| Acute gi blood loss imaging (78278) |
$3,454 |
$3,454 |
8.3× |
| Angio adrenal bilat select (75733) |
$6,549 |
$6,549 |
2.0× |
| Angio adrenal unilat select (75731) |
$8,144 |
$8,144 |
2.5× |
| Angio extremity unilateral (75710) |
$5,515 |
$5,515 |
1.7× |
| Angio pulmonary unilateral (75741) |
$5,765 |
$5,765 |
1.7× |
| Angiogram extremity bilateral (75716) |
$6,071 |
$6,071 |
1.8× |
| Angiogram pelvic (75736) |
$6,783 |
$6,783 |
1.2× |
| Angiography internal mammary rs&i (75756) |
$7,877 |
$7,877 |
2.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,844.50 |
$3,844.50 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,892 |
$5,892 |
1.0× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$3,431 |
$3,431 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,965.50 |
$5,965.50 |
1.8× |
| Ankle 2 views (73600) |
$1,070 |
$1,070 |
11.8× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,404 |
$4,404 |
1.3× |
| Arthrography knee lt (73580) |
$2,699 |
$2,699 |
7.4× |
| Arthrography wrist lt (73115) |
$2,699 |
$2,699 |
7.4× |
| Barium enema (74270) |
$2,752 |
$2,752 |
15.0× |
| Basic dosimetry (77300) |
$2,543 |
$2,543 |
18.1× |
| Bilat selctv renal venogram (75833) |
$3,431 |
$3,431 |
1.0× |
| Bone age studies (77072) |
$1,292 |
$1,292 |
11.8× |
| Bone imaging limited area (78300) |
$2,115 |
$2,115 |
5.1× |
| Bone survey complete (77075) |
$3,005 |
$3,005 |
27.5× |
| Bowel imaging (78290) |
$3,589 |
$3,589 |
8.6× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$2,519 |
$2,519 |
4.4× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$7,279 |
$7,279 |
20.0× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$2,196 |
$2,196 |
12.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,736 |
$1,736 |
9.5× |
| Cineradiography/videoradiography (76120) |
$954 |
$954 |
8.7× |
| Cisternogram (78630) |
$2,053 |
$2,053 |
3.6× |
| Clavicle complete (73000) |
$1,274 |
$1,274 |
14.0× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$7,831 |
$7,831 |
42.8× |
| Contrast exam abdominl aorta (75625) |
$6,689 |
$6,689 |
2.0× |
| Contrast exam thoracic aorta (75605) |
$6,251.50 |
$6,251.50 |
1.1× |
| Csf shunt evaluation (78645) |
$2,394 |
$2,394 |
4.2× |
| CT - st neck w&wo contr (70492) |
$9,522 |
$9,522 |
52.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$22,504 |
$22,504 |
61.8× |
| CT abdomen and pelvis without contrast (74176) |
$16,428 |
$16,428 |
65.9× |
| CT abdomen w wo contrast (74170) |
$11,063 |
$11,063 |
60.4× |
| CT abdomen w/contrast (74160) |
$8,974 |
$8,974 |
49.0× |
| CT abdomen w/o contrast (74150) |
$8,077 |
$8,077 |
74.0× |
| CT angio abdom w/o & w/dye (74175) |
$15,585 |
$15,585 |
85.1× |
| CT angio abdominal arteries (75635) |
$19,108 |
$19,108 |
104.3× |
| CT angio hrt w/3d image (75574) |
$21,145 |
$21,145 |
58.0× |
| CT cervical spine w/contrast (72126) |
$9,852 |
$9,852 |
27.0× |
| CT cervical spine w/o contrast (72125) |
$8,796 |
$8,796 |
80.6× |
| CT chest w/contrast (71260) |
$8,573 |
$8,573 |
46.8× |
| CT extremity upper w & w/o contrast (73202) |
$10,801 |
$10,801 |
59.0× |
| CT head/brain with contrast (70460) |
$8,626 |
$8,626 |
47.1× |
| CT head/brain without and with contrast (70470) |
$10,485 |
$10,485 |
57.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$15,067 |
$15,067 |
165.8× |
| CT limited/localized follow up study (76380) |
$6,053 |
$6,053 |
66.6× |
| CT lower ext w/wo contrast (73702) |
$10,801 |
$10,801 |
59.0× |
| CT lower extremity w contrast (73701) |
$8,891 |
$8,891 |
48.5× |
| CT lower extremity w/o contrast unilateral (73700) |
$7,844 |
$7,844 |
71.9× |
| CT lumbar spine w/contrast (72132) |
$9,852 |
$9,852 |
27.0× |
| CT lumbar spine w/o contrast (72131) |
$8,796 |
$8,796 |
80.6× |
| CT lumbar spine w/o then w/ con (72133) |
$12,078 |
$12,078 |
65.9× |
| CT maxillofacial area w/o contrast (70486) |
$7,946 |
$7,946 |
72.8× |
| CT maxillofacial w/contrast (70487) |
$9,011 |
$9,011 |
49.2× |
| CT maxillofacial w/o then w/ con (70488) |
$10,939 |
$10,939 |
59.7× |
| CT orbit sella ear w/o con (70480) |
$6,916 |
$6,916 |
63.4× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$9,522 |
$9,522 |
52.0× |
| CT pelvis w & w/o contrast (72194) |
$11,486 |
$11,486 |
62.7× |
| CT pelvis w/o contrast (72192) |
$8,382 |
$8,382 |
76.8× |
| CT soft tissue neck w/contrast (70491) |
$7,831 |
$7,831 |
42.8× |
| CT soft tissue neck w/o contrast (70490) |
$6,916 |
$6,916 |
63.4× |
| CT spine cervical w/wo contrast (72127) |
$12,078 |
$12,078 |
65.9× |
| CT thoracic spine w/contrast (72129) |
$5,722 |
$5,722 |
31.2× |
| CT thoracic spine w/o contrast (72128) |
$5,097 |
$5,097 |
46.7× |
| CT thoracic spine w/o then w/ con (72130) |
$7,007 |
$7,007 |
38.3× |
| CT thorax w/o contrast (71250) |
$7,652 |
$7,652 |
70.1× |
| CT thorax w/o then w/ contrast (71270) |
$10,251 |
$10,251 |
56.0× |
| CT upper extremity w/dye (73201) |
$9,011 |
$9,011 |
24.7× |
| CT upper extremity w/o contrast rt (73200) |
$7,946 |
$7,946 |
72.8× |
| CTA chest w/wo contrast (71275) |
$15,063 |
$15,063 |
82.2× |
| CTA head w contrast (70496) |
$15,063 |
$15,063 |
82.2× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$1,936 |
$1,936 |
10.6× |
| Cta Neck (70498) |
$15,063 |
$15,063 |
82.2× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$1,936 |
$1,936 |
10.6× |
| Dilation ureters/urethra rs&i (74485) |
$996 |
$996 |
0.5× |
| Esophogram (74220) |
$1,542 |
$1,542 |
8.4× |
| Fetal biophysical profile w/o nst (76819) |
$667 |
$667 |
6.1× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$2,315 |
$2,315 |
9.3× |
| Gastric emptying study (78264) |
$5,018 |
$5,018 |
12.0× |
| Gastroesophageal reflux study (78262) |
$3,144 |
$3,144 |
7.5× |
| Gated heart planar single (78472) |
$3,144 |
$3,144 |
7.5× |
| Heart infarct image (78466) |
$5,422 |
$5,422 |
13.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$9,318 |
$9,318 |
2.8× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$8,255 |
$8,255 |
2.5× |
| Hepatobil syst image w/drug (78227) |
$5,141 |
$5,141 |
9.1× |
| Hepatobiliary system imaging (78226) |
$4,471 |
$4,471 |
10.7× |
| Humerus min 2 views (73060) |
$1,274 |
$1,274 |
14.0× |
| Hysterosalpingography (74740) |
$1,150 |
$1,150 |
4.6× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$3,933 |
$3,933 |
5.4× |
| Ivp (74400) |
$2,190 |
$2,190 |
12.0× |
| Ivp w tomography (74415) |
$3,342 |
$3,342 |
18.2× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$5,882 |
$5,882 |
10.4× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$2,203 |
$2,203 |
3.9× |
| Liver & spleen; static only (78215) |
$3,372 |
$3,372 |
8.1× |
| Lung perfusion differential (78597) |
$3,336 |
$3,336 |
8.0× |
| Lung ventilat&perfus imaging (78582) |
$5,633 |
$5,633 |
9.9× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75803) |
$2,099 |
$2,099 |
1.3× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75801) |
$2,420 |
$2,420 |
3.7× |
| Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75807) |
$2,099 |
$2,099 |
0.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$2,099 |
$2,099 |
0.6× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$12,738 |
$12,738 |
35.0× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$12,738 |
$12,738 |
35.0× |
| Mammary ductogram multiple ducts (77054) |
$1,481 |
$1,481 |
5.9× |
| Mammary ductogram single (77053) |
$1,999 |
$1,999 |
8.0× |
| MRA head w & w/o contrast (70546) |
$12,738 |
$12,738 |
35.0× |
| MRA head w/contrast (70545) |
$7,279 |
$7,279 |
20.0× |
| MRA head w/o contrast (70544) |
$7,279 |
$7,279 |
29.2× |
| MRA neck w/contrast (70548) |
$7,279 |
$7,279 |
20.0× |
| MRA neck w/o contrast (70547) |
$7,279 |
$7,279 |
29.2× |
| MRA neck w/wo contrast (70549) |
$12,738 |
$12,738 |
35.0× |
| MRI abdomen w/contrast (74182) |
$7,279 |
$7,279 |
20.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$12,738 |
$12,738 |
35.0× |
| MRI abdomen w/o contrast (74181) |
$7,279 |
$7,279 |
29.2× |
| MRI any jnt lwr ext with con lt (73722) |
$7,279 |
$7,279 |
8.9× |
| MRI bone marrow (77084) |
$7,279 |
$7,279 |
29.2× |
| MRI breast without contrast bilateral (77047) |
$7,279 |
$7,279 |
29.2× |
| MRI breast without contrast material unilateral (77046) |
$7,279 |
$7,279 |
29.2× |
| MRI cardiac w/o contrast (75557) |
$7,279 |
$7,279 |
29.2× |
| MRI cervical spine w/o contrast (72141) |
$7,279 |
$7,279 |
29.2× |
| MRI cervical spine with contrast (72142) |
$7,279 |
$7,279 |
20.0× |
| MRI chest w & w/o contrast (71552) |
$12,738 |
$12,738 |
35.0× |
| MRI chest w/contrast (71551) |
$7,279 |
$7,279 |
8.9× |
| MRI chest w/o contrast (71550) |
$7,279 |
$7,279 |
29.2× |
| MRI fetal sngl/1st gestation (74712) |
$7,279 |
$7,279 |
29.2× |
| MRI joint upper ext w/contrast (73222) |
$7,279 |
$7,279 |
8.9× |
| MRI joint upr extr w/o&w/dye (73223) |
$12,738 |
$12,738 |
35.0× |
| MRI joint upr extrem w/o dye (73221) |
$7,279 |
$7,279 |
29.2× |
| Mri Lower Extremity W/O Dye (73718) |
$7,279 |
$7,279 |
29.2× |
| MRI lumbar spine with contrast (72149) |
$7,279 |
$7,279 |
20.0× |
| MRI lumbar w/wo contrast (72158) |
$12,738 |
$12,738 |
35.0× |
| MRI lwr ext w/o jnts with con rt (73719) |
$7,279 |
$7,279 |
20.0× |
| MRI orbit/face/neck w/contrast (70542) |
$7,279 |
$7,279 |
20.0× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$12,738 |
$12,738 |
35.0× |
| MRI orbit/face/neck w/o contrast (70540) |
$7,279 |
$7,279 |
29.2× |
| MRI pelvis w/ contrast (72196) |
$7,279 |
$7,279 |
20.0× |
| MRI pelvis w/o contrast (72195) |
$7,279 |
$7,279 |
29.2× |
| MRI pelvis w/wo contrast (72197) |
$12,738 |
$12,738 |
35.0× |
| MRI spectroscopy (76390) |
$7,279 |
$7,279 |
80.1× |
| MRI spine cervical wo/w contrast (72156) |
$12,738 |
$12,738 |
35.0× |
| MRI spine thoracic w/contrast (72147) |
$7,279 |
$7,279 |
20.0× |
| MRI thoracic spine w wo contrast (72157) |
$12,738 |
$12,738 |
35.0× |
| MRI thoracic spine w/o contrast (72146) |
$7,279 |
$7,279 |
29.2× |
| MRI tmj (70336) |
$7,279 |
$7,279 |
29.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,279 |
$7,279 |
29.2× |
| Mri Upper Extremity W/Dye (73219) |
$7,279 |
$7,279 |
20.0× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$12,738 |
$12,738 |
35.0× |
| Myelogram thoracic (72255) |
$4,852 |
$4,852 |
5.9× |
| Myelography 2 or more regions (72270) |
$4,852 |
$4,852 |
5.9× |
| Myelography lumbosacral (72265) |
$4,852 |
$4,852 |
5.9× |
| Myocardial spect single study at rest or stress (78451) |
$7,034 |
$7,034 |
5.2× |
| Nm bone 3 phase (78315) |
$7,144 |
$7,144 |
17.1× |
| Nm bone imaging whole body (78306) |
$3,651 |
$3,651 |
8.7× |
| Nm bone marrow scan multiple (78103) |
$1,778 |
$1,778 |
4.3× |
| Nm bone multi (78305) |
$10,710 |
$10,710 |
25.7× |
| Nm heart perfusion spect stress rest (78452) |
$10,440 |
$10,440 |
7.7× |
| Nm lymph system (78195) |
$3,811 |
$3,811 |
6.7× |
| Nm thyroid imaging only (78013) |
$3,454 |
$3,454 |
8.3× |
| Nose to rectum for fb child (76010) |
$1,186 |
$1,186 |
13.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,150 |
$3,150 |
7.5× |
| Ob us < 14 wks single fetus (76801) |
$3,294 |
$3,294 |
30.2× |
| Oral radiopharm rx (79005) |
$11,152 |
$11,152 |
45.8× |
| Parathyroid imaging (78070) |
$1,474 |
$1,474 |
3.5× |
| PET brain metabolic eval (78608) |
$13,737 |
$13,737 |
9.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$17,173 |
$17,173 |
11.5× |
| PET imaging CT for attenuation limited area (78814) |
$17,173 |
$17,173 |
11.5× |
| PET imaging for CT attenuation whole body (78816) |
$17,173 |
$17,173 |
11.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,431 |
$3,431 |
1.0× |
| Pulmonary perfusion imaging particulate (78580) |
$3,336 |
$3,336 |
8.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,803 |
$1,803 |
3.2× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,366 |
$1,366 |
15.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,366 |
$1,366 |
15.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,736 |
$1,736 |
15.9× |
| Radex spine cervical 2 or 3 views (72040) |
$1,674 |
$1,674 |
18.4× |
| Radex spine cervical 4 or 5 views (72050) |
$1,851 |
$1,851 |
17.0× |
| Radex spine cervical 6 or more views (72052) |
$1,958 |
$1,958 |
17.9× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,987 |
$1,987 |
21.9× |
| Radiation tx delivery lvl 1 (77402) |
$3,322 |
$3,322 |
31.2× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,695 |
$1,695 |
15.5× |
| Radiologic exam esophagus double contrast study (74221) |
$1,542 |
$1,542 |
8.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,246 |
$3,246 |
17.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,246 |
$3,246 |
17.7× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$700 |
$700 |
7.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,397 |
$1,397 |
15.4× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$2,455 |
$2,455 |
22.5× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$2,193 |
$2,193 |
20.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$988 |
$988 |
2.5× |
| Renal cyst study (74470) |
$3,352 |
$3,352 |
5.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$3,100 |
$3,100 |
7.4× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$3,502 |
$3,502 |
6.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,363 |
$2,363 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,141 |
$4,141 |
7.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,662 |
$2,662 |
10.9× |
| Saline infused sonohysterogram (76831) |
$3,554 |
$3,554 |
14.3× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$1,479 |
$1,479 |
63.3× |
| Selective spinal angiogram (75705) |
$8,522 |
$8,522 |
1.5× |
| Shoulder arthrogram (73040) |
$4,053 |
$4,053 |
11.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,763.50 |
$1,763.50 |
16.2× |
| Small bowel series (74250) |
$2,225 |
$2,225 |
12.1× |
| Superior sagittal sinus venogram (75870) |
$16,916 |
$16,916 |
5.1× |
| Testicular imaging w/flow (78761) |
$4,660 |
$4,660 |
11.2× |
| Thyroid met imaging body (78018) |
$3,923 |
$3,923 |
6.9× |
| Thyroid uptake single/multiple quant measurement (78012) |
$1,049 |
$1,049 |
2.5× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$4,424 |
$4,424 |
10.6× |
| Ultrasound breast limited (76642) |
$1,326 |
$1,326 |
14.6× |
| Ultrasound, abdomen limited (76705) |
$3,018 |
$3,018 |
27.6× |
| Unlisted CT procedure (76497) |
$5,331 |
$5,331 |
58.7× |
| Urethrocystography retrograde rs&i (74450) |
$3,420 |
$3,420 |
13.7× |
| Urethrocystography voiding (74455) |
$3,420 |
$3,420 |
13.7× |
| Urography antegrade (74425) |
$848 |
$848 |
2.3× |
| Urography retrograde w/wo kub (74420) |
$1,397 |
$1,397 |
3.8× |
| Us breast uni real time with image complete (76641) |
$1,326 |
$1,326 |
12.1× |
| Us chest (76604) |
$1,364 |
$1,364 |
12.5× |
| Us encephalogram (76506) |
$1,630 |
$1,630 |
14.9× |
| Us guided compression repair (76936) |
$934 |
$934 |
4.1× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$1,823 |
$1,823 |
20.1× |
| Us kidney transplanted (76776) |
$2,822 |
$2,822 |
25.8× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,047 |
$1,047 |
9.6× |
| Us ob detailed single fetus (76811) |
$4,098 |
$4,098 |
16.4× |
| Us ob followup per fetus (76816) |
$2,534 |
$2,534 |
23.2× |
| Us ob limited 1 or more fetuses (76815) |
$2,487 |
$2,487 |
22.8× |
| Us obstetric transvaginal (76817) |
$1,823 |
$1,823 |
16.7× |
| Us pelvic limited or f/u non-ob (76857) |
$3,294 |
$3,294 |
30.2× |
| Us pelvis complete (76856) |
$3,294 |
$3,294 |
30.2× |
| Us retroperitoneal complete (76770) |
$3,352 |
$3,352 |
30.7× |
| Us retroperitoneal limited (76775) |
$3,087 |
$3,087 |
28.3× |
| Us scrotum (76870) |
$3,218 |
$3,218 |
29.5× |
| Us soft tissue head/neck (76536) |
$2,548 |
$2,548 |
23.3× |
| Us spinal canal (76800) |
$2,941 |
$2,941 |
26.9× |
| Vascular flow imaging (78445) |
$2,299 |
$2,299 |
5.5× |
| Vein X-ray liver w/hemodynam (75885) |
$5,876 |
$5,876 |
1.8× |
| Venogram extremity bilateral (75822) |
$3,690 |
$3,690 |
2.2× |
| Venogram ivc w serialography (75825) |
$7,903.50 |
$7,903.50 |
2.4× |
| Venogram svc w serialography (75827) |
$4,002 |
$4,002 |
2.4× |
| Venography adrenal unilateral selective rs&i (75840) |
$6,484 |
$6,484 |
2.0× |
| Venography ext unilateral (75820) |
$2,822 |
$2,822 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,880 |
$2,880 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$8,355 |
$8,355 |
2.5× |
| Venous sampling by catheter (75893) |
$4,383 |
$4,383 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$592 |
$592 |
6.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,070 |
$1,070 |
11.8× |
| X-ray aorta leg arteries (75630) |
$6,851.50 |
$6,851.50 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,052 |
$4,052 |
22.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,451 |
$1,451 |
16.0× |
| X-ray exam of finger(s) (73140) |
$666 |
$666 |
7.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,329 |
$1,329 |
14.6× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$906 |
$906 |
10.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$474 |
$474 |
5.2× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$855 |
$855 |
7.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,292 |
$1,292 |
14.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,202 |
$1,202 |
13.2× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,093 |
$2,093 |
23.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,180 |
$2,180 |
20.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,283 |
$1,283 |
14.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,040 |
$2,040 |
18.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,140 |
$2,140 |
19.6× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$1,769 |
$1,769 |
16.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,284 |
$3,284 |
30.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,212 |
$1,212 |
11.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,525 |
$1,525 |
16.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,911 |
$1,911 |
21.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,291 |
$2,291 |
25.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,441 |
$1,441 |
13.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,186 |
$1,186 |
10.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,583 |
$1,583 |
17.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$688 |
$688 |
7.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$783 |
$783 |
8.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,467 |
$1,467 |
16.1× |
| Xr abdomen 1 view (74018) |
$1,481 |
$1,481 |
16.3× |
| Xr abdomen 2 views (74019) |
$1,088 |
$1,088 |
10.0× |
| Xr abdomen 3 views (74021) |
$1,481 |
$1,481 |
13.6× |
| Xr arthrogram elbow (73085) |
$1,294 |
$1,294 |
3.6× |
| Xr arthrogram hip (73525) |
$2,936 |
$2,936 |
8.1× |
| Xr bone density appendicular (77081) |
$1,533 |
$1,533 |
16.9× |
| Xr bone density axial (77080) |
$1,533 |
$1,533 |
14.0× |
| Xr bone length study (77073) |
$892 |
$892 |
8.2× |
| Xr bone survey infant (77076) |
$1,077 |
$1,077 |
9.9× |
| Xr chest 1 view (71045) |
$1,142 |
$1,142 |
12.6× |
| Xr chest 2 views (71046) |
$1,524 |
$1,524 |
16.8× |
| Xr chest 3 views (71047) |
$1,631 |
$1,631 |
17.9× |
| Xr cystogram 3+ views (74430) |
$2,201 |
$2,201 |
6.0× |
| Xr facial bones 3 views (70150) |
$1,752 |
$1,752 |
16.0× |
| Xr lower extremity 2 views infant (73592) |
$2,221 |
$2,221 |
24.4× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$2,140 |
$2,140 |
19.6× |
| Xr mandible 4 views (70110) |
$1,851 |
$1,851 |
17.0× |
| Xr myelogram c-spine (72240) |
$4,852 |
$4,852 |
5.9× |
| Xr nasal bones (70160) |
$1,805 |
$1,805 |
19.9× |
| Xr pelvis 3 views (72190) |
$1,885 |
$1,885 |
17.3× |
| Xr sella turcica (70240) |
$1,212 |
$1,212 |
13.3× |
| Xr sialogram (70390) |
$3,110 |
$3,110 |
12.5× |
| Xr spine 1 view (72020) |
$1,212 |
$1,212 |
13.3× |
| Xr sternum 2 views (71120) |
$1,734 |
$1,734 |
19.1× |
| Xr surgical specimen (76098) |
$686.50 |
$686.50 |
1.2× |
| Xr upper extremity 2 views infant (73092) |
$1,902 |
$1,902 |
17.4× |
| Xray elbow 2 views (73070) |
$1,366 |
$1,366 |
15.0× |
| Xray forearm 2 views (73090) |
$1,274 |
$1,274 |
14.0× |
| Xray knee 1 or 2 views rt (73560) |
$855 |
$855 |
9.4× |
| Xray neck soft tissue (70360) |
$1,066 |
$1,066 |
11.7× |
| Xray orbits complete min 4 views (70200) |
$1,946 |
$1,946 |
17.8× |
| Xray pelvis 1 or 2 views (72170) |
$1,260 |
$1,260 |
11.5× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,784 |
$2,784 |
25.5× |
| Xray scapula complete (73010) |
$1,476 |
$1,476 |
13.5× |
| Xray shoulder 1 view (73020) |
$1,838 |
$1,838 |
20.2× |
| Xray sinuses paranasal <3 views (70210) |
$1,938 |
$1,938 |
21.3× |
| Xray spine thoracic 2 views (72070) |
$1,987 |
$1,987 |
18.2× |
| Xray spine thoracic 3 views (72072) |
$1,987 |
$1,987 |
18.2× |
| Xray tibia-fibula 2 views bil (73590) |
$1,481 |
$1,481 |
16.3× |
| Xray tmj open - closed unilat (70328) |
$986 |
$986 |
10.8× |
| Xray tmj's bilateral open-clsc (70330) |
$2,115 |
$2,115 |
23.3× |