| Abdomen 2 views (74019) |
$615.60 |
$1,080 |
5.3× |
| Acute gi blood loss imaging (78278) |
$1,059.06 |
$1,858 |
2.4× |
| Angiography extremity bilateral rs&i (75716) |
$82.08 |
$144 |
0.0× |
| Angiography extremity unilateral rs&i (75710) |
$87.21 |
$153 |
0.0× |
| Angiography internal mammary rs&i (75756) |
$6,194.19 |
$10,867 |
1.8× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$239.68 |
$420.50 |
0.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,623.05 |
$9,865 |
1.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,623.05 |
$9,865 |
1.6× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$177.27 |
$311 |
0.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,804.62 |
$3,166 |
0.5× |
| Ankle 2 views (73600) |
$231.42 |
$406 |
2.4× |
| Aortogram thoracic (75605) |
$5,624.19 |
$9,867 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$539.79 |
$947 |
0.2× |
| Aortography abdominal serialography rs&i (75625) |
$408.69 |
$717 |
0.1× |
| Arthrogram hip (73525) |
$963.87 |
$1,691 |
2.5× |
| Arthrogram knee (73580) |
$421.80 |
$740 |
1.1× |
| Arthrogram shoulder (73040) |
$764.94 |
$1,342 |
2.0× |
| Arthrogram wrist (73115) |
$764.94 |
$1,342 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$94.62 |
$166 |
0.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$129.39 |
$227 |
0.3× |
| Bone &/joint imaging whole body (78306) |
$165.30 |
$290 |
0.4× |
| Bone age studies (77072) |
$300.39 |
$527 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$825.36 |
$1,448 |
1.9× |
| Bone Marrow Imaging Limited Area (78102) |
$877.23 |
$1,539 |
2.0× |
| Bone survey complete (77075) |
$847.02 |
$1,486 |
7.3× |
| Bone survey infant (77076) |
$536.37 |
$941 |
4.6× |
| Bowel imaging (78290) |
$1,059.06 |
$1,858 |
2.4× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,216.16 |
$3,888 |
5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,180.38 |
$7,334 |
2.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,503.09 |
$2,637 |
3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,353.18 |
$2,374 |
2.2× |
| Cervical spine 2 or 3 views (72040) |
$464.55 |
$815 |
4.8× |
| Chest 1 view (71045) |
$265.05 |
$465 |
2.7× |
| Chest xray 3 views (71047) |
$581.40 |
$1,020 |
6.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$653.22 |
$1,146 |
3.3× |
| Clavicle complete (73000) |
$754.11 |
$1,323 |
7.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$677.73 |
$1,189 |
5.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,754.02 |
$6,586 |
9.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,071.66 |
$3,634.50 |
7.8× |
| CT abdomen w contrast (74160) |
$2,612.88 |
$4,584 |
13.4× |
| CT abdomen w wo contrast (74170) |
$3,264.39 |
$5,727 |
16.7× |
| CT abdomen w/o contrast (74150) |
$1,990.44 |
$3,492 |
17.1× |
| CT angio hrt w/3d image (75574) |
$2,710.64 |
$4,755.50 |
7.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,810.67 |
$4,931 |
14.4× |
| CT angiography upper extremity lt (73206) |
$3,673.65 |
$6,445 |
18.8× |
| CT c-spine w/contrast (72126) |
$2,076.51 |
$3,643 |
5.3× |
| CT c-spine w/o contrast (72125) |
$1,674.66 |
$2,938 |
14.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,530.23 |
$4,439 |
12.9× |
| CT chest w contrast (71260) |
$2,633.40 |
$4,620 |
13.5× |
| CT chest w/wo contrast (71270) |
$2,796.99 |
$4,907 |
14.3× |
| CT head/brain with contrast (70460) |
$1,761.87 |
$3,091 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,975.05 |
$3,465 |
10.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,686.98 |
$4,714 |
6.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$612.75 |
$1,075 |
6.3× |
| CT hrt w/3d image congen (75573) |
$1,253.43 |
$2,199 |
3.2× |
| CT iac w contrast (70481) |
$2,351.82 |
$4,126 |
12.0× |
| CT limited/localized follow up study (76380) |
$1,315.56 |
$2,308 |
13.6× |
| CT lower ext w/o (73700) |
$3,427.41 |
$6,013 |
29.4× |
| CT lower extremity w wo contrast (73702) |
$2,291.40 |
$4,020 |
11.7× |
| CT lower extremity w/contrast material (73701) |
$3,702.72 |
$6,496 |
18.9× |
| CT lumbar spine w & w/o contrast (72133) |
$3,076.86 |
$5,398 |
15.7× |
| CT lumbar spine w/contrast (72132) |
$2,309.07 |
$4,051 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$2,020.08 |
$3,544 |
17.3× |
| CT maxillofacial w contrast (70487) |
$2,521.68 |
$4,424 |
12.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,696.96 |
$4,731.50 |
13.8× |
| CT maxillofacial wo contrast (70486) |
$1,528.17 |
$2,681 |
13.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,647.87 |
$2,891 |
8.4× |
| CT orbits w/o contrast (70480) |
$1,512.21 |
$2,653 |
13.0× |
| CT pelvis w/o contrast (72192) |
$1,816.59 |
$3,187 |
15.6× |
| CT pelvis w/wo contrast (72194) |
$2,838.88 |
$4,980.50 |
14.5× |
| CT scan of arm combo (73202) |
$4,402.68 |
$7,724 |
22.5× |
| CT soft tissue neck w contrast (70491) |
$2,020.08 |
$3,544 |
10.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,022.36 |
$3,548 |
10.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,613.67 |
$2,831 |
13.9× |
| CT thoracic spine w/contrast (72129) |
$2,620.86 |
$4,598 |
13.4× |
| CT thoracic spine w/o contrast (72128) |
$2,000.70 |
$3,510 |
17.2× |
| CT thoracic spine w/wo contrast (72130) |
$2,725.74 |
$4,782 |
13.9× |
| CT thorax w/o contrast (71250) |
$1,841.67 |
$3,231 |
15.8× |
| CT upper ext wo (73200) |
$3,427.41 |
$6,013 |
29.4× |
| CT upper extremity with contrast (73201) |
$4,317.18 |
$7,574 |
11.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,070.18 |
$1,877.50 |
5.5× |
| Cta Abdomen (74175) |
$4,327.44 |
$7,592 |
22.1× |
| CTA abdomen pelvis (74174) |
$2,025.50 |
$3,553.50 |
5.2× |
| CTA chest (71275) |
$3,950.67 |
$6,931 |
20.2× |
| Cta Head (70496) |
$3,067.17 |
$5,381 |
15.7× |
| Cta Neck (70498) |
$3,323.38 |
$5,830.50 |
17.0× |
| Cta Pelvis (72191) |
$3,893.67 |
$6,831 |
19.9× |
| Cystography minimum 3 views rs&i (74430) |
$629.56 |
$1,104.50 |
1.6× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$3,058.05 |
$5,365 |
1.3× |
| Diskography lumbar (72295) |
$205.77 |
$361 |
0.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$455.72 |
$799.50 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$298.11 |
$523 |
3.1× |
| Esophagus (74220) |
$653.22 |
$1,146 |
3.3× |
| Facial bones min 3 views (70150) |
$673.74 |
$1,182 |
5.8× |
| Fetal biophysical profile non-stress testing (76818) |
$670.89 |
$1,177 |
5.8× |
| Fluoroscopy up to 1 hr (76000) |
$296.68 |
$520.50 |
1.1× |
| Foot 2 views (73620) |
$231.42 |
$406 |
2.4× |
| Forearm 2 views (73090) |
$725.61 |
$1,273 |
7.5× |
| Hand 2 views (73120) |
$457.14 |
$802 |
3.9× |
| Heart first pass single,planar (78481) |
$1,446.09 |
$2,537 |
2.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$5,623.05 |
$9,865 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,058.62 |
$5,366 |
5.1× |
| Hysterosalpingogram (74740) |
$496.47 |
$871 |
1.9× |
| Interstitial radiation source applic complex (77778) |
$6,226.68 |
$10,924 |
8.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,583.46 |
$2,778 |
2.6× |
| Knee 3 views (73562) |
$935.94 |
$1,642 |
9.7× |
| Liver imaging static only (78201) |
$1,824 |
$3,200 |
3.0× |
| Lung perf&ventilat diferentl (78598) |
$3,221.64 |
$5,652 |
5.3× |
| Lung perfusion differential (78597) |
$2,635.68 |
$4,624 |
5.9× |
| Lymphoscintigraphy (78195) |
$503.31 |
$883 |
0.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,684.35 |
$2,955 |
1.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,589.16 |
$2,788 |
4.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,589.16 |
$2,788 |
4.1× |
| Mammary ductogram or galactogram single (77053) |
$657.78 |
$1,154 |
2.5× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$144.21 |
$253 |
1.5× |
| MRA head w & w/o contrast (70546) |
$2,901.30 |
$5,090 |
7.5× |
| MRA head w/o contrast (70544) |
$2,769.34 |
$4,858.50 |
10.4× |
| MRA head with contrast (70545) |
$2,901.30 |
$5,090 |
7.5× |
| MRA neck w contrast (70548) |
$2,901.30 |
$5,090 |
7.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,901.30 |
$5,090 |
7.5× |
| MRA neck w/o contrast (70547) |
$2,901.30 |
$5,090 |
10.9× |
| MRI abdomen w contrast (74182) |
$1,684.35 |
$2,955 |
4.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,684.35 |
$2,955 |
4.3× |
| MRI abdomen w/o contrast (74181) |
$1,684.35 |
$2,955 |
6.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,684.35 |
$2,955 |
1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,684.35 |
$2,955 |
4.3× |
| MRI bone marrow blood supply (77084) |
$484.78 |
$850.50 |
1.8× |
| MRI breast w/o contrast bilateral (77047) |
$1,419.87 |
$2,491 |
5.3× |
| MRI breast wo contrast unilateral (77046) |
$808.26 |
$1,418 |
3.0× |
| MRI c-spine with contrast (72142) |
$1,684.35 |
$2,955 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$1,733.94 |
$3,042 |
6.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,047.66 |
$1,838 |
2.7× |
| MRI chest w/o contrast (71550) |
$1,636.76 |
$2,871.50 |
6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,589.16 |
$2,788 |
4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,531.59 |
$2,687 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,531.59 |
$2,687 |
5.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,684.35 |
$2,955 |
6.3× |
| MRI orbit face neck w contrast (70542) |
$1,684.35 |
$2,955 |
4.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,684.35 |
$2,955 |
4.3× |
| MRI pelvis w/contrast (72196) |
$1,684.35 |
$2,955 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,684.35 |
$2,955 |
4.3× |
| MRI pelvis w/o contrast (72195) |
$1,684.35 |
$2,955 |
6.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,276.01 |
$3,993 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,684.35 |
$2,955 |
4.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,276.01 |
$3,993 |
5.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,684.35 |
$2,955 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,276.01 |
$3,993 |
5.9× |
| MRI temporomandibular joint (70336) |
$1,684.35 |
$2,955 |
6.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,684.35 |
$2,955 |
6.3× |
| MRI up ext w/o contrast (73218) |
$1,589.16 |
$2,788 |
6.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,684.35 |
$2,955 |
6.3× |
| MRI, joint upper extrem combo (73223) |
$1,684.35 |
$2,955 |
4.3× |
| Myelogram Cervical (72240) |
$314.07 |
$551 |
0.4× |
| Myelogram thoracic (72255) |
$331.17 |
$581 |
0.4× |
| Myelography 2 or more regions (72270) |
$430.92 |
$756 |
0.5× |
| Myocardial Spect Multiple Studies (78452) |
$1,236.33 |
$2,169 |
0.9× |
| Myocardial spect single study at rest or stress (78451) |
$2,808.96 |
$4,928 |
1.9× |
| Neck soft tissue (70360) |
$300.39 |
$527 |
3.1× |
| Nm csf leak detection (78650) |
$1,702.59 |
$2,987 |
1.2× |
| Nm gastric emptying study (78264) |
$934.80 |
$1,640 |
2.1× |
| Nm gastroesophageal reflux study (78262) |
$1,059.06 |
$1,858 |
2.4× |
| Nuclear Rx Oral Admin (79005) |
$441.75 |
$775 |
1.7× |
| Ob us nuchal meas 1 gest (76813) |
$568.29 |
$997 |
4.9× |
| Osseous survey limited (77074) |
$320.91 |
$563 |
2.8× |
| Parathyroid Planar Imaging (78070) |
$637.83 |
$1,119 |
1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,111.50 |
$1,950 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$280.44 |
$492 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$2,674.44 |
$4,692 |
1.7× |
| PET imaging CT for attenuation limited area (78814) |
$2,567.85 |
$4,505 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$2,781.60 |
$4,880 |
1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$5,623.05 |
$9,865 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$389.31 |
$683 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,929.23 |
$5,139 |
4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,125.75 |
$1,975 |
1.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$922.26 |
$1,618 |
9.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$468.54 |
$822 |
4.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$922.26 |
$1,618 |
9.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$702.24 |
$1,232 |
7.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$464.55 |
$815 |
4.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$1,403.91 |
$2,463 |
12.1× |
| Radex fingr minimum 2 views (73140) |
$273.60 |
$480 |
2.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$861.27 |
$1,511 |
8.9× |
| Radex Hand Minimum 3 Views (73130) |
$922.26 |
$1,618 |
9.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$363.66 |
$638 |
3.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$962.16 |
$1,688 |
8.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$687.99 |
$1,207 |
5.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,346.91 |
$2,363 |
11.6× |
| Radex Humerus Minimum 2 Views (73060) |
$379.62 |
$666 |
3.9× |
| Radex Kne 1/2 Views (73560) |
$329.46 |
$578 |
3.4× |
| Radex Kne Compl 4/More Views (73564) |
$727.60 |
$1,276.50 |
6.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$623.01 |
$1,093 |
5.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$473.67 |
$831 |
4.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$499.32 |
$876 |
4.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$464.55 |
$815 |
4.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$300.39 |
$527 |
3.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$820.80 |
$1,440 |
7.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$566.01 |
$993 |
5.8× |
| Radex Toe Minimum 2 Views (73660) |
$536.94 |
$942 |
5.5× |
| Radex upper extremity infant minimum 2 views (73092) |
$311.79 |
$547 |
2.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$922.26 |
$1,618 |
9.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,403.91 |
$2,463 |
12.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$336.87 |
$591 |
3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$615.60 |
$1,080 |
5.3× |
| Radiologic exam chest 2 views (71046) |
$464.84 |
$815.50 |
4.8× |
| Radiologic exam colon single contrast study (74270) |
$836.76 |
$1,468 |
4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$653.22 |
$1,146 |
3.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,177.05 |
$2,065 |
6.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,021.44 |
$1,792 |
5.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$754.11 |
$1,323 |
7.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$691.41 |
$1,213 |
5.9× |
| Radiological examination surgical specimen (76098) |
$207.48 |
$364 |
0.3× |
| Ribs bilateral 3 views (71110) |
$1,091.55 |
$1,915 |
9.4× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$957.60 |
$1,680 |
2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$122.55 |
$215 |
0.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$10,324.41 |
$18,113 |
17.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,710.92 |
$4,756 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,243.24 |
$3,935.50 |
3.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,622 |
$4,600 |
1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,710.92 |
$4,756 |
1.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,664.97 |
$2,921 |
1.2× |
| Rp Therapy Intravenous Administration (79101) |
$1,049.37 |
$1,841 |
4.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$369.93 |
$649 |
1.4× |
| Scapula (73010) |
$922.26 |
$1,618 |
7.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$131.10 |
$230 |
5.6× |
| Shoulder 1 view (73020) |
$329.46 |
$578 |
3.4× |
| Sialogram (70390) |
$859.56 |
$1,508 |
3.2× |
| Small bowel series (74250) |
$657.78 |
$1,154 |
3.4× |
| Spine thoracic 3 views (72072) |
$600.21 |
$1,053 |
5.2× |
| Spleen imaging only (78185) |
$925.11 |
$1,623 |
2.1× |
| Thoracolumbar 2 views (72080) |
$462.84 |
$812 |
4.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,147.76 |
$3,768 |
3.5× |
| Thyroid imaging w/blood flow (78013) |
$771.21 |
$1,353 |
1.7× |
| Thyroid uptake measurement (78012) |
$521.26 |
$914.50 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,664.97 |
$2,921 |
3.7× |
| Ultrasound breast complete (76641) |
$578.55 |
$1,015 |
5.0× |
| Ultrasound elastography first target lesion (76982) |
$213.18 |
$374 |
1.8× |
| Ultrasound Exam Aaa Screen (76706) |
$743.28 |
$1,304 |
6.4× |
| Ultrasound, abdomen limited (76705) |
$817.38 |
$1,434 |
7.0× |
| Umbilical-artery Doppler (OB) (76820) |
$120.27 |
$211 |
1.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$590.52 |
$1,036 |
6.1× |
| Urethrocystogram voiding (74455) |
$691.41 |
$1,213 |
2.6× |
| Us breast unilateral limited (76642) |
$418.38 |
$734 |
4.3× |
| Us chest (76604) |
$329.46 |
$578 |
2.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,943.13 |
$3,409 |
8.1× |
| Us compl joint r-t w/image documentation (76881) |
$392.16 |
$688 |
3.4× |
| Us elastography parenchyma (76981) |
$213.18 |
$374 |
1.8× |
| Us encephalogram (76506) |
$491.34 |
$862 |
4.2× |
| Us infant hips w manipulation (76885) |
$353.97 |
$621 |
3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$594.51 |
$1,043 |
5.1× |
| Us ob limited (76815) |
$550.05 |
$965 |
4.7× |
| Us ob transvaginal (76817) |
$345.99 |
$607 |
3.0× |
| Us pelvic non ob complete (76856) |
$817.38 |
$1,434 |
7.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$273.03 |
$479 |
2.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$568.29 |
$997 |
4.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$565.16 |
$991.50 |
4.9× |
| Us retroperitoneal complete (76770) |
$1,024.29 |
$1,797 |
8.8× |
| Us retroperitoneal limited (76775) |
$349.98 |
$614 |
3.0× |
| Us scrotum and contents (76870) |
$817.38 |
$1,434 |
7.0× |
| Us soft tissue head/neck (76536) |
$817.38 |
$1,434 |
7.0× |
| Us spinal canal and contents (76800) |
$415.53 |
$729 |
3.6× |
| Us,transplanted kidney, real time/ doppler (76776) |
$449.73 |
$789 |
3.9× |
| Venogram adrenal unilat (75840) |
$5,623.05 |
$9,865 |
1.6× |
| Venogram extremity bilateral (75822) |
$1,573.48 |
$2,760.50 |
0.9× |
| Venogram Extremity Unilateral (75820) |
$271.89 |
$477 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$5,624.19 |
$9,867 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$392.73 |
$689 |
0.2× |
| Venography Renal Bilateral (75833) |
$551.76 |
$968 |
0.2× |
| Venography renal unilateral selective rs&i (75831) |
$5,623.05 |
$9,865 |
1.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$511.29 |
$897 |
0.1× |
| Venous sampling by catheter (75893) |
$5,623.05 |
$9,865 |
0.9× |
| Wrist 2 views (73100) |
$231.42 |
$406 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$791.16 |
$1,388 |
6.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$689.70 |
$1,210 |
7.1× |
| X-ray b.e. reductn intuss (74283) |
$1,800.63 |
$3,159 |
9.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,145.70 |
$2,010 |
5.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$288.42 |
$506 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$504.45 |
$885 |
5.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$673.74 |
$1,182 |
5.8× |
| X-ray exam of femur 2/> (73552) |
$347.13 |
$609 |
3.6× |
| X-ray eye for foreign body (70030) |
$525.54 |
$922 |
5.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$273.03 |
$479 |
2.8× |
| X-ray IV pyelogram (ivp) (74400) |
$615.60 |
$1,080 |
3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$392.73 |
$689 |
4.0× |
| X-ray leg, infant (73592) |
$320.91 |
$563 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$536.37 |
$941 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$774.06 |
$1,358 |
6.6× |
| X-ray nose-rectum child f.b. (76010) |
$255.93 |
$449 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$673.74 |
$1,182 |
5.8× |
| X-ray retrograde pyelogram (74420) |
$22.80 |
$40 |
0.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$583.40 |
$1,023.50 |
6.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$456.28 |
$800.50 |
3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$615.60 |
$1,080 |
5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$497.61 |
$873 |
5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$632.70 |
$1,110 |
6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$621.87 |
$1,091 |
5.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$464.55 |
$815 |
4.0× |
| X-Ray Small Bowel Enteroclysis (74251) |
$1,884.99 |
$3,307 |
9.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$292.41 |
$513 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$449.16 |
$788 |
4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$464.55 |
$815 |
4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$536.37 |
$941 |
4.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$954.18 |
$1,674 |
8.2× |
| Xr bone length studies (77073) |
$475.95 |
$835 |
4.1× |
| Xr c-spine 4 or 5 views (72050) |
$627 |
$1,100 |
5.4× |
| Xr c-spine 6 or more views (72052) |
$800.85 |
$1,405 |
6.9× |
| Xr chest 4+ views (71048) |
$712.22 |
$1,249.50 |
6.1× |
| Xr urogram antegrade (74425) |
$1,987.02 |
$3,486 |
5.1× |