| 3-D radiotherapy plan dose-volume histograms (77295) |
$15,779.15 |
$15,779.15 |
10.8× |
| Abdomen 2 views (74019) |
$286.85 |
$286.85 |
2.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,925.82 |
$2,925.82 |
6.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$14,146.17 |
$14,146.17 |
4.2× |
| Angiography extremity bilateral rs&i (75716) |
$12,175.63 |
$12,175.63 |
3.7× |
| Angiography extremity unilateral rs&i (75710) |
$6,471.49 |
$6,471.49 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$4,776.17 |
$4,776.17 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,704.23 |
$7,704.23 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,434.24 |
$11,434.24 |
3.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,774.66 |
$5,774.66 |
1.7× |
| Angiography Spinal Selective Rs&I (75705) |
$10,192.43 |
$10,192.43 |
1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,679.81 |
$9,679.81 |
1.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,065.33 |
$5,065.33 |
1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,699.11 |
$3,699.11 |
1.1× |
| Ankle 2 views (73600) |
$301.22 |
$301.22 |
3.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,818.38 |
$2,818.38 |
7.7× |
| Aortogram thoracic (75605) |
$7,824.58 |
$7,824.58 |
1.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,935.52 |
$10,935.52 |
3.3× |
| Aortography abdominal serialography rs&i (75625) |
$7,884.68 |
$7,884.68 |
2.4× |
| Artery X-Rays Adrenal Gland (75731) |
$7,073.10 |
$7,073.10 |
2.1× |
| Arthrogram elbow (73085) |
$1,891.78 |
$1,891.78 |
5.1× |
| Arthrogram hip (73525) |
$1,350.64 |
$1,350.64 |
3.7× |
| Arthrogram shoulder (73040) |
$1,730.05 |
$1,730.05 |
4.7× |
| Arthrogram wrist (73115) |
$1,989.03 |
$1,989.03 |
5.4× |
| Arthrography knee lt (73580) |
$1,720.79 |
$1,720.79 |
4.7× |
| Basic radiation dosimetry calculation (77300) |
$2,075.38 |
$2,075.38 |
14.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,446.38 |
$3,446.38 |
8.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,568.46 |
$4,568.46 |
10.8× |
| Bone &/joint imaging whole body (78306) |
$4,728.76 |
$4,728.76 |
11.2× |
| Bone age studies (77072) |
$301.22 |
$301.22 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$5,650.46 |
$5,650.46 |
13.4× |
| Bone Marrow Imaging Limited Area (78102) |
$920.73 |
$920.73 |
2.2× |
| Bone survey complete (77075) |
$559.98 |
$559.98 |
5.1× |
| Brachytx isodose complex (77318) |
$10,067.49 |
$10,067.49 |
25.5× |
| Brachytx isodose intermed (77317) |
$7,805.98 |
$7,805.98 |
19.8× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$7,213.84 |
$7,213.84 |
18.3× |
| Brain image w/flow 4 + views (78606) |
$2,631.01 |
$2,631.01 |
4.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,398.90 |
$1,398.90 |
3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$11,934.11 |
$11,934.11 |
7.9× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$487.67 |
$487.67 |
44.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$412.67 |
$412.67 |
1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,309.01 |
$3,309.01 |
9.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,262.11 |
$2,262.11 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$301.22 |
$301.22 |
3.3× |
| Chest 1 view (71045) |
$264.97 |
$264.97 |
2.9× |
| Chest 3 views (71047) |
$264.97 |
$264.97 |
2.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,158.03 |
$1,158.03 |
6.3× |
| Cineradiography/videoradiography (76120) |
$2,715.30 |
$2,715.30 |
24.6× |
| Clavicle complete (73000) |
$301.22 |
$301.22 |
3.3× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$19,147.12 |
$19,147.12 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$934.98 |
$934.98 |
8.5× |
| Continuing medical physics consltj pr wk (77336) |
$2,531.29 |
$2,531.29 |
17.9× |
| Corpora cavernosography (74445) |
$663.16 |
$663.16 |
6.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,286.86 |
$8,286.86 |
22.5× |
| CT abdomen and pelvis without contrast (74176) |
$5,654.75 |
$5,654.75 |
22.5× |
| CT abdomen w contrast (74160) |
$4,073.86 |
$4,073.86 |
22.0× |
| CT abdomen w wo contrast (74170) |
$4,636.54 |
$4,636.54 |
25.1× |
| CT abdomen w/o contrast (74150) |
$3,219.10 |
$3,219.10 |
29.2× |
| CT angio hrt w/3d image (75574) |
$1,472.76 |
$1,472.76 |
4.0× |
| CT angiography upper extremity lt (73206) |
$3,301.52 |
$3,301.52 |
17.8× |
| CT c-spine w/o contrast (72125) |
$3,030.08 |
$3,030.08 |
27.5× |
| CT cervical spine w&w/o contrast (72127) |
$3,561.02 |
$3,561.02 |
19.2× |
| CT cervical spine with contrast (72126) |
$3,436.15 |
$3,436.15 |
9.3× |
| CT chest w/wo contrast (71270) |
$4,326.78 |
$4,326.78 |
23.4× |
| CT chest with contrast (71260) |
$4,219.93 |
$4,219.93 |
22.8× |
| CT colonography screening (74263) |
$937.68 |
$937.68 |
3.7× |
| CT colonography w/dye (74262) |
$1,395.26 |
$1,395.26 |
7.5× |
| CT colonography w/o cntrst (74261) |
$937.68 |
$937.68 |
8.5× |
| CT head/brain with contrast (70460) |
$3,499.97 |
$3,499.97 |
18.9× |
| CT head/brain without and with contrast (70470) |
$4,133.84 |
$4,133.84 |
22.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,013.59 |
$3,013.59 |
8.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$3,009.70 |
$3,009.70 |
32.8× |
| CT hrt w/3d image congen (75573) |
$3,218.74 |
$3,218.74 |
8.7× |
| CT iac w contrast (70481) |
$3,220.12 |
$3,220.12 |
17.4× |
| CT limited/localized follow up study (76380) |
$1,971.22 |
$1,971.22 |
21.5× |
| CT lower ext w/o (73700) |
$2,901.96 |
$2,901.96 |
26.3× |
| CT lower extremity w wo contrast (73702) |
$5,107.68 |
$5,107.68 |
27.6× |
| CT lower extremity with contrast (73701) |
$4,331.66 |
$4,331.66 |
23.4× |
| CT lumbar spine w & w/o contrast (72133) |
$3,770 |
$3,770 |
20.4× |
| CT lumbar spine w/o contrast (72131) |
$3,334.05 |
$3,334.05 |
30.2× |
| CT lumbar spine with contrast (72132) |
$3,711.87 |
$3,711.87 |
10.1× |
| CT maxillofacial w contrast (70487) |
$3,589.24 |
$3,589.24 |
19.4× |
| CT maxillofacial w/o contrast (70486) |
$2,742.18 |
$2,742.18 |
24.9× |
| CT maxillofacial w/wo contrast (70488) |
$4,264.11 |
$4,264.11 |
23.0× |
| CT neck soft tissue w contrast (70491) |
$3,897.22 |
$3,897.22 |
21.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,786.07 |
$3,786.07 |
20.5× |
| CT orbits w/o contrast (70480) |
$3,123.54 |
$3,123.54 |
28.3× |
| CT pelvis w & w/o contrast (72194) |
$4,212.02 |
$4,212.02 |
22.8× |
| CT pelvis w/o contrast (72192) |
$2,931.36 |
$2,931.36 |
26.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,397.28 |
$4,397.28 |
23.8× |
| CT soft tissue neck w/o contrast (70490) |
$3,013.53 |
$3,013.53 |
27.3× |
| CT thoracic spine w/contrast (72129) |
$3,635.94 |
$3,635.94 |
19.7× |
| CT thoracic spine w/o contrast (72128) |
$3,402.14 |
$3,402.14 |
30.9× |
| CT thoracic spine w/wo contrast (72130) |
$4,264.96 |
$4,264.96 |
23.1× |
| CT thorax w/o contrast (71250) |
$3,120.47 |
$3,120.47 |
28.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,367.76 |
$4,367.76 |
23.6× |
| CT upper extremity w/o contrast rt (73200) |
$3,098.81 |
$3,098.81 |
28.1× |
| CT upper extremity with contrast (73201) |
$3,672.78 |
$3,672.78 |
10.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$5,122.52 |
$5,122.52 |
27.7× |
| Cta Abdomen (74175) |
$4,537 |
$4,537 |
24.5× |
| CTA abdomen pelvis (74174) |
$8,596.34 |
$8,596.34 |
23.4× |
| CTA chest (71275) |
$4,716.52 |
$4,716.52 |
25.5× |
| Cta Head (70496) |
$4,253.38 |
$4,253.38 |
23.0× |
| CTA lwr ext w&w/o contrast (73706) |
$6,437.58 |
$6,437.58 |
34.8× |
| Cta Neck (70498) |
$4,472.96 |
$4,472.96 |
24.2× |
| Cta Pelvis (72191) |
$4,702.42 |
$4,702.42 |
25.4× |
| Cystography minimum 3 views rs&i (74430) |
$2,074.88 |
$2,074.88 |
5.6× |
| Dacryocystography (70170) |
$1,058.76 |
$1,058.76 |
4.2× |
| Diskogram cervical (72285) |
$7,308.79 |
$7,308.79 |
3.5× |
| Diskography lumbar (72295) |
$7,308.79 |
$7,308.79 |
3.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,842.92 |
$1,842.92 |
16.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$2,403.83 |
$2,403.83 |
21.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$841.28 |
$841.28 |
7.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,085.90 |
$1,085.90 |
9.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,283.97 |
$1,283.97 |
14.0× |
| Dxa bone density study axial skeleton (77085) |
$1,528.69 |
$1,528.69 |
13.9× |
| Echo exam of fetal heart (76825) |
$5,448.65 |
$5,448.65 |
9.5× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,403.83 |
$2,403.83 |
9.6× |
| Echoencephalography real time imaging (76506) |
$1,017.76 |
$1,017.76 |
9.2× |
| Esophagus (74220) |
$1,032.29 |
$1,032.29 |
5.6× |
| Fetal biophysical profile non-stress testing (76818) |
$1,352.18 |
$1,352.18 |
12.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,162.90 |
$1,162.90 |
10.5× |
| Fluoroscopy up to 1 hr (76000) |
$1,705.74 |
$1,705.74 |
6.8× |
| Foot 2 views (73620) |
$301.22 |
$301.22 |
3.3× |
| Forearm 2 views (73090) |
$301.22 |
$301.22 |
3.3× |
| Functional MRI brain by phys/psych (70555) |
$7,846 |
$7,846 |
31.2× |
| Functional MRI brain by tech (70554) |
$6,456.42 |
$6,456.42 |
25.7× |
| Gated Heart Planar Single (78472) |
$4,404.16 |
$4,404.16 |
10.4× |
| Hand 2 views (73120) |
$301.22 |
$301.22 |
2.7× |
| Hand 3 views (73130) |
$301.22 |
$301.22 |
3.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$6,540.37 |
$6,540.37 |
8.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$12,737.63 |
$12,737.63 |
17.3× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$17,991.37 |
$17,991.37 |
24.5× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$16,541.98 |
$16,541.98 |
40.7× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$12,773.31 |
$12,773.31 |
31.4× |
| Heart Infarct Image (78466) |
$2,652.20 |
$2,652.20 |
6.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,721.53 |
$6,721.53 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,788.24 |
$4,788.24 |
8.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,442.42 |
$4,442.42 |
10.5× |
| Ht muscle image spect sing (78451) |
$9,800.46 |
$9,800.46 |
7.2× |
| Humerus Min 2 Views Left (73060) |
$301.22 |
$301.22 |
3.3× |
| Hysterosalpingogram (74740) |
$2,084.80 |
$2,084.80 |
8.3× |
| Interstitial radiation source applic complex (77778) |
$19,681.98 |
$19,681.98 |
26.8× |
| Intracavitary Radiation Source Applic Complex (77763) |
$10,712.75 |
$10,712.75 |
14.6× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$9,641.48 |
$9,641.48 |
16.5× |
| Intracavitary radiation source applic simple (77761) |
$8,034.57 |
$8,034.57 |
13.8× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$12,438.79 |
$12,438.79 |
1.6× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,828.21 |
$1,828.21 |
4.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,975.20 |
$4,975.20 |
8.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$6,314.68 |
$6,314.68 |
11.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$7,347.98 |
$7,347.98 |
12.8× |
| Knee 3 views (73562) |
$301.22 |
$301.22 |
3.3× |
| Liver & spleen imaging static only (78215) |
$2,591.51 |
$2,591.51 |
6.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,591.51 |
$2,591.51 |
6.1× |
| Liver imaging static only (78201) |
$2,660.71 |
$2,660.71 |
4.6× |
| Liver imaging w/vascular flow (78202) |
$2,660.71 |
$2,660.71 |
4.6× |
| Lung perf&ventilat diferentl (78598) |
$3,879.26 |
$3,879.26 |
6.8× |
| Lung perfusion differential (78597) |
$3,879.26 |
$3,879.26 |
9.2× |
| Lung Ventilation Imaging (78579) |
$3,660.50 |
$3,660.50 |
8.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$4,684.33 |
$4,684.33 |
1.4× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$3,055.72 |
$3,055.72 |
0.9× |
| Lymphoscintigraphy (78195) |
$3,833.65 |
$3,833.65 |
6.7× |
| Mammary ductogram or galactogram multiple (77054) |
$1,879.35 |
$1,879.35 |
7.5× |
| Mammary ductogram or galactogram single (77053) |
$1,566.12 |
$1,566.12 |
6.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$531.88 |
$531.88 |
5.8× |
| Meckels Diverticulum (78290) |
$2,676.23 |
$2,676.23 |
6.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$29,991.75 |
$29,991.75 |
75.9× |
| Mr elastography (76391) |
$666.78 |
$666.78 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$442.94 |
$442.94 |
4.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$294.99 |
$294.99 |
4.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$123.68 |
$123.68 |
4.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$464.32 |
$464.32 |
4.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,220.54 |
$1,220.54 |
4.8× |
| MRA head w & w/o contrast (70546) |
$4,692.75 |
$4,692.75 |
12.8× |
| MRA head w/o contrast (70544) |
$3,164.34 |
$3,164.34 |
12.6× |
| MRA head with contrast (70545) |
$3,323.12 |
$3,323.12 |
9.0× |
| MRA neck w contrast (70548) |
$3,714.46 |
$3,714.46 |
10.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,238.84 |
$4,238.84 |
11.5× |
| MRA neck w/o contrast (70547) |
$3,184.90 |
$3,184.90 |
12.7× |
| MRI abdomen w contrast (74182) |
$3,682.86 |
$3,682.86 |
10.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,179.56 |
$4,179.56 |
11.4× |
| MRI abdomen w/o contrast (74181) |
$3,250.24 |
$3,250.24 |
12.9× |
| MRI any jnt lwr ext with con lt (73722) |
$3,526.84 |
$3,526.84 |
4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,760.42 |
$3,760.42 |
4.5× |
| MRI breast w/o contrast bilateral (77047) |
$3,379.02 |
$3,379.02 |
13.4× |
| MRI breast w/o contrast unilat (77046) |
$2,544.79 |
$2,544.79 |
10.1× |
| MRI c-spine with contrast (72142) |
$3,729.40 |
$3,729.40 |
10.1× |
| MRI cardiac w/o cont stress (75559) |
$2,596.97 |
$2,596.97 |
4.5× |
| MRI cardiac w/o contrast (75557) |
$2,164.14 |
$2,164.14 |
8.6× |
| MRI cervical spine w/o contrast (72141) |
$3,356.28 |
$3,356.28 |
13.3× |
| MRI chest w/o & w/contrast material (71552) |
$4,421.24 |
$4,421.24 |
12.0× |
| MRI chest w/o contrast (71550) |
$2,834.28 |
$2,834.28 |
11.3× |
| MRI chest with contrast (71551) |
$3,513.60 |
$3,513.60 |
4.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,587.52 |
$3,587.52 |
9.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,758.32 |
$3,758.32 |
10.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,109.48 |
$3,109.48 |
12.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,107.69 |
$6,107.69 |
24.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,578.10 |
$4,578.10 |
12.4× |
| MRI orbit/face/neck w/contrast (70542) |
$3,662.04 |
$3,662.04 |
10.0× |
| MRI pelvis w contrast (72196) |
$3,081.55 |
$3,081.55 |
8.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,162.80 |
$4,162.80 |
11.3× |
| MRI pelvis w/o contrast (72195) |
$2,064.72 |
$2,064.72 |
8.2× |
| MRI scan of arm joint before and after contrast (73223) |
$4,279.40 |
$4,279.40 |
11.6× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$3,970.81 |
$3,970.81 |
4.8× |
| MRI scan of leg joint before and after contrast (73723) |
$4,307.05 |
$4,307.05 |
11.7× |
| MRI spectroscopy (76390) |
$4,321.42 |
$4,321.42 |
47.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,223.48 |
$4,223.48 |
11.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,031.04 |
$4,031.04 |
11.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,640.70 |
$4,640.70 |
12.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,630.16 |
$3,630.16 |
9.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,389.87 |
$4,389.87 |
11.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,210.27 |
$3,210.27 |
12.8× |
| MRI tmj (70336) |
$1,015.43 |
$1,015.43 |
4.0× |
| MRI upper ext joint w/o contrast (73221) |
$3,149.50 |
$3,149.50 |
12.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,376.14 |
$4,376.14 |
11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,097.11 |
$3,097.11 |
12.3× |
| Myelogram Cervical (72240) |
$3,197.17 |
$3,197.17 |
3.9× |
| Myelogram Lumbar (72265) |
$3,137.10 |
$3,137.10 |
3.8× |
| Myelogram thoracic (72255) |
$2,460.06 |
$2,460.06 |
3.0× |
| Myelography 2 or more regions (72270) |
$3,635.65 |
$3,635.65 |
4.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$7,300.52 |
$7,300.52 |
5.3× |
| Myocardial infarct spect (78469) |
$3,158.05 |
$3,158.05 |
5.5× |
| Myocardial Spect Multiple Studies (78452) |
$11,895.86 |
$11,895.86 |
8.7× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$9,915.72 |
$9,915.72 |
6.6× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$10,387.30 |
$10,387.30 |
4.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$8,882.43 |
$8,882.43 |
9.8× |
| Neck soft tissue (70360) |
$301.22 |
$301.22 |
3.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,041.94 |
$1,041.94 |
2.5× |
| Nm cisternogram (78630) |
$5,433.40 |
$5,433.40 |
9.5× |
| Nm csf leak detection (78650) |
$3,228.22 |
$3,228.22 |
2.4× |
| Nm gastric emptying study (78264) |
$3,729.61 |
$3,729.61 |
8.8× |
| Nm peritoneal-venous shunt patency (78291) |
$1,855.80 |
$1,855.80 |
4.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$26,572.32 |
$26,572.32 |
18.2× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$9,554.09 |
$9,554.09 |
6.3× |
| Nuclear medicine of heart pumping function (78473) |
$5,284.98 |
$5,284.98 |
12.5× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$8,062.39 |
$8,062.39 |
5.3× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$7,643.28 |
$7,643.28 |
5.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,602.41 |
$2,602.41 |
6.2× |
| Nuclear Rx Oral Admin (79005) |
$4,596.77 |
$4,596.77 |
18.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,017.76 |
$1,017.76 |
9.2× |
| Orthopantogram (70355) |
$808.94 |
$808.94 |
8.8× |
| Osseous survey infant (77076) |
$912.24 |
$912.24 |
8.3× |
| Osseous survey limited (77074) |
$572.28 |
$572.28 |
5.2× |
| Parathyrd planar w/spect&CT (78072) |
$8,216.02 |
$8,216.02 |
14.3× |
| Parathyrd planar w/wo subtrj (78071) |
$6,280.11 |
$6,280.11 |
14.9× |
| Parathyroid imaging (78070) |
$4,117.69 |
$4,117.69 |
9.8× |
| Pelvis 1 or 2 views (72170) |
$301.22 |
$301.22 |
2.7× |
| Peritoneogram rs&i (74190) |
$3,472.30 |
$3,472.30 |
6.0× |
| PET image w/CT, skull-thigh (78815) |
$11,426.02 |
$11,426.02 |
7.6× |
| PET imaging CT for attenuation limited area (78814) |
$10,907.30 |
$10,907.30 |
7.2× |
| PET imaging for CT attenuation whole body (78816) |
$11,972.65 |
$11,972.65 |
7.9× |
| PET whole body (78813) |
$8,277.07 |
$8,277.07 |
5.5× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) |
$2,767.56 |
$2,767.56 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,494.64 |
$4,494.64 |
12.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$7,793.14 |
$7,793.14 |
2.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,255.37 |
$3,255.37 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,047.50 |
$3,047.50 |
7.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,549.56 |
$5,549.56 |
9.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,277.39 |
$2,277.39 |
4.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$521.52 |
$521.52 |
5.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$634.29 |
$634.29 |
5.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$301.22 |
$301.22 |
2.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$828.06 |
$828.06 |
7.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$831.62 |
$831.62 |
7.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$35,628.60 |
$35,628.60 |
4.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$3,040.63 |
$3,040.63 |
5.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,304.06 |
$1,304.06 |
12.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$2,197 |
$2,197 |
5.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$443.39 |
$443.39 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$286.85 |
$286.85 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$286.85 |
$286.85 |
2.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$264.97 |
$264.97 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$1,536.82 |
$1,536.82 |
8.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,179.24 |
$1,179.24 |
6.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,203.20 |
$1,203.20 |
6.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,094.60 |
$1,094.60 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$301.22 |
$301.22 |
3.3× |
| Radiological examination surgical specimen (76098) |
$894.18 |
$894.18 |
1.6× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$983.57 |
$983.57 |
1.7× |
| Review by radiologist of adrenal gland vein image (75840) |
$10,370.63 |
$10,370.63 |
3.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$8,065.83 |
$8,065.83 |
2.4× |
| Ribs bilateral 3 views (71110) |
$577.91 |
$577.91 |
5.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$4,411.47 |
$4,411.47 |
10.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,808.50 |
$4,808.50 |
8.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,528.98 |
$6,528.98 |
11.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$12,528.57 |
$12,528.57 |
8.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$8,734.71 |
$8,734.71 |
6.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$2,793.28 |
$2,793.28 |
11.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,654.40 |
$2,654.40 |
10.8× |
| Rp Therapy Intravenous Administration (79101) |
$2,484.12 |
$2,484.12 |
10.1× |
| Sacroiliac Joints < 3 Views (72200) |
$577.91 |
$577.91 |
5.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,418.40 |
$1,418.40 |
5.6× |
| Scanogram (77073) |
$296.62 |
$296.62 |
2.7× |
| Scapula complete (73010) |
$301.22 |
$301.22 |
2.7× |
| Screening digital breast tomosynthesis (77063) |
$46.28 |
$46.28 |
2.0× |
| Sella turcica (70240) |
$429.05 |
$429.05 |
4.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$869.61 |
$869.61 |
7.9× |
| Simulation intermediate (77285) |
$4,169.83 |
$4,169.83 |
10.6× |
| Small bowel series (74250) |
$1,099.80 |
$1,099.80 |
5.9× |
| Spec medical radj physics consltj (77370) |
$3,809.10 |
$3,809.10 |
26.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$5,771.28 |
$5,771.28 |
14.6× |
| Special dosimetry (77331) |
$3,113.59 |
$3,113.59 |
22.0× |
| Special treatment procedure (77470) |
$16,973.22 |
$16,973.22 |
29.1× |
| Speech evaluation complex (70371) |
$2,106.93 |
$2,106.93 |
8.4× |
| Spine thoracic 3 views (72072) |
$577.91 |
$577.91 |
5.2× |
| Stereotactic body radiation delivery (77373) |
$10,271.08 |
$10,271.08 |
5.4× |
| Superior sagittal sinus venogram (75870) |
$4,488.22 |
$4,488.22 |
1.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$3,770.77 |
$3,770.77 |
35.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$11,127.57 |
$11,127.57 |
28.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$9,986.14 |
$9,986.14 |
25.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$5,810.65 |
$5,810.65 |
14.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,958.81 |
$2,958.81 |
20.9× |
| Therapeutic Enema (74283) |
$935.42 |
$935.42 |
5.1× |
| Thoracolumbar 2 views (72080) |
$301.22 |
$301.22 |
3.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$5,662.10 |
$5,662.10 |
9.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,001.65 |
$2,001.65 |
4.7× |
| Thyroid uptake measurement (78012) |
$1,075.86 |
$1,075.86 |
2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,707.65 |
$3,707.65 |
8.8× |
| Tmj unilateral (70328) |
$900.04 |
$900.04 |
9.8× |
| Tomogram (76100) |
$1,706.75 |
$1,706.75 |
15.5× |
| Treatment device intermediate (77333) |
$2,946.06 |
$2,946.06 |
20.8× |
| Treatment devices simple (77332) |
$2,287.74 |
$2,287.74 |
16.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,087.83 |
$6,087.83 |
10.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$4,014.43 |
$4,014.43 |
9.5× |
| Tx devices design & construction complex (77334) |
$3,732.30 |
$3,732.30 |
9.4× |
| Ultrasound, abdomen limited (76705) |
$1,073.86 |
$1,073.86 |
9.7× |
| Umbilical-artery Doppler (OB) (76820) |
$995.26 |
$995.26 |
9.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$99 |
$99 |
1.1× |
| Unlisted fluoroscopic procedure (76496) |
$1,846.05 |
$1,846.05 |
20.1× |
| Unlisted magnetic resonance procedure (76498) |
$4,973.03 |
$4,973.03 |
54.2× |
| Upper Extremity Infant (73092) |
$301.22 |
$301.22 |
2.7× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$1,220.88 |
$1,220.88 |
12.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,219.56 |
$2,219.56 |
5.3× |
| Urethrocystography retrograde rs&i (74450) |
$2,406.42 |
$2,406.42 |
9.6× |
| Urethrocystography voiding (74455) |
$2,502.25 |
$2,502.25 |
9.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$603.57 |
$603.57 |
3.3× |
| Us abdl aorta screen aaa (76706) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us breast unilateral complete (76641) |
$1,248.13 |
$1,248.13 |
11.3× |
| Us breast unilateral limited (76642) |
$1,178.02 |
$1,178.02 |
12.8× |
| Us chest (76604) |
$504.47 |
$504.47 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$1,435.24 |
$1,435.24 |
13.0× |
| Us elastography parenchyma (76981) |
$387.41 |
$387.41 |
3.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,137.95 |
$1,137.95 |
10.3× |
| Us guided compression repair (76936) |
$2,113.79 |
$2,113.79 |
9.3× |
| Us infant hips dynamic (76885) |
$697.24 |
$697.24 |
7.6× |
| Us infant hips limited static (76886) |
$961.51 |
$961.51 |
10.5× |
| Us kidney transplant (76776) |
$1,137.95 |
$1,137.95 |
10.3× |
| Us ob detailed single fetus (76811) |
$1,017.76 |
$1,017.76 |
4.0× |
| Us ob transvaginal (76817) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us pelvic non ob complete (76856) |
$1,178.02 |
$1,178.02 |
10.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,073.86 |
$1,073.86 |
9.7× |
| Us pregnancy ltd (76815) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us retroperitoneal complete (76770) |
$1,401.80 |
$1,401.80 |
12.7× |
| Us retroperitoneal limited (76775) |
$1,164.73 |
$1,164.73 |
10.6× |
| Us scrotum and contents (76870) |
$1,137.95 |
$1,137.95 |
10.3× |
| Us soft tissue head/neck (76536) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us spinal canal and contents (76800) |
$697.24 |
$697.24 |
6.3× |
| Us transrectal (76872) |
$1,017.76 |
$1,017.76 |
9.2× |
| Us transrectal prostate volume (76873) |
$1,842.92 |
$1,842.92 |
16.7× |
| Us xtr non-vasc lmtd (76882) |
$1,140.07 |
$1,140.07 |
10.3× |
| Us, eye b-scan (76512) |
$3,525.59 |
$3,525.59 |
32.0× |
| Vascular flow imaging (78445) |
$939.15 |
$939.15 |
2.2× |
| Venogram extremity bilateral (75822) |
$6,153.68 |
$6,153.68 |
3.7× |
| Venogram orbital (75880) |
$2,849.52 |
$2,849.52 |
4.3× |
| Venography caval inferior serialography rs&i (75825) |
$6,392.07 |
$6,392.07 |
1.9× |
| Venography caval superior serialography rs&i (75827) |
$6,378.63 |
$6,378.63 |
3.8× |
| Venography epidural rs&i (75872) |
$2,849.52 |
$2,849.52 |
4.3× |
| Venography extremity unilateral rs&i (75820) |
$3,055.72 |
$3,055.72 |
1.8× |
| Venography Renal Bilateral (75833) |
$16,026.96 |
$16,026.96 |
4.8× |
| Venography renal unilateral selective rs&i (75831) |
$8,013.49 |
$8,013.49 |
2.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$31,959.13 |
$31,959.13 |
9.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$7,462.18 |
$7,462.18 |
1.3× |
| Vertebral fracture assessment via dxa (77086) |
$177.91 |
$177.91 |
1.9× |
| Wrist 2 views (73100) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,678.13 |
$1,678.13 |
9.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$301.22 |
$301.22 |
3.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$718.86 |
$718.86 |
6.5× |
| X-ray exam hip uni 1 view (73501) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$301.22 |
$301.22 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$333.17 |
$333.17 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$364.45 |
$364.45 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$428.54 |
$428.54 |
3.9× |
| X-ray exam of femur 1 (73551) |
$259.29 |
$259.29 |
2.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,893.65 |
$1,893.65 |
10.2× |
| X-ray eye for foreign body (70030) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$301.22 |
$301.22 |
3.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,019.83 |
$3,019.83 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$329.37 |
$329.37 |
3.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$429.05 |
$429.05 |
4.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$577.91 |
$577.91 |
5.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$577.91 |
$577.91 |
5.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$429.05 |
$429.05 |
4.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$577.91 |
$577.91 |
5.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,782.86 |
$2,782.86 |
4.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,268.62 |
$1,268.62 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$648.39 |
$648.39 |
5.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$770.54 |
$770.54 |
7.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$658.46 |
$658.46 |
7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$429.05 |
$429.05 |
4.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$301.22 |
$301.22 |
2.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$577.91 |
$577.91 |
5.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$301.22 |
$301.22 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$301.22 |
$301.22 |
3.3× |
| Xr arthrogram ankle (73615) |
$3,895.09 |
$3,895.09 |
10.6× |
| Xr c-spine 6 or more views (72052) |
$359.77 |
$359.77 |
3.3× |
| Xr chest 4+ views (71048) |
$264.97 |
$264.97 |
2.4× |
| Xr Cholecystography Oral Contrast (74290) |
$620.88 |
$620.88 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$301.22 |
$301.22 |
3.3× |
| Xr shoulder 1 view (73020) |
$301.22 |
$301.22 |
3.3× |
| Xr spine cervical 4 or 5 views (72050) |
$301.22 |
$301.22 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$301.22 |
$301.22 |
3.3× |
| Xr tmj bilateral (70330) |
$545.90 |
$545.90 |
5.9× |
| Xray knee 1 or 2 views rt (73560) |
$301.22 |
$301.22 |
3.3× |