| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,416.72 |
$7,887 |
3.3× |
| Abdomen 2 views (74019) |
$435.12 |
$777 |
4.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$772.80 |
$1,380 |
2.0× |
| Ankle 2 views (73600) |
$435.12 |
$777 |
5.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$557.20 |
$995 |
1.7× |
| Arthrogram elbow (73085) |
$763.28 |
$1,363 |
2.3× |
| Arthrogram hip (73525) |
$511.28 |
$913 |
1.5× |
| Arthrogram shoulder (73040) |
$743.68 |
$1,328 |
2.2× |
| Arthrogram wrist (73115) |
$612.64 |
$1,094 |
1.8× |
| Arthrography knee lt (73580) |
$636.16 |
$1,136 |
1.9× |
| Basic radiation dosimetry calculation (77300) |
$478.80 |
$855 |
3.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$531.44 |
$949 |
1.4× |
| Bone &/joint imaging whole body (78306) |
$2,869.44 |
$5,124 |
7.5× |
| Bone age studies (77072) |
$272.72 |
$487 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$6,048 |
$10,800 |
15.8× |
| Bone survey complete (77075) |
$255.36 |
$456 |
2.5× |
| Brachytx isodose complex (77318) |
$729.68 |
$1,303 |
2.0× |
| Brachytx isodose intermed (77317) |
$660.24 |
$1,179 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,549.28 |
$6,338 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$432.88 |
$773 |
5.2× |
| Chest 1 view (71045) |
$193.76 |
$346 |
2.3× |
| Chest 3 views (71047) |
$358.96 |
$641 |
4.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$579.60 |
$1,035 |
3.4× |
| Clavicle complete (73000) |
$430.08 |
$768 |
5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$675.92 |
$1,207 |
6.7× |
| Continuing medical physics consltj pr wk (77336) |
$341.60 |
$610 |
2.7× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$203.84 |
$364 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,536 |
$8,100 |
13.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,598.40 |
$4,640 |
11.4× |
| CT abdomen w contrast (74160) |
$3,674.16 |
$6,561 |
21.9× |
| CT abdomen w wo contrast (74170) |
$4,258.24 |
$7,604 |
25.3× |
| CT abdomen w/o contrast (74150) |
$3,267.60 |
$5,835 |
32.6× |
| CT angiography upper extremity lt (73206) |
$1,184.40 |
$2,115 |
7.0× |
| CT c-spine w/o contrast (72125) |
$2,410.80 |
$4,305 |
24.1× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$271.04 |
$484 |
1.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,671.76 |
$4,771 |
15.9× |
| CT cervical spine with contrast (72126) |
$2,556.96 |
$4,566 |
7.7× |
| CT chest w/wo contrast (71270) |
$2,448.88 |
$4,373 |
14.6× |
| CT chest with contrast (71260) |
$2,326.80 |
$4,155 |
13.8× |
| CT colonography screening (74263) |
$1,552.32 |
$2,772 |
6.8× |
| CT colonography w/dye (74262) |
$1,064 |
$1,900 |
6.3× |
| CT colonography w/o cntrst (74261) |
$617.68 |
$1,103 |
6.2× |
| CT head/brain with contrast (70460) |
$2,063.60 |
$3,685 |
12.3× |
| CT head/brain without and with contrast (70470) |
$1,950.48 |
$3,483 |
11.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$617.68 |
$1,103 |
7.4× |
| CT iac w contrast (70481) |
$1,489.04 |
$2,659 |
8.9× |
| CT limited/localized follow up study (76380) |
$480.48 |
$858 |
5.8× |
| CT lower ext w/o (73700) |
$1,009.68 |
$1,803 |
10.1× |
| CT lower extremity w wo contrast (73702) |
$2,240 |
$4,000 |
13.3× |
| CT lower extremity with contrast (73701) |
$1,497.44 |
$2,674 |
8.9× |
| CT lumbar spine w & w/o contrast (72133) |
$3,166.80 |
$5,655 |
18.8× |
| CT lumbar spine w/o contrast (72131) |
$2,432.08 |
$4,343 |
24.3× |
| CT lumbar spine with contrast (72132) |
$2,482.48 |
$4,433 |
7.4× |
| CT maxillofacial w contrast (70487) |
$2,263.52 |
$4,042 |
13.5× |
| CT maxillofacial w/o contrast (70486) |
$2,189.04 |
$3,909 |
21.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,334.64 |
$4,169 |
13.9× |
| CT neck soft tissue w contrast (70491) |
$2,640.40 |
$4,715 |
15.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,693.04 |
$4,809 |
16.0× |
| CT orbits w/o contrast (70480) |
$604.80 |
$1,080 |
6.0× |
| CT pelvis w & w/o contrast (72194) |
$2,977.52 |
$5,317 |
17.7× |
| CT pelvis w/o contrast (72192) |
$2,098.32 |
$3,747 |
21.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,880.64 |
$5,144 |
17.1× |
| CT soft tissue neck w/o contrast (70490) |
$999.60 |
$1,785 |
10.0× |
| CT thoracic spine w/contrast (72129) |
$1,830.64 |
$3,269 |
10.9× |
| CT thoracic spine w/o contrast (72128) |
$861.84 |
$1,539 |
8.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,843.52 |
$3,292 |
11.0× |
| CT thorax w/o contrast (71250) |
$1,703.52 |
$3,042 |
17.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,092.88 |
$5,523 |
18.4× |
| CT upper extremity w/o contrast rt (73200) |
$245.28 |
$438 |
2.4× |
| CT upper extremity with contrast (73201) |
$1,546.72 |
$2,762 |
4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,371.44 |
$2,449 |
8.2× |
| Cta Abdomen (74175) |
$3,175.20 |
$5,670 |
18.9× |
| CTA abdomen pelvis (74174) |
$5,594.40 |
$9,990 |
16.7× |
| CTA chest (71275) |
$2,925.44 |
$5,224 |
17.4× |
| Cta Head (70496) |
$3,185.28 |
$5,688 |
19.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$621.04 |
$1,109 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,184.40 |
$2,115 |
7.0× |
| Cta Neck (70498) |
$3,156.16 |
$5,636 |
18.8× |
| Cta Pelvis (72191) |
$2,775.92 |
$4,957 |
16.5× |
| Cystography minimum 3 views rs&i (74430) |
$313.60 |
$560 |
0.9× |
| Diskogram cervical (72285) |
$1,794.24 |
$3,204 |
1.0× |
| Diskography lumbar (72295) |
$1,794.24 |
$3,204 |
1.0× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$245.84 |
$439 |
2.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$545.44 |
$974 |
5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$210.56 |
$376 |
2.5× |
| Dxa bone density study axial skeleton (77085) |
$292.32 |
$522 |
2.9× |
| Esophagus (74220) |
$632.24 |
$1,129 |
3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$434 |
$775 |
4.3× |
| Fluoroscopy up to 1 hr (76000) |
$215.04 |
$384 |
0.9× |
| Foot 2 views (73620) |
$379.96 |
$678.50 |
4.6× |
| Forearm 2 views (73090) |
$394.24 |
$704 |
4.7× |
| Gated Heart Planar Single (78472) |
$979.44 |
$1,749 |
2.6× |
| Hand 2 views (73120) |
$334.88 |
$598 |
3.3× |
| Hand 3 views (73130) |
$394.80 |
$705 |
4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,587.60 |
$2,835 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$476.56 |
$851 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$414.96 |
$741 |
5.0× |
| Hysterosalpingogram (74740) |
$618.80 |
$1,105 |
2.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$649.60 |
$1,160 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$837.20 |
$1,495 |
1.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$786.80 |
$1,405 |
1.5× |
| Knee 3 views (73562) |
$461.44 |
$824 |
5.5× |
| Liver & spleen imaging static only (78215) |
$1,146.32 |
$2,047 |
3.0× |
| Lung perf&ventilat diferentl (78598) |
$355.04 |
$634 |
0.7× |
| Lung perfusion differential (78597) |
$567.84 |
$1,014 |
1.5× |
| Lung Ventilation Imaging (78579) |
$534.24 |
$954 |
1.4× |
| Lymphoscintigraphy (78195) |
$1,128.40 |
$2,015 |
2.2× |
| Mammary ductogram or galactogram multiple (77054) |
$371.28 |
$663 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$329.84 |
$589 |
1.4× |
| Meckels Diverticulum (78290) |
$992.32 |
$1,772 |
2.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$510.72 |
$912 |
1.4× |
| Mr safety determination physician/other qhp (76016) |
$133.84 |
$239 |
1.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$90.72 |
$162 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$38.08 |
$68 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$139.44 |
$249 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$374.64 |
$669 |
1.6× |
| MRA head w & w/o contrast (70546) |
$3,273.20 |
$5,845 |
9.8× |
| MRA head w/o contrast (70544) |
$2,513.28 |
$4,488 |
11.0× |
| MRA head with contrast (70545) |
$2,967.44 |
$5,299 |
8.9× |
| MRA neck w contrast (70548) |
$2,092.72 |
$3,737 |
6.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,746.80 |
$4,905 |
8.2× |
| MRA neck w/o contrast (70547) |
$1,229.76 |
$2,196 |
5.4× |
| MRI abdomen w contrast (74182) |
$3,149.44 |
$5,624 |
9.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,866.40 |
$8,690 |
14.6× |
| MRI abdomen w/o contrast (74181) |
$2,501.52 |
$4,467 |
10.9× |
| MRI any jnt lwr ext with con lt (73722) |
$5,670 |
$10,125 |
7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,443.20 |
$9,720 |
7.2× |
| MRI bone marrow blood supply (77084) |
$1,700.72 |
$3,037 |
7.4× |
| MRI breast w/o contrast bilateral (77047) |
$4,885.44 |
$8,724 |
21.4× |
| MRI breast w/o contrast unilat (77046) |
$2,560.88 |
$4,573 |
11.2× |
| MRI c-spine with contrast (72142) |
$4,065.04 |
$7,259 |
12.2× |
| MRI cervical spine w/o contrast (72141) |
$3,286.08 |
$5,868 |
14.4× |
| MRI chest w/o & w/contrast material (71552) |
$1,467.20 |
$2,620 |
4.4× |
| MRI chest w/o contrast (71550) |
$1,272.88 |
$2,273 |
5.6× |
| MRI chest with contrast (71551) |
$1,301.44 |
$2,324 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,587.20 |
$4,620 |
7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,588.48 |
$6,408 |
10.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,255.84 |
$5,814 |
14.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,662.64 |
$2,969 |
7.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,203.04 |
$3,934 |
6.6× |
| MRI orbit/face/neck w/contrast (70542) |
$1,774.08 |
$3,168 |
5.3× |
| MRI pelvis w contrast (72196) |
$3,231.76 |
$5,771 |
9.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,095.84 |
$7,314 |
12.3× |
| MRI pelvis w/o contrast (72195) |
$2,710.40 |
$4,840 |
11.9× |
| MRI scan of arm joint before and after contrast (73223) |
$6,652.80 |
$11,880 |
19.9× |
| MRI scan of leg joint before and after contrast (73723) |
$8,919.12 |
$15,927 |
26.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,219.04 |
$7,534 |
12.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,577.84 |
$6,389 |
10.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,936.24 |
$7,029 |
11.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,558.40 |
$8,140 |
13.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,643.68 |
$10,078 |
16.9× |
| MRI thoracic spine w/o contrast (72146) |
$2,894.08 |
$5,168 |
12.7× |
| MRI tmj (70336) |
$1,983.52 |
$3,542 |
8.7× |
| MRI upper ext joint w/o contrast (73221) |
$3,049.76 |
$5,446 |
13.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,825.92 |
$6,832 |
11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,222.64 |
$3,969 |
9.7× |
| Myocardial Spect Multiple Studies (78452) |
$5,409.04 |
$9,659 |
4.4× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$5,103.84 |
$9,114 |
2.4× |
| Neck soft tissue (70360) |
$378 |
$675 |
4.5× |
| Nm gastric emptying study (78264) |
$1,941.52 |
$3,467 |
5.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,867.20 |
$5,120 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$383.04 |
$684 |
3.8× |
| Osseous survey infant (77076) |
$137.20 |
$245 |
1.4× |
| Osseous survey limited (77074) |
$159.04 |
$284 |
1.6× |
| Parathyroid imaging (78070) |
$1,607.76 |
$2,871 |
4.2× |
| Pelvis 1 or 2 views (72170) |
$353.36 |
$631 |
3.5× |
| PET image w/CT, skull-thigh (78815) |
$3,496.08 |
$6,243 |
2.6× |
| PET imaging for CT attenuation whole body (78816) |
$2,584.40 |
$4,615 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,512.48 |
$8,058 |
13.5× |
| Pr sono bone density measure,peripheral (76977) |
$201.60 |
$360 |
2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$456.96 |
$816 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$888.16 |
$1,586 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$775.60 |
$1,385 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$439.60 |
$785 |
5.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$687.12 |
$1,227 |
6.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$781.76 |
$1,396 |
7.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$358.40 |
$640 |
3.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$863.52 |
$1,542 |
8.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$688.24 |
$1,229 |
1.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$385.84 |
$689 |
3.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$414.40 |
$740 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$154 |
$275 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$400.40 |
$715 |
4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$453.60 |
$810 |
4.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$232.40 |
$415 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$698.32 |
$1,247 |
4.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,332.80 |
$2,380 |
7.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$460.88 |
$823 |
2.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$448.56 |
$801 |
5.4× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$112.56 |
$201 |
1.4× |
| Radiological examination surgical specimen (76098) |
$502.88 |
$898 |
1.0× |
| Ribs bilateral 3 views (71110) |
$361.20 |
$645 |
3.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,050.16 |
$3,661 |
3.9× |
| Sacroiliac Joints < 3 Views (72200) |
$178.64 |
$319 |
1.8× |
| Scanogram (77073) |
$122.08 |
$218 |
1.2× |
| Scapula complete (73010) |
$262.08 |
$468 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$67.20 |
$120 |
2.9× |
| Simulation intermediate (77285) |
$1,454.88 |
$2,598 |
4.1× |
| Small bowel series (74250) |
$617.68 |
$1,103 |
3.7× |
| Spec medical radj physics consltj (77370) |
$423.36 |
$756 |
3.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$777.84 |
$1,389 |
2.2× |
| Special dosimetry (77331) |
$287.28 |
$513 |
2.2× |
| Special treatment procedure (77470) |
$437.92 |
$782 |
0.8× |
| Spine thoracic 3 views (72072) |
$677.04 |
$1,209 |
6.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$882.56 |
$1,576 |
2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$454.16 |
$811 |
1.3× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$272.16 |
$486 |
1.2× |
| Testicular Imaging With Vascular Flow (78761) |
$723.52 |
$1,292 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,399.04 |
$4,284 |
6.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,044.40 |
$1,865 |
8.1× |
| Thoracolumbar 2 views (72080) |
$432.32 |
$772 |
5.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$340.48 |
$608 |
0.9× |
| Thyroid uptake measurement (78012) |
$321.44 |
$574 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$397.04 |
$709 |
1.0× |
| Tmj unilateral (70328) |
$110.32 |
$197 |
1.3× |
| Tomogram (76100) |
$224.56 |
$401 |
2.2× |
| Treatment device intermediate (77333) |
$575.68 |
$1,028 |
4.5× |
| Treatment devices simple (77332) |
$534.24 |
$954 |
4.1× |
| Tx devices design & construction complex (77334) |
$1,151.36 |
$2,056 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$1,685.04 |
$3,009 |
16.8× |
| Umbilical-artery Doppler (OB) (76820) |
$1,515.92 |
$2,707 |
15.1× |
| Unlisted Ultrasound Procedure (76999) |
$978.88 |
$1,748 |
11.7× |
| Upper Extremity Infant (73092) |
$166.32 |
$297 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$501.76 |
$896 |
2.2× |
| Urethrocystography voiding (74455) |
$556.08 |
$993 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$870.24 |
$1,554 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$136.64 |
$244 |
1.4× |
| Us breast unilateral complete (76641) |
$2,290.96 |
$4,091 |
22.9× |
| Us breast unilateral limited (76642) |
$1,436.40 |
$2,565 |
17.2× |
| Us chest (76604) |
$589.68 |
$1,053 |
5.9× |
| Us compl joint r-t w/image documentation (76881) |
$408.24 |
$729 |
4.1× |
| Us kidney transplant (76776) |
$79.52 |
$142 |
0.8× |
| Us ob transvaginal (76817) |
$1,895.60 |
$3,385 |
18.9× |
| Us pelvic non ob complete (76856) |
$2,367.12 |
$4,227 |
23.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$605.36 |
$1,081 |
6.0× |
| Us pregnancy ltd (76815) |
$666.40 |
$1,190 |
6.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,823.36 |
$3,256 |
18.2× |
| Us retroperitoneal complete (76770) |
$1,636.32 |
$2,922 |
16.3× |
| Us retroperitoneal limited (76775) |
$454.72 |
$812 |
4.5× |
| Us scrotum and contents (76870) |
$2,018.24 |
$3,604 |
20.2× |
| Us soft tissue head/neck (76536) |
$1,734.32 |
$3,097 |
17.3× |
| Us transrectal (76872) |
$877.52 |
$1,567 |
8.8× |
| Us xtr non-vasc lmtd (76882) |
$493.36 |
$881 |
4.9× |
| Venogram extremity bilateral (75822) |
$2,969.12 |
$5,302 |
2.0× |
| Venography extremity unilateral rs&i (75820) |
$1,484.56 |
$2,651 |
1.0× |
| Vertebral fracture assessment via dxa (77086) |
$97.44 |
$174 |
1.2× |
| Wrist 2 views (73100) |
$432.88 |
$773 |
5.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$529.20 |
$945 |
5.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$423.36 |
$756 |
5.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$486.64 |
$869 |
5.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$795.20 |
$1,420 |
4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$436.24 |
$779 |
5.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$455.84 |
$814 |
5.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$705.60 |
$1,260 |
7.0× |
| X-ray exam hip uni 1 view (73501) |
$159.60 |
$285 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$339.92 |
$607 |
4.1× |
| X-ray exam of femur 1 (73551) |
$187.04 |
$334 |
2.2× |
| X-ray eye for foreign body (70030) |
$151.76 |
$271 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$497.84 |
$889 |
5.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$180.88 |
$323 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$463.12 |
$827 |
5.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$366.24 |
$654 |
4.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$472.64 |
$844 |
2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$131.04 |
$234 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$494.48 |
$883 |
4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$114.24 |
$204 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$94.08 |
$168 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$525.84 |
$939 |
5.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$825.44 |
$1,474 |
8.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$689.36 |
$1,231 |
6.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$545.44 |
$974 |
6.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$260.96 |
$466 |
2.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$464.80 |
$830 |
4.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$922.32 |
$1,647 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$222.32 |
$397 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$641.76 |
$1,146 |
6.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$721.84 |
$1,289 |
7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$366.24 |
$654 |
3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$380.80 |
$680 |
4.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$397.60 |
$710 |
4.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$154.56 |
$276 |
1.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$123.20 |
$220 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$451.92 |
$807 |
4.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$261.52 |
$467 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$318.64 |
$569 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$582.40 |
$1,040 |
7.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$89.60 |
$160 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$469.84 |
$839 |
4.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$804.16 |
$1,436 |
8.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$271.04 |
$484 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$434.56 |
$776 |
5.2× |
| Xr arthrogram ankle (73615) |
$763.28 |
$1,363 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$784 |
$1,400 |
7.8× |
| Xr chest 4+ views (71048) |
$552.72 |
$987 |
5.5× |
| Xr Cholecystography Oral Contrast (74290) |
$255.36 |
$456 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$250.32 |
$447 |
3.0× |
| Xr internal auditory meati complete (70134) |
$533.68 |
$953 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$130.48 |
$233 |
1.3× |
| Xr optic foramina (70190) |
$230.16 |
$411 |
2.8× |
| Xr shoulder 1 view (73020) |
$230.16 |
$411 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$712.88 |
$1,273 |
7.1× |
| Xr tibia/fibula 2 views (73590) |
$354.48 |
$633 |
4.3× |
| Xr tmj bilateral (70330) |
$220.64 |
$394 |
2.6× |
| Xray knee 1 or 2 views rt (73560) |
$407.68 |
$728 |
4.9× |