| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,794.10 |
$5,794.10 |
4.0× |
| Abdomen 2 views (74019) |
$681.04 |
$681.04 |
6.2× |
| Acute gi blood loss imaging (78278) |
$2,788.10 |
$2,788.10 |
6.7× |
| Angiography extremity bilateral rs&i (75716) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiography extremity unilateral rs&i (75710) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiography internal mammary rs&i (75756) |
$4,924.85 |
$4,924.85 |
1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$9,453.57 |
$9,453.57 |
1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$9,453.57 |
$9,453.57 |
2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$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× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,453.57 |
$9,453.57 |
2.9× |
| Aortography abdominal serialography rs&i (75625) |
$9,453.57 |
$9,453.57 |
2.9× |
| Arthrogram hip (73525) |
$944.76 |
$944.76 |
2.6× |
| Arthrogram shoulder (73040) |
$928.37 |
$928.37 |
2.5× |
| Basic dosimetry (77300) |
$1,009.14 |
$1,009.14 |
7.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,299.14 |
$2,299.14 |
5.5× |
| Bone &/joint imaging whole body (78306) |
$4,243.53 |
$4,243.53 |
10.2× |
| Bone age studies (77072) |
$592.65 |
$592.65 |
5.4× |
| Bone Imaging 3 Phase (78315) |
$5,128.19 |
$5,128.19 |
12.3× |
| Bone survey complete (77075) |
$2,133.13 |
$2,133.13 |
19.5× |
| Bone survey infant (77076) |
$949.89 |
$949.89 |
8.7× |
| Bowel imaging (78290) |
$2,524.29 |
$2,524.29 |
6.0× |
| Brachytx isodose complex (77318) |
$1,277.55 |
$1,277.55 |
3.3× |
| Brachytx isodose intermed (77317) |
$1,277.55 |
$1,277.55 |
3.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$459.61 |
$459.61 |
1.2× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,774.45 |
$2,774.45 |
6.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,624.97 |
$3,624.97 |
6.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,865.42 |
$2,865.42 |
6.9× |
| Cervical spine 2 or 3 views (72040) |
$1,019.28 |
$1,019.28 |
11.2× |
| Chest 1 view (71045) |
$736.64 |
$736.64 |
8.1× |
| Chest xray 3 views (71047) |
$972.74 |
$972.74 |
10.7× |
| Cholecystography, oral contrast Non-Facility (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 Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,211.69 |
$2,211.69 |
20.3× |
| Continuing medical physics consltj pr wk (77336) |
$960.77 |
$960.77 |
6.8× |
| 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 contrast (74160) |
$6,192.24 |
$6,192.24 |
33.8× |
| CT abdomen w wo contrast (74170) |
$7,083.46 |
$7,083.46 |
38.7× |
| CT abdomen w/o contrast (74150) |
$4,656.86 |
$4,656.86 |
42.7× |
| CT angio hrt w/3d image (75574) |
$1,395.80 |
$1,395.80 |
3.8× |
| CT angio lwr extr w/o&w/dye (73706) |
$5,011.62 |
$5,011.62 |
27.4× |
| CT angiography upper extremity lt (73206) |
$5,807.84 |
$5,807.84 |
31.7× |
| CT c-spine w/contrast (72126) |
$3,685.36 |
$3,685.36 |
10.1× |
| CT c-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 chest w/wo contrast (71270) |
$5,474.19 |
$5,474.19 |
29.9× |
| 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 iac w contrast (70481) |
$4,170 |
$4,170 |
22.8× |
| CT limited/localized follow up study (76380) |
$1,437.73 |
$1,437.73 |
15.8× |
| CT lower ext w/o (73700) |
$3,984.31 |
$3,984.31 |
36.5× |
| CT lower extremity w/contrast material (73701) |
$4,008.47 |
$4,008.47 |
21.9× |
| 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 w contrast (70487) |
$2,845.76 |
$2,845.76 |
15.5× |
| CT maxillofacial wo contrast (70486) |
$2,154.14 |
$2,154.14 |
19.7× |
| CT orbits w/o contrast (70480) |
$3,799.77 |
$3,799.77 |
34.8× |
| CT pelvis w/o contrast (72192) |
$5,022.20 |
$5,022.20 |
46.0× |
| CT pelvis w/wo contrast (72194) |
$5,647.19 |
$5,647.19 |
30.8× |
| CT soft tissue neck w contrast (70491) |
$3,618.76 |
$3,618.76 |
19.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,946.26 |
$3,946.26 |
21.5× |
| 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 w/o contrast (71250) |
$4,544.88 |
$4,544.88 |
41.6× |
| CT unlisted procedure (76497) |
$5,419.40 |
$5,419.40 |
59.6× |
| CT upper ext wo (73200) |
$3,609.30 |
$3,609.30 |
33.1× |
| CT upper extremity with contrast (73201) |
$4,008.47 |
$4,008.47 |
11.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$9,814.20 |
$9,814.20 |
53.6× |
| Cta Abdomen (74175) |
$8,576.59 |
$8,576.59 |
46.8× |
| CTA abdomen pelvis (74174) |
$8,576.59 |
$8,576.59 |
23.5× |
| CTA chest (71275) |
$5,247.52 |
$5,247.52 |
28.6× |
| Cta Head (70496) |
$6,401.42 |
$6,401.42 |
34.9× |
| Cta Neck (70498) |
$5,534.91 |
$5,534.91 |
30.2× |
| Cystography minimum 3 views rs&i (74430) |
$1,399.30 |
$1,399.30 |
3.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$605.25 |
$605.25 |
5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$548.52 |
$548.52 |
6.0× |
| Dxa bone density study axial skeleton (77085) |
$550.85 |
$550.85 |
5.0× |
| Esophagus (74220) |
$932.35 |
$932.35 |
5.1× |
| Facial bones min 3 views (70150) |
$1,277.77 |
$1,277.77 |
11.7× |
| Fetal biophysical profile non-stress testing (76818) |
$1,729.70 |
$1,729.70 |
15.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,117.57 |
$1,117.57 |
10.2× |
| Fluoroscopy up to 1 hr (76000) |
$977.56 |
$977.56 |
3.9× |
| Foot 2 views (73620) |
$526.95 |
$526.95 |
5.8× |
| Forearm 2 views (73090) |
$600.98 |
$600.98 |
6.6× |
| Hand 2 views (73120) |
$632.58 |
$632.58 |
5.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,413.42 |
$1,413.42 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,413.42 |
$1,413.42 |
3.4× |
| Hysterosalpingogram (74740) |
$1,244.88 |
$1,244.88 |
5.0× |
| 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× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,488.52 |
$3,488.52 |
6.2× |
| Knee 3 views (73562) |
$994.02 |
$994.02 |
10.9× |
| Lung perf&ventilat diferentl (78598) |
$1,524.16 |
$1,524.16 |
2.7× |
| Lymphoscintigraphy (78195) |
$3,088.29 |
$3,088.29 |
5.4× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$6,263.52 |
$6,263.52 |
7.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$7,171.70 |
$7,171.70 |
19.7× |
| Mlc imrt design & construction per imrt plan (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&/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 implt pos&/immoblj (76019) |
$140.35 |
$140.35 |
2.3× |
| 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 &W/Contrast Material (70549) |
$5,996.36 |
$5,996.36 |
16.5× |
| MRA neck w/o contrast (70547) |
$4,797.45 |
$4,797.45 |
19.3× |
| 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 jt lower extrem w/contrast material (73722) |
$5,556.92 |
$5,556.92 |
6.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$7,370.84 |
$7,370.84 |
20.2× |
| MRI breast w/o contrast bilateral (77047) |
$2,790.66 |
$2,790.66 |
11.2× |
| MRI c-spine with contrast (72142) |
$6,584.89 |
$6,584.89 |
18.1× |
| MRI cervical spine w/o contrast (72141) |
$5,918.21 |
$5,918.21 |
23.8× |
| MRI chest w/o & w/contrast material (71552) |
$6,628.82 |
$6,628.82 |
18.2× |
| MRI chest w/o contrast (71550) |
$3,991.31 |
$3,991.31 |
16.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$7,513.07 |
$7,513.07 |
20.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,034.17 |
$5,034.17 |
20.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,884.11 |
$4,884.11 |
19.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,023.15 |
$5,023.15 |
13.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,628.82 |
$6,628.82 |
18.2× |
| MRI pelvis w/o contrast (72195) |
$5,303.46 |
$5,303.46 |
21.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,449.15 |
$7,449.15 |
20.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,036 |
$7,036 |
19.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$8,035.99 |
$8,035.99 |
22.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,918.21 |
$5,918.21 |
16.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,287.49 |
$7,287.49 |
20.0× |
| MRI temporomandibular joint (70336) |
$3,816.39 |
$3,816.39 |
15.3× |
| MRI thoracic spine w/o contrast (72146) |
$5,812.43 |
$5,812.43 |
23.3× |
| MRI up ext w/o contrast (73218) |
$5,812.43 |
$5,812.43 |
23.3× |
| MRI upper ext joint w/o contrast (73221) |
$6,033.99 |
$6,033.99 |
24.2× |
| MRI, joint upper extrem combo (73223) |
$7,171.70 |
$7,171.70 |
19.7× |
| Myelogram Cervical (72240) |
$1,495.86 |
$1,495.86 |
1.8× |
| Myelography 2 or more regions (72270) |
$1,997.79 |
$1,997.79 |
2.4× |
| Myocardial Spect Multiple Studies (78452) |
$9,158.19 |
$9,158.19 |
6.8× |
| Myocardial spect single study at rest or stress (78451) |
$4,661.98 |
$4,661.98 |
3.4× |
| Neck soft tissue (70360) |
$558.48 |
$558.48 |
6.1× |
| Nm gastric emptying study (78264) |
$2,949.56 |
$2,949.56 |
7.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$14,775.41 |
$14,775.41 |
10.2× |
| Nuclear Rx Oral Admin (79005) |
$617.57 |
$617.57 |
2.5× |
| Osseous survey limited (77074) |
$1,875.38 |
$1,875.38 |
17.2× |
| Parathyroid Planar 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× |
| Pelvis 1 or 2 views (72170) |
$777.60 |
$777.60 |
7.1× |
| Peritoneogram after injection (74190) |
$741.18 |
$741.18 |
1.3× |
| PET image w/CT, skull-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 whole body (78813) |
$3,346.64 |
$3,346.64 |
2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,016.12 |
$4,016.12 |
9.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,524.16 |
$1,524.16 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$890.46 |
$890.46 |
1.6× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$796.48 |
$796.48 |
8.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$529.63 |
$529.63 |
5.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$764.98 |
$764.98 |
8.4× |
| 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 fingr minimum 2 views (73140) |
$596.85 |
$596.85 |
6.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$767.08 |
$767.08 |
8.4× |
| Radex Hand Minimum 3 Views (73130) |
$857.44 |
$857.44 |
9.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$273.23 |
$273.23 |
3.0× |
| 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 Humerus Minimum 2 Views (73060) |
$601.05 |
$601.05 |
6.6× |
| Radex Kne 1/2 Views (73560) |
$1,008.78 |
$1,008.78 |
11.1× |
| Radex Kne Compl 4/More Views (73564) |
$1,092.80 |
$1,092.80 |
10.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,155.87 |
$1,155.87 |
10.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$849.02 |
$849.02 |
9.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$790.19 |
$790.19 |
7.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$819.62 |
$819.62 |
9.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$794.40 |
$794.40 |
8.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$760.76 |
$760.76 |
7.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,069.70 |
$1,069.70 |
11.8× |
| Radex Toe Minimum 2 Views (73660) |
$529.63 |
$529.63 |
5.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$653.61 |
$653.61 |
6.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$838.55 |
$838.55 |
9.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$912.10 |
$912.10 |
8.4× |
| Radiation Delivery Stereotactic Cranial Cobalt (77371) |
$26,271.41 |
$26,271.41 |
3.4× |
| Radiation treatment delivery level 1 (77402) |
$733.95 |
$733.95 |
6.9× |
| Radiation treatment delivery level 2 (77407) |
$810.22 |
$810.22 |
2.0× |
| Radiation treatment delivery level 3 (77412) |
$1,053.52 |
$1,053.52 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$445.22 |
$445.22 |
4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$589.52 |
$589.52 |
5.4× |
| Radiologic exam chest 2 views (71046) |
$1,257.74 |
$1,257.74 |
13.8× |
| Radiologic exam colon single contrast study (74270) |
$1,142.20 |
$1,142.20 |
6.2× |
| 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 (73551) |
$529.63 |
$529.63 |
5.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$987.76 |
$987.76 |
10.9× |
| Radiological examination surgical specimen (76098) |
$1,360.16 |
$1,360.16 |
2.4× |
| Ribs bilateral 3 views (71110) |
$1,191.61 |
$1,191.61 |
10.9× |
| 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× |
| Sacroiliac Joints < 3 Views (72200) |
$453.11 |
$453.11 |
4.2× |
| Scapula (73010) |
$628.39 |
$628.39 |
5.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$98.27 |
$98.27 |
4.2× |
| Shoulder 1 view (73020) |
$264.16 |
$264.16 |
2.9× |
| 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× |
| Spine thoracic 3 views (72072) |
$1,181.09 |
$1,181.09 |
10.8× |
| Stereotactic Body Radiation Delivery (77373) |
$5,994.68 |
$5,994.68 |
3.2× |
| Tbs technical calculation only (77091) |
$210.01 |
$210.01 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$459.61 |
$459.61 |
1.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$459.61 |
$459.61 |
1.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,621.66 |
$2,621.66 |
6.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,454.84 |
$1,454.84 |
10.4× |
| Thoracolumbar 2 views (72080) |
$779.70 |
$779.70 |
8.6× |
| Thyroid carcinoma metastases img whole 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× |
| Tmj unilateral (70328) |
$1,069.70 |
$1,069.70 |
11.8× |
| Treatment device complex (77334) |
$1,946.79 |
$1,946.79 |
5.0× |
| Treatment device intermediate (77333) |
$817.81 |
$817.81 |
5.8× |
| Treatment devices simple (77332) |
$616 |
$616 |
4.4× |
| Ultrasound breast complete (76641) |
$423.80 |
$423.80 |
3.9× |
| Ultrasound Exam Aaa Screen (76706) |
$1,173.95 |
$1,173.95 |
10.8× |
| Ultrasound, abdomen limited (76705) |
$1,268.58 |
$1,268.58 |
11.6× |
| Umbilical-artery Doppler (OB) (76820) |
$396.81 |
$396.81 |
3.6× |
| Urethrocystogram voiding (74455) |
$2,645.01 |
$2,645.01 |
10.6× |
| Urethrocystography retrograde rs&i (74450) |
$1,189.88 |
$1,189.88 |
4.8× |
| Us breast unilateral limited (76642) |
$338.55 |
$338.55 |
3.7× |
| 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 lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$321.57 |
$321.57 |
2.9× |
| Us ob limited (76815) |
$1,742.29 |
$1,742.29 |
16.0× |
| Us ob transvaginal (76817) |
$966.55 |
$966.55 |
8.9× |
| Us pelvic non ob complete (76856) |
$1,960.68 |
$1,960.68 |
18.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$928.32 |
$928.32 |
8.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,117.57 |
$1,117.57 |
10.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$367.76 |
$367.76 |
3.4× |
| 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 and contents (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× |
| Us, eye b-scan (76512) |
$367.76 |
$367.76 |
3.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$465.12 |
$465.12 |
4.3× |
| Venogram extremity bilateral (75822) |
$2,717.91 |
$2,717.91 |
1.7× |
| Venogram Extremity Unilateral (75820) |
$3,055.36 |
$3,055.36 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$9,669.90 |
$9,669.90 |
2.9× |
| Venography caval superior serialography rs&i (75827) |
$3,485.17 |
$3,485.17 |
2.1× |
| Wrist 2 views (73100) |
$601.05 |
$601.05 |
6.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$983.55 |
$983.55 |
9.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$668.31 |
$668.31 |
7.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,959.33 |
$1,959.33 |
10.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$605.25 |
$605.25 |
6.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,256.77 |
$1,256.77 |
13.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$270 |
$270 |
2.5× |
| X-ray exam of femur 2/> (73552) |
$943.60 |
$943.60 |
10.4× |
| X-ray eye for foreign body (70030) |
$339.75 |
$339.75 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$514.90 |
$514.90 |
5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$554.83 |
$554.83 |
6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$479.17 |
$479.17 |
5.3× |
| X-ray leg, infant (73592) |
$1,023.49 |
$1,023.49 |
11.3× |
| 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 nose-rectum child f.b. (76010) |
$482.46 |
$482.46 |
5.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$504.40 |
$504.40 |
4.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$977.24 |
$977.24 |
10.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,076.02 |
$1,076.02 |
9.9× |
| 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 Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$977.24 |
$977.24 |
10.8× |
| 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 Spine One View - Xr Spine (72020) |
$273.23 |
$273.23 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$517 |
$517 |
5.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$701.93 |
$701.93 |
7.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,006.66 |
$1,006.66 |
9.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,214.72 |
$1,214.72 |
11.1× |
| Xr bone length studies (77073) |
$470.35 |
$470.35 |
4.3× |
| Xr c-spine 4 or 5 views (72050) |
$2,303.34 |
$2,303.34 |
21.1× |
| Xr c-spine 6 or more views (72052) |
$2,437.86 |
$2,437.86 |
22.3× |
| Xr chest 4+ views (71048) |
$1,334.67 |
$1,334.67 |
12.2× |