| Abdomen 2 views (74019) |
$564.10 |
$626.78 |
5.5× |
| Acute gi blood loss imaging (78278) |
$3,724.51 |
$4,138.34 |
9.5× |
| Angiography extremity unilateral rs&i (75710) |
$8,478.16 |
$9,420.18 |
2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,989.27 |
$4,432.52 |
1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,983.73 |
$2,204.14 |
0.6× |
| Ankle 2 views (73600) |
$554.81 |
$616.46 |
6.5× |
| Aortogram thoracic (75605) |
$7,274.81 |
$8,083.12 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$3,317.31 |
$3,685.90 |
1.1× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$3,618.84 |
$4,020.93 |
1.2× |
| Arthrogram ankle (73615) |
$1,058.91 |
$1,176.57 |
3.1× |
| Arthrogram elbow (73085) |
$1,310.01 |
$1,455.57 |
3.8× |
| Arthrogram hip (73525) |
$1,313.98 |
$1,459.98 |
3.9× |
| Arthrogram knee (73580) |
$789.70 |
$877.44 |
2.3× |
| Arthrogram shoulder (73040) |
$1,454.89 |
$1,616.54 |
4.3× |
| Arthrogram wrist (73115) |
$1,277.03 |
$1,418.92 |
3.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,983.73 |
$2,204.14 |
5.1× |
| Bone &/joint imaging whole body (78306) |
$3,292.28 |
$3,658.09 |
8.4× |
| Bone age studies (77072) |
$341.33 |
$379.26 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$4,275.60 |
$4,750.67 |
11.0× |
| Bone survey complete (77075) |
$1,199.20 |
$1,332.44 |
11.8× |
| Bone survey infant (77076) |
$688.87 |
$765.41 |
6.8× |
| Bowel imaging (78290) |
$1,885.52 |
$2,095.02 |
4.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,577.96 |
$1,753.29 |
3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,337.51 |
$11,486.12 |
7.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,509.17 |
$1,676.85 |
3.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,045.40 |
$4,494.89 |
11.9× |
| Cephalogram, orthodontic Non-Facility (70350) |
$623.56 |
$692.84 |
7.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$954.93 |
$1,061.03 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$430.39 |
$478.21 |
5.1× |
| Chest 1 view (71045) |
$351.50 |
$390.56 |
4.1× |
| Chest xray 3 views (71047) |
$519.19 |
$576.88 |
6.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$771.89 |
$857.66 |
4.5× |
| Cineradiography/videoradiography (76120) |
$1,707.47 |
$1,897.19 |
16.7× |
| Clavicle complete (73000) |
$573.03 |
$636.70 |
6.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,005.53 |
$7,783.92 |
20.6× |
| CT abdomen and pelvis without contrast (74176) |
$5,095.70 |
$5,661.89 |
21.9× |
| CT abdomen w contrast (74160) |
$2,850.25 |
$3,166.94 |
16.7× |
| CT abdomen w wo contrast (74170) |
$3,193.31 |
$3,548.12 |
18.7× |
| CT abdomen w/o contrast (74150) |
$2,245.05 |
$2,494.50 |
22.0× |
| CT angio hrt w/3d image (75574) |
$2,580.35 |
$2,867.06 |
7.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,074.99 |
$3,416.65 |
18.0× |
| CT angiography upper extremity lt (73206) |
$4,485.72 |
$4,984.13 |
26.2× |
| CT c-spine w/contrast (72126) |
$3,788.66 |
$4,209.62 |
11.1× |
| CT c-spine w/o contrast (72125) |
$2,156.16 |
$2,395.73 |
21.1× |
| CT cervical spine w&w/o contrast (72127) |
$3,811.23 |
$4,234.70 |
22.3× |
| CT chest w contrast (71260) |
$3,103.52 |
$3,448.35 |
18.1× |
| CT chest w/wo contrast (71270) |
$3,406.15 |
$3,784.61 |
19.9× |
| CT head/brain with contrast (70460) |
$2,963.60 |
$3,292.89 |
17.3× |
| CT head/brain without and with contrast (70470) |
$3,586 |
$3,984.44 |
21.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,498.13 |
$1,664.59 |
4.4× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$840.24 |
$933.60 |
9.9× |
| CT hrt w/3d image congen (75573) |
$2,474.92 |
$2,749.91 |
7.3× |
| CT iac w contrast (70481) |
$2,442.43 |
$2,713.81 |
14.3× |
| CT limited/localized follow up study (76380) |
$920.45 |
$1,022.72 |
10.8× |
| CT lower ext w/o (73700) |
$2,831.14 |
$3,145.71 |
27.8× |
| CT lower extremity w wo contrast (73702) |
$3,436.55 |
$3,818.39 |
20.1× |
| CT lower extremity w/contrast material (73701) |
$3,201.12 |
$3,556.80 |
18.7× |
| CT lumbar spine w & w/o contrast (72133) |
$3,520.06 |
$3,911.18 |
20.6× |
| CT lumbar spine w/contrast (72132) |
$2,752.45 |
$3,058.28 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$2,873.31 |
$3,192.57 |
28.2× |
| CT maxillofacial w contrast (70487) |
$3,335.45 |
$3,706.06 |
19.5× |
| CT maxillofacial w/wo contrast (70488) |
$3,951.14 |
$4,390.16 |
23.1× |
| CT maxillofacial wo contrast (70486) |
$2,648.31 |
$2,942.57 |
26.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,605.16 |
$2,894.62 |
15.2× |
| CT orbits w/o contrast (70480) |
$2,147.98 |
$2,386.64 |
21.1× |
| CT pelvis w/o contrast (72192) |
$2,759.20 |
$3,065.78 |
27.1× |
| CT pelvis w/wo contrast (72194) |
$3,657.59 |
$4,063.99 |
21.4× |
| CT scan of arm combo (73202) |
$3,744.17 |
$4,160.19 |
21.9× |
| CT soft tissue neck w contrast (70491) |
$2,693.71 |
$2,993.01 |
15.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,932.60 |
$3,258.44 |
17.1× |
| CT soft tissue neck w/o contrast (70490) |
$2,125.59 |
$2,361.77 |
20.8× |
| CT thoracic spine w/contrast (72129) |
$2,798.70 |
$3,109.67 |
16.4× |
| CT thoracic spine w/o contrast (72128) |
$2,920.19 |
$3,244.66 |
28.6× |
| CT thoracic spine w/wo contrast (72130) |
$3,973.72 |
$4,415.24 |
23.2× |
| CT thorax w/o contrast (71250) |
$2,872.81 |
$3,192.01 |
28.2× |
| CT upper ext wo (73200) |
$2,840.44 |
$3,156.04 |
27.8× |
| CT upper extremity with contrast (73201) |
$3,255.81 |
$3,617.57 |
9.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$6,873.56 |
$7,637.29 |
40.2× |
| Cta Abdomen (74175) |
$3,436.66 |
$3,818.51 |
20.1× |
| CTA abdomen pelvis (74174) |
$6,873.56 |
$7,637.29 |
20.2× |
| CTA chest (71275) |
$4,194.99 |
$4,661.10 |
24.5× |
| Cta Head (70496) |
$4,121.56 |
$4,579.51 |
24.1× |
| Cta Neck (70498) |
$3,960.82 |
$4,400.91 |
23.1× |
| Cta Pelvis (72191) |
$3,167.42 |
$3,519.36 |
18.5× |
| Cystography minimum 3 views rs&i (74430) |
$659.10 |
$732.33 |
1.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$555.17 |
$616.85 |
5.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$812.90 |
$903.22 |
8.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,109.34 |
$1,232.60 |
10.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$758.08 |
$842.31 |
3.3× |
| Esophagus (74220) |
$928.25 |
$1,031.39 |
5.4× |
| Facial bones min 3 views (70150) |
$687.38 |
$763.76 |
6.7× |
| Fetal Echo (76825) |
$1,140.09 |
$1,266.77 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$321.73 |
$357.48 |
1.4× |
| Foot 2 views (73620) |
$512.99 |
$569.99 |
6.0× |
| Forearm 2 views (73090) |
$565.34 |
$628.15 |
6.7× |
| Hand 2 views (73120) |
$398.89 |
$443.21 |
3.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,112.13 |
$4,569.03 |
7.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,103.52 |
$3,448.35 |
8.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$707.47 |
$786.08 |
6.9× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$3,201 |
$3,556.67 |
8.2× |
| Kidney imaging morphology (78700) |
$2,380.41 |
$2,644.90 |
6.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,652.79 |
$2,947.54 |
5.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,523.48 |
$3,914.98 |
6.7× |
| Knee 3 views (73562) |
$587.66 |
$652.95 |
6.9× |
| Liver & spleen imaging static only (78215) |
$1,746.23 |
$1,940.25 |
4.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,652.15 |
$4,057.94 |
9.4× |
| Lung perf&ventilat diferentl (78598) |
$4,887.53 |
$5,430.59 |
9.2× |
| Lung perfusion differential (78597) |
$3,364.47 |
$3,738.30 |
8.6× |
| Lung ventilation imaging (78579) |
$1,988.04 |
$2,208.93 |
5.1× |
| Lymphoscintigraphy (78195) |
$1,745.96 |
$1,939.95 |
3.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$3,428.97 |
$3,809.97 |
4.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$3,310.34 |
$3,678.15 |
9.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,642.55 |
$4,047.28 |
10.7× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$308.59 |
$342.88 |
3.6× |
| MRA head w & w/o contrast (70546) |
$5,702.58 |
$6,336.20 |
16.8× |
| MRA head w/o contrast (70544) |
$4,524.66 |
$5,027.40 |
19.4× |
| MRA head with contrast (70545) |
$4,963.06 |
$5,514.52 |
14.6× |
| MRA neck w contrast (70548) |
$4,546 |
$5,051.11 |
13.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,793.53 |
$6,437.26 |
17.0× |
| MRA neck w/o contrast (70547) |
$4,451.48 |
$4,946.09 |
19.1× |
| MRI abdomen w contrast (74182) |
$5,363.35 |
$5,959.28 |
15.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,935.70 |
$5,484.11 |
14.5× |
| MRI abdomen w/o contrast (74181) |
$3,418.97 |
$3,798.86 |
14.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,107.73 |
$3,453.03 |
4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,983.14 |
$4,425.71 |
11.7× |
| MRI c-spine with contrast (72142) |
$5,001.18 |
$5,556.87 |
14.7× |
| MRI cardiac w/o contrast (75557) |
$1,864.44 |
$2,071.60 |
8.0× |
| MRI cervical spine w/o contrast (72141) |
$4,706.74 |
$5,229.71 |
20.2× |
| MRI chest w/o & w/contrast material (71552) |
$6,617.31 |
$7,352.57 |
19.4× |
| MRI chest w/o contrast (71550) |
$4,981.34 |
$5,534.82 |
21.4× |
| MRI chest with contrast (71551) |
$7,204.73 |
$8,005.25 |
9.4× |
| MRI fetal sngl/1st gestation (74712) |
$6,741.59 |
$7,490.66 |
29.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,380.41 |
$7,089.34 |
18.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,319.33 |
$3,688.14 |
9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,043.48 |
$3,381.64 |
13.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,412.74 |
$6,014.15 |
23.3× |
| MRI orbit face neck w contrast (70542) |
$5,473.62 |
$6,081.80 |
16.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,750.52 |
$7,500.58 |
19.8× |
| MRI pelvis w/contrast (72196) |
$4,738.99 |
$5,265.54 |
13.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,235.62 |
$5,817.35 |
15.4× |
| MRI pelvis w/o contrast (72195) |
$4,028.78 |
$4,476.42 |
17.3× |
| MRI spectroscopy (76390) |
$2,110.66 |
$2,345.18 |
24.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,234.06 |
$6,926.73 |
18.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,310.52 |
$5,900.58 |
15.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,619.55 |
$7,355.05 |
19.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,299.36 |
$5,888.18 |
15.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,605.91 |
$7,339.90 |
19.4× |
| MRI temporomandibular joint (70336) |
$3,049.18 |
$3,387.98 |
13.1× |
| MRI thoracic spine w/o contrast (72146) |
$4,838.96 |
$5,376.62 |
20.8× |
| MRI up ext w/o contrast (73218) |
$3,498.92 |
$3,887.69 |
15.0× |
| MRI upper ext joint w/o contrast (73221) |
$3,358.28 |
$3,731.42 |
14.4× |
| MRI, joint upper extrem combo (73223) |
$4,395.18 |
$4,883.53 |
12.9× |
| Myelogram Cervical (72240) |
$2,680.39 |
$2,978.21 |
3.5× |
| Myelogram Lumbar (72265) |
$1,824.93 |
$2,027.70 |
2.4× |
| Myelogram thoracic (72255) |
$2,095.74 |
$2,328.60 |
2.7× |
| Myelography 2 or more regions (72270) |
$2,680.39 |
$2,978.21 |
3.5× |
| Myocardial Spect Multiple Studies (78452) |
$6,481.88 |
$7,202.09 |
5.1× |
| Neck soft tissue (70360) |
$523.91 |
$582.12 |
6.2× |
| Nm gastric emptying study (78264) |
$3,346.37 |
$3,718.19 |
8.6× |
| Nm gastroesophageal reflux study (78262) |
$1,304.01 |
$1,448.90 |
3.3× |
| Nm kidney scan w/flow (78701) |
$4,172.78 |
$4,636.42 |
10.7× |
| Orthopantogram (70355) |
$492.90 |
$547.67 |
5.8× |
| Parathyroid Planar Imaging (78070) |
$1,634.54 |
$1,816.15 |
4.2× |
| Pelvis 1 or 2 views (72170) |
$479.50 |
$532.78 |
4.7× |
| Perineogram (74775) |
$799.41 |
$888.23 |
3.4× |
| PET image w/CT, skull-thigh (78815) |
$10,311.97 |
$11,457.74 |
7.4× |
| PET imaging CT for attenuation limited area (78814) |
$8,065.88 |
$8,962.09 |
5.8× |
| PET imaging for CT attenuation whole body (78816) |
$10,759.96 |
$11,955.51 |
7.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$8,855.83 |
$9,839.81 |
7.0× |
| PET whole body (78813) |
$10,147.99 |
$11,275.54 |
7.3× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$9,110.10 |
$10,122.33 |
6.5× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$615.20 |
$683.55 |
7.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$516.03 |
$573.37 |
6.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$597.34 |
$663.71 |
7.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$502.33 |
$558.14 |
5.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$740.47 |
$822.74 |
7.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$926.27 |
$1,029.19 |
9.1× |
| Radex fingr minimum 2 views (73140) |
$428.65 |
$476.28 |
5.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$579.47 |
$643.86 |
6.8× |
| Radex Hand Minimum 3 Views (73130) |
$560.62 |
$622.91 |
6.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$492.66 |
$547.40 |
5.8× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$554.18 |
$615.75 |
5.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$953.01 |
$1,058.90 |
9.3× |
| Radex Humerus Minimum 2 Views (73060) |
$465.87 |
$517.63 |
5.5× |
| Radex Kne 1/2 Views (73560) |
$652.91 |
$725.45 |
7.7× |
| Radex Kne Compl 4/More Views (73564) |
$705.99 |
$784.43 |
6.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$602.54 |
$669.49 |
5.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$384.99 |
$427.77 |
4.5× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$904.69 |
$1,005.21 |
8.9× |
| Radex Sho Compl Minimum 2 Views (73030) |
$590.63 |
$656.26 |
7.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$318.27 |
$353.63 |
3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$596.10 |
$662.33 |
7.0× |
| Radex Toe Minimum 2 Views (73660) |
$472.55 |
$525.06 |
5.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$419.23 |
$465.81 |
4.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$584.19 |
$649.10 |
6.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,291.67 |
$1,435.19 |
12.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$355.23 |
$394.70 |
4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$555.90 |
$617.67 |
5.5× |
| Radiologic exam chest 2 views (71046) |
$494.88 |
$549.87 |
5.8× |
| Radiologic exam colon single contrast study (74270) |
$1,362.11 |
$1,513.46 |
8.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,345.93 |
$1,495.48 |
7.9× |
| Radiologic examination femur 1 view (73551) |
$347.04 |
$385.60 |
4.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$505.56 |
$561.73 |
6.0× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$504.84 |
$560.93 |
4.9× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$393.92 |
$437.69 |
3.9× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$182.70 |
$203 |
2.2× |
| Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Non-Facility (70370) |
$398.29 |
$442.54 |
4.7× |
| Ribs bilateral 3 views (71110) |
$779.08 |
$865.64 |
7.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,863.16 |
$5,403.51 |
9.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,026.49 |
$5,584.99 |
9.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,469.26 |
$4,965.84 |
8.4× |
| Scapula (73010) |
$590.63 |
$656.26 |
5.8× |
| Sella turcica (70240) |
$379.35 |
$421.50 |
4.5× |
| Shoulder 1 view (73020) |
$586.17 |
$651.30 |
6.9× |
| Small bowel series (74250) |
$781.40 |
$868.22 |
4.6× |
| Thoracolumbar 2 views (72080) |
$1,329.42 |
$1,477.13 |
15.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,962.66 |
$3,291.84 |
5.6× |
| Thyroid imaging w/blood flow (78013) |
$1,138.90 |
$1,265.44 |
2.9× |
| Tmj unilateral (70328) |
$364.99 |
$405.54 |
4.3× |
| Ultrasound breast complete (76641) |
$1,038.11 |
$1,153.45 |
10.2× |
| Ultrasound, abdomen limited (76705) |
$1,250.24 |
$1,389.15 |
12.3× |
| Unlisted magnetic resonance procedure (76498) |
$2,012.53 |
$2,236.14 |
23.7× |
| Ureteral reflux study (78740) |
$1,440.41 |
$1,600.46 |
3.7× |
| Urethrocystogram voiding (74455) |
$1,141.34 |
$1,268.15 |
4.9× |
| Urethrocystography retrograde rs&i (74450) |
$1,011.96 |
$1,124.40 |
4.3× |
| Us breast unilateral limited (76642) |
$744.19 |
$826.88 |
8.8× |
| Us chest (76604) |
$818.60 |
$909.56 |
8.0× |
| Us compl joint r-t w/image documentation (76881) |
$1,404.78 |
$1,560.87 |
13.8× |
| Us elastography parenchyma (76981) |
$699.79 |
$777.54 |
6.9× |
| Us encephalogram (76506) |
$1,112.56 |
$1,236.18 |
10.9× |
| Us hips infant static (76886) |
$1,192.69 |
$1,325.21 |
14.0× |
| Us infant hips w manipulation (76885) |
$1,192.69 |
$1,325.21 |
14.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$702.51 |
$780.57 |
6.9× |
| Us ob transvaginal (76817) |
$586.67 |
$651.85 |
5.8× |
| Us pelvic non ob complete (76856) |
$928.25 |
$1,031.39 |
9.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$624.63 |
$694.03 |
6.1× |
| Us retroperitoneal complete (76770) |
$1,160.19 |
$1,289.10 |
11.4× |
| Us retroperitoneal limited (76775) |
$1,026.73 |
$1,140.81 |
10.1× |
| Us scrotum and contents (76870) |
$978.74 |
$1,087.48 |
9.6× |
| Us soft tissue head/neck (76536) |
$1,075.36 |
$1,194.84 |
10.5× |
| Us spinal canal and contents (76800) |
$912.87 |
$1,014.30 |
8.9× |
| Venogram extremity bilateral (75822) |
$2,202.26 |
$2,446.95 |
1.4× |
| Venogram Extremity Unilateral (75820) |
$2,054.46 |
$2,282.73 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$2,859.67 |
$3,177.41 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$2,731.91 |
$3,035.46 |
1.8× |
| Wrist 2 views (73100) |
$488.46 |
$542.73 |
5.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,086.52 |
$1,207.24 |
10.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$577.24 |
$641.38 |
6.8× |
| X-ray b.e. reductn intuss (74283) |
$1,046.33 |
$1,162.59 |
6.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,317.51 |
$1,463.90 |
7.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$526.64 |
$585.15 |
6.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$644.72 |
$716.35 |
7.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$803.84 |
$893.16 |
7.9× |
| X-ray exam of femur 2/> (73552) |
$593.12 |
$659.02 |
7.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$522.35 |
$580.39 |
6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$393.68 |
$437.42 |
4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$412.53 |
$458.37 |
4.9× |
| X-ray leg, infant (73592) |
$419.23 |
$465.81 |
4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$649.93 |
$722.14 |
6.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,397.33 |
$1,552.59 |
13.7× |
| X-ray nose-rectum child f.b. (76010) |
$222.27 |
$246.97 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$839.94 |
$933.27 |
8.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$621.41 |
$690.46 |
7.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$676.72 |
$751.91 |
6.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$929.49 |
$1,032.77 |
9.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$417.49 |
$463.88 |
4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$637.27 |
$708.08 |
7.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$720.38 |
$800.42 |
8.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,155.73 |
$1,284.14 |
11.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$693.83 |
$770.92 |
6.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$589.64 |
$655.16 |
6.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$339.10 |
$376.78 |
4.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$631.31 |
$701.46 |
7.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$642.98 |
$714.42 |
6.3× |
| Xr bone length studies (77073) |
$714.92 |
$794.36 |
7.0× |
| Xr c-spine 4 or 5 views (72050) |
$949.83 |
$1,055.37 |
9.3× |
| Xr c-spine 6 or more views (72052) |
$1,057.25 |
$1,174.72 |
10.4× |
| Xr chest 4+ views (71048) |
$525.90 |
$584.33 |
5.2× |
| Xr urogram antegrade (74425) |
$840.44 |
$933.82 |
2.5× |