| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,076.37 |
$8,460.62 |
3.7× |
| Abdomen 2 views (74019) |
$292.87 |
$488.11 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,325.40 |
$2,209 |
3.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,924.46 |
$4,874.10 |
0.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,340.21 |
$5,567.02 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$2,911.87 |
$4,853.12 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$1,629.33 |
$2,715.55 |
0.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,697.61 |
$6,162.68 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,273.68 |
$5,456.13 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,150 |
$5,250 |
1.0× |
| Angiography Spinal Selective Rs&I (75705) |
$3,791.29 |
$6,318.82 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,313.88 |
$7,189.80 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,795.50 |
$2,992.50 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,704.33 |
$2,840.55 |
0.5× |
| Ankle 2 views (73600) |
$201.43 |
$335.72 |
2.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$549.41 |
$915.69 |
1.6× |
| Aortogram thoracic (75605) |
$2,932.65 |
$4,887.75 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,154.93 |
$5,258.21 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$3,138.05 |
$5,230.08 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,570 |
$5,950 |
1.1× |
| Artery X-Rays Adrenal Gland (75731) |
$1,853.47 |
$3,089.11 |
0.6× |
| Arthrogram elbow (73085) |
$495.60 |
$826 |
1.4× |
| Arthrogram hip (73525) |
$520.38 |
$867.30 |
1.5× |
| Arthrogram shoulder (73040) |
$242.40 |
$404 |
0.7× |
| Arthrogram wrist (73115) |
$495.58 |
$825.96 |
1.4× |
| Arthrography knee lt (73580) |
$495.60 |
$826 |
1.4× |
| Basic radiation dosimetry calculation (77300) |
$437.97 |
$729.95 |
3.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,234.50 |
$2,057.50 |
3.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$446.03 |
$743.39 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$1,688.24 |
$2,813.73 |
4.2× |
| Bone age studies (77072) |
$162.07 |
$270.12 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$1,736.24 |
$2,893.74 |
4.3× |
| Bone Marrow Imaging Limited Area (78102) |
$650.24 |
$1,083.74 |
1.6× |
| Bone survey complete (77075) |
$750.73 |
$1,251.21 |
7.1× |
| Brachytx isodose complex (77318) |
$705.45 |
$1,175.75 |
1.9× |
| Brachytx isodose intermed (77317) |
$592.62 |
$987.70 |
1.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$633.91 |
$1,056.51 |
1.7× |
| Brain image w/flow 4 + views (78606) |
$1,438.59 |
$2,397.65 |
2.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,063.48 |
$1,772.47 |
2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,028.73 |
$5,047.88 |
2.1× |
| Brain Imaging Vascular Flow Only (78610) |
$472.92 |
$788.20 |
0.9× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$32.60 |
$54.34 |
2.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$566.74 |
$944.57 |
1.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,082.29 |
$5,137.15 |
8.8× |
| Cardiac shunt detection (78428) |
$1,354.80 |
$2,258 |
3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$895.95 |
$1,493.25 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$301.66 |
$502.77 |
3.5× |
| Chest 1 view (71045) |
$203.74 |
$339.57 |
2.3× |
| Chest 3 views (71047) |
$253.79 |
$422.99 |
2.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$467.66 |
$779.44 |
2.7× |
| Cineradiography/videoradiography (76120) |
$393.44 |
$655.74 |
3.7× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,336.32 |
$2,227.20 |
1.7× |
| Clavicle complete (73000) |
$218.79 |
$364.65 |
2.5× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$31,800 |
$53,000 |
4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$170.42 |
$284.03 |
1.6× |
| Continuing medical physics consltj pr wk (77336) |
$642.95 |
$1,071.58 |
4.8× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$200.39 |
$333.99 |
1.1× |
| Corpora cavernosography (74445) |
$565.20 |
$942 |
5.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,863.08 |
$6,438.46 |
11.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,276 |
$5,460 |
13.7× |
| CT abdomen w contrast (74160) |
$2,835 |
$4,725 |
16.1× |
| CT abdomen w wo contrast (74170) |
$2,835 |
$4,725 |
16.1× |
| CT abdomen w/o contrast (74150) |
$2,016 |
$3,360 |
19.2× |
| CT angio hrt w/3d image (75574) |
$1,975.84 |
$3,293.07 |
5.6× |
| CT angiography upper extremity lt (73206) |
$3,138.19 |
$5,230.31 |
17.8× |
| CT c-spine w/o contrast (72125) |
$1,890.98 |
$3,151.64 |
18.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,835 |
$4,725 |
16.1× |
| CT cervical spine with contrast (72126) |
$2,133.88 |
$3,556.47 |
6.1× |
| CT chest w/wo contrast (71270) |
$2,835 |
$4,725 |
16.1× |
| CT chest with contrast (71260) |
$1,855.46 |
$3,092.44 |
10.5× |
| CT colonography screening (74263) |
$1,172.27 |
$1,953.79 |
4.9× |
| CT colonography w/o cntrst (74261) |
$647.22 |
$1,078.70 |
6.2× |
| CT head/brain with contrast (70460) |
$1,556.84 |
$2,594.74 |
8.8× |
| CT head/brain without and with contrast (70470) |
$1,890.64 |
$3,151.06 |
10.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,954.66 |
$3,257.77 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$79 |
$131.67 |
0.9× |
| CT hrt w/3d image congen (75573) |
$934.40 |
$1,557.33 |
2.7× |
| CT iac w contrast (70481) |
$1,429.47 |
$2,382.45 |
8.1× |
| CT limited/localized follow up study (76380) |
$687.44 |
$1,145.74 |
7.9× |
| CT lower ext w/o (73700) |
$1,588.30 |
$2,647.16 |
15.1× |
| CT lower extremity w wo contrast (73702) |
$1,915.82 |
$3,193.04 |
10.9× |
| CT lower extremity with contrast (73701) |
$2,222.14 |
$3,703.57 |
12.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,553.11 |
$2,588.51 |
8.8× |
| CT lumbar spine w/o contrast (72131) |
$1,902.58 |
$3,170.97 |
18.1× |
| CT lumbar spine with contrast (72132) |
$2,205 |
$3,675 |
6.3× |
| CT maxillofacial w contrast (70487) |
$1,855.93 |
$3,093.22 |
10.5× |
| CT maxillofacial w/o contrast (70486) |
$1,578.28 |
$2,630.46 |
15.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,766.85 |
$2,944.75 |
10.0× |
| CT neck soft tissue w contrast (70491) |
$1,837.21 |
$3,062.01 |
10.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,447.65 |
$2,412.75 |
8.2× |
| CT orbits w/o contrast (70480) |
$1,554.50 |
$2,590.83 |
14.8× |
| CT pelvis w & w/o contrast (72194) |
$1,895.99 |
$3,159.98 |
10.8× |
| CT pelvis w/o contrast (72192) |
$1,501.72 |
$2,502.87 |
14.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,139.83 |
$3,566.39 |
12.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,425.62 |
$2,376.03 |
13.6× |
| CT thoracic spine w/contrast (72129) |
$2,105.72 |
$3,509.53 |
12.0× |
| CT thoracic spine w/o contrast (72128) |
$1,750.41 |
$2,917.35 |
16.7× |
| CT thoracic spine w/wo contrast (72130) |
$3,150 |
$5,250 |
17.9× |
| CT thorax w/o contrast (71250) |
$1,555.66 |
$2,592.77 |
14.8× |
| CT unlisted procedure (76497) |
$1,532.52 |
$2,554.20 |
17.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,708.67 |
$2,847.78 |
9.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,710.48 |
$2,850.80 |
16.3× |
| CT upper extremity with contrast (73201) |
$2,220.61 |
$3,701.02 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,563.10 |
$4,271.83 |
14.5× |
| Cta Abdomen (74175) |
$3,286.30 |
$5,477.16 |
18.7× |
| CTA abdomen pelvis (74174) |
$5,465.29 |
$9,108.82 |
15.6× |
| CTA chest (71275) |
$3,494.98 |
$5,824.97 |
19.8× |
| Cta Head (70496) |
$3,281.71 |
$5,469.51 |
18.6× |
| CTA lwr ext w&w/o contrast (73706) |
$2,835 |
$4,725 |
16.1× |
| Cta Neck (70498) |
$3,246.73 |
$5,411.22 |
18.4× |
| Cta Pelvis (72191) |
$3,198.62 |
$5,331.04 |
18.2× |
| Cystography minimum 3 views rs&i (74430) |
$301.92 |
$503.20 |
0.9× |
| Diskogram cervical (72285) |
$2,050.91 |
$3,418.19 |
1.0× |
| Diskography lumbar (72295) |
$2,183.55 |
$3,639.25 |
1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$294.76 |
$491.27 |
2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$399.45 |
$665.75 |
3.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$346.50 |
$577.50 |
3.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$352.96 |
$588.26 |
3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$204.10 |
$340.17 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$365.14 |
$608.57 |
3.5× |
| Echo exam of fetal heart (76825) |
$792.02 |
$1,320.04 |
1.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$378 |
$630 |
1.6× |
| Echoencephalography real time imaging (76506) |
$459.59 |
$765.99 |
4.4× |
| Esophagus (74220) |
$464.21 |
$773.68 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$535.29 |
$892.15 |
5.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$374.98 |
$624.97 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$429.44 |
$715.74 |
1.8× |
| Foot 2 views (73620) |
$266.59 |
$444.32 |
3.0× |
| Forearm 2 views (73090) |
$294.10 |
$490.16 |
3.4× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$204.53 |
$340.89 |
0.9× |
| Functional MRI brain by tech (70554) |
$987.52 |
$1,645.86 |
4.1× |
| Gated Heart Planar Single (78472) |
$1,471.14 |
$2,451.90 |
3.7× |
| Hand 2 views (73120) |
$294.44 |
$490.74 |
2.8× |
| Hand 3 views (73130) |
$294.25 |
$490.41 |
3.4× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,980.47 |
$3,300.78 |
2.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,763.29 |
$2,938.82 |
2.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,599.36 |
$2,665.60 |
2.3× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$397.29 |
$662.15 |
1.0× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$397.29 |
$662.15 |
1.0× |
| Heart Infarct Image (78466) |
$840.74 |
$1,401.23 |
2.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,373.60 |
$3,956 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,759.85 |
$2,933.08 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,824.46 |
$3,040.76 |
4.5× |
| Ht muscle image spect sing (78451) |
$2,837.84 |
$4,729.73 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$286.40 |
$477.33 |
3.3× |
| Hysterosalpingogram (74740) |
$650.38 |
$1,083.96 |
2.7× |
| Image fusion (77399) |
$376.03 |
$626.72 |
2.8× |
| Interstitial radiation source applic complex (77778) |
$1,162.45 |
$1,937.41 |
1.7× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,107.14 |
$1,845.24 |
1.6× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$3,384.04 |
$5,640.06 |
6.1× |
| Intracavitary radiation source applic simple (77761) |
$796.97 |
$1,328.29 |
1.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$124.24 |
$207.07 |
1.2× |
| Kidney imaging morphology (78700) |
$499.97 |
$833.29 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,359.29 |
$2,265.49 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,573.06 |
$2,621.77 |
2.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,193.73 |
$1,989.55 |
2.2× |
| Knee 3 views (73562) |
$295.59 |
$492.65 |
3.4× |
| Liver & spleen imaging static only (78215) |
$1,362.52 |
$2,270.87 |
3.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$504.82 |
$841.37 |
1.3× |
| Liver imaging static only (78201) |
$1,184.35 |
$1,973.92 |
2.2× |
| Liver imaging w/vascular flow (78202) |
$1,255.15 |
$2,091.92 |
2.3× |
| Lung perf&ventilat diferentl (78598) |
$1,491.60 |
$2,486 |
2.7× |
| Lung perfusion differential (78597) |
$1,110.34 |
$1,850.56 |
2.8× |
| Lung Ventilation Imaging (78579) |
$767.34 |
$1,278.90 |
1.9× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,238.59 |
$2,064.32 |
0.4× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$700.80 |
$1,168 |
1.1× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,494.49 |
$4,157.49 |
0.8× |
| Lymphoscintigraphy (78195) |
$1,795.81 |
$2,993.01 |
3.3× |
| Mammary ductogram or galactogram single (77053) |
$273.85 |
$456.41 |
1.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$101.73 |
$169.55 |
1.2× |
| Meckels Diverticulum (78290) |
$1,312.07 |
$2,186.78 |
3.3× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$798.01 |
$1,330.02 |
2.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,834.19 |
$3,056.98 |
4.9× |
| Mr elastography (76391) |
$1,806.10 |
$3,010.16 |
7.5× |
| MRA head w & w/o contrast (70546) |
$2,835 |
$4,725 |
8.1× |
| MRA head w/o contrast (70544) |
$2,712.76 |
$4,521.26 |
11.3× |
| MRA head with contrast (70545) |
$1,624.02 |
$2,706.70 |
4.6× |
| MRA neck w contrast (70548) |
$3,074.64 |
$5,124.40 |
8.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,432.72 |
$5,721.20 |
9.8× |
| MRA neck w/o contrast (70547) |
$2,615.17 |
$4,358.62 |
10.9× |
| MRI abdomen w contrast (74182) |
$1,688.40 |
$2,814 |
4.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,528 |
$5,880 |
10.1× |
| MRI abdomen w/o contrast (74181) |
$2,035.14 |
$3,391.90 |
8.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,217.20 |
$3,695.33 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,646 |
$4,410 |
3.4× |
| MRI bone marrow blood supply (77084) |
$1,349.86 |
$2,249.77 |
5.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,928.89 |
$3,214.81 |
8.0× |
| MRI breast w/o contrast unilat (77046) |
$1,780.67 |
$2,967.78 |
7.4× |
| MRI c-spine with contrast (72142) |
$2,065.89 |
$3,443.15 |
5.9× |
| MRI cardiac w/o cont stress (75559) |
$1,506.82 |
$2,511.37 |
2.7× |
| MRI cardiac w/o contrast (75557) |
$2,474.36 |
$4,123.93 |
10.3× |
| MRI cervical spine w/o contrast (72141) |
$2,098.23 |
$3,497.05 |
8.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,101.98 |
$3,503.30 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,475.69 |
$2,459.49 |
6.2× |
| MRI chest with contrast (71551) |
$1,581.08 |
$2,635.13 |
2.0× |
| MRI fetal sngl/1st gestation (74712) |
$1,136.26 |
$1,893.77 |
4.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,447.90 |
$2,413.16 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,541.64 |
$2,569.40 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,958.76 |
$3,264.60 |
8.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,362.50 |
$3,937.50 |
9.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,780 |
$6,300 |
10.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,593.28 |
$2,655.46 |
4.5× |
| MRI pelvis w contrast (72196) |
$1,615.88 |
$2,693.13 |
4.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,465 |
$5,775 |
9.9× |
| MRI pelvis w/o contrast (72195) |
$2,520 |
$4,200 |
10.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,179.63 |
$3,632.71 |
6.2× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$3,780 |
$6,300 |
4.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,591 |
$5,985 |
10.2× |
| MRI spectroscopy (76390) |
$1,322.36 |
$2,203.93 |
15.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,654 |
$6,090 |
10.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,019.98 |
$3,366.63 |
5.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,959.56 |
$4,932.60 |
8.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,716.17 |
$2,860.29 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,664.56 |
$6,107.60 |
10.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,883.72 |
$3,139.53 |
7.9× |
| MRI tmj (70336) |
$1,535.89 |
$2,559.82 |
6.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,655.89 |
$2,759.82 |
6.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,150 |
$5,250 |
9.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,920.46 |
$3,200.77 |
8.0× |
| Myelogram Cervical (72240) |
$875.40 |
$1,459 |
1.1× |
| Myelogram Lumbar (72265) |
$1,350.68 |
$2,251.14 |
1.7× |
| Myelogram thoracic (72255) |
$1,014.13 |
$1,690.21 |
1.3× |
| Myelography 2 or more regions (72270) |
$1,615.24 |
$2,692.06 |
2.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,145.78 |
$3,576.30 |
1.6× |
| Myocardial infarct spect (78469) |
$1,490.58 |
$2,484.30 |
2.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,068.19 |
$6,780.31 |
3.1× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$1,731.60 |
$2,886 |
1.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,731.60 |
$2,886 |
1.2× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$2,700.60 |
$4,501 |
1.2× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$3,300.60 |
$5,501 |
1.5× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$2,700.60 |
$4,501 |
1.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$4,753.07 |
$7,921.79 |
5.5× |
| Neck soft tissue (70360) |
$177.68 |
$296.13 |
2.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$600.89 |
$1,001.49 |
1.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$454.74 |
$757.90 |
1.1× |
| Nm bone marrow multiple (78103) |
$367.06 |
$611.77 |
0.9× |
| Nm bone marrow wb (78104) |
$452.36 |
$753.93 |
1.1× |
| Nm cisternogram (78630) |
$1,489.99 |
$2,483.31 |
2.7× |
| Nm csf leak detection (78650) |
$1,433.25 |
$2,388.75 |
1.1× |
| Nm gastric emptying study (78264) |
$1,723.28 |
$2,872.13 |
4.3× |
| Nm gastroesophageal reflux study (78262) |
$493.75 |
$822.91 |
1.2× |
| Nm peritoneal-venous shunt patency (78291) |
$441.21 |
$735.35 |
1.1× |
| Nm red cell sequestration (78140) |
$445.14 |
$741.90 |
1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,552.23 |
$9,253.71 |
4.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,595.26 |
$2,658.77 |
1.2× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$1,584.32 |
$2,640.54 |
1.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,255.15 |
$2,091.92 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$651.59 |
$1,085.99 |
1.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$609.73 |
$1,016.22 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$1,402.07 |
$2,336.79 |
6.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$364.19 |
$606.98 |
3.5× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$264.70 |
$441.16 |
2.5× |
| Orthopantogram (70355) |
$202.98 |
$338.30 |
2.3× |
| Osseous survey infant (77076) |
$215.84 |
$359.74 |
2.1× |
| Osseous survey limited (77074) |
$298.33 |
$497.21 |
2.8× |
| Parathyrd planar w/spect&CT (78072) |
$2,087.09 |
$3,478.48 |
3.8× |
| Parathyrd planar w/wo subtrj (78071) |
$1,734.89 |
$2,891.49 |
4.3× |
| Parathyroid imaging (78070) |
$1,410.04 |
$2,350.06 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$250.78 |
$417.96 |
2.4× |
| Peritoneogram rs&i (74190) |
$563.20 |
$938.67 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$3,796.08 |
$6,326.80 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$4,095 |
$6,825 |
2.9× |
| PET imaging for CT attenuation whole body (78816) |
$4,843.57 |
$8,072.62 |
3.4× |
| PET imaging limited area chest head/neck (78811) |
$2,253.07 |
$3,755.12 |
1.7× |
| PET whole body (78813) |
$5,148.14 |
$8,580.24 |
3.6× |
| Pr MRI brain w/ dye (70558) |
$2,320.06 |
$3,866.77 |
13.2× |
| Pr MRI brain w/o & w/ dye (70559) |
$2,604.71 |
$4,341.19 |
14.8× |
| Pr MRI brain w/o dye (70557) |
$2,005.45 |
$3,342.42 |
3.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,591 |
$5,985 |
10.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,376.74 |
$3,961.24 |
0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,730.74 |
$2,884.57 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,248.53 |
$2,080.89 |
3.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,205 |
$3,675 |
4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$455.59 |
$759.31 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$173.80 |
$289.66 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$430.52 |
$717.53 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$323.29 |
$538.82 |
3.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$220.50 |
$367.50 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$575.76 |
$959.60 |
5.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$12,099.50 |
$20,165.83 |
1.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$669.73 |
$1,116.21 |
1.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$338.25 |
$563.75 |
3.3× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$331.16 |
$551.94 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$167.80 |
$279.67 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$229.30 |
$382.16 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$226.40 |
$377.33 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$364.65 |
$607.75 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$586.63 |
$977.72 |
3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$579.80 |
$966.33 |
3.3× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$152.17 |
$253.62 |
0.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$609.05 |
$1,015.08 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$513.92 |
$856.54 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$268.93 |
$448.21 |
3.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$124.24 |
$207.07 |
1.4× |
| Radiological examination surgical specimen (76098) |
$424.89 |
$708.15 |
0.8× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$749.55 |
$1,249.25 |
3.2× |
| Radiopharmaceutical therapy, unlisted procedure UNSCHEDULED (79999) |
$2,430.66 |
$4,051.10 |
10.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,833.34 |
$4,722.24 |
0.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,119.40 |
$5,199 |
1.0× |
| Ribs bilateral 3 views (71110) |
$352.81 |
$588.02 |
3.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,484.34 |
$2,473.90 |
3.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,014.64 |
$3,357.73 |
3.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,521.35 |
$4,202.25 |
4.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,612.61 |
$4,354.35 |
2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,753.45 |
$6,255.75 |
2.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,783.69 |
$4,639.49 |
2.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$878.33 |
$1,463.89 |
3.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,094.34 |
$1,823.90 |
4.7× |
| Rp Therapy Intravenous Administration (79101) |
$755.45 |
$1,259.09 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$150.68 |
$251.13 |
1.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$409.50 |
$682.50 |
1.7× |
| Salivary gland imaging serial images (78231) |
$367.06 |
$611.77 |
0.9× |
| Scanogram (77073) |
$289.73 |
$482.88 |
2.8× |
| Scapula complete (73010) |
$207.26 |
$345.44 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$88.17 |
$146.95 |
3.8× |
| Sella turcica (70240) |
$92.48 |
$154.13 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$726.11 |
$1,210.19 |
6.9× |
| Sialogram (70390) |
$273.85 |
$456.42 |
1.1× |
| Simulation intermediate (77285) |
$669.97 |
$1,116.61 |
1.8× |
| Small bowel series (74250) |
$520.07 |
$866.78 |
3.0× |
| Spec medical radj physics consltj (77370) |
$875.62 |
$1,459.36 |
6.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$491.17 |
$818.62 |
1.3× |
| Special dosimetry (77331) |
$499.97 |
$833.29 |
3.7× |
| Special treatment procedure (77470) |
$1,655.11 |
$2,758.51 |
3.0× |
| Speech evaluation complex (70371) |
$527.06 |
$878.44 |
2.2× |
| Spine thoracic 3 views (72072) |
$366.62 |
$611.03 |
3.5× |
| Spleen imaging only (78185) |
$367.06 |
$611.77 |
0.9× |
| Splenoportograpy rs&i (75810) |
$2,148.46 |
$3,580.76 |
0.7× |
| Stereotactic body radiation delivery (77373) |
$7,726.73 |
$12,877.89 |
4.3× |
| Superior sagittal sinus venogram (75870) |
$1,965.60 |
$3,276 |
0.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$130.96 |
$218.27 |
1.3× |
| Tbs Technical Calculation Only (77091) |
$99.13 |
$165.22 |
1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,554.92 |
$2,591.53 |
4.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$620.10 |
$1,033.50 |
1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$255.35 |
$425.58 |
1.1× |
| Testicular Imaging With Vascular Flow (78761) |
$449.57 |
$749.28 |
1.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,515.14 |
$2,525.24 |
4.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$772.92 |
$1,288.20 |
5.7× |
| Therapeutic Enema (74283) |
$215.11 |
$358.52 |
1.2× |
| Thoracolumbar 2 views (72080) |
$276.47 |
$460.78 |
3.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,596.56 |
$2,660.93 |
2.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$673.01 |
$1,121.69 |
1.7× |
| Thyroid uptake measurement (78012) |
$680.77 |
$1,134.61 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,350.97 |
$2,251.61 |
3.4× |
| Tmj unilateral (70328) |
$107.12 |
$178.54 |
1.2× |
| Tomogram (76100) |
$300 |
$500 |
2.9× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$99.13 |
$165.22 |
1.1× |
| Treatment device intermediate (77333) |
$676.58 |
$1,127.64 |
5.0× |
| Treatment devices simple (77332) |
$243.11 |
$405.18 |
1.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,108.76 |
$5,181.26 |
5.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,495.02 |
$2,491.70 |
3.7× |
| Tx devices design & construction complex (77334) |
$1,117.85 |
$1,863.08 |
3.0× |
| Ultrasound elastography first target lesion (76982) |
$370.74 |
$617.90 |
3.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$622.88 |
$1,038.14 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$582.79 |
$971.32 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$354.31 |
$590.52 |
3.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$2,464.14 |
$4,106.90 |
28.2× |
| Unlisted fluoroscopic procedure (76496) |
$2,263.57 |
$3,772.61 |
25.9× |
| Unlisted magnetic resonance procedure (76498) |
$1,728 |
$2,880 |
19.8× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$433.58 |
$722.64 |
1.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$1,244.40 |
$2,074 |
12.1× |
| Unlisted Ultrasound Procedure (76999) |
$1,394.43 |
$2,324.05 |
16.0× |
| Upper Extremity Infant (73092) |
$105.03 |
$175.05 |
1.0× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$197.34 |
$328.90 |
2.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$400.83 |
$668.05 |
1.0× |
| Urethrocystography retrograde rs&i (74450) |
$569.52 |
$949.20 |
2.4× |
| Urethrocystography voiding (74455) |
$650.89 |
$1,084.82 |
2.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$636.85 |
$1,061.42 |
3.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$673.80 |
$1,123 |
3.8× |
| Us abdl aorta screen aaa (76706) |
$398.34 |
$663.90 |
3.8× |
| Us breast unilateral complete (76641) |
$409.50 |
$682.50 |
3.9× |
| Us breast unilateral limited (76642) |
$320.55 |
$534.25 |
3.7× |
| Us chest (76604) |
$551.06 |
$918.44 |
5.2× |
| Us compl joint r-t w/image documentation (76881) |
$577.47 |
$962.45 |
5.5× |
| Us elastography parenchyma (76981) |
$215.09 |
$358.49 |
2.0× |
| Us guided compression repair (76936) |
$687.35 |
$1,145.58 |
3.2× |
| Us infant hips dynamic (76885) |
$403.88 |
$673.14 |
4.6× |
| Us infant hips limited static (76886) |
$220.50 |
$367.50 |
2.5× |
| Us kidney transplant (76776) |
$633.62 |
$1,056.03 |
6.0× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$265.61 |
$442.68 |
2.5× |
| Us ob detailed single fetus (76811) |
$639.34 |
$1,065.56 |
2.7× |
| Us ob transvaginal (76817) |
$502.36 |
$837.26 |
4.8× |
| Us pelvic non ob complete (76856) |
$705.04 |
$1,175.06 |
6.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$518.75 |
$864.58 |
4.9× |
| Us pregnancy ltd (76815) |
$312.49 |
$520.81 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$612.02 |
$1,020.04 |
5.8× |
| Us retroperitoneal complete (76770) |
$640.49 |
$1,067.48 |
6.1× |
| Us retroperitoneal limited (76775) |
$480.37 |
$800.61 |
4.6× |
| Us scrotum and contents (76870) |
$567.17 |
$945.29 |
5.4× |
| Us soft tissue head/neck (76536) |
$583.84 |
$973.07 |
5.6× |
| Us spinal canal and contents (76800) |
$417.22 |
$695.37 |
4.0× |
| Us transrectal (76872) |
$504.78 |
$841.30 |
4.8× |
| Us transrectal prostate volume (76873) |
$459.40 |
$765.66 |
4.4× |
| Us xtr non-vasc lmtd (76882) |
$292.83 |
$488.05 |
2.8× |
| Us, eye b-scan (76512) |
$339.35 |
$565.58 |
3.2× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (77600) |
$893.86 |
$1,489.76 |
2.3× |
| Vascular flow imaging (78445) |
$367.06 |
$611.77 |
0.9× |
| Venogram extremity bilateral (75822) |
$1,331.50 |
$2,219.16 |
0.8× |
| Venogram orbital (75880) |
$1,128.41 |
$1,880.69 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,731.54 |
$4,552.56 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,791.31 |
$2,985.52 |
1.1× |
| Venography epidural rs&i (75872) |
$1,006.40 |
$1,677.34 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$1,111.95 |
$1,853.25 |
0.7× |
| Venography Renal Bilateral (75833) |
$2,786.27 |
$4,643.79 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$2,679.11 |
$4,465.19 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,900.61 |
$3,167.69 |
0.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,410 |
$7,350 |
0.8× |
| Vertebral fracture assessment via dxa (77086) |
$267.91 |
$446.52 |
3.1× |
| Wrist 2 views (73100) |
$270.53 |
$450.88 |
3.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$387.62 |
$646.04 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$184.96 |
$308.26 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$274.30 |
$457.17 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$727.65 |
$1,212.75 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$270.32 |
$450.53 |
3.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$301.75 |
$502.91 |
3.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$499.82 |
$833.04 |
4.8× |
| X-ray exam hip uni 1 view (73501) |
$181.91 |
$303.19 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$274.12 |
$456.87 |
3.1× |
| X-ray exam hip uni 4/> views (73503) |
$300 |
$500 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$403.85 |
$673.08 |
3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$505.22 |
$842.04 |
4.8× |
| X-ray exam of femur 1 (73551) |
$147.19 |
$245.31 |
1.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$290.91 |
$484.85 |
1.7× |
| X-ray eye for foreign body (70030) |
$276 |
$460 |
3.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$260.92 |
$434.87 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$112.15 |
$186.92 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$338.25 |
$563.75 |
3.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,525.20 |
$2,542 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$112.12 |
$186.86 |
1.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$690.85 |
$1,151.41 |
3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$112.15 |
$186.92 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$330.74 |
$551.24 |
3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$277.58 |
$462.63 |
3.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105.03 |
$175.05 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$312.53 |
$520.89 |
3.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$496.22 |
$827.03 |
4.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$316.02 |
$526.70 |
3.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$238.79 |
$397.98 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$105.03 |
$175.05 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$143.82 |
$239.70 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$329.51 |
$549.19 |
3.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$666.08 |
$1,110.14 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$274.37 |
$457.29 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$365.45 |
$609.09 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$509.72 |
$849.53 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$158.26 |
$263.77 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$257.93 |
$429.89 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$284.14 |
$473.57 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$303.74 |
$506.24 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$140.58 |
$234.30 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$350.76 |
$584.60 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$256.98 |
$428.30 |
2.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$262.15 |
$436.91 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$202.30 |
$337.16 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$202.07 |
$336.79 |
2.3× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$69.80 |
$116.34 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$289.63 |
$482.72 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$400.21 |
$667.01 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$177.64 |
$296.07 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$286.54 |
$477.56 |
3.3× |
| Xr arthrogram ankle (73615) |
$495.58 |
$825.96 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$442.25 |
$737.09 |
4.2× |
| Xr chest 4+ views (71048) |
$364.40 |
$607.33 |
3.5× |
| Xr Cholecystography Oral Contrast (74290) |
$186.25 |
$310.41 |
1.1× |
| Xr finger(s) 2+ views (73140) |
$201.88 |
$336.46 |
2.3× |
| XR Mastoids < 3 Views Bilateral (70120) |
$193.41 |
$322.35 |
1.8× |
| Xr optic foramina (70190) |
$138.73 |
$231.21 |
1.6× |
| Xr shoulder 1 view (73020) |
$248.71 |
$414.51 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$419.48 |
$699.14 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$283.77 |
$472.95 |
3.2× |
| Xr tmj bilateral (70330) |
$497.71 |
$829.52 |
5.7× |
| Xray knee 1 or 2 views rt (73560) |
$252.96 |
$421.60 |
2.9× |