| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,897.56 |
$14,139.37 |
6.2× |
| Abdomen 2 views (74019) |
$472.40 |
$674.85 |
3.9× |
| Acute gi blood loss imaging (78278) |
$2,317.18 |
$3,310.25 |
5.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) |
$1,838.03 |
$2,625.76 |
1.2× |
| Angio Adrenal Bilat Select (75733) |
$4,104.24 |
$5,863.20 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$11,023.36 |
$15,747.65 |
3.0× |
| Angiography extremity unilateral rs&i (75710) |
$7,520.06 |
$10,742.94 |
2.1× |
| Angiography internal mammary rs&i (75756) |
$2,632.01 |
$3,760.01 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,531.52 |
$10,759.32 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,414.67 |
$7,735.24 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,342.79 |
$7,632.56 |
1.5× |
| Angiography Spinal Selective Rs&I (75705) |
$11,931.56 |
$17,045.08 |
1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,847.93 |
$15,497.04 |
1.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,344.20 |
$3,348.85 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,523.64 |
$3,605.20 |
0.7× |
| Ankle 2 views (73600) |
$475.34 |
$679.05 |
4.7× |
| Aortogram thoracic (75605) |
$6,888.94 |
$9,841.35 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$8,697.96 |
$12,425.65 |
2.4× |
| Aortography abdominal serialography rs&i (75625) |
$8,226.64 |
$11,752.34 |
2.2× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$4,043.16 |
$5,775.94 |
1.1× |
| Artery X-Rays Adrenal Gland (75731) |
$3,881.32 |
$5,544.75 |
1.1× |
| Arthrogram ankle (73615) |
$2,009.41 |
$2,870.58 |
5.0× |
| Arthrogram elbow (73085) |
$833.44 |
$1,190.62 |
2.1× |
| Arthrogram hip (73525) |
$1,365.68 |
$1,950.98 |
3.4× |
| Arthrogram knee (73580) |
$2,299.07 |
$3,284.38 |
5.7× |
| Arthrogram shoulder (73040) |
$1,403.60 |
$2,005.14 |
3.5× |
| Arthrogram wrist (73115) |
$1,669.12 |
$2,384.46 |
4.1× |
| Basic dosimetry (77300) |
$628.08 |
$897.26 |
4.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,798.74 |
$2,569.63 |
3.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,148.92 |
$3,069.89 |
4.6× |
| Bone &/joint imaging whole body (78306) |
$2,343.13 |
$3,347.33 |
5.1× |
| Bone age studies (77072) |
$358.18 |
$511.68 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$2,683.79 |
$3,833.99 |
5.8× |
| Bone Marrow Imaging Limited Area (78102) |
$1,855.38 |
$2,650.55 |
4.0× |
| Bone survey complete (77075) |
$883.95 |
$1,262.79 |
7.3× |
| Bone survey infant (77076) |
$352.76 |
$503.94 |
2.9× |
| Bowel imaging (78290) |
$1,537.43 |
$2,196.33 |
3.3× |
| Brachytx isodose complex (77318) |
$1,973.48 |
$2,819.26 |
4.6× |
| Brain imaging < 4 static views (78600) |
$1,587.70 |
$2,268.15 |
3.4× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$1,881.71 |
$2,688.16 |
4.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,943.63 |
$4,205.18 |
4.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,458.04 |
$10,654.34 |
4.5× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) |
$2,895.65 |
$4,136.64 |
4.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,673.70 |
$3,819.57 |
5.8× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$4,170.57 |
$5,957.96 |
4.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,321.21 |
$6,173.16 |
10.7× |
| Cardiac shunt detection (78428) |
$1,343.78 |
$1,919.68 |
2.9× |
| Cephalogram, orthodontic Non-Facility (70350) |
$187.82 |
$268.32 |
1.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,424.86 |
$3,464.08 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$412.05 |
$588.64 |
4.1× |
| Chest 1 view (71045) |
$399.69 |
$570.99 |
4.0× |
| Chest xray 3 views (71047) |
$675.02 |
$964.32 |
6.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$768.01 |
$1,097.16 |
3.8× |
| Cineradiography/videoradiography (76120) |
$529.98 |
$757.12 |
4.4× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,971.68 |
$2,816.68 |
2.2× |
| Clavicle complete (73000) |
$410.10 |
$585.85 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$289.90 |
$414.15 |
2.4× |
| Continuing medical physics consltj pr wk (77336) |
$792.56 |
$1,132.23 |
5.1× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$482.66 |
$689.52 |
2.4× |
| Corpora cavernosography (74445) |
$875.01 |
$1,250.01 |
7.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,069.40 |
$5,813.43 |
10.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,567.81 |
$3,668.30 |
9.3× |
| CT abdomen w contrast (74160) |
$2,108.22 |
$3,011.74 |
10.4× |
| CT abdomen w wo contrast (74170) |
$2,395.32 |
$3,421.89 |
11.8× |
| CT abdomen w/o contrast (74150) |
$1,470.90 |
$2,101.28 |
12.2× |
| CT angio hrt w/3d image (75574) |
$2,133.86 |
$3,048.37 |
5.3× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,415.23 |
$4,878.90 |
16.8× |
| CT angiography upper extremity lt (73206) |
$2,100.28 |
$3,000.40 |
10.3× |
| CT c-spine w/contrast (72126) |
$2,478.41 |
$3,540.59 |
6.1× |
| CT c-spine w/o contrast (72125) |
$1,944.50 |
$2,777.86 |
16.1× |
| CT cervical spine w&w/o contrast (72127) |
$3,078.25 |
$4,397.50 |
15.2× |
| CT chest w contrast (71260) |
$2,003.50 |
$2,862.15 |
9.9× |
| CT chest w/wo contrast (71270) |
$2,448.14 |
$3,497.34 |
12.1× |
| CT colonography w/dye (74262) |
$1,334.27 |
$1,906.10 |
6.6× |
| CT colonography w/o cntrst (74261) |
$1,157.52 |
$1,653.60 |
9.6× |
| CT head/brain with contrast (70460) |
$1,470.64 |
$2,100.92 |
7.2× |
| CT head/brain without and with contrast (70470) |
$1,594 |
$2,277.14 |
7.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,623.86 |
$2,319.80 |
4.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$227.58 |
$325.11 |
2.3× |
| CT hrt w/3d image congen (75573) |
$1,723.18 |
$2,461.68 |
4.3× |
| CT iac w contrast (70481) |
$2,096.99 |
$2,995.70 |
10.3× |
| CT limited/localized follow up study (76380) |
$912.76 |
$1,303.94 |
9.1× |
| CT lower ext w/o (73700) |
$2,046.39 |
$2,923.42 |
16.9× |
| CT lower extremity w wo contrast (73702) |
$2,735.80 |
$3,908.28 |
13.5× |
| CT lower extremity w/contrast material (73701) |
$2,152.40 |
$3,074.85 |
10.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,655.34 |
$3,793.34 |
13.1× |
| CT lumbar spine w/contrast (72132) |
$2,152.82 |
$3,075.45 |
5.3× |
| CT lumbar spine w/o contrast (72131) |
$1,673.15 |
$2,390.21 |
13.8× |
| CT maxillofacial w contrast (70487) |
$1,835.43 |
$2,622.04 |
9.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,328.43 |
$3,326.33 |
11.5× |
| CT maxillofacial wo contrast (70486) |
$1,597.81 |
$2,282.58 |
13.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,312.06 |
$3,302.94 |
11.4× |
| CT orbits w/o contrast (70480) |
$1,711.65 |
$2,445.21 |
14.1× |
| CT pelvis w/o contrast (72192) |
$1,405.13 |
$2,007.33 |
11.6× |
| CT pelvis w/wo contrast (72194) |
$1,850.78 |
$2,643.97 |
9.1× |
| CT scan of arm combo (73202) |
$3,472.10 |
$4,960.14 |
17.1× |
| CT soft tissue neck w contrast (70491) |
$2,061.84 |
$2,945.49 |
10.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,526.17 |
$3,608.81 |
12.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,547.77 |
$2,211.10 |
12.8× |
| CT thoracic spine w/contrast (72129) |
$2,148.48 |
$3,069.26 |
10.6× |
| CT thoracic spine w/o contrast (72128) |
$1,667.90 |
$2,382.71 |
13.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,646.02 |
$3,780.03 |
13.0× |
| CT thorax w/o contrast (71250) |
$1,465.74 |
$2,093.92 |
12.1× |
| CT unlisted procedure (76497) |
$399.18 |
$570.25 |
4.0× |
| CT upper ext wo (73200) |
$2,059.24 |
$2,941.76 |
17.0× |
| CT upper extremity with contrast (73201) |
$2,636.97 |
$3,767.10 |
6.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,995.60 |
$4,279.43 |
14.7× |
| Cta Abdomen (74175) |
$3,118.56 |
$4,455.08 |
15.4× |
| CTA abdomen pelvis (74174) |
$3,754.93 |
$5,364.18 |
9.3× |
| CTA chest (71275) |
$3,095.34 |
$4,421.92 |
15.2× |
| Cta Head (70496) |
$3,455.97 |
$4,937.10 |
17.0× |
| Cta Neck (70498) |
$3,429.09 |
$4,898.70 |
16.9× |
| Cta Pelvis (72191) |
$2,398.66 |
$3,426.66 |
11.8× |
| Cystography minimum 3 views rs&i (74430) |
$843.24 |
$1,204.63 |
2.1× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) |
$1,241.11 |
$1,773.01 |
4.5× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$4,119.60 |
$5,885.14 |
1.7× |
| Diskogram cervical (72285) |
$2,667.23 |
$3,810.33 |
1.2× |
| Diskography lumbar (72295) |
$3,937.98 |
$5,625.68 |
1.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$388.02 |
$554.32 |
3.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$462.60 |
$660.85 |
3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$235.42 |
$336.31 |
2.3× |
| Dxa bone density study axial skeleton (77085) |
$398 |
$568.57 |
3.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,048.31 |
$1,497.59 |
3.8× |
| Esophagus (74220) |
$493.34 |
$704.77 |
2.4× |
| Facial bones min 3 views (70150) |
$554.47 |
$792.10 |
4.6× |
| Fetal biophysical profile non-stress testing (76818) |
$1,016.60 |
$1,452.28 |
8.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$749.94 |
$1,071.35 |
6.2× |
| Fluoroscopy up to 1 hr (76000) |
$771.09 |
$1,101.56 |
2.8× |
| Foot 2 views (73620) |
$490.26 |
$700.38 |
4.9× |
| Forearm 2 views (73090) |
$515.74 |
$736.78 |
5.1× |
| Functional MRI brain by phys/psych (70555) |
$4,319.94 |
$6,171.35 |
15.6× |
| Functional MRI brain by tech (70554) |
$4,319.94 |
$6,171.35 |
15.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$2,688.13 |
$3,840.18 |
5.8× |
| Gastrointestinal endoscopic ultrasound, supervision and interpretation Non-Facility (76975) |
$640.83 |
$915.47 |
2.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$2,967.06 |
$4,238.65 |
4.7× |
| Hand 2 views (73120) |
$698.61 |
$998.02 |
5.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,930.23 |
$5,614.61 |
4.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$5,787.92 |
$8,268.45 |
7.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$6,683.58 |
$9,547.97 |
1.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,596.41 |
$9,423.44 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,706.55 |
$5,295.07 |
5.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,712.89 |
$3,875.56 |
5.9× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) |
$792.06 |
$1,131.51 |
1.2× |
| Hysterosalpingogram (74740) |
$829.49 |
$1,184.98 |
3.0× |
| Interstitial radiation source applic complex (77778) |
$4,305.39 |
$6,150.56 |
5.3× |
| Kidney imaging morphology (78700) |
$1,483.90 |
$2,119.86 |
3.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,847.86 |
$2,639.80 |
2.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,948.20 |
$2,783.14 |
3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,981.78 |
$4,259.69 |
4.7× |
| Knee 3 views (73562) |
$626.33 |
$894.76 |
6.2× |
| Liver & spleen imaging static only (78215) |
$1,645.60 |
$2,350.85 |
3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,786.60 |
$3,980.86 |
6.0× |
| Liver imaging static only (78201) |
$3,482.98 |
$4,975.68 |
5.5× |
| Liver imaging w/vascular flow (78202) |
$3,729.17 |
$5,327.38 |
5.9× |
| Lung perf&ventilat diferentl (78598) |
$1,953.89 |
$2,791.27 |
3.1× |
| Lung perfusion differential (78597) |
$1,636.39 |
$2,337.70 |
3.5× |
| Lung ventilation imaging (78579) |
$2,334.24 |
$3,334.63 |
5.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$3,354.27 |
$4,791.82 |
0.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$1,256.53 |
$1,795.04 |
0.3× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$1,527.78 |
$2,182.54 |
0.8× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$1,434.89 |
$2,049.84 |
2.0× |
| Lymphoscintigraphy (78195) |
$2,511.24 |
$3,587.49 |
4.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$4,158.02 |
$5,940.03 |
4.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$4,783.12 |
$6,833.02 |
11.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$5,762.98 |
$8,232.84 |
14.3× |
| Magnetic Resonance Elastography (76391) |
$1,227.41 |
$1,753.44 |
4.4× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$193.65 |
$276.64 |
1.9× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$887.88 |
$1,268.40 |
2.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,634.86 |
$2,335.51 |
3.8× |
| Mr safety determination physician/other qhp (76016) |
$2,066.97 |
$2,952.82 |
20.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$140.80 |
$201.14 |
4.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$95.44 |
$136.35 |
0.9× |
| Mr safety implt pos&/immoblj (76019) |
$79.06 |
$112.95 |
1.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$891.10 |
$1,273 |
3.2× |
| MRA head w & w/o contrast (70546) |
$7,185.04 |
$10,264.34 |
17.8× |
| MRA head w/o contrast (70544) |
$4,987.65 |
$7,125.21 |
18.1× |
| MRA head with contrast (70545) |
$5,286.12 |
$7,551.60 |
13.1× |
| MRA neck w contrast (70548) |
$5,483.68 |
$7,833.83 |
13.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,220.61 |
$11,743.73 |
20.3× |
| MRA neck w/o contrast (70547) |
$5,101.08 |
$7,287.26 |
18.5× |
| MRI abdomen w contrast (74182) |
$4,028.92 |
$5,755.60 |
10.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,284.80 |
$6,121.14 |
10.6× |
| MRI abdomen w/o contrast (74181) |
$2,539.26 |
$3,627.52 |
9.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,643.55 |
$3,776.50 |
2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,213.75 |
$4,591.08 |
8.0× |
| MRI bone marrow blood supply (77084) |
$2,994.92 |
$4,278.45 |
10.8× |
| MRI breast w/o contrast bilateral (77047) |
$7,205.26 |
$10,293.23 |
26.1× |
| MRI breast wo contrast unilateral (77046) |
$3,602.63 |
$5,146.62 |
13.0× |
| MRI c-spine with contrast (72142) |
$3,274.64 |
$4,678.06 |
8.1× |
| MRI cardiac w/o cont stress (75559) |
$3,219.57 |
$4,599.38 |
5.1× |
| MRI cardiac w/o contrast (75557) |
$3,210.30 |
$4,586.14 |
11.6× |
| MRI cervical spine w/o contrast (72141) |
$2,381.30 |
$3,401.86 |
8.6× |
| MRI chest w/o & w/contrast material (71552) |
$6,556 |
$9,365.72 |
16.2× |
| MRI chest w/o contrast (71550) |
$4,801.72 |
$6,859.60 |
17.4× |
| MRI chest with contrast (71551) |
$5,215.13 |
$7,450.19 |
5.7× |
| MRI fetal sngl/1st gestation (74712) |
$2,148.91 |
$3,069.87 |
7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,742.18 |
$8,203.12 |
14.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$7,285.67 |
$10,408.10 |
18.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,887.74 |
$6,982.48 |
17.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,251.20 |
$6,073.15 |
15.4× |
| MRI orbit face neck w contrast (70542) |
$5,012.02 |
$7,160.03 |
12.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,204.24 |
$8,863.20 |
15.4× |
| MRI pelvis w/contrast (72196) |
$4,999.81 |
$7,142.58 |
12.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,285.71 |
$8,979.58 |
15.6× |
| MRI pelvis w/o contrast (72195) |
$3,713.35 |
$5,304.79 |
13.4× |
| MRI spectroscopy (76390) |
$2,245.64 |
$3,208.05 |
22.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,667.77 |
$5,239.67 |
9.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,629.26 |
$3,756.09 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,630.56 |
$3,757.94 |
6.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,256.55 |
$7,509.36 |
13.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,446.77 |
$7,781.10 |
13.5× |
| MRI temporomandibular joint (70336) |
$2,683.34 |
$3,833.35 |
9.7× |
| MRI thoracic spine w/o contrast (72146) |
$4,752.87 |
$6,789.82 |
17.2× |
| MRI up ext w/o contrast (73218) |
$4,423.28 |
$6,318.96 |
16.0× |
| MRI upper ext joint w/o contrast (73221) |
$3,356.82 |
$4,795.45 |
12.1× |
| MRI, joint upper extrem combo (73223) |
$4,890.36 |
$6,986.22 |
12.1× |
| Myelogram Cervical (72240) |
$2,061.65 |
$2,945.21 |
2.3× |
| Myelogram Lumbar (72265) |
$1,549.91 |
$2,214.16 |
1.7× |
| Myelogram thoracic (72255) |
$1,548.22 |
$2,211.75 |
1.7× |
| Myelography 2 or more regions (72270) |
$1,688.45 |
$2,412.07 |
1.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$5,047.28 |
$7,210.40 |
3.4× |
| Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including… (78433) |
$5,974.49 |
$8,534.98 |
2.3× |
| Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall… (78429) |
$5,927.12 |
$8,467.31 |
3.6× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$4,830.31 |
$6,900.44 |
2.9× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78431) |
$5,477.38 |
$7,824.83 |
2.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$3,999 |
$5,712.86 |
2.7× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$5,815.21 |
$8,307.44 |
3.9× |
| Myocardial Spect Multiple Studies (78452) |
$6,806.96 |
$9,724.23 |
4.5× |
| Myocardial spect single study at rest or stress (78451) |
$5,184.29 |
$7,406.13 |
3.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$4,840.52 |
$6,915.03 |
2.9× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) |
$5,751.61 |
$8,216.59 |
3.3× |
| N-invas est c ffr sw aly CTA (75580) |
$4,962.57 |
$7,089.39 |
5.0× |
| Neck soft tissue (70360) |
$382.81 |
$546.87 |
3.8× |
| Nm adrenal scan (78075) |
$3,484.19 |
$4,977.42 |
2.3× |
| Nm bone marrow wb (78104) |
$2,717.30 |
$3,881.86 |
5.9× |
| Nm cisternogram (78630) |
$2,845.96 |
$4,065.65 |
4.5× |
| Nm csf leak detection (78650) |
$3,005.63 |
$4,293.76 |
2.0× |
| Nm gastric emptying study (78264) |
$2,288.87 |
$3,269.81 |
4.9× |
| Nm gastroesophageal reflux study (78262) |
$1,839.89 |
$2,628.42 |
4.0× |
| Nm peritoneal-venous shunt patency (78291) |
$1,153.64 |
$1,648.06 |
2.5× |
| Noncardiac Vascular Flow Imaging (78445) |
$1,140.99 |
$1,629.98 |
2.5× |
| Nonvascular shunt X-ray (75809) |
$565.15 |
$807.36 |
4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,079.89 |
$7,256.99 |
3.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,030.78 |
$2,901.11 |
4.4× |
| Nuclear Rx Oral Admin (79005) |
$1,794.90 |
$2,564.14 |
6.6× |
| Ob us nuchal meas 1 gest (76813) |
$506.69 |
$723.84 |
4.2× |
| Ophthalmic biometry by ultrasound echography, A-scan; Non-Facility (76516) |
$378.74 |
$541.05 |
3.1× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Non-Facility (76519) |
$535.64 |
$765.20 |
4.4× |
| Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution… (76513) |
$2,044.41 |
$2,920.58 |
16.9× |
| Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter… (76510) |
$470.95 |
$672.78 |
3.1× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$77.36 |
$110.51 |
2.3× |
| Ophthalmic ultrasound, diagnostic; quantitative A-scan only Non-Facility (76511) |
$546.99 |
$781.42 |
4.5× |
| Orthopantogram (70355) |
$227.14 |
$324.48 |
2.3× |
| Osseous survey limited (77074) |
$536.02 |
$765.74 |
4.4× |
| Parathyrd planar w/spect&CT (78072) |
$3,613.88 |
$5,162.69 |
5.7× |
| Parathyroid Planar Imaging (78070) |
$2,515.64 |
$3,593.77 |
5.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,886.30 |
$4,123.29 |
6.2× |
| Pelvis 1 or 2 views (72170) |
$480.43 |
$686.33 |
4.0× |
| PET image w/CT, skull-thigh (78815) |
$9,228.86 |
$13,184.09 |
5.6× |
| PET imaging CT for attenuation limited area (78814) |
$9,107.04 |
$13,010.05 |
5.5× |
| PET imaging for CT attenuation whole body (78816) |
$9,997.58 |
$14,282.26 |
6.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$5,234.56 |
$7,477.95 |
3.5× |
| PET whole body (78813) |
$5,543.10 |
$7,918.72 |
3.3× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) |
$2,930.93 |
$4,187.04 |
2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,181.76 |
$5,973.94 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,179.18 |
$4,541.68 |
0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,446.46 |
$2,066.37 |
3.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,132.58 |
$4,475.12 |
5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,408.32 |
$2,011.88 |
2.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$522.30 |
$746.15 |
5.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$355.26 |
$507.52 |
3.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$612.32 |
$874.74 |
6.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$288.01 |
$411.44 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$528.02 |
$754.31 |
4.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$620.33 |
$886.19 |
5.1× |
| Radex fingr minimum 2 views (73140) |
$501.74 |
$716.78 |
5.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$582.76 |
$832.52 |
5.8× |
| Radex Hand Minimum 3 Views (73130) |
$838.32 |
$1,197.61 |
8.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$382.33 |
$546.19 |
3.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$490.56 |
$700.80 |
4.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$421.18 |
$601.68 |
3.5× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$639.76 |
$913.95 |
5.3× |
| Radex Humerus Minimum 2 Views (73060) |
$425.93 |
$608.47 |
4.2× |
| Radex Kne 1/2 Views (73560) |
$527.04 |
$752.91 |
5.2× |
| Radex Kne Compl 4/More Views (73564) |
$687.44 |
$982.05 |
5.7× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$323.34 |
$461.91 |
2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$339.68 |
$485.26 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$573.66 |
$819.51 |
4.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$464.95 |
$664.22 |
4.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$288.29 |
$411.84 |
2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$453.01 |
$647.16 |
3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$511.44 |
$730.63 |
5.1× |
| Radex Toe Minimum 2 Views (73660) |
$450.58 |
$643.70 |
4.5× |
| Radex upper extremity infant minimum 2 views (73092) |
$491.21 |
$701.72 |
4.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$503.78 |
$719.68 |
5.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$745.88 |
$1,065.54 |
6.2× |
| Radiation Delivery Stereotactic Cranial Cobalt (77371) |
$83,512.30 |
$119,303.29 |
9.8× |
| Radiation treatment delivery level 1 (77402) |
$495.77 |
$708.24 |
4.2× |
| Radiation treatment delivery level 3 (77412) |
$1,050.83 |
$1,501.18 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$387.78 |
$553.97 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$549.94 |
$785.63 |
4.5× |
| Radiologic exam chest 2 views (71046) |
$532.92 |
$761.31 |
5.3× |
| Radiologic exam colon single contrast study (74270) |
$1,006.45 |
$1,437.79 |
5.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,323.18 |
$1,890.26 |
6.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$964.53 |
$1,377.90 |
4.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$808.88 |
$1,155.55 |
4.0× |
| Radiologic examination femur 1 view (73551) |
$374.01 |
$534.30 |
3.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$525.42 |
$750.60 |
5.2× |
| Radiologic examination, teeth; complete, full mouth Non-Facility (70320) |
$165.66 |
$236.66 |
0.6× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$119.70 |
$171 |
1.2× |
| Radiopharm Dacryocystography (78660) |
$1,004.23 |
$1,434.62 |
2.2× |
| Red cell volume determination (separate procedure); multiple samplings Non-Facility (78121) |
$2,484.29 |
$3,548.99 |
4.0× |
| Renal Cyst Study (74470) |
$1,465.49 |
$2,093.56 |
2.3× |
| Ribs bilateral 3 views (71110) |
$431.70 |
$616.72 |
3.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,983.23 |
$2,833.19 |
4.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,164.38 |
$3,091.97 |
4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$5,335.72 |
$7,622.45 |
8.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,391.54 |
$3,416.48 |
3.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,222.42 |
$4,603.46 |
5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$6,574.72 |
$9,392.46 |
4.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$8,691.06 |
$12,415.80 |
5.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,432.49 |
$6,332.13 |
3.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,450.55 |
$2,072.21 |
5.4× |
| Rp Therapy Intravenous Administration (79101) |
$1,350.20 |
$1,928.86 |
5.0× |
| Sacroiliac Joints < 3 Views (72200) |
$301.10 |
$430.14 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$827.74 |
$1,182.48 |
3.0× |
| Salivary gland imaging; with serial images Non-Facility (78231) |
$920.54 |
$1,315.06 |
2.0× |
| Scapula (73010) |
$435.60 |
$622.28 |
3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$85.44 |
$122.06 |
3.7× |
| Shoulder 1 view (73020) |
$432.34 |
$617.64 |
4.3× |
| Sialogram (70390) |
$649.68 |
$928.12 |
2.4× |
| Small bowel series (74250) |
$928.44 |
$1,326.35 |
4.6× |
| Special dosimetry (77331) |
$451.41 |
$644.87 |
2.9× |
| Special Physics Consult (77370) |
$653.02 |
$932.88 |
4.2× |
| Special treatment procedure (77470) |
$2,941.92 |
$4,202.74 |
4.6× |
| Speech evaluation complex (70371) |
$680.62 |
$972.32 |
2.5× |
| Spine thoracic 3 views (72072) |
$551.77 |
$788.24 |
4.6× |
| Stereotactic Body Radiation Delivery (77373) |
$8,576.02 |
$12,251.45 |
4.1× |
| Superior sagittal sinus venogram (75870) |
$2,774.41 |
$3,963.44 |
0.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) |
$223.15 |
$318.79 |
2.2× |
| Tbs technical calculation only (77091) |
$228.53 |
$326.47 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,160.32 |
$1,657.60 |
2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$609.40 |
$870.57 |
1.4× |
| Testicular Imaging With Vascular Flow (78761) |
$1,431.85 |
$2,045.50 |
3.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,369.72 |
$1,956.74 |
3.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$792.56 |
$1,132.23 |
5.1× |
| Thoracolumbar 2 views (72080) |
$342.71 |
$489.58 |
3.4× |
| Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) |
$1,533.27 |
$2,190.39 |
3.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,181.54 |
$3,116.49 |
3.5× |
| Thyroid imaging w/blood flow (78013) |
$1,267.53 |
$1,810.76 |
2.7× |
| Thyroid uptake measurement (78012) |
$869.96 |
$1,242.80 |
1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,597.71 |
$2,282.44 |
3.5× |
| Tmj unilateral (70328) |
$314.38 |
$449.11 |
3.1× |
| Tomogram (76100) |
$617.38 |
$881.97 |
5.1× |
| Treatment device complex (77334) |
$1,074.77 |
$1,535.38 |
2.5× |
| Treatment device intermediate (77333) |
$874.51 |
$1,249.30 |
5.6× |
| Treatment devices simple (77332) |
$813.18 |
$1,161.68 |
5.2× |
| Ultrasound breast complete (76641) |
$783.78 |
$1,119.68 |
6.5× |
| Ultrasound elastography first target lesion (76982) |
$173.41 |
$247.73 |
1.4× |
| Ultrasound Exam Aaa Screen (76706) |
$504 |
$720 |
4.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$647.92 |
$925.60 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$544.78 |
$778.26 |
4.5× |
| Umbilical-artery Doppler (OB) (76820) |
$399.85 |
$571.22 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$630.45 |
$900.64 |
6.3× |
| Unlisted fluoroscopic procedure (76496) |
$3,296.91 |
$4,709.87 |
32.7× |
| Unlisted magnetic resonance procedure (76498) |
$3,633.01 |
$5,190.01 |
36.1× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$587.58 |
$839.41 |
1.3× |
| Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) |
$437.87 |
$625.53 |
2.8× |
| Unlisted ultrasound procedure (76999) |
$256.98 |
$367.12 |
2.6× |
| Ureteral reflux study (78740) |
$1,247.39 |
$1,781.98 |
2.7× |
| Urethrocystogram voiding (74455) |
$908.31 |
$1,297.59 |
3.3× |
| Urethrocystography retrograde rs&i (74450) |
$873.21 |
$1,247.44 |
3.2× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$1,026.78 |
$1,466.83 |
5.1× |
| Us breast unilateral limited (76642) |
$593.78 |
$848.25 |
5.9× |
| Us chest (76604) |
$590.28 |
$843.26 |
4.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$899.07 |
$1,284.38 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$1,077.61 |
$1,539.44 |
8.9× |
| Us elastography parenchyma (76981) |
$624.89 |
$892.70 |
5.2× |
| Us encephalogram (76506) |
$674.98 |
$964.26 |
5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$458.61 |
$655.16 |
3.8× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$1,339.47 |
$1,913.53 |
11.1× |
| Us ob detailed single fetus (76811) |
$1,153.26 |
$1,647.52 |
4.2× |
| Us ob limited (76815) |
$581.33 |
$830.47 |
4.8× |
| Us ob transvaginal (76817) |
$722.71 |
$1,032.44 |
6.0× |
| Us pelvic non ob complete (76856) |
$1,672.26 |
$2,388.94 |
13.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$523.09 |
$747.27 |
4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$913.80 |
$1,305.43 |
7.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$581.33 |
$830.47 |
4.8× |
| Us retroperitoneal complete (76770) |
$1,347.42 |
$1,924.88 |
11.1× |
| Us retroperitoneal limited (76775) |
$522.60 |
$746.57 |
4.3× |
| Us scrotum and contents (76870) |
$769.50 |
$1,099.29 |
6.4× |
| Us soft tissue head/neck (76536) |
$762.05 |
$1,088.64 |
6.3× |
| Us spinal canal and contents (76800) |
$430.77 |
$615.38 |
3.6× |
| Us transrectal (76872) |
$372.01 |
$531.44 |
3.1× |
| Us transrectal prostate volume (76873) |
$697.38 |
$996.25 |
5.8× |
| Us, eye b-scan (76512) |
$677.65 |
$968.06 |
5.6× |
| Us,transplanted kidney, real time/ doppler (76776) |
$929.78 |
$1,328.25 |
7.7× |
| Venogram adrenal unilat (75840) |
$3,050.36 |
$4,357.65 |
0.8× |
| Venogram extremity bilateral (75822) |
$2,458.97 |
$3,512.82 |
1.3× |
| Venogram Extremity Unilateral (75820) |
$2,423.51 |
$3,462.16 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$6,596.41 |
$9,423.44 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$3,117.42 |
$4,453.46 |
1.7× |
| Venography Orbital Rs&I (75880) |
$2,165.64 |
$3,093.77 |
3.0× |
| Venography Renal Bilateral (75833) |
$5,328.57 |
$7,612.24 |
1.5× |
| Venography renal unilateral selective rs&i (75831) |
$4,833.92 |
$6,905.60 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,730.27 |
$5,328.96 |
1.0× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) |
$3,669.12 |
$5,241.60 |
5.1× |
| Venous sampling by catheter (75893) |
$9,450.53 |
$13,500.76 |
1.5× |
| Vertebral fracture assessment via dxa (77086) |
$203.84 |
$291.20 |
2.0× |
| Whole blood volume determination, including separate measurement of plasma volume and red cell volume… (78122) |
$2,201.62 |
$3,145.17 |
3.5× |
| Wrist 2 views (73100) |
$499.71 |
$713.87 |
5.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$791.92 |
$1,131.32 |
6.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$367.64 |
$525.20 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,565.98 |
$2,237.11 |
7.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$552.09 |
$788.70 |
5.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$394.13 |
$563.04 |
3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$549.14 |
$784.48 |
4.5× |
| X-ray exam of femur 2/> (73552) |
$459.32 |
$656.16 |
4.6× |
| X-ray eye for foreign body (70030) |
$482.30 |
$689 |
4.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$357.32 |
$510.46 |
3.5× |
| X-ray IV pyelogram (ivp) (74400) |
$1,510.72 |
$2,158.17 |
7.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$299.68 |
$428.11 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$273 |
$390 |
2.7× |
| X-ray leg, infant (73592) |
$302.92 |
$432.75 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$365.04 |
$521.49 |
3.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$546.08 |
$780.12 |
4.5× |
| X-ray nose-rectum child f.b. (76010) |
$332.23 |
$474.62 |
3.3× |
| X-ray optic foramen (70190) |
$403.85 |
$576.92 |
4.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$387.70 |
$553.86 |
3.2× |
| X-ray retrograde pyelogram (74420) |
$1,442.15 |
$2,060.21 |
3.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$453.95 |
$648.50 |
4.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$514.93 |
$735.62 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$536.86 |
$766.95 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$343.43 |
$490.62 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$310.60 |
$443.71 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$330.82 |
$472.60 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$492.51 |
$703.58 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$386.07 |
$551.53 |
3.2× |
| X-Ray Small Bowel Enteroclysis (74251) |
$3,995.60 |
$5,708 |
19.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$313.88 |
$448.40 |
3.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$328.44 |
$469.20 |
3.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$328.71 |
$469.59 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$439.92 |
$628.45 |
3.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$633.78 |
$905.40 |
5.2× |
| Xr bone length studies (77073) |
$399.67 |
$570.96 |
3.3× |
| Xr c-spine 4 or 5 views (72050) |
$567.97 |
$811.38 |
4.7× |
| Xr c-spine 6 or more views (72052) |
$684.91 |
$978.44 |
5.7× |
| Xr chest 4+ views (71048) |
$701.67 |
$1,002.39 |
5.8× |
| Xr urogram antegrade (74425) |
$1,112.39 |
$1,589.13 |
2.8× |