| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$8,244.55 |
$8,244.55 |
5.7× |
| Acute gi blood loss imaging (78278) |
$867.47 |
$867.47 |
2.1× |
| Angio extremity unilateral (75710) |
$4,141.64 |
$4,141.64 |
1.3× |
| Angio pulmonary unilateral (75741) |
$2,447.93 |
$2,447.93 |
0.7× |
| Angiogram extremity bilateral (75716) |
$4,635.91 |
$4,635.91 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,307.82 |
$3,307.82 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,552.24 |
$3,552.24 |
0.6× |
| Ankle 2 views (73600) |
$558.28 |
$558.28 |
6.1× |
| Arthrography knee lt (73580) |
$2,458.01 |
$2,458.01 |
6.7× |
| Arthrography wrist lt (73115) |
$1,430.50 |
$1,430.50 |
3.9× |
| Barium enema (74270) |
$796.15 |
$796.15 |
4.3× |
| Basic dosimetry (77300) |
$768.63 |
$768.63 |
5.5× |
| Bone age studies (77072) |
$270 |
$270 |
2.5× |
| Bone imaging limited area (78300) |
$1,075.58 |
$1,075.58 |
2.6× |
| Bone survey complete (77075) |
$990.31 |
$990.31 |
9.1× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,637.68 |
$1,637.68 |
4.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$639.18 |
$639.18 |
3.5× |
| Clavicle complete (73000) |
$584.17 |
$584.17 |
6.4× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$2,946.68 |
$2,946.68 |
16.1× |
| Continuing medical physics consltj pr wk (77336) |
$1,003.27 |
$1,003.27 |
7.1× |
| Contrast exam abdominl aorta (75625) |
$4,061.29 |
$4,061.29 |
1.2× |
| Contrast exam thoracic aorta (75605) |
$6,670.38 |
$6,670.38 |
1.1× |
| CT - st neck w&wo contr (70492) |
$4,558.36 |
$4,558.36 |
24.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,184.63 |
$6,184.63 |
17.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,961.28 |
$4,961.28 |
19.9× |
| CT abdomen w wo contrast (74170) |
$4,584.28 |
$4,584.28 |
25.0× |
| CT abdomen w/contrast (74160) |
$3,804.32 |
$3,804.32 |
20.8× |
| CT abdomen w/o contrast (74150) |
$3,200.73 |
$3,200.73 |
29.3× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$4,584.28 |
$4,584.28 |
12.6× |
| CT angio abdom w/o & w/dye (74175) |
$4,584.28 |
$4,584.28 |
25.0× |
| CT angio abdominal arteries (75635) |
$4,312.41 |
$4,312.41 |
23.5× |
| CT angio hrt w/3d image (75574) |
$1,610.08 |
$1,610.08 |
4.4× |
| CT angiograph pelv w/o&w/dye (72191) |
$4,226.66 |
$4,226.66 |
23.1× |
| CT cervical spine w/contrast (72126) |
$3,001.71 |
$3,001.71 |
8.2× |
| CT cervical spine w/o contrast (72125) |
$2,823.69 |
$2,823.69 |
25.9× |
| CT chest w/contrast (71260) |
$3,970.98 |
$3,970.98 |
21.7× |
| CT extremity upper w & w/o contrast (73202) |
$2,043.68 |
$2,043.68 |
11.2× |
| CT head/brain with contrast (70460) |
$2,624.67 |
$2,624.67 |
14.3× |
| CT head/brain without and with contrast (70470) |
$4,553.52 |
$4,553.52 |
24.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,610.08 |
$1,610.08 |
4.4× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$133.12 |
$133.12 |
1.5× |
| CT limited/localized follow up study (76380) |
$1,657.75 |
$1,657.75 |
18.2× |
| CT lower ext w/wo contrast (73702) |
$2,524.35 |
$2,524.35 |
13.8× |
| CT lower extremity w contrast (73701) |
$2,347.99 |
$2,347.99 |
12.8× |
| CT lower extremity w/o contrast unilateral (73700) |
$2,182.80 |
$2,182.80 |
20.0× |
| CT lumbar spine w/contrast (72132) |
$2,880.34 |
$2,880.34 |
7.9× |
| CT lumbar spine w/o contrast (72131) |
$2,833.42 |
$2,833.42 |
26.0× |
| CT lumbar spine w/o then w/ con (72133) |
$4,265.48 |
$4,265.48 |
23.3× |
| CT maxillofacial area w/o contrast (70486) |
$2,863.98 |
$2,863.98 |
26.2× |
| CT maxillofacial w/contrast (70487) |
$3,807.41 |
$3,807.41 |
20.8× |
| CT maxillofacial w/o then w/ con (70488) |
$4,279.12 |
$4,279.12 |
23.4× |
| CT orbit sella ear w/o con (70480) |
$2,265.44 |
$2,265.44 |
20.8× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$3,072.89 |
$3,072.89 |
16.8× |
| CT pelvis w & w/o contrast (72194) |
$4,254.16 |
$4,254.16 |
23.2× |
| CT pelvis w/o contrast (72192) |
$3,116.59 |
$3,116.59 |
28.5× |
| CT soft tissue neck w/contrast (70491) |
$4,121.45 |
$4,121.45 |
22.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,631.12 |
$2,631.12 |
24.1× |
| CT thoracic spine w/contrast (72129) |
$3,707.23 |
$3,707.23 |
20.2× |
| CT thoracic spine w/o contrast (72128) |
$3,137.63 |
$3,137.63 |
28.7× |
| CT thoracic spine w/o then w/ con (72130) |
$5,903.51 |
$5,903.51 |
32.2× |
| CT thorax lung cancer scr c- (71271) |
$1,991.50 |
$1,991.50 |
18.2× |
| CT thorax w/o contrast (71250) |
$3,223.38 |
$3,223.38 |
29.5× |
| CT thorax w/o then w/ contrast (71270) |
$4,208.85 |
$4,208.85 |
23.0× |
| CT upper extremity w/dye (73201) |
$1,943.17 |
$1,943.17 |
5.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,675.15 |
$1,675.15 |
15.3× |
| CTA chest w/wo contrast (71275) |
$3,970.98 |
$3,970.98 |
21.7× |
| CTA head w contrast (70496) |
$4,119.84 |
$4,119.84 |
22.5× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$2,294.56 |
$2,294.56 |
12.5× |
| Cta Neck (70498) |
$3,713.70 |
$3,713.70 |
20.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$2,298.99 |
$2,298.99 |
12.6× |
| Esophogram (74220) |
$639.18 |
$639.18 |
3.5× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$830.03 |
$830.03 |
3.3× |
| Gastric emptying study (78264) |
$1,225.86 |
$1,225.86 |
2.9× |
| Gated heart planar single (78472) |
$1,566.53 |
$1,566.53 |
3.8× |
| Hepatobil syst image w/drug (78227) |
$1,765.34 |
$1,765.34 |
3.1× |
| Hepatobiliary system imaging (78226) |
$1,765.34 |
$1,765.34 |
4.2× |
| Humerus min 2 views (73060) |
$585.78 |
$585.78 |
6.4× |
| Imrt planning (77301) |
$8,746.19 |
$8,746.19 |
6.1× |
| Intracavitary radiation source applic complex (77763) |
$2,296.44 |
$2,296.44 |
3.2× |
| Intracavitary radiation source applic intermed (77762) |
$1,756.40 |
$1,756.40 |
3.0× |
| Intracavitary radiation source applic simple (77761) |
$1,756.40 |
$1,756.40 |
3.0× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,549.18 |
$1,549.18 |
4.0× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$777.31 |
$777.31 |
2.0× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,909.45 |
$1,909.45 |
4.9× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$930.45 |
$930.45 |
2.4× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$773.27 |
$773.27 |
1.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$981.46 |
$981.46 |
1.7× |
| Liver & spleen; static only (78215) |
$825.70 |
$825.70 |
2.0× |
| Lung perf&ventilat diferentl (78598) |
$2,271.90 |
$2,271.90 |
4.0× |
| Lung ventilat&perfus imaging (78582) |
$2,016.09 |
$2,016.09 |
3.6× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$3,322.09 |
$3,322.09 |
9.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$3,451.54 |
$3,451.54 |
9.5× |
| Mlc device(s) for imrt (77338) |
$987.08 |
$987.08 |
2.5× |
| 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/o contrast (70544) |
$2,940.61 |
$2,940.61 |
11.8× |
| MRA neck w/o contrast (70547) |
$2,814.78 |
$2,814.78 |
11.3× |
| MRA neck w/wo contrast (70549) |
$5,452.15 |
$5,452.15 |
15.0× |
| MRI abdomen w/contrast (74182) |
$4,872.85 |
$4,872.85 |
13.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,482.38 |
$6,482.38 |
17.8× |
| MRI abdomen w/o contrast (74181) |
$3,503.34 |
$3,503.34 |
14.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,678.05 |
$2,678.05 |
3.3× |
| MRI breast without contrast bilateral (77047) |
$2,765.75 |
$2,765.75 |
11.1× |
| MRI cervical spine w/o contrast (72141) |
$5,684.42 |
$5,684.42 |
22.8× |
| MRI cervical spine with contrast (72142) |
$5,736.05 |
$5,736.05 |
15.7× |
| MRI chest w & w/o contrast (71552) |
$5,994.31 |
$5,994.31 |
16.5× |
| MRI chest w/o contrast (71550) |
$3,872.43 |
$3,872.43 |
15.5× |
| MRI joint upper ext w/contrast (73222) |
$2,678.05 |
$2,678.05 |
3.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$3,322.09 |
$3,322.09 |
9.1× |
| MRI joint upr extrem w/o dye (73221) |
$2,645.71 |
$2,645.71 |
10.6× |
| Mri Lower Extremity W/O Dye (73718) |
$2,619.83 |
$2,619.83 |
10.5× |
| MRI lumbar spine with contrast (72149) |
$5,754.20 |
$5,754.20 |
15.8× |
| MRI lumbar w/wo contrast (72158) |
$6,349.69 |
$6,349.69 |
17.4× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$6,374.81 |
$6,374.81 |
17.5× |
| MRI orbit/face/neck w/o contrast (70540) |
$4,347.21 |
$4,347.21 |
17.4× |
| MRI pelvis w/o contrast (72195) |
$4,113.39 |
$4,113.39 |
16.5× |
| MRI pelvis w/wo contrast (72197) |
$6,419.28 |
$6,419.28 |
17.6× |
| MRI spine cervical wo/w contrast (72156) |
$6,329.67 |
$6,329.67 |
17.4× |
| MRI spine thoracic w/contrast (72147) |
$5,754.20 |
$5,754.20 |
15.8× |
| MRI thoracic spine w wo contrast (72157) |
$6,349.69 |
$6,349.69 |
17.4× |
| MRI thoracic spine w/o contrast (72146) |
$5,702.40 |
$5,702.40 |
22.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,308.51 |
$2,308.51 |
9.3× |
| Mri Upper Extremity W/Dye (73219) |
$2,770.21 |
$2,770.21 |
7.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$3,676.52 |
$3,676.52 |
10.1× |
| Myocardial spect single study at rest or stress (78451) |
$2,632.82 |
$2,632.82 |
1.9× |
| Nm bone 3 phase (78315) |
$1,763.46 |
$1,763.46 |
4.2× |
| Nm bone imaging whole body (78306) |
$1,475.80 |
$1,475.80 |
3.5× |
| Nm bone marrow scan limited (78102) |
$1,483.34 |
$1,483.34 |
3.6× |
| Nm heart perfusion spect stress rest (78452) |
$3,106.45 |
$3,106.45 |
2.3× |
| Nm lymph system (78195) |
$1,579.20 |
$1,579.20 |
2.8× |
| Nose to rectum for fb child (76010) |
$281.57 |
$281.57 |
3.1× |
| Ob us < 14 wks single fetus (76801) |
$587.39 |
$587.39 |
5.4× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) |
$422.92 |
$422.92 |
3.9× |
| Oral radiopharm rx (79005) |
$1,024.52 |
$1,024.52 |
4.2× |
| Peritoneogram rs&i (74190) |
$723.91 |
$723.91 |
1.3× |
| Pulmonary perfusion imaging particulate (78580) |
$1,059.97 |
$1,059.97 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$446.60 |
$446.60 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$660.51 |
$660.51 |
6.1× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$748.58 |
$748.58 |
6.9× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$866.01 |
$866.01 |
7.9× |
| Radex hip unilateral with pelvis 1 view (73501) |
$239.51 |
$239.51 |
2.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$398.07 |
$398.07 |
4.4× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$438.04 |
$438.04 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$369.87 |
$369.87 |
3.4× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$520.13 |
$520.13 |
4.8× |
| Radex spine cervical 2 or 3 views (72040) |
$691.24 |
$691.24 |
7.6× |
| Radex spine cervical 4 or 5 views (72050) |
$820.86 |
$820.86 |
7.5× |
| Radex spine cervical 6 or more views (72052) |
$928.86 |
$928.86 |
8.5× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$669.92 |
$669.92 |
7.4× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$30,212.12 |
$30,212.12 |
3.9× |
| Radiation tx delivery lvl 1 (77402) |
$423.27 |
$423.27 |
4.0× |
| Radiation tx delivery lvl 2 (77407) |
$523.31 |
$523.31 |
1.3× |
| Radiation tx delivery lvl 3 (77412) |
$769.27 |
$769.27 |
1.3× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$578.24 |
$578.24 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,260.55 |
$1,260.55 |
6.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,234.65 |
$1,234.65 |
6.7× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$178.01 |
$178.01 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$398.07 |
$398.07 |
4.4× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$881.15 |
$881.15 |
8.1× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$753.83 |
$753.83 |
6.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,056.98 |
$2,056.98 |
4.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,463.85 |
$2,463.85 |
4.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,345.41 |
$3,345.41 |
5.9× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$113.01 |
$113.01 |
4.8× |
| Shoulder arthrogram (73040) |
$1,720.50 |
$1,720.50 |
4.7× |
| Simulation complex (77290) |
$3,195.87 |
$3,195.87 |
8.2× |
| Simulation intermediate (77285) |
$1,359.25 |
$1,359.25 |
3.5× |
| Simulation simple (77280) |
$1,359.25 |
$1,359.25 |
9.7× |
| Small bowel series (74250) |
$589.82 |
$589.82 |
3.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$671.54 |
$671.54 |
1.7× |
| Special dosimetry (77331) |
$724.95 |
$724.95 |
5.2× |
| Special physics consult (77370) |
$1,440.15 |
$1,440.15 |
10.3× |
| Special treatment procedure (77470) |
$2,524.35 |
$2,524.35 |
4.4× |
| Stereotactic body radiation delivery (77373) |
$18,827.36 |
$18,827.36 |
10.1× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,334.78 |
$1,334.78 |
3.2× |
| Treatment device intermediate (77333) |
$1,021.50 |
$1,021.50 |
7.3× |
| Treatment devices complex (77334) |
$1,571.53 |
$1,571.53 |
4.0× |
| Treatment devices simple (77332) |
$619.88 |
$619.88 |
4.4× |
| Ultrasound breast limited (76642) |
$404.46 |
$404.46 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$1,126.70 |
$1,126.70 |
10.3× |
| Urethrocystography retrograde rs&i (74450) |
$527.52 |
$527.52 |
2.1× |
| Urethrocystography voiding (74455) |
$652.13 |
$652.13 |
2.6× |
| Urography retrograde w/wo kub (74420) |
$563.12 |
$563.12 |
1.5× |
| Us abdominal aorta real time screen study aaa (76706) |
$81.10 |
$81.10 |
0.7× |
| Us breast uni real time with image complete (76641) |
$433.95 |
$433.95 |
4.0× |
| Us chest (76604) |
$1,522.69 |
$1,522.69 |
13.9× |
| Us compl joint r-t w/image documentation (76881) |
$755.68 |
$755.68 |
6.9× |
| Us elastography parenchyma (76981) |
$381.47 |
$381.47 |
3.5× |
| Us kidney transplanted (76776) |
$1,425.60 |
$1,425.60 |
13.1× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$488.69 |
$488.69 |
4.5× |
| Us ob followup per fetus (76816) |
$422.92 |
$422.92 |
3.9× |
| Us ob limited 1 or more fetuses (76815) |
$610.04 |
$610.04 |
5.6× |
| Us obstetric transvaginal (76817) |
$373.80 |
$373.80 |
3.4× |
| Us pelvic limited or f/u non-ob (76857) |
$385.15 |
$385.15 |
3.5× |
| Us pelvis complete (76856) |
$584.17 |
$584.17 |
5.4× |
| Us retroperitoneal complete (76770) |
$1,272.19 |
$1,272.19 |
11.7× |
| Us retroperitoneal limited (76775) |
$990.84 |
$990.84 |
9.1× |
| Us scrotum (76870) |
$1,155.36 |
$1,155.36 |
10.6× |
| Us soft tissue head/neck (76536) |
$951.48 |
$951.48 |
8.7× |
| Us spinal canal (76800) |
$631.09 |
$631.09 |
5.8× |
| Us transrectal prostate volume (76873) |
$1,711.36 |
$1,711.36 |
15.7× |
| Venogram extremity bilateral (75822) |
$1,956.07 |
$1,956.07 |
1.2× |
| Venogram ivc w serialography (75825) |
$3,311.61 |
$3,311.61 |
1.0× |
| Venogram svc w serialography (75827) |
$2,871.70 |
$2,871.70 |
1.7× |
| Venography ext unilateral (75820) |
$1,397.19 |
$1,397.19 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$4,314.11 |
$4,314.11 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,628.50 |
$1,628.50 |
0.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$679.63 |
$679.63 |
7.5× |
| X-ray aorta leg arteries (75630) |
$5,632.73 |
$5,632.73 |
1.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$917.50 |
$917.50 |
5.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$585.78 |
$585.78 |
6.4× |
| X-ray exam hips bi 3-4 views (73522) |
$485.46 |
$485.46 |
4.4× |
| X-ray exam of finger(s) (73140) |
$302.60 |
$302.60 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$522.68 |
$522.68 |
5.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$558.28 |
$558.28 |
6.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$705.51 |
$705.51 |
7.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$680.46 |
$680.46 |
6.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$708.80 |
$708.80 |
7.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$580.93 |
$580.93 |
6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$558.28 |
$558.28 |
6.1× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$729.30 |
$729.30 |
8.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$891.37 |
$891.37 |
8.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$314.21 |
$314.21 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$681.26 |
$681.26 |
6.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,055.06 |
$1,055.06 |
9.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$558.28 |
$558.28 |
6.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$837.46 |
$837.46 |
7.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$616.91 |
$616.91 |
5.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$462.68 |
$462.68 |
4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$567.99 |
$567.99 |
6.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$737.87 |
$737.87 |
8.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$618.16 |
$618.16 |
6.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$642.40 |
$642.40 |
5.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$578.11 |
$578.11 |
6.4× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$579.32 |
$579.32 |
6.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$690.97 |
$690.97 |
7.6× |
| Xr abdomen 1 view (74018) |
$509.12 |
$509.12 |
5.6× |
| Xr abdomen 2 views (74019) |
$626.60 |
$626.60 |
5.7× |
| Xr arthrogram hip (73525) |
$1,018.52 |
$1,018.52 |
2.8× |
| Xr bone density appendicular (77081) |
$622.02 |
$622.02 |
6.8× |
| Xr bone density axial (77080) |
$681.26 |
$681.26 |
6.2× |
| Xr bone length study (77073) |
$584.17 |
$584.17 |
5.4× |
| Xr bone survey infant (77076) |
$622.99 |
$622.99 |
5.7× |
| Xr chest 1 view (71045) |
$438.53 |
$438.53 |
4.8× |
| Xr chest 2 views (71046) |
$595.49 |
$595.49 |
6.6× |
| Xr chest 3 views (71047) |
$601.97 |
$601.97 |
6.6× |
| Xr facial bones 3 views (70150) |
$754.06 |
$754.06 |
6.9× |
| Xr lower extremity 2 views infant (73592) |
$268.62 |
$268.62 |
3.0× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$880.05 |
$880.05 |
8.1× |
| Xr mandible 4 views (70110) |
$707.14 |
$707.14 |
6.5× |
| Xr nasal bones (70160) |
$682.88 |
$682.88 |
7.5× |
| Xr pelvis 3 views (72190) |
$843.77 |
$843.77 |
7.7× |
| Xr spine 1 view (72020) |
$503.25 |
$503.25 |
5.5× |
| Xr sternum 2 views (71120) |
$744.37 |
$744.37 |
8.2× |
| Xr surgical specimen (76098) |
$1,564.18 |
$1,564.18 |
2.7× |
| Xr upper extremity 2 views infant (73092) |
$751.65 |
$751.65 |
6.9× |
| Xray elbow 2 views (73070) |
$495.16 |
$495.16 |
5.4× |
| Xray forearm 2 views (73090) |
$579.32 |
$579.32 |
6.4× |
| Xray knee 1 or 2 views rt (73560) |
$648.27 |
$648.27 |
7.1× |
| Xray neck soft tissue (70360) |
$451.47 |
$451.47 |
5.0× |
| Xray orbits complete min 4 views (70200) |
$650.50 |
$650.50 |
6.0× |
| Xray pelvis 1 or 2 views (72170) |
$585.95 |
$585.95 |
5.4× |
| Xray ribs bilateral 3 views (71110) |
$746.43 |
$746.43 |
6.8× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$610.04 |
$610.04 |
5.6× |
| Xray scapula complete (73010) |
$642.40 |
$642.40 |
5.9× |
| Xray shoulder 1 view (73020) |
$417.47 |
$417.47 |
4.6× |
| Xray sinuses paranasal <3 views (70210) |
$558.28 |
$558.28 |
6.1× |
| Xray spine thoracic 2 views (72070) |
$624.60 |
$624.60 |
5.7× |
| Xray spine thoracic 3 views (72072) |
$689.21 |
$689.21 |
6.3× |
| Xray tibia-fibula 2 views bil (73590) |
$584.17 |
$584.17 |
6.4× |
| Xray tmj open - closed unilat (70328) |
$364.11 |
$364.11 |
4.0× |
| Xray tmj's bilateral open-clsc (70330) |
$476.15 |
$476.15 |
5.2× |