| 3-D radiotherapy plan dose-volume histograms (77295) |
$778 |
$1,945 |
0.6× |
| Abdomen 2 views (74019) |
$139.60 |
$349 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$642 |
$1,605 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$1,929.20 |
$4,823 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,387.20 |
$5,968 |
0.8× |
| Ankle 2 views (73600) |
$47.20 |
$118 |
0.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$200 |
$500 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,256.80 |
$8,142 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$2,088.80 |
$5,222 |
0.7× |
| Arthrogram elbow (73085) |
$628.80 |
$1,572 |
2.0× |
| Arthrogram hip (73525) |
$628.80 |
$1,572 |
2.0× |
| Arthrogram shoulder (73040) |
$628.80 |
$1,572 |
2.0× |
| Basic radiation dosimetry calculation (77300) |
$79.20 |
$198 |
0.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$689.20 |
$1,723 |
1.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$704.40 |
$1,761 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$971.20 |
$2,428 |
2.6× |
| Bone age studies (77072) |
$61.20 |
$153 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$985.60 |
$2,464 |
2.7× |
| Bone survey complete (77075) |
$465.40 |
$1,163.50 |
4.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,717.20 |
$4,293 |
1.3× |
| Brain Imaging Vascular Flow Only (78610) |
$936.40 |
$2,341 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$70.40 |
$176 |
0.9× |
| Chest 1 view (71045) |
$60.60 |
$151.50 |
0.8× |
| Chest 3 views (71047) |
$71.20 |
$178 |
0.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$594.80 |
$1,487 |
3.7× |
| Clavicle complete (73000) |
$50.40 |
$126 |
0.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$370 |
$925 |
3.8× |
| Continuing medical physics consltj pr wk (77336) |
$79.20 |
$198 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,378.60 |
$3,446.50 |
4.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,172.20 |
$2,930.50 |
5.3× |
| CT abdomen w contrast (74160) |
$803.40 |
$2,008.50 |
5.0× |
| CT abdomen w wo contrast (74170) |
$231.40 |
$578.50 |
1.4× |
| CT abdomen w/o contrast (74150) |
$610.20 |
$1,525.50 |
6.3× |
| CT angio hrt w/3d image (75574) |
$737.20 |
$1,843 |
2.3× |
| CT angiography upper extremity lt (73206) |
$943.60 |
$2,359 |
5.8× |
| CT c-spine w/o contrast (72125) |
$546.60 |
$1,366.50 |
5.7× |
| CT cervical spine with contrast (72126) |
$887.20 |
$2,218 |
2.8× |
| CT chest w/wo contrast (71270) |
$815.40 |
$2,038.50 |
5.1× |
| CT chest with contrast (71260) |
$610.60 |
$1,526.50 |
3.8× |
| CT colonography w/o cntrst (74261) |
$518.40 |
$1,296 |
5.4× |
| CT head/brain with contrast (70460) |
$684.40 |
$1,711 |
4.2× |
| CT head/brain without and with contrast (70470) |
$775.20 |
$1,938 |
4.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$236 |
$590 |
2.9× |
| CT iac w contrast (70481) |
$590.40 |
$1,476 |
3.7× |
| CT limited/localized follow up study (76380) |
$236 |
$590 |
2.9× |
| CT lower ext w/o (73700) |
$836.40 |
$2,091 |
8.7× |
| CT lower extremity w wo contrast (73702) |
$1,039.60 |
$2,599 |
6.4× |
| CT lower extremity with contrast (73701) |
$730 |
$1,825 |
4.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,342.40 |
$3,356 |
8.3× |
| CT lumbar spine w/o contrast (72131) |
$706 |
$1,765 |
7.3× |
| CT lumbar spine with contrast (72132) |
$784 |
$1,960 |
2.4× |
| CT maxillofacial w contrast (70487) |
$448 |
$1,120 |
2.8× |
| CT maxillofacial w/o contrast (70486) |
$576.60 |
$1,441.50 |
6.0× |
| CT maxillofacial w/wo contrast (70488) |
$756.80 |
$1,892 |
4.7× |
| CT neck soft tissue w contrast (70491) |
$692.20 |
$1,730.50 |
4.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$605 |
$1,512.50 |
3.8× |
| CT orbits w/o contrast (70480) |
$625.60 |
$1,564 |
6.5× |
| CT pelvis w & w/o contrast (72194) |
$1,107.20 |
$2,768 |
6.9× |
| CT pelvis w/o contrast (72192) |
$632 |
$1,580 |
6.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$680.40 |
$1,701 |
4.2× |
| CT soft tissue neck w/o contrast (70490) |
$546.60 |
$1,366.50 |
5.7× |
| CT thoracic spine w/contrast (72129) |
$1,127.20 |
$2,818 |
7.0× |
| CT thoracic spine w/o contrast (72128) |
$546.60 |
$1,366.50 |
5.7× |
| CT thorax w/o contrast (71250) |
$330 |
$825 |
3.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,058.80 |
$2,647 |
6.6× |
| CT upper extremity w/o contrast rt (73200) |
$981.60 |
$2,454 |
10.2× |
| CT upper extremity with contrast (73201) |
$939.20 |
$2,348 |
2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,346.40 |
$3,366 |
8.3× |
| Cta Abdomen (74175) |
$519 |
$1,297.50 |
3.2× |
| CTA abdomen pelvis (74174) |
$2,402.40 |
$6,006 |
7.5× |
| CTA chest (71275) |
$703.60 |
$1,759 |
4.4× |
| Cta Head (70496) |
$565.60 |
$1,414 |
3.5× |
| CTA lwr ext w&w/o contrast (73706) |
$943.60 |
$2,359 |
5.8× |
| Cta Neck (70498) |
$802 |
$2,005 |
5.0× |
| Cta Pelvis (72191) |
$519 |
$1,297.50 |
3.2× |
| Cystography minimum 3 views rs&i (74430) |
$348 |
$870 |
1.1× |
| Diskography lumbar (72295) |
$1,578 |
$3,945 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$87.20 |
$218 |
0.9× |
| Echoencephalography real time imaging (76506) |
$353.60 |
$884 |
3.7× |
| Esophagus (74220) |
$118.80 |
$297 |
0.7× |
| Fetal biophysical profile non-stress testing (76818) |
$365.60 |
$914 |
3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$502.40 |
$1,256 |
5.2× |
| Fluoroscopy up to 1 hr (76000) |
$144.80 |
$362 |
0.7× |
| Foot 2 views (73620) |
$53.20 |
$133 |
0.7× |
| Forearm 2 views (73090) |
$125.60 |
$314 |
1.6× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$196.40 |
$491 |
0.9× |
| Gated Heart Planar Single (78472) |
$1,037.20 |
$2,593 |
2.8× |
| Hand 2 views (73120) |
$57.20 |
$143 |
0.6× |
| Hand 3 views (73130) |
$60 |
$150 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,196.40 |
$2,991 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,118.40 |
$2,796 |
3.0× |
| Ht muscle image spect sing (78451) |
$2,024 |
$5,060 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$60.40 |
$151 |
0.8× |
| Hysterosalpingogram (74740) |
$529.60 |
$1,324 |
2.4× |
| Kidney imaging morphology (78700) |
$740 |
$1,850 |
2.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$982.40 |
$2,456 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,122.40 |
$2,806 |
2.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,024 |
$2,560 |
2.1× |
| Knee 3 views (73562) |
$66 |
$165 |
0.8× |
| Lung Ventilation Imaging (78579) |
$586.80 |
$1,467 |
1.6× |
| Lymphoscintigraphy (78195) |
$964.80 |
$2,412 |
1.9× |
| Mammary ductogram or galactogram single (77053) |
$304.40 |
$761 |
1.4× |
| Meckels Diverticulum (78290) |
$642 |
$1,605 |
1.7× |
| MRA head w & w/o contrast (70546) |
$819.60 |
$2,049 |
2.6× |
| MRA head w/o contrast (70544) |
$789.40 |
$1,973.50 |
3.6× |
| MRA head with contrast (70545) |
$826 |
$2,065 |
2.6× |
| MRA neck w contrast (70548) |
$669.60 |
$1,674 |
2.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$989.40 |
$2,473.50 |
3.1× |
| MRA neck w/o contrast (70547) |
$654.60 |
$1,636.50 |
3.0× |
| MRI abdomen w contrast (74182) |
$803 |
$2,007.50 |
2.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$996 |
$2,490 |
3.1× |
| MRI abdomen w/o contrast (74181) |
$808.20 |
$2,020.50 |
3.7× |
| MRI any jnt lwr ext with con lt (73722) |
$752.40 |
$1,881 |
1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,646 |
$4,115 |
2.3× |
| MRI breast w/o contrast bilateral (77047) |
$230 |
$575 |
1.0× |
| MRI c-spine with contrast (72142) |
$918 |
$2,295 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$848 |
$2,120 |
3.9× |
| MRI chest w/o & w/contrast material (71552) |
$922.60 |
$2,306.50 |
2.9× |
| MRI chest w/o contrast (71550) |
$1,394.80 |
$3,487 |
6.4× |
| MRI chest with contrast (71551) |
$1,500.80 |
$3,752 |
2.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,396 |
$3,490 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,438.40 |
$3,596 |
4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$817 |
$2,042.50 |
3.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$631.60 |
$1,579 |
2.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$230 |
$575 |
0.7× |
| MRI orbit/face/neck w/contrast (70542) |
$740.40 |
$1,851 |
2.3× |
| MRI pelvis w contrast (72196) |
$1,338 |
$3,345 |
4.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$927.40 |
$2,318.50 |
2.9× |
| MRI pelvis w/o contrast (72195) |
$631.60 |
$1,579 |
2.9× |
| MRI scan of arm joint before and after contrast (73223) |
$230 |
$575 |
0.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,247.60 |
$3,119 |
3.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$959.20 |
$2,398 |
3.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$918 |
$2,295 |
2.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,018.20 |
$2,545.50 |
3.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,500.80 |
$3,752 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$959.20 |
$2,398 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$786.60 |
$1,966.50 |
3.6× |
| MRI tmj (70336) |
$722 |
$1,805 |
3.3× |
| MRI upper ext joint w/o contrast (73221) |
$725.40 |
$1,813.50 |
3.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$922.60 |
$2,306.50 |
2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$822.20 |
$2,055.50 |
3.7× |
| Myocardial Spect Multiple Studies (78452) |
$2,024 |
$5,060 |
1.7× |
| Neck soft tissue (70360) |
$142.80 |
$357 |
1.8× |
| Nm adrenal scan (78075) |
$1,044.40 |
$2,611 |
0.9× |
| Nm cisternogram (78630) |
$725.60 |
$1,814 |
1.5× |
| Nm gastric emptying study (78264) |
$1,112.80 |
$2,782 |
3.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,231.60 |
$3,079 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$693.20 |
$1,733 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$548.80 |
$1,372 |
2.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$414.40 |
$1,036 |
4.3× |
| Osseous survey infant (77076) |
$169.40 |
$423.50 |
1.8× |
| Parathyrd planar w/wo subtrj (78071) |
$713.20 |
$1,783 |
1.9× |
| Parathyroid imaging (78070) |
$626.80 |
$1,567 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$55.60 |
$139 |
0.6× |
| PET image w/CT, skull-thigh (78815) |
$1,981.60 |
$4,954 |
1.5× |
| PET imaging CT for attenuation limited area (78814) |
$1,832.80 |
$4,582 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$1,981.60 |
$4,954 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$230 |
$575 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$623.20 |
$1,558 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,044.40 |
$2,611 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$287.20 |
$718 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$47.20 |
$118 |
0.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$57.20 |
$143 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$194 |
$485 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$57.20 |
$143 |
0.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$148 |
$370 |
0.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$76.40 |
$191 |
0.8× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$148 |
$370 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$187.20 |
$468 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$59.20 |
$148 |
0.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$66.40 |
$166 |
0.8× |
| Radiologic exam colon single contrast study (74270) |
$443.20 |
$1,108 |
2.7× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$148.80 |
$372 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$156.40 |
$391 |
1.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$187.60 |
$469 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$47.20 |
$118 |
0.6× |
| Radiological examination surgical specimen (76098) |
$307.20 |
$768 |
0.6× |
| Ribs bilateral 3 views (71110) |
$211.80 |
$529.50 |
2.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$922.40 |
$2,306 |
1.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$898.80 |
$2,247 |
1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$950.40 |
$2,376 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$62.40 |
$156 |
0.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$300 |
$750 |
1.4× |
| Scanogram (77073) |
$105.60 |
$264 |
1.1× |
| Scapula complete (73010) |
$57.20 |
$143 |
0.6× |
| Screening digital breast tomosynthesis (77063) |
$40.80 |
$102 |
1.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$127.60 |
$319 |
1.3× |
| Sialogram (70390) |
$127.60 |
$319 |
0.6× |
| Simulation intermediate (77285) |
$209.60 |
$524 |
0.6× |
| Small bowel series (74250) |
$300.20 |
$750.50 |
1.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$209.60 |
$524 |
0.6× |
| Special dosimetry (77331) |
$79.20 |
$198 |
0.6× |
| Special treatment procedure (77470) |
$336.80 |
$842 |
0.7× |
| Spine thoracic 3 views (72072) |
$213.20 |
$533 |
2.2× |
| Tbs Technical Calculation Only (77091) |
$53.20 |
$133 |
0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$209.60 |
$524 |
0.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$209.60 |
$524 |
0.6× |
| Thoracolumbar 2 views (72080) |
$84.80 |
$212 |
1.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$628.40 |
$1,571 |
1.3× |
| Thyroid uptake measurement (78012) |
$440.40 |
$1,101 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$587.60 |
$1,469 |
1.6× |
| Tmj unilateral (70328) |
$47.20 |
$118 |
0.6× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$53.20 |
$133 |
0.7× |
| Treatment device intermediate (77333) |
$87.60 |
$219 |
0.7× |
| Treatment devices simple (77332) |
$79.20 |
$198 |
0.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$876.80 |
$2,192 |
1.8× |
| Tx devices design & construction complex (77334) |
$209.60 |
$524 |
0.6× |
| Ultrasound, abdomen limited (76705) |
$519.20 |
$1,298 |
5.4× |
| Unlisted fluoroscopic procedure (76496) |
$414 |
$1,035 |
5.2× |
| Unlisted Ultrasound Procedure (76999) |
$307.60 |
$769 |
3.8× |
| Upper Extremity Infant (73092) |
$57.20 |
$143 |
0.6× |
| Urethrocystography retrograde rs&i (74450) |
$422 |
$1,055 |
1.9× |
| Urethrocystography voiding (74455) |
$526 |
$1,315 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$636.80 |
$1,592 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$485.20 |
$1,213 |
5.0× |
| Us breast unilateral limited (76642) |
$376.40 |
$941 |
4.7× |
| Us chest (76604) |
$242.40 |
$606 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$484.80 |
$1,212 |
5.0× |
| Us infant hips dynamic (76885) |
$776.80 |
$1,942 |
9.7× |
| Us infant hips limited static (76886) |
$420.40 |
$1,051 |
5.3× |
| Us kidney transplant (76776) |
$325.60 |
$814 |
3.4× |
| Us ob transvaginal (76817) |
$345.60 |
$864 |
3.6× |
| Us pelvic non ob complete (76856) |
$807.60 |
$2,019 |
8.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$444 |
$1,110 |
4.6× |
| Us pregnancy ltd (76815) |
$273 |
$682.50 |
2.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$594.80 |
$1,487 |
6.2× |
| Us retroperitoneal complete (76770) |
$676.40 |
$1,691 |
7.0× |
| Us retroperitoneal limited (76775) |
$236 |
$590 |
2.5× |
| Us scrotum and contents (76870) |
$533.20 |
$1,333 |
5.5× |
| Us soft tissue head/neck (76536) |
$560.80 |
$1,402 |
5.8× |
| Us spinal canal and contents (76800) |
$136.80 |
$342 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$239.20 |
$598 |
2.5× |
| Venogram extremity bilateral (75822) |
$926.40 |
$2,316 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,653.60 |
$4,134 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$778 |
$1,945 |
0.5× |
| Venography Renal Bilateral (75833) |
$3,204.80 |
$8,012 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,574 |
$3,935 |
0.5× |
| Wrist 2 views (73100) |
$47.20 |
$118 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$116 |
$290 |
1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$205.20 |
$513 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$61.20 |
$153 |
0.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$443.20 |
$1,108 |
2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$196.40 |
$491 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$66.80 |
$167 |
0.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$462.40 |
$1,156 |
4.8× |
| X-ray exam hip uni 1 view (73501) |
$62.40 |
$156 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$76.40 |
$191 |
1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$57.20 |
$143 |
0.6× |
| X-ray exam of femur 1 (73551) |
$47.20 |
$118 |
0.6× |
| X-ray eye for foreign body (70030) |
$55.80 |
$139.50 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$83.60 |
$209 |
0.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$78.80 |
$197 |
1.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$59.20 |
$148 |
0.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,129.20 |
$2,823 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$124.40 |
$311 |
1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$122.80 |
$307 |
1.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$95.20 |
$238 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$48.40 |
$121 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$60.80 |
$152 |
0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$197 |
$492.50 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$57.20 |
$143 |
0.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$102.80 |
$257 |
1.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$153.40 |
$383.50 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$209.60 |
$524 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$80 |
$200 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$160 |
$400 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$631.20 |
$1,578 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$58.80 |
$147 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$88 |
$220 |
0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$108 |
$270 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$63.60 |
$159 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$190 |
$475 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$61.60 |
$154 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$201.20 |
$503 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$47.20 |
$118 |
0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$92.80 |
$232 |
1.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$137 |
$342.50 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$75.20 |
$188 |
0.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$86.80 |
$217 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$63.60 |
$159 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$177.60 |
$444 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$47.60 |
$119 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$62.80 |
$157 |
0.8× |
| Xr c-spine 6 or more views (72052) |
$119.20 |
$298 |
1.2× |
| Xr chest 4+ views (71048) |
$71.20 |
$178 |
0.7× |
| Xr finger(s) 2+ views (73140) |
$47.20 |
$118 |
0.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$57.20 |
$143 |
0.6× |
| Xr shoulder 1 view (73020) |
$47.20 |
$118 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$101.20 |
$253 |
1.1× |
| Xr tibia/fibula 2 views (73590) |
$150.20 |
$375.50 |
1.9× |
| Xr tmj bilateral (70330) |
$47.20 |
$118 |
0.6× |
| Xray knee 1 or 2 views rt (73560) |
$56.80 |
$142 |
0.7× |