| Abdomen 2 views (74019) |
$607.60 |
$1,519 |
5.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,772.40 |
$6,931 |
6.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,920 |
$7,300 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$5,804.40 |
$14,511 |
1.8× |
| Angiography internal mammary rs&i (75756) |
$1,854.80 |
$4,637 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,970 |
$17,425 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,262.40 |
$13,156 |
1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,565.20 |
$3,913 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$7,538.20 |
$18,845.50 |
1.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,804.40 |
$14,511 |
1.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,355.60 |
$3,389 |
0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,652 |
$6,630 |
0.8× |
| Ankle 2 views (73600) |
$503.60 |
$1,259 |
5.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$462.20 |
$1,155.50 |
1.3× |
| Aortogram thoracic (75605) |
$6,970 |
$17,425 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,058 |
$17,645 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$4,596.40 |
$11,491 |
1.4× |
| Aortography thoracic w/o serialography rs&i (75600) |
$5,804.40 |
$14,511 |
1.8× |
| Arthrogram hip (73525) |
$804.40 |
$2,011 |
2.3× |
| Arthrogram shoulder (73040) |
$866.80 |
$2,167 |
2.5× |
| Arthrography knee lt (73580) |
$804.40 |
$2,011 |
2.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$909.20 |
$2,273 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,711.60 |
$4,279 |
4.3× |
| Bone age studies (77072) |
$677 |
$1,692.50 |
6.4× |
| Bone Imaging 3 Phase (78315) |
$2,839.20 |
$7,098 |
7.1× |
| Bone survey complete (77075) |
$1,717.60 |
$4,294 |
16.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,171.20 |
$2,928 |
2.1× |
| Brain Imaging Vascular Flow Only (78610) |
$1,171.20 |
$2,928 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$400.80 |
$1,002 |
4.6× |
| Chest 1 view (71045) |
$337.20 |
$843 |
3.9× |
| Chest 3 views (71047) |
$622.80 |
$1,557 |
7.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$862.20 |
$2,155.50 |
4.9× |
| Clavicle complete (73000) |
$518.40 |
$1,296 |
5.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$734.80 |
$1,837 |
4.2× |
| Corpora cavernosography (74445) |
$519.60 |
$1,299 |
4.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,059.60 |
$17,649 |
20.1× |
| CT abdomen and pelvis without contrast (74176) |
$6,010.80 |
$15,027 |
25.1× |
| CT abdomen w contrast (74160) |
$3,455 |
$8,637.50 |
19.6× |
| CT abdomen w wo contrast (74170) |
$4,007.60 |
$10,019 |
22.7× |
| CT abdomen w/o contrast (74150) |
$3,194.20 |
$7,985.50 |
30.4× |
| CT angio hrt w/3d image (75574) |
$1,496.40 |
$3,741 |
4.3× |
| CT angiography upper extremity lt (73206) |
$1,412.80 |
$3,532 |
8.0× |
| CT c-spine w/o contrast (72125) |
$3,156.40 |
$7,891 |
30.1× |
| CT cervical spine w&w/o contrast (72127) |
$4,127.40 |
$10,318.50 |
23.4× |
| CT cervical spine with contrast (72126) |
$5,112 |
$12,780 |
14.6× |
| CT chest w/wo contrast (71270) |
$3,665.60 |
$9,164 |
20.8× |
| CT chest with contrast (71260) |
$2,832.60 |
$7,081.50 |
16.1× |
| CT head/brain with contrast (70460) |
$4,045.20 |
$10,113 |
23.0× |
| CT head/brain without and with contrast (70470) |
$3,351.80 |
$8,379.50 |
19.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,108 |
$2,770 |
3.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$186.40 |
$466 |
2.1× |
| CT hrt w/3d image congen (75573) |
$2,544 |
$6,360 |
7.3× |
| CT iac w contrast (70481) |
$3,247.20 |
$8,118 |
18.4× |
| CT limited/localized follow up study (76380) |
$1,057.60 |
$2,644 |
12.1× |
| CT lower ext w/o (73700) |
$2,903.20 |
$7,258 |
27.6× |
| CT lower extremity w wo contrast (73702) |
$5,668.80 |
$14,172 |
32.2× |
| CT lower extremity with contrast (73701) |
$2,489.20 |
$6,223 |
14.1× |
| CT lumbar spine w & w/o contrast (72133) |
$6,130.40 |
$15,326 |
34.8× |
| CT lumbar spine w/o contrast (72131) |
$4,267 |
$10,667.50 |
40.6× |
| CT lumbar spine with contrast (72132) |
$5,623.20 |
$14,058 |
16.0× |
| CT maxillofacial w contrast (70487) |
$3,292.20 |
$8,230.50 |
18.7× |
| CT maxillofacial w/o contrast (70486) |
$3,288.60 |
$8,221.50 |
31.3× |
| CT maxillofacial w/wo contrast (70488) |
$4,174 |
$10,435 |
23.7× |
| CT neck soft tissue w contrast (70491) |
$3,380.20 |
$8,450.50 |
19.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,674.40 |
$11,686 |
26.5× |
| CT orbits w/o contrast (70480) |
$3,474.80 |
$8,687 |
33.1× |
| CT pelvis w & w/o contrast (72194) |
$5,820.80 |
$14,552 |
33.0× |
| CT pelvis w/o contrast (72192) |
$2,958.80 |
$7,397 |
28.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,609.60 |
$14,024 |
31.8× |
| CT soft tissue neck w/o contrast (70490) |
$3,037.80 |
$7,594.50 |
28.9× |
| CT thoracic spine w/contrast (72129) |
$4,909.20 |
$12,273 |
27.9× |
| CT thoracic spine w/o contrast (72128) |
$4,375.60 |
$10,939 |
41.7× |
| CT thoracic spine w/wo contrast (72130) |
$5,252 |
$13,130 |
29.8× |
| CT thorax w/o contrast (71250) |
$2,689 |
$6,722.50 |
25.6× |
| CT unlisted procedure (76497) |
$1,238 |
$3,095 |
14.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,615.20 |
$9,038 |
20.5× |
| CT upper extremity w/o contrast rt (73200) |
$2,903.20 |
$7,258 |
27.6× |
| CT upper extremity with contrast (73201) |
$3,560.80 |
$8,902 |
10.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,508 |
$8,770 |
19.9× |
| Cta Abdomen (74175) |
$3,934 |
$9,835 |
22.3× |
| CTA abdomen pelvis (74174) |
$3,479.20 |
$8,698 |
9.9× |
| CTA chest (71275) |
$3,655.20 |
$9,138 |
20.7× |
| Cta Head (70496) |
$3,504.80 |
$8,762 |
19.9× |
| CTA lwr ext w&w/o contrast (73706) |
$3,466.80 |
$8,667 |
19.7× |
| Cta Neck (70498) |
$2,586.40 |
$6,466 |
14.7× |
| Cta Pelvis (72191) |
$1,483.60 |
$3,709 |
8.4× |
| Cystography minimum 3 views rs&i (74430) |
$732.20 |
$1,830.50 |
2.1× |
| Diskogram cervical (72285) |
$7,470 |
$18,675 |
3.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$360 |
$900 |
3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$480 |
$1,200 |
4.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$762.80 |
$1,907 |
7.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$251.60 |
$629 |
2.9× |
| Echo exam of fetal heart (76825) |
$880 |
$2,200 |
1.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,680 |
$4,200 |
7.0× |
| Echoencephalography real time imaging (76506) |
$989.60 |
$2,474 |
9.4× |
| Esophagus (74220) |
$554.60 |
$1,386.50 |
3.1× |
| Fetal biophysical profile non-stress testing (76818) |
$708 |
$1,770 |
6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$706.40 |
$1,766 |
6.7× |
| Fluoroscopy up to 1 hr (76000) |
$1,045.80 |
$2,614.50 |
4.4× |
| Foot 2 views (73620) |
$381.20 |
$953 |
4.4× |
| Forearm 2 views (73090) |
$375.60 |
$939 |
4.3× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$476.80 |
$1,192 |
2.0× |
| Gated Heart Planar Single (78472) |
$2,933.20 |
$7,333 |
7.3× |
| Hand 2 views (73120) |
$378.40 |
$946 |
3.6× |
| Hand 3 views (73130) |
$428.80 |
$1,072 |
4.9× |
| Heart Infarct Image (78466) |
$1,461.60 |
$3,654 |
3.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,822.40 |
$4,556 |
0.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,337.20 |
$3,343 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,426.80 |
$3,567 |
3.6× |
| Ht muscle image spect sing (78451) |
$2,686.40 |
$6,716 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$381.20 |
$953 |
4.4× |
| Hysterosalpingogram (74740) |
$826.60 |
$2,066.50 |
3.4× |
| Kidney imaging morphology (78700) |
$1,140 |
$2,850 |
2.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,153.60 |
$2,884 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,129.20 |
$2,823 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,701.20 |
$4,253 |
3.1× |
| Knee 3 views (73562) |
$454 |
$1,135 |
5.2× |
| Liver & spleen imaging static only (78215) |
$1,859.60 |
$4,649 |
4.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$870.80 |
$2,177 |
2.2× |
| Liver imaging static only (78201) |
$945.60 |
$2,364 |
1.7× |
| Liver imaging w/vascular flow (78202) |
$945.60 |
$2,364 |
1.7× |
| Lung perf&ventilat diferentl (78598) |
$786 |
$1,965 |
1.4× |
| Lung perfusion differential (78597) |
$508.80 |
$1,272 |
1.3× |
| Lung Ventilation Imaging (78579) |
$453.60 |
$1,134 |
1.1× |
| Lymphoscintigraphy (78195) |
$2,111.20 |
$5,278 |
3.9× |
| Mammary ductogram or galactogram multiple (77054) |
$1,007.60 |
$2,519 |
4.2× |
| Mammary ductogram or galactogram single (77053) |
$843.20 |
$2,108 |
3.5× |
| Meckels Diverticulum (78290) |
$856.80 |
$2,142 |
2.1× |
| MRA head w & w/o contrast (70546) |
$3,407 |
$8,517.50 |
9.7× |
| MRA head w/o contrast (70544) |
$3,220 |
$8,050 |
13.4× |
| MRA head with contrast (70545) |
$3,349.20 |
$8,373 |
9.6× |
| MRA neck w contrast (70548) |
$3,478.40 |
$8,696 |
9.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,300.80 |
$10,752 |
12.3× |
| MRA neck w/o contrast (70547) |
$3,024 |
$7,560 |
12.6× |
| MRI abdomen w contrast (74182) |
$3,523.20 |
$8,808 |
10.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,890 |
$12,225 |
14.0× |
| MRI abdomen w/o contrast (74181) |
$4,695.20 |
$11,738 |
19.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,153.20 |
$2,883 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,799.20 |
$6,998 |
3.6× |
| MRI bone marrow blood supply (77084) |
$3,964.40 |
$9,911 |
16.5× |
| MRI c-spine with contrast (72142) |
$3,320.20 |
$8,300.50 |
9.5× |
| MRI cervical spine w/o contrast (72141) |
$3,468.40 |
$8,671 |
14.5× |
| MRI chest w/o & w/contrast material (71552) |
$6,224 |
$15,560 |
17.8× |
| MRI chest w/o contrast (71550) |
$4,189.60 |
$10,474 |
17.5× |
| MRI chest with contrast (71551) |
$3,478.40 |
$8,696 |
4.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,478.40 |
$8,696 |
9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,478.40 |
$8,696 |
9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,912.80 |
$9,782 |
16.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,251 |
$10,627.50 |
17.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,846 |
$17,115 |
19.5× |
| MRI orbit/face/neck w/contrast (70542) |
$3,478.40 |
$8,696 |
9.9× |
| MRI pelvis w contrast (72196) |
$3,478.40 |
$8,696 |
9.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,890 |
$12,225 |
14.0× |
| MRI pelvis w/o contrast (72195) |
$4,251 |
$10,627.50 |
17.7× |
| MRI scan of arm joint before and after contrast (73223) |
$4,497.20 |
$11,243 |
12.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,865.60 |
$9,664 |
11.0× |
| MRI spectroscopy (76390) |
$4,426.60 |
$11,066.50 |
50.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,890 |
$12,225 |
14.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,826.20 |
$9,565.50 |
10.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,287.80 |
$10,719.50 |
12.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,478.40 |
$8,696 |
9.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,334.60 |
$10,836.50 |
12.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,468.40 |
$8,671 |
14.5× |
| MRI tmj (70336) |
$3,024 |
$7,560 |
12.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,912.80 |
$9,782 |
16.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,865.60 |
$9,664 |
11.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,912.80 |
$9,782 |
16.3× |
| Myelogram Cervical (72240) |
$1,712.80 |
$4,282 |
2.2× |
| Myelogram Lumbar (72265) |
$1,712.80 |
$4,282 |
2.2× |
| Myelogram thoracic (72255) |
$1,712.80 |
$4,282 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$4,307.60 |
$10,769 |
3.3× |
| Neck soft tissue (70360) |
$538.60 |
$1,346.50 |
6.2× |
| Nm cisternogram (78630) |
$832.40 |
$2,081 |
1.5× |
| Nm gastric emptying study (78264) |
$1,508 |
$3,770 |
3.8× |
| Nm gastroesophageal reflux study (78262) |
$936 |
$2,340 |
2.3× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,561.20 |
$6,403 |
2.0× |
| Nuclear medicine of heart pumping function (78473) |
$963.20 |
$2,408 |
2.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,507.60 |
$6,269 |
1.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,888.40 |
$4,721 |
4.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$482.80 |
$1,207 |
4.6× |
| Orthopantogram (70355) |
$371.20 |
$928 |
4.2× |
| Osseous survey infant (77076) |
$791.20 |
$1,978 |
7.5× |
| Osseous survey limited (77074) |
$708 |
$1,770 |
6.7× |
| Parathyroid imaging (78070) |
$1,623.60 |
$4,059 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$342 |
$855 |
3.3× |
| Perineogram (74775) |
$1,114 |
$2,785 |
4.6× |
| Pr heart first pass single,planar (78481) |
$808 |
$2,020 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,890 |
$12,225 |
14.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,992.40 |
$4,981 |
5.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,748 |
$6,870 |
5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$449.60 |
$1,124 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$867.80 |
$2,169.50 |
8.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$471.20 |
$1,178 |
4.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$518 |
$1,295 |
4.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,132.40 |
$2,831 |
10.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$722 |
$1,805 |
6.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$438 |
$1,095 |
5.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$608.80 |
$1,522 |
5.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$525.20 |
$1,313 |
6.0× |
| Radiologic exam colon single contrast study (74270) |
$614 |
$1,535 |
3.5× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$285.60 |
$714 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,382.20 |
$3,455.50 |
7.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,037.40 |
$2,593.50 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$410.80 |
$1,027 |
4.7× |
| Radiological examination surgical specimen (76098) |
$1,377.60 |
$3,444 |
2.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,666.80 |
$4,167 |
0.5× |
| Ribs bilateral 3 views (71110) |
$711.60 |
$1,779 |
6.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$808 |
$2,020 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$416.80 |
$1,042 |
4.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,108 |
$2,770 |
4.6× |
| Scanogram (77073) |
$726.40 |
$1,816 |
6.9× |
| Scapula complete (73010) |
$426.80 |
$1,067 |
4.1× |
| Sella turcica (70240) |
$284.80 |
$712 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,292.40 |
$3,231 |
12.3× |
| Small bowel series (74250) |
$1,017.80 |
$2,544.50 |
5.8× |
| Speech evaluation complex (70371) |
$1,420.80 |
$3,552 |
5.9× |
| Spine thoracic 3 views (72072) |
$652.40 |
$1,631 |
6.2× |
| Testicular Imaging With Vascular Flow (78761) |
$808 |
$2,020 |
2.0× |
| Thoracolumbar 2 views (72080) |
$531.60 |
$1,329 |
6.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$818 |
$2,045 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$732.80 |
$1,832 |
1.8× |
| Thyroid uptake measurement (78012) |
$355.20 |
$888 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$624.40 |
$1,561 |
1.6× |
| Tmj unilateral (70328) |
$570 |
$1,425 |
6.5× |
| Tomogram (76100) |
$897.20 |
$2,243 |
8.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,094.40 |
$7,736 |
5.7× |
| Ultrasound, abdomen limited (76705) |
$1,040 |
$2,600 |
9.9× |
| Umbilical-artery Doppler (OB) (76820) |
$400 |
$1,000 |
3.8× |
| Unlisted Ultrasound Procedure (76999) |
$710.80 |
$1,777 |
8.1× |
| Upper Extremity Infant (73092) |
$433.60 |
$1,084 |
4.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,244.40 |
$3,111 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$985.20 |
$2,463 |
4.1× |
| Urethrocystography voiding (74455) |
$1,160.80 |
$2,902 |
4.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$847 |
$2,117.50 |
4.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,318.80 |
$3,297 |
7.5× |
| Us abdl aorta screen aaa (76706) |
$366.40 |
$916 |
3.5× |
| Us breast unilateral complete (76641) |
$981.20 |
$2,453 |
9.3× |
| Us breast unilateral limited (76642) |
$981.20 |
$2,453 |
11.2× |
| Us chest (76604) |
$1,352.20 |
$3,380.50 |
12.9× |
| Us compl joint r-t w/image documentation (76881) |
$960.40 |
$2,401 |
9.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$188.80 |
$472 |
1.8× |
| Us guided compression repair (76936) |
$4,037.60 |
$10,094 |
18.6× |
| Us infant hips dynamic (76885) |
$1,310.80 |
$3,277 |
15.0× |
| Us infant hips limited static (76886) |
$1,102.40 |
$2,756 |
12.6× |
| Us kidney transplant (76776) |
$975.60 |
$2,439 |
9.3× |
| Us ob detailed single fetus (76811) |
$1,634.80 |
$4,087 |
6.8× |
| Us ob transvaginal (76817) |
$840.60 |
$2,101.50 |
8.0× |
| Us pelvic non ob complete (76856) |
$800 |
$2,000 |
7.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$999.20 |
$2,498 |
9.5× |
| Us pregnancy ltd (76815) |
$1,178 |
$2,945 |
11.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$886 |
$2,215 |
8.4× |
| Us retroperitoneal complete (76770) |
$1,025.20 |
$2,563 |
9.8× |
| Us retroperitoneal limited (76775) |
$474.40 |
$1,186 |
4.5× |
| Us scrotum and contents (76870) |
$706.60 |
$1,766.50 |
6.7× |
| Us soft tissue head/neck (76536) |
$790 |
$1,975 |
7.5× |
| Us spinal canal and contents (76800) |
$989.20 |
$2,473 |
9.4× |
| Us transrectal (76872) |
$1,373.60 |
$3,434 |
13.1× |
| Us xtr non-vasc lmtd (76882) |
$853.20 |
$2,133 |
8.1× |
| Us, eye b-scan (76512) |
$1,424 |
$3,560 |
13.6× |
| Vascular flow imaging (78445) |
$957.60 |
$2,394 |
2.4× |
| Venogram extremity bilateral (75822) |
$1,009.20 |
$2,523 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$5,009.20 |
$12,523 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$2,652 |
$6,630 |
1.7× |
| Venography extremity unilateral rs&i (75820) |
$754.80 |
$1,887 |
0.5× |
| Venography Renal Bilateral (75833) |
$2,652 |
$6,630 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$929.60 |
$2,324 |
0.3× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$1,743.60 |
$4,359 |
0.3× |
| Wrist 2 views (73100) |
$512.80 |
$1,282 |
5.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$809.40 |
$2,023.50 |
7.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$298.20 |
$745.50 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$410.80 |
$1,027 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$970.40 |
$2,426 |
5.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$354.40 |
$886 |
4.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$444.40 |
$1,111 |
5.1× |
| X-ray exam hip uni 1 view (73501) |
$444 |
$1,110 |
5.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$424 |
$1,060 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$840.40 |
$2,101 |
8.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$963.20 |
$2,408 |
5.5× |
| X-ray eye for foreign body (70030) |
$326 |
$815 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$812 |
$2,030 |
7.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$581.20 |
$1,453 |
6.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$390.40 |
$976 |
4.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$310.40 |
$776 |
3.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$915.20 |
$2,288 |
5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$530.80 |
$1,327 |
6.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$716.40 |
$1,791 |
6.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$407.20 |
$1,018 |
4.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$388.80 |
$972 |
4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$424 |
$1,060 |
4.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$926.40 |
$2,316 |
8.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$560 |
$1,400 |
5.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$450.20 |
$1,125.50 |
5.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$526.40 |
$1,316 |
6.0× |
| X-ray of voice box or throat (70370) |
$643.60 |
$1,609 |
7.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$815 |
$2,037.50 |
7.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$626.80 |
$1,567 |
6.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$758.40 |
$1,896 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$439.20 |
$1,098 |
5.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$508.40 |
$1,271 |
4.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$743.20 |
$1,858 |
7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$586.40 |
$1,466 |
5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$378.40 |
$946 |
4.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$424.40 |
$1,061 |
4.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$826 |
$2,065 |
9.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$547.60 |
$1,369 |
6.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,009.60 |
$2,524 |
9.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$547.60 |
$1,369 |
5.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$372.40 |
$931 |
4.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$360 |
$900 |
4.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$374.80 |
$937 |
4.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$432 |
$1,080 |
4.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$840.40 |
$2,101 |
8.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$339.60 |
$849 |
3.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$387.20 |
$968 |
4.4× |
| Xr c-spine 6 or more views (72052) |
$1,104.80 |
$2,762 |
10.5× |
| Xr chest 4+ views (71048) |
$629.20 |
$1,573 |
6.0× |
| Xr finger(s) 2+ views (73140) |
$306.40 |
$766 |
3.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$617.60 |
$1,544 |
5.9× |
| Xr shoulder 1 view (73020) |
$318.80 |
$797 |
3.6× |
| Xr spine cervical 4 or 5 views (72050) |
$742.40 |
$1,856 |
7.1× |
| Xr tibia/fibula 2 views (73590) |
$387.20 |
$968 |
4.4× |
| Xr tmj bilateral (70330) |
$603.20 |
$1,508 |
6.9× |
| Xray knee 1 or 2 views rt (73560) |
$381.20 |
$953 |
4.4× |