| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,124 |
$8,540 |
3.8× |
| Abdomen 2 views (74019) |
$227 |
$378 |
2.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$818 |
$1,363 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$3,242 |
$5,403 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,047 |
$5,079 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$4,298 |
$7,163 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,966 |
$4,943 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,461 |
$5,768 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,090 |
$5,150 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,262 |
$5,437 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,317 |
$7,195 |
1.4× |
| Ankle 2 views (73600) |
$371 |
$619 |
4.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$817 |
$1,361 |
2.4× |
| Aortogram thoracic (75605) |
$7,415 |
$12,358 |
1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,683 |
$4,472 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,146 |
$3,577 |
0.7× |
| Arthrogram elbow (73085) |
$324 |
$540 |
1.0× |
| Arthrogram hip (73525) |
$298 |
$496 |
0.9× |
| Arthrogram shoulder (73040) |
$592 |
$986 |
1.7× |
| Arthrogram wrist (73115) |
$254 |
$424 |
0.8× |
| Arthrography knee lt (73580) |
$298 |
$496 |
0.9× |
| Basic radiation dosimetry calculation (77300) |
$547 |
$911 |
4.2× |
| Bone &/joint imaging whole body (78306) |
$1,812 |
$3,020 |
4.7× |
| Bone age studies (77072) |
$199 |
$332 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$2,084 |
$3,473 |
5.4× |
| Brachytx isodose complex (77318) |
$676 |
$1,126 |
1.9× |
| Brachytx isodose intermed (77317) |
$500 |
$833 |
1.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$358 |
$597 |
1.0× |
| Brain image w/flow 4 + views (78606) |
$485 |
$809 |
0.9× |
| Brain Imaging Minimum 4 Static Views (78605) |
$485 |
$809 |
0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,353 |
$3,922 |
7.0× |
| Cervical spine 2 or 3 views (72040) |
$367 |
$611 |
4.3× |
| Chest 1 view (71045) |
$247 |
$412 |
2.9× |
| Chest 3 views (71047) |
$330 |
$550 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$181 |
$301 |
1.1× |
| Clavicle complete (73000) |
$397 |
$661 |
4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$169 |
$282 |
1.7× |
| Continuing medical physics consltj pr wk (77336) |
$697 |
$1,161 |
5.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$433 |
$722 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,259 |
$7,098 |
12.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,375 |
$3,958 |
10.3× |
| CT abdomen w contrast (74160) |
$2,186 |
$3,643 |
12.9× |
| CT abdomen w wo contrast (74170) |
$2,714 |
$4,523 |
16.0× |
| CT abdomen w/o contrast (74150) |
$1,736 |
$2,894 |
17.1× |
| CT angio hrt w/3d image (75574) |
$1,513 |
$2,522 |
4.5× |
| CT angiography upper extremity lt (73206) |
$1,478 |
$2,463 |
8.7× |
| CT c-spine w/o contrast (72125) |
$1,697 |
$2,829 |
16.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,229 |
$3,715 |
13.1× |
| CT cervical spine with contrast (72126) |
$2,105 |
$3,509 |
6.2× |
| CT chest w/wo contrast (71270) |
$2,514 |
$4,190 |
14.8× |
| CT chest with contrast (71260) |
$2,113 |
$3,521 |
12.4× |
| CT colonography w/dye (74262) |
$1,352 |
$2,254 |
7.9× |
| CT colonography w/o cntrst (74261) |
$600 |
$1,000 |
5.9× |
| CT head/brain with contrast (70460) |
$1,856 |
$3,094 |
10.9× |
| CT head/brain without and with contrast (70470) |
$2,185 |
$3,642 |
12.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,513 |
$2,522 |
4.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$140 |
$234 |
1.7× |
| CT iac w contrast (70481) |
$1,333 |
$2,222 |
7.8× |
| CT limited/localized follow up study (76380) |
$676 |
$1,127 |
8.0× |
| CT lower ext w/o (73700) |
$1,388 |
$2,313 |
13.7× |
| CT lower extremity w wo contrast (73702) |
$2,110 |
$3,516 |
12.4× |
| CT lower extremity with contrast (73701) |
$1,749 |
$2,915 |
10.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,229 |
$3,715 |
13.1× |
| CT lumbar spine w/o contrast (72131) |
$1,381 |
$2,301 |
13.6× |
| CT lumbar spine with contrast (72132) |
$1,748 |
$2,913 |
5.2× |
| CT maxillofacial w contrast (70487) |
$1,754 |
$2,923 |
10.3× |
| CT maxillofacial w/o contrast (70486) |
$1,462 |
$2,436 |
14.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,134 |
$3,557 |
12.5× |
| CT neck soft tissue w contrast (70491) |
$1,837 |
$3,062 |
10.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,445 |
$2,408 |
8.5× |
| CT orbits w/o contrast (70480) |
$1,120 |
$1,867 |
11.0× |
| CT pelvis w & w/o contrast (72194) |
$2,442 |
$4,070 |
14.4× |
| CT pelvis w/o contrast (72192) |
$1,355 |
$2,258 |
13.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,223 |
$3,705 |
13.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,489 |
$2,481 |
14.7× |
| CT thoracic spine w/contrast (72129) |
$1,547 |
$2,579 |
9.1× |
| CT thoracic spine w/o contrast (72128) |
$866 |
$1,444 |
8.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,229 |
$3,715 |
13.1× |
| CT thorax w/o contrast (71250) |
$1,711 |
$2,852 |
16.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,780 |
$4,633 |
16.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,829 |
$3,049 |
18.0× |
| CT upper extremity with contrast (73201) |
$2,268 |
$3,780 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$713 |
$1,189 |
4.2× |
| Cta Abdomen (74175) |
$1,769 |
$2,949 |
10.4× |
| CTA abdomen pelvis (74174) |
$2,240 |
$3,733 |
6.6× |
| CTA chest (71275) |
$1,845 |
$3,075 |
10.8× |
| Cta Head (70496) |
$2,005 |
$3,342 |
11.8× |
| CTA lwr ext w&w/o contrast (73706) |
$918 |
$1,530 |
5.4× |
| Cta Neck (70498) |
$2,005 |
$3,342 |
11.8× |
| Cta Pelvis (72191) |
$426 |
$710 |
2.5× |
| Cystography minimum 3 views rs&i (74430) |
$473 |
$788 |
1.4× |
| Diskography lumbar (72295) |
$2,549 |
$4,249 |
1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$231 |
$385 |
2.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$374 |
$624 |
3.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$227 |
$378 |
2.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$393 |
$655 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$393 |
$655 |
4.7× |
| Echo exam of fetal heart (76825) |
$1,658 |
$2,763 |
3.1× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$471 |
$785 |
2.0× |
| Echoencephalography real time imaging (76506) |
$179 |
$298 |
1.8× |
| Esophagus (74220) |
$458 |
$763 |
2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$354 |
$590 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$603 |
$1,005 |
2.6× |
| Foot 2 views (73620) |
$319 |
$531 |
3.8× |
| Forearm 2 views (73090) |
$417 |
$695 |
4.9× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$407 |
$678 |
1.8× |
| Gated Heart Planar Single (78472) |
$1,529 |
$2,549 |
3.9× |
| Hand 2 views (73120) |
$359 |
$598 |
3.5× |
| Hand 3 views (73130) |
$412 |
$687 |
4.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,681 |
$2,801 |
2.5× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,055 |
$5,092 |
4.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,644 |
$7,740 |
6.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,873 |
$3,121 |
0.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,837 |
$3,062 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,342 |
$2,236 |
3.5× |
| Ht muscle image spect sing (78451) |
$2,867 |
$4,779 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$300 |
$500 |
3.6× |
| Hysterosalpingogram (74740) |
$614 |
$1,024 |
2.7× |
| Interstitial radiation source applic complex (77778) |
$918 |
$1,530 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,908 |
$3,180 |
3.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,946 |
$3,244 |
3.7× |
| Knee 3 views (73562) |
$379 |
$632 |
4.5× |
| Liver imaging static only (78201) |
$734 |
$1,223 |
1.4× |
| Lung perf&ventilat diferentl (78598) |
$1,380 |
$2,300 |
2.6× |
| Lymphoscintigraphy (78195) |
$1,229 |
$2,049 |
2.3× |
| Mammary ductogram or galactogram single (77053) |
$238 |
$397 |
1.0× |
| Meckels Diverticulum (78290) |
$544 |
$907 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,411 |
$7,351 |
12.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$39 |
$65 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$138 |
$230 |
1.5× |
| MRA head w & w/o contrast (70546) |
$2,804 |
$4,674 |
8.3× |
| MRA head w/o contrast (70544) |
$1,713 |
$2,855 |
7.4× |
| MRA head with contrast (70545) |
$2,804 |
$4,674 |
8.3× |
| MRA neck w contrast (70548) |
$1,636 |
$2,726 |
4.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,936 |
$3,226 |
5.7× |
| MRA neck w/o contrast (70547) |
$982 |
$1,636 |
4.2× |
| MRI abdomen w contrast (74182) |
$2,599 |
$4,332 |
7.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,651 |
$4,419 |
7.8× |
| MRI abdomen w/o contrast (74181) |
$1,591 |
$2,651 |
6.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,648 |
$4,414 |
3.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,301 |
$3,835 |
3.0× |
| MRI c-spine with contrast (72142) |
$2,379 |
$3,965 |
7.0× |
| MRI cardiac w/o cont stress (75559) |
$2,047 |
$3,412 |
3.9× |
| MRI cardiac w/o contrast (75557) |
$2,047 |
$3,412 |
8.8× |
| MRI cervical spine w/o contrast (72141) |
$2,163 |
$3,605 |
9.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,059 |
$3,431 |
6.1× |
| MRI chest w/o contrast (71550) |
$1,235 |
$2,058 |
5.3× |
| MRI chest with contrast (71551) |
$1,756 |
$2,927 |
2.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,300 |
$5,500 |
9.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,970 |
$4,950 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,817 |
$3,029 |
7.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,425 |
$4,042 |
10.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,425 |
$4,042 |
7.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,425 |
$4,042 |
7.2× |
| MRI pelvis w contrast (72196) |
$2,934 |
$4,890 |
8.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,993 |
$4,988 |
8.8× |
| MRI pelvis w/o contrast (72195) |
$1,796 |
$2,993 |
7.8× |
| MRI scan of arm joint before and after contrast (73223) |
$3,179 |
$5,299 |
9.4× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,353 |
$3,922 |
3.1× |
| MRI scan of leg joint before and after contrast (73723) |
$3,655 |
$6,091 |
10.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,596 |
$4,326 |
7.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,460 |
$4,100 |
7.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,618 |
$4,364 |
7.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,101 |
$5,168 |
9.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,876 |
$6,460 |
11.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,326 |
$3,876 |
10.1× |
| MRI tmj (70336) |
$763.50 |
$1,273 |
3.3× |
| MRI upper ext joint w/o contrast (73221) |
$2,092 |
$3,486 |
9.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,366 |
$5,610 |
9.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,020 |
$3,366 |
8.7× |
| Myelogram Cervical (72240) |
$1,771 |
$2,951 |
2.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,060 |
$1,767 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$3,455 |
$5,758 |
2.8× |
| Neck soft tissue (70360) |
$295 |
$492 |
3.5× |
| Nm cisternogram (78630) |
$407 |
$679 |
0.8× |
| Nm gastric emptying study (78264) |
$1,224 |
$2,040 |
3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,976 |
$8,294 |
3.7× |
| Nuclear Rx Oral Admin (79005) |
$1,458 |
$2,430 |
6.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$479 |
$798 |
4.7× |
| Osseous survey infant (77076) |
$230 |
$383 |
2.3× |
| Osseous survey limited (77074) |
$154 |
$257 |
1.5× |
| Parathyrd planar w/spect&CT (78072) |
$1,636 |
$2,727 |
3.1× |
| Parathyrd planar w/wo subtrj (78071) |
$2,534 |
$4,223 |
6.5× |
| Pelvis 1 or 2 views (72170) |
$132 |
$220 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$4,025 |
$6,709 |
2.9× |
| PET imaging for CT attenuation whole body (78816) |
$4,025 |
$6,709 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,029 |
$5,049 |
9.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$782 |
$1,304 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$618 |
$1,030 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$726 |
$1,210 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$302 |
$503 |
3.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$486 |
$810 |
4.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$283 |
$472 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$127 |
$211 |
1.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,023 |
$13,371 |
1.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$748 |
$1,247 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$305 |
$509 |
3.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$527 |
$878 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$341 |
$568 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$227 |
$378 |
2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$413 |
$689 |
4.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$313 |
$522 |
3.7× |
| Radiologic exam colon single contrast study (74270) |
$392 |
$653 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$643 |
$1,072 |
3.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$523 |
$871 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$143 |
$239 |
1.7× |
| Radiological examination surgical specimen (76098) |
$1,000 |
$1,667 |
1.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$2 |
$3 |
0.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,315 |
$3,858 |
0.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,739 |
$2,899 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,386 |
$2,310 |
2.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,754 |
$4,590 |
2.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,432 |
$2,387 |
6.3× |
| Rp Therapy Intravenous Administration (79101) |
$466 |
$776 |
2.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$320 |
$534 |
1.4× |
| Scanogram (77073) |
$212 |
$354 |
2.1× |
| Scapula complete (73010) |
$281 |
$468 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$71 |
$118 |
3.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$271 |
$452 |
2.7× |
| Simulation intermediate (77285) |
$1,509 |
$2,515 |
4.2× |
| Small bowel series (74250) |
$469 |
$782 |
2.8× |
| Spec medical radj physics consltj (77370) |
$1,087 |
$1,811 |
8.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$631 |
$1,051 |
1.7× |
| Special dosimetry (77331) |
$481 |
$801 |
3.7× |
| Special treatment procedure (77470) |
$2,426 |
$4,044 |
4.5× |
| Spine thoracic 3 views (72072) |
$396 |
$660 |
3.9× |
| Stereotactic body radiation delivery (77373) |
$7,200 |
$12,000 |
4.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,931 |
$6,551 |
10.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$415 |
$692 |
1.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,896 |
$3,160 |
5.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,119 |
$1,865 |
8.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,205 |
$2,009 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,163 |
$1,938 |
3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,483 |
$2,471 |
3.8× |
| Treatment device intermediate (77333) |
$1,118 |
$1,864 |
8.6× |
| Treatment devices simple (77332) |
$550 |
$917 |
4.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,270 |
$3,783 |
4.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$984 |
$1,640 |
2.5× |
| Tx devices design & construction complex (77334) |
$1,342 |
$2,237 |
3.7× |
| Ultrasound elastography first target lesion (76982) |
$161 |
$269 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$677 |
$1,128 |
6.7× |
| Umbilical-artery Doppler (OB) (76820) |
$399 |
$665 |
3.9× |
| Upper Extremity Infant (73092) |
$132 |
$220 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$296 |
$494 |
1.3× |
| Urethrocystography voiding (74455) |
$302 |
$504 |
1.3× |
| Us abdl aorta screen aaa (76706) |
$188 |
$313 |
1.9× |
| Us breast unilateral complete (76641) |
$565 |
$942 |
5.6× |
| Us breast unilateral limited (76642) |
$463 |
$772 |
5.5× |
| Us chest (76604) |
$528 |
$880 |
5.2× |
| Us compl joint r-t w/image documentation (76881) |
$438 |
$730 |
4.3× |
| Us elastography parenchyma (76981) |
$373 |
$621 |
3.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$548 |
$914 |
5.4× |
| Us guided compression repair (76936) |
$404 |
$673 |
1.9× |
| Us infant hips dynamic (76885) |
$420 |
$700 |
5.0× |
| Us kidney transplant (76776) |
$885 |
$1,475 |
8.7× |
| Us ob detailed single fetus (76811) |
$1,159 |
$1,932 |
5.0× |
| Us ob transvaginal (76817) |
$406 |
$676 |
4.0× |
| Us pelvic non ob complete (76856) |
$835 |
$1,391 |
8.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$409 |
$681 |
4.0× |
| Us pregnancy ltd (76815) |
$353 |
$589 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$342 |
$570 |
3.4× |
| Us retroperitoneal limited (76775) |
$830 |
$1,383 |
8.2× |
| Us scrotum and contents (76870) |
$594 |
$990 |
5.9× |
| Us soft tissue head/neck (76536) |
$553 |
$921 |
5.5× |
| Us spinal canal and contents (76800) |
$256 |
$426 |
2.5× |
| Us transrectal prostate volume (76873) |
$663 |
$1,105 |
6.5× |
| Us xtr non-vasc lmtd (76882) |
$438 |
$730 |
4.3× |
| Venogram extremity bilateral (75822) |
$1,269 |
$2,115 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,385 |
$3,975 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$859 |
$1,431 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$1,049 |
$1,748 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$1,735 |
$2,891 |
0.6× |
| Wrist 2 views (73100) |
$358 |
$596 |
4.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$413 |
$689 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$220 |
$367 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$400 |
$666 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$899 |
$1,498 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$316 |
$526 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$350 |
$584 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$229 |
$381 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$318 |
$530 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$369 |
$615 |
3.6× |
| X-ray exam of femur 1 (73551) |
$119 |
$199 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$343 |
$572 |
3.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$241 |
$401 |
2.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$371 |
$618 |
4.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$361 |
$601 |
4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$228 |
$380 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$422 |
$703 |
4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$379 |
$632 |
4.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$95 |
$158 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$424 |
$707 |
4.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$674 |
$1,124 |
6.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$500 |
$834 |
4.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$407 |
$678 |
4.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$172 |
$287 |
2.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$342 |
$570.50 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$158 |
$264 |
1.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$817 |
$1,361 |
2.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$283 |
$472 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$566 |
$944 |
5.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$702 |
$1,170 |
6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$415 |
$691 |
4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$364 |
$606 |
4.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$424 |
$707 |
5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$393 |
$655 |
4.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$347 |
$578 |
4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$328 |
$546 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$262 |
$437 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$292 |
$486 |
3.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$313 |
$522 |
3.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$263 |
$439 |
3.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$373 |
$621 |
3.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$313 |
$522 |
3.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$410 |
$684 |
4.9× |
| Xr arthrogram ankle (73615) |
$254 |
$424 |
0.8× |
| Xr c-spine 6 or more views (72052) |
$601 |
$1,002 |
5.9× |
| Xr finger(s) 2+ views (73140) |
$384 |
$640 |
4.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$120 |
$200 |
1.2× |
| Xr shoulder 1 view (73020) |
$335 |
$558 |
4.0× |
| Xr spine cervical 4 or 5 views (72050) |
$601 |
$1,002 |
5.9× |
| Xr tibia/fibula 2 views (73590) |
$358 |
$596 |
4.2× |
| Xr tmj bilateral (70330) |
$319 |
$531 |
3.8× |
| Xray knee 1 or 2 views rt (73560) |
$329 |
$548 |
3.9× |