| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,771.79 |
$6,929.48 |
2.1× |
| Abdomen 2 views (74019) |
$277 |
$692.49 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,044.24 |
$2,610.59 |
2.7× |
| Angiography extremity bilateral rs&i (75716) |
$6,399.03 |
$15,997.57 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$6,120.63 |
$15,301.58 |
2.0× |
| Ankle 2 views (73600) |
$195.60 |
$489.01 |
2.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$746.22 |
$1,865.56 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,711.40 |
$19,278.51 |
2.6× |
| Aortography abdominal serialography rs&i (75625) |
$6,120.63 |
$15,301.58 |
2.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,120.63 |
$15,301.58 |
2.0× |
| Arthrogram wrist (73115) |
$1,504.84 |
$3,762.11 |
4.5× |
| Arthrography knee lt (73580) |
$1,386.98 |
$3,467.46 |
4.2× |
| Basic radiation dosimetry calculation (77300) |
$307.48 |
$768.71 |
2.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,044.24 |
$2,610.59 |
2.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,044.24 |
$2,610.59 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,044.41 |
$2,611.03 |
2.7× |
| Bone age studies (77072) |
$195.60 |
$489.01 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,044.41 |
$2,611.03 |
2.7× |
| Bone survey complete (77075) |
$330.54 |
$826.36 |
3.3× |
| Cervical spine 2 or 3 views (72040) |
$195.60 |
$489.01 |
2.4× |
| Chest 1 view (71045) |
$190.04 |
$475.11 |
2.3× |
| Chest 3 views (71047) |
$190.04 |
$475.11 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$380.75 |
$951.87 |
2.3× |
| Clavicle complete (73000) |
$195.60 |
$489.01 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$228.20 |
$570.49 |
2.3× |
| Continuing medical physics consltj pr wk (77336) |
$307.48 |
$768.71 |
2.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,529.36 |
$6,323.41 |
7.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,479.65 |
$3,699.13 |
6.5× |
| CT abdomen w contrast (74160) |
$1,126.54 |
$2,816.35 |
6.7× |
| CT abdomen w wo contrast (74170) |
$1,126.54 |
$2,816.35 |
6.7× |
| CT abdomen w/o contrast (74150) |
$739.98 |
$1,849.95 |
7.4× |
| CT angiography upper extremity lt (73206) |
$1,291.38 |
$3,228.45 |
7.7× |
| CT c-spine w/o contrast (72125) |
$633.13 |
$1,582.82 |
6.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,264.85 |
$3,162.12 |
7.5× |
| CT cervical spine with contrast (72126) |
$1,064.41 |
$2,661.03 |
3.2× |
| CT chest w/wo contrast (71270) |
$1,328.11 |
$3,320.27 |
7.9× |
| CT chest with contrast (71260) |
$1,182.94 |
$2,957.35 |
7.1× |
| CT colonography screening (74263) |
$90.47 |
$226.17 |
0.4× |
| CT head/brain with contrast (70460) |
$954.66 |
$2,386.65 |
5.7× |
| CT head/brain without and with contrast (70470) |
$954.66 |
$2,386.65 |
5.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$150 |
$375 |
1.8× |
| CT iac w contrast (70481) |
$954.66 |
$2,386.65 |
5.7× |
| CT limited/localized follow up study (76380) |
$453.86 |
$1,134.64 |
5.5× |
| CT lower ext w/o (73700) |
$739.98 |
$1,849.95 |
7.4× |
| CT lower extremity w wo contrast (73702) |
$1,897.27 |
$4,743.18 |
11.3× |
| CT lower extremity with contrast (73701) |
$1,126.60 |
$2,816.49 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,264.85 |
$3,162.12 |
7.5× |
| CT lumbar spine w/o contrast (72131) |
$633.13 |
$1,582.82 |
6.3× |
| CT lumbar spine with contrast (72132) |
$1,126.60 |
$2,816.49 |
3.4× |
| CT maxillofacial w contrast (70487) |
$954.66 |
$2,386.65 |
5.7× |
| CT maxillofacial w/o contrast (70486) |
$627.20 |
$1,568 |
6.3× |
| CT maxillofacial w/wo contrast (70488) |
$954.66 |
$2,386.65 |
5.7× |
| CT neck soft tissue w contrast (70491) |
$954.66 |
$2,386.65 |
5.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$954.66 |
$2,386.65 |
5.7× |
| CT orbits w/o contrast (70480) |
$627.20 |
$1,568 |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$1,264.85 |
$3,162.12 |
7.5× |
| CT pelvis w/o contrast (72192) |
$739.89 |
$1,849.73 |
7.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$954.66 |
$2,386.65 |
5.7× |
| CT soft tissue neck w/o contrast (70490) |
$627.20 |
$1,568 |
6.3× |
| CT thoracic spine w/contrast (72129) |
$1,126.60 |
$2,816.49 |
6.7× |
| CT thoracic spine w/o contrast (72128) |
$633.13 |
$1,582.82 |
6.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,264.85 |
$3,162.12 |
7.5× |
| CT thorax w/o contrast (71250) |
$777.10 |
$1,942.75 |
7.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,897.27 |
$4,743.18 |
11.3× |
| CT upper extremity w/o contrast rt (73200) |
$739.98 |
$1,849.95 |
7.4× |
| CT upper extremity with contrast (73201) |
$1,126.60 |
$2,816.49 |
3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,291.38 |
$3,228.45 |
7.7× |
| Cta Abdomen (74175) |
$1,291.38 |
$3,228.45 |
7.7× |
| CTA abdomen pelvis (74174) |
$1,668.14 |
$4,170.36 |
5.0× |
| CTA chest (71275) |
$1,355.98 |
$3,389.94 |
8.1× |
| Cta Head (70496) |
$954.66 |
$2,386.65 |
5.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,291.38 |
$3,228.45 |
7.7× |
| Cta Neck (70498) |
$954.66 |
$2,386.65 |
5.7× |
| Cta Pelvis (72191) |
$1,291.38 |
$3,228.45 |
7.7× |
| Cystography minimum 3 views rs&i (74430) |
$746.22 |
$1,865.56 |
2.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$318.71 |
$796.78 |
3.2× |
| Echoencephalography real time imaging (76506) |
$261.48 |
$653.70 |
2.6× |
| Esophagus (74220) |
$380.75 |
$951.87 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$435.91 |
$1,089.77 |
4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$423.31 |
$1,058.28 |
4.2× |
| Fluoroscopy up to 1 hr (76000) |
$308.24 |
$770.61 |
1.4× |
| Foot 2 views (73620) |
$195.60 |
$489.01 |
2.4× |
| Forearm 2 views (73090) |
$195.60 |
$489.01 |
2.4× |
| Gated Heart Planar Single (78472) |
$1,290.65 |
$3,226.62 |
3.4× |
| Hand 2 views (73120) |
$195.60 |
$489.01 |
2.0× |
| Hand 3 views (73130) |
$195.60 |
$489.01 |
2.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,227.27 |
$3,068.18 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,167.61 |
$2,919.02 |
3.1× |
| Ht muscle image spect sing (78451) |
$3,200.24 |
$8,000.60 |
2.6× |
| Humerus Min 2 Views Left (73060) |
$195.60 |
$489.01 |
2.4× |
| Hysterosalpingogram (74740) |
$914.32 |
$2,285.79 |
4.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,010.76 |
$2,526.91 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,366.50 |
$3,416.24 |
2.6× |
| Knee 3 views (73562) |
$195.60 |
$489.01 |
2.4× |
| Liver & spleen imaging static only (78215) |
$1,227.27 |
$3,068.18 |
3.2× |
| Liver imaging w/vascular flow (78202) |
$911.40 |
$2,278.49 |
1.8× |
| Lung Ventilation Imaging (78579) |
$789.72 |
$1,974.31 |
2.1× |
| Lymphoscintigraphy (78195) |
$1,091 |
$2,727.49 |
2.1× |
| Meckels Diverticulum (78290) |
$1,044.24 |
$2,610.59 |
2.7× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$262.04 |
$655.10 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$814.52 |
$2,036.31 |
2.3× |
| Mr safety determination physician/other qhp (76016) |
$131.82 |
$329.56 |
1.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$88.93 |
$222.32 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$36.66 |
$91.64 |
1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$137.42 |
$343.56 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$361.87 |
$904.68 |
1.6× |
| MRA head w & w/o contrast (70546) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRA head w/o contrast (70544) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRA head with contrast (70545) |
$1,843.33 |
$4,608.32 |
5.5× |
| MRA neck w contrast (70548) |
$1,843.33 |
$4,608.32 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRA neck w/o contrast (70547) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRI abdomen w contrast (74182) |
$1,843.33 |
$4,608.32 |
5.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI abdomen w/o contrast (74181) |
$1,534.24 |
$3,835.59 |
6.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,843.33 |
$4,608.32 |
2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,843.33 |
$4,608.32 |
2.5× |
| MRI breast w/o contrast bilateral (77047) |
$3,162.43 |
$7,906.07 |
13.9× |
| MRI breast w/o contrast unilat (77046) |
$1,581.24 |
$3,953.11 |
6.9× |
| MRI c-spine with contrast (72142) |
$1,734.40 |
$4,336.01 |
5.2× |
| MRI cervical spine w/o contrast (72141) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRI chest w/o & w/contrast material (71552) |
$3,116.30 |
$7,790.75 |
9.3× |
| MRI chest w/o contrast (71550) |
$2,356.85 |
$5,892.13 |
10.3× |
| MRI chest with contrast (71551) |
$2,844.99 |
$7,112.48 |
3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,843.33 |
$4,608.32 |
5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,461.18 |
$3,652.96 |
6.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,519.84 |
$3,799.60 |
4.6× |
| MRI pelvis w contrast (72196) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,488.58 |
$8,721.46 |
10.5× |
| MRI pelvis w/o contrast (72195) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI scan of leg joint before and after contrast (73723) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,896.06 |
$4,740.15 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,734.40 |
$4,336.01 |
5.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,519.84 |
$3,799.60 |
6.7× |
| MRI tmj (70336) |
$1,365.74 |
$3,414.36 |
6.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,534.24 |
$3,835.59 |
6.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,327.73 |
$5,819.33 |
7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,519.84 |
$3,799.60 |
6.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,289.82 |
$8,224.54 |
2.7× |
| Neck soft tissue (70360) |
$195.60 |
$489.01 |
2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$691.54 |
$1,728.85 |
1.8× |
| Nm bone marrow wb (78104) |
$1,070.21 |
$2,675.53 |
2.8× |
| Nm gastric emptying study (78264) |
$1,044.24 |
$2,610.59 |
2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,469.14 |
$8,672.86 |
2.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$685.44 |
$1,713.61 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$774.90 |
$1,937.26 |
3.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$215.32 |
$538.30 |
2.2× |
| Osseous survey infant (77076) |
$327.41 |
$818.53 |
3.3× |
| Parathyroid imaging (78070) |
$918.25 |
$2,295.62 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$195.60 |
$489.01 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$4,339.40 |
$10,848.50 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,467.53 |
$11,168.82 |
3.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,327.73 |
$5,819.33 |
7.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$829.22 |
$2,073.04 |
2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,366.50 |
$3,416.24 |
2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$870.75 |
$2,176.87 |
1.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$195.60 |
$489.01 |
2.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$309.83 |
$774.58 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$522.93 |
$1,307.32 |
5.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$242.06 |
$605.16 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$835.37 |
$2,088.42 |
8.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$534.61 |
$1,336.53 |
1.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$298.97 |
$747.42 |
3.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$298.97 |
$747.42 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$277 |
$692.49 |
2.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$190.04 |
$475.11 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$277 |
$692.49 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$190.04 |
$475.11 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$362.67 |
$906.68 |
2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$380.75 |
$951.87 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$362.62 |
$906.54 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$380.75 |
$951.87 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$252.02 |
$630.05 |
3.0× |
| Radiological examination surgical specimen (76098) |
$1,595.76 |
$3,989.40 |
3.1× |
| Ribs bilateral 3 views (71110) |
$195.60 |
$489.01 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,261.35 |
$3,153.37 |
3.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,154.06 |
$5,385.15 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,154.06 |
$5,385.15 |
4.2× |
| Sacroiliac Joints < 3 Views (72200) |
$195.60 |
$489.01 |
2.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$674.36 |
$1,685.89 |
3.0× |
| Scanogram (77073) |
$195.60 |
$489.01 |
2.0× |
| Scapula complete (73010) |
$195.60 |
$489.01 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$78.35 |
$195.87 |
3.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$280.83 |
$702.07 |
2.8× |
| Sialogram (70390) |
$914.32 |
$2,285.79 |
4.0× |
| Simulation intermediate (77285) |
$814.52 |
$2,036.31 |
2.3× |
| Small bowel series (74250) |
$380.81 |
$952.02 |
2.3× |
| Spec medical radj physics consltj (77370) |
$307.48 |
$768.71 |
2.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$814.52 |
$2,036.31 |
2.3× |
| Special dosimetry (77331) |
$307.48 |
$768.71 |
2.4× |
| Special treatment procedure (77470) |
$1,293.48 |
$3,233.70 |
2.4× |
| Spine thoracic 3 views (72072) |
$195.60 |
$489.01 |
2.0× |
| Stereotactic body radiation delivery (77373) |
$3,819.46 |
$9,548.65 |
2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$814.52 |
$2,036.31 |
2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$814.52 |
$2,036.31 |
2.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$814.52 |
$2,036.31 |
2.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$307.48 |
$768.71 |
2.4× |
| Therapeutic Enema (74283) |
$362.62 |
$906.54 |
2.2× |
| Thoracolumbar 2 views (72080) |
$195.60 |
$489.01 |
2.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,201.29 |
$3,003.22 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$602.91 |
$1,507.28 |
1.6× |
| Thyroid uptake measurement (78012) |
$907.17 |
$2,267.92 |
2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$918.25 |
$2,295.62 |
2.4× |
| Treatment device intermediate (77333) |
$307.48 |
$768.71 |
2.4× |
| Treatment devices simple (77332) |
$307.48 |
$768.71 |
2.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,064.02 |
$10,160.04 |
7.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,224.36 |
$3,060.89 |
3.2× |
| Tx devices design & construction complex (77334) |
$814.52 |
$2,036.31 |
2.3× |
| Ultrasound, abdomen limited (76705) |
$407 |
$1,017.50 |
4.1× |
| Upper Extremity Infant (73092) |
$195.60 |
$489.01 |
2.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,371.80 |
$3,429.49 |
3.6× |
| Urethrocystography retrograde rs&i (74450) |
$470.35 |
$1,175.87 |
2.1× |
| Urethrocystography voiding (74455) |
$710.71 |
$1,776.78 |
3.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$710.71 |
$1,776.78 |
4.2× |
| Us abdl aorta screen aaa (76706) |
$427.32 |
$1,068.31 |
4.3× |
| Us breast unilateral complete (76641) |
$308.24 |
$770.61 |
3.1× |
| Us breast unilateral limited (76642) |
$258.92 |
$647.31 |
3.1× |
| Us chest (76604) |
$261.48 |
$653.70 |
2.6× |
| Us compl joint r-t w/image documentation (76881) |
$423.31 |
$1,058.28 |
4.2× |
| Us guided compression repair (76936) |
$409.77 |
$1,024.43 |
2.0× |
| Us infant hips dynamic (76885) |
$271.89 |
$679.72 |
3.3× |
| Us ob transvaginal (76817) |
$271.89 |
$679.72 |
2.7× |
| Us pelvic non ob complete (76856) |
$423.31 |
$1,058.28 |
4.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$271.89 |
$679.72 |
2.7× |
| Us pregnancy ltd (76815) |
$271.89 |
$679.72 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$423.31 |
$1,058.28 |
4.2× |
| Us retroperitoneal complete (76770) |
$427.32 |
$1,068.31 |
4.3× |
| Us retroperitoneal limited (76775) |
$407 |
$1,017.50 |
4.1× |
| Us scrotum and contents (76870) |
$423.31 |
$1,058.28 |
4.2× |
| Us soft tissue head/neck (76536) |
$423.25 |
$1,058.13 |
4.2× |
| Us spinal canal and contents (76800) |
$423.31 |
$1,058.28 |
4.2× |
| Us transrectal (76872) |
$83.54 |
$208.85 |
0.8× |
| Us xtr non-vasc lmtd (76882) |
$195.60 |
$489.01 |
2.0× |
| Vascular flow imaging (78445) |
$844.37 |
$2,110.92 |
2.2× |
| Venography extremity unilateral rs&i (75820) |
$2,165.17 |
$5,412.93 |
1.4× |
| Wrist 2 views (73100) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$311.81 |
$779.52 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$586.36 |
$1,465.90 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$195.60 |
$489.01 |
2.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$567.77 |
$1,419.43 |
5.7× |
| X-ray exam hip uni 1 view (73501) |
$391.12 |
$977.81 |
4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$405.03 |
$1,012.57 |
4.9× |
| X-ray exam hip uni 4/> views (73503) |
$502.20 |
$1,255.51 |
5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$642.29 |
$1,605.72 |
6.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$759.98 |
$1,899.94 |
7.6× |
| X-ray exam of femur 1 (73551) |
$352.79 |
$881.97 |
4.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$615.63 |
$1,539.08 |
3.7× |
| X-ray eye for foreign body (70030) |
$391.12 |
$977.81 |
4.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$277 |
$692.49 |
2.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$195.60 |
$489.01 |
2.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$731.86 |
$1,829.65 |
4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$330.54 |
$826.36 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$186.27 |
$465.68 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$277 |
$692.49 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$746.22 |
$1,865.56 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$330.54 |
$826.36 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$277 |
$692.49 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$277 |
$692.49 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$178.60 |
$446.51 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$195.60 |
$489.01 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$294.89 |
$737.22 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$195.60 |
$489.01 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$195.60 |
$489.01 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$327.41 |
$818.53 |
3.3× |
| Xr chest 4+ views (71048) |
$277 |
$692.49 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$195.60 |
$489.01 |
2.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$242.06 |
$605.16 |
2.4× |
| Xr shoulder 1 view (73020) |
$195.60 |
$489.01 |
2.4× |
| Xr spine cervical 4 or 5 views (72050) |
$327.41 |
$818.53 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$195.60 |
$489.01 |
2.4× |
| Xr tmj bilateral (70330) |
$195.60 |
$489.01 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$195.60 |
$489.01 |
2.4× |