| Abdomen 1 View (74018) |
$257.54 |
$790 |
2.3× |
| Abdomen 2 views (74019) |
$412.07 |
$1,264 |
3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$414.02 |
$1,270 |
0.8× |
| Angio internal mammary (75756) |
$1,377.35 |
$4,225 |
0.3× |
| Angio pulmonary bilat (75743) |
$2,930.74 |
$8,990 |
0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,066.19 |
$6,338 |
0.5× |
| Angiography extremity bilateral rs&i (75716) |
$4,435.56 |
$13,606 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,480.86 |
$7,610 |
0.6× |
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure |
$3,417.46 |
$10,483 |
0.5× |
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure |
$2,196.27 |
$6,737 |
0.3× |
Artery X-Rays Pelvis (75736)
likely a partial charge, not the full procedure |
$2,016.31 |
$6,185 |
0.3× |
| Artery X-Rays Spine (75705) |
$4,435.56 |
$13,606 |
0.6× |
| Bone age studies (77072) |
$136.27 |
$418 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$1,571.98 |
$4,822 |
3.1× |
| Bone Imaging Limited Area (78300) |
$838.48 |
$2,572 |
1.6× |
| Bone Imaging Multiple Areas (78305) |
$1,071.57 |
$3,287 |
2.1× |
| Bone Imaging Whole Body (78306) |
$1,164.48 |
$3,572 |
2.3× |
| Bone marrow imaging limited area (78102) |
$689.17 |
$2,114 |
1.3× |
| Bone survey infant (77076) |
$619.73 |
$1,901 |
4.6× |
| Brain Flow Imaging Only (78610) |
$369.36 |
$1,133 |
0.5× |
| Brain Image W/Flow < 4 Views (78601) |
$472.38 |
$1,449 |
0.9× |
| Brain imaging < 4 static views (78600) |
$472.38 |
$1,449 |
0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$717.53 |
$2,201 |
1.0× |
| Brain Imaging Minimum 4 Static Views (78605) |
$414.35 |
$1,271 |
0.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$303.84 |
$932 |
0.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,027.23 |
$3,151 |
2.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$2,054.46 |
$6,302 |
2.0× |
| Cat Scan Follow-Up Study (76380) |
$814.35 |
$2,498 |
7.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,269.12 |
$3,893 |
1.8× |
| Cerebrospinal Fluid Scan (78630) |
$684.60 |
$2,100 |
1.0× |
| Chest 1 view (71045) |
$226.90 |
$696 |
2.0× |
| Chest 2 views (71046) |
$295.03 |
$905 |
2.6× |
| Chest 3 views (71047) |
$363.17 |
$1,114 |
3.2× |
| Chest 4 or more views (71048) |
$451.84 |
$1,386 |
3.4× |
Cholecystography Oral Contrast (74290)
range across 2 matching MRF lines |
$161.05–$341 |
$494–$1,046 |
varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$133.99 |
$411 |
1.0× |
| Contrast Exam Abdominl Aorta (75625) |
$1,865.38 |
$5,722 |
0.5× |
| Contrast X-Ray Bladder (74430) |
$460.32 |
$1,412 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,253.16 |
$9,979 |
7.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,147.04 |
$6,586 |
7.0× |
| CT abdomen w contrast (74160) |
$1,837.99 |
$5,638 |
8.1× |
| CT abdomen w wo contrast (74170) |
$2,136.28 |
$6,553 |
9.5× |
| CT abdomen w/o contrast (74150) |
$1,193.49 |
$3,661 |
8.9× |
| CT Angio Abdomen and Pelvis (74174) |
$3,066.36 |
$9,406 |
6.8× |
| CT Angio Chest (71275) |
$2,767.42 |
$8,489 |
12.3× |
| CT Angio Head (70496) |
$2,320.80 |
$7,119 |
10.3× |
| CT angio hrt w/3d image (75574) |
$586.80 |
$1,800 |
1.3× |
| CT Angio Neck (70498) |
$1,626.42 |
$4,989 |
7.2× |
| CT cervical spine w/ contrast (72126) |
$3,841.91 |
$11,785 |
8.6× |
| CT cervical spine w/o contrast (72125) |
$2,011.42 |
$6,170 |
15.0× |
| CT cervical spine w/wo cont (72127) |
$4,465.55 |
$13,698 |
19.8× |
| CT chest w contrast (71260) |
$3,181.11 |
$9,758 |
14.1× |
| CT chest w/wo contrast (71270) |
$3,599.70 |
$11,042 |
16.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$256.89 |
$788 |
1.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$156.81 |
$481 |
1.2× |
| CT head/brain with contrast (70460) |
$2,092.27 |
$6,418 |
9.3× |
| CT head/brain without and with contrast (70470) |
$2,571.49 |
$7,888 |
11.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$328.61 |
$1,008 |
0.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$217.12 |
$666 |
1.9× |
| CT hrt w/3d image congen (75573) |
$481.18 |
$1,476 |
1.1× |
| CT iac w contrast (70481) |
$1,992.19 |
$6,111 |
8.8× |
| CT l-spine w&w/o contrast (72133) |
$4,572.15 |
$14,025 |
20.3× |
| CT lumbar spine w contrast (72132) |
$2,677.44 |
$8,213 |
6.0× |
| CT lumbar spine w/o contrast (72131) |
$2,059.67 |
$6,318 |
15.3× |
| CT maxillofacial w contrast (70487) |
$2,099.44 |
$6,440 |
9.3× |
| CT maxillofacial wo contrast (70486) |
$1,734.98 |
$5,322 |
12.9× |
| CT neck tissue combo (70492) |
$2,192.35 |
$6,725 |
9.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,196.27 |
$6,737 |
9.7× |
| CT orbits w/o contrast (70480) |
$1,702.70 |
$5,223 |
12.7× |
| CT pelvis w&w/o contrast (72194) |
$3,042.56 |
$9,333 |
13.5× |
| CT pelvis w/o contrast (72192) |
$1,402.13 |
$4,301 |
10.4× |
| CT scans face/jaw combo (70488) |
$2,515.75 |
$7,717 |
11.2× |
| CT soft tissue neck w contrast (70491) |
$1,889.83 |
$5,797 |
8.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,568.72 |
$4,812 |
11.7× |
| CT thoracic spine w contrast (72129) |
$3,661.64 |
$11,232 |
16.2× |
| CT thoracic spine w/o contrast (72128) |
$1,917.21 |
$5,881 |
14.3× |
| CT thoracic spine w/wo cont (72130) |
$4,255.93 |
$13,055 |
18.9× |
| CT thorax w/o contrast (71250) |
$1,674.34 |
$5,136 |
12.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,320.30 |
$4,050 |
5.9× |
| Cta Abdomen (74175) |
$2,177.03 |
$6,678 |
9.7× |
| CTA pelvis (72191) |
$1,540.03 |
$4,724 |
6.8× |
| Dilation ureters/urethra rs&i (74485) |
$763.50 |
$2,342 |
0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$176.37 |
$541 |
1.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$104.65 |
$321 |
0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$126.17 |
$387 |
0.9× |
| Echo exam of fetal heart (76825) |
$342.96 |
$1,052 |
0.5× |
| Echo exam uterus (76831) |
$186.48 |
$572 |
0.6× |
| Echo Guide For Artery Repair (76936) |
$293.73 |
$901 |
1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$291.77 |
$895 |
1.0× |
| Esophagram (74220) |
$456.73 |
$1,401 |
2.0× |
| Fetal Biophys Profile W/Nst (76818) |
$534.32 |
$1,639 |
4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$476.94 |
$1,463 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$235.05 |
$721 |
0.8× |
| Follow-Up Angiography (75898) |
$2,968.23 |
$9,105 |
0.7× |
| Gastric emptying imaging study (78264) |
$786.32 |
$2,412 |
1.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$408.81 |
$1,254 |
0.8× |
| Gastric Mucosa Imaging (78261) |
$408.81 |
$1,254 |
0.8× |
| Gated Heart Planar Single (78472) |
$376.86 |
$1,156 |
0.7× |
| Gated Heart, Multiple (78473) |
$474.33 |
$1,455 |
0.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$533.01 |
$1,635 |
0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$1,209.79 |
$3,711 |
0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$2,480.86 |
$7,610 |
0.6× |
| Hepatobil Syst Image W/Drug (78227) |
$1,256.41 |
$3,854 |
1.8× |
| Hepatobiliary System Imaging (78226) |
$917.04 |
$2,813 |
1.8× |
| Ht Musc Image Planar Mult (78454) |
$2,735.47 |
$8,391 |
1.6× |
| Ht Muscle Image Spect Sing (78451) |
$2,259.84 |
$6,932 |
1.4× |
| Hysterosalpingogram (74740) |
$281.99 |
$865 |
0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$508.24 |
$1,559 |
4.5× |
| Infant hip ultrasound, limited static exam (76886) |
$433.58 |
$1,330 |
3.9× |
| K Flow/Funct Image Multiple (78709) |
$2,099.44 |
$6,440 |
3.0× |
| K Flow/Funct Image W/Drug (78708) |
$1,049.72 |
$3,220 |
1.5× |
| K Flow/Funct Image W/O Drug (78707) |
$1,406.69 |
$4,315 |
2.0× |
| Kidney Imaging Morphol (78700) |
$1,060.16 |
$3,252 |
2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$577.35 |
$1,771 |
1.1× |
| Liver & Spleen Imaging Static Only (78215) |
$204.41 |
$627 |
0.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$256.57 |
$787 |
0.5× |
| Liver imaging w/vascular flow (78202) |
$585.17 |
$1,795 |
0.8× |
| Lung Perf&Ventilat Diferentl (78598) |
$383.38 |
$1,176 |
0.5× |
| Lung perfusion differential (78597) |
$245.48 |
$753 |
0.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$772.62 |
$2,370 |
1.1× |
| Lung Ventilation Imaging (78579) |
$355.67 |
$1,091 |
0.7× |
| Lymph System Imaging (78195) |
$1,148.18 |
$3,522 |
1.6× |
| Magnetic Image Jaw Joint (70336) |
$464.88 |
$1,426 |
1.5× |
| Meckels Divert Exam (78290) |
$183.22 |
$562 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$30.32 |
$93 |
0.8× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,095.37 |
$9,495 |
6.9× |
| MRA head w/o contrast (70544) |
$2,134.65 |
$6,548 |
7.0× |
| MRA head with contrast (70545) |
$2,689.50 |
$8,250 |
6.0× |
| MRA neck w contrast (70548) |
$2,302.22 |
$7,062 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,651.36 |
$8,133 |
5.9× |
| MRA neck w/o contrast (70547) |
$1,587.62 |
$4,870 |
5.2× |
| MRI abdomen w contrast (74182) |
$2,578.66 |
$7,910 |
5.7× |
| MRI abdomen w/o contrast (74181) |
$1,841.90 |
$5,650 |
6.0× |
| MRI Breast W/O Contrast Bilateral (77047) |
$686.23 |
$2,105 |
2.2× |
| MRI cardiac w/o cont stress (75559) |
$1,580.45 |
$4,848 |
2.2× |
| MRI cardiac w/o contrast (75557) |
$790.23 |
$2,424 |
2.6× |
| MRI cervical spine w contrast (72142) |
$4,431.32 |
$13,593 |
9.9× |
| MRI cervical spine w/o cont (72141) |
$3,056.25 |
$9,375 |
10.0× |
| MRI chest w/o contrast (71550) |
$1,265.86 |
$3,883 |
4.1× |
| MRI chest with contrast (71551) |
$2,750.47 |
$8,437 |
2.7× |
| MRI chest wo w contrast (71552) |
$2,967.26 |
$9,102 |
6.6× |
| MRI lumbar spine w contrast (72149) |
$3,735.96 |
$11,460 |
8.3× |
| Mri Neck Spine W/O & W/Dye (72156) |
$5,103.86 |
$15,656 |
11.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,604.90 |
$4,923 |
5.2× |
| MRI orbit face neck w contrast (70542) |
$2,327.32 |
$7,139 |
5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,674.83 |
$8,205 |
6.0× |
| MRI pelvis w contrast (72196) |
$2,957.80 |
$9,073 |
6.6× |
| MRI pelvis w/o & w contrast (72197) |
$3,399.86 |
$10,429 |
7.6× |
| MRI pelvis w/o contrast (72195) |
$2,107.92 |
$6,466 |
6.9× |
| MRI thoracic spine w/o contrast (72146) |
$2,936.94 |
$9,009 |
9.6× |
| MRI, abdomen, combo (74183) |
$3,352.26 |
$10,283 |
7.5× |
| MRI, dorsal spine combo (72157) |
$4,904.67 |
$15,045 |
10.9× |
| MRI, dorsal spine contrast (72147) |
$4,258.22 |
$13,062 |
9.5× |
| MRI, lumbar spine combo (72158) |
$4,302.88 |
$13,199 |
9.6× |
| Myelogram cervical (72240) |
$591.69 |
$1,815 |
0.6× |
| Myelogram Lumbar (72265) |
$391.53 |
$1,201 |
0.4× |
| Myelography thoracic (72255) |
$414.35 |
$1,271 |
0.4× |
| Myelograpy 2/more regions rs&i (72270) |
$432.28 |
$1,326 |
0.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$376.86 |
$1,156 |
0.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$2,259.84 |
$6,932 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,973.45 |
$9,121 |
1.8× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) |
$1,619.57 |
$4,968 |
0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,619.57 |
$4,968 |
0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) |
$2,525.53 |
$7,747 |
0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) |
$3,086.57 |
$9,468 |
1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) |
$3,086.57 |
$9,468 |
1.6× |
| N-invas est c ffr sw aly CTA (75580) |
$786.64 |
$2,413 |
0.7× |
| Neck soft tissue (70360) |
$335.78 |
$1,030 |
3.0× |
| Nm csf leak detection (78650) |
$1,421.04 |
$4,359 |
0.9× |
| Nm myocard infarct spect (78469) |
$1,421.04 |
$4,359 |
2.0× |
| Nuclear Rx Intra-Arterial (79445) |
$394.46 |
$1,210 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$454.77 |
$1,395 |
1.5× |
| Ob us nuchal meas 1 gest (76813) |
$86.39 |
$265 |
0.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$164.31 |
$504 |
1.2× |
| Parathyroid Planar Imaging (78070) |
$795.77 |
$2,441 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$261.46 |
$802 |
1.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,193.82 |
$3,662 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$548.66 |
$1,683 |
1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$530.41 |
$1,627 |
3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$558.12 |
$1,712 |
0.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$565.94 |
$1,736 |
4.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$418.59 |
$1,284 |
3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$362.84 |
$1,113 |
3.2× |
| Radex Sinuses Paransl < 3 Views (70210) |
$361.86 |
$1,110 |
3.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$1,048.09 |
$3,215 |
4.6× |
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines |
$248.42–$321.77 |
$762–$987 |
varies |
| Radex Sternum Minimum 2 Views (71120) |
$248.74 |
$763 |
2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$576.05 |
$1,767 |
5.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,297.48 |
$3,980 |
9.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$491.94 |
$1,509 |
3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$427.39 |
$1,311 |
3.2× |
| Radiologic exam colon double contrast study (74280) |
$1,201.31 |
$3,685 |
5.3× |
| Radiologic exam colon single contrast study (74270) |
$852.17 |
$2,614 |
3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$181.59 |
$557 |
0.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$342.30 |
$1,050 |
2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$438.47 |
$1,345 |
1.9× |
| Radiologic exam swallow function contrast study (74230) |
$576.37 |
$1,768 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$625.92 |
$1,920 |
2.8× |
| Radiologic Examination Osseous Survey Limited (77074) |
$511.82 |
$1,570 |
3.8× |
| Renal Cyst Study (74470) |
$355.34 |
$1,090 |
0.5× |
| Ribs bilateral 3 views (71110) |
$522.58 |
$1,603 |
3.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$386.31 |
$1,185 |
0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$499.76 |
$1,533 |
1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,134.81 |
$3,481 |
1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$646.79 |
$1,984 |
0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$681.67 |
$2,091 |
1.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,427.56 |
$4,379 |
0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,619.57 |
$4,968 |
0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$1,427.56 |
$4,379 |
0.9× |
| Rp Therapy Intravenous Administration (79101) |
$1,063.74 |
$3,263 |
3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$43.04 |
$132 |
1.8× |
| Sella turcica (70240) |
$131.38 |
$403 |
1.2× |
| Skull less than 4 views (70250) |
$286.56 |
$879 |
2.1× |
| Speech evaluation, complex (70371) |
$519.65 |
$1,594 |
1.7× |
| Sternoclavicular joints (71130) |
$273.84 |
$840 |
2.4× |
| Superior sagittal sinus venogram (75870) |
$3,786.49 |
$11,615 |
0.9× |
| Testicular Imaging W/Flow (78761) |
$487.37 |
$1,495 |
0.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$161.05 |
$494 |
0.7× |
| Thoracic spine 2 views (72070) |
$417.28 |
$1,280 |
3.1× |
| Thoracic spine 3 views (72072) |
$469.12 |
$1,439 |
3.5× |
| Thoracolumbar 2 views (72080) |
$272.87 |
$837 |
2.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) |
$271.89 |
$834 |
0.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$302.86 |
$929 |
0.6× |
| Thyroid Met Imaging Body (78018) |
$394.46 |
$1,210 |
0.6× |
| Thyroid Uptake Measurement (78012) |
$166.92 |
$512 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$445.65 |
$1,367 |
0.9× |
| Ultrasound elastography first target lesion (76982) |
$125.51 |
$385 |
0.9× |
| Ultrasound Elastography Parenchyma (76981) |
$125.51 |
$385 |
0.9× |
| Ultrasound Exam Aaa Screen (76706) |
$471.40 |
$1,446 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$767.41 |
$2,354 |
5.7× |
| Umbilical-artery Doppler (OB) (76820) |
$121.28 |
$372 |
0.9× |
| Upper gi w/o kub (74240) |
$291.45 |
$894 |
1.3× |
| Ureteral Reflux Study (78740) |
$785.66 |
$2,410 |
1.5× |
| Urethrocystogram voiding (74455) |
$261.46 |
$802 |
0.9× |
| Urethrocystography retrograde (74450) |
$261.46 |
$802 |
0.9× |
| Us chest (76604) |
$438.80 |
$1,346 |
3.3× |
| Us exam, pelvic, limited (76857) |
$450.54 |
$1,382 |
3.4× |
| Us head (76506) |
$460.32 |
$1,412 |
3.4× |
| Us kidney transplant (76776) |
$428.69 |
$1,315 |
3.2× |
| Us ob detailed single fetus (76811) |
$427.72 |
$1,312 |
1.4× |
| Us ob limited 1 or more fetuses (76815) |
$350.45 |
$1,075 |
2.6× |
| Us ob transvaginal (76817) |
$357.95 |
$1,098 |
2.7× |
| Us pelvic non ob complete (76856) |
$692.75 |
$2,125 |
5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$351.11 |
$1,077 |
2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$350.45 |
$1,075 |
2.6× |
| Us retroperitoneal complete (76770) |
$688.84 |
$2,113 |
5.1× |
| Us retroperitoneal limited (76775) |
$316.22 |
$970 |
2.4× |
| Us scrotum and contents (76870) |
$667.65 |
$2,048 |
5.0× |
| Us spinal canal and contents (76800) |
$432.28 |
$1,326 |
3.2× |
| Us thyroid (76536) |
$646.46 |
$1,983 |
4.8× |
| Us transrectal (76872) |
$188.43 |
$578 |
1.4× |
| Vein X-Ray Chest (75827) |
$751.43 |
$2,305 |
0.4× |
| Venogram Sinus/Jugular (75860) |
$3,786.49 |
$11,615 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,348.51 |
$7,204 |
0.6× |
| Venography extremity bilateral rs&i (75822) |
$1,275.32 |
$3,912 |
0.6× |
| Venography Renal Bilateral (75833) |
$3,721.29 |
$11,415 |
0.9× |
| Venous sampling by catheter (75893) |
$6,624 |
$20,319 |
0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) |
$676.78 |
$2,076 |
1.3× |
| Vertebral fracture assessment via dxa (77086) |
$289.17 |
$887 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$363.49 |
$1,115 |
3.2× |
| X-Ray Aorta Leg Arteries (75630) |
$2,238.65 |
$6,867 |
0.6× |
| X-Ray Bend Only L-S Spine (72120) |
$290.14 |
$890 |
2.2× |
| X-Ray Exam Breast Specimen (76098) |
$518.67 |
$1,591 |
0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$272.87 |
$837 |
2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$806.85 |
$2,475 |
6.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$1,037.99 |
$3,184 |
7.7× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$388.92 |
$1,193 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$484.11 |
$1,485 |
3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$608.32 |
$1,866 |
4.5× |
| X-Ray Exam L-S Spine Bending (72114) |
$731.87 |
$2,245 |
5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$330.89 |
$1,015 |
3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$572.46 |
$1,756 |
4.3× |
| X-ray IV pyelogram (ivp) (74400) |
$1,343.12 |
$4,120 |
6.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$428.04 |
$1,313 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$477.92 |
$1,466 |
4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$408.81 |
$1,254 |
3.0× |
| X-ray nose-rectum child f.b. (76010) |
$414.35 |
$1,271 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$423.15 |
$1,298 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$411.42 |
$1,262 |
3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$342.96 |
$1,052 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$342.96 |
$1,052 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$458.69 |
$1,407 |
4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$364.15 |
$1,117 |
2.7× |
| X-ray thoracic spine 4 vw (72074) |
$558.12 |
$1,712 |
4.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$712.31 |
$2,185 |
1.6× |
| X-Rays Bone Length Studies (77073) |
$213.21 |
$654 |
1.6× |
| X-Rays Bone Survey Complete (77075) |
$613.54 |
$1,882 |
4.6× |
| Xr c-spine 4 or 5 views (72050) |
$446.95 |
$1,371 |
3.3× |
| Xr facial bones less than 3 views (70140) |
$407.50 |
$1,250 |
3.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$418.59 |
$1,284 |
3.1× |
| Xr orbits complete 4 views (70200) |
$482.16 |
$1,479 |
3.6× |