| Abdomen 2 views (74019) |
$461.25 |
$768.75 |
4.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,616.40 |
$2,694 |
4.0× |
| Angiography extremity bilateral rs&i (75716) |
$4,594.05 |
$7,656.75 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$4,594.80 |
$7,658 |
1.5× |
| Angiography internal mammary rs&i (75756) |
$1,588.35 |
$2,647.25 |
0.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,502.30 |
$9,170.50 |
1.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,504.60 |
$5,841 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,846.20 |
$3,077 |
0.6× |
| Angiography Spinal Selective Rs&I (75705) |
$5,484.90 |
$9,141.50 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,946.65 |
$6,577.75 |
0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$633.75 |
$1,056.25 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,588.35 |
$2,647.25 |
0.5× |
| Ankle 2 views (73600) |
$198.82 |
$331.38 |
2.3× |
| Aortogram thoracic (75605) |
$6,647.55 |
$11,079.25 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,668.62 |
$6,114.38 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$3,318.45 |
$5,530.75 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,149.65 |
$3,582.75 |
0.7× |
| Artery X-Rays Adrenal Gland (75731) |
$1,588.35 |
$2,647.25 |
0.5× |
| Arthrogram elbow (73085) |
$1,066.20 |
$1,777 |
3.1× |
| Arthrogram hip (73525) |
$964.20 |
$1,607 |
2.8× |
| Arthrogram shoulder (73040) |
$1,322.40 |
$2,204 |
3.8× |
| Arthrogram wrist (73115) |
$1,360.20 |
$2,267 |
3.9× |
| Arthrography knee lt (73580) |
$955.50 |
$1,592.50 |
2.7× |
| Basic radiation dosimetry calculation (77300) |
$441.60 |
$736 |
3.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,100.40 |
$1,834 |
2.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$996.60 |
$1,661 |
2.5× |
| Bone &/joint imaging whole body (78306) |
$1,743 |
$2,905 |
4.4× |
| Bone age studies (77072) |
$357 |
$595 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$1,686.60 |
$2,811 |
4.2× |
| Bone Marrow Imaging Limited Area (78102) |
$877.80 |
$1,463 |
2.2× |
| Bone survey complete (77075) |
$438.90 |
$731.50 |
4.2× |
| Brain image w/flow 4 + views (78606) |
$1,139.40 |
$1,899 |
2.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$997.80 |
$1,663 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,764.75 |
$7,941.25 |
3.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,045.30 |
$5,075.50 |
8.7× |
| Cervical spine 2 or 3 views (72040) |
$383.25 |
$638.75 |
4.4× |
| Chest 1 view (71045) |
$381.75 |
$636.25 |
4.4× |
| Chest 3 views (71047) |
$401.40 |
$669 |
4.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$799.80 |
$1,333 |
4.6× |
| Clavicle complete (73000) |
$358.50 |
$597.50 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,953 |
$3,255 |
18.7× |
| Corpora cavernosography (74445) |
$173.40 |
$289 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,537.40 |
$9,229 |
15.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,783.60 |
$6,306 |
15.8× |
| CT abdomen w contrast (74160) |
$2,727 |
$4,545 |
15.5× |
| CT abdomen w wo contrast (74170) |
$2,889.15 |
$4,815.25 |
16.4× |
| CT abdomen w/o contrast (74150) |
$2,146.35 |
$3,577.25 |
20.5× |
| CT angio hrt w/3d image (75574) |
$1,700.85 |
$2,834.75 |
4.9× |
| CT angiography upper extremity lt (73206) |
$2,065.20 |
$3,442 |
11.8× |
| CT c-spine w/o contrast (72125) |
$2,353.35 |
$3,922.25 |
22.5× |
| CT cervical spine w&w/o contrast (72127) |
$3,026.40 |
$5,044 |
17.2× |
| CT cervical spine with contrast (72126) |
$2,657.40 |
$4,429 |
7.6× |
| CT chest w/wo contrast (71270) |
$2,661.60 |
$4,436 |
15.2× |
| CT chest with contrast (71260) |
$2,650.50 |
$4,417.50 |
15.1× |
| CT head/brain with contrast (70460) |
$2,048.25 |
$3,413.75 |
11.7× |
| CT head/brain without and with contrast (70470) |
$2,522.85 |
$4,204.75 |
14.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$59.40 |
$99 |
0.7× |
| CT iac w contrast (70481) |
$2,292.60 |
$3,821 |
13.0× |
| CT lower ext w/o (73700) |
$2,033.70 |
$3,389.50 |
19.4× |
| CT lower extremity w wo contrast (73702) |
$2,448.60 |
$4,081 |
13.9× |
| CT lower extremity with contrast (73701) |
$2,145.60 |
$3,576 |
12.2× |
| CT lumbar spine w & w/o contrast (72133) |
$3,074.40 |
$5,124 |
17.5× |
| CT lumbar spine w/o contrast (72131) |
$2,218.20 |
$3,697 |
21.2× |
| CT lumbar spine with contrast (72132) |
$2,589 |
$4,315 |
7.4× |
| CT maxillofacial w contrast (70487) |
$3,511.20 |
$5,852 |
20.0× |
| CT maxillofacial w/o contrast (70486) |
$1,953 |
$3,255 |
18.7× |
| CT maxillofacial w/wo contrast (70488) |
$3,511.20 |
$5,852 |
20.0× |
| CT neck soft tissue w contrast (70491) |
$2,399.85 |
$3,999.75 |
13.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,748.15 |
$4,580.25 |
15.6× |
| CT orbits w/o contrast (70480) |
$2,254.05 |
$3,756.75 |
21.5× |
| CT pelvis w & w/o contrast (72194) |
$3,141.60 |
$5,236 |
17.9× |
| CT pelvis w/o contrast (72192) |
$2,000.85 |
$3,334.75 |
19.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,575.35 |
$4,292.25 |
14.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,358.15 |
$3,930.25 |
22.5× |
| CT thoracic spine w/contrast (72129) |
$2,430.75 |
$4,051.25 |
13.8× |
| CT thoracic spine w/o contrast (72128) |
$2,360.85 |
$3,934.75 |
22.5× |
| CT thoracic spine w/wo contrast (72130) |
$3,352.05 |
$5,586.75 |
19.1× |
| CT thorax w/o contrast (71250) |
$1,953 |
$3,255 |
18.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,578.80 |
$4,298 |
14.7× |
| CT upper extremity w/o contrast rt (73200) |
$2,050.50 |
$3,417.50 |
19.6× |
| CT upper extremity with contrast (73201) |
$2,218.80 |
$3,698 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,565.25 |
$7,608.75 |
26.0× |
| Cta Abdomen (74175) |
$3,199.35 |
$5,332.25 |
18.2× |
| CTA abdomen pelvis (74174) |
$5,523.90 |
$9,206.50 |
15.8× |
| CTA chest (71275) |
$2,801.10 |
$4,668.50 |
15.9× |
| Cta Head (70496) |
$2,861.10 |
$4,768.50 |
16.3× |
| CTA lwr ext w&w/o contrast (73706) |
$2,374.65 |
$3,957.75 |
13.5× |
| Cta Neck (70498) |
$3,201.15 |
$5,335.25 |
18.2× |
| Cystography minimum 3 views rs&i (74430) |
$724.20 |
$1,207 |
2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$703.80 |
$1,173 |
6.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,107 |
$1,845 |
10.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$573.60 |
$956 |
5.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$439.80 |
$733 |
4.2× |
| Echo exam of eye (76529) |
$87.30 |
$145.50 |
1.0× |
| Echo exam of fetal heart (76825) |
$986.40 |
$1,644 |
1.8× |
| Echoencephalography real time imaging (76506) |
$1,162.80 |
$1,938 |
11.1× |
| Esophagus (74220) |
$484.80 |
$808 |
2.8× |
| Fetal biophysical profile non-stress testing (76818) |
$845.40 |
$1,409 |
8.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$610.20 |
$1,017 |
5.8× |
| Fluoroscopy up to 1 hr (76000) |
$413.48 |
$689.12 |
1.7× |
| Foot 2 views (73620) |
$249.30 |
$415.50 |
2.9× |
| Forearm 2 views (73090) |
$233.10 |
$388.50 |
2.7× |
| Functional MRI brain by tech (70554) |
$3,411 |
$5,685 |
14.3× |
| Gated Heart Planar Single (78472) |
$1,749 |
$2,915 |
4.4× |
| Hand 2 views (73120) |
$347.40 |
$579 |
3.3× |
| Hand 3 views (73130) |
$366.45 |
$610.75 |
4.2× |
| Heart Infarct Image (78466) |
$709.20 |
$1,182 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,947 |
$3,245 |
3.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,743 |
$2,905 |
4.4× |
| Ht muscle image spect sing (78451) |
$3,318.60 |
$5,531 |
2.6× |
| Humerus Min 2 Views Left (73060) |
$331.50 |
$552.50 |
3.8× |
| Hysterosalpingogram (74740) |
$892.80 |
$1,488 |
3.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$505.80 |
$843 |
0.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$181.80 |
$303 |
1.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$807.60 |
$1,346 |
2.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,525.80 |
$2,543 |
2.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,645.80 |
$2,743 |
3.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,982.60 |
$4,971 |
5.5× |
| Knee 3 views (73562) |
$383.10 |
$638.50 |
4.4× |
| Liver & spleen imaging static only (78215) |
$1,176.60 |
$1,961 |
2.9× |
| Liver imaging static only (78201) |
$1,374.60 |
$2,291 |
2.5× |
| Lung perf&ventilat diferentl (78598) |
$1,818.60 |
$3,031 |
3.3× |
| Lung perfusion differential (78597) |
$1,517.40 |
$2,529 |
3.8× |
| Lung Ventilation Imaging (78579) |
$763.20 |
$1,272 |
1.9× |
| Lymphoscintigraphy (78195) |
$1,530 |
$2,550 |
2.8× |
| Mammary ductogram or galactogram multiple (77054) |
$833.78 |
$1,389.62 |
3.5× |
| Mammary ductogram or galactogram single (77053) |
$638.10 |
$1,063.50 |
2.7× |
| Meckels Diverticulum (78290) |
$1,380 |
$2,300 |
3.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$28.35 |
$47.25 |
1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$103.95 |
$173.25 |
1.1× |
| MRA head w/o contrast (70544) |
$1,955.10 |
$3,258.50 |
8.2× |
| MRA head with contrast (70545) |
$1,908.45 |
$3,180.75 |
5.5× |
| MRA neck w contrast (70548) |
$2,113.95 |
$3,523.25 |
6.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,392.25 |
$5,653.75 |
9.7× |
| MRA neck w/o contrast (70547) |
$1,955.10 |
$3,258.50 |
8.2× |
| MRI abdomen w contrast (74182) |
$2,800.20 |
$4,667 |
8.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,587.85 |
$5,979.75 |
10.3× |
| MRI abdomen w/o contrast (74181) |
$2,692.65 |
$4,487.75 |
11.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,693.55 |
$4,489.25 |
3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,713.50 |
$4,522.50 |
3.5× |
| MRI bone marrow blood supply (77084) |
$3,138.30 |
$5,230.50 |
13.1× |
| MRI breast w/o contrast bilateral (77047) |
$2,387.40 |
$3,979 |
10.0× |
| MRI breast w/o contrast unilat (77046) |
$2,493.15 |
$4,155.25 |
10.4× |
| MRI c-spine with contrast (72142) |
$3,560.25 |
$5,933.75 |
10.2× |
| MRI cardiac w/o contrast (75557) |
$2,700.90 |
$4,501.50 |
11.3× |
| MRI cervical spine w/o contrast (72141) |
$2,963.10 |
$4,938.50 |
12.4× |
| MRI chest w/o & w/contrast material (71552) |
$4,544.40 |
$7,574 |
13.0× |
| MRI chest w/o contrast (71550) |
$2,189.25 |
$3,648.75 |
9.2× |
| MRI chest with contrast (71551) |
$3,138.30 |
$5,230.50 |
4.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,262.20 |
$5,437 |
9.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,693.55 |
$4,489.25 |
7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,713.05 |
$4,521.75 |
11.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,285.10 |
$3,808.50 |
9.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,240.20 |
$7,067 |
12.1× |
| MRI orbit/face/neck w/contrast (70542) |
$4,064.55 |
$6,774.25 |
11.6× |
| MRI pelvis w contrast (72196) |
$2,999.40 |
$4,999 |
8.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,537 |
$5,895 |
10.1× |
| MRI pelvis w/o contrast (72195) |
$2,630.85 |
$4,384.75 |
11.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,309 |
$5,515 |
9.5× |
| MRI scan of leg joint before and after contrast (73723) |
$3,252.75 |
$5,421.25 |
9.3× |
| MRI spectroscopy (76390) |
$129 |
$215 |
1.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,482.55 |
$5,804.25 |
10.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,051.15 |
$5,085.25 |
8.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,533.10 |
$5,888.50 |
10.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,674.15 |
$7,790.25 |
13.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,240.20 |
$7,067 |
12.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,872.65 |
$4,787.75 |
12.0× |
| MRI tmj (70336) |
$2,677.20 |
$4,462 |
11.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,693.55 |
$4,489.25 |
11.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,204.15 |
$5,340.25 |
9.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,693.55 |
$4,489.25 |
11.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,938.40 |
$6,564 |
3.0× |
| Neck soft tissue (70360) |
$264 |
$440 |
3.0× |
| Nm adrenal scan (78075) |
$2,886.60 |
$4,811 |
2.2× |
| Nm cisternogram (78630) |
$1,437.60 |
$2,396 |
2.6× |
| Nm gastric emptying study (78264) |
$1,477.20 |
$2,462 |
3.7× |
| Nm gastroesophageal reflux study (78262) |
$1,630.80 |
$2,718 |
4.1× |
| Nm peritoneal-venous shunt patency (78291) |
$1,349.40 |
$2,249 |
3.4× |
| Nuclear Rx Oral Admin (79005) |
$1,372.20 |
$2,287 |
5.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$514.20 |
$857 |
4.9× |
| Orthopantogram (70355) |
$284.40 |
$474 |
3.3× |
| Osseous survey infant (77076) |
$558 |
$930 |
5.3× |
| Osseous survey limited (77074) |
$664.80 |
$1,108 |
6.3× |
| Parathyroid imaging (78070) |
$976.80 |
$1,628 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$321.15 |
$535.25 |
3.1× |
| PET image w/CT, skull-thigh (78815) |
$6,100.65 |
$10,167.75 |
4.3× |
| PET imaging CT for attenuation limited area (78814) |
$6,100.65 |
$10,167.75 |
4.3× |
| PET imaging for CT attenuation whole body (78816) |
$5,893.95 |
$9,823.25 |
4.1× |
| Pr heart first pass single,planar (78481) |
$2,147.40 |
$3,579 |
3.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,463.95 |
$5,773.25 |
9.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,065.60 |
$1,776 |
2.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,731.60 |
$2,886 |
3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$535.12 |
$891.88 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$376.80 |
$628 |
3.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$400.20 |
$667 |
3.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$549.60 |
$916 |
5.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$860.10 |
$1,433.50 |
8.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$586.72 |
$977.88 |
5.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$356.70 |
$594.50 |
4.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$267.60 |
$446 |
3.1× |
| Radiologic exam colon single contrast study (74270) |
$1,035.60 |
$1,726 |
5.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$568.20 |
$947 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$959.40 |
$1,599 |
5.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$750 |
$1,250 |
4.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$456 |
$760 |
5.2× |
| Radiological examination surgical specimen (76098) |
$799.65 |
$1,332.75 |
1.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,885.05 |
$3,141.75 |
0.6× |
| Ribs bilateral 3 views (71110) |
$285.60 |
$476 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,029.80 |
$3,383 |
3.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,926.60 |
$3,211 |
3.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,439.40 |
$2,399 |
6.2× |
| Rp Therapy Intravenous Administration (79101) |
$1,102.20 |
$1,837 |
4.7× |
| Sacroiliac Joints < 3 Views (72200) |
$197.85 |
$329.75 |
1.9× |
| Salivary gland imaging serial images (78231) |
$1,220.40 |
$2,034 |
3.0× |
| Scanogram (77073) |
$393.60 |
$656 |
3.8× |
| Scapula complete (73010) |
$341.70 |
$569.50 |
3.3× |
| Screening digital breast tomosynthesis (77063) |
$37.20 |
$62 |
1.6× |
| Sella turcica (70240) |
$268.20 |
$447 |
3.1× |
| Sialogram (70390) |
$485.40 |
$809 |
2.0× |
| Small bowel series (74250) |
$732 |
$1,220 |
4.2× |
| Spec medical radj physics consltj (77370) |
$947.25 |
$1,578.75 |
7.0× |
| Special treatment procedure (77470) |
$1,312.80 |
$2,188 |
2.4× |
| Spine thoracic 3 views (72072) |
$416.85 |
$694.75 |
4.0× |
| Testicular Imaging With Vascular Flow (78761) |
$1,315.20 |
$2,192 |
3.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$877.80 |
$1,463 |
2.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$287.40 |
$479 |
2.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,184.40 |
$1,974 |
2.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$678.60 |
$1,131 |
1.7× |
| Thyroid uptake measurement (78012) |
$477.60 |
$796 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,225.20 |
$2,042 |
3.1× |
| Tmj unilateral (70328) |
$270.60 |
$451 |
3.1× |
| Tomogram (76100) |
$861.60 |
$1,436 |
8.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,956.60 |
$3,261 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,355.40 |
$2,259 |
3.4× |
| Ultrasound elastography first target lesion (76982) |
$817.20 |
$1,362 |
7.8× |
| Ultrasound, abdomen limited (76705) |
$591.60 |
$986 |
5.6× |
| Umbilical-artery Doppler (OB) (76820) |
$435.60 |
$726 |
4.2× |
| Unlisted Ultrasound Procedure (76999) |
$245.10 |
$408.50 |
2.8× |
| Upper Extremity Infant (73092) |
$170.02 |
$283.38 |
1.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$624.60 |
$1,041 |
1.6× |
| Urethrocystography retrograde rs&i (74450) |
$757.80 |
$1,263 |
3.2× |
| Urethrocystography voiding (74455) |
$826.80 |
$1,378 |
3.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,106.40 |
$1,844 |
6.3× |
| Us abdl aorta screen aaa (76706) |
$738.30 |
$1,230.50 |
7.1× |
| Us breast unilateral limited (76642) |
$615.60 |
$1,026 |
7.1× |
| Us chest (76604) |
$472.20 |
$787 |
4.5× |
| Us compl joint r-t w/image documentation (76881) |
$569.40 |
$949 |
5.4× |
| Us elastography parenchyma (76981) |
$817.20 |
$1,362 |
7.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$372 |
$620 |
3.6× |
| Us guided compression repair (76936) |
$532.05 |
$886.75 |
2.5× |
| Us infant hips dynamic (76885) |
$863.40 |
$1,439 |
9.9× |
| Us ob detailed single fetus (76811) |
$947.40 |
$1,579 |
4.0× |
| Us ob transvaginal (76817) |
$507.60 |
$846 |
4.8× |
| Us pelvic non ob complete (76856) |
$720 |
$1,200 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$110.40 |
$184 |
1.1× |
| Us pregnancy ltd (76815) |
$441.60 |
$736 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$591.60 |
$986 |
5.6× |
| Us retroperitoneal complete (76770) |
$831.60 |
$1,386 |
7.9× |
| Us retroperitoneal limited (76775) |
$551.32 |
$918.88 |
5.3× |
| Us scrotum and contents (76870) |
$786.60 |
$1,311 |
7.5× |
| Us soft tissue head/neck (76536) |
$766.80 |
$1,278 |
7.3× |
| Us spinal canal and contents (76800) |
$1,158 |
$1,930 |
11.1× |
| Us transrectal (76872) |
$651.15 |
$1,085.25 |
6.2× |
| Us xtr non-vasc lmtd (76882) |
$435 |
$725 |
4.2× |
| Venogram extremity bilateral (75822) |
$1,646.32 |
$2,743.88 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$2,833.20 |
$4,722 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$2,181.75 |
$3,636.25 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,041.90 |
$1,736.50 |
0.7× |
| Venography Renal Bilateral (75833) |
$1,772.10 |
$2,953.50 |
0.6× |
| Venography renal unilateral selective rs&i (75831) |
$1,885.05 |
$3,141.75 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,848.80 |
$4,748 |
0.9× |
| Wrist 2 views (73100) |
$323.40 |
$539 |
3.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$526.95 |
$878.25 |
5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$91.80 |
$153 |
1.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$372.30 |
$620.50 |
4.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,051.20 |
$1,752 |
6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$298.80 |
$498 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$359.10 |
$598.50 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$262.20 |
$437 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$311.18 |
$518.62 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$942.60 |
$1,571 |
9.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$532.20 |
$887 |
5.1× |
| X-ray eye for foreign body (70030) |
$271.20 |
$452 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$348 |
$580 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$228.60 |
$381 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$287.48 |
$479.12 |
3.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$903.60 |
$1,506 |
0.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$156.15 |
$260.25 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$199.20 |
$332 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$470.10 |
$783.50 |
4.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$289.72 |
$482.88 |
3.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$188.32 |
$313.88 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$402.38 |
$670.62 |
3.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$581.70 |
$969.50 |
5.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$296.10 |
$493.50 |
3.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$639.60 |
$1,066 |
7.3× |
| X-ray of voice box or throat (70370) |
$430.20 |
$717 |
4.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$417.75 |
$696.25 |
4.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$476.85 |
$794.75 |
4.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$888 |
$1,480 |
2.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$236.32 |
$393.88 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$457.05 |
$761.75 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$389.10 |
$648.50 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$380.25 |
$633.75 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$352.05 |
$586.75 |
4.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$387.75 |
$646.25 |
4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$404.25 |
$673.75 |
4.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$176.92 |
$294.88 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$360.15 |
$600.25 |
3.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$280.28 |
$467.12 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$211.80 |
$353 |
2.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$413.40 |
$689 |
4.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$336.45 |
$560.75 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$210 |
$350 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$299.25 |
$498.75 |
3.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$362.85 |
$604.75 |
4.2× |
| Xr c-spine 6 or more views (72052) |
$431.48 |
$719.12 |
4.1× |
| Xr Cholecystography Oral Contrast (74290) |
$289.20 |
$482 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$291.90 |
$486.50 |
3.3× |
| Xr shoulder 1 view (73020) |
$179.10 |
$298.50 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$548.18 |
$913.62 |
5.2× |
| Xr tibia/fibula 2 views (73590) |
$324 |
$540 |
3.7× |
| Xr tmj bilateral (70330) |
$341.40 |
$569 |
3.9× |
| Xray knee 1 or 2 views rt (73560) |
$286.20 |
$477 |
3.3× |