| Acute gi blood loss imaging (78278) |
$4,448.43 |
$4,448.43 |
10.7× |
| Angio extremity unilateral (75710) |
$13,361.12 |
$13,361.12 |
4.1× |
| Angio pulmonary unilateral (75741) |
$13,361.12 |
$13,361.12 |
4.1× |
| Angiogram extremity bilateral (75716) |
$13,361.12 |
$13,361.12 |
4.1× |
| Angiogram pelvic (75736) |
$12,681.09 |
$12,681.09 |
2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$13,361.12 |
$13,361.12 |
4.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$22,860.26 |
$22,860.26 |
3.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$7,221.44 |
$7,221.44 |
2.2× |
| Ankle 2 views (73600) |
$401.09 |
$401.09 |
4.4× |
| Arthrography knee lt (73580) |
$3,717.33 |
$3,717.33 |
10.2× |
| Barium enema (74270) |
$3,304.95 |
$3,304.95 |
18.0× |
| Bone age studies (77072) |
$1,745.81 |
$1,745.81 |
16.0× |
| Bone imaging limited area (78300) |
$3,000 |
$3,000 |
7.2× |
| Bone survey complete (77075) |
$1,662.83 |
$1,662.83 |
15.2× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$3,432.39 |
$3,432.39 |
8.8× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$1,073.30 |
$1,073.30 |
1.9× |
| Brain image w/flow 4 + views (78606) |
$2,782.29 |
$2,782.29 |
4.9× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$5,216.99 |
$5,216.99 |
12.5× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$7,095.27 |
$7,095.27 |
19.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,995.66 |
$1,995.66 |
10.9× |
| Cisternogram (78630) |
$7,109.36 |
$7,109.36 |
12.5× |
| Clavicle complete (73000) |
$869.80 |
$869.80 |
9.6× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$7,450.72 |
$7,450.72 |
40.7× |
| Contrast exam abdominl aorta (75625) |
$13,361.12 |
$13,361.12 |
4.1× |
| CT - st neck w&wo contr (70492) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,450.72 |
$7,450.72 |
20.5× |
| CT abdomen and pelvis without contrast (74176) |
$7,229.61 |
$7,229.61 |
29.0× |
| CT abdomen w wo contrast (74170) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT abdomen w/contrast (74160) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT abdomen w/o contrast (74150) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$7,450.72 |
$7,450.72 |
20.5× |
| CT angio abdom w/o & w/dye (74175) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT angio abdominal arteries (75635) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT angio hrt w/3d image (75574) |
$5,123.10 |
$5,123.10 |
14.1× |
| CT angiograph pelv w/o&w/dye (72191) |
$8,966.24 |
$8,966.24 |
49.0× |
| CT cervical spine w/contrast (72126) |
$13,453.87 |
$13,453.87 |
36.9× |
| CT cervical spine w/o contrast (72125) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT chest w/contrast (71260) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT extremity upper w & w/o contrast (73202) |
$4,434.96 |
$4,434.96 |
24.2× |
| CT head/brain with contrast (70460) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT head/brain without and with contrast (70470) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,850.88 |
$3,850.88 |
10.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$538.07 |
$538.07 |
5.9× |
| CT limited/localized follow up study (76380) |
$1,831.15 |
$1,831.15 |
20.1× |
| CT lower ext w/wo contrast (73702) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT lower extremity w contrast (73701) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT lower extremity w/o contrast unilateral (73700) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT lumbar spine w/contrast (72132) |
$13,453.87 |
$13,453.87 |
36.9× |
| CT lumbar spine w/o contrast (72131) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT lumbar spine w/o then w/ con (72133) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT maxillofacial area w/o contrast (70486) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT maxillofacial w/contrast (70487) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT maxillofacial w/o then w/ con (70488) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT orbit sella ear w/o con (70480) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT pelvis w & w/o contrast (72194) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT pelvis w/o contrast (72192) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT soft tissue neck w/contrast (70491) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT soft tissue neck w/o contrast (70490) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT spine cervical w/wo contrast (72127) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT thoracic spine w/contrast (72129) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT thoracic spine w/o contrast (72128) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT thorax lung cancer scr c- (71271) |
$3,410.83 |
$3,410.83 |
31.2× |
| CT thorax w/o contrast (71250) |
$3,500.71 |
$3,500.71 |
32.1× |
| CT thorax w/o then w/ contrast (71270) |
$7,450.72 |
$7,450.72 |
40.7× |
| CT upper extremity w/dye (73201) |
$7,450.72 |
$7,450.72 |
20.5× |
| CT upper extremity w/o contrast rt (73200) |
$3,500.71 |
$3,500.71 |
32.1× |
| CTA chest w/wo contrast (71275) |
$7,450.72 |
$7,450.72 |
40.7× |
| CTA head w contrast (70496) |
$7,450.72 |
$7,450.72 |
40.7× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$7,450.72 |
$7,450.72 |
40.7× |
| Cta Neck (70498) |
$7,450.72 |
$7,450.72 |
40.7× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$7,450.72 |
$7,450.72 |
40.7× |
| Dxa bone density study axial skeleton (77085) |
$510.24 |
$510.24 |
4.7× |
| Esophogram (74220) |
$3,189.32 |
$3,189.32 |
17.4× |
| Fetal biophysical profile non-stress testing (76818) |
$1,511.66 |
$1,511.66 |
13.8× |
| Fetal biophysical profile w/o nst (76819) |
$925.47 |
$925.47 |
8.5× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,511.66 |
$1,511.66 |
6.1× |
| Gastric emptying study (78264) |
$4,448.43 |
$4,448.43 |
10.7× |
| Gated heart planar single (78472) |
$4,448.43 |
$4,448.43 |
10.7× |
| Hepatobil syst image w/drug (78227) |
$2,639.23 |
$2,639.23 |
4.7× |
| Hepatobiliary system imaging (78226) |
$2,241.31 |
$2,241.31 |
5.4× |
| Humerus min 2 views (73060) |
$869.80 |
$869.80 |
9.6× |
| Hysterosalpingography (74740) |
$2,054.73 |
$2,054.73 |
8.2× |
| Imrt planning (77301) |
$27,591.78 |
$27,591.78 |
19.1× |
| Intracavitary radiation source applic complex (77763) |
$3,195.05 |
$3,195.05 |
4.4× |
| Intracavitary radiation source applic intermed (77762) |
$2,443.67 |
$2,443.67 |
4.2× |
| Intracavitary radiation source applic simple (77761) |
$2,443.67 |
$2,443.67 |
4.2× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$3,246.88 |
$3,246.88 |
8.3× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,629.14 |
$1,629.14 |
4.2× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,629.14 |
$1,629.14 |
4.2× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,629.14 |
$1,629.14 |
4.2× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$4,828.35 |
$4,828.35 |
8.5× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$5,289.95 |
$5,289.95 |
9.3× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$5,617.67 |
$5,617.67 |
9.9× |
| Liver & spleen; static only (78215) |
$1,738.64 |
$1,738.64 |
4.2× |
| Lung ventilat&perfus imaging (78582) |
$4,371.58 |
$4,371.58 |
7.7× |
| Lung ventilation imaging (78579) |
$1,558 |
$1,558 |
3.7× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$6,390.59 |
$6,390.59 |
17.5× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$6,390.59 |
$6,390.59 |
17.5× |
| Mr safety determination physician/other qhp (76016) |
$252.89 |
$252.89 |
2.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$168.42 |
$168.42 |
2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$70.61 |
$70.61 |
2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$265.09 |
$265.09 |
2.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$696.84 |
$696.84 |
2.8× |
| MRA head w & w/o contrast (70546) |
$7,373.59 |
$7,373.59 |
20.2× |
| MRA head w/contrast (70545) |
$8,385.41 |
$8,385.41 |
23.0× |
| MRA head w/o contrast (70544) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRA neck w/contrast (70548) |
$9,801.59 |
$9,801.59 |
26.9× |
| MRA neck w/o contrast (70547) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRA neck w/wo contrast (70549) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI abdomen w/contrast (74182) |
$9,657.95 |
$9,657.95 |
26.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI abdomen w/o contrast (74181) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI any jnt lwr ext with con lt (73722) |
$9,548.36 |
$9,548.36 |
11.7× |
| MRI breast without contrast bilateral (77047) |
$10,287.23 |
$10,287.23 |
41.3× |
| MRI cervical spine w/o contrast (72141) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI cervical spine with contrast (72142) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI chest w & w/o contrast (71552) |
$12,032.55 |
$12,032.55 |
33.0× |
| MRI chest w/o contrast (71550) |
$8,777.88 |
$8,777.88 |
35.2× |
| MRI joint upper ext w/contrast (73222) |
$9,548.36 |
$9,548.36 |
11.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI joint upr extrem w/o dye (73221) |
$3,434.06 |
$3,434.06 |
13.8× |
| Mri Lower Extremity W/O Dye (73718) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI lumbar spine with contrast (72149) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI lumbar w/wo contrast (72158) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI lwr ext w/o jnts with con rt (73719) |
$1,368.31 |
$1,368.31 |
3.8× |
| MRI orbit/face/neck w/contrast (70542) |
$10,373.86 |
$10,373.86 |
28.5× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI orbit/face/neck w/o contrast (70540) |
$9,972.42 |
$9,972.42 |
40.0× |
| MRI pelvis w/ contrast (72196) |
$10,168.66 |
$10,168.66 |
27.9× |
| MRI pelvis w/o contrast (72195) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI pelvis w/wo contrast (72197) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI spine cervical wo/w contrast (72156) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI spine thoracic w/contrast (72147) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI thoracic spine w wo contrast (72157) |
$6,390.59 |
$6,390.59 |
17.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,434.06 |
$3,434.06 |
13.8× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$6,187.70 |
$6,187.70 |
17.0× |
| Myelography 2 or more regions (72270) |
$5,241.86 |
$5,241.86 |
6.4× |
| Myelography lumbosacral (72265) |
$4,788.90 |
$4,788.90 |
5.8× |
| Myocardial spect single study at rest or stress (78451) |
$9,259.97 |
$9,259.97 |
6.8× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$3,060.57 |
$3,060.57 |
3.4× |
| Nm bone 3 phase (78315) |
$4,448.43 |
$4,448.43 |
10.7× |
| Nm bone imaging whole body (78306) |
$4,448.43 |
$4,448.43 |
10.7× |
| Nm bone marrow scan limited (78102) |
$3,634.53 |
$3,634.53 |
8.7× |
| Nm heart perfusion spect stress rest (78452) |
$15,467.57 |
$15,467.57 |
11.4× |
| Nm lymph system (78195) |
$5,767.76 |
$5,767.76 |
10.2× |
| Nose to rectum for fb child (76010) |
$812.26 |
$812.26 |
8.9× |
| Ob us < 14 wks single fetus (76801) |
$1,511.66 |
$1,511.66 |
13.8× |
| 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) |
$3,034.79 |
$3,034.79 |
12.5× |
| Parathyrd planar w/spect&CT (78072) |
$4,653.21 |
$4,653.21 |
8.2× |
| Parathyroid imaging (78070) |
$4,448.43 |
$4,448.43 |
10.7× |
| Pulmonary perfusion imaging particulate (78580) |
$1,614.87 |
$1,614.87 |
3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,585.31 |
$1,585.31 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$869.80 |
$869.80 |
9.6× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$1,662.83 |
$1,662.83 |
15.2× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$875.18 |
$875.18 |
8.0× |
| Radex hip unilateral with pelvis 1 view (73501) |
$869.80 |
$869.80 |
9.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$869.80 |
$869.80 |
9.6× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$1,662.83 |
$1,662.83 |
15.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,662.83 |
$1,662.83 |
15.2× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$2,371.17 |
$2,371.17 |
21.7× |
| Radex spine cervical 2 or 3 views (72040) |
$869.80 |
$869.80 |
9.6× |
| Radex spine cervical 4 or 5 views (72050) |
$875.18 |
$875.18 |
8.0× |
| Radex spine cervical 6 or more views (72052) |
$2,854.43 |
$2,854.43 |
26.1× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$285.78 |
$285.78 |
3.1× |
| 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) |
$404.64 |
$404.64 |
3.8× |
| Radiation tx delivery lvl 2 (77407) |
$952.60 |
$952.60 |
2.4× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$826.42 |
$826.42 |
4.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,147.57 |
$3,147.57 |
17.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,643.31 |
$3,643.31 |
19.9× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$1,102.36 |
$1,102.36 |
12.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$869.80 |
$869.80 |
9.6× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$644.10 |
$644.10 |
5.9× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,662.83 |
$1,662.83 |
15.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$5,256.36 |
$5,256.36 |
12.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,906.93 |
$5,906.93 |
10.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,590.01 |
$3,590.01 |
6.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,414.25 |
$4,414.25 |
3.3× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$301.02 |
$301.02 |
12.9× |
| Selective spinal angiogram (75705) |
$16,446.87 |
$16,446.87 |
2.8× |
| Shoulder arthrogram (73040) |
$3,729.79 |
$3,729.79 |
10.2× |
| Small bowel series (74250) |
$1,552.82 |
$1,552.82 |
8.5× |
| Therapeutic enema barium or air (74283) |
$2,081 |
$2,081 |
11.4× |
| Thyroid met imaging body (78018) |
$4,164.65 |
$4,164.65 |
7.3× |
| Thyroid uptake single/multiple quant measurement (78012) |
$2,404.33 |
$2,404.33 |
5.8× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,873.02 |
$1,873.02 |
4.5× |
| Ultrasound breast limited (76642) |
$416.17 |
$416.17 |
4.6× |
| Ultrasound, abdomen limited (76705) |
$1,511.66 |
$1,511.66 |
13.8× |
| Umbilical-artery Doppler (OB) (76820) |
$990.73 |
$990.73 |
9.1× |
| Urethrocystography retrograde rs&i (74450) |
$2,826.80 |
$2,826.80 |
11.3× |
| Urethrocystography voiding (74455) |
$3,206.88 |
$3,206.88 |
12.9× |
| Urography antegrade (74425) |
$2,506.01 |
$2,506.01 |
6.9× |
| Urography retrograde w/wo kub (74420) |
$5,557.08 |
$5,557.08 |
15.3× |
| Us abdominal aorta real time screen study aaa (76706) |
$737.09 |
$737.09 |
6.8× |
| Us breast uni real time with image complete (76641) |
$636.50 |
$636.50 |
5.8× |
| Us chest (76604) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us compl joint r-t w/image documentation (76881) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us elastography parenchyma (76981) |
$632.17 |
$632.17 |
5.8× |
| Us encephalogram (76506) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us kidney transplanted (76776) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,506.52 |
$1,506.52 |
13.8× |
| Us ob detailed single fetus (76811) |
$2,182.55 |
$2,182.55 |
8.8× |
| Us ob followup per fetus (76816) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us ob limited 1 or more fetuses (76815) |
$1,286.43 |
$1,286.43 |
11.8× |
| Us obstetric transvaginal (76817) |
$1,554.74 |
$1,554.74 |
14.2× |
| Us pelvic limited or f/u non-ob (76857) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us pelvis complete (76856) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us retroperitoneal complete (76770) |
$3,226.25 |
$3,226.25 |
29.6× |
| Us retroperitoneal limited (76775) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us scrotum (76870) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us soft tissue head/neck (76536) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us spinal canal (76800) |
$1,511.66 |
$1,511.66 |
13.8× |
| Us transrectal prostate volume (76873) |
$3,586.81 |
$3,586.81 |
32.9× |
| Vein X-ray liver w/hemodynam (75885) |
$9,669.90 |
$9,669.90 |
2.9× |
| Venogram extremity bilateral (75822) |
$9,580.26 |
$9,580.26 |
5.8× |
| Venogram ivc w serialography (75825) |
$13,361.12 |
$13,361.12 |
4.1× |
| Venogram svc w serialography (75827) |
$7,036.35 |
$7,036.35 |
4.3× |
| Venography ext unilateral (75820) |
$7,249.50 |
$7,249.50 |
4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,461.57 |
$1,461.57 |
16.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$493.54 |
$493.54 |
5.4× |
| X-ray aorta leg arteries (75630) |
$15,606.23 |
$15,606.23 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,304.95 |
$3,304.95 |
18.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$869.80 |
$869.80 |
9.6× |
| X-ray exam hips bi 3-4 views (73522) |
$340.04 |
$340.04 |
3.1× |
| X-ray exam of finger(s) (73140) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,523.01 |
$1,523.01 |
16.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$878.85 |
$878.85 |
9.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$767.11 |
$767.11 |
8.4× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$963.10 |
$963.10 |
8.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$857.37 |
$857.37 |
9.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,552.66 |
$1,552.66 |
17.1× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$443.49 |
$443.49 |
4.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$300.55 |
$300.55 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,879.37 |
$2,879.37 |
26.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$745.74 |
$745.74 |
8.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$1,102.36 |
$1,102.36 |
10.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,662.83 |
$1,662.83 |
15.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$457.79 |
$457.79 |
5.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$869.80 |
$869.80 |
9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$796.81 |
$796.81 |
8.8× |
| Xr abdomen 1 view (74018) |
$266.88 |
$266.88 |
2.9× |
| Xr abdomen 2 views (74019) |
$1,552.82 |
$1,552.82 |
14.2× |
| Xr arthrogram hip (73525) |
$3,757.33 |
$3,757.33 |
10.3× |
| Xr bone density appendicular (77081) |
$1,493.38 |
$1,493.38 |
16.4× |
| Xr bone density axial (77080) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xr bone survey infant (77076) |
$1,650.19 |
$1,650.19 |
15.1× |
| Xr bone survey limited (77074) |
$2,184.21 |
$2,184.21 |
20.0× |
| Xr chest 1 view (71045) |
$790.72 |
$790.72 |
8.7× |
| Xr chest 2 views (71046) |
$790.72 |
$790.72 |
8.7× |
| Xr chest 3 views (71047) |
$1,243.56 |
$1,243.56 |
13.7× |
| Xr cystogram 3+ views (74430) |
$2,628.91 |
$2,628.91 |
7.2× |
| Xr facial bones 3 views (70150) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xr lower extremity 2 views infant (73592) |
$869.80 |
$869.80 |
9.6× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$1,527.58 |
$1,527.58 |
14.0× |
| Xr mandible 4 views (70110) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xr nasal bones (70160) |
$889.94 |
$889.94 |
9.8× |
| Xr pelvis 3 views (72190) |
$2,708.06 |
$2,708.06 |
24.8× |
| Xr spine 1 view (72020) |
$838.73 |
$838.73 |
9.2× |
| Xr sternum 2 views (71120) |
$869.80 |
$869.80 |
9.6× |
| Xr surgical specimen (76098) |
$1,632.18 |
$1,632.18 |
2.9× |
| Xr upper extremity 2 views infant (73092) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xray elbow 2 views (73070) |
$869.80 |
$869.80 |
9.6× |
| Xray forearm 2 views (73090) |
$869.80 |
$869.80 |
9.6× |
| Xray knee 1 or 2 views rt (73560) |
$444.76 |
$444.76 |
4.9× |
| Xray neck soft tissue (70360) |
$812.26 |
$812.26 |
8.9× |
| Xray orbits complete min 4 views (70200) |
$1,623.24 |
$1,623.24 |
14.9× |
| Xray pelvis 1 or 2 views (72170) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xray ribs bilateral 3 views (71110) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$700.15 |
$700.15 |
6.4× |
| Xray scapula complete (73010) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xray shoulder 1 view (73020) |
$869.80 |
$869.80 |
9.6× |
| Xray sinuses paranasal <3 views (70210) |
$585.18 |
$585.18 |
6.4× |
| Xray spine thoracic 2 views (72070) |
$862.47 |
$862.47 |
7.9× |
| Xray spine thoracic 3 views (72072) |
$1,662.83 |
$1,662.83 |
15.2× |
| Xray tibia-fibula 2 views bil (73590) |
$869.80 |
$869.80 |
9.6× |
| Xray tmj open - closed unilat (70328) |
$1,015.73 |
$1,015.73 |
11.2× |
| Xray tmj's bilateral open-clsc (70330) |
$869.80 |
$869.80 |
9.6× |