| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$6,556.53 |
$6,556.53 |
4.5× |
| Acute gi blood loss imaging (78278) |
$2,237.50 |
$2,237.50 |
5.4× |
| Angio extremity unilateral (75710) |
$11,404.50 |
$11,404.50 |
3.5× |
| Angio pulmonary unilateral (75741) |
$11,911.49 |
$11,911.49 |
3.6× |
| Angiogram extremity bilateral (75716) |
$10,796.09 |
$10,796.09 |
3.3× |
| Angiogram pelvic (75736) |
$7,212.01 |
$7,212.01 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,911.49 |
$11,911.49 |
3.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$24,770.93 |
$24,770.93 |
4.3× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$3,849.74 |
$3,849.74 |
1.2× |
| Ankle 2 views (73600) |
$935.55 |
$935.55 |
10.3× |
| Arthrography knee lt (73580) |
$1,402.21 |
$1,402.21 |
3.8× |
| Barium enema (74270) |
$951.44 |
$951.44 |
5.2× |
| Basic dosimetry (77300) |
$1,177 |
$1,177 |
8.4× |
| Bone age studies (77072) |
$582.32 |
$582.32 |
5.3× |
| Bone imaging limited area (78300) |
$1,977.24 |
$1,977.24 |
4.7× |
| Bone survey complete (77075) |
$1,004.55 |
$1,004.55 |
9.2× |
| Bowel imaging (78290) |
$1,431.69 |
$1,431.69 |
3.4× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,609.70 |
$1,609.70 |
4.1× |
| Brain image w/flow 4 + views (78606) |
$1,930.29 |
$1,930.29 |
3.4× |
| Card MRI w/stress img & dye (75563) |
$4,393.15 |
$4,393.15 |
5.4× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$3,206.25 |
$3,206.25 |
8.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$879.76 |
$879.76 |
4.8× |
| Clavicle complete (73000) |
$761.68 |
$761.68 |
8.4× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$4,579.24 |
$4,579.24 |
25.0× |
| Continuing medical physics consltj pr wk (77336) |
$1,119.29 |
$1,119.29 |
8.0× |
| Contrast exam abdominl aorta (75625) |
$11,350.05 |
$11,350.05 |
3.4× |
| Contrast exam thoracic aorta (75605) |
$11,911.49 |
$11,911.49 |
2.0× |
| CT - st neck w&wo contr (70492) |
$5,122.46 |
$5,122.46 |
28.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$11,648.22 |
$11,648.22 |
32.0× |
| CT abdomen and pelvis without contrast (74176) |
$8,774.12 |
$8,774.12 |
35.2× |
| CT abdomen w wo contrast (74170) |
$5,726.68 |
$5,726.68 |
31.3× |
| CT abdomen w/contrast (74160) |
$4,886.85 |
$4,886.85 |
26.7× |
| CT abdomen w/o contrast (74150) |
$4,602.68 |
$4,602.68 |
42.2× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$10,816.28 |
$10,816.28 |
29.7× |
| CT angio abdom w/o & w/dye (74175) |
$4,486.72 |
$4,486.72 |
24.5× |
| CT angio abdominal arteries (75635) |
$4,929.55 |
$4,929.55 |
26.9× |
| CT angio hrt w/3d image (75574) |
$2,315.05 |
$2,315.05 |
6.4× |
| CT angiograph pelv w/o&w/dye (72191) |
$6,329.53 |
$6,329.53 |
34.6× |
| CT cervical spine w/contrast (72126) |
$3,109.75 |
$3,109.75 |
8.5× |
| CT cervical spine w/o contrast (72125) |
$4,246.15 |
$4,246.15 |
38.9× |
| CT chest w/contrast (71260) |
$5,046.70 |
$5,046.70 |
27.6× |
| CT head/brain with contrast (70460) |
$4,539.58 |
$4,539.58 |
24.8× |
| CT head/brain without and with contrast (70470) |
$5,080.62 |
$5,080.62 |
27.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,740.15 |
$1,740.15 |
4.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$243.15 |
$243.15 |
2.7× |
| CT lower ext w/wo contrast (73702) |
$5,296.82 |
$5,296.82 |
28.9× |
| CT lower extremity w contrast (73701) |
$5,144.54 |
$5,144.54 |
28.1× |
| CT lower extremity w/o contrast unilateral (73700) |
$4,246.15 |
$4,246.15 |
38.9× |
| CT lumbar spine w/contrast (72132) |
$4,253.83 |
$4,253.83 |
11.7× |
| CT lumbar spine w/o contrast (72131) |
$3,619.06 |
$3,619.06 |
33.2× |
| CT lumbar spine w/o then w/ con (72133) |
$5,907.26 |
$5,907.26 |
32.3× |
| CT maxillofacial area w/o contrast (70486) |
$2,310.12 |
$2,310.12 |
21.2× |
| CT maxillofacial w/contrast (70487) |
$3,595.60 |
$3,595.60 |
19.6× |
| CT orbit sella ear w/o con (70480) |
$3,816.82 |
$3,816.82 |
35.0× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$5,832.28 |
$5,832.28 |
31.8× |
| CT pelvis w & w/o contrast (72194) |
$4,786.71 |
$4,786.71 |
26.1× |
| CT pelvis w/o contrast (72192) |
$4,171.44 |
$4,171.44 |
38.2× |
| CT soft tissue neck w/contrast (70491) |
$4,510.04 |
$4,510.04 |
24.6× |
| CT soft tissue neck w/o contrast (70490) |
$3,864.30 |
$3,864.30 |
35.4× |
| CT spine cervical w/wo contrast (72127) |
$5,642.35 |
$5,642.35 |
30.8× |
| CT thoracic spine w/contrast (72129) |
$2,293.26 |
$2,293.26 |
12.5× |
| CT thoracic spine w/o contrast (72128) |
$4,246.15 |
$4,246.15 |
38.9× |
| CT thoracic spine w/o then w/ con (72130) |
$5,385.09 |
$5,385.09 |
29.4× |
| CT thorax lung cancer scr c- (71271) |
$1,627.66 |
$1,627.66 |
14.9× |
| CT thorax w/o contrast (71250) |
$4,529.07 |
$4,529.07 |
41.5× |
| CT thorax w/o then w/ contrast (71270) |
$6,536.07 |
$6,536.07 |
35.7× |
| CT upper extremity w/dye (73201) |
$5,144.54 |
$5,144.54 |
14.1× |
| CT upper extremity w/o contrast rt (73200) |
$4,458.57 |
$4,458.57 |
40.8× |
| CTA chest w/wo contrast (71275) |
$6,286.58 |
$6,286.58 |
34.3× |
| CTA head w contrast (70496) |
$4,492.07 |
$4,492.07 |
24.5× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$4,486.72 |
$4,486.72 |
24.5× |
| Cta Neck (70498) |
$4,492.07 |
$4,492.07 |
24.5× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$4,091.75 |
$4,091.75 |
22.3× |
| Dilation ureters/urethra rs&i (74485) |
$4,549.28 |
$4,549.28 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$490.41 |
$490.41 |
4.5× |
| Esophogram (74220) |
$761.50 |
$761.50 |
4.2× |
| Fetal biophysical profile w/o nst (76819) |
$2,278.24 |
$2,278.24 |
20.9× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$771.91 |
$771.91 |
3.1× |
| Gastric emptying study (78264) |
$2,955.23 |
$2,955.23 |
7.1× |
| Gated heart planar single (78472) |
$3,341.31 |
$3,341.31 |
8.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,122.17 |
$4,122.17 |
1.3× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$5,592.91 |
$5,592.91 |
1.7× |
| Hepatobil syst image w/drug (78227) |
$3,862.14 |
$3,862.14 |
6.8× |
| Hepatobiliary system imaging (78226) |
$3,862.14 |
$3,862.14 |
9.3× |
| Humerus min 2 views (73060) |
$778.23 |
$778.23 |
8.6× |
| Hysterosalpingography (74740) |
$1,725.37 |
$1,725.37 |
6.9× |
| Imrt planning (77301) |
$17,202.50 |
$17,202.50 |
11.9× |
| Intracavitary radiation source applic complex (77763) |
$2,096.75 |
$2,096.75 |
2.9× |
| Intracavitary radiation source applic intermed (77762) |
$1,603.67 |
$1,603.67 |
2.8× |
| Intracavitary radiation source applic simple (77761) |
$1,603.67 |
$1,603.67 |
2.8× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,609.70 |
$1,609.70 |
4.1× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$579.11 |
$579.11 |
1.5× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$579.11 |
$579.11 |
1.5× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$579.11 |
$579.11 |
1.5× |
| Ivp (74400) |
$1,798.95 |
$1,798.95 |
9.8× |
| Ivp w tomography (74415) |
$1,173.63 |
$1,173.63 |
6.4× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$2,987.87 |
$2,987.87 |
5.3× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$3,267.89 |
$3,267.89 |
5.8× |
| Lung perf&ventilat diferentl (78598) |
$4,496.77 |
$4,496.77 |
7.9× |
| Lung ventilat&perfus imaging (78582) |
$6,240.18 |
$6,240.18 |
11.0× |
| Lung ventilation imaging (78579) |
$2,996 |
$2,996 |
7.2× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$7,720.66 |
$7,720.66 |
21.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$7,720.66 |
$7,720.66 |
21.2× |
| Mlc device(s) for imrt (77338) |
$2,268.57 |
$2,268.57 |
5.8× |
| 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) |
$7,001.54 |
$7,001.54 |
19.2× |
| MRA head w/contrast (70545) |
$7,184.93 |
$7,184.93 |
19.7× |
| MRA head w/o contrast (70544) |
$6,324.40 |
$6,324.40 |
25.4× |
| MRA neck w/contrast (70548) |
$6,378.17 |
$6,378.17 |
17.5× |
| MRA neck w/o contrast (70547) |
$6,265.72 |
$6,265.72 |
25.1× |
| MRA neck w/wo contrast (70549) |
$6,867.12 |
$6,867.12 |
18.8× |
| MRI abdomen w/contrast (74182) |
$6,281.01 |
$6,281.01 |
17.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,035.46 |
$6,035.46 |
16.6× |
| MRI abdomen w/o contrast (74181) |
$5,029.17 |
$5,029.17 |
20.2× |
| MRI any jnt lwr ext with con lt (73722) |
$11,063.10 |
$11,063.10 |
13.5× |
| MRI cardiac w/o contrast (75557) |
$3,427.76 |
$3,427.76 |
13.8× |
| MRI cervical spine w/o contrast (72141) |
$6,148.60 |
$6,148.60 |
24.7× |
| MRI cervical spine with contrast (72142) |
$8,079.37 |
$8,079.37 |
22.2× |
| MRI chest w & w/o contrast (71552) |
$6,533.80 |
$6,533.80 |
17.9× |
| MRI chest w/o contrast (71550) |
$6,533.80 |
$6,533.80 |
26.2× |
| MRI joint upper ext w/contrast (73222) |
$7,116.36 |
$7,116.36 |
8.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$7,720.66 |
$7,720.66 |
21.2× |
| MRI joint upr extrem w/o dye (73221) |
$7,000.85 |
$7,000.85 |
28.1× |
| Mri Lower Extremity W/O Dye (73718) |
$5,075.94 |
$5,075.94 |
20.4× |
| MRI lumbar spine with contrast (72149) |
$6,781.76 |
$6,781.76 |
18.6× |
| MRI lumbar w/wo contrast (72158) |
$9,429.95 |
$9,429.95 |
25.9× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$6,155.70 |
$6,155.70 |
16.9× |
| MRI orbit/face/neck w/o contrast (70540) |
$5,515.21 |
$5,515.21 |
22.1× |
| MRI pelvis w/ contrast (72196) |
$4,595.07 |
$4,595.07 |
12.6× |
| MRI pelvis w/o contrast (72195) |
$6,100.43 |
$6,100.43 |
24.5× |
| MRI pelvis w/wo contrast (72197) |
$6,894.94 |
$6,894.94 |
18.9× |
| MRI spine cervical wo/w contrast (72156) |
$9,429.95 |
$9,429.95 |
25.9× |
| MRI spine thoracic w/contrast (72147) |
$7,773.65 |
$7,773.65 |
21.3× |
| MRI thoracic spine w wo contrast (72157) |
$8,885.90 |
$8,885.90 |
24.4× |
| MRI thoracic spine w/o contrast (72146) |
$7,224.72 |
$7,224.72 |
29.0× |
| MRI tmj (70336) |
$4,696.91 |
$4,696.91 |
18.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,633.42 |
$5,633.42 |
22.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$7,720.66 |
$7,720.66 |
21.2× |
| Myelography 2 or more regions (72270) |
$2,508.49 |
$2,508.49 |
3.1× |
| Myelography lumbosacral (72265) |
$2,124 |
$2,124 |
2.6× |
| Myocardial spect single study at rest or stress (78451) |
$8,689.20 |
$8,689.20 |
6.4× |
| Nm bone 3 phase (78315) |
$4,333.62 |
$4,333.62 |
10.4× |
| Nm bone imaging whole body (78306) |
$3,339.54 |
$3,339.54 |
8.0× |
| Nm bone marrow scan limited (78102) |
$1,983.63 |
$1,983.63 |
4.8× |
| Nm heart perfusion spect stress rest (78452) |
$10,470.71 |
$10,470.71 |
7.7× |
| Nm lymph system (78195) |
$3,746.43 |
$3,746.43 |
6.6× |
| Nose to rectum for fb child (76010) |
$532.16 |
$532.16 |
5.9× |
| Ob us < 14 wks single fetus (76801) |
$1,503.62 |
$1,503.62 |
13.8× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) |
$386.15 |
$386.15 |
3.5× |
| Parathyrd planar w/spect&CT (78072) |
$2,815.64 |
$2,815.64 |
5.0× |
| Parathyroid imaging (78070) |
$1,622.60 |
$1,622.60 |
3.9× |
| Peritoneal-venous shunt patency test (78291) |
$2,512.43 |
$2,512.43 |
6.0× |
| Pulmonary perfusion imaging particulate (78580) |
$3,534.35 |
$3,534.35 |
8.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,725.37 |
$1,725.37 |
3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,402.75 |
$1,402.75 |
12.8× |
| Radex hip unilateral with pelvis 1 view (73501) |
$582.32 |
$582.32 |
6.4× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,705.50 |
$1,705.50 |
18.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$453.04 |
$453.04 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,101.17 |
$1,101.17 |
10.1× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,071.49 |
$1,071.49 |
9.8× |
| Radex spine cervical 2 or 3 views (72040) |
$1,092.88 |
$1,092.88 |
12.0× |
| Radex spine cervical 4 or 5 views (72050) |
$1,744.18 |
$1,744.18 |
16.0× |
| Radex spine cervical 6 or more views (72052) |
$2,097.43 |
$2,097.43 |
19.2× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$874.85 |
$874.85 |
9.6× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$27,584.98 |
$27,584.98 |
3.6× |
| Radiation tx delivery lvl 1 (77402) |
$860.82 |
$860.82 |
8.1× |
| Radiation tx delivery lvl 2 (77407) |
$851.71 |
$851.71 |
2.1× |
| Radiation tx delivery lvl 3 (77412) |
$909.98 |
$909.98 |
1.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,106.54 |
$1,106.54 |
10.1× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$527.96 |
$527.96 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,625.21 |
$1,625.21 |
8.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$946.07 |
$946.07 |
5.2× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$498.15 |
$498.15 |
5.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$935.55 |
$935.55 |
10.3× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$955.01 |
$955.01 |
8.7× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,081.82 |
$1,081.82 |
9.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$3,093.89 |
$3,093.89 |
7.4× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$5,757.10 |
$5,757.10 |
10.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,319.58 |
$3,319.58 |
5.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,933.76 |
$3,933.76 |
6.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,634.96 |
$4,634.96 |
3.4× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$103.18 |
$103.18 |
4.4× |
| Shoulder arthrogram (73040) |
$1,402.21 |
$1,402.21 |
3.8× |
| Simulation complex (77290) |
$3,053.24 |
$3,053.24 |
7.8× |
| Simulation simple (77280) |
$1,645.47 |
$1,645.47 |
11.7× |
| Small bowel series (74250) |
$987.27 |
$987.27 |
5.4× |
| Special physics consult (77370) |
$1,700.87 |
$1,700.87 |
12.1× |
| Special treatment procedure (77470) |
$3,288.63 |
$3,288.63 |
5.7× |
| Tbs technical calculation only (77091) |
$220.51 |
$220.51 |
2.4× |
| Thyroid met imaging body (78018) |
$3,229.82 |
$3,229.82 |
5.7× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,997.01 |
$1,997.01 |
4.8× |
| Treatment devices complex (77334) |
$2,268.57 |
$2,268.57 |
5.8× |
| Treatment devices simple (77332) |
$722.36 |
$722.36 |
5.1× |
| Ultrasound breast limited (76642) |
$426.60 |
$426.60 |
4.7× |
| Ultrasound, abdomen limited (76705) |
$1,647.89 |
$1,647.89 |
15.1× |
| Umbilical-artery Doppler (OB) (76820) |
$1,377.30 |
$1,377.30 |
12.6× |
| Urethrocystography retrograde rs&i (74450) |
$633.23 |
$633.23 |
2.5× |
| Urography antegrade (74425) |
$899.48 |
$899.48 |
2.5× |
| Urography retrograde w/wo kub (74420) |
$1,940.48 |
$1,940.48 |
5.3× |
| Us abdominal aorta real time screen study aaa (76706) |
$709.25 |
$709.25 |
6.5× |
| Us breast uni real time with image complete (76641) |
$525.95 |
$525.95 |
4.8× |
| Us chest (76604) |
$865.71 |
$865.71 |
7.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,506.90 |
$1,506.90 |
13.8× |
| Us kidney transplanted (76776) |
$1,647.89 |
$1,647.89 |
15.1× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,011.43 |
$1,011.43 |
9.3× |
| Us ob limited 1 or more fetuses (76815) |
$1,845.32 |
$1,845.32 |
16.9× |
| Us obstetric transvaginal (76817) |
$1,166.93 |
$1,166.93 |
10.7× |
| Us pelvic limited or f/u non-ob (76857) |
$1,802.34 |
$1,802.34 |
16.5× |
| Us pelvis complete (76856) |
$1,645.37 |
$1,645.37 |
15.1× |
| Us retroperitoneal complete (76770) |
$1,614.97 |
$1,614.97 |
14.8× |
| Us retroperitoneal limited (76775) |
$1,174.55 |
$1,174.55 |
10.8× |
| Us scrotum (76870) |
$1,599.79 |
$1,599.79 |
14.7× |
| Us soft tissue head/neck (76536) |
$1,652.98 |
$1,652.98 |
15.1× |
| Venogram extremity bilateral (75822) |
$3,783.16 |
$3,783.16 |
2.3× |
| Venogram ivc w serialography (75825) |
$11,911.49 |
$11,911.49 |
3.6× |
| Venogram svc w serialography (75827) |
$5,744.91 |
$5,744.91 |
3.5× |
| Venography ext unilateral (75820) |
$2,819.51 |
$2,819.51 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$5,769.14 |
$5,769.14 |
1.7× |
| Vertebral fracture assessment via dxa (77086) |
$272 |
$272 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$612.63 |
$612.63 |
6.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$805.86 |
$805.86 |
8.9× |
| X-ray aorta leg arteries (75630) |
$11,911.49 |
$11,911.49 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,394.02 |
$1,394.02 |
7.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$760.33 |
$760.33 |
8.4× |
| X-ray exam hips bi 3-4 views (73522) |
$270.12 |
$270.12 |
2.5× |
| X-ray exam of finger(s) (73140) |
$582.32 |
$582.32 |
6.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$688.23 |
$688.23 |
7.6× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$811.36 |
$811.36 |
8.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$891.41 |
$891.41 |
9.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$874.85 |
$874.85 |
8.0× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$761.68 |
$761.68 |
8.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$662.31 |
$662.31 |
7.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$717.53 |
$717.53 |
7.9× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$736.85 |
$736.85 |
8.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$896.90 |
$896.90 |
8.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$582.32 |
$582.32 |
6.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,079.05 |
$1,079.05 |
9.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,820 |
$1,820 |
16.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,015.61 |
$1,015.61 |
11.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,435.07 |
$1,435.07 |
13.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$858.28 |
$858.28 |
7.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$498.15 |
$498.15 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,040.41 |
$1,040.41 |
11.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$761.68 |
$761.68 |
8.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,034.87 |
$1,034.87 |
11.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,007.31 |
$1,007.31 |
9.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$725.80 |
$725.80 |
6.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$618.20 |
$618.20 |
6.8× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$874.85 |
$874.85 |
9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,131.52 |
$1,131.52 |
12.5× |
| Xr abdomen 1 view (74018) |
$589.48 |
$589.48 |
6.5× |
| Xr abdomen 2 views (74019) |
$924.56 |
$924.56 |
8.5× |
| Xr arthrogram hip (73525) |
$417.54 |
$417.54 |
1.1× |
| Xr bone density appendicular (77081) |
$690.67 |
$690.67 |
7.6× |
| Xr bone density axial (77080) |
$841.76 |
$841.76 |
7.7× |
| Xr bone length study (77073) |
$577.47 |
$577.47 |
5.3× |
| Xr bone survey infant (77076) |
$877.57 |
$877.57 |
8.0× |
| Xr chest 1 view (71045) |
$769.76 |
$769.76 |
8.5× |
| Xr chest 2 views (71046) |
$998.59 |
$998.59 |
11.0× |
| Xr chest 3 views (71047) |
$1,169.30 |
$1,169.30 |
12.9× |
| Xr eye foreign body (70030) |
$358.35 |
$358.35 |
3.9× |
| Xr facial bones 3 views (70150) |
$1,244.64 |
$1,244.64 |
11.4× |
| Xr lower extremity 2 views infant (73592) |
$1,178.44 |
$1,178.44 |
13.0× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$690.30 |
$690.30 |
6.3× |
| Xr mandible 4 views (70110) |
$1,125.97 |
$1,125.97 |
10.3× |
| Xr nasal bones (70160) |
$742.36 |
$742.36 |
8.2× |
| Xr pelvis 3 views (72190) |
$838.97 |
$838.97 |
7.7× |
| Xr spine 1 view (72020) |
$792.07 |
$792.07 |
8.7× |
| Xr sternum 2 views (71120) |
$805.86 |
$805.86 |
8.9× |
| Xr surgical specimen (76098) |
$1,713.79 |
$1,713.79 |
3.0× |
| Xr upper extremity 2 views infant (73092) |
$568.51 |
$568.51 |
5.2× |
| Xray elbow 2 views (73070) |
$778.23 |
$778.23 |
8.6× |
| Xray forearm 2 views (73090) |
$764.45 |
$764.45 |
8.4× |
| Xray knee 1 or 2 views rt (73560) |
$585.08 |
$585.08 |
6.4× |
| Xray neck soft tissue (70360) |
$517.82 |
$517.82 |
5.7× |
| Xray orbits complete min 4 views (70200) |
$582.32 |
$582.32 |
5.3× |
| Xray pelvis 1 or 2 views (72170) |
$971.42 |
$971.42 |
8.9× |
| Xray ribs bilateral 3 views (71110) |
$1,156.29 |
$1,156.29 |
10.6× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$1,043.20 |
$1,043.20 |
9.6× |
| Xray scapula complete (73010) |
$775.48 |
$775.48 |
7.1× |
| Xray shoulder 1 view (73020) |
$695.48 |
$695.48 |
7.7× |
| Xray sinuses paranasal <3 views (70210) |
$286.89 |
$286.89 |
3.2× |
| Xray spine thoracic 2 views (72070) |
$825.16 |
$825.16 |
7.6× |
| Xray spine thoracic 3 views (72072) |
$883.12 |
$883.12 |
8.1× |
| Xray tibia-fibula 2 views bil (73590) |
$963.13 |
$963.13 |
10.6× |
| Xray tmj open - closed unilat (70328) |
$459.01 |
$459.01 |
5.1× |
| Xray tmj's bilateral open-clsc (70330) |
$985.23 |
$985.23 |
10.8× |