| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,174.54 |
$6,174.54 |
4.4× |
| Abdomen 2 views (74019) |
$409.09 |
$409.09 |
3.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,208.88 |
$2,208.88 |
5.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$10,115.17 |
$10,115.17 |
3.2× |
| Angiography extremity bilateral rs&i (75716) |
$10,368.05 |
$10,368.05 |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$10,115.17 |
$10,115.17 |
3.2× |
| Angiography internal mammary rs&i (75756) |
$10,115.17 |
$10,115.17 |
3.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$16,776.09 |
$16,776.09 |
3.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,115.17 |
$10,115.17 |
3.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,115.17 |
$10,115.17 |
3.2× |
| Angiography Spinal Selective Rs&I (75705) |
$16,776.09 |
$16,776.09 |
3.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,776.09 |
$16,776.09 |
3.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,092.14 |
$4,092.14 |
1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,251.82 |
$4,251.82 |
1.3× |
| Ankle 2 views (73600) |
$427.03 |
$427.03 |
4.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,728.49 |
$1,728.49 |
4.9× |
| Aortogram thoracic (75605) |
$16,776.09 |
$16,776.09 |
3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,115.17 |
$10,115.17 |
3.2× |
| Aortography abdominal serialography rs&i (75625) |
$10,620.93 |
$10,620.93 |
3.3× |
| Aortography thoracic w/o serialography rs&i (75600) |
$10,115.17 |
$10,115.17 |
3.2× |
| Artery X-Rays Adrenal Gland (75731) |
$2,810.70 |
$2,810.70 |
0.9× |
| Arthrogram elbow (73085) |
$1,409.46 |
$1,409.46 |
4.0× |
| Arthrogram hip (73525) |
$1,512.26 |
$1,512.26 |
4.3× |
| Arthrogram shoulder (73040) |
$1,520.43 |
$1,520.43 |
4.3× |
| Arthrogram wrist (73115) |
$1,512.26 |
$1,512.26 |
4.3× |
| Arthrography knee lt (73580) |
$1,512.26 |
$1,512.26 |
4.3× |
| Basic radiation dosimetry calculation (77300) |
$702.88 |
$702.88 |
5.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,208.88 |
$2,208.88 |
5.5× |
| Bone &/joint imaging whole body (78306) |
$2,473.73 |
$2,473.73 |
6.2× |
| Bone age studies (77072) |
$673.63 |
$673.63 |
6.4× |
| Bone Imaging 3 Phase (78315) |
$2,808.29 |
$2,808.29 |
7.0× |
| Bone Marrow Imaging Limited Area (78102) |
$2,010.04 |
$2,010.04 |
5.0× |
| Bone survey complete (77075) |
$1,283.78 |
$1,283.78 |
12.2× |
| Brachytx isodose complex (77318) |
$1,718.55 |
$1,718.55 |
4.6× |
| Brachytx isodose intermed (77317) |
$1,712.85 |
$1,712.85 |
4.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$721.50 |
$721.50 |
1.9× |
| Brain image w/flow 4 + views (78606) |
$2,226.46 |
$2,226.46 |
4.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,173.46 |
$10,173.46 |
7.1× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$1,221.45 |
$1,221.45 |
110.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,810.43 |
$5,810.43 |
16.6× |
| Cardiac shunt detection (78428) |
$2,226.46 |
$2,226.46 |
5.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,780.09 |
$1,780.09 |
3.3× |
| Cervical spine 2 or 3 views (72040) |
$1,006.08 |
$1,006.08 |
11.5× |
| Chest 1 view (71045) |
$291.31 |
$291.31 |
3.3× |
| Chest 3 views (71047) |
$291.31 |
$291.31 |
3.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,438.83 |
$1,438.83 |
8.2× |
| Cineradiography/videoradiography (76120) |
$885.94 |
$885.94 |
8.4× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,484.99 |
$2,484.99 |
3.2× |
| Clavicle complete (73000) |
$645.96 |
$645.96 |
7.4× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$59,651.76 |
$59,651.76 |
8.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$377.52 |
$377.52 |
3.6× |
| Continuing medical physics consltj pr wk (77336) |
$713.43 |
$713.43 |
5.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,714.03 |
$6,714.03 |
19.2× |
| CT abdomen and pelvis without contrast (74176) |
$4,625.16 |
$4,625.16 |
19.3× |
| CT abdomen w contrast (74160) |
$3,099.30 |
$3,099.30 |
17.6× |
| CT abdomen w wo contrast (74170) |
$3,444.74 |
$3,444.74 |
19.6× |
| CT abdomen w/o contrast (74150) |
$2,326.86 |
$2,326.86 |
22.2× |
| CT angio hrt w/3d image (75574) |
$5,194.16 |
$5,194.16 |
14.8× |
| CT angiography upper extremity lt (73206) |
$4,334.38 |
$4,334.38 |
24.6× |
| CT c-spine w/o contrast (72125) |
$4,360.69 |
$4,360.69 |
41.5× |
| CT cervical spine w&w/o contrast (72127) |
$5,248.86 |
$5,248.86 |
29.8× |
| CT cervical spine with contrast (72126) |
$4,771.16 |
$4,771.16 |
13.6× |
| CT chest w/wo contrast (71270) |
$3,444.74 |
$3,444.74 |
19.6× |
| CT chest with contrast (71260) |
$3,099.30 |
$3,099.30 |
17.6× |
| CT head/brain with contrast (70460) |
$2,670.13 |
$2,670.13 |
15.2× |
| CT head/brain without and with contrast (70470) |
$3,065.30 |
$3,065.30 |
17.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$4,749.15 |
$4,749.15 |
13.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,606.94 |
$1,606.94 |
18.4× |
| CT hrt w/3d image congen (75573) |
$5,194.16 |
$5,194.16 |
14.8× |
| CT iac w contrast (70481) |
$2,660.66 |
$2,660.66 |
15.1× |
| CT limited/localized follow up study (76380) |
$1,425.21 |
$1,425.21 |
16.3× |
| CT lower ext w/o (73700) |
$2,018.16 |
$2,018.16 |
19.2× |
| CT lower extremity w wo contrast (73702) |
$3,343.74 |
$3,343.74 |
19.0× |
| CT lower extremity with contrast (73701) |
$2,336.38 |
$2,336.38 |
13.3× |
| CT lumbar spine w & w/o contrast (72133) |
$3,343.74 |
$3,343.74 |
19.0× |
| CT lumbar spine w/o contrast (72131) |
$2,691.31 |
$2,691.31 |
25.6× |
| CT lumbar spine with contrast (72132) |
$3,012.35 |
$3,012.35 |
8.6× |
| CT maxillofacial w contrast (70487) |
$3,115.19 |
$3,115.19 |
17.7× |
| CT maxillofacial w/o contrast (70486) |
$2,355.43 |
$2,355.43 |
22.4× |
| CT maxillofacial w/wo contrast (70488) |
$3,048.86 |
$3,048.86 |
17.3× |
| CT neck soft tissue w contrast (70491) |
$2,747.09 |
$2,747.09 |
15.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,048.86 |
$3,048.86 |
17.3× |
| CT orbits w/o contrast (70480) |
$2,355.43 |
$2,355.43 |
22.4× |
| CT pelvis w & w/o contrast (72194) |
$4,514.05 |
$4,514.05 |
25.6× |
| CT pelvis w/o contrast (72192) |
$3,141.63 |
$3,141.63 |
29.9× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$3,412.73 |
$3,412.73 |
39.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,065.30 |
$3,065.30 |
17.4× |
| CT soft tissue neck w/o contrast (70490) |
$2,301.03 |
$2,301.03 |
21.9× |
| CT thoracic spine w/contrast (72129) |
$3,180.29 |
$3,180.29 |
18.0× |
| CT thoracic spine w/o contrast (72128) |
$2,691.31 |
$2,691.31 |
25.6× |
| CT thoracic spine w/wo contrast (72130) |
$3,792.39 |
$3,792.39 |
21.5× |
| CT thorax w/o contrast (71250) |
$2,691.31 |
$2,691.31 |
25.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,676.89 |
$2,676.89 |
15.2× |
| CT upper extremity w/o contrast rt (73200) |
$2,018.16 |
$2,018.16 |
19.2× |
| CT upper extremity with contrast (73201) |
$2,341.44 |
$2,341.44 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,017.71 |
$3,017.71 |
17.1× |
| Cta Abdomen (74175) |
$4,093.36 |
$4,093.36 |
23.2× |
| CTA abdomen pelvis (74174) |
$7,976.71 |
$7,976.71 |
22.8× |
| CTA chest (71275) |
$6,027.26 |
$6,027.26 |
34.2× |
| Cta Head (70496) |
$3,448.81 |
$3,448.81 |
19.6× |
| CTA lwr ext w&w/o contrast (73706) |
$3,973.54 |
$3,973.54 |
22.6× |
| Cta Neck (70498) |
$3,448.81 |
$3,448.81 |
19.6× |
| Cta Pelvis (72191) |
$4,965.46 |
$4,965.46 |
28.2× |
| Cystography minimum 3 views rs&i (74430) |
$1,621.83 |
$1,621.83 |
4.6× |
| Diskogram cervical (72285) |
$6,589.41 |
$6,589.41 |
3.4× |
| Diskography lumbar (72295) |
$6,589.41 |
$6,589.41 |
3.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$837.96 |
$837.96 |
8.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$837.96 |
$837.96 |
8.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$856.43 |
$856.43 |
8.2× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$429.54 |
$429.54 |
4.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$724.86 |
$724.86 |
6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$445.03 |
$445.03 |
5.1× |
| Dxa bone density study axial skeleton (77085) |
$720.98 |
$720.98 |
6.9× |
| Echo exam of fetal heart (76825) |
$1,726.20 |
$1,726.20 |
3.1× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,780.09 |
$1,780.09 |
7.4× |
| Echoencephalography real time imaging (76506) |
$949.56 |
$949.56 |
9.0× |
| Esophageal motility (78258) |
$1,714.27 |
$1,714.27 |
4.3× |
| Esophagus (74220) |
$1,438.83 |
$1,438.83 |
8.2× |
| Fetal biophysical profile non-stress testing (76818) |
$1,110.53 |
$1,110.53 |
10.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$929.26 |
$929.26 |
8.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,200.84 |
$1,200.84 |
5.0× |
| Foot 2 views (73620) |
$696.29 |
$696.29 |
8.0× |
| Forearm 2 views (73090) |
$485.49 |
$485.49 |
5.6× |
| Gated Heart Planar Single (78472) |
$2,571.67 |
$2,571.67 |
6.4× |
| Hand 2 views (73120) |
$484.14 |
$484.14 |
4.6× |
| Hand 3 views (73130) |
$693.58 |
$693.58 |
7.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,539.10 |
$5,539.10 |
7.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$5,554.72 |
$5,554.72 |
7.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$5,570.33 |
$5,570.33 |
8.0× |
| Heart Infarct Image (78466) |
$1,780.09 |
$1,780.09 |
4.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$10,115.17 |
$10,115.17 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,390.78 |
$2,390.78 |
4.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,195.34 |
$2,195.34 |
5.5× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) |
$967.21 |
$967.21 |
1.7× |
| Ht muscle image spect sing (78451) |
$2,337.26 |
$2,337.26 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$509.76 |
$509.76 |
5.8× |
| Hyperthermia ntrstl prb 5/< (77610) |
$2,405.78 |
$2,405.78 |
4.3× |
| Hysterosalpingogram (74740) |
$2,671.49 |
$2,671.49 |
11.1× |
| Image fusion (77399) |
$720.08 |
$720.08 |
5.3× |
| Interstitial radiation source applic complex (77778) |
$5,050.52 |
$5,050.52 |
7.2× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,126.16 |
$2,126.16 |
3.0× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,110.54 |
$2,110.54 |
3.8× |
| Intracavitary radiation source applic simple (77761) |
$2,096.34 |
$2,096.34 |
3.8× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$481.54 |
$481.54 |
4.6× |
| Kidney imaging morphology (78700) |
$1,558.25 |
$1,558.25 |
3.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,008.68 |
$2,008.68 |
3.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,008.68 |
$2,008.68 |
3.7× |
| Knee 3 views (73562) |
$871.73 |
$871.73 |
10.0× |
| Liver & spleen imaging static only (78215) |
$2,003.28 |
$2,003.28 |
5.0× |
| Liver imaging w/vascular flow (78202) |
$1,973.51 |
$1,973.51 |
3.6× |
| Lung perf&ventilat diferentl (78598) |
$1,487.91 |
$1,487.91 |
2.7× |
| Lung perfusion differential (78597) |
$1,487.91 |
$1,487.91 |
3.7× |
| Lung Ventilation Imaging (78579) |
$1,487.91 |
$1,487.91 |
3.7× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$4,402.24 |
$4,402.24 |
2.8× |
| Lymphoscintigraphy (78195) |
$1,774.73 |
$1,774.73 |
3.3× |
| Mammary ductogram or galactogram multiple (77054) |
$1,335.06 |
$1,335.06 |
5.6× |
| Mammary ductogram or galactogram single (77053) |
$935.99 |
$935.99 |
3.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$305.88 |
$305.88 |
3.5× |
| Meckels Diverticulum (78290) |
$1,647.53 |
$1,647.53 |
4.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,256.58 |
$1,256.58 |
3.3× |
| Mr elastography (76391) |
$1,094 |
$1,094 |
4.6× |
| MRA head w & w/o contrast (70546) |
$6,953.18 |
$6,953.18 |
19.8× |
| MRA head w/o contrast (70544) |
$5,776.98 |
$5,776.98 |
24.1× |
| MRA head with contrast (70545) |
$6,321.21 |
$6,321.21 |
18.0× |
| MRA neck w contrast (70548) |
$4,560.83 |
$4,560.83 |
13.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,989.44 |
$4,989.44 |
14.2× |
| MRA neck w/o contrast (70547) |
$4,476.94 |
$4,476.94 |
18.7× |
| MRI abdomen w contrast (74182) |
$4,472.46 |
$4,472.46 |
12.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,859.27 |
$4,859.27 |
13.9× |
| MRI abdomen w/o contrast (74181) |
$4,131.02 |
$4,131.02 |
17.2× |
| MRI any jnt lwr ext with con lt (73722) |
$6,264.46 |
$6,264.46 |
8.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,773.90 |
$5,773.90 |
7.3× |
| MRI bone marrow blood supply (77084) |
$2,992.53 |
$2,992.53 |
12.5× |
| MRI breast w/o contrast bilateral (77047) |
$1,120.69 |
$1,120.69 |
4.7× |
| MRI breast w/o contrast unilat (77046) |
$1,120.69 |
$1,120.69 |
4.7× |
| MRI c-spine with contrast (72142) |
$7,451.69 |
$7,451.69 |
21.3× |
| MRI cardiac w/o contrast (75557) |
$3,681.36 |
$3,681.36 |
15.4× |
| MRI cervical spine w/o contrast (72141) |
$6,810.25 |
$6,810.25 |
28.4× |
| MRI chest w/o & w/contrast material (71552) |
$4,833.21 |
$4,833.21 |
13.8× |
| MRI chest w/o contrast (71550) |
$3,992.61 |
$3,992.61 |
16.7× |
| MRI chest with contrast (71551) |
$4,113.14 |
$4,113.14 |
5.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,896.54 |
$7,896.54 |
22.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,221.50 |
$6,221.50 |
17.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,800.11 |
$5,800.11 |
24.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,097.64 |
$3,097.64 |
12.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,748.12 |
$3,748.12 |
10.7× |
| MRI orbit/face/neck w/contrast (70542) |
$3,407.25 |
$3,407.25 |
9.7× |
| MRI pelvis w contrast (72196) |
$5,457.62 |
$5,457.62 |
15.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,034.51 |
$6,034.51 |
17.2× |
| MRI pelvis w/o contrast (72195) |
$4,593.18 |
$4,593.18 |
19.2× |
| MRI scan of arm joint before and after contrast (73223) |
$6,267.53 |
$6,267.53 |
17.9× |
| MRI scan of leg joint before and after contrast (73723) |
$6,267.53 |
$6,267.53 |
17.9× |
| MRI spectroscopy (76390) |
$1,790.29 |
$1,790.29 |
20.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$8,241.38 |
$8,241.38 |
23.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,968.30 |
$4,968.30 |
14.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,064.90 |
$5,064.90 |
14.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,638.62 |
$5,638.62 |
16.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,713.79 |
$5,713.79 |
16.3× |
| MRI thoracic spine w/o contrast (72146) |
$5,152.40 |
$5,152.40 |
21.5× |
| MRI tmj (70336) |
$4,179.89 |
$4,179.89 |
17.4× |
| MRI upper ext joint w/o contrast (73221) |
$5,357.51 |
$5,357.51 |
22.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$8,612.85 |
$8,612.85 |
24.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,322.85 |
$7,322.85 |
30.6× |
| Myelogram Cervical (72240) |
$2,863.55 |
$2,863.55 |
3.6× |
| Myelogram Lumbar (72265) |
$3,557.20 |
$3,557.20 |
4.5× |
| Myelogram thoracic (72255) |
$2,863.55 |
$2,863.55 |
3.6× |
| Myelography 2 or more regions (72270) |
$2,863.55 |
$2,863.55 |
3.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$9,488.89 |
$9,488.89 |
7.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,431.14 |
$3,431.14 |
2.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,865.93 |
$2,865.93 |
3.3× |
| Neck soft tissue (70360) |
$484.14 |
$484.14 |
5.5× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$967.21 |
$967.21 |
2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,410.85 |
$1,410.85 |
3.5× |
| Nm adrenal scan (78075) |
$6,058.19 |
$6,058.19 |
4.7× |
| Nm bone marrow multiple (78103) |
$2,120.95 |
$2,120.95 |
5.3× |
| Nm bone marrow wb (78104) |
$2,463.16 |
$2,463.16 |
6.1× |
| Nm cisternogram (78630) |
$1,780.09 |
$1,780.09 |
3.3× |
| Nm csf leak detection (78650) |
$2,818.91 |
$2,818.91 |
2.2× |
| Nm gastric emptying study (78264) |
$1,641.45 |
$1,641.45 |
4.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,174.54 |
$6,174.54 |
4.4× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$5,618.63 |
$5,618.63 |
3.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$3,178.89 |
$3,178.89 |
2.4× |
| Nuclear medicine study of endocrine organs (78099) |
$1,410.85 |
$1,410.85 |
3.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,854.48 |
$1,854.48 |
1.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,558.25 |
$1,558.25 |
3.9× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,436.51 |
$1,436.51 |
3.6× |
| Nuclear Rx Oral Admin (79005) |
$1,869.09 |
$1,869.09 |
8.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$949.56 |
$949.56 |
9.0× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$417.86 |
$417.86 |
3.1× |
| Osseous survey infant (77076) |
$504.54 |
$504.54 |
4.8× |
| Osseous survey limited (77074) |
$1,245.79 |
$1,245.79 |
11.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,623.18 |
$1,623.18 |
4.0× |
| Parathyroid imaging (78070) |
$1,811.19 |
$1,811.19 |
4.5× |
| Pelvis 1 or 2 views (72170) |
$577.21 |
$577.21 |
5.5× |
| Peritoneogram rs&i (74190) |
$2,033.03 |
$2,033.03 |
3.7× |
| PET image w/CT, skull-thigh (78815) |
$12,367.86 |
$12,367.86 |
8.6× |
| PET imaging CT for attenuation limited area (78814) |
$10,906.34 |
$10,906.34 |
7.6× |
| PET imaging for CT attenuation whole body (78816) |
$10,906.34 |
$10,906.34 |
7.6× |
| Pr gi endoscopic ultrasound (76975) |
$1,122.02 |
$1,122.02 |
4.7× |
| Pr heart first pass single,planar (78481) |
$2,410.43 |
$2,410.43 |
4.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$6,822.57 |
$6,822.57 |
19.5× |
| Proton trmt simple w/comp (77522) |
$8,148.15 |
$8,148.15 |
6.5× |
| Proton tx delivery complex (77525) |
$9,754.49 |
$9,754.49 |
7.8× |
| Proton tx delivery intermediate (77523) |
$9,745.97 |
$9,745.97 |
7.8× |
| Proton tx delivery simple w/o compensation (77520) |
$8,148.15 |
$8,148.15 |
14.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$10,115.17 |
$10,115.17 |
3.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,810.70 |
$2,810.70 |
0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,343.19 |
$2,343.19 |
5.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,495.94 |
$1,495.94 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,757.77 |
$1,757.77 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$688.89 |
$688.89 |
7.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$788.60 |
$788.60 |
7.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$870.36 |
$870.36 |
8.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$518.06 |
$518.06 |
4.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,075.36 |
$1,075.36 |
10.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$59,651.76 |
$59,651.76 |
8.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,051.62 |
$2,051.62 |
3.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,972.15 |
$1,972.15 |
19.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,972.15 |
$1,972.15 |
5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$923.86 |
$923.86 |
8.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$291.31 |
$291.31 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$291.31 |
$291.31 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$917.10 |
$917.10 |
5.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,056.66 |
$1,056.66 |
6.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$665.10 |
$665.10 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$732.53 |
$732.53 |
8.4× |
| Radiological examination surgical specimen (76098) |
$1,845.66 |
$1,845.66 |
3.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$10,115.17 |
$10,115.17 |
3.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$10,115.17 |
$10,115.17 |
3.2× |
| Ribs bilateral 3 views (71110) |
$870.36 |
$870.36 |
8.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,077.66 |
$2,077.66 |
3.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,925.16 |
$1,925.16 |
3.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$4,440.19 |
$4,440.19 |
3.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,440.19 |
$4,440.19 |
3.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$742.60 |
$742.60 |
3.2× |
| Rp Therapy Intravenous Administration (79101) |
$1,869.09 |
$1,869.09 |
8.0× |
| Sacroiliac Joints < 3 Views (72200) |
$477.49 |
$477.49 |
4.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,601.54 |
$1,601.54 |
6.7× |
| Scanogram (77073) |
$688.50 |
$688.50 |
6.6× |
| Scapula complete (73010) |
$505.62 |
$505.62 |
4.8× |
| Screening digital breast tomosynthesis (77063) |
$354.14 |
$354.14 |
15.1× |
| Sella turcica (70240) |
$390.91 |
$390.91 |
4.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$429.54 |
$429.54 |
4.1× |
| Sialogram (70390) |
$1,432.46 |
$1,432.46 |
6.0× |
| Simulation intermediate (77285) |
$2,422.70 |
$2,422.70 |
6.4× |
| Small bowel series (74250) |
$917.10 |
$917.10 |
5.2× |
| Spec medical radj physics consltj (77370) |
$702.88 |
$702.88 |
5.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,841.87 |
$1,841.87 |
4.9× |
| Special dosimetry (77331) |
$709.59 |
$709.59 |
5.3× |
| Special treatment procedure (77470) |
$4,396.30 |
$4,396.30 |
7.9× |
| Speech evaluation complex (70371) |
$1,103.56 |
$1,103.56 |
4.6× |
| Spine thoracic 3 views (72072) |
$703.77 |
$703.77 |
6.7× |
| Splenoportograpy rs&i (75810) |
$6,184.84 |
$6,184.84 |
1.9× |
| Stereotactic body radiation delivery (77373) |
$59,651.76 |
$59,651.76 |
33.2× |
| Superior sagittal sinus venogram (75870) |
$2,810.70 |
$2,810.70 |
0.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$779.73 |
$779.73 |
7.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,851.80 |
$1,851.80 |
4.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$768.38 |
$768.38 |
2.0× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,690.81 |
$1,690.81 |
7.1× |
| Testicular Imaging With Vascular Flow (78761) |
$1,483.86 |
$1,483.86 |
3.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,399.76 |
$2,399.76 |
6.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,341.44 |
$2,341.44 |
17.3× |
| Therapeutic Enema (74283) |
$1,780.09 |
$1,780.09 |
10.1× |
| Thoracolumbar 2 views (72080) |
$305.88 |
$305.88 |
3.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,436.51 |
$1,436.51 |
2.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,206.56 |
$1,206.56 |
3.0× |
| Thyroid uptake measurement (78012) |
$1,206.56 |
$1,206.56 |
3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,444.25 |
$1,444.25 |
3.6× |
| Tmj unilateral (70328) |
$481.54 |
$481.54 |
5.5× |
| Tomogram (76100) |
$1,187.63 |
$1,187.63 |
11.3× |
| Treatment device intermediate (77333) |
$1,328.22 |
$1,328.22 |
9.8× |
| Treatment devices simple (77332) |
$1,308.59 |
$1,308.59 |
9.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,293.70 |
$3,293.70 |
6.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,377.66 |
$1,377.66 |
3.4× |
| Tx devices design & construction complex (77334) |
$1,315.65 |
$1,315.65 |
3.5× |
| Ultrasound scan of cornea to determine thickness (76514) |
$100.37 |
$100.37 |
3.5× |
| Ultrasound scan to determine eye length and lens power (76519) |
$429.54 |
$429.54 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$966.91 |
$966.91 |
9.2× |
| Umbilical-artery Doppler (OB) (76820) |
$856.43 |
$856.43 |
8.2× |
| Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) |
$1,654.70 |
$1,654.70 |
4.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$305.88 |
$305.88 |
3.5× |
| Unlisted fluoroscopic procedure (76496) |
$890.04 |
$890.04 |
10.2× |
| Unlisted magnetic resonance procedure (76498) |
$4,836.05 |
$4,836.05 |
55.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$2,219.90 |
$2,219.90 |
21.7× |
| Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) |
$756.92 |
$756.92 |
5.6× |
| Unlisted Ultrasound Procedure (76999) |
$877.88 |
$877.88 |
10.0× |
| Upper Extremity Infant (73092) |
$688.50 |
$688.50 |
6.6× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$1,221.45 |
$1,221.45 |
12.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,047.91 |
$2,047.91 |
5.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,671.32 |
$1,671.32 |
7.0× |
| Urethrocystography voiding (74455) |
$1,431.10 |
$1,431.10 |
6.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,381.71 |
$1,381.71 |
7.8× |
| Us abdl aorta screen aaa (76706) |
$508.33 |
$508.33 |
4.8× |
| Us breast unilateral complete (76641) |
$1,389.86 |
$1,389.86 |
13.2× |
| Us breast unilateral limited (76642) |
$1,106.46 |
$1,106.46 |
12.7× |
| Us chest (76604) |
$877.88 |
$877.88 |
8.4× |
| Us compl joint r-t w/image documentation (76881) |
$960.39 |
$960.39 |
9.1× |
| Us elastography parenchyma (76981) |
$398.76 |
$398.76 |
3.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$730.43 |
$730.43 |
7.0× |
| Us guided compression repair (76936) |
$729.08 |
$729.08 |
3.4× |
| Us infant hips dynamic (76885) |
$890.04 |
$890.04 |
10.2× |
| Us infant hips limited static (76886) |
$877.88 |
$877.88 |
10.0× |
| Us kidney transplant (76776) |
$979.31 |
$979.31 |
9.3× |
| Us ob detailed single fetus (76811) |
$1,540.29 |
$1,540.29 |
6.4× |
| Us ob transvaginal (76817) |
$1,214.34 |
$1,214.34 |
11.6× |
| Us pelvic non ob complete (76856) |
$1,733.11 |
$1,733.11 |
16.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$911.68 |
$911.68 |
8.7× |
| Us pregnancy ltd (76815) |
$921.77 |
$921.77 |
8.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$998.17 |
$998.17 |
9.5× |
| Us retroperitoneal complete (76770) |
$1,395.29 |
$1,395.29 |
13.3× |
| Us retroperitoneal limited (76775) |
$781.96 |
$781.96 |
7.4× |
| Us scrotum and contents (76870) |
$896.19 |
$896.19 |
8.5× |
| Us soft tissue head/neck (76536) |
$1,401.83 |
$1,401.83 |
13.3× |
| Us spinal canal and contents (76800) |
$1,110.53 |
$1,110.53 |
10.6× |
| Us transrectal (76872) |
$934.54 |
$934.54 |
8.9× |
| Us transrectal prostate volume (76873) |
$658.02 |
$658.02 |
6.3× |
| Us xtr non-vasc lmtd (76882) |
$879.89 |
$879.89 |
8.4× |
| Us, eye b-scan (76512) |
$429.54 |
$429.54 |
4.1× |
| Use of body cavity probe generated heat to increase temperature of cancer cell (77620) |
$1,663.35 |
$1,663.35 |
3.0× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (77600) |
$1,463.09 |
$1,463.09 |
3.8× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm (77605) |
$2,606.05 |
$2,606.05 |
3.7× |
| Use of interstitial probe generated heat to increase temperature of cancer cell, more than 5 probes (77615) |
$3,727.20 |
$3,727.20 |
6.7× |
| Vascular flow imaging (78445) |
$762.80 |
$762.80 |
1.9× |
| Venogram extremity bilateral (75822) |
$3,338.34 |
$3,338.34 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$10,115.17 |
$10,115.17 |
3.2× |
| Venography caval superior serialography rs&i (75827) |
$2,416.43 |
$2,416.43 |
1.5× |
| Venography epidural rs&i (75872) |
$2,702.14 |
$2,702.14 |
4.3× |
| Venography extremity unilateral rs&i (75820) |
$2,301.36 |
$2,301.36 |
1.5× |
| Venography Renal Bilateral (75833) |
$10,115.17 |
$10,115.17 |
3.2× |
| Venography renal unilateral selective rs&i (75831) |
$10,115.17 |
$10,115.17 |
3.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$10,115.17 |
$10,115.17 |
3.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$16,776.09 |
$16,776.09 |
3.0× |
| Vertebral fracture assessment via dxa (77086) |
$445.03 |
$445.03 |
5.1× |
| Wrist 2 views (73100) |
$876.84 |
$876.84 |
10.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$863.56 |
$863.56 |
8.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$481.54 |
$481.54 |
5.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$428.38 |
$428.38 |
4.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,240.38 |
$1,240.38 |
7.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$537.18 |
$537.18 |
6.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$939.99 |
$939.99 |
10.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,000.95 |
$1,000.95 |
9.5× |
| X-ray exam hip uni 1 view (73501) |
$480.06 |
$480.06 |
5.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$870.36 |
$870.36 |
10.0× |
| X-ray exam hip uni 4/> views (73503) |
$931.56 |
$931.56 |
8.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$931.56 |
$931.56 |
8.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,000.95 |
$1,000.95 |
9.5× |
| X-ray exam of femur 1 (73551) |
$305.88 |
$305.88 |
3.5× |
| X-ray eye for foreign body (70030) |
$422.03 |
$422.03 |
4.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$691.21 |
$691.21 |
6.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$518.06 |
$518.06 |
5.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$697.65 |
$697.65 |
8.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$6,789.47 |
$6,789.47 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$468.05 |
$468.05 |
5.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,374.29 |
$1,374.29 |
7.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$923.86 |
$923.86 |
10.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$870.36 |
$870.36 |
8.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$865.69 |
$865.69 |
9.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$692.56 |
$692.56 |
7.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$696.29 |
$696.29 |
6.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$923.86 |
$923.86 |
8.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$917.10 |
$917.10 |
8.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$691.21 |
$691.21 |
7.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$979.31 |
$979.31 |
11.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$923.86 |
$923.86 |
8.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$939.99 |
$939.99 |
9.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,303.90 |
$2,303.90 |
4.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,453.78 |
$1,453.78 |
4.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$876.84 |
$876.84 |
10.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,122.11 |
$1,122.11 |
10.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,168.69 |
$1,168.69 |
11.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$692.56 |
$692.56 |
6.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$484.14 |
$484.14 |
5.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$873.08 |
$873.08 |
10.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$694.93 |
$694.93 |
7.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$518.06 |
$518.06 |
5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$928.84 |
$928.84 |
8.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$865.69 |
$865.69 |
8.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$480.06 |
$480.06 |
5.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$520.76 |
$520.76 |
6.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$520.76 |
$520.76 |
6.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$523.58 |
$523.58 |
5.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$865.69 |
$865.69 |
8.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$531.69 |
$531.69 |
6.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$860.68 |
$860.68 |
9.8× |
| Xr arthrogram ankle (73615) |
$1,512.26 |
$1,512.26 |
4.3× |
| Xr c-spine 6 or more views (72052) |
$865.69 |
$865.69 |
8.2× |
| Xr chest 4+ views (71048) |
$409.09 |
$409.09 |
3.9× |
| Xr Cholecystography Oral Contrast (74290) |
$1,128.98 |
$1,128.98 |
6.4× |
| Xr finger(s) 2+ views (73140) |
$427.03 |
$427.03 |
4.9× |
| Xr internal auditory meati complete (70134) |
$1,757.77 |
$1,757.77 |
3.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$516.71 |
$516.71 |
4.9× |
| Xr optic foramina (70190) |
$481.54 |
$481.54 |
5.5× |
| Xr shoulder 1 view (73020) |
$484.14 |
$484.14 |
5.5× |
| Xr spine cervical 4 or 5 views (72050) |
$931.56 |
$931.56 |
8.9× |
| Xr tibia/fibula 2 views (73590) |
$485.49 |
$485.49 |
5.6× |
| Xr tmj bilateral (70330) |
$923.86 |
$923.86 |
10.6× |
| Xray knee 1 or 2 views rt (73560) |
$870.36 |
$870.36 |
10.0× |