| Abdomen 2 views (74019) |
$178.15 |
$296.92 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,254.02 |
$2,090.05 |
3.6× |
| Ankle 2 views (73600) |
$209.81 |
$349.69 |
2.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$355.46 |
$592.44 |
1.2× |
| Arthrogram elbow (73085) |
$464.46 |
$774.12 |
1.5× |
| Arthrogram hip (73525) |
$281.50 |
$469.18 |
0.9× |
| Arthrogram shoulder (73040) |
$460.96 |
$768.28 |
1.5× |
| Arthrogram wrist (73115) |
$471.29 |
$785.49 |
1.5× |
| Arthrography knee lt (73580) |
$471.29 |
$785.49 |
1.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,630.84 |
$2,718.08 |
4.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,651.20 |
$2,752 |
4.7× |
| Bone &/joint imaging whole body (78306) |
$1,497.62 |
$2,496.04 |
4.3× |
| Bone age studies (77072) |
$195.10 |
$325.18 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,530.18 |
$2,550.31 |
4.4× |
| Bone survey complete (77075) |
$607.46 |
$1,012.45 |
6.6× |
| Brain image w/flow 4 + views (78606) |
$1,619.49 |
$2,699.15 |
3.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,619.49 |
$2,699.15 |
3.4× |
| Brain Imaging Vascular Flow Only (78610) |
$1,572.31 |
$2,620.53 |
3.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,689.32 |
$2,815.54 |
5.5× |
| Cervical spine 2 or 3 views (72040) |
$309.12 |
$515.20 |
4.1× |
| Chest 1 view (71045) |
$195.53 |
$325.89 |
2.6× |
| Chest 3 views (71047) |
$263.84 |
$439.74 |
3.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$420.11 |
$700.19 |
2.7× |
| Clavicle complete (73000) |
$241.76 |
$402.95 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$549.26 |
$915.44 |
6.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$245.86 |
$409.78 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,245.76 |
$3,742.94 |
7.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,704.12 |
$2,840.20 |
8.2× |
| CT abdomen w contrast (74160) |
$1,435.87 |
$2,393.12 |
9.3× |
| CT abdomen w wo contrast (74170) |
$1,642.61 |
$2,737.70 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,109.40 |
$1,849 |
12.1× |
| CT angio hrt w/3d image (75574) |
$944.71 |
$1,574.53 |
3.1× |
| CT angiography upper extremity lt (73206) |
$1,000.18 |
$1,666.98 |
6.5× |
| CT c-spine w/o contrast (72125) |
$1,188.33 |
$1,980.56 |
13.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,721.08 |
$2,868.47 |
11.2× |
| CT cervical spine with contrast (72126) |
$1,516.20 |
$2,527 |
5.0× |
| CT chest w/wo contrast (71270) |
$1,772.71 |
$2,954.52 |
11.5× |
| CT chest with contrast (71260) |
$1,530.76 |
$2,551.28 |
10.0× |
| CT colonography screening (74263) |
$971.05 |
$1,618.43 |
4.6× |
| CT colonography w/dye (74262) |
$971.05 |
$1,618.43 |
6.3× |
| CT colonography w/o cntrst (74261) |
$1,000.18 |
$1,666.98 |
10.9× |
| CT head/brain with contrast (70460) |
$1,574.84 |
$2,624.74 |
10.2× |
| CT head/brain without and with contrast (70470) |
$1,795.18 |
$2,991.98 |
11.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$971.05 |
$1,618.43 |
3.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$985.62 |
$1,642.70 |
12.9× |
| CT hrt w/3d image congen (75573) |
$971.05 |
$1,618.43 |
3.2× |
| CT iac w contrast (70481) |
$952.46 |
$1,587.45 |
6.2× |
| CT limited/localized follow up study (76380) |
$985.62 |
$1,642.70 |
12.9× |
| CT lower ext w/o (73700) |
$1,172.42 |
$1,954.04 |
12.8× |
| CT lower extremity w wo contrast (73702) |
$1,016.10 |
$1,693.50 |
6.6× |
| CT lower extremity with contrast (73701) |
$1,381.48 |
$2,302.47 |
9.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,721.08 |
$2,868.47 |
11.2× |
| CT lumbar spine w/o contrast (72131) |
$1,188.33 |
$1,980.56 |
13.0× |
| CT lumbar spine with contrast (72132) |
$1,516.20 |
$2,527 |
5.0× |
| CT maxillofacial w contrast (70487) |
$1,607.08 |
$2,678.48 |
10.5× |
| CT maxillofacial w/o contrast (70486) |
$1,248.36 |
$2,080.62 |
13.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,809.74 |
$3,016.25 |
11.8× |
| CT neck soft tissue w contrast (70491) |
$1,265.82 |
$2,109.72 |
8.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,809.74 |
$3,016.25 |
11.8× |
| CT orbits w/o contrast (70480) |
$1,262.93 |
$2,104.90 |
13.8× |
| CT pelvis w & w/o contrast (72194) |
$2,585.40 |
$4,309 |
16.8× |
| CT pelvis w/o contrast (72192) |
$1,113.11 |
$1,855.19 |
12.1× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$971.05 |
$1,618.43 |
12.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,486.18 |
$2,476.97 |
9.7× |
| CT soft tissue neck w/o contrast (70490) |
$938.86 |
$1,564.78 |
10.2× |
| CT thoracic spine w/contrast (72129) |
$1,516.20 |
$2,527 |
9.9× |
| CT thoracic spine w/o contrast (72128) |
$1,188.33 |
$1,980.56 |
13.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,772.71 |
$2,954.52 |
11.5× |
| CT thorax w/o contrast (71250) |
$1,188.33 |
$1,980.56 |
13.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,000.18 |
$1,666.98 |
6.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,226.60 |
$2,044.36 |
13.4× |
| CT upper extremity with contrast (73201) |
$1,000.18 |
$1,666.98 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,216.04 |
$2,026.75 |
7.9× |
| Cta Abdomen (74175) |
$1,090.92 |
$1,818.22 |
7.1× |
| CTA abdomen pelvis (74174) |
$1,180.62 |
$1,967.72 |
3.9× |
| CTA chest (71275) |
$1,597.68 |
$2,662.82 |
10.4× |
| Cta Head (70496) |
$1,083.24 |
$1,805.41 |
7.0× |
| CTA lwr ext w&w/o contrast (73706) |
$985.62 |
$1,642.70 |
6.4× |
| Cta Neck (70498) |
$1,035.98 |
$1,726.64 |
6.7× |
| Cta Pelvis (72191) |
$809.09 |
$1,348.49 |
5.3× |
| Cystography minimum 3 views rs&i (74430) |
$485.45 |
$809.09 |
1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$271.92 |
$453.21 |
3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$271.92 |
$453.21 |
3.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$381.80 |
$636.34 |
4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$178.15 |
$296.92 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$178.15 |
$296.92 |
1.9× |
| Echo exam of fetal heart (76825) |
$264 |
$440.01 |
0.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$264 |
$440.01 |
1.3× |
| Esophagus (74220) |
$369.32 |
$615.53 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$614.90 |
$1,024.84 |
6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$562.58 |
$937.64 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$560.15 |
$933.59 |
2.7× |
| Foot 2 views (73620) |
$209.81 |
$349.69 |
2.8× |
| Forearm 2 views (73090) |
$240.60 |
$401.01 |
3.2× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$178.15 |
$296.92 |
0.9× |
| Functional MRI brain by phys/psych (70555) |
$1,192.09 |
$1,986.83 |
5.7× |
| Functional MRI brain by tech (70554) |
$1,227.85 |
$2,046.43 |
5.9× |
| Gated Heart Planar Single (78472) |
$1,827.48 |
$3,045.82 |
5.2× |
| Hand 2 views (73120) |
$209.81 |
$349.69 |
2.3× |
| Hand 3 views (73130) |
$233.59 |
$389.33 |
3.1× |
| Heart Infarct Image (78466) |
$1,572.31 |
$2,620.53 |
4.5× |
| Heart infarct image w ef (78468) |
$1,572.31 |
$2,620.53 |
3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,456.96 |
$2,428.28 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,480.55 |
$2,467.59 |
4.2× |
| Ht muscle image spect sing (78451) |
$1,189.74 |
$1,982.91 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$240.60 |
$401.01 |
3.2× |
| Hysterosalpingogram (74740) |
$885.70 |
$1,476.17 |
4.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$178.15 |
$296.92 |
1.9× |
| Kidney imaging morphology (78700) |
$1,304.40 |
$2,174.02 |
3.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,319.95 |
$2,199.93 |
2.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,595.49 |
$2,659.16 |
3.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,059.41 |
$3,432.36 |
4.3× |
| Knee 3 views (73562) |
$240.60 |
$401.01 |
3.2× |
| Liver & spleen imaging static only (78215) |
$1,343.64 |
$2,239.40 |
3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,410.38 |
$2,350.64 |
4.0× |
| Liver imaging static only (78201) |
$1,619.49 |
$2,699.15 |
3.4× |
| Liver imaging w/vascular flow (78202) |
$1,454.95 |
$2,424.93 |
3.1× |
| Lung perf&ventilat diferentl (78598) |
$1,572.31 |
$2,620.53 |
3.3× |
| Lung perfusion differential (78597) |
$1,619.49 |
$2,699.15 |
4.6× |
| Lung Ventilation Imaging (78579) |
$1,593.60 |
$2,656.02 |
4.5× |
| Lymphoscintigraphy (78195) |
$1,198.81 |
$1,998.02 |
2.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$178.15 |
$296.92 |
2.3× |
| Meckels Diverticulum (78290) |
$1,420.64 |
$2,367.74 |
4.1× |
| MRA head w & w/o contrast (70546) |
$2,036.48 |
$3,394.14 |
6.7× |
| MRA head w/o contrast (70544) |
$1,733.76 |
$2,889.61 |
8.3× |
| MRA head with contrast (70545) |
$1,524.97 |
$2,541.62 |
5.0× |
| MRA neck w contrast (70548) |
$1,674.59 |
$2,790.99 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,436.01 |
$4,060.02 |
8.0× |
| MRA neck w/o contrast (70547) |
$1,708.53 |
$2,847.56 |
8.2× |
| MRI abdomen w contrast (74182) |
$2,008.84 |
$3,348.08 |
6.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,455.24 |
$4,092.07 |
8.0× |
| MRI abdomen w/o contrast (74181) |
$1,576.34 |
$2,627.26 |
7.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,630.70 |
$2,717.83 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,780.02 |
$2,966.70 |
2.6× |
| MRI breast w/o contrast unilat (77046) |
$2,400 |
$4,000 |
11.5× |
| MRI c-spine with contrast (72142) |
$2,100.94 |
$3,501.58 |
6.9× |
| MRI cardiac w/o cont stress (75559) |
$1,416.10 |
$2,360.18 |
3.0× |
| MRI cardiac w/o contrast (75557) |
$1,751.64 |
$2,919.41 |
8.4× |
| MRI cervical spine w/o contrast (72141) |
$1,733.76 |
$2,889.61 |
8.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,450.72 |
$4,084.55 |
8.0× |
| MRI chest w/o contrast (71550) |
$1,767.89 |
$2,946.50 |
8.5× |
| MRI chest with contrast (71551) |
$1,416.10 |
$2,360.18 |
2.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,604.44 |
$2,674.08 |
5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,609.45 |
$2,682.42 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,900.86 |
$3,168.10 |
9.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,751.64 |
$2,919.41 |
8.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,905.36 |
$4,842.28 |
9.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,458.59 |
$2,430.99 |
4.8× |
| MRI pelvis w contrast (72196) |
$1,901.14 |
$3,168.58 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,676.19 |
$4,460.32 |
8.8× |
| MRI pelvis w/o contrast (72195) |
$1,767.89 |
$2,946.50 |
8.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,029.80 |
$3,383 |
6.6× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,689.32 |
$2,815.54 |
2.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,960.68 |
$3,267.80 |
6.4× |
| MRI spectroscopy (76390) |
$1,689.32 |
$2,815.54 |
22.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,493.79 |
$4,156.32 |
8.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,008.84 |
$3,348.08 |
6.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,445.23 |
$4,075.40 |
8.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,142.09 |
$3,570.16 |
7.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,415.76 |
$4,026.28 |
7.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,751.64 |
$2,919.41 |
8.4× |
| MRI tmj (70336) |
$1,867.01 |
$3,111.69 |
8.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,957.88 |
$3,263.14 |
9.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,807.20 |
$3,012.02 |
5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,857.74 |
$3,096.24 |
8.9× |
| Myocardial infarct spect (78469) |
$1,975.60 |
$3,292.67 |
4.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,593.33 |
$2,655.56 |
1.4× |
| Neck soft tissue (70360) |
$240.54 |
$400.90 |
3.2× |
| Nm adrenal scan (78075) |
$2,316.11 |
$3,860.19 |
2.0× |
| Nm bone marrow multiple (78103) |
$1,619.49 |
$2,699.15 |
4.6× |
| Nm cisternogram (78630) |
$1,619.49 |
$2,699.15 |
3.4× |
| Nm gastric emptying study (78264) |
$1,787.76 |
$2,979.62 |
5.1× |
| Nm gastroesophageal reflux study (78262) |
$1,669.66 |
$2,782.76 |
4.8× |
| Nm peritoneal-venous shunt patency (78291) |
$1,619.49 |
$2,699.15 |
4.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,619.49 |
$2,699.15 |
1.4× |
| Nuclear medicine of heart pumping function (78473) |
$1,619.49 |
$2,699.15 |
4.6× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$1,619.49 |
$2,699.15 |
3.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,619.49 |
$2,699.15 |
1.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,572.31 |
$2,620.53 |
4.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,572.31 |
$2,620.53 |
4.5× |
| Nuclear Rx Oral Admin (79005) |
$1,572.31 |
$2,620.53 |
7.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$336 |
$560.02 |
3.7× |
| Orthopantogram (70355) |
$183.49 |
$305.83 |
2.4× |
| Osseous survey infant (77076) |
$169.74 |
$282.90 |
1.9× |
| Osseous survey limited (77074) |
$328.01 |
$546.69 |
3.6× |
| Parathyrd planar w/spect&CT (78072) |
$1,919.86 |
$3,199.77 |
4.0× |
| Parathyrd planar w/wo subtrj (78071) |
$1,919.86 |
$3,199.77 |
5.5× |
| Parathyroid imaging (78070) |
$1,505.22 |
$2,508.70 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$283 |
$471.68 |
3.1× |
| Pr heart first pass single,planar (78481) |
$1,572.31 |
$2,620.53 |
3.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,831.81 |
$3,053.02 |
6.0× |
| Pr sono bone density measure,peripheral (76977) |
$271.92 |
$453.21 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,617.14 |
$2,695.23 |
4.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,357.26 |
$2,262.11 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$395.66 |
$659.46 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$159.42 |
$265.70 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$478.40 |
$797.34 |
5.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$392.23 |
$653.73 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$325.08 |
$541.81 |
3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$229.76 |
$382.94 |
2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$289.40 |
$482.35 |
3.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$283 |
$471.68 |
3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$283 |
$471.68 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$216.86 |
$361.44 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$667.94 |
$1,113.24 |
4.3× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$178.15 |
$296.92 |
0.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,050.29 |
$1,750.49 |
6.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$875.24 |
$1,458.74 |
5.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$233.59 |
$389.33 |
3.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$183.49 |
$305.83 |
2.4× |
| Radiological examination surgical specimen (76098) |
$505.28 |
$842.15 |
1.1× |
| Ribs bilateral 3 views (71110) |
$255.50 |
$425.84 |
2.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,769.70 |
$2,949.52 |
3.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,832.85 |
$3,054.75 |
3.9× |
| Sacroiliac Joints < 3 Views (72200) |
$183.49 |
$305.83 |
2.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$271.92 |
$453.21 |
1.3× |
| Salivary gland imaging serial images (78231) |
$1,572.31 |
$2,620.53 |
4.5× |
| Scanogram (77073) |
$178.15 |
$296.92 |
1.9× |
| Scapula complete (73010) |
$240.60 |
$401.01 |
2.6× |
| Sella turcica (70240) |
$241.98 |
$403.32 |
3.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$183.49 |
$305.83 |
2.0× |
| Sialogram (70390) |
$183.49 |
$305.83 |
0.9× |
| Small bowel series (74250) |
$454.56 |
$757.60 |
3.0× |
| Spine thoracic 3 views (72072) |
$334.84 |
$558.06 |
3.7× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$205.87 |
$343.12 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$1,314.57 |
$2,190.96 |
3.8× |
| Therapeutic Enema (74283) |
$183.49 |
$305.83 |
1.2× |
| Thoracolumbar 2 views (72080) |
$161.51 |
$269.18 |
2.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,774.92 |
$2,958.20 |
3.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,561.92 |
$2,603.22 |
4.5× |
| Thyroid uptake measurement (78012) |
$1,000.09 |
$1,666.82 |
2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,736.67 |
$2,894.46 |
5.0× |
| Tmj unilateral (70328) |
$183.49 |
$305.83 |
2.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,247.96 |
$2,079.92 |
3.6× |
| Ultrasound scan of cornea to determine thickness (76514) |
$271.92 |
$453.21 |
10.7× |
| Ultrasound, abdomen limited (76705) |
$453.28 |
$755.48 |
4.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$166.23 |
$277.05 |
2.2× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$1,572.31 |
$2,620.53 |
4.5× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$1,572.31 |
$2,620.53 |
4.5× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$1,572.31 |
$2,620.53 |
4.5× |
| Unlisted Ultrasound Procedure (76999) |
$293.51 |
$489.19 |
3.8× |
| Upper Extremity Infant (73092) |
$183.49 |
$305.83 |
2.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,356.22 |
$2,260.38 |
3.9× |
| Urethrocystography retrograde rs&i (74450) |
$178.15 |
$296.92 |
0.9× |
| Urethrocystography voiding (74455) |
$576.96 |
$961.60 |
2.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$733.20 |
$1,222 |
4.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$178.15 |
$296.92 |
1.2× |
| Us abdl aorta screen aaa (76706) |
$444.88 |
$741.48 |
4.9× |
| Us breast unilateral complete (76641) |
$283.51 |
$472.52 |
3.1× |
| Us breast unilateral limited (76642) |
$273.58 |
$455.98 |
3.6× |
| Us chest (76604) |
$331.06 |
$551.78 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$404.18 |
$436.73 |
4.4× |
| Us guided compression repair (76936) |
$664.51 |
$1,107.53 |
3.5× |
| Us infant hips dynamic (76885) |
$271.92 |
$453.21 |
3.6× |
| Us infant hips limited static (76886) |
$303.05 |
$505.09 |
4.0× |
| Us ob detailed single fetus (76811) |
$562.58 |
$937.64 |
2.7× |
| Us ob transvaginal (76817) |
$579.46 |
$965.78 |
6.3× |
| Us pelvic non ob complete (76856) |
$473.24 |
$788.74 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$292.15 |
$486.93 |
3.2× |
| Us pregnancy ltd (76815) |
$332.04 |
$553.42 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$566.54 |
$944.24 |
6.2× |
| Us retroperitoneal complete (76770) |
$469.42 |
$782.38 |
5.1× |
| Us retroperitoneal limited (76775) |
$306.18 |
$510.32 |
3.3× |
| Us scrotum and contents (76870) |
$488.88 |
$814.80 |
5.3× |
| Us soft tissue head/neck (76536) |
$449.47 |
$749.12 |
4.9× |
| Us transrectal (76872) |
$464.26 |
$773.77 |
5.1× |
| Us transrectal prostate volume (76873) |
$271.92 |
$453.21 |
3.0× |
| Us xtr non-vasc lmtd (76882) |
$267.88 |
$446.48 |
2.9× |
| Vascular flow imaging (78445) |
$373.63 |
$622.73 |
1.1× |
| Venogram extremity bilateral (75822) |
$851.30 |
$1,418.83 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$853.96 |
$1,423.28 |
0.6× |
| Vertebral fracture assessment via dxa (77086) |
$178.15 |
$296.92 |
2.3× |
| Wrist 2 views (73100) |
$181.42 |
$302.38 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$377.72 |
$629.54 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$246.49 |
$410.83 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$240.60 |
$401.01 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$686.66 |
$1,144.45 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$209.81 |
$349.69 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$240.60 |
$401.01 |
3.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$229.76 |
$382.94 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$186.76 |
$311.27 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$239.32 |
$398.87 |
3.1× |
| X-ray exam hip uni 4/> views (73503) |
$324.07 |
$540.13 |
3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$389.56 |
$649.28 |
4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$690.06 |
$1,150.10 |
7.5× |
| X-ray exam of femur 1 (73551) |
$178.15 |
$296.92 |
2.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$309.64 |
$516.08 |
2.0× |
| X-ray eye for foreign body (70030) |
$178.15 |
$296.92 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$305.38 |
$508.98 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$261.16 |
$435.28 |
3.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$233.59 |
$389.33 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$183.49 |
$305.83 |
0.1× |
| X-ray head for orthodontia (70350) |
$183.49 |
$305.83 |
2.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$233.59 |
$389.33 |
3.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$178.15 |
$296.92 |
1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$268.62 |
$447.70 |
3.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$233.59 |
$389.33 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$266.33 |
$443.88 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$183.49 |
$305.83 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$322.43 |
$537.39 |
3.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$392.22 |
$653.72 |
4.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$170.06 |
$283.44 |
1.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$268.62 |
$447.70 |
3.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$222.42 |
$370.70 |
2.9× |
| X-ray of voice box or throat (70370) |
$178.15 |
$296.92 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$298.46 |
$497.44 |
3.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$354.68 |
$591.13 |
3.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$691.11 |
$1,151.86 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$226.20 |
$377.02 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$233.68 |
$389.48 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$266.76 |
$444.61 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$159.40 |
$265.67 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$309.12 |
$515.20 |
4.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$356.31 |
$593.86 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$309.20 |
$515.34 |
4.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$248.80 |
$414.68 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$301.98 |
$503.32 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$243.82 |
$406.38 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$202.58 |
$337.66 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$164.18 |
$273.64 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$309.12 |
$515.20 |
4.1× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$183.49 |
$305.83 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$159.40 |
$265.67 |
1.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$332.16 |
$553.61 |
3.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$221.68 |
$369.48 |
2.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$240.60 |
$401.01 |
3.2× |
| Xr arthrogram ankle (73615) |
$205.87 |
$343.12 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$311.77 |
$519.62 |
3.4× |
| Xr chest 4+ views (71048) |
$353.33 |
$588.88 |
3.9× |
| Xr Cholecystography Oral Contrast (74290) |
$422.17 |
$703.62 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$233.59 |
$389.33 |
3.1× |
| Xr internal auditory meati complete (70134) |
$208.54 |
$347.58 |
0.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$325.08 |
$541.81 |
3.5× |
| Xr optic foramina (70190) |
$222.42 |
$370.70 |
2.9× |
| Xr shoulder 1 view (73020) |
$314.23 |
$523.72 |
4.1× |
| Xr spine cervical 4 or 5 views (72050) |
$389.52 |
$649.22 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$240.60 |
$401.01 |
3.2× |
| Xr tmj bilateral (70330) |
$311.79 |
$519.66 |
4.1× |
| Xray knee 1 or 2 views rt (73560) |
$213.21 |
$355.36 |
2.8× |