| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,531.04 |
$15,234 |
5.8× |
| Abdomen 2 views (74019) |
$350.56 |
$626 |
3.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,976.24 |
$3,529 |
4.7× |
| Angiography extremity bilateral rs&i (75716) |
$9,870 |
$17,625 |
3.0× |
| Angiography extremity unilateral rs&i (75710) |
$9,055.20 |
$16,170 |
2.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$13,840.40 |
$24,715 |
2.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$13,582.80 |
$24,255 |
4.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$12,697.44 |
$22,674 |
2.2× |
| Ankle 2 views (73600) |
$239.12 |
$427 |
2.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,290.80 |
$2,305 |
3.5× |
| Aortogram thoracic (75605) |
$12,697.44 |
$22,674 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$8,342.32 |
$14,897 |
2.5× |
| Aortography abdominal serialography rs&i (75625) |
$5,050.36 |
$9,018.50 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$1,151.36 |
$2,056 |
8.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,237.04 |
$2,209 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,677.20 |
$2,995 |
4.0× |
| Bone age studies (77072) |
$360.08 |
$643 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$1,976.24 |
$3,529 |
4.7× |
| Bone survey complete (77075) |
$621.04 |
$1,109 |
5.6× |
| Brachytx isodose complex (77318) |
$2,611.84 |
$4,664 |
6.6× |
| Brachytx isodose intermed (77317) |
$2,015.44 |
$3,599 |
5.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,331.96 |
$2,378.50 |
3.4× |
| Cardiac shunt detection (78428) |
$1,687.28 |
$3,013 |
4.0× |
| Cervical spine 2 or 3 views (72040) |
$304.64 |
$544 |
3.3× |
| Chest 1 view (71045) |
$258.16 |
$461 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$554.96 |
$991 |
3.0× |
| Clavicle complete (73000) |
$275.52 |
$492 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$729.12 |
$1,302 |
6.6× |
| Continuing medical physics consltj pr wk (77336) |
$839.44 |
$1,499 |
5.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,596.32 |
$6,422 |
9.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,139.20 |
$3,820 |
8.5× |
| CT abdomen w contrast (74160) |
$1,667.12 |
$2,977 |
9.0× |
| CT abdomen w wo contrast (74170) |
$1,972.88 |
$3,523 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,190.56 |
$2,126 |
10.8× |
| CT angio hrt w/3d image (75574) |
$2,577.68 |
$4,603 |
7.0× |
| CT angiography upper extremity lt (73206) |
$3,335.92 |
$5,957 |
18.0× |
| CT c-spine w/o contrast (72125) |
$1,197.84 |
$2,139 |
10.9× |
| CT cervical spine w&w/o contrast (72127) |
$2,150.40 |
$3,840 |
11.6× |
| CT cervical spine with contrast (72126) |
$1,678.32 |
$2,997 |
4.6× |
| CT chest w/wo contrast (71270) |
$2,071.44 |
$3,699 |
11.2× |
| CT chest with contrast (71260) |
$2,316.72 |
$4,137 |
12.5× |
| CT colonography screening (74263) |
$1,416.80 |
$2,530 |
5.6× |
| CT colonography w/o cntrst (74261) |
$1,358.28 |
$2,425.50 |
12.3× |
| CT head/brain with contrast (70460) |
$1,674.40 |
$2,990 |
9.0× |
| CT head/brain without and with contrast (70470) |
$1,972.88 |
$3,523 |
10.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$729.12 |
$1,302 |
7.9× |
| CT iac w contrast (70481) |
$1,818.88 |
$3,248 |
9.8× |
| CT limited/localized follow up study (76380) |
$1,190.56 |
$2,126 |
13.0× |
| CT lower ext w/o (73700) |
$1,488.20 |
$2,657.50 |
13.5× |
| CT lower extremity w wo contrast (73702) |
$2,039.52 |
$3,642 |
11.0× |
| CT lower extremity with contrast (73701) |
$2,273.60 |
$4,060 |
12.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,150.40 |
$3,840 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$1,197.84 |
$2,139 |
10.9× |
| CT lumbar spine with contrast (72132) |
$1,678.32 |
$2,997 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,678.32 |
$2,997 |
9.1× |
| CT maxillofacial w/o contrast (70486) |
$1,379.28 |
$2,463 |
12.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,972.88 |
$3,523 |
10.7× |
| CT neck soft tissue w contrast (70491) |
$2,316.72 |
$4,137 |
12.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,329.60 |
$4,160 |
12.6× |
| CT orbits w/o contrast (70480) |
$2,349.76 |
$4,196 |
21.3× |
| CT pelvis w & w/o contrast (72194) |
$2,472.96 |
$4,416 |
13.4× |
| CT pelvis w/o contrast (72192) |
$1,197.84 |
$2,139 |
10.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,042.32 |
$3,647 |
11.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,190.56 |
$2,126 |
10.8× |
| CT thoracic spine w/contrast (72129) |
$1,678.32 |
$2,997 |
9.1× |
| CT thoracic spine w/o contrast (72128) |
$1,190.56 |
$2,126 |
10.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,150.40 |
$3,840 |
11.6× |
| CT thorax w/o contrast (71250) |
$1,197.84 |
$2,139 |
10.9× |
| CT unlisted procedure (76497) |
$2,427.60 |
$4,335 |
26.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,226 |
$3,975 |
12.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,595.44 |
$2,849 |
14.5× |
| CT upper extremity with contrast (73201) |
$1,818.88 |
$3,248 |
4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,663.36 |
$4,756 |
14.4× |
| Cta Abdomen (74175) |
$1,972.32 |
$3,522 |
10.7× |
| CTA abdomen pelvis (74174) |
$3,496.64 |
$6,244 |
9.5× |
| CTA chest (71275) |
$2,063.04 |
$3,684 |
11.1× |
| Cta Head (70496) |
$2,063.04 |
$3,684 |
11.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,591.12 |
$4,627 |
14.0× |
| Cta Neck (70498) |
$2,063.04 |
$3,684 |
11.1× |
| Cta Pelvis (72191) |
$1,975.12 |
$3,527 |
10.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,184.40 |
$2,115 |
3.2× |
| Diskography lumbar (72295) |
$5,645.92 |
$10,082 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$72.24 |
$129 |
0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$59.92 |
$107 |
0.7× |
| Echoencephalography real time imaging (76506) |
$761.04 |
$1,359 |
6.9× |
| Esophagus (74220) |
$687.12 |
$1,227 |
3.7× |
| Fetal biophysical profile non-stress testing (76818) |
$753.20 |
$1,345 |
6.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$691.04 |
$1,234 |
6.3× |
| Fluoroscopy up to 1 hr (76000) |
$801.36 |
$1,431 |
3.2× |
| Foot 2 views (73620) |
$239.12 |
$427 |
2.6× |
| Forearm 2 views (73090) |
$278.60 |
$497.50 |
3.0× |
| Gated Heart Planar Single (78472) |
$1,976.24 |
$3,529 |
4.7× |
| Hand 2 views (73120) |
$304.64 |
$544 |
2.8× |
| Hand 3 views (73130) |
$343.84 |
$614 |
3.7× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$2,946.72 |
$5,262 |
4.0× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$5,480.16 |
$9,786 |
7.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$6,926.08 |
$12,368 |
9.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$8,531.60 |
$15,235 |
2.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,976.24 |
$3,529 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,976.24 |
$3,529 |
4.7× |
| Ht muscle image spect sing (78451) |
$3,796.24 |
$6,779 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$275.52 |
$492 |
3.0× |
| Hysterosalpingogram (74740) |
$1,196.72 |
$2,137 |
4.8× |
| Interstitial radiation source applic complex (77778) |
$2,234.96 |
$3,991 |
3.0× |
| Intracavitary Radiation Source Applic Complex (77763) |
$3,530.80 |
$6,305 |
4.8× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,825.20 |
$5,045 |
4.8× |
| Intracavitary radiation source applic simple (77761) |
$2,825.20 |
$5,045 |
4.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,892.96 |
$5,166 |
5.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,653.84 |
$4,739 |
4.6× |
| Knee 3 views (73562) |
$260.40 |
$465 |
2.8× |
| Liver & spleen imaging static only (78215) |
$2,263.52 |
$4,042 |
5.4× |
| Liver imaging static only (78201) |
$2,154.32 |
$3,847 |
3.8× |
| Liver imaging w/vascular flow (78202) |
$2,154.32 |
$3,847 |
3.8× |
| Lung perfusion differential (78597) |
$2,318.40 |
$4,140 |
5.5× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$8,342.32 |
$14,897 |
2.5× |
| Lymphoscintigraphy (78195) |
$1,968.40 |
$3,515 |
3.4× |
| Mammary ductogram or galactogram multiple (77054) |
$1,534.68 |
$2,740.50 |
6.1× |
| Meckels Diverticulum (78290) |
$2,065.28 |
$3,688 |
4.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,229.52 |
$5,767 |
8.2× |
| Mr safety determination physician/other qhp (76016) |
$62.16 |
$111 |
0.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$170.24 |
$304 |
0.7× |
| MRA head w & w/o contrast (70546) |
$3,861.76 |
$6,896 |
10.5× |
| MRA head w/o contrast (70544) |
$2,352.56 |
$4,201 |
9.3× |
| MRA neck w contrast (70548) |
$2,924.32 |
$5,222 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,416.56 |
$6,101 |
9.3× |
| MRA neck w/o contrast (70547) |
$2,450.56 |
$4,376 |
9.7× |
| MRI abdomen w contrast (74182) |
$3,198.72 |
$5,712 |
8.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,416.56 |
$6,101 |
9.3× |
| MRI abdomen w/o contrast (74181) |
$2,352.56 |
$4,201 |
9.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,573.20 |
$4,595 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,532.32 |
$4,522 |
3.1× |
| MRI bone marrow blood supply (77084) |
$3,416 |
$6,100 |
13.6× |
| MRI breast w/o contrast bilateral (77047) |
$2,667.28 |
$4,763 |
10.6× |
| MRI breast w/o contrast unilat (77046) |
$2,182.88 |
$3,898 |
8.7× |
| MRI c-spine with contrast (72142) |
$2,805.04 |
$5,009 |
7.6× |
| MRI cervical spine w/o contrast (72141) |
$2,136.68 |
$3,815.50 |
8.5× |
| MRI chest w/o & w/contrast material (71552) |
$4,158.56 |
$7,426 |
11.3× |
| MRI chest w/o contrast (71550) |
$2,871.12 |
$5,127 |
11.4× |
| MRI chest with contrast (71551) |
$3,377.92 |
$6,032 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,805.04 |
$5,009 |
7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,352.56 |
$4,201 |
9.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,352.56 |
$4,201 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,416.56 |
$6,101 |
9.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,760.24 |
$4,929 |
7.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,416.56 |
$6,101 |
9.3× |
| MRI pelvis w/o contrast (72195) |
$2,352.56 |
$4,201 |
9.3× |
| MRI scan of arm joint before and after contrast (73223) |
$3,416.56 |
$6,101 |
9.3× |
| MRI scan of leg joint before and after contrast (73723) |
$3,416.56 |
$6,101 |
9.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,831.92 |
$5,057 |
7.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,805.04 |
$5,009 |
7.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,416.56 |
$6,101 |
9.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,805.04 |
$5,009 |
7.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,416.56 |
$6,101 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,352.56 |
$4,201 |
9.3× |
| MRI tmj (70336) |
$3,531.64 |
$6,306.50 |
14.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,352.56 |
$4,201 |
9.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,416.56 |
$6,101 |
9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,352.56 |
$4,201 |
9.3× |
| Myelogram Lumbar (72265) |
$2,408 |
$4,300 |
2.9× |
| Myelogram thoracic (72255) |
$2,408 |
$4,300 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,540.32 |
$6,322 |
2.6× |
| Neck soft tissue (70360) |
$322.56 |
$576 |
3.5× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$614.32 |
$1,097 |
1.5× |
| Nm gastric emptying study (78264) |
$1,976.24 |
$3,529 |
4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,713.56 |
$11,988.50 |
4.6× |
| Nuclear Rx Oral Admin (79005) |
$2,150.40 |
$3,840 |
8.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$449.12 |
$802 |
4.1× |
| Osseous survey limited (77074) |
$594.44 |
$1,061.50 |
5.4× |
| Parathyrd planar w/spect&CT (78072) |
$2,630.88 |
$4,698 |
4.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,984.64 |
$3,544 |
4.7× |
| Parathyroid imaging (78070) |
$1,976.24 |
$3,529 |
4.7× |
| Pelvis 1 or 2 views (72170) |
$304.64 |
$544 |
2.8× |
| PET image w/CT, skull-thigh (78815) |
$7,817.04 |
$13,959 |
5.2× |
| PET imaging CT for attenuation limited area (78814) |
$3,625.44 |
$6,474 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$8,289.12 |
$14,802 |
5.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,416.56 |
$6,101 |
9.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$6,097.84 |
$10,889 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,011.52 |
$3,592 |
4.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,249.84 |
$7,589 |
7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,415.68 |
$2,528 |
2.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$489.44 |
$874 |
4.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$20,708.80 |
$36,980 |
2.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,617.72 |
$4,674.50 |
4.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,095.08 |
$1,955.50 |
10.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$2,804.48 |
$5,008 |
6.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$413.28 |
$738 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$281.68 |
$503 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$266.56 |
$476 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$823.20 |
$1,470 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$858.48 |
$1,533 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$858.48 |
$1,533 |
4.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$260.40 |
$465 |
2.8× |
| Radiological examination surgical specimen (76098) |
$1,286.88 |
$2,298 |
2.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$9,055.20 |
$16,170 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,175.36 |
$7,456 |
7.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,966.48 |
$7,083 |
6.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,175.36 |
$7,456 |
3.1× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,778.56 |
$3,176 |
7.2× |
| Rp Therapy Intravenous Administration (79101) |
$8,328.32 |
$14,872 |
33.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,039.36 |
$1,856 |
4.1× |
| Scanogram (77073) |
$333.76 |
$596 |
3.0× |
| Scapula complete (73010) |
$350.56 |
$626 |
3.2× |
| Screening digital breast tomosynthesis (77063) |
$183.68 |
$328 |
7.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$673.68 |
$1,203 |
6.1× |
| Simulation intermediate (77285) |
$2,058 |
$3,675 |
5.2× |
| Small bowel series (74250) |
$827.68 |
$1,478 |
4.5× |
| Spec medical radj physics consltj (77370) |
$839.44 |
$1,499 |
5.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,658.72 |
$2,962 |
4.2× |
| Special dosimetry (77331) |
$839.44 |
$1,499 |
5.9× |
| Special treatment procedure (77470) |
$2,712.64 |
$4,844 |
4.7× |
| Spine thoracic 3 views (72072) |
$433.44 |
$774 |
3.9× |
| Spleen imaging only (78185) |
$2,263.52 |
$4,042 |
5.4× |
| Stereotactic body radiation delivery (77373) |
$16,564.24 |
$29,579 |
8.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,310.16 |
$5,911 |
8.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$3,147.76 |
$5,621 |
8.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,701.60 |
$6,610 |
9.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$964.32 |
$1,722 |
6.8× |
| Therapeutic Enema (74283) |
$1,140.72 |
$2,037 |
6.2× |
| Thoracolumbar 2 views (72080) |
$355.04 |
$634 |
3.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,286.48 |
$4,083 |
4.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,154.32 |
$3,847 |
5.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,976.24 |
$3,529 |
4.7× |
| Tmj unilateral (70328) |
$316.40 |
$565 |
3.4× |
| Treatment device intermediate (77333) |
$1,090.32 |
$1,947 |
7.7× |
| Treatment devices simple (77332) |
$839.44 |
$1,499 |
5.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,137.44 |
$9,174 |
9.0× |
| Tx devices design & construction complex (77334) |
$1,603.28 |
$2,863 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$535.92 |
$957 |
4.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,135.68 |
$2,028 |
12.4× |
| Unlisted Ultrasound Procedure (76999) |
$340.48 |
$608 |
3.7× |
| Upper Extremity Infant (73092) |
$540.40 |
$965 |
4.9× |
| Urethrocystography retrograde rs&i (74450) |
$980.56 |
$1,751 |
3.9× |
| Urethrocystography voiding (74455) |
$1,056.72 |
$1,887 |
4.2× |
| Us abdl aorta screen aaa (76706) |
$606.48 |
$1,083 |
5.5× |
| Us breast unilateral complete (76641) |
$374.08 |
$668 |
3.4× |
| Us breast unilateral limited (76642) |
$388.64 |
$694 |
4.2× |
| Us chest (76604) |
$427.28 |
$763 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$921.76 |
$1,646 |
8.4× |
| Us elastography parenchyma (76981) |
$413.84 |
$739 |
3.8× |
| Us guided compression repair (76936) |
$1,120 |
$2,000 |
4.9× |
| Us infant hips dynamic (76885) |
$747.04 |
$1,334 |
8.1× |
| Us ob detailed single fetus (76811) |
$847.28 |
$1,513 |
3.4× |
| Us ob transvaginal (76817) |
$575.68 |
$1,028 |
5.2× |
| Us pelvic non ob complete (76856) |
$575.68 |
$1,028 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$374.08 |
$668 |
3.4× |
| Us pregnancy ltd (76815) |
$374.08 |
$668 |
3.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$575.68 |
$1,028 |
5.2× |
| Us retroperitoneal complete (76770) |
$681.52 |
$1,217 |
6.2× |
| Us retroperitoneal limited (76775) |
$575.68 |
$1,028 |
5.2× |
| Us scrotum and contents (76870) |
$696.64 |
$1,244 |
6.3× |
| Us soft tissue head/neck (76536) |
$627.76 |
$1,121 |
5.7× |
| Us spinal canal and contents (76800) |
$725.20 |
$1,295 |
6.6× |
| Us transrectal (76872) |
$425.04 |
$759 |
3.9× |
| Us transrectal prostate volume (76873) |
$946.40 |
$1,690 |
8.6× |
| Us xtr non-vasc lmtd (76882) |
$323.68 |
$578 |
2.9× |
| Venogram extremity bilateral (75822) |
$4,089.68 |
$7,303 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$9,462.60 |
$16,897.50 |
2.8× |
| Venography caval superior serialography rs&i (75827) |
$4,081.84 |
$7,289 |
2.5× |
| Venography extremity unilateral rs&i (75820) |
$3,744.72 |
$6,687 |
2.3× |
| Venography renal unilateral selective rs&i (75831) |
$9,870 |
$17,625 |
3.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$9,870 |
$17,625 |
3.0× |
| Wrist 2 views (73100) |
$275.52 |
$492 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$472.08 |
$843 |
4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$275.52 |
$492 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$281.68 |
$503 |
3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$275.52 |
$492 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$275.52 |
$492 |
3.0× |
| X-ray exam hip uni 1 view (73501) |
$256.48 |
$458 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$260.40 |
$465 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$535.92 |
$957 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$454.16 |
$811 |
4.1× |
| X-ray exam of femur 1 (73551) |
$275.52 |
$492 |
3.0× |
| X-ray eye for foreign body (70030) |
$275.52 |
$492 |
3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$362.32 |
$647 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$325.36 |
$581 |
3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$275.52 |
$492 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$350.56 |
$626 |
3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$314.72 |
$562 |
3.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$341.60 |
$610 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$308.56 |
$551 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$522.48 |
$933 |
4.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$324.80 |
$580 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$355.04 |
$634 |
3.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$282.24 |
$504 |
3.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$386.96 |
$691 |
3.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,090.32 |
$1,947 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$304.64 |
$544 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$540.96 |
$966 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$402.36 |
$718.50 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$390.88 |
$698 |
4.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$281.68 |
$503 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$362.32 |
$647 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$351.68 |
$628 |
3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$646.80 |
$1,155 |
5.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$389.76 |
$696 |
3.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$362.32 |
$647 |
3.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$347.20 |
$620 |
3.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$313.04 |
$559 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$304.64 |
$544 |
2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$275.52 |
$492 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$336 |
$600 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$599.20 |
$1,070 |
5.4× |
| Xr chest 4+ views (71048) |
$380.24 |
$679 |
3.4× |
| Xr Cholecystography Oral Contrast (74290) |
$666.40 |
$1,190 |
3.6× |
| Xr finger(s) 2+ views (73140) |
$281.68 |
$503 |
3.1× |
| Xr shoulder 1 view (73020) |
$275.52 |
$492 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$472.08 |
$843 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$275.52 |
$492 |
3.0× |
| Xr tmj bilateral (70330) |
$492.80 |
$880 |
5.4× |
| Xray knee 1 or 2 views rt (73560) |
$275.52 |
$492 |
3.0× |