| Abdomen 2 views (74019) |
$220.96 |
$613.77 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$814.95 |
$2,263.75 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$7,424.30 |
$20,623.06 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$7,424.22 |
$20,622.84 |
2.3× |
| Angiography internal mammary rs&i (75756) |
$2,369.76 |
$6,582.67 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,168.26 |
$14,356.28 |
0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,251.56 |
$9,032.10 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,788.38 |
$7,745.51 |
0.9× |
| Angiography Spinal Selective Rs&I (75705) |
$6,870.16 |
$19,083.79 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,653.82 |
$24,038.40 |
1.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,291.20 |
$3,586.68 |
0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,459.35 |
$4,053.76 |
0.5× |
| Ankle 2 views (73600) |
$224.73 |
$624.25 |
2.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$493.87 |
$1,371.86 |
1.4× |
| Aortogram thoracic (75605) |
$5,426.68 |
$15,074.10 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,220.06 |
$20,055.74 |
2.3× |
| Aortography abdominal serialography rs&i (75625) |
$7,424.13 |
$20,622.59 |
2.3× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,652.82 |
$7,368.96 |
0.8× |
| Arthrogram hip (73525) |
$1,423.20 |
$3,953.34 |
4.1× |
| Arthrogram shoulder (73040) |
$2,349.53 |
$6,526.48 |
6.7× |
| Arthrogram wrist (73115) |
$1,463.50 |
$4,065.30 |
4.2× |
| Arthrography knee lt (73580) |
$1,612.08 |
$4,477.99 |
4.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$823.80 |
$2,288.33 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$823.80 |
$2,288.33 |
2.1× |
| Bone age studies (77072) |
$219.52 |
$609.79 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$823.80 |
$2,288.33 |
2.1× |
| Bone Marrow Imaging Limited Area (78102) |
$449.18 |
$1,247.73 |
1.1× |
| Bone survey complete (77075) |
$404.36 |
$1,123.22 |
3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,492.80 |
$9,702.21 |
2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,481.10 |
$6,891.94 |
7.1× |
| Cervical spine 2 or 3 views (72040) |
$215.82 |
$599.51 |
2.5× |
| Chest 1 view (71045) |
$224.73 |
$624.25 |
2.6× |
| Chest 3 views (71047) |
$243.06 |
$675.15 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$408.60 |
$1,135 |
2.3× |
| Clavicle complete (73000) |
$161.74 |
$449.29 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$165.99 |
$461.08 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,992.46 |
$8,312.38 |
8.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,167.13 |
$6,019.80 |
9.0× |
| CT abdomen w contrast (74160) |
$2,751.13 |
$7,642.03 |
15.6× |
| CT abdomen w wo contrast (74170) |
$2,222.16 |
$6,172.66 |
12.6× |
| CT abdomen w/o contrast (74150) |
$1,737.31 |
$4,825.87 |
16.5× |
| CT angio hrt w/3d image (75574) |
$1,437.13 |
$3,992.04 |
4.1× |
| CT angiography upper extremity lt (73206) |
$3,333.45 |
$9,259.58 |
18.9× |
| CT c-spine w/o contrast (72125) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT cervical spine w&w/o contrast (72127) |
$492.74 |
$1,368.72 |
2.8× |
| CT cervical spine with contrast (72126) |
$1,678.14 |
$4,661.48 |
4.8× |
| CT chest w/wo contrast (71270) |
$2,222.16 |
$6,172.66 |
12.6× |
| CT chest with contrast (71260) |
$1,678.14 |
$4,661.48 |
9.5× |
| CT head/brain with contrast (70460) |
$1,678.14 |
$4,661.48 |
9.5× |
| CT head/brain without and with contrast (70470) |
$1,861.44 |
$5,170.68 |
10.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$141.23 |
$392.30 |
1.6× |
| CT hrt w/3d image congen (75573) |
$868.32 |
$2,412.02 |
2.5× |
| CT iac w contrast (70481) |
$1,678.14 |
$4,661.48 |
9.5× |
| CT limited/localized follow up study (76380) |
$725.44 |
$2,015.12 |
8.3× |
| CT lower ext w/o (73700) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT lower extremity w wo contrast (73702) |
$599.60 |
$1,665.56 |
3.4× |
| CT lower extremity with contrast (73701) |
$2,533.77 |
$7,038.24 |
14.4× |
| CT lumbar spine w & w/o contrast (72133) |
$499.56 |
$1,387.66 |
2.8× |
| CT lumbar spine w/o contrast (72131) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT lumbar spine with contrast (72132) |
$1,678.14 |
$4,661.48 |
4.8× |
| CT maxillofacial w contrast (70487) |
$1,678.14 |
$4,661.48 |
9.5× |
| CT maxillofacial w/o contrast (70486) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,861.44 |
$5,170.68 |
10.6× |
| CT neck soft tissue w contrast (70491) |
$1,678.14 |
$4,661.48 |
9.5× |
| CT orbits w/o contrast (70480) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT pelvis w & w/o contrast (72194) |
$1,861.44 |
$5,170.68 |
10.6× |
| CT pelvis w/o contrast (72192) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,861.44 |
$5,170.68 |
10.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT thoracic spine w/contrast (72129) |
$550.18 |
$1,528.26 |
3.1× |
| CT thoracic spine w/o contrast (72128) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT thoracic spine w/wo contrast (72130) |
$536.76 |
$1,490.99 |
3.0× |
| CT thorax w/o contrast (71250) |
$1,029.86 |
$2,860.72 |
9.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$521.56 |
$1,448.79 |
3.0× |
| CT upper extremity w/o contrast rt (73200) |
$251.50 |
$698.62 |
2.4× |
| CT upper extremity with contrast (73201) |
$504.85 |
$1,402.35 |
1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,144.77 |
$8,735.46 |
17.8× |
| Cta Abdomen (74175) |
$3,144.77 |
$8,735.46 |
17.8× |
| CTA abdomen pelvis (74174) |
$3,455.44 |
$9,598.46 |
9.9× |
| CTA chest (71275) |
$1,923.44 |
$5,342.88 |
10.9× |
| Cta Head (70496) |
$1,923.44 |
$5,342.88 |
10.9× |
| CTA lwr ext w&w/o contrast (73706) |
$3,239.11 |
$8,997.52 |
18.4× |
| Cta Neck (70498) |
$1,923.44 |
$5,342.88 |
10.9× |
| Cta Pelvis (72191) |
$3,144.77 |
$8,735.46 |
17.8× |
| Cystography minimum 3 views rs&i (74430) |
$732.84 |
$2,035.65 |
2.1× |
| Diskography lumbar (72295) |
$3,770.62 |
$10,473.92 |
1.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$334.53 |
$929.25 |
3.2× |
| Echoencephalography real time imaging (76506) |
$234.34 |
$650.94 |
2.2× |
| Esophagus (74220) |
$372.32 |
$1,034.22 |
2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$366.76 |
$1,018.77 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$452.06 |
$1,255.73 |
1.9× |
| Foot 2 views (73620) |
$243.06 |
$675.15 |
2.8× |
| Forearm 2 views (73090) |
$215.82 |
$599.51 |
2.5× |
| Gated Heart Planar Single (78472) |
$1,522.07 |
$4,227.98 |
3.8× |
| Hand 2 views (73120) |
$220.96 |
$613.77 |
2.1× |
| Hand 3 views (73130) |
$247.20 |
$686.68 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,009.29 |
$2,803.58 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,009.29 |
$2,803.58 |
2.5× |
| Ht muscle image spect sing (78451) |
$4,062.68 |
$11,285.23 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$215.82 |
$599.51 |
2.5× |
| Hysterosalpingogram (74740) |
$359.79 |
$999.41 |
1.5× |
| Kidney funcj study non-img radioisotopic study (78725) |
$802.83 |
$2,230.08 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,095.25 |
$3,042.36 |
2.0× |
| Knee 3 views (73562) |
$211.67 |
$587.98 |
2.4× |
| Liver & spleen imaging static only (78215) |
$747.06 |
$2,075.17 |
1.9× |
| Lung Ventilation Imaging (78579) |
$1,080.63 |
$3,001.74 |
2.7× |
| Lymphoscintigraphy (78195) |
$977.34 |
$2,714.82 |
1.8× |
| Mammary ductogram or galactogram multiple (77054) |
$792.08 |
$2,200.23 |
3.3× |
| Mammary ductogram or galactogram single (77053) |
$792.08 |
$2,200.23 |
3.3× |
| Meckels Diverticulum (78290) |
$456.48 |
$1,268 |
1.1× |
| MRA head w & w/o contrast (70546) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRA head w/o contrast (70544) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRA head with contrast (70545) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRA neck w contrast (70548) |
$1,857.16 |
$5,158.78 |
5.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRA neck w/o contrast (70547) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI abdomen w contrast (74182) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI abdomen w/o contrast (74181) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,278.38 |
$6,328.82 |
2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,857.16 |
$5,158.78 |
2.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,325.18 |
$3,681.08 |
5.5× |
| MRI c-spine with contrast (72142) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI cardiac w/o contrast (75557) |
$1,603.04 |
$4,452.88 |
6.7× |
| MRI cervical spine w/o contrast (72141) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI chest w/o contrast (71550) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,226.66 |
$3,407.39 |
3.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,196.23 |
$3,322.86 |
5.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI pelvis w contrast (72196) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,871.54 |
$7,976.48 |
8.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,857.16 |
$5,158.78 |
5.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,340.66 |
$6,501.83 |
6.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,512.30 |
$4,200.83 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,016.62 |
$2,823.96 |
4.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,607.61 |
$4,465.58 |
4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,016.62 |
$2,823.96 |
4.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,674.36 |
$7,428.78 |
2.1× |
| Myocardial Spect Multiple Studies (78452) |
$4,062.68 |
$11,285.23 |
3.1× |
| Neck soft tissue (70360) |
$207.52 |
$576.45 |
2.4× |
| Nm bone marrow multiple (78103) |
$449.18 |
$1,247.73 |
1.1× |
| Nm bone marrow wb (78104) |
$449.18 |
$1,247.73 |
1.1× |
| Nm gastric emptying study (78264) |
$814.95 |
$2,263.75 |
2.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$2,674.36 |
$7,428.78 |
1.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,062.68 |
$11,285.23 |
3.1× |
| Nuclear medicine of heart pumping function (78473) |
$517.81 |
$1,438.36 |
1.3× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$2,674.36 |
$7,428.78 |
1.9× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$2,674.36 |
$7,428.78 |
1.9× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,062.68 |
$11,285.23 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$764.73 |
$2,124.26 |
3.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$241.37 |
$670.46 |
2.3× |
| Osseous survey limited (77074) |
$346.28 |
$961.90 |
3.3× |
| Parathyroid imaging (78070) |
$477.05 |
$1,325.14 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$215.82 |
$599.51 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$3,492.80 |
$9,702.21 |
2.4× |
| PET imaging CT for attenuation limited area (78814) |
$2,674.36 |
$7,428.78 |
1.9× |
| PET imaging for CT attenuation whole body (78816) |
$3,492.80 |
$9,702.21 |
2.4× |
| PET imaging limited area chest head/neck (78811) |
$2,674.36 |
$7,428.78 |
2.1× |
| PET whole body (78813) |
$2,674.36 |
$7,428.78 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,340.66 |
$6,501.83 |
6.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$751.96 |
$2,088.79 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,153.71 |
$3,204.74 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$687.86 |
$1,910.74 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$94.64 |
$262.88 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$152.75 |
$424.31 |
1.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$345.35 |
$959.30 |
3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$188.65 |
$524.04 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$247.20 |
$686.68 |
2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$220.96 |
$613.77 |
2.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$255.90 |
$710.82 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$416.74 |
$1,157.64 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$256.99 |
$713.87 |
1.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$447.10 |
$1,241.94 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$243.06 |
$675.15 |
2.8× |
| Radiological examination surgical specimen (76098) |
$669.06 |
$1,858.48 |
1.2× |
| Review by radiologist of adrenal gland vein image (75840) |
$3,126.27 |
$8,684.08 |
1.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$6,405.83 |
$17,793.96 |
2.0× |
| Ribs bilateral 3 views (71110) |
$243.06 |
$675.15 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$691.40 |
$1,920.56 |
1.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,372.03 |
$3,811.18 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,950.39 |
$8,195.54 |
5.4× |
| Sacroiliac Joints < 3 Views (72200) |
$85.88 |
$238.53 |
0.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$608.94 |
$1,691.50 |
2.5× |
| Scapula complete (73010) |
$207.52 |
$576.45 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$37.98 |
$105.51 |
1.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$200.98 |
$558.29 |
1.9× |
| Small bowel series (74250) |
$340.94 |
$947.06 |
1.9× |
| Speech evaluation complex (70371) |
$387 |
$1,075.01 |
1.6× |
| Spine thoracic 3 views (72072) |
$207.52 |
$576.45 |
2.0× |
| Splenoportograpy rs&i (75810) |
$3,126.27 |
$8,684.08 |
1.0× |
| Thoracolumbar 2 views (72080) |
$82.30 |
$228.60 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$352.53 |
$979.26 |
0.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,566.76 |
$9,907.68 |
6.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,068.90 |
$5,746.94 |
5.2× |
| Ultrasound, abdomen limited (76705) |
$416.40 |
$1,156.66 |
4.0× |
| Unlisted Ultrasound Procedure (76999) |
$384.38 |
$1,067.71 |
4.4× |
| Urethrocystography retrograde rs&i (74450) |
$732.84 |
$2,035.65 |
3.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,083.34 |
$3,009.30 |
6.1× |
| Us abdl aorta screen aaa (76706) |
$366.76 |
$1,018.77 |
3.5× |
| Us breast unilateral complete (76641) |
$212.17 |
$589.36 |
2.0× |
| Us breast unilateral limited (76642) |
$216.41 |
$601.14 |
2.5× |
| Us chest (76604) |
$293.50 |
$815.28 |
2.8× |
| Us compl joint r-t w/image documentation (76881) |
$532.82 |
$1,480.05 |
5.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$234.34 |
$650.94 |
2.2× |
| Us infant hips dynamic (76885) |
$187.74 |
$521.52 |
2.1× |
| Us infant hips limited static (76886) |
$253.32 |
$703.64 |
2.9× |
| Us kidney transplant (76776) |
$366.76 |
$1,018.77 |
3.5× |
| Us ob detailed single fetus (76811) |
$787.80 |
$2,188.32 |
3.3× |
| Us ob transvaginal (76817) |
$310.54 |
$862.60 |
3.0× |
| Us pelvic non ob complete (76856) |
$416.40 |
$1,156.66 |
4.0× |
| Us pregnancy ltd (76815) |
$353.48 |
$981.89 |
3.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$397.22 |
$1,103.38 |
3.8× |
| Us retroperitoneal complete (76770) |
$416.40 |
$1,156.66 |
4.0× |
| Us retroperitoneal limited (76775) |
$502.95 |
$1,397.08 |
4.8× |
| Us scrotum and contents (76870) |
$416.40 |
$1,156.66 |
4.0× |
| Us soft tissue head/neck (76536) |
$553.24 |
$1,536.77 |
5.3× |
| Us spinal canal and contents (76800) |
$389.75 |
$1,082.64 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$220.29 |
$611.92 |
2.1× |
| Venogram extremity bilateral (75822) |
$1,805.55 |
$5,015.41 |
1.1× |
| Venogram orbital (75880) |
$1,475.78 |
$4,099.40 |
2.3× |
| Venography caval inferior serialography rs&i (75825) |
$7,189.45 |
$19,970.69 |
2.3× |
| Venography caval superior serialography rs&i (75827) |
$2,254.95 |
$6,263.74 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$2,593.46 |
$7,204.06 |
1.6× |
| Venography Renal Bilateral (75833) |
$6,870.16 |
$19,083.79 |
2.2× |
| Venography renal unilateral selective rs&i (75831) |
$7,981.97 |
$22,172.14 |
2.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,013.22 |
$2,814.51 |
0.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$3,126.27 |
$8,684.08 |
0.6× |
| Vertebral fracture assessment via dxa (77086) |
$207.97 |
$577.70 |
2.4× |
| Wrist 2 views (73100) |
$224.73 |
$624.25 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$411.60 |
$1,143.34 |
3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$288.13 |
$800.36 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$211.67 |
$587.98 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$230.73 |
$640.93 |
1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$243.06 |
$675.15 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$247.20 |
$686.68 |
2.8× |
| X-ray exam hip uni 1 view (73501) |
$196.20 |
$545 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$215.90 |
$599.71 |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$311.39 |
$864.96 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$345.35 |
$959.30 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$690.70 |
$1,918.60 |
6.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$207.52 |
$576.45 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$247.20 |
$686.68 |
2.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,593.22 |
$4,425.61 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$278.59 |
$773.85 |
3.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$732.84 |
$2,035.65 |
4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$188.65 |
$524.04 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$243.06 |
$675.15 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$248.50 |
$690.26 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$215.82 |
$599.51 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$367.90 |
$1,021.96 |
3.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$196.20 |
$545 |
2.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$217 |
$602.77 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$243.06 |
$675.15 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$207.52 |
$576.45 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$732.84 |
$2,035.65 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$243.06 |
$675.15 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$224.73 |
$624.25 |
2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$63.27 |
$175.76 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$207.52 |
$576.45 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$211.67 |
$587.98 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$220.96 |
$613.77 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$220.96 |
$613.77 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$190.27 |
$528.54 |
1.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$220.96 |
$613.77 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$188.65 |
$524.04 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$144.80 |
$402.22 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$247.20 |
$686.68 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$215.82 |
$599.51 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$189.06 |
$525.16 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$215.82 |
$228 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$201.88 |
$560.78 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$289.91 |
$805.30 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$278.59 |
$228 |
3.2× |
| Xr shoulder 1 view (73020) |
$188.65 |
$524.04 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$305.62 |
$848.96 |
2.9× |
| Xr tibia/fibula 2 views (73590) |
$215.82 |
$599.51 |
2.5× |
| Xray knee 1 or 2 views rt (73560) |
$253.15 |
$703.20 |
2.9× |