| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,138.19 |
$17,818.25 |
1.7× |
| Abdomen 2 views (74019) |
$474.88 |
$3,957.35 |
5.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$666.08 |
$5,550.64 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,867.14 |
$23,892.78 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$2,212.03 |
$18,433.58 |
0.8× |
| Angiography internal mammary rs&i (75756) |
$1,390.36 |
$11,586.34 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,680.17 |
$14,001.40 |
0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,053.57 |
$25,446.45 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,239.53 |
$18,662.77 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,785 |
$14,874.97 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$720.99 |
$6,008.23 |
0.3× |
| Ankle 2 views (73600) |
$234.86 |
$1,957.10 |
3.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$551.08 |
$4,592.31 |
1.8× |
| Aortogram thoracic (75605) |
$1,325.66 |
$11,047.12 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,819.61 |
$15,163.40 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$2,527.92 |
$21,066.06 |
0.9× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,614.33 |
$13,452.77 |
0.6× |
| Arthrogram elbow (73085) |
$313.17 |
$2,609.72 |
1.0× |
| Arthrogram hip (73525) |
$847.85 |
$7,065.45 |
2.7× |
| Arthrogram shoulder (73040) |
$1,652.86 |
$13,773.78 |
5.3× |
| Arthrogram wrist (73115) |
$551.22 |
$4,593.49 |
1.8× |
| Arthrography knee lt (73580) |
$751.22 |
$6,260.18 |
2.4× |
| Basic radiation dosimetry calculation (77300) |
$892.50 |
$7,437.48 |
7.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,021.72 |
$8,514.33 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$2,305.37 |
$19,211.40 |
6.4× |
| Bone age studies (77072) |
$324.18 |
$2,701.54 |
3.5× |
| Bone Imaging 3 Phase (78315) |
$3,069.30 |
$25,577.52 |
8.6× |
| Bone survey complete (77075) |
$1,335.73 |
$11,131.11 |
14.2× |
| Brachytx isodose complex (77318) |
$2,064.16 |
$17,201.34 |
6.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$363.08 |
$3,025.70 |
1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$246.57 |
$2,054.79 |
0.5× |
| Cervical spine 2 or 3 views (72040) |
$409.23 |
$3,410.29 |
5.2× |
| Chest 1 view (71045) |
$223.60 |
$1,863.30 |
2.9× |
| Chest 3 views (71047) |
$327.01 |
$2,725.10 |
4.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$477.71 |
$3,980.90 |
3.0× |
| Clavicle complete (73000) |
$379.66 |
$3,163.83 |
4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$918.30 |
$7,652.53 |
9.8× |
| Continuing medical physics consltj pr wk (77336) |
$558.80 |
$4,656.67 |
4.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,531.47 |
$29,428.90 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,998.80 |
$24,990.06 |
14.0× |
| CT abdomen w contrast (74160) |
$1,800.26 |
$15,002.11 |
11.4× |
| CT abdomen w wo contrast (74170) |
$2,158.20 |
$17,985.02 |
13.7× |
| CT abdomen w/o contrast (74150) |
$1,423.75 |
$11,864.57 |
15.2× |
| CT angio hrt w/3d image (75574) |
$577.07 |
$4,808.94 |
1.8× |
| CT angiography upper extremity lt (73206) |
$2,380.15 |
$19,834.60 |
15.1× |
| CT c-spine w/o contrast (72125) |
$1,734.94 |
$14,457.80 |
18.5× |
| CT cervical spine w&w/o contrast (72127) |
$1,526.56 |
$12,721.26 |
9.7× |
| CT cervical spine with contrast (72126) |
$1,806.70 |
$15,055.87 |
5.8× |
| CT chest w/wo contrast (71270) |
$1,652.76 |
$13,772.99 |
10.5× |
| CT chest with contrast (71260) |
$1,545.67 |
$12,880.59 |
9.8× |
| CT head/brain with contrast (70460) |
$1,902.82 |
$15,856.84 |
12.1× |
| CT head/brain without and with contrast (70470) |
$2,122.88 |
$17,690.70 |
13.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$47.66 |
$397.15 |
0.6× |
| CT iac w contrast (70481) |
$1,531.96 |
$12,766.40 |
9.7× |
| CT limited/localized follow up study (76380) |
$1,176.75 |
$9,806.23 |
15.1× |
| CT lower ext w/o (73700) |
$1,885.02 |
$15,708.50 |
20.1× |
| CT lower extremity w wo contrast (73702) |
$1,781.13 |
$14,842.77 |
11.3× |
| CT lower extremity with contrast (73701) |
$1,952.83 |
$16,273.62 |
12.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,041.93 |
$17,016.10 |
13.0× |
| CT lumbar spine w/o contrast (72131) |
$1,626.06 |
$13,550.48 |
17.3× |
| CT lumbar spine with contrast (72132) |
$1,924.10 |
$16,034.22 |
6.1× |
| CT maxillofacial w contrast (70487) |
$1,570.54 |
$13,087.80 |
10.0× |
| CT maxillofacial w/o contrast (70486) |
$1,264.90 |
$10,540.88 |
13.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,857.66 |
$15,480.49 |
11.8× |
| CT neck soft tissue w contrast (70491) |
$1,888.84 |
$15,740.28 |
12.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,678.33 |
$13,986.10 |
10.7× |
| CT orbits w/o contrast (70480) |
$1,265.24 |
$10,543.62 |
13.5× |
| CT pelvis w & w/o contrast (72194) |
$1,876.73 |
$15,639.44 |
11.9× |
| CT pelvis w/o contrast (72192) |
$1,699.90 |
$14,165.84 |
18.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,023.99 |
$16,866.58 |
12.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,589.47 |
$13,245.56 |
17.0× |
| CT thoracic spine w/contrast (72129) |
$1,633.74 |
$13,614.45 |
10.4× |
| CT thoracic spine w/o contrast (72128) |
$1,472.87 |
$12,273.89 |
15.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,972.52 |
$16,437.65 |
12.5× |
| CT thorax w/o contrast (71250) |
$1,119.06 |
$9,325.50 |
11.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,773.41 |
$14,778.43 |
11.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,675.46 |
$13,962.16 |
17.9× |
| CT upper extremity with contrast (73201) |
$1,735.88 |
$14,465.64 |
5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,295.29 |
$19,127.42 |
14.6× |
| Cta Abdomen (74175) |
$2,040.14 |
$17,001.20 |
13.0× |
| CTA abdomen pelvis (74174) |
$3,570.37 |
$29,753.05 |
11.4× |
| CTA chest (71275) |
$1,835.85 |
$15,298.79 |
11.7× |
| Cta Head (70496) |
$1,733.95 |
$14,449.57 |
11.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,733.88 |
$14,449 |
5.5× |
| CTA lwr ext w&w/o contrast (73706) |
$3,060.07 |
$25,500.62 |
19.5× |
| Cta Neck (70498) |
$1,683.09 |
$14,025.73 |
10.7× |
| Cta Pelvis (72191) |
$1,530.04 |
$12,750.31 |
9.7× |
| Cystography minimum 3 views rs&i (74430) |
$508.03 |
$4,233.62 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$222.93 |
$1,857.79 |
2.4× |
| Echoencephalography real time imaging (76506) |
$378.34 |
$3,152.86 |
4.0× |
| Esophagus (74220) |
$479.78 |
$3,998.16 |
3.0× |
| Fetal biophysical profile non-stress testing (76818) |
$166.61 |
$1,388.45 |
1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$166.61 |
$1,388.45 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$489.48 |
$4,078.99 |
2.3× |
| Foot 2 views (73620) |
$394.26 |
$3,285.49 |
5.1× |
| Forearm 2 views (73090) |
$445.30 |
$3,710.89 |
5.7× |
| Gated Heart Planar Single (78472) |
$967 |
$8,058.33 |
2.7× |
| Hand 2 views (73120) |
$402.27 |
$3,352.22 |
4.3× |
| Hand 3 views (73130) |
$497.25 |
$4,143.76 |
6.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,368.98 |
$11,408.18 |
2.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,285.91 |
$10,715.92 |
3.6× |
| Ht muscle image spect sing (78451) |
$3,898.51 |
$32,487.58 |
3.4× |
| Humerus Min 2 Views Left (73060) |
$563.74 |
$4,697.88 |
7.2× |
| Hysterosalpingogram (74740) |
$404.15 |
$3,367.89 |
1.9× |
| Interstitial radiation source applic complex (77778) |
$1,495.28 |
$12,460.69 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,300.70 |
$10,839.13 |
2.7× |
| Knee 3 views (73562) |
$497.34 |
$4,144.54 |
6.4× |
| Liver & spleen imaging static only (78215) |
$2,660.73 |
$22,172.72 |
7.4× |
| Lung perf&ventilat diferentl (78598) |
$1,589.56 |
$13,246.34 |
3.3× |
| Lung perfusion differential (78597) |
$1,581.84 |
$13,181.99 |
4.4× |
| Lung Ventilation Imaging (78579) |
$885.53 |
$7,379.41 |
2.5× |
| Lymphoscintigraphy (78195) |
$1,172.32 |
$9,769.35 |
2.4× |
| Meckels Diverticulum (78290) |
$592.61 |
$4,938.44 |
1.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$7,337.02 |
$61,141.81 |
21.8× |
| MRA head w & w/o contrast (70546) |
$2,945.92 |
$24,549.34 |
9.4× |
| MRA head w/o contrast (70544) |
$2,004.16 |
$16,701.38 |
9.4× |
| MRA head with contrast (70545) |
$2,755.66 |
$22,963.87 |
8.8× |
| MRA neck w contrast (70548) |
$2,643.68 |
$22,030.67 |
8.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,945.92 |
$24,549.34 |
9.4× |
| MRA neck w/o contrast (70547) |
$2,489.50 |
$20,745.84 |
11.6× |
| MRI abdomen w contrast (74182) |
$1,362.01 |
$11,350.09 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,693.44 |
$14,112.08 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,302.96 |
$10,857.97 |
6.1× |
| MRI any jnt lwr ext with con lt (73722) |
$3,803.15 |
$31,692.90 |
5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,862.30 |
$32,185.78 |
5.5× |
| MRI breast w/o contrast bilateral (77047) |
$1,868.91 |
$15,574.29 |
8.7× |
| MRI breast w/o contrast unilat (77046) |
$1,833.50 |
$15,279.18 |
8.6× |
| MRI c-spine with contrast (72142) |
$2,639.68 |
$21,997.32 |
8.4× |
| MRI cervical spine w/o contrast (72141) |
$2,288.56 |
$19,071.30 |
10.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,436.47 |
$20,303.94 |
7.8× |
| MRI chest w/o contrast (71550) |
$2,262.46 |
$18,853.88 |
10.6× |
| MRI chest with contrast (71551) |
$1,432.08 |
$11,934.03 |
2.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,328.73 |
$19,406.06 |
7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,328.73 |
$19,406.06 |
7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,117.99 |
$17,649.88 |
9.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,995.03 |
$16,625.24 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,312.53 |
$19,271.05 |
7.4× |
| MRI pelvis w contrast (72196) |
$1,775.01 |
$14,791.77 |
5.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,263.74 |
$18,864.48 |
7.2× |
| MRI pelvis w/o contrast (72195) |
$1,436.32 |
$11,969.35 |
6.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,979.68 |
$24,830.72 |
9.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,979.74 |
$24,831.10 |
9.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,971.20 |
$24,760.07 |
9.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,567.44 |
$21,395.32 |
8.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,309.66 |
$19,247.11 |
7.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,266.90 |
$18,890.77 |
7.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,604.08 |
$21,700.63 |
8.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,881.62 |
$15,680.24 |
8.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,293.55 |
$19,112.90 |
10.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,845.85 |
$23,715.40 |
9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,117.99 |
$17,649.88 |
9.9× |
| Myocardial Spect Multiple Studies (78452) |
$5,955.79 |
$49,631.61 |
5.1× |
| Neck soft tissue (70360) |
$357.53 |
$2,979.40 |
4.6× |
| Nm cisternogram (78630) |
$882.61 |
$7,355.05 |
1.8× |
| Nm gastric emptying study (78264) |
$1,101.21 |
$9,176.77 |
3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,812.27 |
$23,435.61 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$701.21 |
$5,843.40 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$202.12 |
$1,684.35 |
2.2× |
| Osseous survey infant (77076) |
$238.57 |
$1,988.09 |
2.5× |
| Osseous survey limited (77074) |
$358.66 |
$2,988.80 |
3.8× |
| Parathyrd planar w/spect&CT (78072) |
$613.71 |
$5,114.26 |
1.3× |
| Parathyrd planar w/wo subtrj (78071) |
$613.71 |
$5,114.26 |
1.7× |
| Parathyroid imaging (78070) |
$444.93 |
$3,707.74 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$489.01 |
$4,075.08 |
5.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,847.69 |
$23,730.72 |
9.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$877.62 |
$7,313.46 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,577.32 |
$13,144.31 |
3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$142.69 |
$1,189.09 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$145.52 |
$1,212.64 |
1.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$145.52 |
$1,212.64 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$200.05 |
$1,667.08 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$290.84 |
$2,423.69 |
3.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$3,448.11 |
$28,734.29 |
0.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$945.24 |
$7,877.01 |
1.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$561.72 |
$4,680.99 |
6.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$715.37 |
$5,961.44 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$499.28 |
$4,160.63 |
5.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$237.53 |
$1,979.45 |
3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$298.57 |
$2,488.05 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$379.38 |
$3,161.47 |
4.9× |
| Radiologic exam colon single contrast study (74270) |
$533.94 |
$4,449.47 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$80.43 |
$670.28 |
0.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$655.53 |
$5,462.74 |
4.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$345.85 |
$2,882.07 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$377.50 |
$3,145.78 |
4.8× |
| Radiological examination surgical specimen (76098) |
$444.84 |
$3,706.97 |
0.9× |
| Ribs bilateral 3 views (71110) |
$226.99 |
$1,891.55 |
2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,281.58 |
$10,679.81 |
3.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,381.19 |
$19,843.23 |
4.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$697.44 |
$5,812.01 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$561.15 |
$4,676.28 |
0.5× |
| Rp Therapy Intravenous Administration (79101) |
$322.11 |
$2,684.27 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$238.57 |
$1,988.09 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$211.16 |
$1,759.70 |
1.0× |
| Scanogram (77073) |
$159.27 |
$1,327.23 |
1.7× |
| Scapula complete (73010) |
$398.07 |
$3,317.27 |
4.2× |
| Screening digital breast tomosynthesis (77063) |
$86.73 |
$722.72 |
3.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$137.79 |
$1,148.28 |
1.5× |
| Simulation intermediate (77285) |
$631.98 |
$5,266.51 |
1.9× |
| Small bowel series (74250) |
$309.21 |
$2,576.74 |
2.0× |
| Spec medical radj physics consltj (77370) |
$587.05 |
$4,892.12 |
4.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$779.19 |
$6,493.28 |
2.3× |
| Special dosimetry (77331) |
$518.49 |
$4,320.75 |
4.3× |
| Special treatment procedure (77470) |
$577.07 |
$4,808.94 |
1.2× |
| Spine thoracic 3 views (72072) |
$471.68 |
$3,930.65 |
5.0× |
| Stereotactic body radiation delivery (77373) |
$1,099.52 |
$9,162.64 |
0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,317.14 |
$19,309.52 |
6.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,612.82 |
$13,440.20 |
4.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$819.69 |
$6,830.77 |
2.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$515.47 |
$4,295.62 |
4.3× |
| Thoracolumbar 2 views (72080) |
$323.71 |
$2,697.61 |
4.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,047.06 |
$8,725.47 |
2.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$225.95 |
$1,882.92 |
0.6× |
| Thyroid uptake measurement (78012) |
$245.63 |
$2,046.95 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,513.93 |
$12,616.08 |
4.2× |
| Tmj unilateral (70328) |
$160.21 |
$1,335.06 |
2.1× |
| Treatment device intermediate (77333) |
$1,056.85 |
$8,807.09 |
8.8× |
| Treatment devices simple (77332) |
$891.56 |
$7,429.64 |
7.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,391.96 |
$11,599.68 |
3.9× |
| Tx devices design & construction complex (77334) |
$1,253.04 |
$10,441.99 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$652.23 |
$5,435.27 |
7.0× |
| Unlisted fluoroscopic procedure (76496) |
$452.18 |
$3,768.18 |
5.8× |
| Upper Extremity Infant (73092) |
$451.57 |
$3,763.08 |
4.8× |
| Urethrocystography voiding (74455) |
$367.70 |
$3,064.16 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,018.42 |
$8,486.87 |
6.5× |
| Us abdl aorta screen aaa (76706) |
$58.87 |
$490.55 |
0.6× |
| Us breast unilateral complete (76641) |
$261.74 |
$2,181.18 |
2.8× |
| Us breast unilateral limited (76642) |
$261.74 |
$2,181.18 |
3.4× |
| Us chest (76604) |
$302.71 |
$2,522.58 |
3.2× |
| Us compl joint r-t w/image documentation (76881) |
$249.12 |
$2,076.01 |
2.7× |
| Us guided compression repair (76936) |
$369.68 |
$3,080.65 |
1.9× |
| Us infant hips dynamic (76885) |
$244.88 |
$2,040.68 |
3.1× |
| Us ob detailed single fetus (76811) |
$197.79 |
$1,648.24 |
0.9× |
| Us ob transvaginal (76817) |
$202.12 |
$1,684.35 |
2.2× |
| Us pelvic non ob complete (76856) |
$511.90 |
$4,265.81 |
5.5× |
| Us pregnancy ltd (76815) |
$361.48 |
$3,012.35 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$202.12 |
$1,684.35 |
2.2× |
| Us retroperitoneal complete (76770) |
$368.92 |
$3,074.36 |
3.9× |
| Us retroperitoneal limited (76775) |
$568.22 |
$4,735.16 |
6.1× |
| Us scrotum and contents (76870) |
$425.25 |
$3,543.72 |
4.5× |
| Us soft tissue head/neck (76536) |
$508.32 |
$4,235.98 |
5.4× |
| Us spinal canal and contents (76800) |
$243.66 |
$2,030.47 |
2.6× |
| Us transrectal (76872) |
$269.93 |
$2,249.45 |
2.9× |
| Us transrectal prostate volume (76873) |
$237.63 |
$1,980.24 |
2.5× |
| Us xtr non-vasc lmtd (76882) |
$232.54 |
$1,937.86 |
2.5× |
| Venogram extremity bilateral (75822) |
$491.22 |
$4,093.52 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$1,666.23 |
$13,885.22 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,252.10 |
$10,434.13 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$609.42 |
$5,078.54 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,794.23 |
$14,951.88 |
0.6× |
| Venography renal unilateral selective rs&i (75831) |
$1,429.16 |
$11,909.70 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$657.69 |
$5,480.78 |
0.2× |
| Wrist 2 views (73100) |
$358.28 |
$2,985.67 |
4.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$765.82 |
$6,381.81 |
8.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$197.60 |
$1,646.67 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$466.08 |
$3,883.96 |
6.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$826.29 |
$6,885.71 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$391.38 |
$3,261.54 |
5.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$271.54 |
$2,262.80 |
3.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$290.84 |
$2,423.69 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$170.57 |
$1,421.40 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$183.09 |
$1,525.79 |
2.3× |
| X-ray exam hip uni 4/> views (73503) |
$274.83 |
$2,290.27 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$200.05 |
$1,667.08 |
2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$400 |
$3,333.37 |
4.3× |
| X-ray exam of femur 1 (73551) |
$34.57 |
$288.06 |
0.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$357.06 |
$2,975.46 |
2.3× |
| X-ray eye for foreign body (70030) |
$171.98 |
$1,433.18 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$441.73 |
$3,681.07 |
4.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$327.29 |
$2,727.45 |
4.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$486.28 |
$4,052.31 |
6.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$380.36 |
$3,169.72 |
4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$330.12 |
$2,751 |
4.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$214.93 |
$1,791.08 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$198.92 |
$1,657.66 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$349.61 |
$2,913.45 |
3.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$567.94 |
$4,732.81 |
6.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$419.12 |
$3,492.69 |
4.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$349.61 |
$2,913.45 |
4.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$420.63 |
$3,505.26 |
4.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$408.39 |
$3,403.21 |
4.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$440.60 |
$3,671.64 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$208.90 |
$1,740.85 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$375.99 |
$3,133.22 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$408.10 |
$3,400.87 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$247.14 |
$2,059.51 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$607.30 |
$5,060.87 |
7.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$563.74 |
$4,697.88 |
7.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$438.05 |
$3,650.45 |
5.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$209.75 |
$1,747.90 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$444.08 |
$3,700.70 |
4.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$408.39 |
$3,403.21 |
4.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$272.57 |
$2,271.43 |
3.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$66.12 |
$551 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$290.94 |
$2,424.49 |
3.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$323.71 |
$2,697.61 |
3.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$223.31 |
$1,860.94 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$262.68 |
$2,189.02 |
3.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$445.30 |
$3,710.89 |
5.7× |
| Xr arthrogram ankle (73615) |
$336.43 |
$2,803.59 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$667.96 |
$5,566.34 |
7.1× |
| Xr finger(s) 2+ views (73140) |
$402.27 |
$3,352.22 |
5.2× |
| Xr shoulder 1 view (73020) |
$419.50 |
$3,495.83 |
5.4× |
| Xr spine cervical 4 or 5 views (72050) |
$638.48 |
$5,320.67 |
6.8× |
| Xr tibia/fibula 2 views (73590) |
$585.78 |
$4,881.54 |
7.5× |
| Xr tmj bilateral (70330) |
$473.47 |
$3,945.58 |
6.1× |
| Xray knee 1 or 2 views rt (73560) |
$446.30 |
$3,719.12 |
5.7× |