| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$5,794.10 |
$5,794.10 |
4.0× |
| Acute gi blood loss imaging (78278) |
$2,788.10 |
$2,788.10 |
6.7× |
| Angio extremity unilateral (75710) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angio pulmonary unilateral (75741) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiogram extremity bilateral (75716) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiogram pelvic (75736) |
$9,453.57 |
$9,453.57 |
1.6× |
| Angiography internal mammary rs&i (75756) |
$4,924.85 |
$4,924.85 |
1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$19,659.49 |
$19,659.49 |
3.4× |
| Ankle 2 views (73600) |
$605.25 |
$605.25 |
6.7× |
| Barium enema (74270) |
$1,142.20 |
$1,142.20 |
6.2× |
| Basic dosimetry (77300) |
$1,009.14 |
$1,009.14 |
7.2× |
| Bone age studies (77072) |
$592.65 |
$592.65 |
5.4× |
| Bone imaging limited area (78300) |
$2,299.14 |
$2,299.14 |
5.5× |
| Bone survey complete (77075) |
$2,133.13 |
$2,133.13 |
19.5× |
| Bowel imaging (78290) |
$2,524.29 |
$2,524.29 |
6.0× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,277.55 |
$1,277.55 |
3.3× |
| Brain image w/flow 4 + views (78606) |
$3,624.97 |
$3,624.97 |
6.4× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) |
$2,774.45 |
$2,774.45 |
6.6× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$887.95 |
$887.95 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$918.39 |
$918.39 |
5.0× |
| Clavicle complete (73000) |
$556.91 |
$556.91 |
6.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$4,170 |
$4,170 |
22.8× |
| Continuing medical physics consltj pr wk (77336) |
$960.77 |
$960.77 |
6.8× |
| Contrast exam abdominl aorta (75625) |
$9,453.57 |
$9,453.57 |
2.9× |
| CT - st neck w&wo contr (70492) |
$3,946.26 |
$3,946.26 |
21.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$13,309.46 |
$13,309.46 |
36.5× |
| CT abdomen and pelvis without contrast (74176) |
$9,679.06 |
$9,679.06 |
38.8× |
| CT abdomen w wo contrast (74170) |
$7,083.46 |
$7,083.46 |
38.7× |
| CT abdomen w/contrast (74160) |
$6,192.24 |
$6,192.24 |
33.8× |
| CT abdomen w/o contrast (74150) |
$4,656.86 |
$4,656.86 |
42.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$8,576.59 |
$8,576.59 |
23.5× |
| CT angio abdom w/o & w/dye (74175) |
$8,576.59 |
$8,576.59 |
46.8× |
| CT angio abdominal arteries (75635) |
$9,814.20 |
$9,814.20 |
53.6× |
| CT angio hrt w/3d image (75574) |
$1,395.80 |
$1,395.80 |
3.8× |
| CT cervical spine w/contrast (72126) |
$3,685.36 |
$3,685.36 |
10.1× |
| CT cervical spine w/o contrast (72125) |
$3,621.98 |
$3,621.98 |
33.2× |
| CT chest w/contrast (71260) |
$5,049.64 |
$5,049.64 |
27.6× |
| CT head/brain with contrast (70460) |
$4,281.87 |
$4,281.87 |
23.4× |
| CT head/brain without and with contrast (70470) |
$4,802.62 |
$4,802.62 |
26.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$115.76 |
$115.76 |
1.3× |
| CT limited/localized follow up study (76380) |
$1,437.73 |
$1,437.73 |
15.8× |
| CT lower extremity w contrast (73701) |
$4,008.47 |
$4,008.47 |
21.9× |
| CT lower extremity w/o contrast unilateral (73700) |
$3,984.31 |
$3,984.31 |
36.5× |
| CT lumbar spine w/contrast (72132) |
$3,733.93 |
$3,733.93 |
10.2× |
| CT lumbar spine w/o contrast (72131) |
$3,328.43 |
$3,328.43 |
30.5× |
| CT maxillofacial area w/o contrast (70486) |
$2,154.14 |
$2,154.14 |
19.7× |
| CT maxillofacial w/contrast (70487) |
$2,845.76 |
$2,845.76 |
15.5× |
| CT orbit sella ear w/o con (70480) |
$3,799.77 |
$3,799.77 |
34.8× |
| CT pelvis w & w/o contrast (72194) |
$5,647.19 |
$5,647.19 |
30.8× |
| CT pelvis w/o contrast (72192) |
$5,022.20 |
$5,022.20 |
46.0× |
| CT soft tissue neck w/contrast (70491) |
$3,618.76 |
$3,618.76 |
19.8× |
| CT soft tissue neck w/o contrast (70490) |
$3,277.02 |
$3,277.02 |
30.0× |
| CT thoracic spine w/contrast (72129) |
$4,280.91 |
$4,280.91 |
23.4× |
| CT thoracic spine w/o contrast (72128) |
$3,907.08 |
$3,907.08 |
35.8× |
| CT thorax lung cancer scr c- (71271) |
$2,211.69 |
$2,211.69 |
20.3× |
| CT thorax w/o contrast (71250) |
$4,544.88 |
$4,544.88 |
41.6× |
| CT thorax w/o then w/ contrast (71270) |
$5,474.19 |
$5,474.19 |
29.9× |
| CT upper extremity w/dye (73201) |
$4,008.47 |
$4,008.47 |
11.0× |
| CT upper extremity w/o contrast rt (73200) |
$3,609.30 |
$3,609.30 |
33.1× |
| CTA chest w/wo contrast (71275) |
$5,247.52 |
$5,247.52 |
28.6× |
| CTA head w contrast (70496) |
$6,401.42 |
$6,401.42 |
34.9× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$5,011.62 |
$5,011.62 |
27.4× |
| Cta Neck (70498) |
$5,534.91 |
$5,534.91 |
30.2× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$5,807.84 |
$5,807.84 |
31.7× |
| Dxa bone density study axial skeleton (77085) |
$550.85 |
$550.85 |
5.0× |
| Esophogram (74220) |
$932.35 |
$932.35 |
5.1× |
| Fetal biophysical profile non-stress testing (76818) |
$1,729.70 |
$1,729.70 |
15.8× |
| Fetal biophysical profile w/o nst (76819) |
$1,117.57 |
$1,117.57 |
10.2× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$977.56 |
$977.56 |
3.9× |
| Gastric emptying study (78264) |
$2,949.56 |
$2,949.56 |
7.1× |
| Gated heart planar single (78472) |
$2,865.42 |
$2,865.42 |
6.9× |
| Hepatobil syst image w/drug (78227) |
$1,413.42 |
$1,413.42 |
2.5× |
| Hepatobiliary system imaging (78226) |
$1,413.42 |
$1,413.42 |
3.4× |
| Humerus min 2 views (73060) |
$601.05 |
$601.05 |
6.6× |
| Hysterosalpingography (74740) |
$1,244.88 |
$1,244.88 |
5.0× |
| Imrt planning (77301) |
$14,775.41 |
$14,775.41 |
10.2× |
| Intracavitary radiation source applic complex (77763) |
$1,996.90 |
$1,996.90 |
2.7× |
| Intracavitary radiation source applic intermed (77762) |
$1,527.30 |
$1,527.30 |
2.6× |
| Intracavitary radiation source applic simple (77761) |
$1,527.30 |
$1,527.30 |
2.6× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,277.55 |
$1,277.55 |
3.3× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$459.61 |
$459.61 |
1.2× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$459.61 |
$459.61 |
1.2× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$459.61 |
$459.61 |
1.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$3,488.52 |
$3,488.52 |
6.2× |
| Lung perf&ventilat diferentl (78598) |
$1,524.16 |
$1,524.16 |
2.7× |
| Lung ventilat&perfus imaging (78582) |
$1,524.16 |
$1,524.16 |
2.7× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$7,370.84 |
$7,370.84 |
20.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$7,513.07 |
$7,513.07 |
20.6× |
| Mlc device(s) for imrt (77338) |
$2,066.62 |
$2,066.62 |
5.3× |
| Mr safety determination physician/other qhp (76016) |
$210.74 |
$210.74 |
2.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$140.35 |
$140.35 |
2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$58.85 |
$58.85 |
1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$220.91 |
$220.91 |
2.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$580.70 |
$580.70 |
2.3× |
| MRA head w & w/o contrast (70546) |
$5,996.36 |
$5,996.36 |
16.5× |
| MRA head w/o contrast (70544) |
$4,842.58 |
$4,842.58 |
19.4× |
| MRA neck w/o contrast (70547) |
$4,797.45 |
$4,797.45 |
19.3× |
| MRA neck w/wo contrast (70549) |
$5,996.36 |
$5,996.36 |
16.5× |
| MRI abdomen w/contrast (74182) |
$3,969.66 |
$3,969.66 |
10.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,692.67 |
$6,692.67 |
18.4× |
| MRI abdomen w/o contrast (74181) |
$5,303.46 |
$5,303.46 |
21.3× |
| MRI any jnt lwr ext with con lt (73722) |
$5,556.92 |
$5,556.92 |
6.8× |
| MRI breast without contrast bilateral (77047) |
$2,790.66 |
$2,790.66 |
11.2× |
| MRI cervical spine w/o contrast (72141) |
$5,918.21 |
$5,918.21 |
23.8× |
| MRI cervical spine with contrast (72142) |
$6,584.89 |
$6,584.89 |
18.1× |
| MRI chest w & w/o contrast (71552) |
$6,628.82 |
$6,628.82 |
18.2× |
| MRI chest w/o contrast (71550) |
$3,991.31 |
$3,991.31 |
16.0× |
| MRI joint upper ext w/contrast (73222) |
$6,263.52 |
$6,263.52 |
7.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$7,171.70 |
$7,171.70 |
19.7× |
| MRI joint upr extrem w/o dye (73221) |
$6,033.99 |
$6,033.99 |
24.2× |
| Mri Lower Extremity W/O Dye (73718) |
$5,034.17 |
$5,034.17 |
20.2× |
| MRI lumbar spine with contrast (72149) |
$7,036 |
$7,036 |
19.3× |
| MRI lumbar w/wo contrast (72158) |
$8,035.99 |
$8,035.99 |
22.1× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$5,023.15 |
$5,023.15 |
13.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$4,884.11 |
$4,884.11 |
19.6× |
| MRI pelvis w/o contrast (72195) |
$5,303.46 |
$5,303.46 |
21.3× |
| MRI pelvis w/wo contrast (72197) |
$6,628.82 |
$6,628.82 |
18.2× |
| MRI spine cervical wo/w contrast (72156) |
$7,449.15 |
$7,449.15 |
20.4× |
| MRI spine thoracic w/contrast (72147) |
$5,918.21 |
$5,918.21 |
16.2× |
| MRI thoracic spine w wo contrast (72157) |
$7,287.49 |
$7,287.49 |
20.0× |
| MRI thoracic spine w/o contrast (72146) |
$5,812.43 |
$5,812.43 |
23.3× |
| MRI tmj (70336) |
$3,816.39 |
$3,816.39 |
15.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,812.43 |
$5,812.43 |
23.3× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$7,171.70 |
$7,171.70 |
19.7× |
| Myelography 2 or more regions (72270) |
$1,997.79 |
$1,997.79 |
2.4× |
| Myocardial spect single study at rest or stress (78451) |
$4,661.98 |
$4,661.98 |
3.4× |
| Nm bone 3 phase (78315) |
$5,128.19 |
$5,128.19 |
12.3× |
| Nm bone imaging whole body (78306) |
$4,243.53 |
$4,243.53 |
10.2× |
| Nm heart perfusion spect stress rest (78452) |
$9,158.19 |
$9,158.19 |
6.8× |
| Nm lymph system (78195) |
$3,088.29 |
$3,088.29 |
5.4× |
| Nose to rectum for fb child (76010) |
$482.46 |
$482.46 |
5.3× |
| Ob us < 14 wks single fetus (76801) |
$1,117.57 |
$1,117.57 |
10.2× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) |
$367.76 |
$367.76 |
3.4× |
| Oral radiopharm rx (79005) |
$617.57 |
$617.57 |
2.5× |
| Parathyroid imaging (78070) |
$1,373.87 |
$1,373.87 |
3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,135.62 |
$2,135.62 |
5.1× |
| Peritoneogram rs&i (74190) |
$741.18 |
$741.18 |
1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$10,520.87 |
$10,520.87 |
7.0× |
| PET imaging for CT attenuation whole body (78816) |
$11,532.35 |
$11,532.35 |
7.7× |
| PET imaging whole body (78813) |
$3,346.64 |
$3,346.64 |
2.2× |
| Pulmonary perfusion imaging particulate (78580) |
$4,016.12 |
$4,016.12 |
9.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$890.46 |
$890.46 |
1.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$453.57 |
$453.57 |
5.0× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$758.69 |
$758.69 |
6.9× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$912.10 |
$912.10 |
8.4× |
| Radex hip unilateral with pelvis 1 view (73501) |
$273.23 |
$273.23 |
3.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,256.77 |
$1,256.77 |
13.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$1,862.07 |
$1,862.07 |
17.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,122.26 |
$1,122.26 |
10.3× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$974.61 |
$974.61 |
8.9× |
| Radex spine cervical 2 or 3 views (72040) |
$1,019.28 |
$1,019.28 |
11.2× |
| Radex spine cervical 4 or 5 views (72050) |
$2,303.34 |
$2,303.34 |
21.1× |
| Radex spine cervical 6 or more views (72052) |
$2,437.86 |
$2,437.86 |
22.3× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$779.70 |
$779.70 |
8.6× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$26,271.41 |
$26,271.41 |
3.4× |
| Radiation tx delivery lvl 1 (77402) |
$733.95 |
$733.95 |
6.9× |
| Radiation tx delivery lvl 2 (77407) |
$810.22 |
$810.22 |
2.0× |
| Radiation tx delivery lvl 3 (77412) |
$1,053.52 |
$1,053.52 |
1.8× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,334.67 |
$1,334.67 |
12.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,532.72 |
$1,532.72 |
8.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,150.51 |
$1,150.51 |
6.3× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$529.63 |
$529.63 |
5.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$943.60 |
$943.60 |
10.4× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$983.55 |
$983.55 |
9.0× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,214.72 |
$1,214.72 |
11.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$3,131.48 |
$3,131.48 |
7.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,754.60 |
$3,754.60 |
6.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,746.44 |
$3,746.44 |
6.6× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$98.27 |
$98.27 |
4.2× |
| Shoulder arthrogram (73040) |
$928.37 |
$928.37 |
2.5× |
| Simulation complex (77290) |
$2,621.66 |
$2,621.66 |
6.7× |
| Simulation simple (77280) |
$1,454.84 |
$1,454.84 |
10.4× |
| Small bowel series (74250) |
$1,046.50 |
$1,046.50 |
5.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,119.18 |
$2,119.18 |
5.4× |
| Special dosimetry (77331) |
$819.89 |
$819.89 |
5.8× |
| Special physics consult (77370) |
$1,501.10 |
$1,501.10 |
10.7× |
| Special treatment procedure (77470) |
$2,821.36 |
$2,821.36 |
4.9× |
| Stereotactic body radiation delivery (77373) |
$5,994.68 |
$5,994.68 |
3.2× |
| Tbs technical calculation only (77091) |
$210.01 |
$210.01 |
2.3× |
| Thyroid met imaging body (78018) |
$2,572.88 |
$2,572.88 |
4.5× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$2,085.18 |
$2,085.18 |
5.0× |
| Treatment device intermediate (77333) |
$817.81 |
$817.81 |
5.8× |
| Treatment devices complex (77334) |
$1,946.79 |
$1,946.79 |
5.0× |
| Treatment devices simple (77332) |
$616 |
$616 |
4.4× |
| Ultrasound breast limited (76642) |
$338.55 |
$338.55 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$1,268.58 |
$1,268.58 |
11.6× |
| Umbilical-artery Doppler (OB) (76820) |
$396.81 |
$396.81 |
3.6× |
| Unlisted CT procedure (76497) |
$5,419.40 |
$5,419.40 |
59.6× |
| Urethrocystography retrograde rs&i (74450) |
$1,189.88 |
$1,189.88 |
4.8× |
| Urethrocystography voiding (74455) |
$2,645.01 |
$2,645.01 |
10.6× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,173.95 |
$1,173.95 |
10.8× |
| Us breast uni real time with image complete (76641) |
$423.80 |
$423.80 |
3.9× |
| Us chest (76604) |
$714.86 |
$714.86 |
6.5× |
| Us compl joint r-t w/image documentation (76881) |
$890.66 |
$890.66 |
8.2× |
| Us encephalogram (76506) |
$1,119.87 |
$1,119.87 |
10.3× |
| Us kidney transplanted (76776) |
$465.12 |
$465.12 |
4.3× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$321.57 |
$321.57 |
2.9× |
| Us ob followup per fetus (76816) |
$367.76 |
$367.76 |
3.4× |
| Us ob limited 1 or more fetuses (76815) |
$1,742.29 |
$1,742.29 |
16.0× |
| Us obstetric transvaginal (76817) |
$966.55 |
$966.55 |
8.9× |
| Us pelvic limited or f/u non-ob (76857) |
$928.32 |
$928.32 |
8.5× |
| Us pelvis complete (76856) |
$1,960.68 |
$1,960.68 |
18.0× |
| Us retroperitoneal complete (76770) |
$1,860.59 |
$1,860.59 |
17.0× |
| Us retroperitoneal limited (76775) |
$1,612.91 |
$1,612.91 |
14.8× |
| Us scrotum (76870) |
$1,129.65 |
$1,129.65 |
10.3× |
| Us soft tissue head/neck (76536) |
$1,318.96 |
$1,318.96 |
12.1× |
| Us transrectal prostate volume (76873) |
$1,621.69 |
$1,621.69 |
14.9× |
| Venogram extremity bilateral (75822) |
$2,717.91 |
$2,717.91 |
1.7× |
| Venogram ivc w serialography (75825) |
$9,669.90 |
$9,669.90 |
2.9× |
| Venogram svc w serialography (75827) |
$3,485.17 |
$3,485.17 |
2.1× |
| Venography ext unilateral (75820) |
$3,055.36 |
$3,055.36 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$668.31 |
$668.31 |
7.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$796.48 |
$796.48 |
8.8× |
| X-ray aorta leg arteries (75630) |
$9,453.57 |
$9,453.57 |
2.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,959.33 |
$1,959.33 |
10.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$764.98 |
$764.98 |
8.4× |
| X-ray exam hips bi 3-4 views (73522) |
$270 |
$270 |
2.5× |
| X-ray exam of finger(s) (73140) |
$596.85 |
$596.85 |
6.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$514.90 |
$514.90 |
5.7× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$526.95 |
$526.95 |
5.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$767.08 |
$767.08 |
8.4× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$632.58 |
$632.58 |
5.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$857.44 |
$857.44 |
9.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$529.63 |
$529.63 |
5.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$554.83 |
$554.83 |
6.1× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$994.02 |
$994.02 |
10.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,092.80 |
$1,092.80 |
10.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$479.17 |
$479.17 |
5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$949.89 |
$949.89 |
8.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,437.86 |
$2,437.86 |
22.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$977.24 |
$977.24 |
10.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,477.39 |
$1,477.39 |
13.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$926.79 |
$926.79 |
8.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$453.11 |
$453.11 |
4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$977.24 |
$977.24 |
10.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$819.62 |
$819.62 |
9.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,191.61 |
$1,191.61 |
13.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,178.98 |
$1,178.98 |
10.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$668.31 |
$668.31 |
6.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$517 |
$517 |
5.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$529.63 |
$529.63 |
5.8× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$601.05 |
$601.05 |
6.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$838.55 |
$838.55 |
9.2× |
| Xr abdomen 1 view (74018) |
$445.22 |
$445.22 |
4.9× |
| Xr abdomen 2 views (74019) |
$681.04 |
$681.04 |
6.2× |
| Xr abdomen 3 views (74021) |
$589.52 |
$589.52 |
5.4× |
| Xr arthrogram hip (73525) |
$944.76 |
$944.76 |
2.6× |
| Xr bone density appendicular (77081) |
$548.52 |
$548.52 |
6.0× |
| Xr bone density axial (77080) |
$605.25 |
$605.25 |
5.5× |
| Xr bone length study (77073) |
$470.35 |
$470.35 |
4.3× |
| Xr bone survey infant (77076) |
$949.89 |
$949.89 |
8.7× |
| Xr bone survey limited (77074) |
$1,875.38 |
$1,875.38 |
17.2× |
| Xr chest 1 view (71045) |
$736.64 |
$736.64 |
8.1× |
| Xr chest 2 views (71046) |
$1,257.74 |
$1,257.74 |
13.8× |
| Xr chest 3 views (71047) |
$972.74 |
$972.74 |
10.7× |
| Xr cystogram 3+ views (74430) |
$1,399.30 |
$1,399.30 |
3.8× |
| Xr eye foreign body (70030) |
$339.75 |
$339.75 |
3.7× |
| Xr facial bones 3 views (70150) |
$1,277.77 |
$1,277.77 |
11.7× |
| Xr lower extremity 2 views infant (73592) |
$1,023.49 |
$1,023.49 |
11.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$760.76 |
$760.76 |
7.0× |
| Xr mandible 4 views (70110) |
$1,155.87 |
$1,155.87 |
10.6× |
| Xr myelogram c-spine (72240) |
$1,495.86 |
$1,495.86 |
1.8× |
| Xr nasal bones (70160) |
$849.02 |
$849.02 |
9.3× |
| Xr pelvis 3 views (72190) |
$790.19 |
$790.19 |
7.2× |
| Xr spine 1 view (72020) |
$273.23 |
$273.23 |
3.0× |
| Xr sternum 2 views (71120) |
$701.93 |
$701.93 |
7.7× |
| Xr surgical specimen (76098) |
$1,360.16 |
$1,360.16 |
2.4× |
| Xr upper extremity 2 views infant (73092) |
$653.61 |
$653.61 |
6.0× |
| Xray elbow 2 views (73070) |
$605.25 |
$605.25 |
6.7× |
| Xray forearm 2 views (73090) |
$600.98 |
$600.98 |
6.6× |
| Xray knee 1 or 2 views rt (73560) |
$1,008.78 |
$1,008.78 |
11.1× |
| Xray neck soft tissue (70360) |
$558.48 |
$558.48 |
6.1× |
| Xray orbits complete min 4 views (70200) |
$504.40 |
$504.40 |
4.6× |
| Xray pelvis 1 or 2 views (72170) |
$777.60 |
$777.60 |
7.1× |
| Xray ribs bilateral 3 views (71110) |
$1,191.61 |
$1,191.61 |
10.9× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$1,076.02 |
$1,076.02 |
9.9× |
| Xray scapula complete (73010) |
$628.39 |
$628.39 |
5.8× |
| Xray shoulder 1 view (73020) |
$264.16 |
$264.16 |
2.9× |
| Xray sinuses paranasal <3 views (70210) |
$794.40 |
$794.40 |
8.7× |
| Xray spine thoracic 2 views (72070) |
$1,006.66 |
$1,006.66 |
9.2× |
| Xray spine thoracic 3 views (72072) |
$1,181.09 |
$1,181.09 |
10.8× |
| Xray tibia-fibula 2 views bil (73590) |
$987.76 |
$987.76 |
10.9× |
| Xray tmj open - closed unilat (70328) |
$1,069.70 |
$1,069.70 |
11.8× |
| Xray tmj's bilateral open-clsc (70330) |
$1,069.70 |
$1,069.70 |
11.8× |