| Acute gi blood loss imaging (78278) |
$4,341.43 |
$4,341.43 |
10.4× |
| Angio extremity unilateral (75710) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angiogram extremity bilateral (75716) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angiogram pelvic (75736) |
$53,471.29 |
$53,471.29 |
9.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$30,801.75 |
$30,801.75 |
9.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$14,552.47 |
$14,552.47 |
2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$30,801.75 |
$30,801.75 |
9.3× |
| Ankle 2 views (73600) |
$1,008.69 |
$1,008.69 |
11.1× |
| Arthrography knee lt (73580) |
$5,347.75 |
$5,347.75 |
14.7× |
| Arthrography wrist lt (73115) |
$5,347.75 |
$5,347.75 |
14.7× |
| Barium enema (74270) |
$2,213.27 |
$2,213.27 |
12.1× |
| Bone age studies (77072) |
$1,427.22 |
$1,427.22 |
13.1× |
| Bone survey complete (77075) |
$3,740.84 |
$3,740.84 |
34.3× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,825.95 |
$1,825.95 |
4.7× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$1,243.61 |
$1,243.61 |
2.2× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$4,532.57 |
$4,532.57 |
10.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,713.33 |
$1,713.33 |
9.4× |
| Clavicle complete (73000) |
$1,476.27 |
$1,476.27 |
16.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$8,733.88 |
$8,733.88 |
47.7× |
| Contrast exam abdominl aorta (75625) |
$9,324.35 |
$9,324.35 |
2.8× |
| Contrast exam thoracic aorta (75605) |
$53,471.29 |
$53,471.29 |
9.2× |
| CT - st neck w&wo contr (70492) |
$10,681.28 |
$10,681.28 |
58.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$17,362.99 |
$17,362.99 |
47.7× |
| CT abdomen and pelvis without contrast (74176) |
$13,479.23 |
$13,479.23 |
54.1× |
| CT abdomen w wo contrast (74170) |
$14,307.86 |
$14,307.86 |
78.1× |
| CT abdomen w/contrast (74160) |
$12,112.20 |
$12,112.20 |
66.1× |
| CT abdomen w/o contrast (74150) |
$10,193.21 |
$10,193.21 |
93.4× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$17,735.25 |
$17,735.25 |
48.7× |
| CT angio abdom w/o & w/dye (74175) |
$13,832.56 |
$13,832.56 |
75.5× |
| CT angio abdominal arteries (75635) |
$14,712.29 |
$14,712.29 |
80.3× |
| CT angio hrt w/3d image (75574) |
$2,512 |
$2,512 |
6.9× |
| CT angiograph pelv w/o&w/dye (72191) |
$13,182.41 |
$13,182.41 |
72.0× |
| CT cervical spine w/contrast (72126) |
$11,409.63 |
$11,409.63 |
31.3× |
| CT cervical spine w/o contrast (72125) |
$10,028.42 |
$10,028.42 |
91.9× |
| CT chest w/contrast (71260) |
$11,976.96 |
$11,976.96 |
65.4× |
| CT extremity upper w & w/o contrast (73202) |
$2,512 |
$2,512 |
13.7× |
| CT head/brain with contrast (70460) |
$8,773.41 |
$8,773.41 |
47.9× |
| CT head/brain without and with contrast (70470) |
$10,660.80 |
$10,660.80 |
58.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,244.33 |
$1,244.33 |
13.7× |
| CT lower ext w/wo contrast (73702) |
$12,832.05 |
$12,832.05 |
70.1× |
| CT lower extremity w contrast (73701) |
$10,427.19 |
$10,427.19 |
56.9× |
| CT lower extremity w/o contrast unilateral (73700) |
$9,277.15 |
$9,277.15 |
85.0× |
| CT lumbar spine w/contrast (72132) |
$12,693.62 |
$12,693.62 |
34.8× |
| CT lumbar spine w/o contrast (72131) |
$11,034.36 |
$11,034.36 |
101.1× |
| CT lumbar spine w/o then w/ con (72133) |
$2,512 |
$2,512 |
13.7× |
| CT maxillofacial area w/o contrast (70486) |
$7,459.52 |
$7,459.52 |
68.3× |
| CT maxillofacial w/contrast (70487) |
$8,727.97 |
$8,727.97 |
47.6× |
| CT maxillofacial w/o then w/ con (70488) |
$2,284.82 |
$2,284.82 |
12.5× |
| CT orbit sella ear w/o con (70480) |
$7,843.83 |
$7,843.83 |
71.8× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$2,284.82 |
$2,284.82 |
12.5× |
| CT pelvis w & w/o contrast (72194) |
$2,512 |
$2,512 |
13.7× |
| CT pelvis w/o contrast (72192) |
$9,919.52 |
$9,919.52 |
90.9× |
| CT soft tissue neck w/contrast (70491) |
$9,331.98 |
$9,331.98 |
50.9× |
| CT soft tissue neck w/o contrast (70490) |
$7,710.50 |
$7,710.50 |
70.6× |
| CT spine cervical w/wo contrast (72127) |
$2,284.82 |
$2,284.82 |
12.5× |
| CT thoracic spine w/contrast (72129) |
$12,103.26 |
$12,103.26 |
66.1× |
| CT thoracic spine w/o contrast (72128) |
$10,543.22 |
$10,543.22 |
96.6× |
| CT thoracic spine w/o then w/ con (72130) |
$2,512 |
$2,512 |
13.7× |
| CT thorax lung cancer scr c- (71271) |
$2,366.06 |
$2,366.06 |
21.7× |
| CT thorax w/o contrast (71250) |
$9,925.93 |
$9,925.93 |
90.9× |
| CT thorax w/o then w/ contrast (71270) |
$13,802.56 |
$13,802.56 |
75.4× |
| CT upper extremity w/dye (73201) |
$10,379.85 |
$10,379.85 |
28.5× |
| CT upper extremity w/o contrast rt (73200) |
$9,046.04 |
$9,046.04 |
82.9× |
| CTA chest w/wo contrast (71275) |
$13,811.11 |
$13,811.11 |
75.4× |
| CTA head w contrast (70496) |
$10,729.17 |
$10,729.17 |
58.6× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$6,262.20 |
$6,262.20 |
34.2× |
| Cta Neck (70498) |
$10,625.42 |
$10,625.42 |
58.0× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$11,158.96 |
$11,158.96 |
60.9× |
| Dxa bone density study axial skeleton (77085) |
$1,542.48 |
$1,542.48 |
14.1× |
| Esophogram (74220) |
$1,594.63 |
$1,594.63 |
8.7× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,687.24 |
$1,687.24 |
6.8× |
| Gastric emptying study (78264) |
$4,645.63 |
$4,645.63 |
11.1× |
| Gated heart planar single (78472) |
$4,532.57 |
$4,532.57 |
10.9× |
| Hepatobil syst image w/drug (78227) |
$1,562.31 |
$1,562.31 |
2.8× |
| Hepatobiliary system imaging (78226) |
$5,274.43 |
$5,274.43 |
12.6× |
| Humerus min 2 views (73060) |
$1,556.12 |
$1,556.12 |
17.1× |
| Imrt planning (77301) |
$15,280.63 |
$15,280.63 |
10.6× |
| Intracavitary radiation source applic complex (77763) |
$4,054.72 |
$4,054.72 |
5.6× |
| Intracavitary radiation source applic intermed (77762) |
$3,371.18 |
$3,371.18 |
5.8× |
| Intracavitary radiation source applic simple (77761) |
$2,274.30 |
$2,274.30 |
3.9× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,484.66 |
$1,484.66 |
3.8× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,249.05 |
$1,249.05 |
3.2× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,627.54 |
$1,627.54 |
4.2× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,226.75 |
$1,226.75 |
3.1× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$4,850.28 |
$4,850.28 |
8.6× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$4,850.28 |
$4,850.28 |
8.6× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$4,850.28 |
$4,850.28 |
8.6× |
| Lung ventilat&perfus imaging (78582) |
$3,850.63 |
$3,850.63 |
6.8× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$9,722.99 |
$9,722.99 |
26.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$9,380.24 |
$9,380.24 |
25.7× |
| Mr safety determination physician/other qhp (76016) |
$295.04 |
$295.04 |
3.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$196.49 |
$196.49 |
3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$82.38 |
$82.38 |
2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$309.28 |
$309.28 |
3.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$812.98 |
$812.98 |
3.3× |
| MRA head w & w/o contrast (70546) |
$7,264.23 |
$7,264.23 |
19.9× |
| MRA head w/o contrast (70544) |
$5,304.80 |
$5,304.80 |
21.3× |
| MRA neck w/o contrast (70547) |
$5,084.01 |
$5,084.01 |
20.4× |
| MRA neck w/wo contrast (70549) |
$7,254.41 |
$7,254.41 |
19.9× |
| MRI abdomen w/contrast (74182) |
$4,108.74 |
$4,108.74 |
11.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,987.49 |
$9,987.49 |
27.4× |
| MRI abdomen w/o contrast (74181) |
$7,163.05 |
$7,163.05 |
28.7× |
| MRI any jnt lwr ext with con lt (73722) |
$8,383 |
$8,383 |
10.2× |
| MRI breast without contrast bilateral (77047) |
$5,222.67 |
$5,222.67 |
21.0× |
| MRI cervical spine w/o contrast (72141) |
$10,646.14 |
$10,646.14 |
42.7× |
| MRI cervical spine with contrast (72142) |
$5,146.81 |
$5,146.81 |
14.1× |
| MRI chest w/o contrast (71550) |
$3,249.79 |
$3,249.79 |
13.0× |
| MRI joint upper ext w/contrast (73222) |
$8,502.78 |
$8,502.78 |
10.4× |
| MRI joint upr extr w/o&w/dye (73223) |
$9,721.70 |
$9,721.70 |
26.7× |
| MRI joint upr extrem w/o dye (73221) |
$7,159.88 |
$7,159.88 |
28.7× |
| Mri Lower Extremity W/O Dye (73718) |
$6,952.71 |
$6,952.71 |
27.9× |
| MRI lumbar spine with contrast (72149) |
$4,108.74 |
$4,108.74 |
11.3× |
| MRI lumbar w/wo contrast (72158) |
$10,635.81 |
$10,635.81 |
29.2× |
| MRI orbit/face/neck w/contrast (70542) |
$4,108.74 |
$4,108.74 |
11.3× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$7,754.13 |
$7,754.13 |
21.3× |
| MRI orbit/face/neck w/o contrast (70540) |
$4,112.77 |
$4,112.77 |
16.5× |
| MRI pelvis w/o contrast (72195) |
$7,015.51 |
$7,015.51 |
28.2× |
| MRI pelvis w/wo contrast (72197) |
$9,993.13 |
$9,993.13 |
27.4× |
| MRI spine cervical wo/w contrast (72156) |
$7,530.69 |
$7,530.69 |
20.7× |
| MRI thoracic spine w wo contrast (72157) |
$10,499.40 |
$10,499.40 |
28.8× |
| MRI thoracic spine w/o contrast (72146) |
$7,538.55 |
$7,538.55 |
30.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$6,830.62 |
$6,830.62 |
27.4× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$9,152.48 |
$9,152.48 |
25.1× |
| Myelography lumbosacral (72265) |
$8,383 |
$8,383 |
10.2× |
| Myocardial spect single study at rest or stress (78451) |
$7,884.28 |
$7,884.28 |
5.8× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$3,789.17 |
$3,789.17 |
4.2× |
| Nm bone 3 phase (78315) |
$5,502.29 |
$5,502.29 |
13.2× |
| Nm bone imaging whole body (78306) |
$6,567.34 |
$6,567.34 |
15.7× |
| Nm heart perfusion spect stress rest (78452) |
$13,451.94 |
$13,451.94 |
9.9× |
| Nose to rectum for fb child (76010) |
$388.10 |
$388.10 |
4.3× |
| Nuclear rx IV admin (79101) |
$2,326.81 |
$2,326.81 |
9.5× |
| Ob us < 14 wks single fetus (76801) |
$1,996.67 |
$1,996.67 |
18.3× |
| Oral radiopharm rx (79005) |
$3,060.67 |
$3,060.67 |
12.6× |
| Parathyroid imaging (78070) |
$3,652.45 |
$3,652.45 |
8.7× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$4,532.57 |
$4,532.57 |
10.9× |
| Pulmonary perfusion imaging particulate (78580) |
$3,715.31 |
$3,715.31 |
8.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,837.79 |
$1,837.79 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$1,222.04 |
$1,222.04 |
11.2× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,273.09 |
$1,273.09 |
14.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,640.89 |
$1,640.89 |
18.1× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,960.96 |
$2,960.96 |
27.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,721.53 |
$1,721.53 |
15.8× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$2,007.62 |
$2,007.62 |
18.4× |
| Radex spine cervical 2 or 3 views (72040) |
$1,799.90 |
$1,799.90 |
19.8× |
| Radex spine cervical 4 or 5 views (72050) |
$2,617.60 |
$2,617.60 |
24.0× |
| Radex spine cervical 6 or more views (72052) |
$2,885.26 |
$2,885.26 |
26.4× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,772.28 |
$1,772.28 |
19.5× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$32,360.11 |
$32,360.11 |
4.2× |
| Radiation tx delivery lvl 1 (77402) |
$646.54 |
$646.54 |
6.1× |
| Radiation tx delivery lvl 2 (77407) |
$885.55 |
$885.55 |
2.2× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$1,888.28 |
$1,888.28 |
10.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,049.38 |
$3,049.38 |
16.6× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$1,472.99 |
$1,472.99 |
16.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,632.15 |
$1,632.15 |
18.0× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,560.53 |
$1,560.53 |
14.3× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$2,007.62 |
$2,007.62 |
18.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$4,532.57 |
$4,532.57 |
10.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,187.35 |
$5,187.35 |
9.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,181.08 |
$6,181.08 |
10.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$13,451.94 |
$13,451.94 |
9.9× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$216.58 |
$216.58 |
9.3× |
| Shoulder arthrogram (73040) |
$2,635.48 |
$2,635.48 |
7.2× |
| Small bowel series (74250) |
$1,946.09 |
$1,946.09 |
10.6× |
| Tbs technical calculation only (77091) |
$295.04 |
$295.04 |
3.2× |
| Therapeutic enema barium or air (74283) |
$1,888.28 |
$1,888.28 |
10.3× |
| Thyroid uptake single/multiple quant measurement (78012) |
$3,658.02 |
$3,658.02 |
8.8× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$4,532.57 |
$4,532.57 |
10.9× |
| Ultrasound breast limited (76642) |
$1,654.86 |
$1,654.86 |
18.2× |
| Ultrasound, abdomen limited (76705) |
$2,210.18 |
$2,210.18 |
20.2× |
| Urethrocystography retrograde rs&i (74450) |
$3,249.79 |
$3,249.79 |
13.0× |
| Urography antegrade (74425) |
$1,700.88 |
$1,700.88 |
4.7× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,542.48 |
$1,542.48 |
14.1× |
| Us breast uni real time with image complete (76641) |
$2,482.29 |
$2,482.29 |
22.7× |
| Us chest (76604) |
$1,649.83 |
$1,649.83 |
15.1× |
| Us compl joint r-t w/image documentation (76881) |
$1,542.48 |
$1,542.48 |
14.1× |
| Us kidney transplanted (76776) |
$2,189.38 |
$2,189.38 |
20.1× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$3,583.21 |
$3,583.21 |
32.8× |
| Us ob detailed single fetus (76811) |
$3,249.79 |
$3,249.79 |
13.0× |
| Us ob followup per fetus (76816) |
$1,542.48 |
$1,542.48 |
14.1× |
| Us ob limited 1 or more fetuses (76815) |
$1,452.51 |
$1,452.51 |
13.3× |
| Us obstetric transvaginal (76817) |
$1,735.89 |
$1,735.89 |
15.9× |
| Us pelvic limited or f/u non-ob (76857) |
$1,509.32 |
$1,509.32 |
13.8× |
| Us pelvis complete (76856) |
$2,446.58 |
$2,446.58 |
22.4× |
| Us retroperitoneal complete (76770) |
$2,373.97 |
$2,373.97 |
21.7× |
| Us retroperitoneal limited (76775) |
$1,991.15 |
$1,991.15 |
18.2× |
| Us scrotum (76870) |
$2,202.92 |
$2,202.92 |
20.2× |
| Us soft tissue head/neck (76536) |
$2,075.77 |
$2,075.77 |
19.0× |
| Venogram extremity bilateral (75822) |
$14,882.87 |
$14,882.87 |
9.1× |
| Venogram ivc w serialography (75825) |
$8,333.83 |
$8,333.83 |
2.5× |
| Venogram svc w serialography (75827) |
$14,882.87 |
$14,882.87 |
9.1× |
| Venography ext unilateral (75820) |
$3,994.42 |
$3,994.42 |
2.4× |
| Vertebral fracture assessment via dxa (77086) |
$1,131.72 |
$1,131.72 |
12.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,675.77 |
$1,675.77 |
18.4× |
| X-ray aorta leg arteries (75630) |
$8,333.83 |
$8,333.83 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,677.01 |
$1,677.01 |
18.5× |
| X-ray exam hips bi 3-4 views (73522) |
$447.06 |
$447.06 |
4.1× |
| X-ray exam of finger(s) (73140) |
$1,259.03 |
$1,259.03 |
13.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,472.99 |
$1,472.99 |
16.2× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,023.89 |
$1,023.89 |
11.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,666.85 |
$1,666.85 |
18.3× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$2,032.75 |
$2,032.75 |
18.6× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,794.21 |
$1,794.21 |
19.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,355.59 |
$1,355.59 |
14.9× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,800.70 |
$1,800.70 |
19.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,078.70 |
$2,078.70 |
19.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,472.99 |
$1,472.99 |
16.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,961.60 |
$1,961.60 |
18.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,048.88 |
$3,048.88 |
27.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,472.99 |
$1,472.99 |
16.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,648.86 |
$2,648.86 |
24.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,676.62 |
$1,676.62 |
15.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$2,007.62 |
$2,007.62 |
18.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,667.27 |
$1,667.27 |
18.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,765.86 |
$1,765.86 |
19.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,155.75 |
$2,155.75 |
23.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,007.62 |
$2,007.62 |
18.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,669.15 |
$1,669.15 |
15.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,428.85 |
$1,428.85 |
15.7× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$808.10 |
$808.10 |
8.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,650.71 |
$1,650.71 |
18.2× |
| Xr abdomen 1 view (74018) |
$866.98 |
$866.98 |
9.5× |
| Xr abdomen 2 views (74019) |
$1,165.36 |
$1,165.36 |
10.7× |
| Xr abdomen 3 views (74021) |
$1,542.48 |
$1,542.48 |
14.1× |
| Xr arthrogram elbow (73085) |
$4,108.74 |
$4,108.74 |
11.3× |
| Xr arthrogram hip (73525) |
$2,448.97 |
$2,448.97 |
6.7× |
| Xr bone density appendicular (77081) |
$1,464.03 |
$1,464.03 |
16.1× |
| Xr bone density axial (77080) |
$2,440.02 |
$2,440.02 |
22.4× |
| Xr chest 1 view (71045) |
$906.16 |
$906.16 |
10.0× |
| Xr chest 2 views (71046) |
$1,133.53 |
$1,133.53 |
12.5× |
| Xr chest 3 views (71047) |
$1,131.72 |
$1,131.72 |
12.5× |
| Xr cystogram 3+ views (74430) |
$1,624.23 |
$1,624.23 |
4.5× |
| Xr facial bones 3 views (70150) |
$2,007.62 |
$2,007.62 |
18.4× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$2,007.62 |
$2,007.62 |
18.4× |
| Xr mandible 4 views (70110) |
$2,128.69 |
$2,128.69 |
19.5× |
| Xr myelogram c-spine (72240) |
$8,383 |
$8,383 |
10.2× |
| Xr nasal bones (70160) |
$1,710.41 |
$1,710.41 |
18.8× |
| Xr pelvis 3 views (72190) |
$1,784.70 |
$1,784.70 |
16.3× |
| Xr spine 1 view (72020) |
$1,472.99 |
$1,472.99 |
16.2× |
| Xr sternum 2 views (71120) |
$1,648.47 |
$1,648.47 |
18.1× |
| Xr stress view joint (77071) |
$1,472.99 |
$1,472.99 |
16.2× |
| Xr upper extremity 2 views infant (73092) |
$2,007.62 |
$2,007.62 |
18.4× |
| Xray elbow 2 views (73070) |
$1,268.30 |
$1,268.30 |
14.0× |
| Xray forearm 2 views (73090) |
$1,489.74 |
$1,489.74 |
16.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,482.42 |
$1,482.42 |
16.3× |
| Xray neck soft tissue (70360) |
$855.30 |
$855.30 |
9.4× |
| Xray orbits complete min 4 views (70200) |
$1,758.29 |
$1,758.29 |
16.1× |
| Xray pelvis 1 or 2 views (72170) |
$1,457.08 |
$1,457.08 |
13.3× |
| Xray ribs bilateral 3 views (71110) |
$2,007.62 |
$2,007.62 |
18.4× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,061.93 |
$2,061.93 |
18.9× |
| Xray scapula complete (73010) |
$1,536.53 |
$1,536.53 |
14.1× |
| Xray shoulder 1 view (73020) |
$1,266.36 |
$1,266.36 |
13.9× |
| Xray sinuses paranasal <3 views (70210) |
$1,472.99 |
$1,472.99 |
16.2× |
| Xray spine thoracic 2 views (72070) |
$2,007.62 |
$2,007.62 |
18.4× |
| Xray spine thoracic 3 views (72072) |
$2,126.69 |
$2,126.69 |
19.5× |
| Xray tibia-fibula 2 views bil (73590) |
$1,583.30 |
$1,583.30 |
17.4× |
| Xray tmj open - closed unilat (70328) |
$1,472.99 |
$1,472.99 |
16.2× |
| Xray tmj's bilateral open-clsc (70330) |
$1,472.99 |
$1,472.99 |
16.2× |