| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,409.38 |
$5,187.50 |
3.0× |
| Abdomen 2 views (74019) |
$315.35 |
$371 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,719.98 |
$2,023.50 |
4.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$4,351.15 |
$5,119 |
1.3× |
| Angiography extremity bilateral rs&i (75716) |
$5,812.30 |
$6,671 |
1.7× |
| Angiography extremity unilateral rs&i (75710) |
$3,495.62 |
$4,112.50 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$4,351.15 |
$5,119 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,501.25 |
$8,825 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,156.95 |
$6,067 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,071.95 |
$5,967 |
1.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,501.25 |
$8,825 |
1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,351.15 |
$5,119 |
1.3× |
| Ankle 2 views (73600) |
$287.30 |
$338 |
3.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$841.08 |
$989.50 |
2.3× |
| Aortogram thoracic (75605) |
$6,367.35 |
$7,491 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,812.30 |
$6,671 |
1.7× |
| Aortography abdominal serialography rs&i (75625) |
$5,812.30 |
$6,838 |
1.7× |
| Artery X-Rays Adrenal Gland (75731) |
$4,351.15 |
$5,119 |
1.3× |
| Arthrogram hip (73525) |
$654.50 |
$770 |
1.8× |
| Arthrogram shoulder (73040) |
$630.70 |
$742 |
1.7× |
| Arthrogram wrist (73115) |
$574.60 |
$676 |
1.6× |
| Arthrography knee lt (73580) |
$368.05 |
$433 |
1.0× |
| Basic radiation dosimetry calculation (77300) |
$1,438.62 |
$1,692.50 |
10.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$655.35 |
$771 |
1.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$3,440.80 |
$4,048 |
8.2× |
| Bone &/joint imaging whole body (78306) |
$1,736.55 |
$2,043 |
4.1× |
| Bone age studies (77072) |
$333.62 |
$392.50 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$1,737.40 |
$2,044 |
4.1× |
| Bone Marrow Imaging Limited Area (78102) |
$746.30 |
$878 |
1.8× |
| Bone survey complete (77075) |
$713.15 |
$839 |
6.5× |
| Brachytx isodose complex (77318) |
$1,277.55 |
$1,503 |
3.2× |
| Brain image w/flow 4 + views (78606) |
$958.80 |
$1,128 |
1.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$769.25 |
$905 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$382.50 |
$450 |
4.2× |
| Chest 1 view (71045) |
$249.05 |
$293 |
2.7× |
| Chest 3 views (71047) |
$393.98 |
$463.50 |
4.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$331.08 |
$389.50 |
1.8× |
| Clavicle complete (73000) |
$482.38 |
$567.50 |
5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$210.38 |
$247.50 |
1.9× |
| Continuing medical physics consltj pr wk (77336) |
$943.50 |
$1,110 |
6.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,072.38 |
$5,967.50 |
13.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,292.05 |
$3,873 |
13.1× |
| CT abdomen w contrast (74160) |
$2,734.02 |
$3,216.50 |
14.8× |
| CT abdomen w wo contrast (74170) |
$2,812.22 |
$3,308.50 |
15.2× |
| CT abdomen w/o contrast (74150) |
$1,749.30 |
$2,058 |
15.9× |
| CT angio hrt w/3d image (75574) |
$2,119.05 |
$2,493 |
5.8× |
| CT angiography upper extremity lt (73206) |
$2,242.30 |
$2,638 |
12.1× |
| CT c-spine w/o contrast (72125) |
$2,916.78 |
$3,431.50 |
26.5× |
| CT cervical spine w&w/o contrast (72127) |
$3,281.85 |
$3,861 |
17.8× |
| CT cervical spine with contrast (72126) |
$3,279.30 |
$3,858 |
8.9× |
| CT chest w/wo contrast (71270) |
$2,783.75 |
$3,275 |
15.1× |
| CT chest with contrast (71260) |
$3,874.30 |
$4,558 |
21.0× |
| CT head/brain with contrast (70460) |
$2,371.50 |
$2,790 |
12.8× |
| CT head/brain without and with contrast (70470) |
$3,118.65 |
$3,669 |
16.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,045.50 |
$1,230 |
2.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$427.76 |
$503.25 |
4.7× |
| CT hrt w/3d image congen (75573) |
$1,055.70 |
$1,242 |
2.9× |
| CT iac w contrast (70481) |
$2,945.68 |
$3,465.50 |
15.9× |
| CT limited/localized follow up study (76380) |
$671.08 |
$789.50 |
7.3× |
| CT lower ext w/o (73700) |
$1,343.85 |
$1,581 |
12.2× |
| CT lower extremity w wo contrast (73702) |
$2,691.95 |
$3,167 |
14.6× |
| CT lower extremity with contrast (73701) |
$2,856.42 |
$3,360.50 |
15.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,458.20 |
$2,892 |
13.3× |
| CT lumbar spine w/o contrast (72131) |
$1,448.82 |
$1,704.50 |
13.1× |
| CT lumbar spine with contrast (72132) |
$2,071.45 |
$2,437 |
5.6× |
| CT maxillofacial w contrast (70487) |
$3,090.18 |
$3,635.50 |
16.7× |
| CT maxillofacial w/o contrast (70486) |
$2,768.02 |
$3,256.50 |
25.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,593.78 |
$3,051.50 |
14.0× |
| CT neck soft tissue w contrast (70491) |
$3,822.88 |
$4,497.50 |
20.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,621.40 |
$3,084 |
14.2× |
| CT orbits w/o contrast (70480) |
$1,750.15 |
$2,059 |
15.9× |
| CT pelvis w & w/o contrast (72194) |
$2,774.82 |
$3,264.50 |
15.0× |
| CT pelvis w/o contrast (72192) |
$1,719.12 |
$2,022.50 |
15.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,608.65 |
$3,069 |
14.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,544.02 |
$1,816.50 |
14.0× |
| CT thoracic spine w/contrast (72129) |
$1,890.82 |
$2,224.50 |
10.2× |
| CT thoracic spine w/o contrast (72128) |
$2,159 |
$2,540 |
19.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,841.12 |
$3,342.50 |
15.4× |
| CT thorax w/o contrast (71250) |
$2,600.15 |
$3,059 |
23.6× |
| CT unlisted procedure (76497) |
$130.90 |
$154 |
1.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,259.30 |
$2,658 |
12.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,788.40 |
$2,104 |
16.2× |
| CT upper extremity with contrast (73201) |
$2,296.70 |
$2,702 |
6.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,212.15 |
$3,779 |
17.4× |
| Cta Abdomen (74175) |
$2,885.75 |
$3,395 |
15.6× |
| CTA abdomen pelvis (74174) |
$6,459.58 |
$7,599.50 |
17.6× |
| CTA chest (71275) |
$4,640.15 |
$5,459 |
25.1× |
| Cta Head (70496) |
$2,878.95 |
$3,387 |
15.6× |
| CTA lwr ext w&w/o contrast (73706) |
$3,236.80 |
$3,808 |
17.5× |
| Cta Neck (70498) |
$2,825.40 |
$3,324 |
15.3× |
| Cta Pelvis (72191) |
$2,729.78 |
$3,211.50 |
14.8× |
| Cystography minimum 3 views rs&i (74430) |
$845.75 |
$995 |
2.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$403.75 |
$475 |
3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$387.60 |
$456 |
4.2× |
| Dxa bone density study axial skeleton (77085) |
$577.58 |
$679.50 |
5.2× |
| Esophagus (74220) |
$440.72 |
$518.50 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$896.32 |
$1,054.50 |
8.1× |
| Fluoroscopy up to 1 hr (76000) |
$780.72 |
$918.50 |
3.1× |
| Foot 2 views (73620) |
$266.05 |
$313 |
2.9× |
| Forearm 2 views (73090) |
$340 |
$400 |
3.7× |
| Gastric mucosa imaging (78261) |
$698.70 |
$822 |
1.7× |
| Gated Heart Planar Single (78472) |
$2,404.65 |
$2,829 |
5.7× |
| Hand 2 views (73120) |
$402.48 |
$473.50 |
3.7× |
| Hand 3 views (73130) |
$330.65 |
$389 |
3.6× |
| Heart Infarct Image (78466) |
$1,849.60 |
$2,176 |
4.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,294.55 |
$1,523 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,425.45 |
$1,677 |
3.4× |
| Ht muscle image spect sing (78451) |
$3,118.65 |
$3,669 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$364.22 |
$428.50 |
4.0× |
| Hysterosalpingogram (74740) |
$238.85 |
$281 |
0.9× |
| Image fusion (77399) |
$434.78 |
$511.50 |
3.1× |
| Kidney imaging morphology (78700) |
$562.70 |
$662 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,044.65 |
$1,229 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,496 |
$1,760 |
2.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$527 |
$620 |
0.9× |
| Knee 3 views (73562) |
$421.18 |
$495.50 |
4.6× |
| Liver & spleen imaging static only (78215) |
$1,235.48 |
$1,453.50 |
2.9× |
| Lung perf&ventilat diferentl (78598) |
$605.62 |
$712.50 |
1.1× |
| Lung perfusion differential (78597) |
$548.25 |
$645 |
1.3× |
| Lung Ventilation Imaging (78579) |
$1,183.20 |
$1,392 |
2.8× |
| Lymphoscintigraphy (78195) |
$1,818.15 |
$2,139 |
3.2× |
| Meckels Diverticulum (78290) |
$567.38 |
$667.50 |
1.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$742.05 |
$873 |
1.9× |
| MRA head w & w/o contrast (70546) |
$3,872.60 |
$4,556 |
10.5× |
| MRA head w/o contrast (70544) |
$3,759.55 |
$4,423 |
15.0× |
| MRA head with contrast (70545) |
$3,526.65 |
$4,149 |
9.6× |
| MRA neck w contrast (70548) |
$2,074.42 |
$2,440.50 |
5.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,553.85 |
$4,181 |
9.7× |
| MRA neck w/o contrast (70547) |
$3,562.35 |
$4,191 |
14.2× |
| MRI abdomen w contrast (74182) |
$3,666.90 |
$4,314 |
10.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,352 |
$5,120 |
11.8× |
| MRI abdomen w/o contrast (74181) |
$2,958.85 |
$3,481 |
11.8× |
| MRI any jnt lwr ext with con lt (73722) |
$3,774 |
$4,440 |
4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,831.80 |
$4,508 |
4.6× |
| MRI breast w/o contrast bilateral (77047) |
$3,298.42 |
$3,880.50 |
13.1× |
| MRI breast w/o contrast unilat (77046) |
$1,129.65 |
$1,329 |
4.5× |
| MRI c-spine with contrast (72142) |
$3,254.22 |
$3,828.50 |
8.9× |
| MRI cervical spine w/o contrast (72141) |
$2,947.38 |
$3,467.50 |
11.7× |
| MRI chest w/o & w/contrast material (71552) |
$4,821.20 |
$5,672 |
13.1× |
| MRI chest w/o contrast (71550) |
$3,295.88 |
$3,877.50 |
13.1× |
| MRI chest with contrast (71551) |
$3,043.85 |
$3,581 |
3.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,924 |
$3,440 |
8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,523.70 |
$5,322 |
12.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,123.75 |
$3,675 |
12.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,197.70 |
$3,762 |
12.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,238.52 |
$4,986.50 |
11.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,331.55 |
$2,743 |
6.3× |
| MRI pelvis w contrast (72196) |
$3,330.30 |
$3,918 |
9.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,264.88 |
$5,017.50 |
11.6× |
| MRI pelvis w/o contrast (72195) |
$2,839.85 |
$3,341 |
11.3× |
| MRI scan of arm joint before and after contrast (73223) |
$4,465.90 |
$5,254 |
12.1× |
| MRI scan of leg joint before and after contrast (73723) |
$4,581.50 |
$5,390 |
12.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,322.25 |
$5,085 |
11.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,125.02 |
$3,676.50 |
8.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,767.65 |
$5,609 |
13.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,657.52 |
$3,126.50 |
7.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,290.80 |
$5,048 |
11.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,961.40 |
$3,484 |
11.8× |
| MRI tmj (70336) |
$2,378.30 |
$2,798 |
9.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,861.10 |
$3,366 |
11.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,465.90 |
$5,254 |
12.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,026 |
$3,560 |
12.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,897.62 |
$2,232.50 |
1.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$773.50 |
$910 |
0.9× |
| Neck soft tissue (70360) |
$317.05 |
$373 |
3.5× |
| Nm bone marrow multiple (78103) |
$648.55 |
$763 |
1.5× |
| Nm bone marrow wb (78104) |
$1,127.95 |
$1,327 |
2.7× |
| Nm gastric emptying study (78264) |
$1,617.98 |
$1,903.50 |
3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,505.42 |
$5,300.50 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$1,235.48 |
$1,453.50 |
5.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$495.55 |
$583 |
4.5× |
| Osseous survey infant (77076) |
$227.80 |
$268 |
2.1× |
| Osseous survey limited (77074) |
$172.55 |
$203 |
1.6× |
| Parathyrd planar w/wo subtrj (78071) |
$882.72 |
$1,038.50 |
2.1× |
| Parathyroid imaging (78070) |
$537.20 |
$632 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$302.18 |
$355.50 |
2.7× |
| Peritoneogram rs&i (74190) |
$759.90 |
$894 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$5,573.45 |
$6,557 |
3.7× |
| PET imaging CT for attenuation limited area (78814) |
$3,029.40 |
$3,564 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$5,573.45 |
$6,557 |
3.7× |
| PET whole body (78813) |
$5,694.15 |
$6,699 |
3.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,423.40 |
$5,204 |
12.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,563.15 |
$1,839 |
3.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,559.75 |
$1,835 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,144.95 |
$1,347 |
2.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$257.12 |
$302.50 |
2.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$728.45 |
$857 |
6.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,422.05 |
$1,673 |
12.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$362.95 |
$427 |
3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$245.65 |
$289 |
2.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$974.95 |
$1,147 |
1.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$768.40 |
$904 |
7.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$629.85 |
$741 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$445.40 |
$524 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$212.50 |
$250 |
2.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$367.20 |
$432 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$549.95 |
$647 |
3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$493 |
$580 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$762.45 |
$897 |
4.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$576.72 |
$678.50 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$400.35 |
$471 |
4.4× |
| Radiological examination surgical specimen (76098) |
$735.25 |
$865 |
1.3× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,351.15 |
$5,119 |
1.3× |
| Ribs bilateral 3 views (71110) |
$567.38 |
$667.50 |
5.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,229.10 |
$1,446 |
2.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,359.20 |
$3,952 |
5.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,772.70 |
$3,262 |
4.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,597.60 |
$3,056 |
1.9× |
| Rp Therapy Intravenous Administration (79101) |
$756.08 |
$889.50 |
3.1× |
| Scanogram (77073) |
$457.30 |
$538 |
4.2× |
| Scapula complete (73010) |
$321.30 |
$378 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$69.70 |
$82 |
3.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$395.25 |
$465 |
3.6× |
| Simulation intermediate (77285) |
$1,653.25 |
$1,945 |
4.2× |
| Small bowel series (74250) |
$459 |
$540 |
2.5× |
| Spec medical radj physics consltj (77370) |
$820.25 |
$965 |
5.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,181.50 |
$1,390 |
3.0× |
| Special dosimetry (77331) |
$593.30 |
$698 |
4.2× |
| Special treatment procedure (77470) |
$2,741.68 |
$3,225.50 |
4.7× |
| Spine thoracic 3 views (72072) |
$369.32 |
$434.50 |
3.4× |
| Stereotactic body radiation delivery (77373) |
$2,267.80 |
$2,668 |
1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,337.48 |
$1,573.50 |
3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,088.85 |
$1,281 |
2.8× |
| Testicular Imaging With Vascular Flow (78761) |
$562.70 |
$662 |
1.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,702.55 |
$2,003 |
4.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$871.25 |
$1,025 |
6.2× |
| Thoracolumbar 2 views (72080) |
$446.25 |
$525 |
4.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,555.52 |
$3,006.50 |
4.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$577.15 |
$679 |
1.4× |
| Thyroid uptake measurement (78012) |
$563.55 |
$663 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,437.78 |
$1,691.50 |
3.4× |
| Treatment device intermediate (77333) |
$878.90 |
$1,034 |
6.2× |
| Treatment devices simple (77332) |
$1,064.20 |
$1,252 |
7.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,312.85 |
$2,721 |
4.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$549.95 |
$647 |
1.3× |
| Tx devices design & construction complex (77334) |
$2,310.30 |
$2,718 |
5.9× |
| Ultrasound elastography first target lesion (76982) |
$187.85 |
$221 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$861.90 |
$1,014 |
7.8× |
| Umbilical-artery Doppler (OB) (76820) |
$261.38 |
$307.50 |
2.4× |
| Unlisted magnetic resonance procedure (76498) |
$2,213.82 |
$2,604.50 |
24.1× |
| Upper Extremity Infant (73092) |
$406.30 |
$478 |
3.7× |
| Urethrocystography voiding (74455) |
$332.78 |
$391.50 |
1.3× |
| Us abdl aorta screen aaa (76706) |
$762.45 |
$897 |
6.9× |
| Us breast unilateral complete (76641) |
$518.92 |
$610.50 |
4.7× |
| Us breast unilateral limited (76642) |
$521.05 |
$613 |
5.7× |
| Us chest (76604) |
$974.95 |
$1,147 |
8.8× |
| Us compl joint r-t w/image documentation (76881) |
$911.20 |
$1,072 |
8.3× |
| Us elastography parenchyma (76981) |
$183.18 |
$215.50 |
1.7× |
| Us guided compression repair (76936) |
$768.40 |
$904 |
3.4× |
| Us kidney transplant (76776) |
$563.55 |
$663 |
5.1× |
| Us ob transvaginal (76817) |
$705.92 |
$830.50 |
6.4× |
| Us pelvic non ob complete (76856) |
$838.95 |
$987 |
7.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$538.05 |
$633 |
4.9× |
| Us pregnancy ltd (76815) |
$413.10 |
$486 |
3.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,156 |
$1,360 |
10.5× |
| Us retroperitoneal complete (76770) |
$1,015.75 |
$1,195 |
9.2× |
| Us retroperitoneal limited (76775) |
$1,087.15 |
$1,279 |
9.9× |
| Us scrotum and contents (76870) |
$860.62 |
$1,012.50 |
7.8× |
| Us soft tissue head/neck (76536) |
$682.12 |
$802.50 |
6.2× |
| Us spinal canal and contents (76800) |
$394.82 |
$464.50 |
3.6× |
| Us xtr non-vasc lmtd (76882) |
$583.95 |
$687 |
5.3× |
| Venogram extremity bilateral (75822) |
$2,052.75 |
$2,415 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$2,861.10 |
$3,366 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$2,185.35 |
$2,571 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,387.20 |
$1,632 |
0.8× |
| Venography Renal Bilateral (75833) |
$4,351.15 |
$5,119 |
1.3× |
| Venography renal unilateral selective rs&i (75831) |
$4,351.15 |
$5,119 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,351.15 |
$5,119 |
1.3× |
| Vertebral fracture assessment via dxa (77086) |
$112.20 |
$132 |
1.2× |
| Wrist 2 views (73100) |
$293.68 |
$345.50 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$443.28 |
$521.50 |
4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$354.45 |
$417 |
3.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$365.50 |
$430 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$512.98 |
$603.50 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$301.75 |
$355 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$304.30 |
$358 |
3.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$728.45 |
$857 |
6.6× |
| X-ray exam hip uni 1 view (73501) |
$357 |
$420 |
3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$294.95 |
$347 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$495.55 |
$583 |
4.5× |
| X-ray eye for foreign body (70030) |
$684.25 |
$805 |
7.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$404.60 |
$476 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$117.30 |
$138 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$293.25 |
$345 |
3.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,780.35 |
$3,271 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$317.90 |
$374 |
3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$96.90 |
$114 |
1.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$454.32 |
$534.50 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$299.62 |
$352.50 |
3.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$634.95 |
$747 |
6.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$311.10 |
$366 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$469.62 |
$552.50 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$359.12 |
$422.50 |
3.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$141.95 |
$167 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$391 |
$460 |
3.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$322.58 |
$379.50 |
2.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$410.55 |
$483 |
4.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$353.60 |
$416 |
3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$697.85 |
$821 |
6.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$355.30 |
$418 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$313.65 |
$369 |
3.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$306 |
$360 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$327.68 |
$385.50 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$232.05 |
$273 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$451.35 |
$531 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$324.70 |
$382 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$243.10 |
$286 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$308.55 |
$363 |
3.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$395.25 |
$465 |
4.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$421.60 |
$496 |
3.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$433.50 |
$510 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$361.25 |
$425 |
3.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$356.58 |
$419.50 |
3.9× |
| Xr c-spine 6 or more views (72052) |
$613.70 |
$722 |
5.6× |
| Xr chest 4+ views (71048) |
$367.62 |
$432.50 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$558.45 |
$657 |
6.1× |
| Xr shoulder 1 view (73020) |
$242.25 |
$285 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$618.80 |
$728 |
5.6× |
| Xr tibia/fibula 2 views (73590) |
$574.60 |
$676 |
6.3× |
| Xr tmj bilateral (70330) |
$465.80 |
$548 |
5.1× |
| Xray knee 1 or 2 views rt (73560) |
$439.02 |
$516.50 |
4.8× |