| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,721 |
$5,721 |
3.4× |
| Abdomen 2 views (74019) |
$301 |
$301 |
2.4× |
| Acute gi blood loss imaging (78278) |
$2,006 |
$2,006 |
4.2× |
| Angiography extremity bilateral rs&i (75716) |
$4,678 |
$4,678 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$4,780 |
$4,780 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$19,834 |
$19,834 |
3.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,785 |
$16,785 |
2.5× |
| Ankle 2 views (73600) |
$248 |
$248 |
2.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,780 |
$4,780 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$4,780 |
$4,780 |
1.3× |
| Arthrogram hip (73525) |
$822 |
$822 |
2.0× |
| Arthrogram knee (73580) |
$567 |
$567 |
1.4× |
| Arthrogram shoulder (73040) |
$933 |
$933 |
2.2× |
| Arthrogram wrist (73115) |
$1,313 |
$1,313 |
3.1× |
| Basic dosimetry (77300) |
$594 |
$594 |
3.7× |
| Bone &/joint imaging whole body (78306) |
$2,881 |
$2,881 |
6.0× |
| Bone age studies (77072) |
$372 |
$372 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$2,522 |
$2,522 |
5.3× |
| Bone survey complete (77075) |
$438 |
$438 |
3.5× |
| Bone survey infant (77076) |
$383 |
$383 |
3.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,287 |
$3,287 |
5.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,475 |
$1,475 |
3.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,672 |
$1,672 |
3.5× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$2,886 |
$2,886 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$353 |
$353 |
3.4× |
| Chest 1 view (71045) |
$300 |
$300 |
2.9× |
| Chest xray 3 views (71047) |
$325 |
$325 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$334 |
$334 |
1.6× |
| Clavicle complete (73000) |
$338 |
$338 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,496 |
$1,496 |
11.9× |
| Continuing medical physics consltj pr wk (77336) |
$585 |
$585 |
3.6× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$686 |
$686 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,941 |
$2,941 |
7.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,431 |
$1,431 |
5.0× |
| CT abdomen w contrast (74160) |
$2,237 |
$2,237 |
10.6× |
| CT abdomen w wo contrast (74170) |
$2,610 |
$2,610 |
12.4× |
| CT abdomen w/o contrast (74150) |
$1,431 |
$1,431 |
11.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,815 |
$2,815 |
13.4× |
| CT angiography upper extremity lt (73206) |
$2,859 |
$2,859 |
13.6× |
| CT c-spine w/contrast (72126) |
$766 |
$766 |
1.8× |
| CT c-spine w/o contrast (72125) |
$1,293 |
$1,293 |
10.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,643 |
$1,643 |
7.8× |
| CT chest w contrast (71260) |
$2,143 |
$2,143 |
10.2× |
| CT chest w/wo contrast (71270) |
$2,524 |
$2,524 |
12.0× |
| CT colonography screening (74263) |
$4,233 |
$4,233 |
14.8× |
| CT head/brain with contrast (70460) |
$1,740 |
$1,740 |
8.3× |
| CT head/brain without and with contrast (70470) |
$2,230 |
$2,230 |
10.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,108 |
$1,108 |
2.7× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$272 |
$272 |
2.6× |
| CT iac w contrast (70481) |
$1,708 |
$1,708 |
8.1× |
| CT lower ext w/o (73700) |
$332 |
$332 |
2.6× |
| CT lower extremity w wo contrast (73702) |
$841 |
$841 |
4.0× |
| CT lower extremity w/contrast material (73701) |
$1,165 |
$1,165 |
5.5× |
| CT lumbar spine w & w/o contrast (72133) |
$1,987 |
$1,987 |
9.5× |
| CT lumbar spine w/contrast (72132) |
$1,743 |
$1,743 |
4.2× |
| CT lumbar spine w/o contrast (72131) |
$1,616 |
$1,616 |
12.9× |
| CT maxillofacial w contrast (70487) |
$1,661 |
$1,661 |
7.9× |
| CT maxillofacial w/wo contrast (70488) |
$686 |
$686 |
3.3× |
| CT maxillofacial wo contrast (70486) |
$1,095 |
$1,095 |
8.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$772 |
$772 |
3.7× |
| CT orbits w/o contrast (70480) |
$1,646 |
$1,646 |
13.1× |
| CT pelvis w/o contrast (72192) |
$1,616 |
$1,616 |
12.9× |
| CT pelvis w/wo contrast (72194) |
$2,946 |
$2,946 |
14.0× |
| CT scan of arm combo (73202) |
$2,940 |
$2,940 |
14.0× |
| CT soft tissue neck w contrast (70491) |
$1,592 |
$1,592 |
7.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,987 |
$1,987 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,303 |
$1,303 |
10.4× |
| CT thoracic spine w/contrast (72129) |
$2,113 |
$2,113 |
10.1× |
| CT thoracic spine w/o contrast (72128) |
$1,616 |
$1,616 |
12.9× |
| CT thorax w/o contrast (71250) |
$1,496 |
$1,496 |
11.9× |
| CT upper ext wo (73200) |
$1,865 |
$1,865 |
14.9× |
| CT upper extremity with contrast (73201) |
$2,276 |
$2,276 |
5.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,394 |
$2,394 |
11.4× |
| Cta Abdomen (74175) |
$2,552 |
$2,552 |
12.1× |
| CTA abdomen pelvis (74174) |
$2,829 |
$2,829 |
6.8× |
| CTA chest (71275) |
$1,954 |
$1,954 |
9.3× |
| Cta Head (70496) |
$1,803 |
$1,803 |
8.6× |
| Cta Neck (70498) |
$1,861 |
$1,861 |
8.9× |
| Cta Pelvis (72191) |
$2,243 |
$2,243 |
10.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,503 |
$1,503 |
3.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$891 |
$891 |
7.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$486 |
$486 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$206 |
$206 |
2.0× |
| Dxa bone density study axial skeleton (77085) |
$643 |
$643 |
5.1× |
| Esophagus (74220) |
$430 |
$430 |
2.0× |
| Facial bones min 3 views (70150) |
$649 |
$649 |
5.2× |
| Fetal biophysical profile non-stress testing (76818) |
$360 |
$360 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$778 |
$778 |
6.2× |
| Fluoroscopy up to 1 hr (76000) |
$862 |
$862 |
3.0× |
| Foot 2 views (73620) |
$620 |
$620 |
5.9× |
| Forearm 2 views (73090) |
$352 |
$352 |
3.4× |
| Functional MRI brain by tech (70554) |
$746 |
$746 |
2.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$2,721 |
$2,721 |
5.7× |
| Hand 2 views (73120) |
$513 |
$513 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,783 |
$1,783 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,658 |
$1,658 |
3.5× |
| Hysterosalpingogram (74740) |
$959 |
$959 |
3.4× |
| Kidney imaging morphology (78700) |
$1,264 |
$1,264 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,528 |
$3,528 |
5.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,873 |
$2,873 |
4.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,185 |
$2,185 |
3.4× |
| Knee 3 views (73562) |
$272 |
$272 |
2.6× |
| Lung perfusion differential (78597) |
$2,852 |
$2,852 |
6.0× |
| Lymphoscintigraphy (78195) |
$3,287 |
$3,287 |
5.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,150 |
$2,150 |
2.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,609 |
$1,609 |
3.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,572 |
$2,572 |
6.2× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$248 |
$248 |
2.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,619 |
$1,619 |
3.6× |
| Mr safety determination physician/other qhp (76016) |
$273 |
$273 |
2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$76 |
$76 |
2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$390 |
$390 |
3.4× |
| Mr safety implt pos&/immoblj (76019) |
$185 |
$185 |
2.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$765 |
$765 |
2.7× |
| MRA head w & w/o contrast (70546) |
$2,738 |
$2,738 |
6.5× |
| MRA head w/o contrast (70544) |
$1,793 |
$1,793 |
6.3× |
| MRA head with contrast (70545) |
$2,150 |
$2,150 |
5.1× |
| MRA neck w contrast (70548) |
$2,315 |
$2,315 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,141 |
$2,141 |
5.1× |
| MRA neck w/o contrast (70547) |
$1,793 |
$1,793 |
6.3× |
| MRI abdomen w contrast (74182) |
$1,609 |
$1,609 |
3.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,806 |
$3,806 |
9.1× |
| MRI abdomen w/o contrast (74181) |
$961.50 |
$961.50 |
3.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,150 |
$2,150 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,627 |
$2,627 |
6.3× |
| MRI breast w/o contrast bilateral (77047) |
$4,242 |
$4,242 |
14.8× |
| MRI c-spine with contrast (72142) |
$1,609 |
$1,609 |
3.8× |
| MRI cervical spine w/o contrast (72141) |
$1,735 |
$1,735 |
6.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,709 |
$2,709 |
6.5× |
| MRI chest w/o contrast (71550) |
$1,605 |
$1,605 |
5.6× |
| MRI chest with contrast (71551) |
$2,886 |
$2,886 |
3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,150 |
$2,150 |
5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,627 |
$2,627 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,793 |
$1,793 |
6.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,263 |
$2,263 |
7.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,441 |
$4,441 |
10.6× |
| MRI pelvis w/contrast (72196) |
$1,555 |
$1,555 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,390 |
$2,390 |
5.7× |
| MRI pelvis w/o contrast (72195) |
$1,554 |
$1,554 |
5.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,985 |
$2,985 |
7.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,996 |
$2,996 |
7.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,985 |
$2,985 |
7.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,833 |
$3,833 |
9.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,075 |
$4,075 |
9.7× |
| MRI temporomandibular joint (70336) |
$1,385 |
$1,385 |
4.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,390 |
$2,390 |
8.4× |
| MRI up ext w/o contrast (73218) |
$1,793 |
$1,793 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,793 |
$1,793 |
6.3× |
| MRI, joint upper extrem combo (73223) |
$2,627 |
$2,627 |
6.3× |
| Myelogram Cervical (72240) |
$2,378 |
$2,378 |
2.5× |
| Myelogram Lumbar (72265) |
$2,453 |
$2,453 |
2.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,176 |
$4,176 |
2.7× |
| Myocardial spect single study at rest or stress (78451) |
$8,769 |
$8,769 |
5.7× |
| N-invas est c ffr sw aly CTA (75580) |
$3,787 |
$3,787 |
3.7× |
| Neck soft tissue (70360) |
$290 |
$290 |
2.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,264 |
$1,264 |
2.6× |
| Nm cardiac blood pool multiple (78473) |
$1,475 |
$1,475 |
3.1× |
| Nm gastric emptying study (78264) |
$1,658 |
$1,658 |
3.5× |
| Nonvascular shunt X-ray (75809) |
$348 |
$348 |
2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,784 |
$4,784 |
2.9× |
| Nuclear Rx Oral Admin (79005) |
$1,855 |
$1,855 |
6.6× |
| Ob us nuchal meas 1 gest (76813) |
$866 |
$866 |
6.9× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$88 |
$88 |
2.5× |
| Osseous survey limited (77074) |
$360 |
$360 |
2.9× |
| Parathyrd planar w/spect&CT (78072) |
$3,287 |
$3,287 |
5.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,613 |
$2,613 |
5.5× |
| Pelvis 1 or 2 views (72170) |
$260 |
$260 |
2.1× |
| Peritoneogram after injection (74190) |
$1,637 |
$1,637 |
2.5× |
| PET image w/CT, skull-thigh (78815) |
$5,738 |
$5,738 |
3.3× |
| PET imaging for CT attenuation whole body (78816) |
$5,738 |
$5,738 |
3.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$9,774 |
$9,774 |
2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,858 |
$2,858 |
6.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,638 |
$1,638 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,645 |
$1,645 |
2.5× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$248 |
$248 |
2.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$279 |
$279 |
2.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$688 |
$688 |
6.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$273 |
$273 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$441 |
$441 |
3.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$440 |
$440 |
3.5× |
| Radex fingr minimum 2 views (73140) |
$208 |
$208 |
2.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$269 |
$269 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$250 |
$250 |
2.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$257 |
$257 |
2.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$320 |
$320 |
2.6× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$440 |
$440 |
3.5× |
| Radex Humerus Minimum 2 Views (73060) |
$338 |
$338 |
3.2× |
| Radex Kne 1/2 Views (73560) |
$253 |
$253 |
2.4× |
| Radex Kne Compl 4/More Views (73564) |
$266 |
$266 |
2.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$698 |
$698 |
5.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$435 |
$435 |
4.2× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$440 |
$440 |
3.5× |
| Radex Sho Compl Minimum 2 Views (73030) |
$238 |
$238 |
2.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$323 |
$323 |
3.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$411 |
$411 |
3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$230 |
$230 |
2.2× |
| Radex Toe Minimum 2 Views (73660) |
$308 |
$308 |
3.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$220 |
$220 |
1.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$448 |
$448 |
4.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$440 |
$440 |
3.5× |
| Radiation treatment delivery level 1 (77402) |
$390 |
$390 |
3.2× |
| Radiation treatment delivery level 2 (77407) |
$937 |
$937 |
2.0× |
| Radiation treatment delivery level 3 (77412) |
$770 |
$770 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$388 |
$388 |
3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$301 |
$301 |
2.4× |
| Radiologic exam chest 2 views (71046) |
$261 |
$261 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$537 |
$537 |
2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$686 |
$686 |
3.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$509 |
$509 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,196 |
$1,196 |
5.7× |
| Radiologic examination femur 1 view (73551) |
$239 |
$239 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$333 |
$333 |
3.2× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$360 |
$360 |
2.9× |
| Radiological examination surgical specimen (76098) |
$2,074 |
$2,074 |
3.2× |
| Ribs bilateral 3 views (71110) |
$593 |
$593 |
4.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,305 |
$4,305 |
6.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,118 |
$4,118 |
6.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$8,769 |
$8,769 |
5.7× |
| Sacroiliac Joints < 3 Views (72200) |
$1,989 |
$1,989 |
15.9× |
| Scapula (73010) |
$358 |
$358 |
2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$143 |
$143 |
6.1× |
| Shoulder 1 view (73020) |
$317 |
$317 |
3.0× |
| Small bowel series (74250) |
$473 |
$473 |
2.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,123 |
$1,123 |
2.5× |
| Special dosimetry (77331) |
$486 |
$486 |
3.0× |
| Special Physics Consult (77370) |
$905 |
$905 |
5.6× |
| Special treatment procedure (77470) |
$3,843 |
$3,843 |
5.8× |
| Spine thoracic 3 views (72072) |
$440 |
$440 |
3.5× |
| Stereotactic Body Radiation Delivery (77373) |
$5,754 |
$5,754 |
2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$936 |
$936 |
2.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,519 |
$1,519 |
3.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$808 |
$808 |
5.0× |
| Thoracolumbar 2 views (72080) |
$272 |
$272 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,062 |
$3,062 |
4.7× |
| Thyroid uptake measurement (78012) |
$2,531 |
$2,531 |
5.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,898 |
$2,898 |
6.0× |
| Treatment device complex (77334) |
$2,005 |
$2,005 |
4.5× |
| Treatment device intermediate (77333) |
$886 |
$886 |
5.5× |
| Treatment devices simple (77332) |
$629 |
$629 |
3.9× |
| Ultrasound Exam Aaa Screen (76706) |
$230 |
$230 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$634 |
$634 |
5.1× |
| Umbilical-artery Doppler (OB) (76820) |
$891 |
$891 |
7.1× |
| Unlisted magnetic resonance procedure (76498) |
$313 |
$313 |
3.0× |
| Unlisted ultrasound procedure (76999) |
$275 |
$275 |
2.6× |
| Urethrocystography retrograde rs&i (74450) |
$785 |
$785 |
2.7× |
| Us breast unilateral limited (76642) |
$531 |
$531 |
5.1× |
| Us chest (76604) |
$887 |
$887 |
7.1× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$934 |
$934 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$480 |
$480 |
3.8× |
| Us encephalogram (76506) |
$519 |
$519 |
4.1× |
| Us hips infant static (76886) |
$263 |
$263 |
2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$751 |
$751 |
6.0× |
| Us ob detailed single fetus (76811) |
$1,085 |
$1,085 |
3.8× |
| Us ob limited (76815) |
$495 |
$495 |
4.0× |
| Us ob transvaginal (76817) |
$634 |
$634 |
5.1× |
| Us pelvic non ob complete (76856) |
$742 |
$742 |
5.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$339 |
$339 |
2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$634 |
$634 |
5.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$634 |
$634 |
5.1× |
| Us retroperitoneal complete (76770) |
$634 |
$634 |
5.1× |
| Us retroperitoneal limited (76775) |
$545 |
$545 |
4.3× |
| Us scrotum and contents (76870) |
$777 |
$777 |
6.2× |
| Us soft tissue head/neck (76536) |
$519 |
$519 |
4.1× |
| Us transrectal (76872) |
$383 |
$383 |
3.1× |
| Us transrectal prostate volume (76873) |
$383 |
$383 |
3.1× |
| Us, eye b-scan (76512) |
$383 |
$383 |
3.1× |
| Venogram Extremity Unilateral (75820) |
$5,846 |
$5,846 |
3.1× |
| Venography caval inferior serialography rs&i (75825) |
$5,543 |
$5,543 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$4,823 |
$4,823 |
2.6× |
| Vertebral fracture assessment via dxa (77086) |
$272 |
$272 |
2.6× |
| Wrist 2 views (73100) |
$213 |
$213 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$195 |
$195 |
1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$375 |
$375 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,377 |
$1,377 |
6.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$212 |
$212 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$224 |
$224 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$440 |
$440 |
3.5× |
| X-ray exam of femur 2/> (73552) |
$410 |
$410 |
3.9× |
| X-ray eye for foreign body (70030) |
$401 |
$401 |
3.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$452 |
$452 |
4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$239 |
$239 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$309 |
$309 |
3.0× |
| X-ray leg, infant (73592) |
$178 |
$178 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$353 |
$353 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$559 |
$559 |
4.5× |
| X-ray nose-rectum child f.b. (76010) |
$678 |
$678 |
6.5× |
| X-ray optic foramen (70190) |
$230 |
$230 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$328 |
$328 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$440 |
$440 |
4.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$597 |
$597 |
4.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$540 |
$540 |
4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$447 |
$447 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$296 |
$296 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$729 |
$729 |
7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$537 |
$537 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$353 |
$353 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$294 |
$294 |
2.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$143 |
$143 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$572 |
$572 |
5.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$353 |
$353 |
2.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$411 |
$411 |
3.3× |
| Xr c-spine 4 or 5 views (72050) |
$411 |
$411 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$705 |
$705 |
5.6× |
| Xr chest 4+ views (71048) |
$587 |
$587 |
4.7× |