| Acute gi blood loss imaging (78278) |
$986.49 |
$1,644.15 |
2.4× |
| Angiography, extremity, unilateral, radiological supervision and interpretation Age Under 21 (75710) |
$3,252.52 |
$5,420.87 |
1.0× |
| Ankle 2 views (73600) |
$387.58 |
$645.96 |
4.4× |
| Clavicle complete (73000) |
$156.73 |
$261.22 |
1.8× |
| Complex dynamic pharyngeal and speech evaluation by cine or video recording Age Under 21 (70371) |
$390.69 |
$651.15 |
1.6× |
| Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including… (74262) |
$0.69 |
$1.15 |
0.0× |
| Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Age Under… (74261) |
$319.81 |
$533.01 |
3.0× |
| Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if… (74174) |
$3,223.94 |
$5,373.23 |
9.0× |
| Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and… (74175) |
$2,095.59 |
$3,492.65 |
11.7× |
| Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast… (75635) |
$2,095.59 |
$3,492.65 |
11.7× |
| Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if… (71275) |
$2,481.05 |
$4,135.09 |
13.8× |
| Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if… (73706) |
$1,287.30 |
$2,145.50 |
7.2× |
| Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and… (70498) |
$2,095.59 |
$3,492.65 |
11.7× |
| Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and… (72191) |
$2,095.59 |
$3,492.65 |
11.7× |
| Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if… (73206) |
$1,227.66 |
$2,046.09 |
6.9× |
| Computed tomography, lower extremity; without contrast material Age Under 21 (73700) |
$1,066.46 |
$1,777.44 |
10.0× |
| Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age… (72133) |
$2,801.74 |
$4,669.57 |
15.6× |
| Computed tomography, maxillofacial area; with contrast material(s) Age Under 21 (70487) |
$1,443.04 |
$2,405.06 |
8.1× |
| Computed tomography, maxillofacial area; without contrast material Age Under 21 (70486) |
$1,349.77 |
$2,249.62 |
12.6× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$1,443.04 |
$2,405.06 |
8.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age… (70480) |
$1,349.77 |
$2,249.62 |
12.6× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,… (70482) |
$1,536.26 |
$2,560.43 |
8.6× |
| Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections… (70492) |
$1,536.26 |
$2,560.43 |
8.6× |
| Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections… (72130) |
$2,801.74 |
$4,669.57 |
15.6× |
| Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further… (71270) |
$2,645.92 |
$4,409.86 |
14.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,163.04 |
$5,271.74 |
8.9× |
| CT abdomen and pelvis without contrast (74176) |
$3,223.94 |
$5,373.23 |
13.2× |
| CT abdomen w & w/o contrast (74170) |
$1,530.79 |
$2,551.31 |
8.5× |
| CT abdomen w/contrast (74160) |
$1,640.17 |
$2,733.62 |
9.2× |
| CT abdomen w/o contrast (74150) |
$1,550.56 |
$2,584.27 |
14.5× |
| CT cervical spine w/contrast (72126) |
$2,693.13 |
$4,488.55 |
7.6× |
| CT cervical spine w/o contrast (72125) |
$2,779.04 |
$4,631.73 |
26.0× |
| CT chest w/contrast (71260) |
$2,885.80 |
$4,809.66 |
16.1× |
| CT extremity upper w/o contrast (73200) |
$950.60 |
$1,584.34 |
8.9× |
| CT head/brain with contrast (70460) |
$1,443.04 |
$2,405.06 |
8.1× |
| CT head/brain without and with contrast (70470) |
$1,536.26 |
$2,560.43 |
8.6× |
| CT l-spine w/contrast (72132) |
$2,651.05 |
$4,418.41 |
7.4× |
| CT limited/localized follow up study (76380) |
$1,766.72 |
$2,944.54 |
19.9× |
| CT lower extremity w/dye (73701) |
$1,098.10 |
$1,830.17 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$3,420.96 |
$5,701.60 |
32.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,917.89 |
$3,196.48 |
10.7× |
| CT neck w/contrast (70491) |
$1,443.04 |
$2,405.06 |
8.1× |
| CT neck w/o contrast (70490) |
$2,082.67 |
$3,471.12 |
19.5× |
| CT pelvis w & w/o contrast (72194) |
$1,632.76 |
$2,721.26 |
9.1× |
| CT pelvis w/o contrast (72192) |
$1,673.54 |
$2,789.24 |
15.7× |
| CT thoracic spine w/contrast (72129) |
$2,104.01 |
$3,506.68 |
11.7× |
| CT thoracic spine w/o contrast (72128) |
$3,463.23 |
$5,772.05 |
32.4× |
| CT thorax lung cancer scr c- (71271) |
$1,246.78 |
$2,077.97 |
11.7× |
| CT thorax w/o contrast (71250) |
$1,277.35 |
$2,128.92 |
12.0× |
| CT upper extremity w/dye (73201) |
$1,082.44 |
$1,804.07 |
3.0× |
| CTA head w contrast (70496) |
$2,095.59 |
$3,492.65 |
11.7× |
| Cystography, minimum of 3 views, radiological supervision and interpretation Age Under 21 (74430) |
$332.78 |
$554.63 |
0.9× |
| Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)… (77080) |
$465.81 |
$776.35 |
4.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76825) |
$633.73 |
$1,056.21 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$649.02 |
$1,081.70 |
6.1× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$564.08 |
$940.14 |
2.3× |
| Hepatobil syst imag inc gb w/pharma intervenj (78227) |
$1,510.04 |
$2,516.74 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$958.39 |
$1,597.32 |
2.3× |
| Ht muscle image spect sing (78451) |
$1,305.92 |
$2,176.54 |
1.0× |
| Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age Under 21 (78290) |
$986.49 |
$1,644.15 |
2.4× |
| Kidney imaging morphol - nm kidney cortex (78700) |
$504.96 |
$841.60 |
1.2× |
| Kidney imaging morphology; with vascular flow Age Under 21 (78701) |
$504.96 |
$841.60 |
1.2× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$504.96 |
$841.60 |
0.9× |
| Liver and spleen imaging (78215) |
$534.41 |
$890.69 |
1.3× |
| Lung perfusion imaging (78580) |
$604.59 |
$1,007.65 |
1.5× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$3,813.98 |
$6,356.64 |
10.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21 (73719) |
$3,620.52 |
$6,034.21 |
10.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21 (73718) |
$3,578.94 |
$5,964.91 |
14.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$3,813.98 |
$6,356.64 |
10.7× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21 (70542) |
$1,674.55 |
$2,790.91 |
4.7× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21 (70540) |
$3,403.34 |
$5,672.24 |
14.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age Under 21 (73219) |
$3,221.52 |
$5,369.20 |
9.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,572.16 |
$5,953.60 |
10.0× |
| Magnetic resonance angiography, head; with contrast material(s) Age Under 21 (70545) |
$1,674.55 |
$2,790.91 |
4.7× |
| Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further… (70546) |
$1,955.07 |
$3,258.45 |
5.5× |
| Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further… (70549) |
$1,955.07 |
$3,258.45 |
5.5× |
| MRA head w/o contrast (70544) |
$1,394.02 |
$2,323.37 |
5.7× |
| MRA neck w/ contrast (70548) |
$1,674.55 |
$2,790.91 |
4.7× |
| MRA neck w/o contrast (70547) |
$1,394.02 |
$2,323.37 |
5.7× |
| MRI abdomen w/contrast (74182) |
$2,274.83 |
$3,791.39 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$2,195.95 |
$3,659.91 |
9.0× |
| MRI abdomen w/wo contrast (74183) |
$2,353.73 |
$3,922.88 |
6.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,455.04 |
$5,758.39 |
4.3× |
| MRI breast c- bilateral (77047) |
$2,865.73 |
$4,776.21 |
11.8× |
| MRI c-spine w&w/o cont (72156) |
$3,004.90 |
$5,008.17 |
8.4× |
| MRI cervical spine w/contrast (72142) |
$2,445.29 |
$4,075.48 |
6.9× |
| MRI chest w/contrast (71551) |
$1,574.46 |
$2,624.10 |
2.0× |
| MRI chest w/o contrast (71550) |
$1,220.81 |
$2,034.69 |
5.0× |
| MRI chest w/wo contrast (71552) |
$1,928.11 |
$3,213.52 |
5.4× |
| MRI joint upr extr w/o&w/dye (73223) |
$3,465.25 |
$5,775.42 |
9.7× |
| MRI joint upr extrem w/dye (73222) |
$3,148.08 |
$5,246.80 |
3.9× |
| MRI joint upr extrem w/o dye (73221) |
$3,310.90 |
$5,518.18 |
13.6× |
| MRI lumbar spine w/contrast (72149) |
$3,173.32 |
$5,288.86 |
8.9× |
| MRI lumbar spine w/wo contrast (72158) |
$3,004.90 |
$5,008.17 |
8.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,070.09 |
$5,116.82 |
8.6× |
| MRI pelvis w & w/o contrast (72197) |
$2,354.58 |
$3,924.30 |
6.6× |
| MRI pelvis w/contrast (72196) |
$2,274.24 |
$3,790.40 |
6.4× |
| MRI pelvis w/o contrast (72195) |
$2,196.99 |
$3,661.65 |
9.0× |
| MRI spine cervical w/o contrast (72141) |
$2,396.63 |
$3,994.38 |
9.8× |
| MRI t-spine w&w/o cont (72157) |
$3,004.90 |
$5,008.17 |
8.4× |
| MRI thoracic spine w/contrast (72147) |
$2,031.13 |
$3,385.22 |
5.7× |
| MRI thoracic spine w/o contrst (72146) |
$1,982.49 |
$3,304.15 |
8.1× |
| MRI tmj (70336) |
$1,016.83 |
$1,694.72 |
4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,308.76 |
$5,514.60 |
13.6× |
| Myocardial spect multiple studies (78452) |
$2,274.65 |
$3,791.08 |
1.7× |
| Nm bone 3 phase (78315) |
$986.49 |
$1,644.15 |
2.4× |
| Nm bone imaging whole body (78306) |
$986.49 |
$1,644.15 |
2.4× |
| Nm gastric emptying (78264) |
$828.49 |
$1,380.81 |
2.0× |
| Non-cardiac vascular flow imaging (ie, angiography, venography) Age Under 21 (78445) |
$386.48 |
$644.13 |
0.9× |
| Nuclear medicine study of bone and/or joint limited area (78300) |
$986.49 |
$1,644.15 |
2.4× |
| Nuclear medicine study of bone and/or joint multiple areas (78305) |
$986.49 |
$1,644.15 |
2.4× |
| Ob us limited fetus(s) (76815) |
$479.93 |
$799.88 |
4.5× |
| Pulmonary ventilation & perfusion imaging (78582) |
$786.70 |
$1,311.17 |
1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$371.60 |
$619.34 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 1 vw (72081) |
$353.06 |
$588.43 |
4.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$405.64 |
$676.06 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$608.52 |
$1,014.20 |
5.7× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$811.25 |
$1,352.09 |
7.6× |
| Radex hip unilateral with pelvis 1 view (73501) |
$164 |
$273.33 |
1.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$183.20 |
$305.34 |
2.1× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$261.51 |
$435.85 |
2.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$326.92 |
$544.86 |
3.1× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$495.25 |
$825.41 |
4.6× |
| Radex spine cervical 2 or 3 views (72040) |
$382.38 |
$637.30 |
4.3× |
| Radex spine cervical 4 or 5 views (72050) |
$504.80 |
$841.33 |
4.7× |
| Radex spine cervical 6 or more views (72052) |
$540.65 |
$901.09 |
5.1× |
| Radex spine thoracolumbar junction min 2 views (72080) |
$276.91 |
$461.52 |
3.1× |
| Radiologic exam abdomen 3+ views (74021) |
$201.18 |
$335.30 |
1.9× |
| Radiologic exam chest 3 views (71047) |
$322.54 |
$537.57 |
3.6× |
| Radiologic exam chest 4+ views (71048) |
$332.44 |
$554.07 |
3.1× |
| Radiologic exam colon double contrast study (74280) |
$458.57 |
$764.29 |
2.6× |
| Radiologic exam colon single contrast study (74270) |
$458.57 |
$764.29 |
2.6× |
| Radiologic exam esophagus single contrast study (74220) |
$404.81 |
$674.68 |
2.3× |
| Radiologic exam small int single contrast study (74250) |
$381.34 |
$635.57 |
2.1× |
| Radiologic exam swallow function contrast study (74230) |
$390.69 |
$651.15 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$367.66 |
$612.76 |
2.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$334.22 |
$557.04 |
1.9× |
| Radiologic examination femur minimum 2 views (73552) |
$276.82 |
$461.37 |
3.1× |
| Radiologic examination from nose to rectum for foreign body, single view, child Age Under 21 (76010) |
$158.37 |
$263.95 |
1.8× |
| Radiologic examination, ankle; complete, minimum of 3 views Age Under 21 (73610) |
$380.80 |
$634.67 |
4.3× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$632.69 |
$1,054.48 |
5.9× |
| Radiologic examination, elbow; 2 views Age Under 21 (73070) |
$248.14 |
$413.56 |
2.8× |
| Radiologic examination, elbow; complete, minimum of 3 views Age Under 21 (73080) |
$461.74 |
$769.57 |
5.2× |
| Radiologic examination, facial bones; less than 3 views Age Under 21 (70140) |
$152.34 |
$253.90 |
1.7× |
| Radiologic examination, foot; complete, minimum of 3 views Age Under 21 (73630) |
$380.80 |
$634.67 |
4.3× |
| Radiologic examination, hand; minimum of 3 views Age Under 21 (73130) |
$407.79 |
$679.65 |
4.6× |
| Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21 (73565) |
$414.25 |
$690.41 |
4.7× |
| Radiologic examination, knee; complete, 4 or more views Age Under 21 (73564) |
$414.37 |
$690.62 |
3.9× |
| Radiologic examination, mandible; partial, less than 4 views Age Under 21 (70100) |
$152.34 |
$253.90 |
1.7× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Age Under 21 (70130) |
$241.18 |
$401.96 |
2.3× |
| Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 (70160) |
$304.93 |
$508.22 |
3.4× |
| Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s),… (74210) |
$404.81 |
$674.68 |
2.3× |
| Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21 (71111) |
$382.57 |
$637.62 |
3.6× |
| Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21 (71101) |
$305.18 |
$508.64 |
2.9× |
| Radiologic examination, sacroiliac joints; less than 3 views Age Under 21 (72200) |
$241.42 |
$402.36 |
2.3× |
| Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21 (73040) |
$612.70 |
$1,021.16 |
1.7× |
| Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21 (73030) |
$711.40 |
$1,185.66 |
8.0× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Age Under 21 (76100) |
$114.74 |
$191.24 |
1.1× |
| Radiologic examination, sinuses, paranasal, less than 3 views Age Under 21 (70210) |
$152.34 |
$253.90 |
1.7× |
| Radiologic examination, skull; less than 4 views Age Under 21 (70250) |
$152.34 |
$253.90 |
1.4× |
| Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 (72100) |
$432.04 |
$720.06 |
4.0× |
| Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age Under 21 (72120) |
$196.67 |
$327.79 |
1.8× |
| Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21 (72114) |
$524.31 |
$873.85 |
4.9× |
| Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21 (72074) |
$276.91 |
$461.52 |
2.6× |
| Radiologic examination, wrist; complete, minimum of 3 views Age Under 21 (73110) |
$461.74 |
$769.57 |
5.2× |
| Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21 (73050) |
$193.12 |
$321.86 |
2.2× |
| Radiologic examination; humerus, minimum of 2 views Age Under 21 (73060) |
$287.64 |
$479.40 |
3.2× |
| Radiologic examination; lower extremity, infant, minimum of 2 views Age Under 21 (73592) |
$477.34 |
$795.57 |
5.4× |
| Radiologic examination; orbits, complete, minimum of 4 views Age Under 21 (70200) |
$304.93 |
$508.22 |
2.9× |
| Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age Under 21 (71130) |
$145.60 |
$242.66 |
1.6× |
| Radiologic examination; toe(s), minimum of 2 views Age Under 21 (73660) |
$169.94 |
$283.23 |
1.9× |
| Radiologic examination; upper extremity, infant, minimum of 2 views Age Under 21 (73092) |
$461.74 |
$769.57 |
4.3× |
| Radiopharmaceutical therapy, by intravenous administration Age Under 21 (79101) |
$646.36 |
$1,077.26 |
2.7× |
| Radiopharmaceutical therapy, by oral administration Age Under 21 (79005) |
$646.36 |
$1,077.26 |
2.7× |
| Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (74455) |
$337.88 |
$563.13 |
1.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$905.57 |
$1,509.29 |
2.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$905.57 |
$1,509.29 |
1.6× |
| Scapula complete (73010) |
$156.73 |
$261.22 |
1.5× |
| Screening digital breast tomosynthesis bi (77063) |
$52.17 |
$86.95 |
— |
| Thyroid imaging with vascular flow (78013) |
$263.08 |
$438.47 |
0.6× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$411.59 |
$685.98 |
1.0× |
| Ultrasound breast limited (76642) |
$402.41 |
$670.68 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$824.37 |
$1,373.95 |
7.7× |
| Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space,… (76882) |
$211.82 |
$353.04 |
2.0× |
| Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 (76856) |
$751.85 |
$1,253.09 |
7.0× |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14… (76801) |
$406.77 |
$677.95 |
3.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21 (74400) |
$332.78 |
$554.63 |
1.9× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Age Under 21 (74415) |
$332.78 |
$554.63 |
1.9× |
| Us abdominal aorta real time screen study aaa (76706) |
$518.59 |
$864.32 |
4.9× |
| Us breast uni real time with image complete (76641) |
$477.62 |
$796.04 |
4.5× |
| Us chest (76604) |
$524.06 |
$873.43 |
4.9× |
| Us compl joint r-t w/image documentation (76881) |
$308.09 |
$513.48 |
2.9× |
| Us encephalogram (76506) |
$594.58 |
$990.96 |
5.6× |
| Us exam, pelvic, limited (76857) |
$264.10 |
$440.17 |
2.5× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$382.57 |
$637.61 |
4.3× |
| US OB Follow-Up/Repeat (76816) |
$181.79 |
$302.98 |
1.7× |
| Us ob transvaginal (76817) |
$287.32 |
$478.87 |
2.7× |
| Us retroperitoneal complete (76770) |
$684.95 |
$1,141.59 |
6.4× |
| Us retroperitoneal ltd (76775) |
$291.20 |
$485.33 |
2.7× |
| Us scrotum (76870) |
$301.57 |
$502.61 |
2.8× |
| Us soft tissue head/neck (76536) |
$672.40 |
$1,120.67 |
6.3× |
| Us spinal canal (76800) |
$174.32 |
$290.53 |
1.6× |
| Us transrectal (76872) |
$358.52 |
$597.53 |
3.4× |
| Vertebral fracture assessment via dxa (77086) |
$296.30 |
$493.83 |
3.3× |
| X-ray exam hips bi 3-4 views (73522) |
$247.63 |
$412.71 |
2.3× |
| X-ray exam of finger(s) (73140) |
$326.22 |
$543.70 |
3.7× |
| X-ray exam of knee 1 or 2 (73560) |
$338.35 |
$563.92 |
3.8× |
| X-ray exam ribs bil 3 views (71110) |
$382.38 |
$637.30 |
3.6× |
| X-ray exam ribs uni 2 views (71100) |
$145.60 |
$242.66 |
1.6× |
| X-ray heel (73650) |
$169.94 |
$283.23 |
1.9× |
| X-ray of joint between lower spine and hip bone 3 or more views|PROFESSIONAL COMPONENT (72202) |
$304.96 |
$508.26 |
2.9× |
| X-ray retrograde pyelogram (74420) |
$332.78 |
$554.63 |
0.9× |
| Xr abdomen 1 view (74018) |
$148.33 |
$247.21 |
1.7× |
| Xr abdomen 2 views (74019) |
$398.24 |
$663.74 |
3.7× |
| Xr arthrogram ankle (73615) |
$612.70 |
$1,021.16 |
1.7× |
| Xr arthrogram elbow (73085) |
$856.75 |
$1,427.92 |
2.4× |
| Xr arthrogram hip (73525) |
$428.30 |
$713.83 |
1.2× |
| Xr arthrogram wrist (73115) |
$447.46 |
$745.76 |
1.3× |
| Xr bone age studies (77072) |
$106.89 |
$178.15 |
1.0× |
| Xr bone survey infant (77076) |
$859.72 |
$1,432.86 |
8.0× |
| Xr chest 1 view (71045) |
$263.90 |
$439.83 |
3.0× |
| Xr chest 2 views (71046) |
$312.07 |
$520.11 |
3.5× |
| Xr eye foreign body (70030) |
$152.34 |
$253.90 |
1.7× |
| Xr facial bones 3+ views (70150) |
$241.42 |
$402.36 |
2.3× |
| Xr foot arthritis pa only bilateral - report(ortho pro) (73620) |
$387.58 |
$645.96 |
4.4× |
| Xr forearm 2 views (73090) |
$307.64 |
$512.74 |
3.5× |
| Xr hand 2v (73120) |
$337.65 |
$562.75 |
3.2× |
| Xr hysterosalpingogram (74740) |
$436.47 |
$727.45 |
1.8× |
| Xr joint survey 1 view (77077) |
$265.10 |
$441.84 |
2.5× |
| Xr neck soft tissue (70360) |
$144.75 |
$241.25 |
1.6× |
| Xr o knee w/ merchant view bilat - report(ortho pro) (73562) |
$435.52 |
$725.88 |
4.9× |
| Xr osseous survey complete (77075) |
$508.48 |
$847.46 |
4.8× |
| Xr pelvis 1-2 views (72170) |
$185.47 |
$309.12 |
1.7× |
| Xr pelvis min 3 view (72190) |
$218.33 |
$363.88 |
2.0× |
| Xr sacrum/coccyx 2+ views (72220) |
$241.42 |
$402.36 |
2.7× |
| Xr shoulder 1 view (73020) |
$270.38 |
$450.63 |
3.0× |
| Xr sinuses 3+ views (70220) |
$304.93 |
$508.22 |
3.4× |
| Xr skull min 4 view (70260) |
$241.42 |
$402.36 |
2.3× |
| Xr spine 1 view (72020) |
$162.35 |
$270.58 |
1.8× |
| Xr spine thoracic 3v (72072) |
$430.91 |
$718.18 |
4.0× |
| Xr sternum 2+ views (71120) |
$145.60 |
$242.66 |
1.6× |
| Xr surgical specimen (76098) |
$371.60 |
$619.34 |
0.7× |
| Xr t-spine 2 views (72070) |
$276.91 |
$461.52 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$477.34 |
$795.57 |
5.4× |
| Xr tmj bilateral (70330) |
$304.93 |
$508.22 |
3.4× |
| Xr wrist 2 views (73100) |
$269.70 |
$449.50 |
3.0× |