3,162.75 |
$4,217 |
5.5× |
| Nm csf leak detection (78650) |
$2,673 |
$3,564 |
1.9× |
| Nm gastric emptying study (78264) |
$4,513.50 |
$6,018 |
10.6× |
| Nm gastroesophageal reflux study (78262) |
$6,129.75 |
$8,173 |
14.4× |
| Nm peritoneal-venous shunt patency (78291) |
$2,215.50 |
$2,954 |
5.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$9,688.50 |
$12,918 |
7.0× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$8,378.25 |
$11,171 |
14.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,058.25 |
$5,411 |
2.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$4,357.50 |
$5,810 |
10.2× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$4,031.25 |
$5,375 |
9.4× |
| Nuclear Rx Oral Admin (79005) |
$5,359.50 |
$7,146 |
21.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,823 |
$3,764 |
25.3× |
| Osseous survey infant (77076) |
$2,335.50 |
$3,114 |
20.9× |
| Osseous survey limited (77074) |
$1,573.50 |
$2,098 |
14.1× |
| Parathyrd planar w/spect&CT (78072) |
$2,033.25 |
$2,711 |
3.5× |
| Parathyrd planar w/wo subtrj (78071) |
$2,033.25 |
$2,711 |
4.8× |
| Parathyroid imaging (78070) |
$1,680.75 |
$2,241 |
3.9× |
| Pelvis 1 or 2 views (72170) |
$1,155.38 |
$1,540.50 |
10.4× |
| Pr heart first pass single,planar (78481) |
$3,045.75 |
$4,061 |
5.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$8,226 |
$10,968 |
22.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$11,438.25 |
$15,251 |
3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$5,028.75 |
$6,705 |
11.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,890 |
$2,520 |
3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,622.50 |
$4,830 |
6.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,427.25 |
$1,903 |
15.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,180.50 |
$1,574 |
10.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,026.75 |
$1,369 |
9.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,325.75 |
$3,101 |
20.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,968 |
$2,624 |
17.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,011 |
$1,348 |
10.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,275.75 |
$1,701 |
11.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,166.25 |
$1,555 |
12.6× |
| Radiologic exam colon single contrast study (74270) |
$1,719.75 |
$2,293 |
9.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,380.50 |
$3,174 |
12.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,346.75 |
$3,129 |
12.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,229.25 |
$1,639 |
13.2× |
| Radiological examination surgical specimen (76098) |
$1,044.75 |
$1,393 |
1.8× |
| Review by radiologist of adrenal gland vein image (75840) |
$8,226 |
$10,968 |
2.4× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$10,937.25 |
$14,583 |
3.2× |
| Ribs bilateral 3 views (71110) |
$1,788.75 |
$2,385 |
16.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,468.75 |
$4,625 |
8.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,951.25 |
$3,935 |
5.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,139.50 |
$4,186 |
5.4× |
| Rp Therapy Intravenous Administration (79101) |
$19,027.50 |
$25,370 |
76.4× |
| Sacroiliac Joints < 3 Views (72200) |
$970.50 |
$1,294 |
8.7× |
| Scanogram (77073) |
$897.75 |
$1,197 |
8.0× |
| Scapula complete (73010) |
$905.25 |
$1,207 |
8.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$270 |
$360 |
2.4× |
| Sialogram (70390) |
$2,137.50 |
$2,850 |
8.4× |
| Small bowel series (74250) |
$2,451.75 |
$3,269 |
13.1× |
| Speech evaluation complex (70371) |
$1,786.50 |
$2,382 |
7.0× |
| Spine thoracic 3 views (72072) |
$1,380 |
$1,840 |
12.4× |
| Superior sagittal sinus venogram (75870) |
$12,911.25 |
$17,215 |
3.8× |
| Testicular Imaging With Vascular Flow (78761) |
$4,281 |
$5,708 |
10.0× |
| Therapeutic Enema (74283) |
$1,789.50 |
$2,386 |
9.6× |
| Thoracolumbar 2 views (72080) |
$1,299.75 |
$1,733 |
14.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,038 |
$5,384 |
7.0× |
| Thyroid uptake measurement (78012) |
$2,900.25 |
$3,867 |
6.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$5,655 |
$7,540 |
13.3× |
| Tmj unilateral (70328) |
$826.50 |
$1,102 |
8.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,102.50 |
$5,470 |
7.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,139.50 |
$4,186 |
7.4× |
| Ultrasound, abdomen limited (76705) |
$2,076 |
$2,768 |
18.6× |
| Umbilical-artery Doppler (OB) (76820) |
$768.75 |
$1,025 |
6.9× |
| Upper Extremity Infant (73092) |
$787.50 |
$1,050 |
7.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,241.25 |
$1,655 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$2,105.25 |
$2,807 |
8.3× |
| Urethrocystography voiding (74455) |
$2,850.75 |
$3,801 |
11.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,337.75 |
$3,117 |
12.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$2,505.75 |
$3,341 |
13.4× |
| Us breast unilateral complete (76641) |
$1,614 |
$2,152 |
14.5× |
| Us breast unilateral limited (76642) |
$1,560.38 |
$2,080.50 |
16.8× |
| Us chest (76604) |
$1,020.75 |
$1,361 |
9.1× |
| Us compl joint r-t w/image documentation (76881) |
$968.25 |
$1,291 |
8.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,608.75 |
$2,145 |
14.4× |
| Us guided compression repair (76936) |
$817.50 |
$1,090 |
3.5× |
| Us infant hips dynamic (76885) |
$521.25 |
$695 |
5.6× |
| Us infant hips limited static (76886) |
$706.50 |
$942 |
7.6× |
| Us kidney transplant (76776) |
$2,737.50 |
$3,650 |
24.5× |
| Us ob detailed single fetus (76811) |
$1,780.50 |
$2,374 |
7.0× |
| Us ob transvaginal (76817) |
$2,265 |
$3,020 |
20.3× |
| Us pelvic non ob complete (76856) |
$4,772.25 |
$6,363 |
42.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,876.12 |
$2,501.50 |
16.8× |
| Us pregnancy ltd (76815) |
$1,419 |
$1,892 |
12.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,433 |
$3,244 |
21.8× |
| Us retroperitoneal complete (76770) |
$2,217.75 |
$2,957 |
19.9× |
| Us retroperitoneal limited (76775) |
$1,716 |
$2,288 |
15.4× |
| Us scrotum and contents (76870) |
$2,788.50 |
$3,718 |
25.0× |
| Us soft tissue head/neck (76536) |
$2,011.88 |
$2,682.50 |
18.0× |
| Us spinal canal and contents (76800) |
$1,048.50 |
$1,398 |
9.4× |
| Us xtr non-vasc lmtd (76882) |
$862.50 |
$1,150 |
7.7× |
| Vascular flow imaging (78445) |
$2,137.50 |
$2,850 |
5.0× |
| Venogram extremity bilateral (75822) |
$1,923 |
$2,564 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$11,209.50 |
$14,946 |
3.3× |
| Venography caval superior serialography rs&i (75827) |
$3,008.25 |
$4,011 |
1.8× |
| Venography extremity unilateral rs&i (75820) |
$4,208.25 |
$5,611 |
2.5× |
| Venography Renal Bilateral (75833) |
$10,756.50 |
$14,342 |
3.2× |
| Venography renal unilateral selective rs&i (75831) |
$9,207.75 |
$12,277 |
2.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,614.88 |
$7,486.50 |
1.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$11,392.50 |
$15,190 |
1.9× |
| Vertebral fracture assessment via dxa (77086) |
$540 |
$720 |
5.8× |
| Wrist 2 views (73100) |
$989.25 |
$1,319 |
10.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,634.25 |
$2,179 |
14.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,550.25 |
$2,067 |
16.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,357.50 |
$1,810 |
14.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,893.50 |
$3,858 |
15.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,044.75 |
$1,393 |
11.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,701 |
$2,268 |
18.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,325.75 |
$3,101 |
20.8× |
| X-ray exam hip uni 1 view (73501) |
$1,267.88 |
$1,690.50 |
13.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,487.25 |
$1,983 |
16.0× |
| X-ray exam hip uni 4/> views (73503) |
$1,983.75 |
$2,645 |
17.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$843.75 |
$1,125 |
7.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,046 |
$2,728 |
18.3× |
| X-ray exam of femur 1 (73551) |
$891 |
$1,188 |
9.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$5,244 |
$6,992 |
28.0× |
| X-ray eye for foreign body (70030) |
$757.50 |
$1,010 |
8.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,558.50 |
$2,078 |
14.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,034.25 |
$1,379 |
11.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,991.25 |
$2,655 |
21.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,805.50 |
$5,074 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,091.25 |
$1,455 |
11.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,314.75 |
$1,753 |
14.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,650.75 |
$2,201 |
14.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,193.25 |
$1,591 |
12.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$782.25 |
$1,043 |
8.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,821 |
$2,428 |
16.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,679.25 |
$2,239 |
15.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,864.50 |
$2,486 |
20.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$625.50 |
$834 |
6.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,118.25 |
$1,491 |
10.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$931.50 |
$1,242 |
8.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,434.75 |
$1,913 |
3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,295.25 |
$1,727 |
13.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,369.50 |
$1,826 |
12.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,446 |
$1,928 |
13.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,326 |
$1,768 |
11.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,344 |
$1,792 |
14.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,225.50 |
$1,634 |
13.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,719.50 |
$3,626 |
29.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,554.75 |
$2,073 |
16.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,909.50 |
$2,546 |
17.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,062.75 |
$1,417 |
9.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$555.75 |
$741 |
6.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$962.25 |
$1,283 |
10.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,747.50 |
$2,330 |
18.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,288.50 |
$1,718 |
11.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,107 |
$1,476 |
11.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,493.25 |
$1,991 |
16.1× |
| Xr c-spine 6 or more views (72052) |
$1,713.75 |
$2,285 |
15.4× |
| Xr chest 4+ views (71048) |
$1,374.75 |
$1,833 |
12.3× |
| Xr finger(s) 2+ views (73140) |
$1,723.50 |
$2,298 |
18.6× |
| Xr shoulder 1 view (73020) |
$979.50 |
$1,306 |
10.5× |
| Xr spine cervical 4 or 5 views (72050) |
$2,475.75 |
$3,301 |
22.2× |
| Xr tibia/fibula 2 views (73590) |
$1,605 |
$2,140 |
17.3× |
| Xr tmj bilateral (70330) |
$1,247.25 |
$1,663 |
13.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,864.50 |
$2,486 |
20.1× |