| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,961 |
$2,961 |
2.4× |
| Abdomen 2 views (74019) |
$237 |
$237 |
2.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,257 |
$1,257 |
3.5× |
| Angiography extremity bilateral rs&i (75716) |
$7,039 |
$7,039 |
2.5× |
| Angiography extremity unilateral rs&i (75710) |
$7,248.50 |
$7,248.50 |
2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,347.50 |
$6,347.50 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,685 |
$7,685 |
2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$12,045 |
$12,045 |
2.4× |
| Ankle 2 views (73600) |
$287 |
$287 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$877 |
$877 |
2.8× |
| Aortogram thoracic (75605) |
$12,048 |
$12,048 |
2.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,248.50 |
$7,248.50 |
2.5× |
| Aortography abdominal serialography rs&i (75625) |
$7,248.50 |
$7,248.50 |
2.5× |
| Arthrogram hip (73525) |
$1,000 |
$1,000 |
3.2× |
| Arthrogram shoulder (73040) |
$1,151 |
$1,151 |
3.6× |
| Arthrogram wrist (73115) |
$1,180 |
$1,180 |
3.7× |
| Arthrography knee lt (73580) |
$1,137 |
$1,137 |
3.6× |
| Basic radiation dosimetry calculation (77300) |
$303 |
$303 |
2.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,129 |
$2,129 |
5.9× |
| Bone &/joint imaging whole body (78306) |
$2,301 |
$2,301 |
6.4× |
| Bone age studies (77072) |
$287 |
$287 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$2,490 |
$2,490 |
6.9× |
| Bone survey complete (77075) |
$1,083 |
$1,083 |
11.4× |
| Brachytx isodose complex (77318) |
$953.50 |
$953.50 |
2.8× |
| Brachytx isodose intermed (77317) |
$913 |
$913 |
2.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$913 |
$913 |
2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,683 |
$10,683 |
8.2× |
| Cervical spine 2 or 3 views (72040) |
$476 |
$476 |
6.0× |
| Chest 1 view (71045) |
$299 |
$299 |
3.8× |
| Chest 3 views (71047) |
$379.50 |
$379.50 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$678 |
$678 |
4.3× |
| Clavicle complete (73000) |
$348 |
$348 |
4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$355 |
$355 |
3.7× |
| Continuing medical physics consltj pr wk (77336) |
$303 |
$303 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,363.50 |
$6,363.50 |
20.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,450 |
$2,450 |
11.3× |
| CT abdomen w contrast (74160) |
$2,959 |
$2,959 |
18.6× |
| CT abdomen w wo contrast (74170) |
$3,809 |
$3,809 |
24.0× |
| CT abdomen w/o contrast (74150) |
$2,450 |
$2,450 |
25.9× |
| CT angio hrt w/3d image (75574) |
$3,642 |
$3,642 |
11.5× |
| CT angiography upper extremity lt (73206) |
$2,623 |
$2,623 |
16.5× |
| CT c-spine w/o contrast (72125) |
$3,346 |
$3,346 |
35.3× |
| CT cervical spine with contrast (72126) |
$3,147 |
$3,147 |
10.0× |
| CT chest w/wo contrast (71270) |
$2,809 |
$2,809 |
17.7× |
| CT chest with contrast (71260) |
$2,104.50 |
$2,104.50 |
13.2× |
| CT head/brain with contrast (70460) |
$2,728 |
$2,728 |
17.2× |
| CT head/brain without and with contrast (70470) |
$3,355.50 |
$3,355.50 |
21.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,945.50 |
$1,945.50 |
6.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$633 |
$633 |
8.0× |
| CT hrt w/3d image congen (75573) |
$3,753.50 |
$3,753.50 |
11.9× |
| CT iac w contrast (70481) |
$2,117 |
$2,117 |
13.3× |
| CT lower ext w/o (73700) |
$2,325 |
$2,325 |
24.6× |
| CT lower extremity w wo contrast (73702) |
$2,703 |
$2,703 |
17.0× |
| CT lower extremity with contrast (73701) |
$2,536 |
$2,536 |
16.0× |
| CT lumbar spine w/o contrast (72131) |
$3,283 |
$3,283 |
34.7× |
| CT lumbar spine with contrast (72132) |
$2,925 |
$2,925 |
9.3× |
| CT maxillofacial w/o contrast (70486) |
$2,507 |
$2,507 |
26.5× |
| CT neck soft tissue w contrast (70491) |
$2,303.50 |
$2,303.50 |
14.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,514.50 |
$2,514.50 |
15.8× |
| CT orbits w/o contrast (70480) |
$2,022 |
$2,022 |
21.4× |
| CT pelvis w & w/o contrast (72194) |
$3,637.50 |
$3,637.50 |
22.9× |
| CT pelvis w/o contrast (72192) |
$2,763 |
$2,763 |
29.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,678 |
$2,678 |
16.9× |
| CT soft tissue neck w/o contrast (70490) |
$2,252 |
$2,252 |
23.8× |
| CT thoracic spine w/contrast (72129) |
$3,284 |
$3,284 |
20.7× |
| CT thoracic spine w/o contrast (72128) |
$3,112 |
$3,112 |
32.9× |
| CT thorax w/o contrast (71250) |
$2,022 |
$2,022 |
21.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,778 |
$2,778 |
17.5× |
| CT upper extremity w/o contrast rt (73200) |
$2,325 |
$2,325 |
24.6× |
| CT upper extremity with contrast (73201) |
$2,530 |
$2,530 |
8.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,241 |
$3,241 |
20.4× |
| CTA abdomen pelvis (74174) |
$4,730 |
$4,730 |
15.0× |
| CTA chest (71275) |
$2,042 |
$2,042 |
12.9× |
| Cta Head (70496) |
$2,349.50 |
$2,349.50 |
14.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,623 |
$2,623 |
16.5× |
| Cta Neck (70498) |
$2,432 |
$2,432 |
15.3× |
| Cystography minimum 3 views rs&i (74430) |
$561 |
$561 |
1.8× |
| Diskography lumbar (72295) |
$4,388 |
$4,388 |
2.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$702 |
$702 |
7.4× |
| Echoencephalography real time imaging (76506) |
$327 |
$327 |
3.5× |
| Esophageal motility (78258) |
$897 |
$897 |
2.5× |
| Esophagus (74220) |
$672 |
$672 |
4.2× |
| Fetal biophysical profile non-stress testing (76818) |
$266 |
$266 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$576 |
$576 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$705 |
$705 |
3.3× |
| Foot 2 views (73620) |
$308 |
$308 |
3.9× |
| Forearm 2 views (73090) |
$290 |
$290 |
3.7× |
| Gated Heart Planar Single (78472) |
$2,177.50 |
$2,177.50 |
6.0× |
| Hand 2 views (73120) |
$81 |
$81 |
0.9× |
| Hand 3 views (73130) |
$348 |
$348 |
4.4× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,773 |
$1,773 |
2.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,773 |
$1,773 |
2.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,773 |
$1,773 |
2.8× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$665 |
$665 |
1.9× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$665 |
$665 |
1.9× |
| Heart Infarct Image (78466) |
$1,905.50 |
$1,905.50 |
5.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,751 |
$2,751 |
5.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,327 |
$2,327 |
6.4× |
| Ht muscle image spect sing (78451) |
$3,505 |
$3,505 |
3.0× |
| Humerus Min 2 Views Left (73060) |
$299 |
$299 |
3.8× |
| Hysterosalpingogram (74740) |
$969 |
$969 |
4.5× |
| Interstitial radiation source applic complex (77778) |
$905 |
$905 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,202.50 |
$2,202.50 |
4.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,879.50 |
$1,879.50 |
3.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,111.50 |
$2,111.50 |
4.3× |
| Knee 3 views (73562) |
$107 |
$107 |
1.4× |
| Liver & spleen imaging static only (78215) |
$1,759.50 |
$1,759.50 |
4.9× |
| Lung Ventilation Imaging (78579) |
$1,537.50 |
$1,537.50 |
4.2× |
| Lymphoscintigraphy (78195) |
$1,771.50 |
$1,771.50 |
3.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$243 |
$243 |
3.1× |
| Meckels Diverticulum (78290) |
$983 |
$983 |
2.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$798 |
$798 |
2.4× |
| MRA head w/o contrast (70544) |
$3,556 |
$3,556 |
16.5× |
| MRA neck w/o contrast (70547) |
$3,664.50 |
$3,664.50 |
17.0× |
| MRI abdomen w contrast (74182) |
$3,740 |
$3,740 |
11.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,488 |
$4,488 |
14.2× |
| MRI abdomen w/o contrast (74181) |
$3,698.50 |
$3,698.50 |
17.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,936 |
$2,936 |
4.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,764 |
$2,764 |
3.9× |
| MRI breast w/o contrast bilateral (77047) |
$2,295.50 |
$2,295.50 |
10.6× |
| MRI breast w/o contrast unilat (77046) |
$739 |
$739 |
3.4× |
| MRI c-spine with contrast (72142) |
$3,853.50 |
$3,853.50 |
12.2× |
| MRI cervical spine w/o contrast (72141) |
$3,589 |
$3,589 |
16.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,158.50 |
$3,158.50 |
10.0× |
| MRI chest w/o contrast (71550) |
$2,884 |
$2,884 |
13.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,776 |
$2,776 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,616 |
$2,616 |
12.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,740.50 |
$3,740.50 |
17.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,167 |
$3,167 |
10.0× |
| MRI pelvis w contrast (72196) |
$3,184 |
$3,184 |
10.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,364.50 |
$3,364.50 |
10.6× |
| MRI pelvis w/o contrast (72195) |
$2,939 |
$2,939 |
13.6× |
| MRI scan of arm joint before and after contrast (73223) |
$2,726 |
$2,726 |
8.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,726 |
$2,726 |
8.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,016.50 |
$4,016.50 |
12.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,727.50 |
$3,727.50 |
11.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,016.50 |
$4,016.50 |
12.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,568.50 |
$3,568.50 |
11.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,720.50 |
$3,720.50 |
11.8× |
| MRI thoracic spine w/o contrast (72146) |
$3,424.50 |
$3,424.50 |
15.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,616 |
$2,616 |
12.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,616 |
$2,616 |
12.1× |
| Myelogram Lumbar (72265) |
$1,926.50 |
$1,926.50 |
2.7× |
| Myelography 2 or more regions (72270) |
$1,926.50 |
$1,926.50 |
2.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$10,367 |
$10,367 |
8.8× |
| Myocardial Spect Multiple Studies (78452) |
$7,580 |
$7,580 |
6.5× |
| Neck soft tissue (70360) |
$299 |
$299 |
3.8× |
| Nm cisternogram (78630) |
$1,631.50 |
$1,631.50 |
3.3× |
| Nm gastric emptying study (78264) |
$2,506 |
$2,506 |
6.9× |
| Nm red cell sequestration (78140) |
$1,491.50 |
$1,491.50 |
4.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,961 |
$2,961 |
2.4× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,058 |
$4,058 |
3.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$835 |
$835 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$2,062 |
$2,062 |
9.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$501 |
$501 |
5.3× |
| Osseous survey infant (77076) |
$787 |
$787 |
8.3× |
| Osseous survey limited (77074) |
$1,152 |
$1,152 |
12.2× |
| Parathyrd planar w/wo subtrj (78071) |
$693 |
$693 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$378 |
$378 |
4.0× |
| PET image w/CT, skull-thigh (78815) |
$10,367 |
$10,367 |
8.0× |
| PET imaging for CT attenuation whole body (78816) |
$10,354.50 |
$10,354.50 |
8.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,344 |
$1,344 |
3.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,370 |
$2,370 |
4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$353 |
$353 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$470 |
$470 |
6.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$96 |
$96 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$745 |
$745 |
7.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$270 |
$270 |
2.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$978.50 |
$978.50 |
2.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$272 |
$272 |
2.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$985 |
$985 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$580 |
$580 |
6.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$219 |
$219 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$299 |
$299 |
3.8× |
| Radiologic exam colon single contrast study (74270) |
$858 |
$858 |
5.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,024 |
$1,024 |
6.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$905 |
$905 |
5.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$337 |
$337 |
4.3× |
| Radiological examination surgical specimen (76098) |
$231 |
$231 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,096 |
$2,096 |
0.7× |
| Ribs bilateral 3 views (71110) |
$145 |
$145 |
1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,554.50 |
$1,554.50 |
4.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,541.50 |
$1,541.50 |
3.1× |
| Rp Therapy Intravenous Administration (79101) |
$676 |
$676 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$101 |
$101 |
1.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$758 |
$758 |
3.5× |
| Scanogram (77073) |
$757 |
$757 |
8.0× |
| Scapula complete (73010) |
$331 |
$331 |
3.5× |
| Screening digital breast tomosynthesis (77063) |
$325 |
$325 |
13.9× |
| Sella turcica (70240) |
$393 |
$393 |
5.0× |
| Sialogram (70390) |
$314.50 |
$314.50 |
1.5× |
| Simulation intermediate (77285) |
$901 |
$901 |
2.7× |
| Small bowel series (74250) |
$810 |
$810 |
5.1× |
| Spec medical radj physics consltj (77370) |
$303 |
$303 |
2.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$798 |
$798 |
2.4× |
| Special dosimetry (77331) |
$294 |
$294 |
2.4× |
| Special treatment procedure (77470) |
$1,751 |
$1,751 |
3.5× |
| Spine thoracic 3 views (72072) |
$470 |
$470 |
5.0× |
| Stereotactic body radiation delivery (77373) |
$4,203.50 |
$4,203.50 |
2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$798 |
$798 |
2.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$798 |
$798 |
2.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$303 |
$303 |
2.5× |
| Thoracolumbar 2 views (72080) |
$470 |
$470 |
6.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$868 |
$868 |
2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,730.50 |
$1,730.50 |
4.8× |
| Tomogram (76100) |
$406 |
$406 |
4.3× |
| Treatment device intermediate (77333) |
$798 |
$798 |
6.6× |
| Treatment devices simple (77332) |
$324 |
$324 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,388 |
$3,388 |
9.4× |
| Tx devices design & construction complex (77334) |
$798 |
$798 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$1,220 |
$1,220 |
12.9× |
| Unlisted magnetic resonance procedure (76498) |
$225 |
$225 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$524 |
$524 |
2.4× |
| Urethrocystography voiding (74455) |
$649 |
$649 |
3.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,026.50 |
$1,026.50 |
6.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$713 |
$713 |
4.5× |
| Us abdl aorta screen aaa (76706) |
$916 |
$916 |
9.7× |
| Us breast unilateral complete (76641) |
$711 |
$711 |
7.5× |
| Us breast unilateral limited (76642) |
$356 |
$356 |
4.5× |
| Us chest (76604) |
$381 |
$381 |
4.0× |
| Us compl joint r-t w/image documentation (76881) |
$613 |
$613 |
6.5× |
| Us elastography parenchyma (76981) |
$206 |
$206 |
2.2× |
| Us infant hips dynamic (76885) |
$534 |
$534 |
6.8× |
| Us ob detailed single fetus (76811) |
$453 |
$453 |
2.1× |
| Us ob transvaginal (76817) |
$724 |
$724 |
7.6× |
| Us pelvic non ob complete (76856) |
$771 |
$771 |
8.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$313.50 |
$313.50 |
3.3× |
| Us pregnancy ltd (76815) |
$355 |
$355 |
3.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$251 |
$251 |
2.7× |
| Us retroperitoneal complete (76770) |
$553 |
$553 |
5.8× |
| Us retroperitoneal limited (76775) |
$945 |
$945 |
10.0× |
| Us scrotum and contents (76870) |
$669 |
$669 |
7.1× |
| Us soft tissue head/neck (76536) |
$613 |
$613 |
6.5× |
| Us spinal canal and contents (76800) |
$519 |
$519 |
5.5× |
| Us transrectal (76872) |
$293 |
$293 |
3.1× |
| Us xtr non-vasc lmtd (76882) |
$613 |
$613 |
6.5× |
| Venogram extremity bilateral (75822) |
$3,776.50 |
$3,776.50 |
2.6× |
| Venography caval inferior serialography rs&i (75825) |
$7,718.50 |
$7,718.50 |
2.7× |
| Venography caval superior serialography rs&i (75827) |
$3,843.50 |
$3,843.50 |
2.7× |
| Venography extremity unilateral rs&i (75820) |
$3,665.50 |
$3,665.50 |
2.6× |
| Wrist 2 views (73100) |
$287 |
$287 |
3.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$411 |
$411 |
4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$276 |
$276 |
3.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$348 |
$348 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,311 |
$1,311 |
8.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$296 |
$296 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$323 |
$323 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$113 |
$113 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$799 |
$799 |
10.1× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,447 |
$1,447 |
9.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$594 |
$594 |
6.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$545 |
$545 |
6.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$520 |
$520 |
6.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$313 |
$313 |
4.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$938 |
$938 |
5.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$691 |
$691 |
7.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$733 |
$733 |
9.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$462 |
$462 |
4.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$208 |
$208 |
2.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$112 |
$112 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$330 |
$330 |
4.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$484 |
$484 |
5.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$150 |
$150 |
1.6× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$925.50 |
$925.50 |
1.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$493 |
$493 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$101 |
$101 |
1.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$470 |
$470 |
5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$586 |
$586 |
6.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$268 |
$268 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$410 |
$410 |
5.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$443 |
$443 |
5.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$570 |
$570 |
7.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$344.50 |
$344.50 |
4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$529 |
$529 |
5.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$439 |
$439 |
4.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$476 |
$476 |
6.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$164 |
$164 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$308 |
$308 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$86 |
$86 |
0.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$906 |
$906 |
9.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$272 |
$272 |
3.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$341 |
$341 |
4.3× |
| Xr c-spine 6 or more views (72052) |
$187 |
$187 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$296 |
$296 |
3.8× |
| Xr shoulder 1 view (73020) |
$215 |
$215 |
2.7× |
| Xr spine cervical 4 or 5 views (72050) |
$688 |
$688 |
7.3× |
| Xr tibia/fibula 2 views (73590) |
$299 |
$299 |
3.8× |
| Xr tmj bilateral (70330) |
$439 |
$439 |
5.6× |
| Xray knee 1 or 2 views rt (73560) |
$295 |
$295 |
3.7× |