| 3-D radiotherapy plan dose-volume histograms (77295) |
$15,732.58 |
$20,976.77 |
11.8× |
| Abdomen 2 views (74019) |
$799.33 |
$1,065.77 |
8.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,849.20 |
$2,465.60 |
4.8× |
| Acute venous thrombus image (78456) |
$5,067.86 |
$6,757.15 |
4.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$14,724.53 |
$19,632.71 |
4.9× |
| Angiography extremity bilateral rs&i (75716) |
$10,823.85 |
$14,431.80 |
3.6× |
| Angiography extremity unilateral rs&i (75710) |
$10,823.85 |
$14,431.80 |
3.6× |
| Angiography internal mammary rs&i (75756) |
$14,670.66 |
$19,560.88 |
4.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$10,823.85 |
$14,431.80 |
2.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,823.85 |
$14,431.80 |
3.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,823.85 |
$14,431.80 |
3.6× |
| Angiography Spinal Selective Rs&I (75705) |
$10,823.85 |
$14,431.80 |
2.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,823.85 |
$14,431.80 |
2.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,351.96 |
$7,135.94 |
1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,351.96 |
$7,135.94 |
1.8× |
| Ankle 2 views (73600) |
$1,325.47 |
$1,767.30 |
15.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,562.37 |
$2,083.16 |
4.7× |
| Aortogram thoracic (75605) |
$10,507.94 |
$14,010.59 |
2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,183.63 |
$13,578.17 |
3.4× |
| Aortography abdominal serialography rs&i (75625) |
$10,763.97 |
$14,351.96 |
3.5× |
| Artery X-Rays Adrenal Gland (75731) |
$15,826.55 |
$21,102.06 |
5.2× |
| Arthrogram elbow (73085) |
$2,424.04 |
$3,232.06 |
7.2× |
| Arthrogram hip (73525) |
$1,575.82 |
$2,101.09 |
4.7× |
| Arthrogram shoulder (73040) |
$3,164.26 |
$4,219 |
9.4× |
| Arthrogram wrist (73115) |
$2,223.74 |
$2,965 |
6.6× |
| Arthrography knee lt (73580) |
$1,620.73 |
$2,160.97 |
4.8× |
| Basic radiation dosimetry calculation (77300) |
$1,938.29 |
$2,584.38 |
15.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$4,440.35 |
$5,920.47 |
11.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,892.76 |
$2,523.68 |
4.9× |
| Bone &/joint imaging whole body (78306) |
$5,214.14 |
$6,952.19 |
13.6× |
| Bone age studies (77072) |
$972.74 |
$1,296.99 |
9.7× |
| Bone Imaging 3 Phase (78315) |
$5,214.14 |
$6,952.19 |
13.6× |
| Bone survey complete (77075) |
$2,201.63 |
$2,935.50 |
21.9× |
| Brachytx isodose complex (77318) |
$5,104.92 |
$6,806.56 |
14.2× |
| Brachytx isodose intermed (77317) |
$4,384.20 |
$5,845.60 |
12.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$3,392.87 |
$4,523.83 |
9.4× |
| Brain image w/flow 4 + views (78606) |
$2,005.81 |
$2,674.41 |
3.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,969.23 |
$2,625.64 |
5.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$2,309.66 |
$3,079.55 |
4.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,824.41 |
$7,765.88 |
4.2× |
| Brain Imaging Vascular Flow Only (78610) |
$1,379.16 |
$1,838.88 |
2.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$2,121.22 |
$2,828.29 |
5.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$7,833.56 |
$10,444.75 |
23.4× |
| Cardiac shunt detection (78428) |
$2,193.08 |
$2,924.11 |
5.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,877.81 |
$2,503.74 |
3.6× |
| Cervical spine 2 or 3 views (72040) |
$1,163 |
$1,550.66 |
13.9× |
| Chest 1 view (71045) |
$361.94 |
$482.59 |
4.3× |
| Chest 3 views (71047) |
$361.94 |
$482.59 |
4.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,252.79 |
$1,670.39 |
7.4× |
| Cisternography Positive Contrast Rs&I (70015) |
$3,125.30 |
$4,167.06 |
4.1× |
| Clavicle complete (73000) |
$1,527.34 |
$2,036.46 |
18.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$577.50 |
$770 |
5.7× |
| Continuing medical physics consltj pr wk (77336) |
$1,466.62 |
$1,955.49 |
11.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$844.89 |
$1,126.52 |
5.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,935.98 |
$11,914.64 |
26.6× |
| CT abdomen and pelvis without contrast (74176) |
$5,009.63 |
$6,679.51 |
21.8× |
| CT abdomen w contrast (74160) |
$2,895.12 |
$3,860.16 |
17.2× |
| CT abdomen w wo contrast (74170) |
$3,899.80 |
$5,199.73 |
23.1× |
| CT abdomen w/o contrast (74150) |
$2,842 |
$3,789.33 |
28.3× |
| CT angio hrt w/3d image (75574) |
$3,425.07 |
$4,566.76 |
10.2× |
| CT angiography upper extremity lt (73206) |
$5,157.25 |
$6,876.33 |
30.6× |
| CT c-spine w/o contrast (72125) |
$3,290.19 |
$4,386.92 |
32.7× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$4,480.73 |
$5,974.30 |
26.6× |
| CT cervical spine w&w/o contrast (72127) |
$4,121.76 |
$5,495.68 |
24.4× |
| CT cervical spine with contrast (72126) |
$3,396.38 |
$4,528.51 |
10.1× |
| CT chest w/wo contrast (71270) |
$5,874.66 |
$7,832.87 |
34.8× |
| CT chest with contrast (71260) |
$3,140.45 |
$4,187.26 |
18.6× |
| CT colonography screening (74263) |
$1,167.19 |
$1,556.25 |
5.1× |
| CT colonography w/dye (74262) |
$1,200.11 |
$1,600.14 |
7.1× |
| CT head/brain with contrast (70460) |
$3,682.09 |
$4,909.45 |
21.8× |
| CT head/brain without and with contrast (70470) |
$3,902.99 |
$5,203.98 |
23.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,425.07 |
$4,566.76 |
10.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$131.25 |
$175 |
1.6× |
| CT hrt w/3d image congen (75573) |
$3,425.07 |
$4,566.76 |
10.2× |
| CT iac w contrast (70481) |
$2,895.12 |
$3,860.16 |
17.2× |
| CT limited/localized follow up study (76380) |
$1,252.15 |
$1,669.53 |
15.0× |
| CT lower ext w/o (73700) |
$6,386.56 |
$8,515.41 |
63.5× |
| CT lower extremity w wo contrast (73702) |
$6,695.61 |
$8,927.48 |
39.7× |
| CT lower extremity with contrast (73701) |
$6,531.53 |
$8,708.70 |
38.7× |
| CT lumbar spine w & w/o contrast (72133) |
$4,751.55 |
$6,335.40 |
28.2× |
| CT lumbar spine w/o contrast (72131) |
$3,438.88 |
$4,585.17 |
34.2× |
| CT lumbar spine with contrast (72132) |
$3,823.33 |
$5,097.77 |
11.4× |
| CT maxillofacial w contrast (70487) |
$3,046.99 |
$4,062.65 |
18.1× |
| CT maxillofacial w/o contrast (70486) |
$2,842 |
$3,789.33 |
28.3× |
| CT maxillofacial w/wo contrast (70488) |
$3,588.64 |
$4,784.85 |
21.3× |
| CT neck soft tissue w contrast (70491) |
$3,133.01 |
$4,177.35 |
18.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,964.15 |
$3,952.20 |
17.6× |
| CT orbits w/o contrast (70480) |
$2,842 |
$3,789.33 |
28.3× |
| CT pelvis w & w/o contrast (72194) |
$4,711.19 |
$6,281.59 |
27.9× |
| CT pelvis w/o contrast (72192) |
$2,598.80 |
$3,465.07 |
25.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,194.61 |
$4,259.48 |
18.9× |
| CT soft tissue neck w/o contrast (70490) |
$3,058.67 |
$4,078.23 |
30.4× |
| CT thoracic spine w/contrast (72129) |
$3,823.33 |
$5,097.77 |
22.7× |
| CT thoracic spine w/o contrast (72128) |
$3,358.16 |
$4,477.55 |
33.4× |
| CT thoracic spine w/wo contrast (72130) |
$4,290.63 |
$5,720.84 |
25.4× |
| CT thorax w/o contrast (71250) |
$3,023.62 |
$4,031.49 |
30.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,910.24 |
$7,880.32 |
35.0× |
| CT upper extremity w/o contrast rt (73200) |
$4,263.01 |
$5,684.01 |
42.4× |
| CT upper extremity with contrast (73201) |
$5,094.58 |
$6,792.78 |
15.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,695.89 |
$4,927.85 |
21.9× |
| Cta Abdomen (74175) |
$3,411.27 |
$4,548.36 |
20.2× |
| CTA abdomen pelvis (74174) |
$5,671.28 |
$7,561.71 |
16.9× |
| CTA chest (71275) |
$3,329.48 |
$4,439.30 |
19.7× |
| Cta Head (70496) |
$3,394.10 |
$4,525.46 |
20.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,131.78 |
$4,175.70 |
9.3× |
| CTA lwr ext w&w/o contrast (73706) |
$4,615.09 |
$6,153.46 |
27.4× |
| Cta Neck (70498) |
$2,842 |
$3,789.33 |
16.9× |
| Cta Pelvis (72191) |
$3,100.09 |
$4,133.45 |
18.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,041.04 |
$1,388.05 |
3.1× |
| Diskogram cervical (72285) |
$4,210.58 |
$5,614.11 |
2.2× |
| Diskography lumbar (72295) |
$8,165.15 |
$10,886.86 |
4.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$168.75 |
$225 |
1.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$336.75 |
$449 |
3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$438 |
$584 |
4.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$525 |
$700 |
5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,147.46 |
$1,529.95 |
13.7× |
| Dxa bone density study axial skeleton (77085) |
$971.54 |
$1,295.38 |
9.7× |
| Echo exam of fetal heart (76825) |
$861.92 |
$1,149.23 |
1.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$861.92 |
$1,149.23 |
3.8× |
| Echoencephalography real time imaging (76506) |
$942.66 |
$1,256.88 |
9.4× |
| Esophageal motility (78258) |
$1,202.54 |
$1,603.38 |
3.1× |
| Esophagus (74220) |
$1,555.49 |
$2,073.99 |
9.2× |
| Fetal biophysical profile non-stress testing (76818) |
$942.66 |
$1,256.88 |
9.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$861.92 |
$1,149.23 |
8.6× |
| Fluoroscopy up to 1 hr (76000) |
$1,346.12 |
$1,794.83 |
5.9× |
| Foot 2 views (73620) |
$1,447.48 |
$1,929.96 |
17.3× |
| Forearm 2 views (73090) |
$1,509.44 |
$2,012.58 |
18.0× |
| Functional MRI brain by phys/psych (70555) |
$3,910.93 |
$5,214.57 |
17.0× |
| Functional MRI brain by tech (70554) |
$3,872.58 |
$5,163.44 |
16.9× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,024.62 |
$2,699.49 |
3.9× |
| Gated Heart Planar Single (78472) |
$4,792.50 |
$6,390 |
12.5× |
| Hand 2 views (73120) |
$1,405.35 |
$1,873.80 |
14.0× |
| Hand 3 views (73130) |
$1,498.67 |
$1,998.22 |
17.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$7,411.89 |
$9,882.52 |
11.1× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$9,768.06 |
$13,024.08 |
14.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$11,039.51 |
$14,719.34 |
16.5× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$9,223.34 |
$12,297.79 |
24.9× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$6,998.94 |
$9,331.92 |
18.9× |
| Heart Infarct Image (78466) |
$2,800.79 |
$3,734.38 |
7.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$15,813.32 |
$21,084.43 |
5.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,759.49 |
$6,345.98 |
9.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,045.72 |
$5,394.29 |
10.5× |
| Ht muscle image spect sing (78451) |
$10,901.67 |
$14,535.56 |
8.8× |
| Humerus Min 2 Views Left (73060) |
$1,534.57 |
$2,046.10 |
18.3× |
| Hysterosalpingogram (74740) |
$1,402.29 |
$1,869.72 |
6.1× |
| Image fusion (77399) |
$723.14 |
$964.18 |
5.6× |
| Interstitial radiation source applic complex (77778) |
$5,408.40 |
$7,211.20 |
8.1× |
| Intracavitary Radiation Source Applic Complex (77763) |
$3,164.26 |
$4,219.01 |
4.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,823.02 |
$3,764.02 |
5.3× |
| Intracavitary radiation source applic simple (77761) |
$1,816.16 |
$2,421.54 |
3.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$819.65 |
$1,092.87 |
8.2× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,527.60 |
$2,036.80 |
4.0× |
| Kidney imaging morphology (78700) |
$1,651.28 |
$2,201.70 |
4.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,592.23 |
$6,122.97 |
8.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,910.28 |
$6,547.04 |
9.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,595.89 |
$3,461.19 |
5.0× |
| Knee 3 views (73562) |
$1,480.75 |
$1,974.33 |
17.7× |
| Liver & spleen imaging static only (78215) |
$4,366.13 |
$5,821.51 |
11.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,273.20 |
$1,697.60 |
3.3× |
| Liver imaging w/vascular flow (78202) |
$5,067.86 |
$6,757.15 |
9.7× |
| Lung perf&ventilat diferentl (78598) |
$2,560.49 |
$3,413.99 |
4.9× |
| Lung perfusion differential (78597) |
$4,592.23 |
$6,122.97 |
11.9× |
| Lung Ventilation Imaging (78579) |
$1,416.92 |
$1,889.22 |
3.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$17,576.30 |
$23,435.06 |
5.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$15,195.81 |
$20,261.08 |
5.0× |
| Lymphoscintigraphy (78195) |
$2,833.82 |
$3,778.43 |
5.4× |
| Mammary ductogram or galactogram multiple (77054) |
$1,245.60 |
$1,660.80 |
5.4× |
| Mammary ductogram or galactogram single (77053) |
$1,245.60 |
$1,660.80 |
5.4× |
| Meckels Diverticulum (78290) |
$3,986.88 |
$5,315.84 |
10.4× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$812.68 |
$1,083.57 |
2.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$19,895.26 |
$26,527.01 |
55.3× |
| Mr elastography (76391) |
$3,258.04 |
$4,344.05 |
14.2× |
| Mr safety determination physician/other qhp (76016) |
$305.17 |
$406.89 |
3.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$282.79 |
$377.05 |
5.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$116.60 |
$155.46 |
4.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$436.99 |
$582.65 |
4.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,150.76 |
$1,534.35 |
5.0× |
| MRA head w & w/o contrast (70546) |
$3,957.44 |
$5,276.58 |
11.8× |
| MRA head w/o contrast (70544) |
$3,258.04 |
$4,344.05 |
14.2× |
| MRA head with contrast (70545) |
$3,602.77 |
$4,803.69 |
10.7× |
| MRA neck w contrast (70548) |
$3,602.77 |
$4,803.69 |
10.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,364.55 |
$4,486.06 |
10.0× |
| MRA neck w/o contrast (70547) |
$3,258.04 |
$4,344.05 |
14.2× |
| MRI abdomen w contrast (74182) |
$3,679.81 |
$4,906.41 |
11.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,774.59 |
$5,032.79 |
11.3× |
| MRI abdomen w/o contrast (74181) |
$3,347.50 |
$4,463.34 |
14.6× |
| MRI any jnt lwr ext with con lt (73722) |
$5,003.34 |
$6,671.12 |
6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,887.06 |
$6,516.07 |
6.5× |
| MRI bone marrow blood supply (77084) |
$3,771 |
$5,028 |
16.4× |
| MRI breast w/o contrast bilateral (77047) |
$3,875.18 |
$5,166.90 |
16.9× |
| MRI breast w/o contrast unilat (77046) |
$3,015.20 |
$4,020.26 |
13.1× |
| MRI c-spine with contrast (72142) |
$4,277.30 |
$5,703.07 |
12.8× |
| MRI cardiac w/o cont stress (75559) |
$10,892.21 |
$14,522.94 |
20.7× |
| MRI cardiac w/o contrast (75557) |
$7,833.56 |
$10,444.75 |
34.1× |
| MRI cervical spine w/o contrast (72141) |
$3,233.54 |
$4,311.38 |
14.1× |
| MRI chest w/o & w/contrast material (71552) |
$3,474.23 |
$4,632.31 |
10.4× |
| MRI chest w/o contrast (71550) |
$3,258.04 |
$4,344.05 |
14.2× |
| MRI chest with contrast (71551) |
$3,301.71 |
$4,402.28 |
4.4× |
| MRI fetal sngl/1st gestation (74712) |
$2,964.08 |
$3,952.11 |
12.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,407.15 |
$4,542.86 |
10.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,304.55 |
$4,406.07 |
9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,886.52 |
$6,515.36 |
21.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,258.04 |
$4,344.05 |
14.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,480.63 |
$4,640.84 |
10.4× |
| MRI orbit/face/neck w/contrast (70542) |
$3,327.27 |
$4,436.36 |
9.9× |
| MRI pelvis w contrast (72196) |
$3,258.04 |
$4,344.05 |
9.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,117.54 |
$5,490.05 |
12.3× |
| MRI pelvis w/o contrast (72195) |
$3,202.65 |
$4,270.20 |
14.0× |
| MRI scan of arm joint before and after contrast (73223) |
$6,657.20 |
$8,876.26 |
19.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$10,892.21 |
$14,522.94 |
14.5× |
| MRI scan of leg joint before and after contrast (73723) |
$6,352.05 |
$8,469.40 |
18.9× |
| MRI spectroscopy (76390) |
$3,258.04 |
$4,344.05 |
38.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,561.68 |
$6,082.24 |
13.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,543.47 |
$4,724.63 |
10.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,317.77 |
$5,757.03 |
12.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,258.04 |
$4,344.05 |
9.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,507.36 |
$6,009.81 |
13.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,225.02 |
$4,300.03 |
14.1× |
| MRI tmj (70336) |
$3,556.25 |
$4,741.66 |
15.5× |
| MRI upper ext joint w/o contrast (73221) |
$4,837.52 |
$6,450.04 |
21.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,334.38 |
$7,112.50 |
15.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,222.15 |
$6,962.87 |
22.8× |
| Myelogram Cervical (72240) |
$5,250.42 |
$7,000.56 |
7.0× |
| Myelogram Lumbar (72265) |
$4,219.01 |
$5,625.34 |
5.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$6,222.41 |
$8,296.55 |
5.0× |
| Myocardial infarct spect (78469) |
$6,018.59 |
$8,024.78 |
11.5× |
| Myocardial Spect Multiple Studies (78452) |
$11,107.76 |
$14,810.35 |
8.9× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$8,087.69 |
$10,783.59 |
5.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$8,087.69 |
$10,783.59 |
5.9× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$8,468.22 |
$11,290.96 |
4.0× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$10,350.01 |
$13,800.01 |
4.9× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$10,350.01 |
$13,800.01 |
7.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$6,372.03 |
$8,496.04 |
7.7× |
| Neck soft tissue (70360) |
$968.04 |
$1,290.72 |
11.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$2,376.80 |
$3,169.07 |
6.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,070.66 |
$1,427.55 |
2.8× |
| Nm adrenal scan (78075) |
$7,925.44 |
$10,567.25 |
6.4× |
| Nm bone marrow multiple (78103) |
$1,457.13 |
$1,942.84 |
3.8× |
| Nm cisternogram (78630) |
$4,168.22 |
$5,557.63 |
8.0× |
| Nm csf leak detection (78650) |
$5,067.86 |
$6,757.15 |
4.1× |
| Nm gastric emptying study (78264) |
$6,289.43 |
$8,385.91 |
16.4× |
| Nm gastroesophageal reflux study (78262) |
$1,288.47 |
$1,717.96 |
3.4× |
| Nm peritoneal-venous shunt patency (78291) |
$1,221.36 |
$1,628.48 |
3.2× |
| Nm whole blood volume (78122) |
$1,969.23 |
$2,625.64 |
3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$24,146.63 |
$32,195.50 |
18.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$6,129.74 |
$8,172.98 |
4.5× |
| Nuclear medicine of heart pumping function (78473) |
$2,296.76 |
$3,062.34 |
6.0× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$5,390.62 |
$7,187.49 |
3.9× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$6,135.97 |
$8,181.29 |
4.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,486.39 |
$1,981.85 |
3.9× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,068.29 |
$1,424.39 |
2.8× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,526.41 |
$2,035.21 |
4.0× |
| Nuclear Rx Oral Admin (79005) |
$6,123.37 |
$8,164.49 |
27.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$501 |
$668 |
5.0× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$753.86 |
$1,005.14 |
7.5× |
| Orthopantogram (70355) |
$1,158.29 |
$1,544.39 |
13.8× |
| Osseous survey infant (77076) |
$1,080.49 |
$1,440.65 |
10.7× |
| Osseous survey limited (77074) |
$489.43 |
$652.57 |
4.9× |
| Parathyrd planar w/spect&CT (78072) |
$3,043.14 |
$4,057.52 |
5.8× |
| Parathyrd planar w/wo subtrj (78071) |
$2,970.41 |
$3,960.55 |
7.7× |
| Parathyroid imaging (78070) |
$2,970.41 |
$3,960.55 |
7.7× |
| Pelvis 1 or 2 views (72170) |
$869.92 |
$1,159.89 |
8.7× |
| Peritoneogram rs&i (74190) |
$984.76 |
$1,313.01 |
1.9× |
| PET image w/CT, skull-thigh (78815) |
$8,087.69 |
$10,783.59 |
5.9× |
| PET imaging CT for attenuation limited area (78814) |
$5,390.62 |
$7,187.49 |
3.9× |
| PET imaging for CT attenuation whole body (78816) |
$8,087.69 |
$10,783.59 |
5.9× |
| PET imaging limited area chest head/neck (78811) |
$5,390.62 |
$7,187.49 |
4.3× |
| PET whole body (78813) |
$5,390.62 |
$7,187.49 |
3.9× |
| Pr heart first pass single,planar (78481) |
$2,800.79 |
$3,734.38 |
5.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,231.79 |
$6,975.72 |
15.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$15,813.32 |
$21,084.43 |
5.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,351.96 |
$7,135.94 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,334.40 |
$3,112.53 |
6.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,788.97 |
$6,385.29 |
9.2× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$3,425.07 |
$4,566.76 |
3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,226.47 |
$1,635.29 |
2.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,049.80 |
$1,399.74 |
12.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,501.08 |
$4,668.10 |
34.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,591.43 |
$2,121.91 |
15.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$922.49 |
$1,229.98 |
9.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$7,000.85 |
$9,334.46 |
69.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$88,309.99 |
$117,746.65 |
12.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$5,051.54 |
$6,735.39 |
9.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$3,435.54 |
$4,580.72 |
35.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$4,570.86 |
$6,094.48 |
12.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$966.84 |
$1,289.12 |
9.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$753.87 |
$1,005.16 |
9.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,093.61 |
$1,458.14 |
10.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$361.94 |
$482.59 |
4.3× |
| Radiologic exam colon single contrast study (74270) |
$2,279.42 |
$3,039.22 |
13.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,609.03 |
$2,145.37 |
9.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,134.36 |
$1,512.48 |
6.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,474.78 |
$3,299.70 |
14.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,325.47 |
$1,767.30 |
15.8× |
| Radiological examination surgical specimen (76098) |
$2,078.35 |
$2,771.13 |
4.0× |
| Radiopharm Dacryocystography (78660) |
$990.53 |
$1,320.71 |
2.6× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$2,495.75 |
$3,327.66 |
11.1× |
| Radiopharmaceutical therapy, unlisted procedure UNSCHEDULED (79999) |
$806.83 |
$1,075.77 |
3.6× |
| Review by radiologist of adrenal gland vein image (75840) |
$7,906.71 |
$10,542.28 |
2.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$15,826.55 |
$21,102.06 |
5.2× |
| Ribs bilateral 3 views (71110) |
$1,420.31 |
$1,893.75 |
14.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,531.14 |
$3,374.85 |
6.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,237.70 |
$6,983.60 |
10.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,788.85 |
$7,718.47 |
11.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$5,237.70 |
$6,983.60 |
4.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$7,856.55 |
$10,475.40 |
5.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$7,183.23 |
$9,577.64 |
5.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$6,304.71 |
$8,406.28 |
28.1× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,154.24 |
$2,872.32 |
9.6× |
| Rp Therapy Intravenous Administration (79101) |
$8,958.37 |
$11,944.49 |
39.9× |
| Sacroiliac Joints < 3 Views (72200) |
$612.59 |
$816.78 |
6.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$884 |
$1,178.67 |
3.9× |
| Salivary gland imaging serial images (78231) |
$1,379.16 |
$1,838.88 |
3.6× |
| Scanogram (77073) |
$635.80 |
$847.73 |
6.3× |
| Scapula complete (73010) |
$1,595.60 |
$2,127.46 |
15.9× |
| Screening digital breast tomosynthesis (77063) |
$37.50 |
$50 |
1.6× |
| Sella turcica (70240) |
$436.76 |
$582.34 |
5.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$2,463.65 |
$3,284.86 |
24.5× |
| Sialogram (70390) |
$1,226.47 |
$1,635.29 |
5.3× |
| Simulation intermediate (77285) |
$4,083.66 |
$5,444.88 |
11.3× |
| Small bowel series (74250) |
$1,677.54 |
$2,236.72 |
9.9× |
| Spec medical radj physics consltj (77370) |
$3,125.87 |
$4,167.83 |
24.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$4,807.98 |
$6,410.64 |
13.4× |
| Special dosimetry (77331) |
$1,682.12 |
$2,242.82 |
13.0× |
| Special treatment procedure (77470) |
$6,807.38 |
$9,076.51 |
12.8× |
| Speech evaluation complex (70371) |
$504.84 |
$673.12 |
2.2× |
| Spine thoracic 3 views (72072) |
$1,231.28 |
$1,641.71 |
12.2× |
| Spleen imaging only (78185) |
$2,472.19 |
$3,296.25 |
6.4× |
| Splenoportograpy rs&i (75810) |
$15,813.32 |
$21,084.43 |
5.2× |
| Stereotactic body radiation delivery (77373) |
$59,800.82 |
$79,734.42 |
34.8× |
| Superior sagittal sinus venogram (75870) |
$5,657.24 |
$7,542.98 |
1.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$435.84 |
$581.12 |
4.4× |
| Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions (77438) |
$6,807.38 |
$9,076.51 |
69.4× |
| Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) |
$6,100.97 |
$8,134.63 |
169.9× |
| Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th… (77437) |
$6,807.38 |
$9,076.51 |
69.4× |
| Tbs Technical Calculation Only (77091) |
$419.19 |
$558.92 |
5.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,853.46 |
$6,471.28 |
13.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$3,236.09 |
$4,314.78 |
9.0× |
| Testicular Imaging With Vascular Flow (78761) |
$3,268.36 |
$4,357.81 |
8.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$4,779.22 |
$6,372.29 |
13.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,630.26 |
$3,507.01 |
20.4× |
| Therapeutic Enema (74283) |
$1,425.02 |
$1,900.02 |
8.5× |
| Thoracolumbar 2 views (72080) |
$1,007.48 |
$1,343.31 |
12.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,243.62 |
$4,324.82 |
6.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,595.89 |
$3,461.19 |
6.8× |
| Thyroid uptake measurement (78012) |
$796.17 |
$1,061.56 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,304.84 |
$5,739.78 |
11.2× |
| Tmj unilateral (70328) |
$151.31 |
$201.74 |
1.8× |
| Tomogram (76100) |
$3,301.50 |
$4,402 |
32.8× |
| Treatment device intermediate (77333) |
$2,147.77 |
$2,863.69 |
16.6× |
| Treatment devices simple (77332) |
$1,623.40 |
$2,164.53 |
12.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,237.70 |
$6,983.60 |
10.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,878.55 |
$2,504.73 |
4.9× |
| Tx devices design & construction complex (77334) |
$3,306.71 |
$4,408.95 |
9.2× |
| Ultrasound elastography first target lesion (76982) |
$942.66 |
$1,256.88 |
9.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$942.66 |
$1,256.88 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$942.66 |
$1,256.88 |
9.4× |
| Umbilical-artery Doppler (OB) (76820) |
$438 |
$584 |
4.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$978.74 |
$1,304.99 |
11.7× |
| Unlisted fluoroscopic procedure (76496) |
$580.34 |
$773.79 |
6.9× |
| Unlisted magnetic resonance procedure (76498) |
$3,258.04 |
$4,344.05 |
38.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$2,228.03 |
$2,970.70 |
22.7× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$1,457.13 |
$1,942.84 |
3.8× |
| Unlisted Ultrasound Procedure (76999) |
$1,248.35 |
$1,664.47 |
14.9× |
| Upper Extremity Infant (73092) |
$1,249.15 |
$1,665.53 |
12.4× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$389.18 |
$518.90 |
4.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,879.76 |
$2,506.34 |
4.9× |
| Urethrocystography retrograde rs&i (74450) |
$954.82 |
$1,273.09 |
4.2× |
| Urethrocystography voiding (74455) |
$2,184.91 |
$2,913.21 |
9.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$3,034.39 |
$4,045.85 |
18.0× |
| Us abdl aorta screen aaa (76706) |
$942.66 |
$1,256.88 |
9.4× |
| Us breast unilateral complete (76641) |
$1,413.99 |
$1,885.32 |
14.1× |
| Us breast unilateral limited (76642) |
$1,413.99 |
$1,885.32 |
16.9× |
| Us chest (76604) |
$942.66 |
$1,256.88 |
9.4× |
| Us compl joint r-t w/image documentation (76881) |
$1,452.46 |
$1,936.62 |
14.4× |
| Us elastography parenchyma (76981) |
$942.66 |
$1,256.88 |
9.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$729 |
$972 |
7.3× |
| Us guided compression repair (76936) |
$1,224.70 |
$1,632.93 |
5.9× |
| Us infant hips dynamic (76885) |
$942.66 |
$1,256.88 |
11.3× |
| Us infant hips limited static (76886) |
$942.66 |
$1,256.88 |
11.3× |
| Us kidney transplant (76776) |
$1,414.02 |
$1,885.36 |
14.1× |
| Us ob detailed single fetus (76811) |
$861.92 |
$1,149.23 |
3.8× |
| Us ob transvaginal (76817) |
$861.92 |
$1,149.23 |
8.6× |
| Us pelvic non ob complete (76856) |
$861.92 |
$1,149.23 |
8.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$942.66 |
$1,256.88 |
9.4× |
| Us pregnancy ltd (76815) |
$861.92 |
$1,149.23 |
8.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$678.75 |
$905 |
6.8× |
| Us retroperitoneal complete (76770) |
$859.06 |
$1,145.41 |
8.5× |
| Us retroperitoneal limited (76775) |
$1,452.46 |
$1,936.62 |
14.4× |
| Us scrotum and contents (76870) |
$942.66 |
$1,256.88 |
9.4× |
| Us soft tissue head/neck (76536) |
$942.66 |
$1,256.88 |
9.4× |
| Us spinal canal and contents (76800) |
$942.66 |
$1,256.88 |
9.4× |
| Us transrectal (76872) |
$942.66 |
$1,256.88 |
9.4× |
| Us xtr non-vasc lmtd (76882) |
$1,614.18 |
$2,152.24 |
16.1× |
| Vascular flow imaging (78445) |
$1,929.22 |
$2,572.29 |
5.0× |
| Venogram extremity bilateral (75822) |
$6,899.24 |
$9,198.98 |
4.6× |
| Venogram orbital (75880) |
$4,417.56 |
$5,890.08 |
7.3× |
| Venography caval inferior serialography rs&i (75825) |
$11,809.81 |
$15,746.41 |
3.9× |
| Venography caval superior serialography rs&i (75827) |
$3,449.61 |
$4,599.48 |
2.3× |
| Venography epidural rs&i (75872) |
$5,352.04 |
$7,136.05 |
8.9× |
| Venography extremity unilateral rs&i (75820) |
$3,449.61 |
$4,599.48 |
2.3× |
| Venography Renal Bilateral (75833) |
$9,250.32 |
$12,333.76 |
3.0× |
| Venography renal unilateral selective rs&i (75831) |
$11,062.28 |
$14,749.71 |
3.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$14,670.66 |
$19,560.88 |
4.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$10,823.85 |
$14,431.80 |
2.0× |
| Vertebral fracture assessment via dxa (77086) |
$627 |
$836 |
7.5× |
| Wrist 2 views (73100) |
$1,559.70 |
$2,079.60 |
18.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,377.16 |
$1,836.21 |
13.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$972.74 |
$1,296.99 |
11.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,523.80 |
$2,031.72 |
18.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,449.61 |
$4,599.48 |
20.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,329.96 |
$1,773.28 |
15.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,423.28 |
$1,897.70 |
17.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$6,301.94 |
$8,402.58 |
62.7× |
| X-ray exam hip uni 1 view (73501) |
$674.87 |
$899.83 |
8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$788.51 |
$1,051.35 |
9.4× |
| X-ray exam hip uni 4/> views (73503) |
$954.82 |
$1,273.09 |
9.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,934.77 |
$2,579.69 |
19.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,920.74 |
$3,894.32 |
29.1× |
| X-ray exam of femur 1 (73551) |
$461.24 |
$614.99 |
5.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,380.77 |
$1,841.02 |
8.2× |
| X-ray eye for foreign body (70030) |
$966.84 |
$1,289.12 |
11.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$939.31 |
$1,252.41 |
9.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$795.73 |
$1,060.97 |
9.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,541.12 |
$2,054.82 |
18.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$6,375.16 |
$8,500.21 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,409.78 |
$1,879.70 |
16.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$966.84 |
$1,289.12 |
11.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,018.26 |
$2,691.01 |
20.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,061.36 |
$1,415.14 |
12.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,676.34 |
$2,235.12 |
20.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$938.10 |
$1,250.80 |
9.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,047.22 |
$2,729.62 |
20.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$936.89 |
$1,249.19 |
9.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,210.85 |
$1,614.47 |
14.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$335.03 |
$446.70 |
4.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,149.87 |
$1,533.16 |
11.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,429.82 |
$1,906.43 |
14.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,205.23 |
$2,940.30 |
4.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$3,857.09 |
$5,142.78 |
11.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,889.92 |
$2,519.88 |
22.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,986.24 |
$2,648.32 |
19.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,742.14 |
$2,322.85 |
17.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,079.29 |
$1,439.05 |
10.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,020.60 |
$1,360.80 |
12.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,463.92 |
$1,951.89 |
17.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$994.27 |
$1,325.69 |
11.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$917.77 |
$1,223.69 |
11.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,817.52 |
$2,423.36 |
18.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,259.91 |
$1,679.88 |
12.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$599.46 |
$799.28 |
7.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$387.70 |
$516.93 |
4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$987.16 |
$1,316.21 |
11.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,164.19 |
$1,552.25 |
11.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,347.33 |
$1,796.44 |
13.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,394.54 |
$1,859.38 |
16.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,638.65 |
$2,184.86 |
19.6× |
| Xr arthrogram ankle (73615) |
$2,637.18 |
$3,516.24 |
7.9× |
| Xr c-spine 6 or more views (72052) |
$2,306.96 |
$3,075.94 |
23.0× |
| Xr chest 4+ views (71048) |
$1,120.18 |
$1,493.57 |
11.1× |
| Xr Cholecystography Oral Contrast (74290) |
$892.65 |
$1,190.20 |
5.3× |
| Xr finger(s) 2+ views (73140) |
$1,129.01 |
$1,505.34 |
13.5× |
| Xr shoulder 1 view (73020) |
$976.40 |
$1,301.88 |
11.7× |
| Xr spine cervical 4 or 5 views (72050) |
$1,500.41 |
$2,000.55 |
14.9× |
| Xr tibia/fibula 2 views (73590) |
$1,400.81 |
$1,867.74 |
16.7× |
| Xr tmj bilateral (70330) |
$1,103.21 |
$1,470.95 |
13.2× |
| Xray knee 1 or 2 views rt (73560) |
$1,311.98 |
$1,749.31 |
15.7× |