| Abdomen 2 views (74019) |
$454.74 |
$1,378 |
4.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,152.59 |
$6,523 |
5.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,542.65 |
$7,705 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$3,885.75 |
$11,775 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,885.75 |
$11,775 |
1.2× |
| Angiography internal mammary rs&i (75756) |
$939.18 |
$2,846 |
0.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,480.18 |
$10,546 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,707.88 |
$11,236 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,089.62 |
$9,362.50 |
1.0× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,542.65 |
$7,705 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,975.28 |
$9,016 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$939.18 |
$2,846 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,067.88 |
$3,236 |
0.3× |
| Ankle 2 views (73600) |
$513.32 |
$1,555.50 |
5.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,202.68 |
$3,644.50 |
3.4× |
| Aortogram thoracic (75605) |
$3,305.61 |
$10,017 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,719.10 |
$11,270 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$3,719.10 |
$11,270 |
1.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,542.65 |
$7,705 |
0.8× |
| Artery X-Rays Adrenal Gland (75731) |
$2,477.97 |
$7,509 |
0.8× |
| Arthrogram elbow (73085) |
$511.83 |
$1,551 |
1.5× |
| Arthrogram hip (73525) |
$542.52 |
$1,644 |
1.5× |
| Arthrogram shoulder (73040) |
$542.52 |
$1,644 |
1.5× |
| Arthrogram wrist (73115) |
$1,334.19 |
$4,043 |
3.8× |
| Arthrography knee lt (73580) |
$1,430.55 |
$4,335 |
4.1× |
| Basic radiation dosimetry calculation (77300) |
$176.55 |
$535 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,058.97 |
$3,209 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,688.94 |
$5,118 |
4.2× |
| Bone &/joint imaging whole body (78306) |
$2,055.90 |
$6,230 |
5.1× |
| Bone age studies (77072) |
$993.14 |
$3,009.50 |
9.5× |
| Bone Imaging 3 Phase (78315) |
$2,919.18 |
$8,846 |
7.3× |
| Bone survey complete (77075) |
$5,148.99 |
$15,603 |
49.0× |
| Brain image w/flow 4 + views (78606) |
$1,077.45 |
$3,265 |
2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,859.42 |
$14,725.50 |
3.4× |
| Brain Imaging Vascular Flow Only (78610) |
$867.57 |
$2,629 |
1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,905.09 |
$5,773 |
5.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$972.18 |
$2,946 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$382.64 |
$1,159.50 |
4.4× |
| Chest 1 view (71045) |
$307.89 |
$933 |
3.5× |
| Chest 3 views (71047) |
$583.11 |
$1,767 |
6.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$621.06 |
$1,882 |
3.5× |
| Clavicle complete (73000) |
$482.13 |
$1,461 |
5.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$138.60 |
$420 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$759 |
$2,300 |
2.2× |
| CT abdomen and pelvis without contrast (74176) |
$597.63 |
$1,811 |
2.5× |
| CT abdomen w contrast (74160) |
$479.66 |
$1,453.50 |
2.7× |
| CT abdomen w wo contrast (74170) |
$580.47 |
$1,759 |
3.3× |
| CT abdomen w/o contrast (74150) |
$402.27 |
$1,219 |
3.8× |
| CT angio hrt w/3d image (75574) |
$491.70 |
$1,490 |
1.4× |
| CT angiography upper extremity lt (73206) |
$633.93 |
$1,921 |
3.6× |
| CT c-spine w/o contrast (72125) |
$498.96 |
$1,512 |
4.8× |
| CT cervical spine w&w/o contrast (72127) |
$656.70 |
$1,990 |
3.7× |
| CT cervical spine with contrast (72126) |
$565.62 |
$1,714 |
1.6× |
| CT chest w/wo contrast (71270) |
$559.18 |
$1,694.50 |
3.2× |
| CT chest with contrast (71260) |
$464.31 |
$1,407 |
2.6× |
| CT head/brain with contrast (70460) |
$475.20 |
$1,440 |
2.7× |
| CT head/brain without and with contrast (70470) |
$499.95 |
$1,515 |
2.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$515.13 |
$1,561 |
1.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$176.38 |
$534.50 |
2.0× |
| CT hrt w/3d image congen (75573) |
$387.42 |
$1,174 |
1.1× |
| CT iac w contrast (70481) |
$362.67 |
$1,099 |
2.1× |
| CT limited/localized follow up study (76380) |
$344.52 |
$1,044 |
3.9× |
| CT lower ext w/o (73700) |
$386.43 |
$1,171 |
3.7× |
| CT lower extremity w wo contrast (73702) |
$872.19 |
$2,643 |
5.0× |
| CT lower extremity with contrast (73701) |
$722.54 |
$2,189.50 |
4.1× |
| CT lumbar spine w & w/o contrast (72133) |
$698.28 |
$2,116 |
4.0× |
| CT lumbar spine w/o contrast (72131) |
$429.33 |
$1,301 |
4.1× |
| CT lumbar spine with contrast (72132) |
$606.87 |
$1,839 |
1.7× |
| CT maxillofacial w contrast (70487) |
$562.82 |
$1,705.50 |
3.2× |
| CT maxillofacial w/o contrast (70486) |
$435.60 |
$1,320 |
4.1× |
| CT maxillofacial w/wo contrast (70488) |
$684.09 |
$2,073 |
3.9× |
| CT neck soft tissue w contrast (70491) |
$570.57 |
$1,729 |
3.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$372.90 |
$1,130 |
2.1× |
| CT orbits w/o contrast (70480) |
$290.07 |
$879 |
2.8× |
| CT pelvis w & w/o contrast (72194) |
$449.46 |
$1,362 |
2.6× |
| CT pelvis w/o contrast (72192) |
$350.79 |
$1,063 |
3.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$617.43 |
$1,871 |
3.5× |
| CT soft tissue neck w/o contrast (70490) |
$442.36 |
$1,340.50 |
4.2× |
| CT thoracic spine w/contrast (72129) |
$495.66 |
$1,502 |
2.8× |
| CT thoracic spine w/o contrast (72128) |
$494.50 |
$1,498.50 |
4.7× |
| CT thoracic spine w/wo contrast (72130) |
$582.45 |
$1,765 |
3.3× |
| CT thorax w/o contrast (71250) |
$380.32 |
$1,152.50 |
3.6× |
| CT unlisted procedure (76497) |
$220.77 |
$669 |
2.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$690.86 |
$2,093.50 |
3.9× |
| CT upper extremity w/o contrast rt (73200) |
$334.95 |
$1,015 |
3.2× |
| CT upper extremity with contrast (73201) |
$567.60 |
$1,720 |
1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$675.18 |
$2,046 |
3.8× |
| Cta Abdomen (74175) |
$648.12 |
$1,964 |
3.7× |
| CTA abdomen pelvis (74174) |
$1,530.38 |
$4,637.50 |
4.4× |
| CTA chest (71275) |
$663.96 |
$2,012 |
3.8× |
| Cta Head (70496) |
$637.40 |
$1,931.50 |
3.6× |
| CTA lwr ext w&w/o contrast (73706) |
$747.78 |
$2,266 |
4.2× |
| Cta Neck (70498) |
$687.56 |
$2,083.50 |
3.9× |
| Cta Pelvis (72191) |
$680.46 |
$2,062 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$784.41 |
$2,377 |
2.2× |
| Diskogram cervical (72285) |
$2,098.14 |
$6,358 |
1.1× |
| Diskography lumbar (72295) |
$4,365.24 |
$13,228 |
2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$220.11 |
$667 |
2.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$275.55 |
$835 |
2.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$159.39 |
$483 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$823.52 |
$2,495.50 |
7.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$197.84 |
$599.50 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$527.67 |
$1,599 |
5.0× |
| Echo exam of fetal heart (76825) |
$396 |
$1,200 |
0.7× |
| Echoencephalography real time imaging (76506) |
$491.37 |
$1,489 |
4.7× |
| Esophagus (74220) |
$470.58 |
$1,426 |
2.7× |
| Fetal biophysical profile non-stress testing (76818) |
$575.85 |
$1,745 |
5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$691.35 |
$2,095 |
6.6× |
| Fluoroscopy up to 1 hr (76000) |
$481.80 |
$1,460 |
2.0× |
| Foot 2 views (73620) |
$153.12 |
$464 |
1.8× |
| Forearm 2 views (73090) |
$405.08 |
$1,227.50 |
4.6× |
| Gated Heart Planar Single (78472) |
$1,915.98 |
$5,806 |
4.8× |
| Hand 2 views (73120) |
$311.02 |
$942.50 |
3.0× |
| Hand 3 views (73130) |
$360.36 |
$1,092 |
4.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,542.65 |
$7,705 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,692.04 |
$11,188 |
6.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,304.06 |
$6,982 |
5.7× |
| Ht muscle image spect sing (78451) |
$2,694.12 |
$8,164 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$767.58 |
$2,326 |
8.8× |
| Hysterosalpingogram (74740) |
$814.11 |
$2,467 |
3.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,665.84 |
$5,048 |
3.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,352.24 |
$7,128 |
4.3× |
| Knee 3 views (73562) |
$370.76 |
$1,123.50 |
4.2× |
| Liver & spleen imaging static only (78215) |
$1,595.22 |
$4,834 |
4.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,695.54 |
$5,138 |
4.2× |
| Liver imaging static only (78201) |
$1,023.99 |
$3,103 |
1.9× |
| Lung perf&ventilat diferentl (78598) |
$5,052.63 |
$15,311 |
9.3× |
| Lung perfusion differential (78597) |
$3,453.12 |
$10,464 |
8.6× |
| Lung Ventilation Imaging (78579) |
$1,920.27 |
$5,819 |
4.8× |
| Lymphoscintigraphy (78195) |
$2,281.62 |
$6,914 |
4.2× |
| Mammary ductogram or galactogram multiple (77054) |
$910.30 |
$2,758.50 |
3.8× |
| Mammary ductogram or galactogram single (77053) |
$824.67 |
$2,499 |
3.4× |
| Meckels Diverticulum (78290) |
$1,886.28 |
$5,716 |
4.7× |
| MRA head w & w/o contrast (70546) |
$703.23 |
$2,131 |
2.0× |
| MRA head w/o contrast (70544) |
$826.65 |
$2,505 |
3.4× |
| MRA neck w contrast (70548) |
$1,001.06 |
$3,033.50 |
2.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,006.17 |
$3,049 |
2.9× |
| MRA neck w/o contrast (70547) |
$914.76 |
$2,772 |
3.8× |
| MRI abdomen w contrast (74182) |
$2,033.79 |
$6,163 |
5.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,107.44 |
$9,416.50 |
8.9× |
| MRI abdomen w/o contrast (74181) |
$1,769.13 |
$5,361 |
7.4× |
| MRI any jnt lwr ext with con lt (73722) |
$3,021.48 |
$9,156 |
3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,116.85 |
$9,445 |
4.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,871.10 |
$5,670 |
7.8× |
| MRI breast w/o contrast unilat (77046) |
$517.44 |
$1,568 |
2.2× |
| MRI c-spine with contrast (72142) |
$2,157.21 |
$6,537 |
6.2× |
| MRI cardiac w/o contrast (75557) |
$1,583.67 |
$4,799 |
6.6× |
| MRI cervical spine w/o contrast (72141) |
$2,033.79 |
$6,163 |
8.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,376.23 |
$10,231 |
9.6× |
| MRI chest w/o contrast (71550) |
$2,471.04 |
$7,488 |
10.3× |
| MRI chest with contrast (71551) |
$1,458.10 |
$4,418.50 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,397.22 |
$4,234 |
4.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,782 |
$5,400 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,405.80 |
$4,260 |
5.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$607.53 |
$1,841 |
2.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$856.68 |
$2,596 |
2.4× |
| MRI orbit/face/neck w/contrast (70542) |
$801.24 |
$2,428 |
2.3× |
| MRI pelvis w contrast (72196) |
$1,311.58 |
$3,974.50 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,094.90 |
$9,378.50 |
8.8× |
| MRI pelvis w/o contrast (72195) |
$1,907.90 |
$5,781.50 |
8.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,712.93 |
$8,221 |
7.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,774.21 |
$11,437 |
10.8× |
| MRI spectroscopy (76390) |
$1,223.97 |
$3,709 |
14.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,306.37 |
$6,989 |
6.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,980.23 |
$9,031 |
8.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,653.36 |
$8,040.50 |
7.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,971.98 |
$9,006 |
8.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,653.36 |
$8,040.50 |
7.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,167.28 |
$6,567.50 |
9.0× |
| MRI tmj (70336) |
$1,372.47 |
$4,159 |
5.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,071.02 |
$3,245.50 |
4.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,355.60 |
$10,168.50 |
9.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,317.03 |
$3,991 |
5.5× |
| Myelogram Cervical (72240) |
$629.14 |
$1,906.50 |
0.8× |
| Myelogram Lumbar (72265) |
$629.14 |
$1,906.50 |
0.8× |
| Myelogram thoracic (72255) |
$699.27 |
$2,119 |
0.9× |
| Myelography 2 or more regions (72270) |
$950.40 |
$2,880 |
1.2× |
| Myocardial infarct spect (78469) |
$2,107.88 |
$6,387.50 |
3.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,959.34 |
$11,998 |
3.0× |
| Neck soft tissue (70360) |
$254.76 |
$772 |
2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$467.61 |
$1,417 |
1.2× |
| Nm bone marrow wb (78104) |
$1,286.67 |
$3,899 |
3.2× |
| Nm cisternogram (78630) |
$1,507.11 |
$4,567 |
2.8× |
| Nm csf leak detection (78650) |
$1,455.30 |
$4,410 |
1.1× |
| Nm gastric emptying study (78264) |
$1,934.79 |
$5,863 |
4.8× |
| Nm gastroesophageal reflux study (78262) |
$877.14 |
$2,658 |
2.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,562.55 |
$4,735 |
1.2× |
| Nuclear medicine of heart pumping function (78473) |
$2,018.94 |
$6,118 |
5.0× |
| Nuclear medicine study of digestive tracts (78299) |
$1,732.50 |
$5,250 |
4.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,280.73 |
$3,881 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,335.18 |
$4,046 |
3.3× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,338.81 |
$4,057 |
3.3× |
| Nuclear Rx Oral Admin (79005) |
$2,513.94 |
$7,618 |
10.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$425.04 |
$1,288 |
4.0× |
| Orthopantogram (70355) |
$376.20 |
$1,140 |
4.3× |
| Osseous survey infant (77076) |
$1,145.43 |
$3,471 |
10.9× |
| Osseous survey limited (77074) |
$2,596.44 |
$7,868 |
24.7× |
| Parathyrd planar w/wo subtrj (78071) |
$957.66 |
$2,902 |
2.4× |
| Parathyroid imaging (78070) |
$1,149.06 |
$3,482 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$451.44 |
$1,368 |
4.3× |
| Peritoneogram rs&i (74190) |
$303.27 |
$919 |
0.6× |
| PET image w/CT, skull-thigh (78815) |
$3,367.65 |
$10,205 |
2.3× |
| PET imaging CT for attenuation limited area (78814) |
$2,747.91 |
$8,327 |
1.9× |
| PET imaging for CT attenuation whole body (78816) |
$3,466.32 |
$10,504 |
2.4× |
| PET whole body (78813) |
$3,030.39 |
$9,183 |
2.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,771.90 |
$11,430 |
10.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,542.65 |
$7,705 |
0.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$939.18 |
$2,846 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,409.33 |
$7,301 |
6.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,328.94 |
$13,118 |
7.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$511.83 |
$1,551 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$181.17 |
$549 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$966.57 |
$2,929 |
9.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$424.54 |
$1,286.50 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,100.55 |
$3,335 |
10.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,662.21 |
$5,037 |
15.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,354.65 |
$4,105 |
12.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$391.38 |
$1,186 |
4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$538.23 |
$1,631 |
5.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$352.94 |
$1,069.50 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$784.08 |
$2,376 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$811.96 |
$2,460.50 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,131.90 |
$3,430 |
6.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$503.91 |
$1,527 |
5.8× |
| Radiological examination surgical specimen (76098) |
$386.10 |
$1,170 |
0.7× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,542.65 |
$7,705 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,975.28 |
$9,016 |
0.9× |
| Ribs bilateral 3 views (71110) |
$1,309.77 |
$3,969 |
12.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,649.34 |
$4,998 |
4.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,263.47 |
$6,859 |
4.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,082 |
$15,400 |
9.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,192.95 |
$3,615 |
0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,428.90 |
$4,330 |
1.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$714.45 |
$2,165 |
0.5× |
| Rp therapy intra-arterial particulate admn (79445) |
$991.65 |
$3,005 |
4.2× |
| Rp Therapy Intravenous Administration (79101) |
$193.38 |
$586 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$631.62 |
$1,914 |
6.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$687.72 |
$2,084 |
2.9× |
| Salivary gland imaging serial images (78231) |
$586.74 |
$1,778 |
1.5× |
| Scanogram (77073) |
$1,279.41 |
$3,877 |
12.2× |
| Scapula complete (73010) |
$654.39 |
$1,983 |
6.2× |
| Screening digital breast tomosynthesis (77063) |
$49.17 |
$149 |
2.1× |
| Sella turcica (70240) |
$331.98 |
$1,006 |
3.8× |
| Sialogram (70390) |
$442.70 |
$1,341.50 |
1.8× |
| Small bowel series (74250) |
$825 |
$2,500 |
4.7× |
| Spec medical radj physics consltj (77370) |
$337.26 |
$1,022 |
2.5× |
| Special dosimetry (77331) |
$186.12 |
$564 |
1.4× |
| Spine thoracic 3 views (72072) |
$649.11 |
$1,967 |
6.2× |
| Superior sagittal sinus venogram (75870) |
$939.18 |
$2,846 |
0.3× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,176.78 |
$3,566 |
4.9× |
| Testicular Imaging With Vascular Flow (78761) |
$1,005.51 |
$3,047 |
2.5× |
| Therapeutic Enema (74283) |
$291.06 |
$882 |
1.7× |
| Thoracolumbar 2 views (72080) |
$1,546.05 |
$4,685 |
17.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,261.16 |
$6,852 |
4.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$609.51 |
$1,847 |
1.5× |
| Thyroid uptake measurement (78012) |
$406.23 |
$1,231 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,523.94 |
$4,618 |
3.8× |
| Tomogram (76100) |
$766.92 |
$2,324 |
7.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,082 |
$15,400 |
9.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,472.46 |
$4,462 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$1,165.89 |
$3,533 |
11.1× |
| Umbilical-artery Doppler (OB) (76820) |
$161.70 |
$490 |
1.5× |
| Unlisted fluoroscopic procedure (76496) |
$349.14 |
$1,058 |
4.0× |
| Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED (78699) |
$1,215.72 |
$3,684 |
3.0× |
| Upper Extremity Infant (73092) |
$1,117.71 |
$3,387 |
10.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,352.67 |
$4,099 |
3.4× |
| Urethrocystography retrograde rs&i (74450) |
$905.85 |
$2,745 |
3.8× |
| Urethrocystography voiding (74455) |
$774.51 |
$2,347 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,127.94 |
$3,418 |
6.4× |
| Us abdl aorta screen aaa (76706) |
$133.65 |
$405 |
1.3× |
| Us breast unilateral complete (76641) |
$416.13 |
$1,261 |
4.0× |
| Us breast unilateral limited (76642) |
$277.86 |
$842 |
3.2× |
| Us chest (76604) |
$470.74 |
$1,426.50 |
4.5× |
| Us compl joint r-t w/image documentation (76881) |
$633.93 |
$1,921 |
6.0× |
| Us elastography parenchyma (76981) |
$215.49 |
$653 |
2.1× |
| Us guided compression repair (76936) |
$488.73 |
$1,481 |
2.3× |
| Us infant hips dynamic (76885) |
$491.37 |
$1,489 |
5.6× |
| Us infant hips limited static (76886) |
$356.40 |
$1,080 |
4.1× |
| Us kidney transplant (76776) |
$543.84 |
$1,648 |
5.2× |
| Us ob detailed single fetus (76811) |
$1,037.85 |
$3,145 |
4.3× |
| Us ob transvaginal (76817) |
$484.94 |
$1,469.50 |
4.6× |
| Us pelvic non ob complete (76856) |
$1,202.52 |
$3,644 |
11.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$485.60 |
$1,471.50 |
4.6× |
| Us pregnancy ltd (76815) |
$599.61 |
$1,817 |
5.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$654.72 |
$1,984 |
6.2× |
| Us retroperitoneal complete (76770) |
$1,023.16 |
$3,100.50 |
9.7× |
| Us retroperitoneal limited (76775) |
$906.18 |
$2,746 |
8.6× |
| Us scrotum and contents (76870) |
$950.90 |
$2,881.50 |
9.1× |
| Us soft tissue head/neck (76536) |
$625.68 |
$1,896 |
6.0× |
| Us spinal canal and contents (76800) |
$681.78 |
$2,066 |
6.5× |
| Us transrectal (76872) |
$655.71 |
$1,987 |
6.2× |
| Us xtr non-vasc lmtd (76882) |
$439.89 |
$1,333 |
4.2× |
| Vascular flow imaging (78445) |
$795.96 |
$2,412 |
2.0× |
| Venogram extremity bilateral (75822) |
$1,812.69 |
$5,493 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$2,975.28 |
$9,016 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,156.65 |
$3,505 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$905.52 |
$2,744 |
0.6× |
| Venography Renal Bilateral (75833) |
$2,542.65 |
$7,705 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,975.28 |
$9,016 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,680.69 |
$5,093 |
0.5× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,542.65 |
$7,705 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$84.98 |
$257.50 |
1.0× |
| Wrist 2 views (73100) |
$273.90 |
$830 |
3.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$482.79 |
$1,463 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$144.21 |
$437 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$377.52 |
$1,144 |
4.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$857.67 |
$2,599 |
4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$338.91 |
$1,027 |
3.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$413 |
$1,251.50 |
4.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,512.06 |
$4,582 |
14.4× |
| X-ray exam hip uni 1 view (73501) |
$1,483.02 |
$4,494 |
17.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$759 |
$2,300 |
8.7× |
| X-ray exam hip uni 4/> views (73503) |
$1,876.38 |
$5,686 |
17.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$970.53 |
$2,941 |
9.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$844.14 |
$2,558 |
8.0× |
| X-ray exam of femur 1 (73551) |
$735.24 |
$2,228 |
8.4× |
| X-ray eye for foreign body (70030) |
$138.76 |
$420.50 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,446.39 |
$4,383 |
13.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$636.24 |
$1,928 |
7.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$429 |
$1,300 |
4.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,331.45 |
$7,065 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$298.65 |
$905 |
3.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$855.69 |
$2,593 |
4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$962.61 |
$2,917 |
11.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$562.32 |
$1,704 |
5.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$654.06 |
$1,982 |
7.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$421.24 |
$1,276.50 |
4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$454.24 |
$1,376.50 |
4.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,001.22 |
$3,034 |
9.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$860.97 |
$2,609 |
8.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$996.60 |
$3,020 |
11.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$508.20 |
$1,540 |
5.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$986.04 |
$2,988 |
9.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$986.04 |
$2,988 |
9.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$443.19 |
$1,343 |
0.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,046.43 |
$3,171 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$381.32 |
$1,155.50 |
4.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$460.02 |
$1,394 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$598.62 |
$1,814 |
5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$565.95 |
$1,715 |
5.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$538.56 |
$1,632 |
6.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$940.50 |
$2,850 |
10.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,561.06 |
$4,730.50 |
17.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,712.37 |
$5,189 |
19.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,546.05 |
$4,685 |
14.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,216.71 |
$3,687 |
11.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$370.59 |
$1,123 |
4.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$157.74 |
$478 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$843.64 |
$2,556.50 |
9.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$355.74 |
$1,078 |
3.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$810.32 |
$2,455.50 |
7.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$318.28 |
$964.50 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$587.40 |
$1,780 |
6.7× |
| Xr arthrogram ankle (73615) |
$385.77 |
$1,169 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$215.16 |
$652 |
2.0× |
| Xr chest 4+ views (71048) |
$679.14 |
$2,058 |
6.5× |
| Xr Cholecystography Oral Contrast (74290) |
$374.55 |
$1,135 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$396 |
$1,200 |
4.5× |
| Xr optic foramina (70190) |
$217.80 |
$660 |
2.5× |
| Xr shoulder 1 view (73020) |
$365.31 |
$1,107 |
4.2× |
| Xr spine cervical 4 or 5 views (72050) |
$632.61 |
$1,917 |
6.0× |
| Xr tibia/fibula 2 views (73590) |
$621.06 |
$1,882 |
7.1× |
| Xr tmj bilateral (70330) |
$961.95 |
$2,915 |
11.0× |
| Xray knee 1 or 2 views rt (73560) |
$483.78 |
$1,466 |
5.5× |