| Abdomen 2 views (74019) |
$336 |
$1,120 |
3.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$894.75 |
$2,982.50 |
2.5× |
| Acute venous thrombus image (78456) |
$419.40 |
$1,398 |
0.4× |
| Angiography extremity bilateral rs&i (75716) |
$2,017.95 |
$6,726.50 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$2,017.95 |
$6,726.50 |
0.7× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,017.95 |
$6,726.50 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,017.95 |
$6,726.50 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,017.95 |
$6,726.50 |
0.7× |
| Ankle 2 views (73600) |
$176.10 |
$587 |
2.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$270.90 |
$903 |
0.9× |
| Aortogram thoracic (75605) |
$12,566.20 |
$41,887.36 |
2.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,017.95 |
$6,726.50 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,017.95 |
$6,726.50 |
0.7× |
| Aortography thoracic w/o serialography rs&i (75600) |
$7,554 |
$25,180 |
2.6× |
| Arthrogram elbow (73085) |
$693.45 |
$2,311.50 |
2.2× |
| Arthrogram hip (73525) |
$693.45 |
$2,311.50 |
2.2× |
| Arthrogram shoulder (73040) |
$1,094.85 |
$3,649.50 |
3.5× |
| Arthrogram wrist (73115) |
$693.45 |
$2,311.50 |
2.2× |
| Arthrography knee lt (73580) |
$693.45 |
$2,311.50 |
2.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$289.95 |
$966.50 |
0.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$928.35 |
$3,094.50 |
2.6× |
| Bone &/joint imaging whole body (78306) |
$801.45 |
$2,671.50 |
2.2× |
| Bone age studies (77072) |
$379.80 |
$1,266 |
4.0× |
| Bone Imaging 3 Phase (78315) |
$1,523.25 |
$5,077.50 |
4.2× |
| Bone survey complete (77075) |
$207.30 |
$691 |
2.2× |
| Brain image w/flow 4 + views (78606) |
$848.40 |
$2,828 |
1.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$289.95 |
$966.50 |
0.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$376.35 |
$1,254.50 |
0.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$376.35 |
$1,254.50 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$231.15 |
$770.50 |
2.9× |
| Chest 1 view (71045) |
$178.05 |
$593.50 |
2.3× |
| Chest 3 views (71047) |
$64.80 |
$216 |
0.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$475.95 |
$1,586.50 |
3.0× |
| Clavicle complete (73000) |
$203.25 |
$677.50 |
2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$113.66 |
$378.88 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,681 |
$12,270 |
11.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,134.70 |
$10,449 |
14.5× |
| CT abdomen w contrast (74160) |
$1,493.70 |
$4,979 |
9.4× |
| CT abdomen w wo contrast (74170) |
$1,951.05 |
$6,503.50 |
12.3× |
| CT abdomen w/o contrast (74150) |
$1,493.70 |
$4,979 |
15.8× |
| CT angiography upper extremity lt (73206) |
$1,286.85 |
$4,289.50 |
8.1× |
| CT c-spine w/o contrast (72125) |
$1,725.90 |
$5,753 |
18.2× |
| CT cervical spine w&w/o contrast (72127) |
$2,131.80 |
$7,106 |
13.4× |
| CT cervical spine with contrast (72126) |
$1,725.90 |
$5,753 |
5.5× |
| CT chest w/wo contrast (71270) |
$1,823.10 |
$6,077 |
11.5× |
| CT chest with contrast (71260) |
$1,552.50 |
$5,175 |
9.8× |
| CT head/brain with contrast (70460) |
$1,426.80 |
$4,756 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,536.60 |
$5,122 |
9.7× |
| CT iac w contrast (70481) |
$1,412.10 |
$4,707 |
8.9× |
| CT limited/localized follow up study (76380) |
$774 |
$2,580 |
9.8× |
| CT lower ext w/o (73700) |
$1,628.70 |
$5,429 |
17.2× |
| CT lower extremity w wo contrast (73702) |
$1,743.75 |
$5,812.50 |
11.0× |
| CT lower extremity with contrast (73701) |
$1,628.70 |
$5,429 |
10.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,094.30 |
$6,981 |
13.2× |
| CT lumbar spine w/o contrast (72131) |
$1,725.90 |
$5,753 |
18.2× |
| CT lumbar spine with contrast (72132) |
$1,725.90 |
$5,753 |
5.5× |
| CT maxillofacial w contrast (70487) |
$1,106.25 |
$3,687.50 |
7.0× |
| CT maxillofacial w/o contrast (70486) |
$1,463.55 |
$4,878.50 |
15.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,740.90 |
$5,803 |
11.0× |
| CT neck soft tissue w contrast (70491) |
$774 |
$2,580 |
4.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,673.85 |
$5,579.50 |
10.5× |
| CT orbits w/o contrast (70480) |
$1,412.10 |
$4,707 |
14.9× |
| CT pelvis w & w/o contrast (72194) |
$1,730.25 |
$5,767.50 |
10.9× |
| CT pelvis w/o contrast (72192) |
$1,640.40 |
$5,468 |
17.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$94.11 |
$313.72 |
1.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$774 |
$2,580 |
4.9× |
| CT soft tissue neck w/o contrast (70490) |
$774 |
$2,580 |
8.2× |
| CT thoracic spine w/contrast (72129) |
$514.80 |
$1,716 |
3.2× |
| CT thoracic spine w/o contrast (72128) |
$1,493.70 |
$4,979 |
15.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,094.30 |
$6,981 |
13.2× |
| CT thorax w/o contrast (71250) |
$1,552.50 |
$5,175 |
16.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,727.85 |
$5,759.50 |
10.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,628.70 |
$5,429 |
17.2× |
| CT upper extremity with contrast (73201) |
$1,628.70 |
$5,429 |
5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,857.20 |
$9,524 |
18.0× |
| Cta Abdomen (74175) |
$1,428.45 |
$4,761.50 |
9.0× |
| CTA abdomen pelvis (74174) |
$2,857.20 |
$9,524 |
9.0× |
| CTA chest (71275) |
$1,475.55 |
$4,918.50 |
9.3× |
| Cta Head (70496) |
$1,377 |
$4,590 |
8.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,286.85 |
$4,289.50 |
8.1× |
| Cta Neck (70498) |
$1,377 |
$4,590 |
8.7× |
| Cta Pelvis (72191) |
$1,428.45 |
$4,761.50 |
9.0× |
| Cystography minimum 3 views rs&i (74430) |
$517.05 |
$1,723.50 |
1.6× |
| Diskogram cervical (72285) |
$678.90 |
$2,263 |
0.4× |
| Diskography lumbar (72295) |
$678.90 |
$2,263 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$76.95 |
$256.50 |
0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$76.95 |
$256.50 |
1.0× |
| Echo exam of fetal heart (76825) |
$353.85 |
$1,179.50 |
0.7× |
| Echoencephalography real time imaging (76506) |
$344.25 |
$1,147.50 |
3.6× |
| Esophageal motility (78258) |
$917.40 |
$3,058 |
2.5× |
| Esophagus (74220) |
$411.60 |
$1,372 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$568.50 |
$1,895 |
6.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$568.50 |
$1,895 |
6.0× |
| Fluoroscopy up to 1 hr (76000) |
$318.52 |
$1,061.75 |
1.5× |
| Foot 2 views (73620) |
$175.50 |
$585 |
2.2× |
| Forearm 2 views (73090) |
$163.50 |
$545 |
2.1× |
| Gated Heart Planar Single (78472) |
$1,125.30 |
$3,751 |
3.1× |
| Hand 2 views (73120) |
$155.85 |
$519.50 |
1.6× |
| Hand 3 views (73130) |
$163.50 |
$545 |
2.1× |
| Heart infarct image w ef (78468) |
$444.15 |
$1,480.50 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$884.25 |
$2,947.50 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$884.25 |
$2,947.50 |
2.4× |
| Ht muscle image spect sing (78451) |
$1,584.90 |
$5,283 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$189.30 |
$631 |
2.4× |
| Hysterosalpingogram (74740) |
$137.25 |
$457.50 |
0.6× |
| Kidney imaging morphology (78700) |
$623.55 |
$2,078.50 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$495 |
$1,650 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$495 |
$1,650 |
1.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$684.15 |
$2,280.50 |
1.4× |
| Knee 3 views (73562) |
$280.50 |
$935 |
3.6× |
| Liver & spleen imaging static only (78215) |
$778.65 |
$2,595.50 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$681.15 |
$2,270.50 |
1.9× |
| Lymphoscintigraphy (78195) |
$368.85 |
$1,229.50 |
0.8× |
| Mammary ductogram or galactogram multiple (77054) |
$375.45 |
$1,251.50 |
1.7× |
| Mammary ductogram or galactogram single (77053) |
$270.90 |
$903 |
1.3× |
| Meckels Diverticulum (78290) |
$796.35 |
$2,654.50 |
2.2× |
| MRA head w & w/o contrast (70546) |
$2,196.15 |
$7,320.50 |
7.0× |
| MRA head w/o contrast (70544) |
$1,958.70 |
$6,529 |
9.1× |
| MRA head with contrast (70545) |
$2,196.15 |
$7,320.50 |
7.0× |
| MRA neck w contrast (70548) |
$1,966.95 |
$6,556.50 |
6.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,300.25 |
$7,667.50 |
7.3× |
| MRA neck w/o contrast (70547) |
$1,966.95 |
$6,556.50 |
9.1× |
| MRI abdomen w contrast (74182) |
$2,049.75 |
$6,832.50 |
6.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,511.90 |
$8,373 |
8.0× |
| MRI abdomen w/o contrast (74181) |
$1,958.70 |
$6,529 |
9.1× |
| MRI any jnt lwr ext with con lt (73722) |
$825.75 |
$2,752.50 |
1.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$825.75 |
$2,752.50 |
1.2× |
| MRI breast w/o contrast bilateral (77047) |
$708.75 |
$2,362.50 |
3.3× |
| MRI breast w/o contrast unilat (77046) |
$520.35 |
$1,734.50 |
2.4× |
| MRI c-spine with contrast (72142) |
$1,994.55 |
$6,648.50 |
6.3× |
| MRI cervical spine w/o contrast (72141) |
$1,994.55 |
$6,648.50 |
9.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,324.55 |
$7,748.50 |
7.4× |
| MRI chest w/o contrast (71550) |
$2,015.70 |
$6,719 |
9.3× |
| MRI chest with contrast (71551) |
$2,085.45 |
$6,951.50 |
2.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$825.75 |
$2,752.50 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$825.75 |
$2,752.50 |
2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,651.65 |
$5,505.50 |
7.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,966.95 |
$6,556.50 |
9.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,406.75 |
$8,022.50 |
7.6× |
| MRI orbit/face/neck w/contrast (70542) |
$2,196.15 |
$7,320.50 |
7.0× |
| MRI pelvis w contrast (72196) |
$2,064.90 |
$6,883 |
6.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,384.85 |
$7,949.50 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$1,767 |
$5,890 |
8.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,406.75 |
$8,022.50 |
7.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,406.75 |
$8,022.50 |
7.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,531.10 |
$8,437 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,969.65 |
$6,565.50 |
6.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,511.90 |
$8,373 |
8.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,949.10 |
$6,497 |
6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,489.40 |
$8,298 |
7.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,949.10 |
$6,497 |
9.0× |
| MRI tmj (70336) |
$1,667.55 |
$5,558.50 |
7.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,085.45 |
$6,951.50 |
9.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,458.30 |
$4,861 |
4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,737.90 |
$5,793 |
8.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,287.60 |
$4,292 |
1.1× |
| Neck soft tissue (70360) |
$231.15 |
$770.50 |
2.9× |
| Nm adrenal scan (78075) |
$2,342.40 |
$7,808 |
2.0× |
| Nm gastric emptying study (78264) |
$441.15 |
$1,470.50 |
1.2× |
| Nm gastroesophageal reflux study (78262) |
$1,036.05 |
$3,453.50 |
2.9× |
| Nuclear medicine of heart pumping function (78473) |
$701.10 |
$2,337 |
1.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,624.50 |
$5,415 |
4.5× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$928.35 |
$3,094.50 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$76.95 |
$256.50 |
0.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$353.85 |
$1,179.50 |
3.7× |
| Osseous survey infant (77076) |
$207.60 |
$692 |
2.2× |
| Osseous survey limited (77074) |
$207.60 |
$692 |
2.2× |
| Parathyrd planar w/wo subtrj (78071) |
$768.75 |
$2,562.50 |
2.1× |
| Parathyroid imaging (78070) |
$556.80 |
$1,856 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$196.05 |
$653.50 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,899 |
$6,330 |
6.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$480.30 |
$1,601 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$241.50 |
$805 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$293.25 |
$977.50 |
3.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$293.25 |
$977.50 |
3.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$284.25 |
$947.50 |
3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$586.35 |
$1,954.50 |
6.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$284.25 |
$947.50 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$207.60 |
$692 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$336.15 |
$1,120.50 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$210.60 |
$702 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$645 |
$2,150 |
4.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$552.52 |
$1,841.75 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$552.52 |
$1,841.75 |
3.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$256.35 |
$854.50 |
3.3× |
| Radiological examination surgical specimen (76098) |
$221.85 |
$739.50 |
0.4× |
| Ribs bilateral 3 views (71110) |
$260.40 |
$868 |
2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,076.25 |
$3,587.50 |
3.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,173.45 |
$3,911.50 |
2.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$990.30 |
$3,301 |
2.0× |
| Sacroiliac Joints < 3 Views (72200) |
$231.15 |
$770.50 |
2.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$302.40 |
$1,008 |
1.4× |
| Scanogram (77073) |
$379.80 |
$1,266 |
4.0× |
| Scapula complete (73010) |
$231.15 |
$770.50 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$130.05 |
$433.50 |
5.6× |
| Sella turcica (70240) |
$178.05 |
$593.50 |
2.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$134.70 |
$449 |
1.4× |
| Sialogram (70390) |
$357.90 |
$1,193 |
1.7× |
| Small bowel series (74250) |
$391.05 |
$1,303.50 |
2.5× |
| Spine thoracic 3 views (72072) |
$284.25 |
$947.50 |
3.0× |
| Splenoportograpy rs&i (75810) |
$2,222.55 |
$7,408.50 |
0.8× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$420.15 |
$1,400.50 |
1.9× |
| Testicular Imaging With Vascular Flow (78761) |
$788.40 |
$2,628 |
2.2× |
| Therapeutic Enema (74283) |
$134.55 |
$448.50 |
0.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$885.90 |
$2,953 |
1.8× |
| Thyroid uptake measurement (78012) |
$289.95 |
$966.50 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$545.25 |
$1,817.50 |
1.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,342.40 |
$7,808 |
4.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$879.60 |
$2,932 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$517.05 |
$1,723.50 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$99 |
$330 |
1.0× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$289.95 |
$966.50 |
0.8× |
| Unlisted Ultrasound Procedure (76999) |
$128.70 |
$429 |
1.6× |
| Upper Extremity Infant (73092) |
$175.50 |
$585 |
1.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$816.45 |
$2,721.50 |
2.3× |
| Urethrocystography retrograde rs&i (74450) |
$251.70 |
$839 |
1.2× |
| Urethrocystography voiding (74455) |
$287.55 |
$958.50 |
1.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$517.05 |
$1,723.50 |
3.3× |
| Us abdl aorta screen aaa (76706) |
$251.40 |
$838 |
2.7× |
| Us breast unilateral complete (76641) |
$505.05 |
$1,683.50 |
5.3× |
| Us breast unilateral limited (76642) |
$406.05 |
$1,353.50 |
5.2× |
| Us chest (76604) |
$652.20 |
$2,174 |
6.9× |
| Us compl joint r-t w/image documentation (76881) |
$226.20 |
$754 |
2.4× |
| Us infant hips dynamic (76885) |
$284.25 |
$947.50 |
3.6× |
| Us infant hips limited static (76886) |
$284.25 |
$947.50 |
3.6× |
| Us kidney transplant (76776) |
$128.70 |
$429 |
1.4× |
| Us ob detailed single fetus (76811) |
$363.60 |
$1,212 |
1.7× |
| Us ob transvaginal (76817) |
$317.25 |
$1,057.50 |
3.4× |
| Us pelvic non ob complete (76856) |
$623.55 |
$2,078.50 |
6.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$76.35 |
$254.50 |
0.8× |
| Us pregnancy ltd (76815) |
$284.25 |
$947.50 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$296.85 |
$989.50 |
3.1× |
| Us retroperitoneal complete (76770) |
$445.72 |
$1,485.75 |
4.7× |
| Us retroperitoneal limited (76775) |
$295.50 |
$985 |
3.1× |
| Us scrotum and contents (76870) |
$580.65 |
$1,935.50 |
6.1× |
| Us soft tissue head/neck (76536) |
$284.25 |
$947.50 |
3.0× |
| Us spinal canal and contents (76800) |
$268.95 |
$896.50 |
2.8× |
| Us transrectal (76872) |
$595.05 |
$1,983.50 |
6.3× |
| Us transrectal prostate volume (76873) |
$397.35 |
$1,324.50 |
4.2× |
| Us xtr non-vasc lmtd (76882) |
$113.10 |
$377 |
1.2× |
| Vascular flow imaging (78445) |
$289.95 |
$966.50 |
0.8× |
| Venogram extremity bilateral (75822) |
$701.38 |
$2,337.94 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,134.95 |
$7,116.50 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$361.72 |
$1,205.76 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$668.25 |
$2,227.50 |
0.5× |
| Wrist 2 views (73100) |
$154.20 |
$514 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$460.65 |
$1,535.50 |
4.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$203.25 |
$677.50 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$188.10 |
$627 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$798.30 |
$2,661 |
5.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$171.75 |
$572.50 |
2.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$189.30 |
$631 |
2.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$586.35 |
$1,954.50 |
6.2× |
| X-ray exam hip uni 1 view (73501) |
$163.50 |
$545 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$198.30 |
$661 |
2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$256.35 |
$854.50 |
2.7× |
| X-ray exam of femur 1 (73551) |
$256.35 |
$854.50 |
3.3× |
| X-ray eye for foreign body (70030) |
$64.80 |
$216 |
0.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$293.25 |
$977.50 |
3.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$293.25 |
$977.50 |
3.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$188.10 |
$627 |
2.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$163.20 |
$544 |
2.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$316.88 |
$1,056.25 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$288.82 |
$962.75 |
3.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$196.95 |
$656.50 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$231.15 |
$770.50 |
2.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$411.30 |
$1,371 |
4.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$231.15 |
$770.50 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$163.20 |
$544 |
2.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$144.90 |
$483 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$284.25 |
$947.50 |
3.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$226.80 |
$756 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$514.05 |
$1,713.50 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$237.75 |
$792.50 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$303.75 |
$1,012.50 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$241.50 |
$805 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$231.15 |
$770.50 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$226.80 |
$756 |
2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$305.85 |
$1,019.50 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$189.30 |
$631 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$305.85 |
$1,019.50 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$231.15 |
$770.50 |
2.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$76.95 |
$256.50 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$144.90 |
$483 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$217.95 |
$726.50 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$231.15 |
$770.50 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$305.85 |
$1,019.50 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$145.20 |
$484 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$169.80 |
$566 |
2.2× |
| Xr arthrogram ankle (73615) |
$693.45 |
$2,311.50 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$322.05 |
$1,073.50 |
3.4× |
| Xr chest 4+ views (71048) |
$225.15 |
$750.50 |
2.4× |
| Xr finger(s) 2+ views (73140) |
$116.70 |
$389 |
1.5× |
| Xr internal auditory meati complete (70134) |
$207.90 |
$693 |
0.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$217.95 |
$726.50 |
2.3× |
| Xr optic foramina (70190) |
$207.90 |
$693 |
2.6× |
| Xr shoulder 1 view (73020) |
$207.60 |
$692 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$322.05 |
$1,073.50 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$196.95 |
$656.50 |
2.5× |
| Xr tmj bilateral (70330) |
$265.95 |
$886.50 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$176.10 |
$587 |
2.2× |