| Acute gi blood loss imaging (78278) |
$1,226.66 |
$1,226.66 |
2.9× |
| Angio extremity unilateral (75710) |
$11,813.58 |
$11,813.58 |
3.6× |
| Angio pulmonary unilateral (75741) |
$13,126.22 |
$13,126.22 |
4.0× |
| Angiogram extremity bilateral (75716) |
$13,126.22 |
$13,126.22 |
4.0× |
| Angiogram pelvic (75736) |
$12,681.44 |
$12,681.44 |
2.2× |
| Angiography internal mammary rs&i (75756) |
$7,262.34 |
$7,262.34 |
2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$15,561.11 |
$15,561.11 |
4.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$12,681.44 |
$12,681.44 |
2.2× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$19,530.65 |
$19,530.65 |
5.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$19,530.65 |
$19,530.65 |
5.9× |
| Ankle 2 views (73600) |
$357.86 |
$357.86 |
3.9× |
| Arthrography knee lt (73580) |
$2,421.16 |
$2,421.16 |
6.6× |
| Arthrography wrist lt (73115) |
$1,737.09 |
$1,737.09 |
4.8× |
| Barium enema (74270) |
$659.02 |
$659.02 |
3.6× |
| Bone age studies (77072) |
$459.55 |
$459.55 |
4.2× |
| Bone imaging limited area (78300) |
$6,704.88 |
$6,704.88 |
16.1× |
| Bone survey complete (77075) |
$689.32 |
$689.32 |
6.3× |
| Bowel imaging (78290) |
$1,663.94 |
$1,663.94 |
4.0× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,917.25 |
$1,917.25 |
4.9× |
| Brain image w/flow 4 + views (78606) |
$3,075.45 |
$3,075.45 |
5.4× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$2,874 |
$2,874 |
6.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,137.96 |
$1,137.96 |
6.2× |
| Cisternogram (78630) |
$3,075.45 |
$3,075.45 |
5.4× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$5,315.46 |
$5,315.46 |
6.5× |
| Clavicle complete (73000) |
$618.04 |
$618.04 |
6.8× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$4,154.73 |
$4,154.73 |
22.7× |
| Contrast exam abdominl aorta (75625) |
$13,126.22 |
$13,126.22 |
4.0× |
| Contrast exam thoracic aorta (75605) |
$12,681.44 |
$12,681.44 |
2.2× |
| Csf shunt evaluation (78645) |
$1,361.70 |
$1,361.70 |
2.4× |
| CT - st neck w&wo contr (70492) |
$2,665 |
$2,665 |
14.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,094.57 |
$5,094.57 |
14.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,098.26 |
$4,098.26 |
16.4× |
| CT abdomen w wo contrast (74170) |
$5,094.57 |
$5,094.57 |
27.8× |
| CT abdomen w/contrast (74160) |
$4,702.82 |
$4,702.82 |
25.7× |
| CT abdomen w/o contrast (74150) |
$4,098.26 |
$4,098.26 |
37.5× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$4,614.32 |
$4,614.32 |
12.7× |
| CT angio abdom w/o & w/dye (74175) |
$3,211.19 |
$3,211.19 |
17.5× |
| CT angio abdominal arteries (75635) |
$3,211.19 |
$3,211.19 |
17.5× |
| CT angio hrt w/3d image (75574) |
$3,201.77 |
$3,201.77 |
8.8× |
| CT cervical spine w/contrast (72126) |
$6,637.08 |
$6,637.08 |
18.2× |
| CT cervical spine w/o contrast (72125) |
$4,915.66 |
$4,915.66 |
45.0× |
| CT chest w/contrast (71260) |
$4,450.44 |
$4,450.44 |
24.3× |
| CT extremity upper w & w/o contrast (73202) |
$1,376.92 |
$1,376.92 |
7.5× |
| CT head/brain with contrast (70460) |
$2,962.06 |
$2,962.06 |
16.2× |
| CT head/brain without and with contrast (70470) |
$3,147.30 |
$3,147.30 |
17.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,376.92 |
$1,376.92 |
3.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$301.65 |
$301.65 |
3.3× |
| CT limited/localized follow up study (76380) |
$825.23 |
$825.23 |
9.1× |
| CT lower ext w/wo contrast (73702) |
$1,376.92 |
$1,376.92 |
7.5× |
| CT lower extremity w contrast (73701) |
$3,045.44 |
$3,045.44 |
16.6× |
| CT lower extremity w/o contrast unilateral (73700) |
$2,706.44 |
$2,706.44 |
24.8× |
| CT lumbar spine w/contrast (72132) |
$6,637.08 |
$6,637.08 |
18.2× |
| CT lumbar spine w/o contrast (72131) |
$4,889.27 |
$4,889.27 |
44.8× |
| CT lumbar spine w/o then w/ con (72133) |
$1,376.92 |
$1,376.92 |
7.5× |
| CT maxillofacial area w/o contrast (70486) |
$3,297.83 |
$3,297.83 |
30.2× |
| CT maxillofacial w/contrast (70487) |
$3,683.91 |
$3,683.91 |
20.1× |
| CT maxillofacial w/o then w/ con (70488) |
$1,376.92 |
$1,376.92 |
7.5× |
| CT orbit sella ear w/o con (70480) |
$3,808.23 |
$3,808.23 |
34.9× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$4,543.71 |
$4,543.71 |
24.8× |
| CT pelvis w & w/o contrast (72194) |
$5,094.57 |
$5,094.57 |
27.8× |
| CT pelvis w/o contrast (72192) |
$3,813.25 |
$3,813.25 |
34.9× |
| CT soft tissue neck w/contrast (70491) |
$3,621.78 |
$3,621.78 |
19.8× |
| CT soft tissue neck w/o contrast (70490) |
$3,254.49 |
$3,254.49 |
29.8× |
| CT spine cervical w/wo contrast (72127) |
$1,376.92 |
$1,376.92 |
7.5× |
| CT thoracic spine w/contrast (72129) |
$6,565.55 |
$6,565.55 |
35.8× |
| CT thoracic spine w/o contrast (72128) |
$4,444.81 |
$4,444.81 |
40.7× |
| CT thorax w/o contrast (71250) |
$3,523.85 |
$3,523.85 |
32.3× |
| CT thorax w/o then w/ contrast (71270) |
$4,885.52 |
$4,885.52 |
26.7× |
| CT upper extremity w/dye (73201) |
$3,045.44 |
$3,045.44 |
8.4× |
| CT upper extremity w/o contrast rt (73200) |
$2,706.44 |
$2,706.44 |
24.8× |
| CTA chest w/wo contrast (71275) |
$3,211.19 |
$3,211.19 |
17.5× |
| CTA head w contrast (70496) |
$3,211.19 |
$3,211.19 |
17.5× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$3,211.19 |
$3,211.19 |
17.5× |
| Cta Neck (70498) |
$3,211.19 |
$3,211.19 |
17.5× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$6,422.37 |
$6,422.37 |
35.1× |
| Doppler echo fetal spectral display complete (76827) |
$1,106.97 |
$1,106.97 |
10.1× |
| Esophogram (74220) |
$403.67 |
$403.67 |
2.2× |
| Fetal biophysical profile non-stress testing (76818) |
$2,027.98 |
$2,027.98 |
18.6× |
| Fetal biophysical profile w/o nst (76819) |
$1,025.04 |
$1,025.04 |
9.4× |
| Fetal echo complete (76825) |
$4,879.90 |
$4,879.90 |
8.6× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$708.45 |
$708.45 |
2.8× |
| Gastric emptying study (78264) |
$2,268.26 |
$2,268.26 |
5.4× |
| Gated heart planar single (78472) |
$2,874 |
$2,874 |
6.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$11,813.72 |
$11,813.72 |
3.6× |
| Hepatobil syst image w/drug (78227) |
$1,800.15 |
$1,800.15 |
3.2× |
| Hepatobiliary system imaging (78226) |
$1,538.92 |
$1,538.92 |
3.7× |
| Humerus min 2 views (73060) |
$749.58 |
$749.58 |
8.2× |
| Imrt planning (77301) |
$11,304.33 |
$11,304.33 |
7.8× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$1,227.30 |
$1,227.30 |
2.9× |
| Intracavitary radiation source applic complex (77763) |
$4,257.46 |
$4,257.46 |
5.9× |
| Intracavitary radiation source applic intermed (77762) |
$3,539.74 |
$3,539.74 |
6.1× |
| Intracavitary radiation source applic simple (77761) |
$2,388.02 |
$2,388.02 |
4.1× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,558.89 |
$1,558.89 |
4.0× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,311.50 |
$1,311.50 |
3.4× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,708.92 |
$1,708.92 |
4.4× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,142.45 |
$1,142.45 |
2.9× |
| Ivp (74400) |
$1,197.32 |
$1,197.32 |
6.5× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$3,075.45 |
$3,075.45 |
5.4× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$3,075.45 |
$3,075.45 |
5.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$1,061.13 |
$1,061.13 |
1.9× |
| Liver & spleen; static only (78215) |
$2,874 |
$2,874 |
6.9× |
| Lung perfusion differential (78597) |
$2,874 |
$2,874 |
6.9× |
| Lung ventilat&perfus imaging (78582) |
$3,075.45 |
$3,075.45 |
5.4× |
| Lung ventilation imaging (78579) |
$2,874 |
$2,874 |
6.9× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$3,302.52 |
$3,302.52 |
9.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$2,305.19 |
$2,305.19 |
6.3× |
| Mr safety determination physician/other qhp (76016) |
$257.10 |
$257.10 |
2.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$171.22 |
$171.22 |
2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$71.79 |
$71.79 |
2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$269.51 |
$269.51 |
2.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$708.45 |
$708.45 |
2.8× |
| MRA head w & w/o contrast (70546) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRA head w/contrast (70545) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRA head w/o contrast (70544) |
$3,524.42 |
$3,524.42 |
14.1× |
| MRA neck w/contrast (70548) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRA neck w/o contrast (70547) |
$3,524.42 |
$3,524.42 |
14.1× |
| MRA neck w/wo contrast (70549) |
$5,940.04 |
$5,940.04 |
16.3× |
| MRI abdomen w/contrast (74182) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,217.50 |
$4,217.50 |
11.6× |
| MRI abdomen w/o contrast (74181) |
$2,050.14 |
$2,050.14 |
8.2× |
| MRI any jnt lwr ext with con lt (73722) |
$5,315.46 |
$5,315.46 |
6.5× |
| MRI cervical spine w/o contrast (72141) |
$3,514.56 |
$3,514.56 |
14.1× |
| MRI cervical spine with contrast (72142) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI chest w & w/o contrast (71552) |
$5,315.46 |
$5,315.46 |
14.6× |
| MRI chest w/contrast (71551) |
$3,756.77 |
$3,756.77 |
4.6× |
| MRI chest w/o contrast (71550) |
$2,060.61 |
$2,060.61 |
8.3× |
| MRI joint upper ext w/contrast (73222) |
$2,420.05 |
$2,420.05 |
3.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$3,302.52 |
$3,302.52 |
9.1× |
| MRI joint upr extrem w/o dye (73221) |
$2,277.93 |
$2,277.93 |
9.1× |
| Mri Lower Extremity W/O Dye (73718) |
$2,050.14 |
$2,050.14 |
8.2× |
| MRI lumbar spine with contrast (72149) |
$2,937.09 |
$2,937.09 |
8.1× |
| MRI lumbar w/wo contrast (72158) |
$5,516.86 |
$5,516.86 |
15.1× |
| MRI lwr ext w/o jnts with con rt (73719) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$4,203.97 |
$4,203.97 |
11.5× |
| MRI orbit/face/neck w/o contrast (70540) |
$2,255.18 |
$2,255.18 |
9.1× |
| MRI pelvis w/ contrast (72196) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI pelvis w/o contrast (72195) |
$1,721.23 |
$1,721.23 |
6.9× |
| MRI pelvis w/wo contrast (72197) |
$3,795.76 |
$3,795.76 |
10.4× |
| MRI spine cervical wo/w contrast (72156) |
$5,591.30 |
$5,591.30 |
15.3× |
| MRI spine thoracic w/contrast (72147) |
$2,853.18 |
$2,853.18 |
7.8× |
| MRI thoracic spine w wo contrast (72157) |
$5,537.16 |
$5,537.16 |
15.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,651.92 |
$2,651.92 |
10.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,050.14 |
$2,050.14 |
8.2× |
| Mri Upper Extremity W/Dye (73219) |
$2,605.25 |
$2,605.25 |
7.2× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$2,972.29 |
$2,972.29 |
8.2× |
| Myelography 2 or more regions (72270) |
$5,315.46 |
$5,315.46 |
6.5× |
| Myelography lumbosacral (72265) |
$5,315.46 |
$5,315.46 |
6.5× |
| Myocardial spect single study at rest or stress (78451) |
$4,511.21 |
$4,511.21 |
3.3× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$3,111.58 |
$3,111.58 |
3.5× |
| Nm bone 3 phase (78315) |
$2,286.28 |
$2,286.28 |
5.5× |
| Nm bone imaging whole body (78306) |
$3,031.44 |
$3,031.44 |
7.3× |
| Nm heart perfusion spect stress rest (78452) |
$8,529.56 |
$8,529.56 |
6.3× |
| Nm lymph system (78195) |
$1,165.35 |
$1,165.35 |
2.1× |
| Nose to rectum for fb child (76010) |
$257.10 |
$257.10 |
2.8× |
| Ob us < 14 wks single fetus (76801) |
$1,026.92 |
$1,026.92 |
9.4× |
| Oral radiopharm rx (79005) |
$3,213.70 |
$3,213.70 |
13.2× |
| Parathyroid imaging (78070) |
$1,152.96 |
$1,152.96 |
2.8× |
| Peritoneogram rs&i (74190) |
$4,311.57 |
$4,311.57 |
7.6× |
| Pulmonary perfusion imaging particulate (78580) |
$1,116.63 |
$1,116.63 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,643.33 |
$1,643.33 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex hip unilateral with pelvis 1 view (73501) |
$418.11 |
$418.11 |
4.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$418.11 |
$418.11 |
4.6× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$691.20 |
$691.20 |
6.3× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex spine cervical 2 or 3 views (72040) |
$760.90 |
$760.90 |
8.4× |
| Radex spine cervical 4 or 5 views (72050) |
$1,124.76 |
$1,124.76 |
10.3× |
| Radex spine cervical 6 or more views (72052) |
$1,105.55 |
$1,105.55 |
10.1× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$841.85 |
$841.85 |
9.3× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$33,978.12 |
$33,978.12 |
4.4× |
| Radiation tx delivery lvl 1 (77402) |
$678.87 |
$678.87 |
6.4× |
| Radiation tx delivery lvl 2 (77407) |
$906.20 |
$906.20 |
2.2× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$978.05 |
$978.05 |
9.0× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$1,197.32 |
$1,197.32 |
6.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$715.05 |
$715.05 |
3.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,140.18 |
$1,140.18 |
6.2× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$418.11 |
$418.11 |
4.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$418.11 |
$418.11 |
4.6× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$312.58 |
$312.58 |
2.9× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,124.76 |
$1,124.76 |
10.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,874 |
$2,874 |
6.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,594.82 |
$3,594.82 |
6.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,189.31 |
$4,189.31 |
7.4× |
| Selective spinal angiogram (75705) |
$33,904.88 |
$33,904.88 |
5.8× |
| Shoulder arthrogram (73040) |
$1,942.28 |
$1,942.28 |
5.3× |
| Small bowel series (74250) |
$665.10 |
$665.10 |
3.6× |
| Therapeutic enema barium or air (74283) |
$1,197.32 |
$1,197.32 |
6.5× |
| Thyroid met imaging body (78018) |
$3,075.45 |
$3,075.45 |
5.4× |
| Thyroid uptake single/multiple quant measurement (78012) |
$2,874 |
$2,874 |
6.9× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,337.26 |
$1,337.26 |
3.2× |
| Ultrasound breast limited (76642) |
$531.98 |
$531.98 |
5.9× |
| Ultrasound, abdomen limited (76705) |
$1,201.14 |
$1,201.14 |
11.0× |
| Umbilical-artery Doppler (OB) (76820) |
$978.05 |
$978.05 |
9.0× |
| Urethrocystography retrograde rs&i (74450) |
$708.45 |
$708.45 |
2.8× |
| Urography antegrade (74425) |
$2,605.25 |
$2,605.25 |
7.2× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,106.97 |
$1,106.97 |
10.1× |
| Us chest (76604) |
$569.05 |
$569.05 |
5.2× |
| Us compl joint r-t w/image documentation (76881) |
$1,106.97 |
$1,106.97 |
10.1× |
| Us encephalogram (76506) |
$569.05 |
$569.05 |
5.2× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$654.34 |
$654.34 |
7.2× |
| Us kidney transplanted (76776) |
$1,106.97 |
$1,106.97 |
10.1× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$489.35 |
$489.35 |
4.5× |
| Us ob followup per fetus (76816) |
$1,106.97 |
$1,106.97 |
10.1× |
| Us ob limited 1 or more fetuses (76815) |
$635.80 |
$635.80 |
5.8× |
| Us obstetric transvaginal (76817) |
$667.31 |
$667.31 |
6.1× |
| Us pelvic limited or f/u non-ob (76857) |
$1,763.62 |
$1,763.62 |
16.2× |
| Us pelvis complete (76856) |
$1,418 |
$1,418 |
13.0× |
| Us retroperitoneal complete (76770) |
$1,106.97 |
$1,106.97 |
10.1× |
| Us retroperitoneal limited (76775) |
$863.77 |
$863.77 |
7.9× |
| Us scrotum (76870) |
$891.59 |
$891.59 |
8.2× |
| Us soft tissue head/neck (76536) |
$1,060.28 |
$1,060.28 |
9.7× |
| Us spinal canal (76800) |
$654.34 |
$654.34 |
6.0× |
| Us transrectal (76872) |
$1,452.09 |
$1,452.09 |
13.3× |
| Venogram extremity bilateral (75822) |
$9,436.88 |
$9,436.88 |
5.7× |
| Venogram ivc w serialography (75825) |
$13,594.52 |
$13,594.52 |
4.1× |
| Venogram svc w serialography (75827) |
$9,436.88 |
$9,436.88 |
5.7× |
| Venography ext unilateral (75820) |
$4,178.25 |
$4,178.25 |
2.5× |
| Venography renal unilateral selective rs&i (75831) |
$19,530.65 |
$19,530.65 |
5.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$825.23 |
$825.23 |
9.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$859.12 |
$859.12 |
9.5× |
| X-ray aorta leg arteries (75630) |
$12,587.52 |
$12,587.52 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$704.09 |
$704.09 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$752.55 |
$752.55 |
8.3× |
| X-ray exam hips bi 3-4 views (73522) |
$360.94 |
$360.94 |
3.3× |
| X-ray exam of finger(s) (73140) |
$495.33 |
$495.33 |
5.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$357.95 |
$357.95 |
3.9× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$402.65 |
$402.65 |
4.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$708.07 |
$708.07 |
7.8× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,118.75 |
$1,118.75 |
10.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$747.94 |
$747.94 |
8.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$514.18 |
$514.18 |
5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$553.07 |
$553.07 |
6.1× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$816.43 |
$816.43 |
9.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$726.97 |
$726.97 |
6.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$825.23 |
$825.23 |
9.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$760.90 |
$760.90 |
7.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$702.51 |
$702.51 |
6.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$393.61 |
$393.61 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,075.42 |
$1,075.42 |
9.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$425.18 |
$425.18 |
3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$1,124.76 |
$1,124.76 |
10.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$913.43 |
$913.43 |
10.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$711.93 |
$711.93 |
7.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$825.23 |
$825.23 |
9.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,124.76 |
$1,124.76 |
10.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$875.78 |
$875.78 |
8.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$493.44 |
$493.44 |
5.4× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$604.57 |
$604.57 |
6.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$633.40 |
$633.40 |
7.0× |
| Xr abdomen 1 view (74018) |
$257.10 |
$257.10 |
2.8× |
| Xr abdomen 2 views (74019) |
$312.58 |
$312.58 |
2.9× |
| Xr abdomen 3 views (74021) |
$312.58 |
$312.58 |
2.9× |
| Xr arthrogram hip (73525) |
$1,748.07 |
$1,748.07 |
4.8× |
| Xr bone survey infant (77076) |
$446.37 |
$446.37 |
4.1× |
| Xr bone survey limited (77074) |
$689.32 |
$689.32 |
6.3× |
| Xr chest 1 view (71045) |
$416 |
$416 |
4.6× |
| Xr chest 2 views (71046) |
$530.62 |
$530.62 |
5.8× |
| Xr chest 3 views (71047) |
$717.59 |
$717.59 |
7.9× |
| Xr cystogram 3+ views (74430) |
$867.91 |
$867.91 |
2.4× |
| Xr eye foreign body (70030) |
$717.59 |
$717.59 |
7.9× |
| Xr facial bones 3 views (70150) |
$1,015.15 |
$1,015.15 |
9.3× |
| Xr lower extremity 2 views infant (73592) |
$533.01 |
$533.01 |
5.9× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$363.53 |
$363.53 |
3.3× |
| Xr mandible 4 views (70110) |
$843.76 |
$843.76 |
7.7× |
| Xr myelogram c-spine (72240) |
$5,315.46 |
$5,315.46 |
6.5× |
| Xr nasal bones (70160) |
$930.40 |
$930.40 |
10.2× |
| Xr pelvis 3 views (72190) |
$2,041.07 |
$2,041.07 |
18.7× |
| Xr spine 1 view (72020) |
$728.87 |
$728.87 |
8.0× |
| Xr sternum 2 views (71120) |
$862.62 |
$862.62 |
9.5× |
| Xr surgical specimen (76098) |
$2,659.68 |
$2,659.68 |
4.7× |
| Xr upper extremity 2 views infant (73092) |
$354.09 |
$354.09 |
3.2× |
| Xray elbow 2 views (73070) |
$676.17 |
$676.17 |
7.4× |
| Xray forearm 2 views (73090) |
$756.70 |
$756.70 |
8.3× |
| Xray knee 1 or 2 views rt (73560) |
$601.44 |
$601.44 |
6.6× |
| Xray neck soft tissue (70360) |
$310.64 |
$310.64 |
3.4× |
| Xray orbits complete min 4 views (70200) |
$969.96 |
$969.96 |
8.9× |
| Xray pelvis 1 or 2 views (72170) |
$760.90 |
$760.90 |
7.0× |
| Xray ribs bilateral 3 views (71110) |
$452.03 |
$452.03 |
4.1× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$981.25 |
$981.25 |
9.0× |
| Xray scapula complete (73010) |
$762.78 |
$762.78 |
7.0× |
| Xray shoulder 1 view (73020) |
$508.53 |
$508.53 |
5.6× |
| Xray sinuses paranasal <3 views (70210) |
$825.23 |
$825.23 |
9.1× |
| Xray spine thoracic 2 views (72070) |
$934.18 |
$934.18 |
8.6× |
| Xray spine thoracic 3 views (72072) |
$480.27 |
$480.27 |
4.4× |
| Xray tibia-fibula 2 views bil (73590) |
$612.10 |
$612.10 |
6.7× |
| Xray tmj open - closed unilat (70328) |
$317.88 |
$317.88 |
3.5× |
| Xray tmj's bilateral open-clsc (70330) |
$413.10 |
$413.10 |
4.5× |