| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,211.51 |
$5,211.51 |
4.1× |
| Abdomen 2 views (74019) |
$635.28 |
$635.28 |
6.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,958.96 |
$2,958.96 |
8.0× |
| Angiography extremity bilateral rs&i (75716) |
$23,172.17 |
$23,172.17 |
7.9× |
| Angiography extremity unilateral rs&i (75710) |
$23,172.17 |
$23,172.17 |
7.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$22,280.94 |
$22,280.94 |
4.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$22,280.94 |
$22,280.94 |
7.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$22,280.94 |
$22,280.94 |
7.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$19,064.13 |
$19,064.13 |
3.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$8,641.37 |
$8,641.37 |
3.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,203.74 |
$3,203.74 |
1.1× |
| Ankle 2 views (73600) |
$1,360.21 |
$1,360.21 |
16.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,308.24 |
$2,308.24 |
7.2× |
| Aortogram thoracic (75605) |
$7,971.68 |
$7,971.68 |
1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$23,172.17 |
$23,172.17 |
7.9× |
| Aortography abdominal serialography rs&i (75625) |
$23,172.17 |
$23,172.17 |
7.9× |
| Artery X-Rays Adrenal Gland (75731) |
$9,012.67 |
$9,012.67 |
3.1× |
| Arthrogram elbow (73085) |
$2,946.96 |
$2,946.96 |
9.1× |
| Arthrogram hip (73525) |
$2,946.96 |
$2,946.96 |
9.1× |
| Arthrogram shoulder (73040) |
$2,946.96 |
$2,946.96 |
9.1× |
| Arthrogram wrist (73115) |
$2,946.96 |
$2,946.96 |
9.1× |
| Arthrography knee lt (73580) |
$2,946.96 |
$2,946.96 |
9.1× |
| Basic radiation dosimetry calculation (77300) |
$623.77 |
$623.77 |
5.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,891.79 |
$2,891.79 |
7.8× |
| Bone &/joint imaging whole body (78306) |
$3,383.10 |
$3,383.10 |
9.2× |
| Bone age studies (77072) |
$712.87 |
$712.87 |
7.4× |
| Bone Imaging 3 Phase (78315) |
$3,518.42 |
$3,518.42 |
9.5× |
| Bone survey complete (77075) |
$1,443.78 |
$1,443.78 |
14.9× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,125.15 |
$1,125.15 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$859.96 |
$859.96 |
10.7× |
| Chest 1 view (71045) |
$452.50 |
$452.50 |
5.6× |
| Chest 3 views (71047) |
$455.30 |
$455.30 |
5.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$834.01 |
$834.01 |
5.1× |
| Clavicle complete (73000) |
$1,229 |
$1,229 |
15.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,253.31 |
$1,253.31 |
13.0× |
| Continuing medical physics consltj pr wk (77336) |
$623.77 |
$623.77 |
5.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$11,431.02 |
$11,431.02 |
35.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,572.35 |
$2,572.35 |
11.7× |
| CT abdomen w contrast (74160) |
$2,616.44 |
$2,616.44 |
16.1× |
| CT abdomen w wo contrast (74170) |
$2,929.12 |
$2,929.12 |
18.1× |
| CT abdomen w/o contrast (74150) |
$1,303.44 |
$1,303.44 |
13.5× |
| CT angiography upper extremity lt (73206) |
$3,061.92 |
$3,061.92 |
18.9× |
| CT c-spine w/o contrast (72125) |
$1,303.44 |
$1,303.44 |
13.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,440.92 |
$2,440.92 |
15.1× |
| CT cervical spine with contrast (72126) |
$2,616.44 |
$2,616.44 |
8.1× |
| CT chest w/wo contrast (71270) |
$2,929.12 |
$2,929.12 |
18.1× |
| CT chest with contrast (71260) |
$2,616.44 |
$2,616.44 |
16.1× |
| CT head/brain with contrast (70460) |
$3,145.28 |
$3,145.28 |
19.4× |
| CT head/brain without and with contrast (70470) |
$2,929.12 |
$2,929.12 |
18.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$521.96 |
$521.96 |
1.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$157.86 |
$157.86 |
2.0× |
| CT iac w contrast (70481) |
$2,314.06 |
$2,314.06 |
14.3× |
| CT limited/localized follow up study (76380) |
$644.77 |
$644.77 |
8.0× |
| CT lower ext w/o (73700) |
$2,506.63 |
$2,506.63 |
25.9× |
| CT lower extremity w wo contrast (73702) |
$3,187.63 |
$3,187.63 |
19.7× |
| CT lower extremity with contrast (73701) |
$2,180.35 |
$2,180.35 |
13.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,440.92 |
$2,440.92 |
15.1× |
| CT lumbar spine w/o contrast (72131) |
$3,418.19 |
$3,418.19 |
35.4× |
| CT lumbar spine with contrast (72132) |
$2,616.44 |
$2,616.44 |
8.1× |
| CT maxillofacial w contrast (70487) |
$2,314.06 |
$2,314.06 |
14.3× |
| CT maxillofacial w/o contrast (70486) |
$3,965.37 |
$3,965.37 |
41.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,929.12 |
$2,929.12 |
18.1× |
| CT neck soft tissue w contrast (70491) |
$2,616.44 |
$2,616.44 |
16.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,315.13 |
$3,315.13 |
20.4× |
| CT orbits w/o contrast (70480) |
$2,347.48 |
$2,347.48 |
24.3× |
| CT pelvis w & w/o contrast (72194) |
$4,068.37 |
$4,068.37 |
25.1× |
| CT pelvis w/o contrast (72192) |
$1,303.44 |
$1,303.44 |
13.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,451.58 |
$3,451.58 |
21.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,303.44 |
$1,303.44 |
13.5× |
| CT thoracic spine w/o contrast (72128) |
$3,759.29 |
$3,759.29 |
38.9× |
| CT thoracic spine w/wo contrast (72130) |
$3,482.21 |
$3,482.21 |
21.5× |
| CT thorax w/o contrast (71250) |
$1,303.44 |
$1,303.44 |
13.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,882.13 |
$2,882.13 |
17.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,771.28 |
$2,771.28 |
28.7× |
| CT upper extremity with contrast (73201) |
$2,180.35 |
$2,180.35 |
6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,061.92 |
$3,061.92 |
18.9× |
| Cta Abdomen (74175) |
$3,061.92 |
$3,061.92 |
18.9× |
| CTA abdomen pelvis (74174) |
$4,078.77 |
$4,078.77 |
12.6× |
| CTA chest (71275) |
$3,542.10 |
$3,542.10 |
21.8× |
| Cta Head (70496) |
$3,061.92 |
$3,061.92 |
18.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,944.14 |
$2,944.14 |
18.2× |
| Cta Neck (70498) |
$3,061.92 |
$3,061.92 |
18.9× |
| Cta Pelvis (72191) |
$4,218.77 |
$4,218.77 |
26.0× |
| Cystography minimum 3 views rs&i (74430) |
$2,400.57 |
$2,400.57 |
7.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$740.95 |
$740.95 |
7.7× |
| Echoencephalography real time imaging (76506) |
$1,220.43 |
$1,220.43 |
12.6× |
| Esophagus (74220) |
$1,104.37 |
$1,104.37 |
6.8× |
| Fetal biophysical profile non-stress testing (76818) |
$1,173.49 |
$1,173.49 |
12.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,220.43 |
$1,220.43 |
12.6× |
| Fluoroscopy up to 1 hr (76000) |
$1,443.78 |
$1,443.78 |
6.5× |
| Foot 2 views (73620) |
$1,132.61 |
$1,132.61 |
14.1× |
| Forearm 2 views (73090) |
$1,253.10 |
$1,253.10 |
15.6× |
| Gated Heart Planar Single (78472) |
$3,402.86 |
$3,402.86 |
9.2× |
| Hand 2 views (73120) |
$1,653.75 |
$1,653.75 |
17.1× |
| Hand 3 views (73130) |
$1,239.93 |
$1,239.93 |
15.4× |
| Heart Infarct Image (78466) |
$3,380.78 |
$3,380.78 |
9.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$22,280.94 |
$22,280.94 |
7.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,051.38 |
$4,051.38 |
8.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,767.64 |
$3,767.64 |
10.2× |
| Ht muscle image spect sing (78451) |
$3,896.30 |
$3,896.30 |
3.3× |
| Humerus Min 2 Views Left (73060) |
$619.98 |
$619.98 |
7.7× |
| Hysterosalpingogram (74740) |
$1,708.40 |
$1,708.40 |
7.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,807.03 |
$3,807.03 |
7.6× |
| Knee 3 views (73562) |
$1,653.75 |
$1,653.75 |
20.6× |
| Liver & spleen imaging static only (78215) |
$3,246.30 |
$3,246.30 |
8.8× |
| Lung perf&ventilat diferentl (78598) |
$2,992.19 |
$2,992.19 |
6.0× |
| Lymphoscintigraphy (78195) |
$3,216.28 |
$3,216.28 |
6.4× |
| Meckels Diverticulum (78290) |
$2,170.64 |
$2,170.64 |
5.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,455.26 |
$1,455.26 |
4.2× |
| MRA head w/o contrast (70544) |
$3,110.47 |
$3,110.47 |
14.1× |
| MRA head with contrast (70545) |
$3,305.39 |
$3,305.39 |
10.2× |
| MRA neck w contrast (70548) |
$3,688.28 |
$3,688.28 |
11.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,246.33 |
$5,246.33 |
16.3× |
| MRA neck w/o contrast (70547) |
$3,110.47 |
$3,110.47 |
14.1× |
| MRI abdomen w contrast (74182) |
$3,305.39 |
$3,305.39 |
10.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,246.33 |
$5,246.33 |
16.3× |
| MRI abdomen w/o contrast (74181) |
$3,110.47 |
$3,110.47 |
14.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,133.76 |
$2,133.76 |
2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,408.80 |
$2,408.80 |
3.3× |
| MRI breast w/o contrast bilateral (77047) |
$4,389.65 |
$4,389.65 |
19.9× |
| MRI breast w/o contrast unilat (77046) |
$2,875.80 |
$2,875.80 |
13.0× |
| MRI c-spine with contrast (72142) |
$3,305.39 |
$3,305.39 |
10.2× |
| MRI cervical spine w/o contrast (72141) |
$3,110.47 |
$3,110.47 |
14.1× |
| MRI chest w/o & w/contrast material (71552) |
$5,686.27 |
$5,686.27 |
17.6× |
| MRI chest w/o contrast (71550) |
$2,990.83 |
$2,990.83 |
13.6× |
| MRI chest with contrast (71551) |
$3,178.27 |
$3,178.27 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,559.81 |
$3,559.81 |
11.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,990.83 |
$2,990.83 |
13.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,525.07 |
$4,525.07 |
20.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$8,092.21 |
$8,092.21 |
25.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,807.09 |
$6,807.09 |
21.1× |
| MRI pelvis w/o contrast (72195) |
$4,902.41 |
$4,902.41 |
22.2× |
| MRI scan of arm joint before and after contrast (73223) |
$5,004.04 |
$5,004.04 |
15.5× |
| MRI scan of leg joint before and after contrast (73723) |
$4,296.15 |
$4,296.15 |
13.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,246.33 |
$5,246.33 |
16.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,305.39 |
$3,305.39 |
10.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,246.33 |
$5,246.33 |
16.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,305.39 |
$3,305.39 |
10.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,246.33 |
$5,246.33 |
16.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,110.47 |
$3,110.47 |
14.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,990.83 |
$2,990.83 |
13.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,301.69 |
$6,301.69 |
19.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,990.83 |
$2,990.83 |
13.6× |
| Myelogram Cervical (72240) |
$5,139.90 |
$5,139.90 |
7.1× |
| Myelogram Lumbar (72265) |
$5,139.90 |
$5,139.90 |
7.1× |
| Myelogram thoracic (72255) |
$2,408.80 |
$2,408.80 |
3.3× |
| Myelography 2 or more regions (72270) |
$5,397.40 |
$5,397.40 |
7.4× |
| Myocardial infarct spect (78469) |
$1,466.87 |
$1,466.87 |
2.9× |
| Myocardial Spect Multiple Studies (78452) |
$11,138.64 |
$11,138.64 |
9.3× |
| Neck soft tissue (70360) |
$644.77 |
$644.77 |
8.0× |
| Nm gastric emptying study (78264) |
$3,550.73 |
$3,550.73 |
9.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,011.06 |
$5,011.06 |
3.9× |
| Nuclear medicine of heart pumping function (78473) |
$1,137.61 |
$1,137.61 |
3.1× |
| Nuclear medicine study of digestive tracts (78299) |
$1,081.66 |
$1,081.66 |
2.9× |
| Nuclear medicine study of endocrine organs (78099) |
$1,081.66 |
$1,081.66 |
2.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$3,807.03 |
$3,807.03 |
10.3× |
| Nuclear Rx Oral Admin (79005) |
$2,553.52 |
$2,553.52 |
11.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$724.99 |
$724.99 |
7.5× |
| Osseous survey infant (77076) |
$859.96 |
$859.96 |
8.9× |
| Parathyroid imaging (78070) |
$2,646.81 |
$2,646.81 |
7.2× |
| Pelvis 1 or 2 views (72170) |
$859.96 |
$859.96 |
8.9× |
| Peritoneogram rs&i (74190) |
$1,772.98 |
$1,772.98 |
3.5× |
| PET image w/CT, skull-thigh (78815) |
$11,640.58 |
$11,640.58 |
8.8× |
| PET imaging CT for attenuation limited area (78814) |
$11,640.58 |
$11,640.58 |
8.8× |
| PET imaging for CT attenuation whole body (78816) |
$11,640.58 |
$11,640.58 |
8.8× |
| Pr heart first pass single,planar (78481) |
$3,380.78 |
$3,380.78 |
6.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,246.33 |
$5,246.33 |
16.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$7,201.13 |
$7,201.13 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,833.70 |
$1,833.70 |
5.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,985.14 |
$3,985.14 |
7.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,932.85 |
$2,932.85 |
5.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$517.95 |
$517.95 |
6.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,388.26 |
$1,388.26 |
14.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$367.02 |
$367.02 |
3.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,748.84 |
$1,748.84 |
3.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$871.34 |
$871.34 |
9.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$871.34 |
$871.34 |
2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$859.96 |
$859.96 |
8.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$644.77 |
$644.77 |
8.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$859.96 |
$859.96 |
8.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$644.77 |
$644.77 |
8.0× |
| Radiologic exam colon single contrast study (74270) |
$1,145.90 |
$1,145.90 |
7.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,366.48 |
$1,366.48 |
8.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,428.53 |
$1,428.53 |
8.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$615.85 |
$615.85 |
7.7× |
| Radiological examination surgical specimen (76098) |
$3,050.16 |
$3,050.16 |
6.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$22,280.94 |
$22,280.94 |
7.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$22,280.94 |
$22,280.94 |
7.6× |
| Ribs bilateral 3 views (71110) |
$264.54 |
$264.54 |
2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,283.55 |
$3,283.55 |
8.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,150.02 |
$6,150.02 |
12.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,891.79 |
$2,891.79 |
5.8× |
| Rp Therapy Intravenous Administration (79101) |
$1,988.24 |
$1,988.24 |
9.2× |
| Sacroiliac Joints < 3 Views (72200) |
$584.77 |
$584.77 |
6.1× |
| Scanogram (77073) |
$536.41 |
$536.41 |
5.6× |
| Scapula complete (73010) |
$690.82 |
$690.82 |
7.1× |
| Screening digital breast tomosynthesis (77063) |
$156.65 |
$156.65 |
6.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,049.60 |
$1,049.60 |
10.9× |
| Sialogram (70390) |
$2,932.85 |
$2,932.85 |
13.3× |
| Small bowel series (74250) |
$1,104.37 |
$1,104.37 |
6.8× |
| Spec medical radj physics consltj (77370) |
$599.78 |
$599.78 |
4.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,737.24 |
$2,737.24 |
7.9× |
| Special dosimetry (77331) |
$599.78 |
$599.78 |
4.8× |
| Special treatment procedure (77470) |
$2,048.32 |
$2,048.32 |
4.0× |
| Spine thoracic 3 views (72072) |
$1,031.94 |
$1,031.94 |
10.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$998.72 |
$998.72 |
2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$984.83 |
$984.83 |
2.8× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$2,946.96 |
$2,946.96 |
13.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,381.62 |
$1,381.62 |
4.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$623.77 |
$623.77 |
5.0× |
| Therapeutic Enema (74283) |
$1,366.48 |
$1,366.48 |
8.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,097.88 |
$4,097.88 |
8.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,886.31 |
$2,886.31 |
7.8× |
| Treatment device intermediate (77333) |
$1,876.42 |
$1,876.42 |
15.1× |
| Treatment devices simple (77332) |
$1,008.11 |
$1,008.11 |
8.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,175.72 |
$5,175.72 |
10.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,283.55 |
$3,283.55 |
8.9× |
| Tx devices design & construction complex (77334) |
$1,048.44 |
$1,048.44 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$1,361.53 |
$1,361.53 |
14.1× |
| Umbilical-artery Doppler (OB) (76820) |
$496.11 |
$496.11 |
5.1× |
| Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED (78699) |
$1,081.66 |
$1,081.66 |
2.9× |
| Upper Extremity Infant (73092) |
$1,653.75 |
$1,653.75 |
17.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,364.17 |
$1,364.17 |
6.2× |
| Urethrocystography voiding (74455) |
$1,681.92 |
$1,681.92 |
7.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,538.21 |
$2,538.21 |
15.7× |
| Us abdl aorta screen aaa (76706) |
$352.58 |
$352.58 |
3.6× |
| Us breast unilateral complete (76641) |
$876.91 |
$876.91 |
9.1× |
| Us breast unilateral limited (76642) |
$876.91 |
$876.91 |
10.9× |
| Us chest (76604) |
$1,173.49 |
$1,173.49 |
12.1× |
| Us compl joint r-t w/image documentation (76881) |
$2,352.38 |
$2,352.38 |
24.3× |
| Us guided compression repair (76936) |
$2,869.69 |
$2,869.69 |
14.4× |
| Us infant hips dynamic (76885) |
$1,168.17 |
$1,168.17 |
14.5× |
| Us infant hips limited static (76886) |
$255.21 |
$255.21 |
3.2× |
| Us kidney transplant (76776) |
$1,220.43 |
$1,220.43 |
12.6× |
| Us ob detailed single fetus (76811) |
$1,716.10 |
$1,716.10 |
7.8× |
| Us ob transvaginal (76817) |
$1,187.50 |
$1,187.50 |
12.3× |
| Us pelvic non ob complete (76856) |
$1,416 |
$1,416 |
14.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,361.53 |
$1,361.53 |
14.1× |
| Us pregnancy ltd (76815) |
$1,220.43 |
$1,220.43 |
12.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,241.97 |
$1,241.97 |
12.9× |
| Us retroperitoneal complete (76770) |
$1,278.54 |
$1,278.54 |
13.2× |
| Us retroperitoneal limited (76775) |
$1,173.49 |
$1,173.49 |
12.1× |
| Us scrotum and contents (76870) |
$1,356.13 |
$1,356.13 |
14.0× |
| Us soft tissue head/neck (76536) |
$1,361.53 |
$1,361.53 |
14.1× |
| Us spinal canal and contents (76800) |
$829.81 |
$829.81 |
8.6× |
| Us transrectal prostate volume (76873) |
$352.58 |
$352.58 |
3.6× |
| Us xtr non-vasc lmtd (76882) |
$1,991.55 |
$1,991.55 |
20.6× |
| Vascular flow imaging (78445) |
$2,932.85 |
$2,932.85 |
7.9× |
| Venogram extremity bilateral (75822) |
$7,359.57 |
$7,359.57 |
5.1× |
| Venography caval inferior serialography rs&i (75825) |
$23,172.17 |
$23,172.17 |
7.9× |
| Venography caval superior serialography rs&i (75827) |
$3,799.66 |
$3,799.66 |
2.6× |
| Venography extremity unilateral rs&i (75820) |
$1,396.51 |
$1,396.51 |
1.0× |
| Venography renal unilateral selective rs&i (75831) |
$8,731.63 |
$8,731.63 |
3.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$7,489.17 |
$7,489.17 |
2.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$22,280.94 |
$22,280.94 |
4.3× |
| Wrist 2 views (73100) |
$1,089.77 |
$1,089.77 |
13.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,031.94 |
$1,031.94 |
10.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$787.49 |
$787.49 |
9.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,349.49 |
$1,349.49 |
16.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,606.75 |
$1,606.75 |
9.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,239.93 |
$1,239.93 |
15.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,239.93 |
$1,239.93 |
15.4× |
| X-ray exam hip uni 1 view (73501) |
$1,137.53 |
$1,137.53 |
14.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,093.78 |
$1,093.78 |
13.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$930 |
$930 |
9.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$961.37 |
$961.37 |
9.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$266.35 |
$266.35 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$859.96 |
$859.96 |
8.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$537.33 |
$537.33 |
6.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,239.93 |
$1,239.93 |
15.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$11,104.09 |
$11,104.09 |
5.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,239.93 |
$1,239.93 |
15.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$537.33 |
$537.33 |
6.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,807.37 |
$1,807.37 |
18.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$537.33 |
$537.33 |
6.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$826.88 |
$826.88 |
10.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$859.96 |
$859.96 |
8.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,031.94 |
$1,031.94 |
10.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$644.77 |
$644.77 |
8.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$859.96 |
$859.96 |
8.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,299.96 |
$1,299.96 |
13.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,397.75 |
$2,397.75 |
7.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$644.77 |
$644.77 |
8.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$792.23 |
$792.23 |
8.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,027.54 |
$1,027.54 |
10.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$859.96 |
$859.96 |
8.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$643.26 |
$643.26 |
8.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$690.82 |
$690.82 |
8.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$866.04 |
$866.04 |
10.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$644.77 |
$644.77 |
8.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,031.94 |
$1,031.94 |
10.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$451.11 |
$451.11 |
4.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$703.13 |
$703.13 |
8.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$516.66 |
$516.66 |
6.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$572.25 |
$572.25 |
7.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$665.37 |
$665.37 |
6.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$619.98 |
$619.98 |
7.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,239.93 |
$1,239.93 |
15.4× |
| Xr arthrogram ankle (73615) |
$2,946.96 |
$2,946.96 |
9.1× |
| Xr c-spine 6 or more views (72052) |
$1,031.94 |
$1,031.94 |
10.7× |
| Xr chest 4+ views (71048) |
$374.53 |
$374.53 |
3.9× |
| Xr finger(s) 2+ views (73140) |
$619.97 |
$619.97 |
7.7× |
| Xr optic foramina (70190) |
$234.34 |
$234.34 |
2.9× |
| Xr shoulder 1 view (73020) |
$619.97 |
$619.97 |
7.7× |
| Xr spine cervical 4 or 5 views (72050) |
$1,031.94 |
$1,031.94 |
10.7× |
| Xr tibia/fibula 2 views (73590) |
$1,239.93 |
$1,239.93 |
15.4× |
| Xr tmj bilateral (70330) |
$537.33 |
$537.33 |
6.7× |
| Xray knee 1 or 2 views rt (73560) |
$1,239.72 |
$1,239.72 |
15.4× |