| Abdomen 2 views (74019) |
$164.16 |
$533 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$321.89 |
$1,987 |
0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$1,975.07 |
$6,682 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$2,057.83 |
$6,962 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$1,934.28 |
$6,544 |
0.6× |
| Angiography internal mammary rs&i (75756) |
$798.95 |
$2,703 |
0.2× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,407.85 |
$4,763 |
0.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,600.27 |
$5,414 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,163.99 |
$3,938 |
0.3× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,023.25 |
$6,845 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,023.25 |
$6,845 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$550.67 |
$1,863 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,163.99 |
$3,938 |
0.3× |
| Ankle 2 views (73600) |
$121.04 |
$393 |
1.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$181.72 |
$590 |
0.5× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,023.25 |
$6,845 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,828.16 |
$6,185 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,683.33 |
$5,695 |
0.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,252.86 |
$11,005 |
1.0× |
| Artery X-Rays Adrenal Gland (75731) |
$1,828.75 |
$6,187 |
0.5× |
| Arthrogram elbow (73085) |
$149.56 |
$506 |
0.4× |
| Arthrogram hip (73525) |
$219.91 |
$744 |
0.6× |
| Arthrogram shoulder (73040) |
$285.53 |
$966 |
0.8× |
| Arthrogram wrist (73115) |
$218.73 |
$740 |
0.6× |
| Arthrography knee lt (73580) |
$229.07 |
$775 |
0.6× |
| Bone age studies (77072) |
$59.44 |
$193 |
0.5× |
| Bone Imaging 3 Phase (78315) |
$453.44 |
$2,799 |
1.1× |
| Bone survey complete (77075) |
$260.57 |
$846 |
2.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$696.15 |
$4,406 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$156.16 |
$507 |
1.7× |
| Chest 1 view (71045) |
$86.10 |
$420 |
0.9× |
| Chest 3 views (71047) |
$103.93 |
$507 |
1.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$223.30 |
$725 |
1.2× |
| Cisternography Positive Contrast Rs&I (70015) |
$366.52 |
$1,190 |
0.4× |
| Clavicle complete (73000) |
$128.13 |
$416 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$164.59 |
$1,296 |
1.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$87.16 |
$283 |
0.5× |
| Corpora cavernosography (74445) |
$169.09 |
$549 |
1.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$502.79 |
$3,959 |
1.4× |
| CT abdomen and pelvis without contrast (74176) |
$335.15 |
$2,639 |
1.3× |
| CT abdomen w contrast (74160) |
$312.80 |
$2,463 |
1.7× |
| CT abdomen w wo contrast (74170) |
$375.29 |
$2,955 |
2.0× |
| CT abdomen w/o contrast (74150) |
$250.19 |
$1,970 |
2.2× |
| CT angio hrt w/3d image (75574) |
$334.66 |
$2,308 |
0.9× |
| CT angiography upper extremity lt (73206) |
$292.48 |
$2,303 |
1.6× |
| CT c-spine w/o contrast (72125) |
$278.51 |
$2,193 |
2.5× |
| CT cervical spine w&w/o contrast (72127) |
$417.83 |
$3,290 |
2.2× |
| CT cervical spine with contrast (72126) |
$348.23 |
$2,742 |
0.9× |
| CT chest w/wo contrast (71270) |
$375.92 |
$2,960 |
2.0× |
| CT chest with contrast (71260) |
$313.31 |
$2,467 |
1.7× |
| CT head/brain with contrast (70460) |
$265.22 |
$2,072 |
1.4× |
| CT head/brain without and with contrast (70470) |
$318.21 |
$2,486 |
1.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$254.91 |
$1,758 |
0.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$216.77 |
$1,495 |
2.3× |
| CT iac w contrast (70481) |
$294.66 |
$2,302 |
1.6× |
| CT limited/localized follow up study (76380) |
$72.35 |
$499 |
0.8× |
| CT lower ext w/o (73700) |
$228.47 |
$1,799 |
2.0× |
| CT lower extremity w wo contrast (73702) |
$342.77 |
$2,699 |
1.8× |
| CT lower extremity with contrast (73701) |
$285.62 |
$2,249 |
1.5× |
| CT lumbar spine w & w/o contrast (72133) |
$399.92 |
$3,149 |
2.1× |
| CT lumbar spine w/o contrast (72131) |
$266.57 |
$2,099 |
2.4× |
| CT lumbar spine with contrast (72132) |
$333.25 |
$2,624 |
0.9× |
| CT maxillofacial w contrast (70487) |
$276.22 |
$2,158 |
1.5× |
| CT maxillofacial w/o contrast (70486) |
$220.93 |
$1,726 |
2.0× |
| CT maxillofacial w/wo contrast (70488) |
$331.39 |
$2,589 |
1.8× |
| CT neck soft tissue w contrast (70491) |
$324.86 |
$2,538 |
1.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$353.54 |
$2,762 |
1.9× |
| CT orbits w/o contrast (70480) |
$235.65 |
$1,841 |
2.1× |
| CT pelvis w & w/o contrast (72194) |
$440.44 |
$3,468 |
2.4× |
| CT pelvis w/o contrast (72192) |
$293.62 |
$2,312 |
2.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$389.76 |
$3,045 |
2.1× |
| CT soft tissue neck w/o contrast (70490) |
$259.84 |
$2,030 |
2.3× |
| CT thoracic spine w/contrast (72129) |
$354.58 |
$2,792 |
1.9× |
| CT thoracic spine w/o contrast (72128) |
$283.59 |
$2,233 |
2.5× |
| CT thoracic spine w/wo contrast (72130) |
$425.45 |
$3,350 |
2.3× |
| CT thorax w/o contrast (71250) |
$250.57 |
$1,973 |
2.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$278.51 |
$2,193 |
1.5× |
| CT upper extremity w/o contrast rt (73200) |
$185.67 |
$1,462 |
1.7× |
| CT upper extremity with contrast (73201) |
$232.16 |
$1,828 |
0.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$247.80 |
$1,709 |
1.3× |
| Cta Abdomen (74175) |
$394.08 |
$3,103 |
2.1× |
| CTA abdomen pelvis (74174) |
$527.94 |
$4,157 |
1.4× |
| CTA chest (71275) |
$394.72 |
$3,108 |
2.1× |
| Cta Head (70496) |
$334.21 |
$2,611 |
1.8× |
| CTA lwr ext w&w/o contrast (73706) |
$359.92 |
$2,834 |
1.9× |
| Cta Neck (70498) |
$409.34 |
$3,198 |
2.2× |
| Cta Pelvis (72191) |
$462.53 |
$3,642 |
2.5× |
| Cystography minimum 3 views rs&i (74430) |
$232.23 |
$754 |
0.6× |
| Diskography lumbar (72295) |
$1,023.79 |
$3,324 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$169.40 |
$550 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$125.36 |
$407 |
1.3× |
| Echo exam of eye (76529) |
$84.58 |
$301 |
0.9× |
| Esophagus (74220) |
$150.92 |
$490 |
0.8× |
| Fluoroscopy up to 1 hr (76000) |
$130.59 |
$424 |
0.5× |
| Foot 2 views (73620) |
$94.86 |
$308 |
1.0× |
| Forearm 2 views (73090) |
$87.16 |
$283 |
0.9× |
| Hand 2 views (73120) |
$110.26 |
$358 |
1.0× |
| Hand 3 views (73130) |
$126.59 |
$411 |
1.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,223.99 |
$3,974 |
0.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$216.92 |
$1,339 |
0.5× |
| Ht muscle image spect sing (78451) |
$570.89 |
$3,524 |
0.4× |
| Humerus Min 2 Views Left (73060) |
$143.53 |
$466 |
1.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$124.12 |
$403 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$263.41 |
$1,626 |
0.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$912.71 |
$5,634 |
1.6× |
| Knee 3 views (73562) |
$155.23 |
$504 |
1.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$653.88 |
$2,123 |
0.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$452.14 |
$1,468 |
0.1× |
| Mammary ductogram or galactogram multiple (77054) |
$275.66 |
$895 |
1.1× |
| Mammary ductogram or galactogram single (77053) |
$212.83 |
$691 |
0.8× |
| Mr safety determination physician/other qhp (76016) |
$41.58 |
$135 |
0.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$89.32 |
$290 |
1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$12.32 |
$40 |
0.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$63.76 |
$207 |
0.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$167.55 |
$544 |
0.7× |
| MRA head w & w/o contrast (70546) |
$425.45 |
$3,083 |
1.1× |
| MRA head w/o contrast (70544) |
$283.59 |
$2,055 |
1.1× |
| MRA head with contrast (70545) |
$354.52 |
$2,569 |
1.0× |
| MRA neck w contrast (70548) |
$301.39 |
$2,184 |
0.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$361.70 |
$2,621 |
1.0× |
| MRA neck w/o contrast (70547) |
$241.09 |
$1,747 |
0.9× |
| MRI abdomen w contrast (74182) |
$506.86 |
$3,208 |
1.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$608.14 |
$3,849 |
1.6× |
| MRI abdomen w/o contrast (74181) |
$405.43 |
$2,566 |
1.6× |
| MRI any jnt lwr ext with con lt (73722) |
$732.01 |
$4,633 |
0.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$639.90 |
$4,050 |
0.8× |
| MRI bone marrow blood supply (77084) |
$461.83 |
$2,923 |
1.8× |
| MRI breast w/o contrast bilateral (77047) |
$358.34 |
$2,268 |
1.4× |
| MRI breast w/o contrast unilat (77046) |
$238.90 |
$1,512 |
0.9× |
| MRI c-spine with contrast (72142) |
$503.20 |
$3,673 |
1.4× |
| MRI cervical spine w/o contrast (72141) |
$402.51 |
$2,938 |
1.6× |
| MRI chest w/o & w/contrast material (71552) |
$479.53 |
$3,035 |
1.3× |
| MRI chest w/o contrast (71550) |
$319.63 |
$2,023 |
1.3× |
| MRI chest with contrast (71551) |
$399.58 |
$2,529 |
0.5× |
| MRI fetal sngl/1st gestation (74712) |
$658.70 |
$4,169 |
2.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$498.81 |
$3,157 |
1.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$558.53 |
$3,535 |
1.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$446.82 |
$2,828 |
1.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$215.87 |
$1,611 |
0.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$323.88 |
$2,417 |
0.9× |
| MRI orbit/face/neck w/contrast (70542) |
$269.88 |
$2,014 |
0.7× |
| MRI pelvis w contrast (72196) |
$561.37 |
$3,553 |
1.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$673.55 |
$4,263 |
1.8× |
| MRI pelvis w/o contrast (72195) |
$449.04 |
$2,842 |
1.8× |
| MRI scan of arm joint before and after contrast (73223) |
$767.88 |
$4,860 |
2.1× |
| MRI scan of leg joint before and after contrast (73723) |
$878.32 |
$5,559 |
2.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$603.76 |
$4,407 |
1.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$506.22 |
$3,695 |
1.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$607.46 |
$4,434 |
1.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$433.19 |
$3,162 |
1.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$519.78 |
$3,794 |
1.4× |
| MRI thoracic spine w/o contrast (72146) |
$346.47 |
$2,529 |
1.4× |
| MRI tmj (70336) |
$280.13 |
$1,773 |
1.1× |
| MRI upper ext joint w/o contrast (73221) |
$511.92 |
$3,240 |
2.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$598.50 |
$3,788 |
1.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$398.95 |
$2,525 |
1.6× |
| Myelogram Cervical (72240) |
$366.52 |
$1,190 |
0.4× |
| Myelogram Lumbar (72265) |
$366.52 |
$1,190 |
0.4× |
| Myelography 2 or more regions (72270) |
$595.06 |
$1,932 |
0.7× |
| Myocardial infarct spect (78469) |
$325.62 |
$2,010 |
0.6× |
| Myocardial Spect Multiple Studies (78452) |
$687.69 |
$4,245 |
0.5× |
| Neck soft tissue (70360) |
$155.85 |
$506 |
1.7× |
| Nm peritoneal-venous shunt patency (78291) |
$176.90 |
$1,092 |
0.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$204.85 |
$729 |
1.8× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$209.06 |
$744 |
1.5× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$48.89 |
$174 |
0.4× |
| Orthopantogram (70355) |
$84.70 |
$275 |
0.9× |
| Osseous survey infant (77076) |
$375.14 |
$1,218 |
3.4× |
| Osseous survey limited (77074) |
$172.17 |
$559 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$133.06 |
$432 |
1.2× |
| Peritoneogram rs&i (74190) |
$252.25 |
$819 |
0.4× |
| PET image w/CT, skull-thigh (78815) |
$2,215.03 |
$7,433 |
1.5× |
| PET imaging for CT attenuation whole body (78816) |
$2,259.14 |
$7,581 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$670.24 |
$4,242 |
1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,350.58 |
$4,385 |
0.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$996.38 |
$3,235 |
0.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$283.01 |
$1,747 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$252.56 |
$820 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$86.86 |
$282 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$122.58 |
$398 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$130.90 |
$425 |
1.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$118.89 |
$386 |
1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$211.90 |
$688 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$163.24 |
$530 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$123.51 |
$401 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$218.99 |
$711 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$101.47 |
$495 |
1.1× |
| Radiologic exam colon single contrast study (74270) |
$289.83 |
$941 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$189.11 |
$614 |
1.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$165.70 |
$538 |
0.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$135.83 |
$441 |
1.5× |
| Radiological examination surgical specimen (76098) |
$252.56 |
$820 |
0.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$1,506.74 |
$4,892 |
0.4× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,212.90 |
$3,938 |
0.4× |
| Ribs bilateral 3 views (71110) |
$151.84 |
$493 |
1.4× |
| Sacroiliac Joints < 3 Views (72200) |
$102.87 |
$334 |
0.9× |
| Scanogram (77073) |
$154.62 |
$502 |
1.4× |
| Scapula complete (73010) |
$106.57 |
$346 |
1.0× |
| Sella turcica (70240) |
$58.21 |
$189 |
0.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$149.38 |
$485 |
1.3× |
| Small bowel series (74250) |
$133.98 |
$435 |
0.7× |
| Spine thoracic 3 views (72072) |
$139.22 |
$452 |
1.2× |
| Splenoportograpy rs&i (75810) |
$1,212.90 |
$3,938 |
0.4× |
| Superior sagittal sinus venogram (75870) |
$1,052.13 |
$3,416 |
0.3× |
| Therapeutic Enema (74283) |
$266.11 |
$864 |
1.4× |
| Thoracolumbar 2 views (72080) |
$118.27 |
$384 |
1.3× |
| Tmj unilateral (70328) |
$79.77 |
$259 |
0.9× |
| Ultrasound elastography first target lesion (76982) |
$168.88 |
$601 |
1.5× |
| Ultrasound scan of cornea to determine thickness (76514) |
$73.34 |
$261 |
2.4× |
| Ultrasound scan to determine eye length and lens power (76519) |
$67.72 |
$241 |
0.6× |
| Ultrasound, abdomen limited (76705) |
$236.60 |
$842 |
2.1× |
| Unlisted magnetic resonance procedure (76498) |
$638.79 |
$4,043 |
6.9× |
| Upper Extremity Infant (73092) |
$96.71 |
$314 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$166.01 |
$539 |
0.7× |
| Urethrocystography voiding (74455) |
$221.45 |
$719 |
0.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$363.13 |
$1,179 |
1.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$590.44 |
$1,917 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$109.31 |
$389 |
1.0× |
| Us breast unilateral complete (76641) |
$124.76 |
$444 |
1.1× |
| Us breast unilateral limited (76642) |
$87.67 |
$312 |
0.9× |
| Us chest (76604) |
$129.82 |
$462 |
1.2× |
| Us compl joint r-t w/image documentation (76881) |
$155.67 |
$554 |
1.4× |
| Us elastography parenchyma (76981) |
$189.39 |
$674 |
1.7× |
| Us infant hips dynamic (76885) |
$170.85 |
$608 |
1.8× |
| Us kidney transplant (76776) |
$146.40 |
$521 |
1.3× |
| Us ob transvaginal (76817) |
$173.66 |
$618 |
1.6× |
| Us pelvic non ob complete (76856) |
$296.74 |
$1,056 |
2.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$222.55 |
$792 |
2.0× |
| Us pregnancy ltd (76815) |
$152.58 |
$543 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$151.18 |
$538 |
1.4× |
| Us retroperitoneal complete (76770) |
$182.37 |
$649 |
1.6× |
| Us retroperitoneal limited (76775) |
$94.98 |
$338 |
0.9× |
| Us scrotum and contents (76870) |
$197.26 |
$702 |
1.8× |
| Us soft tissue head/neck (76536) |
$141.62 |
$504 |
1.3× |
| Us transrectal (76872) |
$115.49 |
$411 |
1.0× |
| Us transrectal prostate volume (76873) |
$103.13 |
$367 |
0.9× |
| Us xtr non-vasc lmtd (76882) |
$85.42 |
$304 |
0.8× |
| Us, eye b-scan (76512) |
$98.07 |
$349 |
0.9× |
| Venogram extremity bilateral (75822) |
$648.65 |
$2,106 |
0.4× |
| Venogram orbital (75880) |
$396.70 |
$1,288 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,385.38 |
$4,498 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$531.30 |
$1,725 |
0.3× |
| Venography epidural rs&i (75872) |
$595.06 |
$1,932 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$586.12 |
$1,903 |
0.3× |
| Venography Renal Bilateral (75833) |
$1,403.86 |
$4,558 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$1,212.90 |
$3,938 |
0.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$792.79 |
$2,574 |
0.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,108.26 |
$6,845 |
0.4× |
| Wrist 2 views (73100) |
$106.57 |
$346 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$252.56 |
$820 |
2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$117.96 |
$383 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$132.75 |
$431 |
1.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$421.04 |
$1,367 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$150.61 |
$489 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$163.24 |
$530 |
1.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$178.33 |
$579 |
1.6× |
| X-ray exam hip uni 1 view (73501) |
$104.10 |
$338 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$123.20 |
$400 |
1.3× |
| X-ray exam hip uni 4/> views (73503) |
$156.46 |
$508 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$158 |
$513 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$185.72 |
$603 |
1.7× |
| X-ray exam of femur 1 (73551) |
$92.40 |
$300 |
1.0× |
| X-ray eye for foreign body (70030) |
$123.51 |
$401 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$166.94 |
$542 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$108.11 |
$351 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$111.50 |
$362 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$106.57 |
$346 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$141.99 |
$461 |
1.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$173.71 |
$564 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$153.69 |
$499 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105.03 |
$341 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$182.95 |
$594 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$285.21 |
$926 |
2.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$186.96 |
$607 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$134.29 |
$436 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$87.16 |
$283 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$151.23 |
$491 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$142.60 |
$463 |
1.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$242.40 |
$787 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$135.83 |
$441 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$148.46 |
$482 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$159.85 |
$519 |
1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$122.89 |
$399 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$100.72 |
$327 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$154.92 |
$503 |
1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$206.67 |
$671 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$139.22 |
$452 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$183.26 |
$595 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$147.84 |
$480 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$98.56 |
$320 |
1.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$163.86 |
$532 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$134.29 |
$436 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$112.11 |
$364 |
1.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$155.54 |
$505 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$80.70 |
$262 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$126.59 |
$411 |
1.4× |
| Xr arthrogram ankle (73615) |
$223.16 |
$755 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$243.01 |
$789 |
2.2× |
| Xr chest 4+ views (71048) |
$112.96 |
$551 |
1.0× |
| Xr Cholecystography Oral Contrast (74290) |
$135.83 |
$441 |
0.7× |
| Xr finger(s) 2+ views (73140) |
$94.25 |
$306 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$73 |
$237 |
0.7× |
| Xr shoulder 1 view (73020) |
$99.18 |
$322 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$207.28 |
$673 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$99.79 |
$324 |
1.1× |
| Xr tmj bilateral (70330) |
$122.58 |
$398 |
1.3× |
| Xray knee 1 or 2 views rt (73560) |
$131.82 |
$428 |
1.4× |