| Abdomen 2 views (74019) |
$184.36 |
$1,024.22 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$806.60 |
$4,481.09 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$1,508.23 |
$8,379.04 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,901.38 |
$10,563.21 |
0.6× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,100.87 |
$11,671.49 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,169.88 |
$6,499.32 |
0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,203.31 |
$6,685.08 |
0.4× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,100.89 |
$11,671.60 |
0.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,029.33 |
$33,496.28 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,222.31 |
$6,790.63 |
0.4× |
| Ankle 2 views (73600) |
$122.80 |
$682.26 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$276.03 |
$1,533.51 |
0.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,434.66 |
$13,525.90 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,149.04 |
$11,939.12 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,393.93 |
$13,299.61 |
0.8× |
| Arthrogram elbow (73085) |
$384.76 |
$2,137.58 |
1.2× |
| Arthrogram hip (73525) |
$386.47 |
$2,147.07 |
1.2× |
| Arthrogram shoulder (73040) |
$406.57 |
$2,258.73 |
1.2× |
| Arthrogram wrist (73115) |
$371.59 |
$2,064.41 |
1.1× |
| Arthrography knee lt (73580) |
$343.47 |
$1,908.18 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$446.71 |
$2,481.71 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$1,100.85 |
$6,115.84 |
2.9× |
| Bone age studies (77072) |
$127.54 |
$708.53 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$992.87 |
$5,515.95 |
2.6× |
| Brain image w/flow 4 + views (78606) |
$291.60 |
$1,619.99 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$788.94 |
$4,383 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$139.53 |
$775.18 |
1.7× |
| Chest 1 view (71045) |
$318.19 |
$1,767.74 |
3.9× |
| Chest 3 views (71047) |
$539.15 |
$2,995.26 |
6.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$269.64 |
$1,497.98 |
1.6× |
| Clavicle complete (73000) |
$128.72 |
$715.14 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$55.36 |
$307.56 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,235.76 |
$6,865.35 |
3.7× |
| CT abdomen and pelvis without contrast (74176) |
$845.78 |
$4,698.77 |
3.7× |
| CT abdomen w contrast (74160) |
$962.65 |
$5,348.06 |
5.8× |
| CT abdomen w wo contrast (74170) |
$930.30 |
$5,168.31 |
5.6× |
| CT abdomen w/o contrast (74150) |
$845.77 |
$4,698.73 |
8.5× |
| CT angiography upper extremity lt (73206) |
$1,544.66 |
$8,581.44 |
9.3× |
| CT c-spine w/o contrast (72125) |
$1,085 |
$6,027.75 |
10.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT cervical spine with contrast (72126) |
$1,048.38 |
$5,824.31 |
3.2× |
| CT chest w/wo contrast (71270) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT chest with contrast (71260) |
$962.65 |
$5,348.06 |
5.8× |
| CT head/brain with contrast (70460) |
$962.64 |
$5,348.01 |
5.8× |
| CT head/brain without and with contrast (70470) |
$1,235.75 |
$6,865.29 |
7.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$59.99 |
$333.28 |
0.7× |
| CT iac w contrast (70481) |
$966.61 |
$5,370.03 |
5.8× |
| CT lower ext w/o (73700) |
$1,130.46 |
$6,280.32 |
11.4× |
| CT lower extremity w wo contrast (73702) |
$1,308.07 |
$7,267.07 |
7.9× |
| CT lower extremity with contrast (73701) |
$962.64 |
$5,348.04 |
5.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,235.75 |
$6,865.29 |
7.4× |
| CT lumbar spine w/o contrast (72131) |
$845.78 |
$4,698.77 |
8.5× |
| CT lumbar spine with contrast (72132) |
$1,048.38 |
$5,824.31 |
3.2× |
| CT maxillofacial w contrast (70487) |
$962.65 |
$5,348.06 |
5.8× |
| CT maxillofacial w/o contrast (70486) |
$845.78 |
$4,698.77 |
8.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT neck soft tissue w contrast (70491) |
$962.64 |
$5,348.01 |
5.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT orbits w/o contrast (70480) |
$845.77 |
$4,698.73 |
8.5× |
| CT pelvis w & w/o contrast (72194) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT pelvis w/o contrast (72192) |
$845.78 |
$4,698.77 |
8.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,235.75 |
$6,865.29 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$845.78 |
$4,698.77 |
8.5× |
| CT thoracic spine w/contrast (72129) |
$962.65 |
$5,348.06 |
5.8× |
| CT thoracic spine w/o contrast (72128) |
$845.78 |
$4,698.77 |
8.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT thorax w/o contrast (71250) |
$845.78 |
$4,698.77 |
8.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,235.76 |
$6,865.35 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,096.76 |
$6,093.08 |
11.1× |
| CT upper extremity with contrast (73201) |
$1,171.12 |
$6,506.24 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$845.78 |
$4,698.77 |
5.1× |
| Cta Abdomen (74175) |
$845.77 |
$4,698.73 |
5.1× |
| CTA abdomen pelvis (74174) |
$845.78 |
$4,698.77 |
2.6× |
| CTA chest (71275) |
$1,028.36 |
$5,713.13 |
6.2× |
| Cta Head (70496) |
$845.77 |
$4,698.73 |
5.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,421.82 |
$7,898.99 |
4.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,177.34 |
$6,540.74 |
7.1× |
| Cta Neck (70498) |
$576.05 |
$3,200.26 |
3.5× |
| Cta Pelvis (72191) |
$849.56 |
$4,719.77 |
5.1× |
| Cystography minimum 3 views rs&i (74430) |
$309.60 |
$1,719.99 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$172.45 |
$958.04 |
1.7× |
| Esophagus (74220) |
$210.44 |
$1,169.12 |
1.3× |
| Fetal biophysical profile non-stress testing (76818) |
$334.57 |
$1,858.73 |
3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$309.79 |
$1,721.04 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$198.20 |
$1,101.12 |
0.9× |
| Foot 2 views (73620) |
$160.33 |
$890.72 |
1.9× |
| Forearm 2 views (73090) |
$129.57 |
$719.86 |
1.6× |
| Gated Heart Planar Single (78472) |
$1,029.59 |
$5,719.94 |
2.7× |
| Hand 2 views (73120) |
$67.27 |
$373.70 |
0.7× |
| Hand 3 views (73130) |
$337.24 |
$1,873.53 |
4.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,072.15 |
$11,511.93 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$834.13 |
$4,634.06 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$834.13 |
$4,634.06 |
2.2× |
| Ht muscle image spect sing (78451) |
$1,486.83 |
$8,260.15 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$133.43 |
$741.29 |
1.6× |
| Hysterosalpingogram (74740) |
$286.44 |
$1,591.35 |
1.3× |
| Interstitial radiation source applic complex (77778) |
$1,774.93 |
$9,860.70 |
2.7× |
| Kidney imaging morphology (78700) |
$992.02 |
$5,511.24 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$890.19 |
$4,945.51 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$960.87 |
$5,338.14 |
1.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,284.25 |
$7,134.73 |
2.5× |
| Knee 3 views (73562) |
$180.09 |
$1,000.49 |
2.2× |
| Liver & spleen imaging static only (78215) |
$672.45 |
$3,735.85 |
1.8× |
| Lung perfusion differential (78597) |
$618.80 |
$3,437.78 |
1.6× |
| Lymphoscintigraphy (78195) |
$924.33 |
$5,135.19 |
1.8× |
| Meckels Diverticulum (78290) |
$700.59 |
$3,892.17 |
1.8× |
| Mr safety determination physician/other qhp (76016) |
$48.06 |
$267 |
0.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$32.58 |
$181 |
0.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$16.02 |
$89 |
0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$52.38 |
$291 |
0.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$131.58 |
$731 |
0.6× |
| MRA head w & w/o contrast (70546) |
$2,133.46 |
$11,852.55 |
6.4× |
| MRA head w/o contrast (70544) |
$1,235.76 |
$6,865.35 |
5.5× |
| MRA head with contrast (70545) |
$962.65 |
$5,348.06 |
2.9× |
| MRA neck w contrast (70548) |
$2,037.98 |
$11,322.10 |
6.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRA neck w/o contrast (70547) |
$845.78 |
$4,698.77 |
3.7× |
| MRI abdomen w contrast (74182) |
$962.65 |
$5,348.06 |
2.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI abdomen w/o contrast (74181) |
$845.78 |
$4,698.77 |
3.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,764.92 |
$9,805.12 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,853.23 |
$10,295.72 |
2.5× |
| MRI breast w/o contrast bilateral (77047) |
$845.78 |
$4,698.77 |
3.7× |
| MRI c-spine with contrast (72142) |
$962.65 |
$5,348.06 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$1,853.23 |
$10,295.72 |
8.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,133.46 |
$11,852.55 |
6.4× |
| MRI chest w/o contrast (71550) |
$845.78 |
$4,698.77 |
3.7× |
| MRI chest with contrast (71551) |
$1,940.87 |
$10,782.61 |
2.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$962.65 |
$5,348.06 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$962.65 |
$5,348.06 |
2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,268.50 |
$7,047.20 |
5.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$845.78 |
$4,698.77 |
3.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,940.87 |
$10,782.61 |
5.9× |
| MRI pelvis w contrast (72196) |
$1,764.92 |
$9,805.12 |
5.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,940.87 |
$10,782.61 |
5.9× |
| MRI pelvis w/o contrast (72195) |
$845.78 |
$4,698.77 |
3.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,853.23 |
$10,295.72 |
5.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$962.65 |
$5,348.06 |
2.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$962.65 |
$5,348.06 |
2.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,764.92 |
$9,805.12 |
7.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,044.38 |
$11,357.67 |
9.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,235.76 |
$6,865.35 |
3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,557.64 |
$8,653.54 |
6.9× |
| Myocardial Spect Multiple Studies (78452) |
$1,486.83 |
$8,260.15 |
1.2× |
| Neck soft tissue (70360) |
$124.89 |
$693.82 |
1.5× |
| Nm gastric emptying study (78264) |
$991.57 |
$5,508.70 |
2.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$5,053.08 |
$28,072.67 |
3.7× |
| Osseous survey infant (77076) |
$123.86 |
$688.12 |
1.2× |
| Osseous survey limited (77074) |
$311.24 |
$1,729.10 |
3.1× |
| Parathyrd planar w/spect&CT (78072) |
$299.52 |
$1,664 |
0.6× |
| Parathyrd planar w/wo subtrj (78071) |
$209.37 |
$1,163.18 |
0.6× |
| Parathyroid imaging (78070) |
$969.17 |
$5,384.26 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$169.86 |
$943.68 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$4,235.42 |
$23,530.09 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$4,235.42 |
$23,530.09 |
3.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,374.62 |
$7,636.76 |
4.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,502.52 |
$13,902.87 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$595.51 |
$3,308.40 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$849.61 |
$4,720.04 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$211.20 |
$1,173.35 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$287.57 |
$1,597.59 |
3.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$138.40 |
$768.88 |
1.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$141.48 |
$785.99 |
1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$575.13 |
$3,195.17 |
5.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$143.67 |
$798.16 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$157.49 |
$874.93 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$184.36 |
$1,024.22 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$438.51 |
$2,436.15 |
5.3× |
| Radiologic exam colon single contrast study (74270) |
$439.67 |
$2,442.62 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$387.48 |
$2,152.64 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$363.58 |
$2,019.89 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$154.14 |
$856.34 |
1.9× |
| Radiological examination surgical specimen (76098) |
$381.16 |
$2,117.57 |
0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,016.15 |
$5,645.28 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,776.56 |
$9,869.76 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,165.69 |
$6,476.04 |
2.3× |
| Scapula complete (73010) |
$124.89 |
$693.82 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$51.82 |
$287.87 |
2.2× |
| Small bowel series (74250) |
$316.42 |
$1,757.87 |
1.9× |
| Spine thoracic 3 views (72072) |
$196.64 |
$1,092.43 |
2.0× |
| Thoracolumbar 2 views (72080) |
$127.54 |
$708.53 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$656 |
$3,644.46 |
1.7× |
| Thyroid uptake measurement (78012) |
$329.15 |
$1,828.61 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,009.19 |
$5,606.63 |
2.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,109.66 |
$6,164.79 |
2.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,776.44 |
$9,869.12 |
4.7× |
| Ultrasound, abdomen limited (76705) |
$277.38 |
$1,541.01 |
2.8× |
| Umbilical-artery Doppler (OB) (76820) |
$194.67 |
$1,081.50 |
2.0× |
| Unlisted Ultrasound Procedure (76999) |
$29.88 |
$165.98 |
0.4× |
| Upper Extremity Infant (73092) |
$148 |
$822.23 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$282.71 |
$1,570.60 |
1.2× |
| Urethrocystography voiding (74455) |
$306.83 |
$1,704.63 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$367.91 |
$2,043.92 |
2.2× |
| Us abdl aorta screen aaa (76706) |
$154.65 |
$859.14 |
1.6× |
| Us breast unilateral complete (76641) |
$381.98 |
$2,122.14 |
3.9× |
| Us breast unilateral limited (76642) |
$316.17 |
$1,756.48 |
3.8× |
| Us chest (76604) |
$249.38 |
$1,385.45 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$261.68 |
$1,453.76 |
2.6× |
| Us elastography parenchyma (76981) |
$51.67 |
$287.05 |
0.5× |
| Us infant hips dynamic (76885) |
$346.86 |
$1,927 |
4.2× |
| Us infant hips limited static (76886) |
$178.97 |
$994.29 |
2.2× |
| Us ob transvaginal (76817) |
$194.67 |
$1,081.50 |
2.0× |
| Us pelvic non ob complete (76856) |
$728.77 |
$4,048.73 |
7.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$194.67 |
$1,081.50 |
2.0× |
| Us pregnancy ltd (76815) |
$194.67 |
$1,081.50 |
2.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$194.67 |
$1,081.50 |
2.0× |
| Us retroperitoneal complete (76770) |
$336.96 |
$1,872 |
3.4× |
| Us retroperitoneal limited (76775) |
$194.67 |
$1,081.50 |
2.0× |
| Us scrotum and contents (76870) |
$367.78 |
$2,043.21 |
3.7× |
| Us soft tissue head/neck (76536) |
$194.67 |
$1,081.50 |
2.0× |
| Us spinal canal and contents (76800) |
$283.35 |
$1,574.17 |
2.9× |
| Us xtr non-vasc lmtd (76882) |
$194.67 |
$1,081.50 |
2.0× |
| Venogram extremity bilateral (75822) |
$940.61 |
$5,225.62 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,437.84 |
$19,099.12 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$2,138.57 |
$11,880.93 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$671.41 |
$3,730.04 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$1,942.51 |
$10,791.71 |
0.6× |
| Wrist 2 views (73100) |
$118.95 |
$660.84 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$404.77 |
$2,248.73 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$137.29 |
$762.72 |
1.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$840.28 |
$4,668.23 |
10.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$390.11 |
$2,167.25 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$122.80 |
$682.26 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$131.42 |
$730.14 |
1.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$575.13 |
$3,195.17 |
5.8× |
| X-ray exam hip uni 1 view (73501) |
$115.69 |
$642.71 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$121.79 |
$676.62 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$182.69 |
$1,014.95 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$141.48 |
$785.99 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$282.95 |
$1,571.96 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$147.13 |
$817.41 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$127.54 |
$708.53 |
1.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$289.90 |
$1,610.60 |
3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$119.26 |
$662.54 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$373.04 |
$2,072.42 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$209.94 |
$1,166.35 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$149.46 |
$830.36 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$139.53 |
$775.18 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$266.64 |
$1,481.32 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$103.04 |
$572.44 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$157.47 |
$874.82 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$147.13 |
$817.41 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$194.29 |
$1,079.38 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$317.14 |
$1,761.91 |
1.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$182.10 |
$1,011.64 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$255.52 |
$1,419.57 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$140.16 |
$778.66 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$139.53 |
$775.18 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$301.86 |
$1,677.01 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$194.85 |
$1,082.52 |
2.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$73.50 |
$408.35 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$204.49 |
$1,136.04 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$140.16 |
$778.66 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$124.89 |
$693.82 |
1.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$98.05 |
$544.74 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$127.54 |
$708.53 |
1.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$81.92 |
$455.12 |
0.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$128.78 |
$715.44 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$539.65 |
$2,998.05 |
6.5× |
| Xr arthrogram ankle (73615) |
$417.39 |
$2,318.85 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$334.18 |
$1,856.55 |
3.4× |
| Xr chest 4+ views (71048) |
$472.17 |
$2,623.18 |
4.8× |
| Xr finger(s) 2+ views (73140) |
$129.57 |
$719.86 |
1.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$124.13 |
$689.63 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$232.03 |
$1,289.03 |
2.3× |
| Xr tibia/fibula 2 views (73590) |
$150.93 |
$838.48 |
1.8× |
| Xr tmj bilateral (70330) |
$137.70 |
$765 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$150.93 |
$838.48 |
1.8× |