| Abdomen 2 views (74019) |
$1,890.75 |
$1,890.75 |
20.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,764 |
$3,764 |
10.5× |
| Angiography extremity bilateral rs&i (75716) |
$21,840 |
$21,840 |
7.7× |
| Angiography extremity unilateral rs&i (75710) |
$17,473.75 |
$17,473.75 |
6.2× |
| Angiography internal mammary rs&i (75756) |
$5,840 |
$5,840 |
2.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$19,100.25 |
$19,100.25 |
3.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$21,840 |
$21,840 |
7.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$17,470.25 |
$17,470.25 |
6.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$17,467 |
$17,467 |
3.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,695.50 |
$2,695.50 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$9,791.75 |
$9,791.75 |
3.5× |
| Ankle 2 views (73600) |
$1,682 |
$1,682 |
21.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,725.38 |
$2,725.38 |
8.7× |
| Aortogram thoracic (75605) |
$17,467 |
$17,467 |
3.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$17,467 |
$17,467 |
6.2× |
| Aortography abdominal serialography rs&i (75625) |
$17,467 |
$17,467 |
6.2× |
| Arthrogram elbow (73085) |
$4,880.50 |
$4,880.50 |
15.6× |
| Arthrogram hip (73525) |
$4,425.25 |
$4,425.25 |
14.2× |
| Arthrogram shoulder (73040) |
$4,880.50 |
$4,880.50 |
15.6× |
| Arthrogram wrist (73115) |
$2,757.50 |
$2,757.50 |
8.8× |
| Arthrography knee lt (73580) |
$5,265.75 |
$5,265.75 |
16.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$4,332 |
$4,332 |
12.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$7,211 |
$7,211 |
20.1× |
| Bone &/joint imaging whole body (78306) |
$7,828 |
$7,828 |
21.9× |
| Bone age studies (77072) |
$820.25 |
$820.25 |
8.8× |
| Bone Imaging 3 Phase (78315) |
$7,851 |
$7,851 |
21.9× |
| Bone survey complete (77075) |
$3,476.25 |
$3,476.25 |
37.1× |
| Brain image w/flow 4 + views (78606) |
$4,694 |
$4,694 |
9.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$15,350.25 |
$15,350.25 |
12.0× |
| Cervical spine 2 or 3 views (72040) |
$2,170 |
$2,170 |
27.8× |
| Chest 1 view (71045) |
$1,064 |
$1,064 |
13.6× |
| Chest 3 views (71047) |
$1,579 |
$1,579 |
20.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,881.75 |
$1,881.75 |
12.0× |
| Cineradiography/videoradiography (76120) |
$1,622.75 |
$1,622.75 |
17.3× |
| Clavicle complete (73000) |
$1,737.50 |
$1,737.50 |
22.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$411 |
$411 |
4.4× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$2,551 |
$2,551 |
16.2× |
| Corpora cavernosography (74445) |
$2,389.50 |
$2,389.50 |
25.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$18,507 |
$18,507 |
59.2× |
| CT abdomen and pelvis without contrast (74176) |
$14,171 |
$14,171 |
66.3× |
| CT abdomen w contrast (74160) |
$8,475 |
$8,475 |
53.9× |
| CT abdomen w wo contrast (74170) |
$9,905 |
$9,905 |
63.0× |
| CT abdomen w/o contrast (74150) |
$8,355 |
$8,355 |
89.2× |
| CT angiography upper extremity lt (73206) |
$9,688 |
$9,688 |
61.7× |
| CT c-spine w/o contrast (72125) |
$7,128 |
$7,128 |
76.1× |
| CT cervical spine w&w/o contrast (72127) |
$7,408 |
$7,408 |
47.1× |
| CT cervical spine with contrast (72126) |
$7,752 |
$7,752 |
24.8× |
| CT chest w/wo contrast (71270) |
$9,905 |
$9,905 |
63.0× |
| CT chest with contrast (71260) |
$8,642 |
$8,642 |
55.0× |
| CT head/brain with contrast (70460) |
$8,042 |
$8,042 |
51.2× |
| CT head/brain without and with contrast (70470) |
$9,735 |
$9,735 |
62.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$108 |
$108 |
1.4× |
| CT iac w contrast (70481) |
$7,170 |
$7,170 |
45.6× |
| CT limited/localized follow up study (76380) |
$4,845 |
$4,845 |
62.1× |
| CT lower ext w/o (73700) |
$5,557 |
$5,557 |
59.3× |
| CT lower extremity w wo contrast (73702) |
$8,349 |
$8,349 |
53.1× |
| CT lower extremity with contrast (73701) |
$6,416 |
$6,416 |
40.8× |
| CT lumbar spine w & w/o contrast (72133) |
$8,649 |
$8,649 |
55.0× |
| CT lumbar spine w/o contrast (72131) |
$5,760 |
$5,760 |
61.5× |
| CT lumbar spine with contrast (72132) |
$8,082 |
$8,082 |
25.9× |
| CT maxillofacial w contrast (70487) |
$7,221 |
$7,221 |
46.0× |
| CT maxillofacial w/o contrast (70486) |
$7,103 |
$7,103 |
75.8× |
| CT maxillofacial w/wo contrast (70488) |
$7,438 |
$7,438 |
47.3× |
| CT neck soft tissue w contrast (70491) |
$7,911 |
$7,911 |
50.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$8,362 |
$8,362 |
53.2× |
| CT orbits w/o contrast (70480) |
$5,764 |
$5,764 |
61.5× |
| CT pelvis w & w/o contrast (72194) |
$8,605 |
$8,605 |
54.8× |
| CT pelvis w/o contrast (72192) |
$5,808 |
$5,808 |
62.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$2,292 |
$2,292 |
29.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$10,273 |
$10,273 |
65.4× |
| CT soft tissue neck w/o contrast (70490) |
$6,192 |
$6,192 |
66.1× |
| CT thoracic spine w/contrast (72129) |
$8,459 |
$8,459 |
53.8× |
| CT thoracic spine w/o contrast (72128) |
$7,844 |
$7,844 |
83.8× |
| CT thoracic spine w/wo contrast (72130) |
$8,649 |
$8,649 |
55.0× |
| CT thorax w/o contrast (71250) |
$7,425 |
$7,425 |
79.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$8,349 |
$8,349 |
53.1× |
| CT upper extremity w/o contrast rt (73200) |
$5,557 |
$5,557 |
59.3× |
| CT upper extremity with contrast (73201) |
$6,416 |
$6,416 |
20.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$8,786 |
$8,786 |
55.9× |
| Cta Abdomen (74175) |
$8,786 |
$8,786 |
55.9× |
| CTA abdomen pelvis (74174) |
$17,575 |
$17,575 |
56.2× |
| CTA chest (71275) |
$8,786 |
$8,786 |
55.9× |
| Cta Head (70496) |
$8,786 |
$8,786 |
55.9× |
| CTA lwr ext w&w/o contrast (73706) |
$8,349 |
$8,349 |
53.1× |
| Cta Neck (70498) |
$8,786 |
$8,786 |
55.9× |
| Cta Pelvis (72191) |
$8,786 |
$8,786 |
55.9× |
| Cystography minimum 3 views rs&i (74430) |
$2,761.25 |
$2,761.25 |
8.8× |
| Diskogram cervical (72285) |
$15,197.25 |
$15,197.25 |
8.7× |
| Diskography lumbar (72295) |
$15,197.25 |
$15,197.25 |
8.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,524 |
$1,524 |
16.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,524 |
$1,524 |
19.5× |
| Dxa bone density study axial skeleton (77085) |
$469.50 |
$469.50 |
5.0× |
| Echoencephalography real time imaging (76506) |
$2,763.50 |
$2,763.50 |
29.5× |
| Esophagus (74220) |
$2,180.25 |
$2,180.25 |
13.9× |
| Fetal biophysical profile non-stress testing (76818) |
$2,989.50 |
$2,989.50 |
31.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,860.50 |
$1,860.50 |
19.9× |
| Fluoroscopy up to 1 hr (76000) |
$2,315.75 |
$2,315.75 |
10.8× |
| Foot 2 views (73620) |
$1,074.50 |
$1,074.50 |
13.8× |
| Forearm 2 views (73090) |
$1,786.75 |
$1,786.75 |
22.9× |
| Gated Heart Planar Single (78472) |
$7,163 |
$7,163 |
20.0× |
| Hand 2 views (73120) |
$758.50 |
$758.50 |
8.1× |
| Hand 3 views (73130) |
$1,222.50 |
$1,222.50 |
15.7× |
| Heart Infarct Image (78466) |
$6,496 |
$6,496 |
18.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$7,904 |
$7,904 |
16.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$7,046 |
$7,046 |
19.7× |
| Ht muscle image spect sing (78451) |
$7,383 |
$7,383 |
6.4× |
| Humerus Min 2 Views Left (73060) |
$1,653.50 |
$1,653.50 |
21.2× |
| Hysterosalpingogram (74740) |
$3,472.25 |
$3,472.25 |
16.2× |
| Kidney imaging morphology (78700) |
$6,577 |
$6,577 |
18.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$6,663 |
$6,663 |
13.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,690 |
$5,690 |
11.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$11,399 |
$11,399 |
23.4× |
| Knee 3 views (73562) |
$1,857 |
$1,857 |
23.8× |
| Liver & spleen imaging static only (78215) |
$4,332 |
$4,332 |
12.1× |
| Liver imaging static only (78201) |
$4,332 |
$4,332 |
8.9× |
| Lung perf&ventilat diferentl (78598) |
$7,578 |
$7,578 |
15.6× |
| Lung perfusion differential (78597) |
$5,949 |
$5,949 |
16.6× |
| Lung Ventilation Imaging (78579) |
$5,949 |
$5,949 |
16.6× |
| Lymphoscintigraphy (78195) |
$6,692 |
$6,692 |
13.8× |
| Mammary ductogram or galactogram multiple (77054) |
$4,956.50 |
$4,956.50 |
23.2× |
| Mammary ductogram or galactogram single (77053) |
$2,254.75 |
$2,254.75 |
10.5× |
| Meckels Diverticulum (78290) |
$3,136 |
$3,136 |
8.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$79 |
$79 |
3.0× |
| MRA head w & w/o contrast (70546) |
$13,388 |
$13,388 |
42.8× |
| MRA head w/o contrast (70544) |
$10,468 |
$10,468 |
49.0× |
| MRA head with contrast (70545) |
$12,324 |
$12,324 |
39.4× |
| MRA neck w contrast (70548) |
$12,324 |
$12,324 |
39.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$13,388 |
$13,388 |
42.8× |
| MRA neck w/o contrast (70547) |
$10,468 |
$10,468 |
49.0× |
| MRI abdomen w contrast (74182) |
$12,324 |
$12,324 |
39.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$13,388 |
$13,388 |
42.8× |
| MRI abdomen w/o contrast (74181) |
$11,221 |
$11,221 |
52.5× |
| MRI any jnt lwr ext with con lt (73722) |
$10,084 |
$10,084 |
14.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$12,324 |
$12,324 |
17.5× |
| MRI breast w/o contrast bilateral (77047) |
$959 |
$959 |
4.5× |
| MRI breast w/o contrast unilat (77046) |
$959 |
$959 |
4.5× |
| MRI c-spine with contrast (72142) |
$10,288 |
$10,288 |
32.9× |
| MRI cervical spine w/o contrast (72141) |
$10,816 |
$10,816 |
50.6× |
| MRI chest w/o & w/contrast material (71552) |
$10,468 |
$10,468 |
33.5× |
| MRI chest w/o contrast (71550) |
$9,610 |
$9,610 |
45.0× |
| MRI chest with contrast (71551) |
$10,468 |
$10,468 |
14.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$10,437 |
$10,437 |
33.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$12,324 |
$12,324 |
39.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$9,709 |
$9,709 |
45.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$9,610 |
$9,610 |
45.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,816 |
$10,816 |
34.6× |
| MRI orbit/face/neck w/contrast (70542) |
$10,136 |
$10,136 |
32.4× |
| MRI pelvis w contrast (72196) |
$10,102 |
$10,102 |
32.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$13,388 |
$13,388 |
42.8× |
| MRI pelvis w/o contrast (72195) |
$9,347 |
$9,347 |
43.7× |
| MRI scan of arm joint before and after contrast (73223) |
$13,388 |
$13,388 |
42.8× |
| MRI scan of leg joint before and after contrast (73723) |
$10,468 |
$10,468 |
33.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$13,388 |
$13,388 |
42.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,411 |
$10,411 |
33.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$13,388 |
$13,388 |
42.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$9,610 |
$9,610 |
30.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$13,388 |
$13,388 |
42.8× |
| MRI thoracic spine w/o contrast (72146) |
$9,610 |
$9,610 |
45.0× |
| MRI tmj (70336) |
$12,231 |
$12,231 |
57.2× |
| MRI upper ext joint w/o contrast (73221) |
$10,288 |
$10,288 |
48.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$13,388 |
$13,388 |
42.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$10,174 |
$10,174 |
47.6× |
| Myelogram Cervical (72240) |
$7,983.75 |
$7,983.75 |
11.4× |
| Myelogram Lumbar (72265) |
$7,983.75 |
$7,983.75 |
11.4× |
| Myelogram thoracic (72255) |
$6,446.50 |
$6,446.50 |
9.2× |
| Myocardial Spect Multiple Studies (78452) |
$11,999 |
$11,999 |
10.3× |
| Neck soft tissue (70360) |
$1,326.50 |
$1,326.50 |
17.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,287 |
$1,287 |
3.6× |
| Nm gastric emptying study (78264) |
$6,860 |
$6,860 |
19.2× |
| Nuclear Rx Oral Admin (79005) |
$4,865 |
$4,865 |
23.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,712.75 |
$2,712.75 |
29.0× |
| Osseous survey infant (77076) |
$1,262.50 |
$1,262.50 |
13.5× |
| Osseous survey limited (77074) |
$2,653.50 |
$2,653.50 |
28.3× |
| Parathyroid imaging (78070) |
$4,865 |
$4,865 |
13.6× |
| Pelvis 1 or 2 views (72170) |
$1,599 |
$1,599 |
17.1× |
| PET image w/CT, skull-thigh (78815) |
$15,350.25 |
$15,350.25 |
12.0× |
| PET imaging CT for attenuation limited area (78814) |
$15,350.25 |
$15,350.25 |
12.0× |
| PET imaging for CT attenuation whole body (78816) |
$15,350.25 |
$15,350.25 |
12.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$13,388 |
$13,388 |
42.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$5,000 |
$5,000 |
14.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$7,578 |
$7,578 |
15.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,940 |
$2,940 |
6.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$2,310 |
$2,310 |
29.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,403.75 |
$2,403.75 |
25.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,548.50 |
$2,548.50 |
27.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,689.75 |
$1,689.75 |
18.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,803.50 |
$2,803.50 |
29.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,949 |
$1,949 |
3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$2,405 |
$2,405 |
25.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,742 |
$1,742 |
22.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,041.50 |
$2,041.50 |
21.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,552.75 |
$1,552.75 |
19.9× |
| Radiologic exam colon single contrast study (74270) |
$4,199.25 |
$4,199.25 |
26.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$2,491.50 |
$2,491.50 |
15.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$4,637.25 |
$4,637.25 |
29.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$4,000.50 |
$4,000.50 |
25.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$3,239.75 |
$3,239.75 |
41.6× |
| Radiological examination surgical specimen (76098) |
$1,782.50 |
$1,782.50 |
3.6× |
| Ribs bilateral 3 views (71110) |
$2,660.25 |
$2,660.25 |
28.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,268 |
$6,268 |
17.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,860 |
$6,860 |
14.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,268 |
$6,268 |
12.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$5,586 |
$5,586 |
4.8× |
| Scanogram (77073) |
$1,397.88 |
$1,397.88 |
14.9× |
| Scapula complete (73010) |
$1,390 |
$1,390 |
14.8× |
| Screening digital breast tomosynthesis (77063) |
$135 |
$135 |
5.8× |
| Sella turcica (70240) |
$949.75 |
$949.75 |
12.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,579 |
$1,579 |
16.9× |
| Sialogram (70390) |
$3,092.50 |
$3,092.50 |
14.5× |
| Small bowel series (74250) |
$2,714.50 |
$2,714.50 |
17.3× |
| Spine thoracic 3 views (72072) |
$2,562.75 |
$2,562.75 |
27.4× |
| Testicular Imaging With Vascular Flow (78761) |
$4,520 |
$4,520 |
12.6× |
| Thoracolumbar 2 views (72080) |
$1,609.50 |
$1,609.50 |
20.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$7,352 |
$7,352 |
15.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$4,137 |
$4,137 |
11.6× |
| Thyroid uptake measurement (78012) |
$3,837 |
$3,837 |
10.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$8,861 |
$8,861 |
24.7× |
| Tomogram (76100) |
$4,088.50 |
$4,088.50 |
43.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$8,452 |
$8,452 |
17.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$4,606 |
$4,606 |
12.9× |
| Ultrasound, abdomen limited (76705) |
$3,874 |
$3,874 |
41.4× |
| Umbilical-artery Doppler (OB) (76820) |
$905.75 |
$905.75 |
9.7× |
| Unlisted magnetic resonance procedure (76498) |
$11,221 |
$11,221 |
143.9× |
| Unlisted Ultrasound Procedure (76999) |
$743.75 |
$743.75 |
9.5× |
| Upper Extremity Infant (73092) |
$758.50 |
$758.50 |
8.1× |
| Urethrocystography retrograde rs&i (74450) |
$2,641.75 |
$2,641.75 |
12.4× |
| Urethrocystography voiding (74455) |
$2,796 |
$2,796 |
13.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$4,050.25 |
$4,050.25 |
25.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$6,297 |
$6,297 |
40.1× |
| Us abdl aorta screen aaa (76706) |
$589 |
$589 |
6.3× |
| Us breast unilateral complete (76641) |
$4,431.50 |
$4,431.50 |
47.3× |
| Us breast unilateral limited (76642) |
$4,178.25 |
$4,178.25 |
53.6× |
| Us chest (76604) |
$2,174 |
$2,174 |
23.2× |
| Us compl joint r-t w/image documentation (76881) |
$4,655.75 |
$4,655.75 |
49.7× |
| Us guided compression repair (76936) |
$1,000.50 |
$1,000.50 |
5.2× |
| Us infant hips limited static (76886) |
$1,405.75 |
$1,405.75 |
18.0× |
| Us kidney transplant (76776) |
$5,209 |
$5,209 |
55.6× |
| Us ob transvaginal (76817) |
$3,991.75 |
$3,991.75 |
42.6× |
| Us pelvic non ob complete (76856) |
$3,737 |
$3,737 |
39.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,173 |
$2,173 |
23.2× |
| Us pregnancy ltd (76815) |
$2,173 |
$2,173 |
23.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,744.50 |
$1,744.50 |
18.6× |
| Us retroperitoneal complete (76770) |
$4,074.50 |
$4,074.50 |
43.5× |
| Us retroperitoneal limited (76775) |
$5,242.25 |
$5,242.25 |
56.0× |
| Us scrotum and contents (76870) |
$3,102.75 |
$3,102.75 |
33.1× |
| Us soft tissue head/neck (76536) |
$3,497.25 |
$3,497.25 |
37.3× |
| Us spinal canal and contents (76800) |
$1,423 |
$1,423 |
15.2× |
| Us transrectal (76872) |
$2,045.50 |
$2,045.50 |
21.8× |
| Us xtr non-vasc lmtd (76882) |
$3,163 |
$3,163 |
33.8× |
| Vasogram (74440) |
$3,804.50 |
$3,804.50 |
17.8× |
| Venogram extremity bilateral (75822) |
$5,913.50 |
$5,913.50 |
4.2× |
| Venography caval inferior serialography rs&i (75825) |
$17,473.75 |
$17,473.75 |
6.2× |
| Venography caval superior serialography rs&i (75827) |
$9,789.50 |
$9,789.50 |
6.9× |
| Venography extremity unilateral rs&i (75820) |
$5,913.50 |
$5,913.50 |
4.2× |
| Venography Renal Bilateral (75833) |
$21,840 |
$21,840 |
7.7× |
| Venography renal unilateral selective rs&i (75831) |
$17,473.75 |
$17,473.75 |
6.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,015.75 |
$6,015.75 |
2.1× |
| Vertebral fracture assessment via dxa (77086) |
$317.25 |
$317.25 |
4.1× |
| Wrist 2 views (73100) |
$1,445.75 |
$1,445.75 |
18.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,873.75 |
$2,873.75 |
30.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,807.50 |
$1,807.50 |
23.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,682 |
$1,682 |
21.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,886.50 |
$4,886.50 |
31.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,316.25 |
$1,316.25 |
16.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,800.50 |
$1,800.50 |
23.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,603.25 |
$2,603.25 |
27.8× |
| X-ray exam hip uni 1 view (73501) |
$1,964.25 |
$1,964.25 |
25.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$2,071.25 |
$2,071.25 |
26.6× |
| X-ray exam hip uni 4/> views (73503) |
$2,188.50 |
$2,188.50 |
23.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,665 |
$2,665 |
28.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,782.75 |
$2,782.75 |
29.7× |
| X-ray exam of femur 1 (73551) |
$2,226.25 |
$2,226.25 |
28.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,365.50 |
$3,365.50 |
21.4× |
| X-ray eye for foreign body (70030) |
$758.50 |
$758.50 |
9.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,839.25 |
$2,839.25 |
30.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,039.50 |
$1,039.50 |
13.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,655 |
$1,655 |
21.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$9,965.25 |
$9,965.25 |
5.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,569.25 |
$1,569.25 |
20.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,798.50 |
$1,798.50 |
23.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,423.25 |
$2,423.25 |
25.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$758.50 |
$758.50 |
9.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,381 |
$2,381 |
25.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,631.50 |
$4,631.50 |
49.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$2,064.75 |
$2,064.75 |
22.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,774.50 |
$1,774.50 |
22.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,262.50 |
$1,262.50 |
16.2× |
| X-ray of voice box or throat (70370) |
$1,268.75 |
$1,268.75 |
16.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,284 |
$2,284 |
24.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,466.25 |
$1,466.25 |
15.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$4,214.75 |
$4,214.75 |
13.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,177 |
$2,177 |
27.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,177 |
$2,177 |
23.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,660.25 |
$2,660.25 |
28.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,914 |
$1,914 |
20.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,951.25 |
$1,951.25 |
25.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,919 |
$1,919 |
24.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$3,432 |
$3,432 |
44.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,262.50 |
$1,262.50 |
16.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,832.50 |
$2,832.50 |
30.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,275 |
$2,275 |
24.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,539 |
$1,539 |
19.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,533.75 |
$1,533.75 |
19.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,900.75 |
$1,900.75 |
24.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,028.50 |
$1,028.50 |
13.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,727 |
$1,727 |
22.2× |
| Xr c-spine 6 or more views (72052) |
$2,867.25 |
$2,867.25 |
30.6× |
| Xr chest 4+ views (71048) |
$1,934.50 |
$1,934.50 |
20.7× |
| Xr Cholecystography Oral Contrast (74290) |
$2,790.25 |
$2,790.25 |
17.8× |
| Xr finger(s) 2+ views (73140) |
$1,524.50 |
$1,524.50 |
19.6× |
| Xr internal auditory meati complete (70134) |
$1,334.50 |
$1,334.50 |
2.7× |
| Xr optic foramina (70190) |
$949.75 |
$949.75 |
12.2× |
| Xr shoulder 1 view (73020) |
$957 |
$957 |
12.3× |
| Xr spine cervical 4 or 5 views (72050) |
$2,864 |
$2,864 |
30.6× |
| Xr tibia/fibula 2 views (73590) |
$1,798.50 |
$1,798.50 |
23.1× |
| Xr tmj bilateral (70330) |
$2,462.50 |
$2,462.50 |
31.6× |
| Xray knee 1 or 2 views rt (73560) |
$1,549.75 |
$1,549.75 |
19.9× |