| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,632.11 |
$7,720.19 |
3.3× |
| Abdomen 2 views (74019) |
$293.03 |
$488.38 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,351.72 |
$2,252.86 |
3.4× |
| Acute venous thrombus image (78456) |
$1,505.91 |
$2,509.85 |
1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,764.59 |
$6,274.32 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$5,073.89 |
$8,456.48 |
1.6× |
| Angiography extremity unilateral rs&i (75710) |
$5,073.89 |
$8,456.48 |
1.6× |
| Angiography internal mammary rs&i (75756) |
$1,943.48 |
$3,239.14 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,553.15 |
$7,588.58 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,290.84 |
$5,484.74 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,344.80 |
$3,908 |
0.7× |
| Angiography Spinal Selective Rs&I (75705) |
$6,385.15 |
$10,641.92 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,863.15 |
$9,771.92 |
1.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$786.60 |
$1,311 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,079.54 |
$3,465.90 |
0.7× |
| Ankle 2 views (73600) |
$280.09 |
$466.82 |
3.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$623.42 |
$1,039.04 |
1.8× |
| Aortogram thoracic (75605) |
$3,728.24 |
$6,213.74 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,410.91 |
$5,684.85 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$5,073.89 |
$8,456.48 |
1.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,446.54 |
$10,744.23 |
2.0× |
| Artery X-Rays Adrenal Gland (75731) |
$6,446.54 |
$10,744.23 |
2.0× |
| Arthrogram elbow (73085) |
$969.83 |
$1,616.39 |
2.8× |
| Arthrogram hip (73525) |
$923.65 |
$1,539.42 |
2.6× |
| Arthrogram shoulder (73040) |
$822.29 |
$1,370.49 |
2.3× |
| Arthrogram wrist (73115) |
$989.23 |
$1,648.72 |
2.8× |
| Arthrography knee lt (73580) |
$942.13 |
$1,570.21 |
2.7× |
| Basic radiation dosimetry calculation (77300) |
$471.29 |
$785.49 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$868.17 |
$1,446.95 |
2.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,158.29 |
$1,930.49 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,688.24 |
$2,813.73 |
4.2× |
| Bone age studies (77072) |
$271.27 |
$452.12 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$1,665.65 |
$2,776.08 |
4.1× |
| Bone Marrow Imaging Limited Area (78102) |
$723 |
$1,205 |
1.8× |
| Bone survey complete (77075) |
$692 |
$1,153.33 |
6.6× |
| Brachytx isodose complex (77318) |
$1,484.81 |
$2,474.68 |
3.9× |
| Brachytx isodose intermed (77317) |
$1,008.74 |
$1,681.23 |
2.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$793.62 |
$1,322.70 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$1,901.40 |
$3,169 |
3.5× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,905.29 |
$3,175.48 |
4.7× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,152.88 |
$1,921.47 |
2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,948.78 |
$6,581.30 |
2.7× |
| Brain Imaging Vascular Flow Only (78610) |
$952.82 |
$1,588.03 |
1.7× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$60.43 |
$100.72 |
5.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,233 |
$2,055 |
3.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,082.29 |
$5,137.15 |
8.8× |
| Cardiac shunt detection (78428) |
$1,284.09 |
$2,140.15 |
3.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$952.82 |
$1,588.03 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$387.55 |
$645.92 |
4.4× |
| Chest 1 view (71045) |
$323.90 |
$539.83 |
3.7× |
| Chest 3 views (71047) |
$244.96 |
$408.26 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$586.76 |
$977.94 |
3.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,899.06 |
$3,165.10 |
2.4× |
| Clavicle complete (73000) |
$277.83 |
$463.05 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$222.53 |
$370.88 |
2.1× |
| Continuing medical physics consltj pr wk (77336) |
$557.52 |
$929.20 |
4.1× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$362.98 |
$604.96 |
2.1× |
| Corpora cavernosography (74445) |
$593.46 |
$989.10 |
5.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,829.46 |
$6,382.44 |
10.9× |
| CT abdomen and pelvis without contrast (74176) |
$3,360.55 |
$5,600.91 |
14.0× |
| CT abdomen w contrast (74160) |
$2,472.27 |
$4,120.45 |
14.0× |
| CT abdomen w wo contrast (74170) |
$2,520 |
$4,200 |
14.3× |
| CT abdomen w/o contrast (74150) |
$2,204.64 |
$3,674.40 |
21.0× |
| CT angio hrt w/3d image (75574) |
$1,975.84 |
$3,293.07 |
5.6× |
| CT angiography upper extremity lt (73206) |
$2,049.58 |
$3,415.97 |
11.6× |
| CT c-spine w/o contrast (72125) |
$1,953.50 |
$3,255.83 |
18.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,520 |
$4,200 |
14.3× |
| CT cervical spine with contrast (72126) |
$2,205 |
$3,675 |
6.3× |
| CT chest w/wo contrast (71270) |
$2,477.96 |
$4,129.94 |
14.1× |
| CT chest with contrast (71260) |
$2,462.49 |
$4,104.15 |
14.0× |
| CT colonography screening (74263) |
$2,926.11 |
$4,876.85 |
12.2× |
| CT colonography w/dye (74262) |
$1,009.98 |
$1,683.30 |
5.7× |
| CT colonography w/o cntrst (74261) |
$616.57 |
$1,027.61 |
5.9× |
| CT head/brain with contrast (70460) |
$1,631.70 |
$2,719.50 |
9.3× |
| CT head/brain without and with contrast (70470) |
$2,109.11 |
$3,515.19 |
12.0× |
| 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) |
$218.90 |
$364.83 |
2.5× |
| CT hrt w/3d image congen (75573) |
$1,055.98 |
$1,759.97 |
3.0× |
| CT iac w contrast (70481) |
$1,840.97 |
$3,068.29 |
10.4× |
| CT limited/localized follow up study (76380) |
$756 |
$1,260 |
8.6× |
| CT lower ext w/o (73700) |
$1,750.33 |
$2,917.22 |
16.7× |
| CT lower extremity w wo contrast (73702) |
$2,029.82 |
$3,383.03 |
11.5× |
| CT lower extremity with contrast (73701) |
$2,273.11 |
$3,788.52 |
12.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,553.11 |
$2,588.51 |
8.8× |
| CT lumbar spine w/o contrast (72131) |
$1,532.43 |
$2,554.05 |
14.6× |
| CT lumbar spine with contrast (72132) |
$2,205 |
$3,675 |
6.3× |
| CT maxillofacial w contrast (70487) |
$2,371.94 |
$3,953.24 |
13.5× |
| CT maxillofacial w/o contrast (70486) |
$1,979.54 |
$3,299.24 |
18.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,098.01 |
$3,496.69 |
11.9× |
| CT neck soft tissue w contrast (70491) |
$2,405.87 |
$4,009.78 |
13.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,652.85 |
$2,754.75 |
9.4× |
| CT orbits w/o contrast (70480) |
$1,709.14 |
$2,848.57 |
16.3× |
| CT pelvis w & w/o contrast (72194) |
$2,062.89 |
$3,438.15 |
11.7× |
| CT pelvis w/o contrast (72192) |
$1,750.33 |
$2,917.22 |
16.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$343.66 |
$572.77 |
3.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,527.53 |
$4,212.55 |
14.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,615.30 |
$2,692.17 |
15.4× |
| CT thoracic spine w/contrast (72129) |
$1,890 |
$3,150 |
10.7× |
| CT thoracic spine w/o contrast (72128) |
$1,833.68 |
$3,056.13 |
17.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,205 |
$3,675 |
12.5× |
| CT thorax w/o contrast (71250) |
$1,080.46 |
$1,800.77 |
10.3× |
| CT unlisted procedure (76497) |
$491.88 |
$819.80 |
5.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,841.10 |
$3,068.50 |
10.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,807.08 |
$3,011.80 |
17.2× |
| CT upper extremity with contrast (73201) |
$2,103.97 |
$3,506.62 |
6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,245.33 |
$3,742.22 |
12.7× |
| Cta Abdomen (74175) |
$2,903.98 |
$4,839.96 |
16.5× |
| CTA abdomen pelvis (74174) |
$4,692.97 |
$7,821.61 |
13.4× |
| CTA chest (71275) |
$2,388.25 |
$3,980.41 |
13.6× |
| Cta Head (70496) |
$2,205 |
$3,675 |
12.5× |
| CTA lwr ext w&w/o contrast (73706) |
$2,835 |
$4,725 |
16.1× |
| Cta Neck (70498) |
$2,205 |
$3,675 |
12.5× |
| Cta Pelvis (72191) |
$1,836.89 |
$3,061.49 |
10.4× |
| Cystography minimum 3 views rs&i (74430) |
$836.72 |
$1,394.53 |
2.4× |
| Dacryocystography (70170) |
$907.91 |
$1,513.18 |
3.8× |
| Diskogram cervical (72285) |
$5,618.23 |
$9,363.71 |
2.9× |
| Diskography lumbar (72295) |
$5,618.23 |
$9,363.71 |
2.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$284.85 |
$474.75 |
2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$306.05 |
$510.09 |
2.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$275.45 |
$459.08 |
2.6× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$413.30 |
$688.83 |
3.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$342.92 |
$571.54 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$218.10 |
$363.50 |
2.5× |
| Dxa bone density study axial skeleton (77085) |
$278.54 |
$464.23 |
2.7× |
| Echo exam of fetal heart (76825) |
$805.36 |
$1,342.27 |
1.5× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$767.01 |
$1,278.35 |
3.2× |
| Echoencephalography real time imaging (76506) |
$411.64 |
$686.07 |
3.9× |
| Esophageal motility (78258) |
$1,329.53 |
$2,215.89 |
3.3× |
| Esophagus (74220) |
$464.21 |
$773.68 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$504.08 |
$840.14 |
4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$390.11 |
$650.19 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$615.53 |
$1,025.89 |
2.6× |
| Foot 2 views (73620) |
$313.58 |
$522.63 |
3.6× |
| Forearm 2 views (73090) |
$345.12 |
$575.20 |
3.9× |
| Functional MRI brain by phys/psych (70555) |
$1,486.20 |
$2,477 |
6.2× |
| Functional MRI brain by tech (70554) |
$1,601.46 |
$2,669.10 |
6.7× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$1,770.81 |
$2,951.35 |
3.2× |
| Gated Heart Planar Single (78472) |
$1,397.69 |
$2,329.48 |
3.5× |
| Hand 2 views (73120) |
$317.53 |
$529.21 |
3.0× |
| Hand 3 views (73130) |
$354.56 |
$590.94 |
4.1× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,237.28 |
$5,395.47 |
4.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,424.21 |
$5,707.02 |
4.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$3,719.75 |
$6,199.59 |
5.3× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$580.81 |
$968.02 |
1.5× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$425.50 |
$709.16 |
1.1× |
| Heart Infarct Image (78466) |
$1,114.32 |
$1,857.20 |
2.8× |
| Heart infarct image w ef (78468) |
$465.04 |
$775.07 |
0.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,446.54 |
$10,744.23 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,822.51 |
$3,037.52 |
3.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,624.99 |
$2,708.31 |
4.0× |
| Ht muscle image spect sing (78451) |
$3,594.43 |
$5,990.71 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$369.64 |
$616.07 |
4.2× |
| Hysterosalpingogram (74740) |
$815.96 |
$1,359.94 |
3.4× |
| Image fusion (77399) |
$376.03 |
$626.72 |
2.8× |
| Interstitial radiation source applic complex (77778) |
$3,167.17 |
$5,278.62 |
4.5× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,773.02 |
$2,955.04 |
2.5× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,521.98 |
$2,536.64 |
2.7× |
| Intracavitary radiation source applic simple (77761) |
$1,269.97 |
$2,116.61 |
2.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$190.70 |
$317.83 |
1.8× |
| Kidney funcj study non-img radioisotopic study (78725) |
$783.86 |
$1,306.44 |
2.0× |
| Kidney imaging morphology (78700) |
$1,059.29 |
$1,765.49 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,295.17 |
$2,158.62 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,573.06 |
$2,621.77 |
2.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,319.61 |
$2,199.35 |
2.4× |
| Knee 3 views (73562) |
$386.18 |
$643.64 |
4.4× |
| Liver & spleen imaging static only (78215) |
$1,123.50 |
$1,872.50 |
2.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,246.79 |
$2,077.98 |
3.1× |
| Liver imaging static only (78201) |
$1,328.66 |
$2,214.44 |
2.4× |
| Liver imaging w/vascular flow (78202) |
$1,498.22 |
$2,497.04 |
2.7× |
| Lung perf&ventilat diferentl (78598) |
$1,319.52 |
$2,199.20 |
2.4× |
| Lung perfusion differential (78597) |
$1,023.08 |
$1,705.13 |
2.5× |
| Lung Ventilation Imaging (78579) |
$962.14 |
$1,603.56 |
2.4× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$2,447.85 |
$4,079.75 |
0.8× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$984.85 |
$1,641.41 |
1.6× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$1,288.81 |
$2,148.02 |
0.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,494.49 |
$4,157.49 |
0.8× |
| Lymphoscintigraphy (78195) |
$1,413.31 |
$2,355.52 |
2.6× |
| Mammary ductogram or galactogram multiple (77054) |
$437 |
$728.33 |
1.8× |
| Mammary ductogram or galactogram single (77053) |
$346.42 |
$577.36 |
1.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$196.81 |
$328.02 |
2.3× |
| Meckels Diverticulum (78290) |
$905.95 |
$1,509.91 |
2.3× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$534.14 |
$890.24 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,553.58 |
$2,589.30 |
4.1× |
| Mr elastography (76391) |
$641.23 |
$1,068.72 |
2.7× |
| MRA head w & w/o contrast (70546) |
$2,947.26 |
$4,912.10 |
8.4× |
| MRA head w/o contrast (70544) |
$2,301.22 |
$3,835.36 |
9.6× |
| MRA head with contrast (70545) |
$2,096.41 |
$3,494.02 |
6.0× |
| MRA neck w contrast (70548) |
$2,015.98 |
$3,359.96 |
5.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,517.95 |
$4,196.59 |
7.2× |
| MRA neck w/o contrast (70547) |
$2,119.43 |
$3,532.38 |
8.8× |
| MRI abdomen w contrast (74182) |
$2,418.86 |
$4,031.43 |
6.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,136.61 |
$5,227.69 |
8.9× |
| MRI abdomen w/o contrast (74181) |
$2,539.49 |
$4,232.49 |
10.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,362.44 |
$3,937.40 |
3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,956.58 |
$4,927.63 |
3.8× |
| MRI bone marrow blood supply (77084) |
$1,592.64 |
$2,654.40 |
6.6× |
| MRI breast w/o contrast bilateral (77047) |
$2,262.65 |
$3,771.09 |
9.4× |
| MRI breast w/o contrast unilat (77046) |
$1,645.45 |
$2,742.41 |
6.9× |
| MRI c-spine with contrast (72142) |
$2,131.05 |
$3,551.75 |
6.1× |
| MRI cardiac w/o cont stress (75559) |
$1,680.47 |
$2,800.79 |
3.1× |
| MRI cardiac w/o contrast (75557) |
$2,474.36 |
$4,123.93 |
10.3× |
| MRI cervical spine w/o contrast (72141) |
$2,351.10 |
$3,918.50 |
9.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,295.69 |
$3,826.15 |
6.6× |
| MRI chest w/o contrast (71550) |
$1,616.66 |
$2,694.44 |
6.7× |
| MRI chest with contrast (71551) |
$2,392.64 |
$3,987.74 |
3.0× |
| MRI fetal sngl/1st gestation (74712) |
$1,176.47 |
$1,960.78 |
4.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,565 |
$4,275 |
7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,565 |
$4,275 |
7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,301.80 |
$3,836.34 |
9.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,173.46 |
$3,622.44 |
9.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,097.59 |
$5,162.65 |
8.8× |
| MRI orbit/face/neck w/contrast (70542) |
$2,388.91 |
$3,981.51 |
6.8× |
| MRI pelvis w contrast (72196) |
$1,932.60 |
$3,221 |
5.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,132.19 |
$5,220.31 |
8.9× |
| MRI pelvis w/o contrast (72195) |
$2,274.19 |
$3,790.32 |
9.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,946.46 |
$4,910.77 |
8.4× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,538 |
$4,230 |
3.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,785.42 |
$4,642.37 |
7.9× |
| MRI spectroscopy (76390) |
$1,335.60 |
$2,226 |
15.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,391.76 |
$5,652.93 |
9.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,265.55 |
$3,775.92 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,933.28 |
$4,888.80 |
8.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,888.75 |
$3,147.92 |
5.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,570.01 |
$5,950.01 |
10.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,030.13 |
$3,383.55 |
8.5× |
| MRI tmj (70336) |
$2,374.65 |
$3,957.75 |
9.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,140.45 |
$3,567.41 |
8.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,636.74 |
$6,061.23 |
10.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,195.17 |
$3,658.61 |
9.2× |
| Myelogram Cervical (72240) |
$1,133.23 |
$1,888.71 |
1.4× |
| Myelogram Lumbar (72265) |
$1,334.09 |
$2,223.48 |
1.7× |
| Myelogram thoracic (72255) |
$1,370.02 |
$2,283.37 |
1.7× |
| Myelography 2 or more regions (72270) |
$1,821.46 |
$3,035.76 |
2.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,549.60 |
$5,916 |
2.7× |
| Myocardial infarct spect (78469) |
$1,231.62 |
$2,052.70 |
2.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,016.39 |
$6,693.99 |
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) |
$3,426.80 |
$5,711.33 |
4.0× |
| Neck soft tissue (70360) |
$220.15 |
$366.92 |
2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$693 |
$1,155 |
1.7× |
| Nm adrenal scan (78075) |
$4,337.20 |
$7,228.66 |
3.3× |
| Nm bone marrow multiple (78103) |
$1,010.08 |
$1,683.46 |
2.5× |
| Nm bone marrow wb (78104) |
$1,010.08 |
$1,683.46 |
2.5× |
| Nm cisternogram (78630) |
$1,653.39 |
$2,755.65 |
3.0× |
| Nm csf leak detection (78650) |
$1,405.38 |
$2,342.30 |
1.1× |
| Nm gastric emptying study (78264) |
$1,298.95 |
$2,164.92 |
3.2× |
| Nm gastroesophageal reflux study (78262) |
$1,110.50 |
$1,850.84 |
2.8× |
| Nm peritoneal-venous shunt patency (78291) |
$694.48 |
$1,157.46 |
1.7× |
| Nm red cell sequestration (78140) |
$407.63 |
$679.39 |
1.0× |
| Nm whole blood volume (78122) |
$1,811.30 |
$3,018.84 |
3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,017.48 |
$8,362.46 |
3.6× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$4,225.34 |
$7,042.23 |
2.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,334.46 |
$3,890.77 |
1.8× |
| Nuclear medicine of heart pumping function (78473) |
$1,370.99 |
$2,284.98 |
3.4× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$1,419.26 |
$2,365.44 |
2.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$4,795.47 |
$7,992.45 |
3.3× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,627.73 |
$6,046.21 |
2.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,334.46 |
$3,890.77 |
1.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,008.39 |
$1,680.65 |
2.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,247.37 |
$2,078.95 |
3.1× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,389.15 |
$2,315.25 |
3.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,193.73 |
$1,989.55 |
3.0× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,306.82 |
$2,178.03 |
2.4× |
| Nuclear Rx Oral Admin (79005) |
$1,020.34 |
$1,700.57 |
4.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$326.03 |
$543.38 |
3.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$601.90 |
$1,003.16 |
4.5× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$256.09 |
$426.82 |
2.4× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$368.05 |
$613.42 |
3.5× |
| Orthopantogram (70355) |
$203.49 |
$339.15 |
2.3× |
| Osseous survey infant (77076) |
$337.88 |
$563.14 |
3.2× |
| Osseous survey limited (77074) |
$366 |
$610 |
3.5× |
| Parathyrd planar w/spect&CT (78072) |
$1,987.70 |
$3,312.84 |
3.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,382.35 |
$2,303.92 |
3.4× |
| Parathyroid imaging (78070) |
$1,256.29 |
$2,093.81 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$408.02 |
$680.03 |
3.9× |
| Perineogram (74775) |
$633.30 |
$1,055.50 |
2.6× |
| Peritoneogram rs&i (74190) |
$510.85 |
$851.42 |
0.9× |
| PET image w/CT, skull-thigh (78815) |
$5,355 |
$8,925 |
3.7× |
| PET imaging CT for attenuation limited area (78814) |
$4,484.45 |
$7,474.09 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$5,512.50 |
$9,187.50 |
3.8× |
| PET imaging limited area chest head/neck (78811) |
$3,809.11 |
$6,348.52 |
2.9× |
| PET whole body (78813) |
$4,795.47 |
$7,992.45 |
3.3× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) |
$1,982.90 |
$3,304.83 |
1.5× |
| Pr gi endoscopic ultrasound (76975) |
$611.42 |
$1,019.04 |
2.6× |
| Pr heart first pass single,planar (78481) |
$1,219.89 |
$2,033.15 |
2.2× |
| Pr MRI brain w/ dye (70558) |
$2,124.60 |
$3,541 |
12.1× |
| Pr MRI brain w/o dye (70557) |
$2,459.08 |
$4,098.47 |
4.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,857.68 |
$4,762.80 |
8.2× |
| Pr non-imaging heart function (78414) |
$1,284.09 |
$2,140.15 |
2.4× |
| Pr red cell survival study (78130) |
$856.11 |
$1,426.85 |
2.1× |
| Proton tx delivery intermediate (77523) |
$1,444.54 |
$2,407.56 |
1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,330.14 |
$3,883.57 |
0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,948.80 |
$3,248 |
0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,018.88 |
$1,698.13 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,890 |
$3,150 |
3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$680.86 |
$1,134.76 |
1.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$310.90 |
$518.16 |
3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$420.12 |
$700.20 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$354.61 |
$591.02 |
3.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$235.84 |
$393.06 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$547.41 |
$912.35 |
5.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$15,484.38 |
$25,807.30 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$758.96 |
$1,264.94 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$398.53 |
$664.22 |
3.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$665.27 |
$1,108.79 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$351.57 |
$585.95 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$340.37 |
$567.29 |
3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$318.64 |
$531.06 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$382.19 |
$636.99 |
4.4× |
| Radiologic exam colon single contrast study (74270) |
$664.84 |
$1,108.07 |
3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$579.80 |
$966.33 |
3.3× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$425.96 |
$709.94 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$616.55 |
$1,027.58 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$576.01 |
$960.02 |
3.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$266.50 |
$444.17 |
3.0× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$184.20 |
$307 |
2.1× |
| Radiological examination surgical specimen (76098) |
$523.24 |
$872.06 |
1.0× |
| Radiopharm Dacryocystography (78660) |
$583.70 |
$972.83 |
1.5× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$1,171.04 |
$1,951.73 |
5.0× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$1,982.90 |
$3,304.83 |
3.6× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,325.28 |
$3,875.47 |
0.7× |
| 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) |
$394.41 |
$657.35 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,726.41 |
$2,877.35 |
4.3× |
| 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) |
$2,205 |
$3,675 |
4.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,215.46 |
$3,692.44 |
1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,513.45 |
$4,189.09 |
1.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,810.13 |
$3,016.89 |
1.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,085.69 |
$1,809.49 |
4.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$957.94 |
$1,596.56 |
4.1× |
| Rp Therapy Intravenous Administration (79101) |
$795.01 |
$1,325.01 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$228.69 |
$381.15 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$552.03 |
$920.05 |
2.3× |
| Salivary gland function study (78232) |
$1,179.85 |
$1,966.42 |
2.9× |
| Salivary gland imaging serial images (78231) |
$879 |
$1,465 |
2.2× |
| Scanogram (77073) |
$335 |
$558.34 |
3.2× |
| Scapula complete (73010) |
$288.81 |
$481.35 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$71.72 |
$119.54 |
3.1× |
| Sella turcica (70240) |
$210.77 |
$351.29 |
2.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$316.80 |
$528 |
3.0× |
| Sialogram (70390) |
$829.34 |
$1,382.23 |
3.5× |
| Simulation intermediate (77285) |
$1,159.03 |
$1,931.72 |
3.1× |
| Small bowel series (74250) |
$558.22 |
$930.37 |
3.2× |
| Spec medical radj physics consltj (77370) |
$647.78 |
$1,079.63 |
4.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$978.06 |
$1,630.10 |
2.6× |
| Special dosimetry (77331) |
$391.19 |
$651.98 |
2.9× |
| Special treatment procedure (77470) |
$1,968.12 |
$3,280.20 |
3.5× |
| Speech evaluation complex (70371) |
$409.96 |
$683.27 |
1.7× |
| Spine thoracic 3 views (72072) |
$471.09 |
$785.15 |
4.5× |
| Spleen imaging only (78185) |
$1,010.08 |
$1,683.46 |
2.5× |
| Splenoportograpy rs&i (75810) |
$1,880.40 |
$3,134 |
0.6× |
| Stereotactic body radiation delivery (77373) |
$6,876.26 |
$11,460.44 |
3.8× |
| Superior sagittal sinus venogram (75870) |
$1,834.89 |
$3,058.15 |
0.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$314.07 |
$523.45 |
3.1× |
| Tbs Technical Calculation Only (77091) |
$99.13 |
$165.22 |
1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,288.12 |
$2,146.87 |
3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$813.43 |
$1,355.72 |
2.2× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$813.60 |
$1,356 |
3.4× |
| Testicular Imaging With Vascular Flow (78761) |
$1,200.74 |
$2,001.24 |
3.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,482.96 |
$2,471.60 |
3.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$647.78 |
$1,079.63 |
4.8× |
| Therapeutic Enema (74283) |
$538.88 |
$898.14 |
3.1× |
| Thoracolumbar 2 views (72080) |
$283.39 |
$472.31 |
3.2× |
| Thyroid carcinoma metastases img addl study (78016) |
$767.93 |
$1,279.88 |
1.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,244.83 |
$2,074.71 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$577.80 |
$963 |
1.4× |
| Thyroid uptake measurement (78012) |
$545.58 |
$909.30 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,350.97 |
$2,251.61 |
3.4× |
| Tmj unilateral (70328) |
$237.35 |
$395.59 |
2.7× |
| Tomogram (76100) |
$370.64 |
$617.73 |
3.5× |
| 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) |
$634.99 |
$1,058.31 |
4.7× |
| Treatment devices simple (77332) |
$634.32 |
$1,057.20 |
4.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,534.30 |
$5,890.50 |
6.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,098 |
$1,830 |
2.7× |
| Tx devices design & construction complex (77334) |
$995.40 |
$1,659 |
2.6× |
| Ultrasound elastography first target lesion (76982) |
$353.09 |
$588.48 |
3.4× |
| Ultrasound scan of cornea to determine thickness (76514) |
$103.45 |
$172.42 |
3.6× |
| Ultrasound scan to determine eye length and lens power (76519) |
$421.57 |
$702.61 |
4.0× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$237.74 |
$396.24 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$559.66 |
$932.77 |
5.3× |
| Umbilical-artery Doppler (OB) (76820) |
$280.96 |
$468.26 |
2.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$2,453.87 |
$4,089.78 |
28.1× |
| Unlisted fluoroscopic procedure (76496) |
$2,247.13 |
$3,745.22 |
25.7× |
| Unlisted magnetic resonance procedure (76498) |
$1,728 |
$2,880 |
19.8× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$1,540.47 |
$2,567.45 |
15.0× |
| Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) |
$398.11 |
$663.52 |
2.9× |
| Unlisted Ultrasound Procedure (76999) |
$1,537.70 |
$2,562.84 |
17.6× |
| Upper Extremity Infant (73092) |
$234.64 |
$391.06 |
2.2× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$421.31 |
$702.19 |
4.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,200.74 |
$2,001.24 |
3.0× |
| Urethrocystography retrograde rs&i (74450) |
$986.06 |
$1,643.44 |
4.1× |
| Urethrocystography voiding (74455) |
$659.87 |
$1,099.79 |
2.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$632.48 |
$1,054.14 |
3.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$680.59 |
$1,134.31 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$388.66 |
$647.77 |
3.7× |
| Us breast unilateral complete (76641) |
$358 |
$596.67 |
3.4× |
| Us breast unilateral limited (76642) |
$320.45 |
$534.09 |
3.7× |
| Us chest (76604) |
$411.22 |
$685.37 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$462.92 |
$771.53 |
4.4× |
| Us elastography parenchyma (76981) |
$353.09 |
$588.48 |
3.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$268.90 |
$448.16 |
2.6× |
| Us guided compression repair (76936) |
$567.29 |
$945.49 |
2.6× |
| Us infant hips dynamic (76885) |
$428.11 |
$713.52 |
4.9× |
| Us infant hips limited static (76886) |
$321.35 |
$535.59 |
3.7× |
| Us kidney transplant (76776) |
$556.67 |
$927.78 |
5.3× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$404.66 |
$674.43 |
3.9× |
| Us ob detailed single fetus (76811) |
$584.44 |
$974.07 |
2.4× |
| Us ob transvaginal (76817) |
$363.77 |
$606.28 |
3.5× |
| Us pelvic non ob complete (76856) |
$481.82 |
$803.03 |
4.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$447.46 |
$745.77 |
4.3× |
| Us pregnancy ltd (76815) |
$341.46 |
$569.10 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$537.06 |
$895.10 |
5.1× |
| Us retroperitoneal complete (76770) |
$623.48 |
$1,039.13 |
5.9× |
| Us retroperitoneal limited (76775) |
$426.19 |
$710.31 |
4.1× |
| Us scrotum and contents (76870) |
$710.20 |
$1,183.67 |
6.8× |
| Us soft tissue head/neck (76536) |
$597.11 |
$995.19 |
5.7× |
| Us spinal canal and contents (76800) |
$455.03 |
$758.38 |
4.3× |
| Us transrectal (76872) |
$477.43 |
$795.72 |
4.5× |
| Us transrectal prostate volume (76873) |
$531.67 |
$886.11 |
5.1× |
| Us xtr non-vasc lmtd (76882) |
$403.65 |
$672.75 |
3.8× |
| Us, eye b-scan (76512) |
$380.47 |
$634.11 |
3.6× |
| Use of body cavity probe generated heat to increase temperature of cancer cell (77620) |
$1,880.11 |
$3,133.52 |
3.4× |
| Use of interstitial probe generated heat to increase temperature of cancer cell, more than 5 probes (77615) |
$659.02 |
$1,098.36 |
1.2× |
| Vascular flow imaging (78445) |
$608.56 |
$1,014.27 |
1.5× |
| Vasogram (74440) |
$858.58 |
$1,430.96 |
3.6× |
| Venogram extremity bilateral (75822) |
$1,876.79 |
$3,127.99 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$2,884.48 |
$4,807.46 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,864.99 |
$3,108.32 |
1.2× |
| Venography epidural rs&i (75872) |
$2,079.54 |
$3,465.90 |
3.3× |
| Venography extremity unilateral rs&i (75820) |
$1,111.95 |
$1,853.25 |
0.7× |
| Venography Renal Bilateral (75833) |
$6,446.54 |
$10,744.23 |
2.0× |
| Venography renal unilateral selective rs&i (75831) |
$2,453.87 |
$4,089.78 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,855.99 |
$3,093.32 |
0.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,200 |
$7,000 |
0.8× |
| Vertebral fracture assessment via dxa (77086) |
$136.07 |
$226.79 |
1.6× |
| Wrist 2 views (73100) |
$294.55 |
$490.91 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$433.36 |
$722.27 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$277.01 |
$461.69 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$329.92 |
$549.87 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$854.32 |
$1,423.86 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$323.28 |
$538.80 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$408.07 |
$680.12 |
4.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$574.78 |
$957.97 |
5.5× |
| X-ray exam hip uni 1 view (73501) |
$230.25 |
$383.75 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$287.59 |
$479.31 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$433.02 |
$721.70 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$378.93 |
$631.55 |
3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$441.87 |
$736.45 |
4.2× |
| X-ray exam of femur 1 (73551) |
$218.65 |
$364.42 |
2.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$458.05 |
$763.42 |
2.6× |
| X-ray eye for foreign body (70030) |
$189.70 |
$316.16 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$379.12 |
$631.86 |
3.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$223.84 |
$373.07 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$375.94 |
$626.57 |
4.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,129.23 |
$5,215.38 |
1.5× |
| X-ray head for orthodontia (70350) |
$219.76 |
$366.26 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$265.85 |
$443.08 |
3.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$823.49 |
$1,372.48 |
4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$280.60 |
$467.67 |
3.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$479.71 |
$799.51 |
4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$310.91 |
$518.19 |
3.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$235.30 |
$392.16 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$439.53 |
$732.55 |
4.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$580.22 |
$967.03 |
5.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$441.34 |
$735.57 |
4.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$282.77 |
$471.28 |
3.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$201.06 |
$335.10 |
2.3× |
| X-ray of voice box or throat (70370) |
$427.43 |
$712.39 |
4.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$314.04 |
$523.40 |
3.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$408.07 |
$680.12 |
3.9× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$820.15 |
$1,366.92 |
1.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$782.02 |
$1,303.36 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$356.95 |
$594.91 |
4.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$343.13 |
$571.89 |
3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$570.26 |
$950.43 |
5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$286.21 |
$477.02 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$303.63 |
$506.05 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$369.64 |
$616.07 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$436.99 |
$728.32 |
5.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$238.43 |
$397.38 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$416.41 |
$694.01 |
4.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$289.78 |
$482.96 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$307.85 |
$513.08 |
3.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$204.73 |
$341.21 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$319.46 |
$532.44 |
3.7× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$149.08 |
$248.46 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$373.36 |
$622.27 |
3.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$366.29 |
$610.48 |
3.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$308.64 |
$514.40 |
3.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$384.56 |
$640.93 |
4.4× |
| Xr arthrogram ankle (73615) |
$969.83 |
$1,616.39 |
2.8× |
| Xr c-spine 6 or more views (72052) |
$595.93 |
$993.21 |
5.7× |
| Xr chest 4+ views (71048) |
$309.28 |
$515.46 |
2.9× |
| Xr Cholecystography Oral Contrast (74290) |
$268.84 |
$448.06 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$275.17 |
$458.61 |
3.1× |
| Xr internal auditory meati complete (70134) |
$338.57 |
$564.29 |
0.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$293.81 |
$489.69 |
2.8× |
| Xr myelogram posterior fossa (70010) |
$2,078.98 |
$3,464.96 |
5.9× |
| Xr optic foramina (70190) |
$210.77 |
$351.29 |
2.4× |
| Xr shoulder 1 view (73020) |
$297.05 |
$495.09 |
3.4× |
| Xr spine cervical 4 or 5 views (72050) |
$561.71 |
$936.19 |
5.3× |
| Xr tibia/fibula 2 views (73590) |
$317.10 |
$528.50 |
3.6× |
| Xr tmj bilateral (70330) |
$257.12 |
$428.54 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$351.52 |
$585.86 |
4.0× |