| Abdomen 2 views (74019) |
$1,100.12 |
$1,692.50 |
9.4× |
| Acute gi blood loss imaging (78278) |
$2,040.35 |
$3,139 |
4.6× |
| Angiography extremity bilateral rs&i (75716) |
$6,606.60 |
$10,164 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$7,138.95 |
$10,983 |
2.0× |
| Angiography internal mammary rs&i (75756) |
$7,276.75 |
$11,195 |
2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,605.30 |
$10,162 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,605.30 |
$10,162 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,605.30 |
$10,162 |
1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$11,575.20 |
$17,808 |
1.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,119.65 |
$3,261 |
0.6× |
| Ankle 2 views (73600) |
$436.15 |
$671 |
4.5× |
| Aortogram thoracic (75605) |
$6,606.60 |
$10,164 |
1.1× |
| Arthrogram hip (73525) |
$1,132.95 |
$1,743 |
2.9× |
| Arthrogram knee (73580) |
$943.80 |
$1,452 |
2.4× |
| Arthrogram shoulder (73040) |
$943.80 |
$1,452 |
2.4× |
| Arthrogram wrist (73115) |
$943.80 |
$1,452 |
2.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,263.60 |
$1,944 |
2.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,792.05 |
$2,757 |
4.0× |
| Bone &/joint imaging whole body (78306) |
$2,084.55 |
$3,207 |
4.7× |
| Bone age studies (77072) |
$928.85 |
$1,429 |
8.0× |
| Bone Imaging 3 Phase (78315) |
$1,985.75 |
$3,055 |
4.5× |
| Bone Marrow Imaging Limited Area (78102) |
$1,030.25 |
$1,585 |
2.3× |
| Bone survey complete (77075) |
$1,130.35 |
$1,739 |
9.7× |
| Bone survey infant (77076) |
$1,296.10 |
$1,994 |
11.1× |
| Bowel imaging (78290) |
$1,871.35 |
$2,879 |
4.2× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,603.25 |
$4,005 |
5.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,912.05 |
$7,557 |
3.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,765.40 |
$2,716 |
4.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,589.90 |
$2,446 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$955.50 |
$1,470 |
9.9× |
| Chest 1 view (71045) |
$771.55 |
$1,187 |
8.0× |
| Chest xray 3 views (71047) |
$1,441.05 |
$2,217 |
14.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$856.05 |
$1,317 |
4.4× |
| Clavicle complete (73000) |
$655.85 |
$1,009 |
6.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$716.30 |
$1,102 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,980 |
$9,200 |
15.4× |
| CT abdomen and pelvis without contrast (74176) |
$3,869.45 |
$5,953 |
14.6× |
| CT abdomen w contrast (74160) |
$3,149.90 |
$4,846 |
16.1× |
| CT abdomen w wo contrast (74170) |
$3,740.10 |
$5,754 |
19.1× |
| CT abdomen w/o contrast (74150) |
$2,193.75 |
$3,375 |
18.8× |
| CT angio hrt w/3d image (75574) |
$1,385.80 |
$2,132 |
3.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$4,510.35 |
$6,939 |
23.1× |
| CT angiography upper extremity lt (73206) |
$4,732.65 |
$7,281 |
24.2× |
| CT c-spine w/contrast (72126) |
$2,639 |
$4,060 |
6.8× |
| CT c-spine w/o contrast (72125) |
$2,065.70 |
$3,178 |
17.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,675.40 |
$4,116 |
13.7× |
| CT chest w contrast (71260) |
$3,226.60 |
$4,964 |
16.5× |
| CT chest w/wo contrast (71270) |
$4,086.55 |
$6,287 |
20.9× |
| CT head/brain with contrast (70460) |
$2,482.35 |
$3,819 |
12.7× |
| CT head/brain without and with contrast (70470) |
$2,839.85 |
$4,369 |
14.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$586.30 |
$902 |
1.5× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,385.15 |
$2,131 |
14.3× |
| CT hrt w/3d image congen (75573) |
$1,157.65 |
$1,781 |
3.0× |
| CT iac w contrast (70481) |
$2,128.75 |
$3,275 |
10.9× |
| CT limited/localized follow up study (76380) |
$1,391.65 |
$2,141 |
14.3× |
| CT lower ext w/o (73700) |
$2,338.05 |
$3,597 |
20.1× |
| CT lower extremity w wo contrast (73702) |
$3,355.95 |
$5,163 |
17.2× |
| CT lower extremity w/contrast material (73701) |
$3,933.80 |
$6,052 |
20.1× |
| CT lumbar spine w & w/o contrast (72133) |
$2,779.40 |
$4,276 |
14.2× |
| CT lumbar spine w/contrast (72132) |
$3,341 |
$5,140 |
8.6× |
| CT lumbar spine w/o contrast (72131) |
$2,339.35 |
$3,599 |
20.1× |
| CT maxillofacial w contrast (70487) |
$1,775.15 |
$2,731 |
9.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,883.70 |
$2,898 |
9.6× |
| CT maxillofacial wo contrast (70486) |
$739.05 |
$1,137 |
6.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,829.45 |
$4,353 |
14.5× |
| CT orbits w/o contrast (70480) |
$2,613.65 |
$4,021 |
22.4× |
| CT pelvis w/o contrast (72192) |
$2,205.45 |
$3,393 |
18.9× |
| CT pelvis w/wo contrast (72194) |
$2,789.15 |
$4,291 |
14.3× |
| CT scan of arm combo (73202) |
$3,638.70 |
$5,598 |
18.6× |
| CT soft tissue neck w contrast (70491) |
$2,739.10 |
$4,214 |
14.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,918.50 |
$4,490 |
14.9× |
| CT soft tissue neck w/o contrast (70490) |
$2,109.25 |
$3,245 |
18.1× |
| CT thoracic spine w/contrast (72129) |
$2,771.60 |
$4,264 |
14.2× |
| CT thoracic spine w/o contrast (72128) |
$3,064.75 |
$4,715 |
26.3× |
| CT thoracic spine w/wo contrast (72130) |
$2,780.05 |
$4,277 |
14.2× |
| CT thorax w/o contrast (71250) |
$2,305.55 |
$3,547 |
19.8× |
| CT upper ext wo (73200) |
$2,720.25 |
$4,185 |
23.3× |
| CT upper extremity with contrast (73201) |
$3,233.10 |
$4,974 |
8.3× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$5,484.70 |
$8,438 |
28.1× |
| Cta Abdomen (74175) |
$4,683.25 |
$7,205 |
24.0× |
| CTA abdomen pelvis (74174) |
$3,794.05 |
$5,837 |
9.8× |
| CTA chest (71275) |
$5,666.70 |
$8,718 |
29.0× |
| Cta Head (70496) |
$3,382.60 |
$5,204 |
17.3× |
| Cta Neck (70498) |
$3,594.50 |
$5,530 |
18.4× |
| Cta Pelvis (72191) |
$3,701.10 |
$5,694 |
18.9× |
| Cystography minimum 3 views rs&i (74430) |
$739.70 |
$1,138 |
1.9× |
| Diskography lumbar (72295) |
$206.05 |
$317 |
0.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$448.82 |
$690.50 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$165.10 |
$254 |
1.7× |
| Esophagus (74220) |
$902.85 |
$1,389 |
4.6× |
| Facial bones min 3 views (70150) |
$912.60 |
$1,404 |
7.8× |
| Fetal biophysical profile non-stress testing (76818) |
$358.15 |
$551 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$1,147.25 |
$1,765 |
4.3× |
| Foot 2 views (73620) |
$547.95 |
$843 |
5.7× |
| Forearm 2 views (73090) |
$466.05 |
$717 |
4.8× |
| Hand 2 views (73120) |
$523.90 |
$806 |
4.5× |
| Heart first pass single,planar (78481) |
$1,697.80 |
$2,612 |
2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$6,605.30 |
$10,162 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,593.20 |
$5,528 |
5.9× |
| Hysterosalpingogram (74740) |
$566.15 |
$871 |
2.1× |
| Interstitial radiation source applic complex (77778) |
$7,314.45 |
$11,253 |
9.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,484.95 |
$3,823 |
4.1× |
| Knee 3 views (73562) |
$828.10 |
$1,274 |
8.5× |
| Liver imaging static only (78201) |
$2,143.05 |
$3,297 |
3.5× |
| Lung perf&ventilat diferentl (78598) |
$3,785.60 |
$5,824 |
6.3× |
| Lung perfusion differential (78597) |
$3,097.25 |
$4,765 |
7.0× |
| Lymphoscintigraphy (78195) |
$1,113.45 |
$1,713 |
1.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$872.95 |
$1,343 |
1.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$761.15 |
$1,171 |
2.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$898.30 |
$1,382 |
2.3× |
| Mammary ductogram or galactogram single (77053) |
$939.90 |
$1,446 |
3.5× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$181.35 |
$279 |
1.9× |
| MRA head w & w/o contrast (70546) |
$2,458.30 |
$3,782 |
6.3× |
| MRA head w/o contrast (70544) |
$2,022.80 |
$3,112 |
7.6× |
| MRA head with contrast (70545) |
$2,458.30 |
$3,782 |
6.3× |
| MRA neck w contrast (70548) |
$2,458.30 |
$3,782 |
6.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,811.90 |
$4,326 |
7.2× |
| MRA neck w/o contrast (70547) |
$2,234.70 |
$3,438 |
8.4× |
| MRI abdomen w contrast (74182) |
$1,022.45 |
$1,573 |
2.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,022.45 |
$1,573 |
2.6× |
| MRI abdomen w/o contrast (74181) |
$704.60 |
$1,084 |
2.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$831.35 |
$1,279 |
1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$967.20 |
$1,488 |
2.5× |
| MRI bone marrow blood supply (77084) |
$1,756.95 |
$2,703 |
6.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,120.60 |
$1,724 |
4.2× |
| MRI breast wo contrast unilateral (77046) |
$872.30 |
$1,342 |
3.3× |
| MRI c-spine with contrast (72142) |
$1,114.10 |
$1,714 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$1,064.05 |
$1,637 |
4.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,064.05 |
$1,637 |
2.7× |
| MRI chest w/o contrast (71550) |
$696.80 |
$1,072 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$761.15 |
$1,171 |
2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$732.55 |
$1,127 |
1.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$572 |
$880 |
2.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$750.75 |
$1,155 |
2.8× |
| MRI orbit face neck w contrast (70542) |
$1,012.70 |
$1,558 |
2.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,012.70 |
$1,558 |
2.6× |
| MRI pelvis w/contrast (72196) |
$766.35 |
$1,179 |
2.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$766.35 |
$1,179 |
2.0× |
| MRI pelvis w/o contrast (72195) |
$732.55 |
$1,127 |
2.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,223.95 |
$1,883 |
3.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$876.20 |
$1,348 |
2.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$975.65 |
$1,501 |
2.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$971.10 |
$1,494 |
2.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,123.85 |
$1,729 |
2.9× |
| MRI temporomandibular joint (70336) |
$423.80 |
$652 |
1.6× |
| MRI thoracic spine w/o contrast (72146) |
$975.65 |
$1,501 |
3.7× |
| MRI up ext w/o contrast (73218) |
$572 |
$880 |
2.2× |
| MRI upper ext joint w/o contrast (73221) |
$719.55 |
$1,107 |
2.7× |
| MRI, joint upper extrem combo (73223) |
$1,014.65 |
$1,561 |
2.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,865.55 |
$5,947 |
2.7× |
| Myocardial spect single study at rest or stress (78451) |
$3,300.70 |
$5,078 |
2.3× |
| Neck soft tissue (70360) |
$530.40 |
$816 |
5.5× |
| Nm csf leak detection (78650) |
$2,000.70 |
$3,078 |
1.4× |
| Nm gastric emptying study (78264) |
$1,926.60 |
$2,964 |
4.3× |
| Nm gastroesophageal reflux study (78262) |
$1,571.70 |
$2,418 |
3.5× |
| Nuclear Rx Oral Admin (79005) |
$1,187.55 |
$1,827 |
4.6× |
| Ob us nuchal meas 1 gest (76813) |
$634.40 |
$976 |
5.4× |
| Osseous survey limited (77074) |
$377 |
$580 |
3.2× |
| Parathyroid Planar Imaging (78070) |
$1,721.20 |
$2,648 |
3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,305.85 |
$2,009 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$552.50 |
$850 |
4.7× |
| PET image w/CT, skull-thigh (78815) |
$5,000.45 |
$7,693 |
3.1× |
| PET imaging CT for attenuation limited area (78814) |
$427.70 |
$658 |
0.3× |
| PET imaging for CT attenuation whole body (78816) |
$6,433.05 |
$9,897 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$456.30 |
$702 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,441.10 |
$5,294 |
5.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,274 |
$1,960 |
2.1× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$762.45 |
$1,173 |
7.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$441.35 |
$679 |
4.6× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$704.60 |
$1,084 |
7.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$824.20 |
$1,268 |
8.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$824.20 |
$1,268 |
7.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$1,648.40 |
$2,536 |
14.1× |
| Radex fingr minimum 2 views (73140) |
$473.85 |
$729 |
4.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$757.25 |
$1,165 |
7.8× |
| Radex Hand Minimum 3 Views (73130) |
$712.40 |
$1,096 |
7.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$508.30 |
$782 |
5.2× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$1,130.35 |
$1,739 |
9.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$791.05 |
$1,217 |
6.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,582.75 |
$2,435 |
13.6× |
| Radex Humerus Minimum 2 Views (73060) |
$549.25 |
$845 |
5.7× |
| Radex Kne 1/2 Views (73560) |
$670.15 |
$1,031 |
6.9× |
| Radex Kne Compl 4/More Views (73564) |
$953.55 |
$1,467 |
8.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$774.80 |
$1,192 |
6.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$912.60 |
$1,404 |
9.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$729.95 |
$1,123 |
6.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$830.70 |
$1,278 |
8.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$227.50 |
$350 |
2.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$963.95 |
$1,483 |
8.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,246.05 |
$1,917 |
12.8× |
| Radex Toe Minimum 2 Views (73660) |
$508.95 |
$783 |
5.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$265.85 |
$409 |
2.3× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$697.45 |
$1,073 |
7.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,648.40 |
$2,536 |
14.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$629.20 |
$968 |
6.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,225.25 |
$1,885 |
10.5× |
| Radiologic exam chest 2 views (71046) |
$672.10 |
$1,034 |
6.9× |
| Radiologic exam colon single contrast study (74270) |
$1,891.50 |
$2,910 |
9.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$902.85 |
$1,389 |
4.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,203.50 |
$3,390 |
11.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,199.90 |
$1,846 |
6.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$714.35 |
$1,099 |
7.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$756.60 |
$1,164 |
6.5× |
| Radiological examination surgical specimen (76098) |
$1,465.75 |
$2,255 |
2.4× |
| Ribs bilateral 3 views (71110) |
$884.65 |
$1,361 |
7.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,614.95 |
$4,023 |
5.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,029 |
$4,660 |
6.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$12,130.30 |
$18,662 |
20.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,185 |
$4,900 |
5.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,872.02 |
$4,418.50 |
4.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,029 |
$4,660 |
2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,185 |
$4,900 |
2.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,429.70 |
$3,738 |
1.7× |
| Rp Therapy Intravenous Administration (79101) |
$1,233.05 |
$1,897 |
4.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$413.40 |
$636 |
1.6× |
| Scapula (73010) |
$656.50 |
$1,010 |
5.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$123.18 |
$189.50 |
5.3× |
| Shoulder 1 view (73020) |
$502.45 |
$773 |
5.2× |
| Sialogram (70390) |
$1,008.80 |
$1,552 |
3.8× |
| Small bowel series (74250) |
$1,886.30 |
$2,902 |
9.7× |
| Spine thoracic 3 views (72072) |
$1,008.80 |
$1,552 |
8.7× |
| Spleen imaging only (78185) |
$1,087.45 |
$1,673 |
2.4× |
| Thoracolumbar 2 views (72080) |
$748.80 |
$1,152 |
7.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,522.65 |
$3,881 |
4.2× |
| Thyroid imaging w/blood flow (78013) |
$2,851.55 |
$4,387 |
6.4× |
| Thyroid uptake measurement (78012) |
$921.70 |
$1,418 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,159 |
$4,860 |
7.1× |
| Ultrasound breast complete (76641) |
$466.70 |
$718 |
4.0× |
| Ultrasound elastography first target lesion (76982) |
$243.10 |
$374 |
2.1× |
| Ultrasound Exam Aaa Screen (76706) |
$911.95 |
$1,403 |
7.8× |
| Ultrasound, abdomen limited (76705) |
$386.10 |
$594 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$693.55 |
$1,067 |
7.2× |
| Urethrocystogram voiding (74455) |
$911.30 |
$1,402 |
3.4× |
| Us breast unilateral limited (76642) |
$466.70 |
$718 |
4.8× |
| Us chest (76604) |
$386.75 |
$595 |
3.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,980.55 |
$3,047 |
8.2× |
| Us compl joint r-t w/image documentation (76881) |
$438.10 |
$674 |
3.8× |
| Us elastography parenchyma (76981) |
$243.10 |
$374 |
2.1× |
| Us encephalogram (76506) |
$547.95 |
$843 |
4.7× |
| Us infant hips w manipulation (76885) |
$394.55 |
$607 |
4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$289.25 |
$445 |
2.5× |
| Us ob limited (76815) |
$358.15 |
$551 |
3.1× |
| Us ob transvaginal (76817) |
$376.35 |
$579 |
3.2× |
| Us pelvic non ob complete (76856) |
$696.15 |
$1,071 |
6.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$332.80 |
$512 |
2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$358.15 |
$551 |
3.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$663.65 |
$1,021 |
5.7× |
| Us retroperitoneal complete (76770) |
$889.20 |
$1,368 |
7.6× |
| Us retroperitoneal limited (76775) |
$586.95 |
$903 |
5.0× |
| Us scrotum and contents (76870) |
$667.55 |
$1,027 |
5.7× |
| Us soft tissue head/neck (76536) |
$391.30 |
$602 |
3.4× |
| Us spinal canal and contents (76800) |
$526.50 |
$810 |
4.5× |
| Us,transplanted kidney, real time/ doppler (76776) |
$358.15 |
$551 |
3.1× |
| Venogram extremity bilateral (75822) |
$1,040.65 |
$1,601 |
0.6× |
| Venogram Extremity Unilateral (75820) |
$2,306.85 |
$3,549 |
1.3× |
| Venography caval superior serialography rs&i (75827) |
$131.30 |
$202 |
0.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$7,276.75 |
$11,195 |
2.1× |
| Venous sampling by catheter (75893) |
$6,605.30 |
$10,162 |
1.1× |
| Wrist 2 views (73100) |
$503.10 |
$774 |
5.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,508.65 |
$2,321 |
12.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$789.75 |
$1,215 |
8.1× |
| X-ray b.e. reductn intuss (74283) |
$2,115.75 |
$3,255 |
10.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,213.25 |
$3,405 |
11.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$501.15 |
$771 |
5.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$753.35 |
$1,159 |
7.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$791.05 |
$1,217 |
6.8× |
| X-ray exam of femur 2/> (73552) |
$593.45 |
$913 |
6.1× |
| X-ray eye for foreign body (70030) |
$873.60 |
$1,344 |
9.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$365.95 |
$563 |
3.8× |
| X-ray IV pyelogram (ivp) (74400) |
$772.85 |
$1,189 |
4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$462.15 |
$711 |
4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$784.55 |
$1,207 |
8.1× |
| X-ray leg, infant (73592) |
$265.85 |
$409 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,242.15 |
$1,911 |
10.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,582.10 |
$2,434 |
13.6× |
| X-ray nose-rectum child f.b. (76010) |
$596.70 |
$918 |
6.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$916.50 |
$1,410 |
7.9× |
| X-ray retrograde pyelogram (74420) |
$1,454.70 |
$2,238 |
3.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$972.08 |
$1,495.50 |
10.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,094.60 |
$1,684 |
9.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$612.30 |
$942 |
5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$735.15 |
$1,131 |
7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,086.15 |
$1,671 |
11.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,262.95 |
$1,943 |
10.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$632.45 |
$973 |
5.4× |
| X-Ray Small Bowel Enteroclysis (74251) |
$2,214.55 |
$3,407 |
11.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$469.95 |
$723 |
4.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,080.30 |
$1,662 |
11.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$748.80 |
$1,152 |
7.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$834.60 |
$1,284 |
7.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,120.60 |
$1,724 |
9.6× |
| Xr bone length studies (77073) |
$701.35 |
$1,079 |
6.0× |
| Xr c-spine 4 or 5 views (72050) |
$1,339.65 |
$2,061 |
11.5× |
| Xr c-spine 6 or more views (72052) |
$1,223.30 |
$1,882 |
10.5× |
| Xr chest 4+ views (71048) |
$989.95 |
$1,523 |
8.5× |
| Xr urogram antegrade (74425) |
$2,026.05 |
$3,117 |
5.2× |