| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,111.50 |
$10,223 |
3.6× |
| Abdomen 1 View (74018) |
$387.50 |
$775 |
4.4× |
| Abdomen 2 views (74019) |
$414.50 |
$829 |
3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$750.50 |
$1,501 |
1.8× |
| Adrenal Cortex & Medulla Img (78075) |
$1,005 |
$2,010 |
0.8× |
| Angio internal mammary (75756) |
$2,316 |
$4,632 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,759 |
$5,518 |
0.9× |
| Ankle 2 views (73600) |
$151.50 |
$303 |
1.7× |
| Arthrogram hip (73525) |
$434 |
$868 |
1.2× |
| Arthrogram Wrist (73115) |
$288 |
$576 |
0.8× |
| Basic radiation dosimetry calculation (77300) |
$501 |
$1,002 |
3.7× |
| Bone age studies (77072) |
$277.50 |
$555 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$938 |
$1,876 |
2.3× |
| Bone Imaging Limited Area (78300) |
$1,089.50 |
$2,179 |
2.7× |
| Bone Imaging Whole Body (78306) |
$1,929.50 |
$3,859 |
4.8× |
| Bone survey infant (77076) |
$336 |
$672 |
3.2× |
| Brachytx isodose complex (77318) |
$1,492.50 |
$2,985 |
3.9× |
| Brachytx isodose intermed (77317) |
$1,317 |
$2,634 |
3.5× |
| Brachytx Isodose Plan Simple (77316) |
$1,078.50 |
$2,157 |
2.8× |
| Brain Flow Imaging Only (78610) |
$929 |
$1,858 |
1.7× |
| Cat Scan Follow-Up Study (76380) |
$321 |
$642 |
3.6× |
| Chest 1 view (71045) |
$390.50 |
$781 |
4.4× |
| Chest 2 views (71046) |
$608.50 |
$1,217 |
6.9× |
| Chest 3 views (71047) |
$648 |
$1,296 |
7.3× |
| Chest 4 or more views (71048) |
$308.50 |
$617 |
2.9× |
| Clavicle complete (73000) |
$182.50 |
$365 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$246 |
$492 |
2.3× |
| Continuing medical physics consltj pr wk (77336) |
$616 |
$1,232 |
4.5× |
| Contrast Exam Abdominl Aorta (75625) |
$3,518.50 |
$7,037 |
1.1× |
| Contrast X-Ray Bladder (74430) |
$280.50 |
$561 |
0.8× |
| Contrast X-Ray Of Elbow (73085) |
$361.50 |
$723 |
1.0× |
| Contrast X-Ray Of Knee Joint (73580) |
$281 |
$562 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,355 |
$8,710 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,786 |
$7,572 |
15.6× |
| CT abdomen w contrast (74160) |
$1,316 |
$2,632 |
7.4× |
| CT abdomen w wo contrast (74170) |
$1,826 |
$3,652 |
10.2× |
| CT abdomen w/o contrast (74150) |
$1,535 |
$3,070 |
14.5× |
| CT Angio Abdomen and Pelvis (74174) |
$1,124 |
$2,248 |
3.2× |
| CT Angio Chest (71275) |
$1,507.50 |
$3,015 |
8.5× |
| CT Angio Head (70496) |
$1,686 |
$3,372 |
9.5× |
| CT angio hrt w/3d image (75574) |
$1,624.50 |
$3,249 |
4.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,370 |
$2,740 |
7.7× |
| CT Angio Neck (70498) |
$1,686 |
$3,372 |
9.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,370 |
$2,740 |
7.7× |
| CT cervical spine w/ contrast (72126) |
$1,615.50 |
$3,231 |
4.6× |
| CT cervical spine w/o contrast (72125) |
$1,475 |
$2,950 |
13.9× |
| CT cervical spine w/wo cont (72127) |
$1,545.50 |
$3,091 |
8.7× |
| CT chest w contrast (71260) |
$1,507.50 |
$3,015 |
8.5× |
| CT chest w/wo contrast (71270) |
$1,694.50 |
$3,389 |
9.5× |
| CT head/brain with contrast (70460) |
$1,615.50 |
$3,231 |
9.1× |
| CT head/brain without and with contrast (70470) |
$2,002 |
$4,004 |
11.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$360.50 |
$721 |
4.1× |
| CT iac w contrast (70481) |
$1,466.50 |
$2,933 |
8.2× |
| CT l-spine w&w/o contrast (72133) |
$1,812.50 |
$3,625 |
10.2× |
| CT lower ext w/o (73700) |
$1,672 |
$3,344 |
15.7× |
| CT lower extremity w/contrast material (73701) |
$1,678.50 |
$3,357 |
9.4× |
| CT lumbar spine w contrast (72132) |
$1,615.50 |
$3,231 |
4.6× |
| CT lumbar spine w/o contrast (72131) |
$1,545.50 |
$3,091 |
14.6× |
| CT maxillofacial w contrast (70487) |
$1,279 |
$2,558 |
7.2× |
| CT maxillofacial wo contrast (70486) |
$1,096.50 |
$2,193 |
10.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,966.50 |
$3,933 |
11.0× |
| CT orbits w/o contrast (70480) |
$822 |
$1,644 |
7.7× |
| CT pelvis w&w/o contrast (72194) |
$1,693.50 |
$3,387 |
9.5× |
| CT pelvis w/o contrast (72192) |
$1,461.50 |
$2,923 |
13.8× |
| CT scan of leg combo (73702) |
$1,726 |
$3,452 |
9.7× |
| CT scans face/jaw combo (70488) |
$1,512 |
$3,024 |
8.5× |
| CT soft tissue neck w contrast (70491) |
$1,306.50 |
$2,613 |
7.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,004.50 |
$2,009 |
9.5× |
| CT thoracic spine w contrast (72129) |
$1,826 |
$3,652 |
10.2× |
| CT thoracic spine w/o contrast (72128) |
$1,781 |
$3,562 |
16.8× |
| CT thorax w/o contrast (71250) |
$1,359.50 |
$2,719 |
12.8× |
| CT upper ext wo (73200) |
$1,520 |
$3,040 |
14.3× |
| CT upper extremity with contrast (73201) |
$1,683 |
$3,366 |
4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,370 |
$2,740 |
7.7× |
| Cta Abdomen (74175) |
$1,791.50 |
$3,583 |
10.1× |
| CTA pelvis (72191) |
$1,237.50 |
$2,475 |
6.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$895 |
$1,790 |
8.4× |
| Dxa Bone Density Axial (77080) |
$280 |
$560 |
2.6× |
| Echo exam of fetal heart (76825) |
$1,740.50 |
$3,481 |
3.1× |
| Echo Guide For Artery Repair (76936) |
$1,475.50 |
$2,951 |
6.7× |
| Echograp Trans R Pros Study (76873) |
$449.50 |
$899 |
4.2× |
| Esophagram (74220) |
$309 |
$618 |
1.7× |
| Fetal Biophys Profile W/Nst (76818) |
$606.50 |
$1,213 |
5.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$606.50 |
$1,213 |
5.7× |
| Fluoroscopy up to 1 hr (76000) |
$538.50 |
$1,077 |
2.2× |
| Foot 2 views (73620) |
$167 |
$334 |
1.9× |
| Forearm 2 views (73090) |
$360.50 |
$721 |
4.1× |
| Gastric emptying imaging study (78264) |
$1,427 |
$2,854 |
3.5× |
| Gated Heart Planar Single (78472) |
$562.50 |
$1,125 |
1.4× |
| Hand 2 views (73120) |
$151.50 |
$303 |
1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$4,124.50 |
$8,249 |
5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$3,839.50 |
$7,679 |
5.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$3,220 |
$6,440 |
4.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,585 |
$7,170 |
1.1× |
| Hepatobil Syst Image W/Drug (78227) |
$1,529 |
$3,058 |
2.8× |
| Hepatobiliary System Imaging (78226) |
$1,015.50 |
$2,031 |
2.5× |
| Ht Muscle Image Spect Sing (78451) |
$1,688.50 |
$3,377 |
1.3× |
| Hysterosalpingogram (74740) |
$291 |
$582 |
1.2× |
| Image fusion (77399) |
$485 |
$970 |
3.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$281 |
$562 |
3.2× |
| Interstitial radiation source applic complex (77778) |
$3,867 |
$7,734 |
5.5× |
| K Flow/Funct Image Multiple (78709) |
$1,238 |
$2,476 |
2.2× |
| K Flow/Funct Image W/Drug (78708) |
$840.50 |
$1,681 |
1.5× |
| K Flow/Funct Image W/O Drug (78707) |
$801 |
$1,602 |
1.5× |
| Knee 3 Views (73562) |
$195.50 |
$391 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$474 |
$948 |
1.2× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,165.50 |
$2,331 |
2.1× |
| Lymph System Imaging (78195) |
$284.50 |
$569 |
0.5× |
| Magnetic Image Jaw Joint (70336) |
$1,880.50 |
$3,761 |
7.8× |
| Meckels Divert Exam (78290) |
$489 |
$978 |
1.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,028.50 |
$4,057 |
5.3× |
| Mr safety determination physician/other qhp (76016) |
$164 |
$328 |
1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$45.50 |
$91 |
1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$171 |
$342 |
1.8× |
| Mr safety implt pos&/immoblj (76019) |
$110.50 |
$221 |
1.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$450.50 |
$901 |
1.9× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,599 |
$5,198 |
7.3× |
| MRA head w/o contrast (70544) |
$1,212 |
$2,424 |
5.0× |
| MRA head with contrast (70545) |
$1,264.50 |
$2,529 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,117.50 |
$4,235 |
6.0× |
| MRA neck w/o contrast (70547) |
$1,087.50 |
$2,175 |
4.5× |
| MRI abdomen w/o contrast (74181) |
$5,137.50 |
$10,275 |
21.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,126 |
$6,252 |
3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,384 |
$8,768 |
12.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,861 |
$5,722 |
3.6× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$439 |
$878 |
1.8× |
| MRI cervical spine w/o cont (72141) |
$1,229 |
$2,458 |
5.1× |
| MRI chest w/o contrast (71550) |
$1,857.50 |
$3,715 |
7.7× |
| MRI chest wo w contrast (71552) |
$4,357.50 |
$8,715 |
12.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,526 |
$9,052 |
12.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,382 |
$6,764 |
14.0× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,409.50 |
$4,819 |
6.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,686 |
$3,372 |
7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,368 |
$4,736 |
6.7× |
| MRI pelvis w/o & w contrast (72197) |
$4,395.50 |
$8,791 |
12.4× |
| MRI pelvis w/o contrast (72195) |
$2,229 |
$4,458 |
9.2× |
| MRI spectroscopy (76390) |
$2,327 |
$4,654 |
26.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,768 |
$5,536 |
11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,216.50 |
$4,433 |
9.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$4,910 |
$9,820 |
13.9× |
| MRI, abdomen, combo (74183) |
$5,149 |
$10,298 |
14.5× |
| MRI, dorsal spine combo (72157) |
$4,455.50 |
$8,911 |
12.6× |
| MRI, joint upper extrem (73221) |
$3,433.50 |
$6,867 |
14.2× |
| MRI, joint upper extrem combo (73223) |
$4,384 |
$8,768 |
12.4× |
| MRI, lumbar spine combo (72158) |
$4,455.50 |
$8,911 |
12.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,318 |
$6,636 |
2.5× |
| N-invas est c ffr sw aly CTA (75580) |
$3,193.50 |
$6,387 |
3.7× |
| Neck soft tissue (70360) |
$151 |
$302 |
1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,218.50 |
$12,437 |
4.4× |
| Nuclear Rx Oral Admin (79005) |
$1,246.50 |
$2,493 |
5.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$318.50 |
$637 |
3.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$768 |
$1,536 |
1.4× |
| Parathyroid Planar Imaging (78070) |
$768 |
$1,536 |
1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,597.50 |
$3,195 |
3.9× |
| Pelvis 1 or 2 views (72170) |
$392.50 |
$785 |
3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,128.50 |
$8,257 |
2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$724.50 |
$1,449 |
1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$549.50 |
$1,099 |
5.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$345.50 |
$691 |
0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$371.50 |
$743 |
4.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$218.50 |
$437 |
2.5× |
| Radex elbow complete minimum 3 views (73080) |
$362.50 |
$725 |
4.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$247 |
$494 |
2.3× |
| Radex fingr minimum 2 views (73140) |
$254.50 |
$509 |
2.9× |
| Radex foot complete minimum 3 views (73630) |
$412 |
$824 |
4.7× |
| Radex Hand Minimum 3 Views (73130) |
$360.50 |
$721 |
4.1× |
| Radex lower extremity infant minimum 2 views (73592) |
$76.50 |
$153 |
0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$235.50 |
$471 |
2.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$252.50 |
$505 |
2.9× |
| Radex shoulder complete minimum 2 views (73030) |
$391 |
$782 |
4.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$144 |
$288 |
1.6× |
| Radex Spine 1 View Specify Level (72020) |
$144 |
$288 |
1.6× |
| Radex Sternum Minimum 2 Views (71120) |
$185.50 |
$371 |
2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$212 |
$424 |
2.4× |
| Radex Toe Minimum 2 Views (73660) |
$162 |
$324 |
1.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$76.50 |
$153 |
0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$376 |
$752 |
4.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$581.50 |
$1,163 |
5.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$15,490 |
$30,980 |
2.1× |
| Radiation treatment delivery level 1 (77402) |
$519.50 |
$1,039 |
5.0× |
| Radiation treatment delivery level 2 (77407) |
$645 |
$1,290 |
1.6× |
| Radiation treatment delivery level 3 (77412) |
$880 |
$1,760 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$261.50 |
$523 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$513.50 |
$1,027 |
4.8× |
| Radiologic exam colon double contrast study (74280) |
$825.50 |
$1,651 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$720.50 |
$1,441 |
4.0× |
| Radiologic exam knee complete 4/more views (73564) |
$427 |
$854 |
4.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$412 |
$824 |
3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$408.50 |
$817 |
2.3× |
| Radiologic exam swallow function contrast study (74230) |
$390 |
$780 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$881.50 |
$1,763 |
4.9× |
| Radiologic examination femur 1 view (73551) |
$140 |
$280 |
1.6× |
| Radiologic examination femur minimum 2 views (73552) |
$240 |
$480 |
2.7× |
| Radiologic examination knee 1/2 views (73560) |
$192 |
$384 |
2.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$360.50 |
$721 |
4.1× |
| Ribs bilateral 3 views (71110) |
$327 |
$654 |
3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,389 |
$2,778 |
2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,016.50 |
$2,033 |
1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,081.50 |
$2,163 |
2.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,038.50 |
$2,077 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,441 |
$6,882 |
2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$1,961.50 |
$3,923 |
1.5× |
| Rp Therapy Intravenous Administration (79101) |
$885 |
$1,770 |
3.7× |
| Scapula (73010) |
$176 |
$352 |
1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$66.50 |
$133 |
2.8× |
| Shoulder 1 view (73020) |
$121 |
$242 |
1.4× |
| Shoulder Arthrography (73040) |
$567.50 |
$1,135 |
1.6× |
| Skull less than 4 views (70250) |
$284 |
$568 |
2.7× |
| Special dosimetry (77331) |
$464.50 |
$929 |
3.4× |
| Special Physics Consult (77370) |
$859 |
$1,718 |
6.3× |
| Special teletherapy port plan (77321) |
$1,207.50 |
$2,415 |
3.2× |
| Special treatment procedure (77470) |
$2,111 |
$4,222 |
3.8× |
| Stereotactic Body Radiation Delivery (77373) |
$7,025.50 |
$14,051 |
3.9× |
| Sternoclavicular joints (71130) |
$194.50 |
$389 |
2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,686.50 |
$3,373 |
4.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$921 |
$1,842 |
2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,839.50 |
$3,679 |
4.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$881.50 |
$1,763 |
6.5× |
| Thoracic spine 2 views (72070) |
$192 |
$384 |
1.8× |
| Thoracic spine 3 views (72072) |
$365 |
$730 |
3.4× |
| Thoracolumbar 2 views (72080) |
$350.50 |
$701 |
4.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$355 |
$710 |
0.9× |
| Thyroid Met Imaging Body (78018) |
$1,040 |
$2,080 |
1.9× |
| Thyroid Uptake Measurement (78012) |
$265 |
$530 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$252.50 |
$505 |
0.6× |
| Tx Devices Design & Construction Complex (77334) |
$1,144.50 |
$2,289 |
3.0× |
| Tx devices design & construction intermediate (77333) |
$852 |
$1,704 |
6.2× |
| Tx devices design & construction simple (77332) |
$560.50 |
$1,121 |
4.1× |
| Ultrasound Breast Limited (76642) |
$744 |
$1,488 |
8.4× |
| Ultrasound Exam Aaa Screen (76706) |
$271 |
$542 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$1,178.50 |
$2,357 |
11.1× |
| Unlisted us procedure (76999) |
$441.50 |
$883 |
5.0× |
| Upper gi w/o kub (74240) |
$786.50 |
$1,573 |
4.4× |
| Urethrocystogram voiding (74455) |
$255 |
$510 |
1.1× |
| Urethrocystography retrograde (74450) |
$798.50 |
$1,597 |
3.3× |
| Us breast unilateral complete (76641) |
$744 |
$1,488 |
7.0× |
| Us chest (76604) |
$558 |
$1,116 |
5.3× |
| Us complete joint (76881) |
$618 |
$1,236 |
5.8× |
| Us exam, pelvic, limited (76857) |
$521 |
$1,042 |
4.9× |
| Us head (76506) |
$767 |
$1,534 |
7.2× |
| Us kidney transplant (76776) |
$438.50 |
$877 |
4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$594.50 |
$1,189 |
5.6× |
| Us ob limited 1 or more fetuses (76815) |
$618 |
$1,236 |
5.8× |
| Us ob transvaginal (76817) |
$471.50 |
$943 |
4.4× |
| Us pelvic non ob complete (76856) |
$841 |
$1,682 |
7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$841 |
$1,682 |
7.9× |
| Us retroperitoneal complete (76770) |
$1,089.50 |
$2,179 |
10.3× |
| Us retroperitoneal limited (76775) |
$1,035.50 |
$2,071 |
9.8× |
| Us scrotum and contents (76870) |
$1,327 |
$2,654 |
12.5× |
| Us spinal canal and contents (76800) |
$491 |
$982 |
4.6× |
| Us thyroid (76536) |
$789.50 |
$1,579 |
7.4× |
| Venography extremity unilateral rs&i (75820) |
$495 |
$990 |
0.3× |
| Wrist 2 views (73100) |
$151.50 |
$303 |
1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$291 |
$582 |
3.3× |
| X-ray antegrade pyelogram tube (74425) |
$395 |
$790 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$399 |
$798 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$166.50 |
$333 |
1.9× |
| X-Ray Exam Breast Specimen (76098) |
$111 |
$222 |
0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$312 |
$624 |
3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$438.50 |
$877 |
4.1× |
| X-Ray Exam Hip Uni 1 View (73501) |
$232.50 |
$465 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$282 |
$564 |
3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$332 |
$664 |
3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$332 |
$664 |
3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$396 |
$792 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$556 |
$1,112 |
5.2× |
| X-Ray Exam L-S Spine Bending (72114) |
$730 |
$1,460 |
6.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$232.50 |
$465 |
2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$453.50 |
$907 |
4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$365 |
$730 |
3.4× |
| X-ray humerus (73060) |
$349.50 |
$699 |
4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$199 |
$398 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$213.50 |
$427 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$412 |
$824 |
3.9× |
| X-ray nose-rectum child f.b. (76010) |
$273.50 |
$547 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$432 |
$864 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$185.50 |
$371 |
1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$185.50 |
$371 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$371.50 |
$743 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$354.50 |
$709 |
4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$436.50 |
$873 |
4.1× |
| X-ray thoracic spine 4 vw (72074) |
$449.50 |
$899 |
4.2× |
| X-Ray Tmj Unilat (70328) |
$179.50 |
$359 |
2.0× |
| X-Rays Bone Length Studies (77073) |
$288.50 |
$577 |
2.7× |
| X-Rays Bone Survey Complete (77075) |
$533.50 |
$1,067 |
5.0× |
| Xr c-spine 4 or 5 views (72050) |
$583.50 |
$1,167 |
5.5× |
| Xr facial bones less than 3 views (70140) |
$202 |
$404 |
2.3× |
| Xr orbits complete 4 views (70200) |
$339 |
$678 |
3.2× |