| Abdomen 2 views (74019) |
$1,088 |
$1,088 |
10.0× |
| Acute gi blood loss imaging (78278) |
$3,454 |
$3,454 |
8.3× |
| Angio Adrenal Bilat Select (75733) |
$6,549 |
$6,549 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$6,071 |
$6,071 |
1.8× |
| Angiography extremity unilateral rs&i (75710) |
$5,515 |
$5,515 |
1.7× |
| Angiography internal mammary rs&i (75756) |
$7,877 |
$7,877 |
2.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,783 |
$6,783 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,844.50 |
$3,844.50 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,765 |
$5,765 |
1.7× |
| Angiography Spinal Selective Rs&I (75705) |
$8,522 |
$8,522 |
1.5× |
| 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× |
| Aortogram thoracic (75605) |
$6,251.50 |
$6,251.50 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,851.50 |
$6,851.50 |
2.1× |
| Aortography abdominal serialography rs&i (75625) |
$6,689 |
$6,689 |
2.0× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$4,404 |
$4,404 |
1.3× |
| Artery X-Rays Adrenal Gland (75731) |
$8,144 |
$8,144 |
2.5× |
| Arthrogram elbow (73085) |
$1,294 |
$1,294 |
3.6× |
| Arthrogram hip (73525) |
$2,936 |
$2,936 |
8.1× |
| Arthrogram knee (73580) |
$2,699 |
$2,699 |
7.4× |
| Arthrogram shoulder (73040) |
$4,053 |
$4,053 |
11.1× |
| Arthrogram wrist (73115) |
$2,699 |
$2,699 |
7.4× |
| Basic dosimetry (77300) |
$2,543 |
$2,543 |
18.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,115 |
$2,115 |
5.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$10,710 |
$10,710 |
25.7× |
| Bone &/joint imaging whole body (78306) |
$3,651 |
$3,651 |
8.7× |
| Bone age studies (77072) |
$1,292 |
$1,292 |
11.8× |
| Bone Imaging 3 Phase (78315) |
$7,144 |
$7,144 |
17.1× |
| Bone survey complete (77075) |
$3,005 |
$3,005 |
27.5× |
| Bone survey infant (77076) |
$1,077 |
$1,077 |
9.9× |
| Bowel imaging (78290) |
$3,589 |
$3,589 |
8.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$13,737 |
$13,737 |
9.2× |
| Brain Imaging Vascular Flow Only (78610) |
$2,519 |
$2,519 |
4.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,144 |
$3,144 |
7.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$7,279 |
$7,279 |
20.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,394 |
$2,394 |
4.2× |
| Cervical spine 2 or 3 views (72040) |
$1,674 |
$1,674 |
18.4× |
| Chest 1 view (71045) |
$1,142 |
$1,142 |
12.6× |
| Chest xray 3 views (71047) |
$1,631 |
$1,631 |
17.9× |
| Cholecystography, oral contrast Non-Facility (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× |
| Clavicle complete (73000) |
$1,274 |
$1,274 |
14.0× |
| 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 contrast (74160) |
$8,974 |
$8,974 |
49.0× |
| CT abdomen w wo contrast (74170) |
$11,063 |
$11,063 |
60.4× |
| CT abdomen w/o contrast (74150) |
$8,077 |
$8,077 |
74.0× |
| CT angio hrt w/3d image (75574) |
$21,145 |
$21,145 |
58.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,936 |
$1,936 |
10.6× |
| CT angiography upper extremity lt (73206) |
$1,936 |
$1,936 |
10.6× |
| CT c-spine w/contrast (72126) |
$9,852 |
$9,852 |
27.0× |
| CT c-spine w/o contrast (72125) |
$8,796 |
$8,796 |
80.6× |
| CT cervical spine w&w/o contrast (72127) |
$12,078 |
$12,078 |
65.9× |
| CT chest w contrast (71260) |
$8,573 |
$8,573 |
46.8× |
| CT chest w/wo contrast (71270) |
$10,251 |
$10,251 |
56.0× |
| 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 iac w contrast (70481) |
$7,831 |
$7,831 |
42.8× |
| CT limited/localized follow up study (76380) |
$6,053 |
$6,053 |
66.6× |
| CT lower ext w/o (73700) |
$7,844 |
$7,844 |
71.9× |
| CT lower extremity w wo contrast (73702) |
$10,801 |
$10,801 |
59.0× |
| CT lower extremity w/contrast material (73701) |
$8,891 |
$8,891 |
48.5× |
| CT lumbar spine w & w/o contrast (72133) |
$12,078 |
$12,078 |
65.9× |
| 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 maxillofacial w contrast (70487) |
$9,011 |
$9,011 |
49.2× |
| CT maxillofacial w/wo contrast (70488) |
$10,939 |
$10,939 |
59.7× |
| CT maxillofacial wo contrast (70486) |
$7,946 |
$7,946 |
72.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$9,522 |
$9,522 |
52.0× |
| CT orbits w/o contrast (70480) |
$6,916 |
$6,916 |
63.4× |
| CT pelvis w/o contrast (72192) |
$8,382 |
$8,382 |
76.8× |
| CT pelvis w/wo contrast (72194) |
$11,486 |
$11,486 |
62.7× |
| CT scan of arm combo (73202) |
$10,801 |
$10,801 |
59.0× |
| CT soft tissue neck w contrast (70491) |
$7,831 |
$7,831 |
42.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,522 |
$9,522 |
52.0× |
| CT soft tissue neck w/o contrast (70490) |
$6,916 |
$6,916 |
63.4× |
| 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/wo contrast (72130) |
$7,007 |
$7,007 |
38.3× |
| CT thorax w/o contrast (71250) |
$7,652 |
$7,652 |
70.1× |
| CT unlisted procedure (76497) |
$5,331 |
$5,331 |
58.7× |
| CT upper ext wo (73200) |
$7,946 |
$7,946 |
72.8× |
| CT upper extremity with contrast (73201) |
$9,011 |
$9,011 |
24.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$19,108 |
$19,108 |
104.3× |
| Cta Abdomen (74175) |
$15,585 |
$15,585 |
85.1× |
| CTA chest (71275) |
$15,063 |
$15,063 |
82.2× |
| Cta Head (70496) |
$15,063 |
$15,063 |
82.2× |
| Cta Neck (70498) |
$15,063 |
$15,063 |
82.2× |
| Cystography minimum 3 views rs&i (74430) |
$2,201 |
$2,201 |
6.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$996 |
$996 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,533 |
$1,533 |
14.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,533 |
$1,533 |
16.9× |
| Esophagus (74220) |
$1,542 |
$1,542 |
8.4× |
| Facial bones min 3 views (70150) |
$1,752 |
$1,752 |
16.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$667 |
$667 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$2,315 |
$2,315 |
9.3× |
| Foot 2 views (73620) |
$906 |
$906 |
10.0× |
| Forearm 2 views (73090) |
$1,274 |
$1,274 |
14.0× |
| Hand 2 views (73120) |
$855 |
$855 |
7.8× |
| Heart Infarct Image (78466) |
$5,422 |
$5,422 |
13.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$8,255 |
$8,255 |
2.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$9,318 |
$9,318 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,141 |
$5,141 |
9.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,471 |
$4,471 |
10.7× |
| Hysterosalpingogram (74740) |
$1,150 |
$1,150 |
4.6× |
| Interstitial radiation source applic complex (77778) |
$3,933 |
$3,933 |
5.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,203 |
$2,203 |
3.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,882 |
$5,882 |
10.4× |
| Knee 3 views (73562) |
$2,093 |
$2,093 |
23.0× |
| Liver & spleen imaging static only (78215) |
$3,372 |
$3,372 |
8.1× |
| Lung perfusion differential (78597) |
$3,336 |
$3,336 |
8.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$2,099 |
$2,099 |
0.6× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,099 |
$2,099 |
0.6× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$2,099 |
$2,099 |
1.3× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$2,420 |
$2,420 |
3.7× |
| Lymphoscintigraphy (78195) |
$3,811 |
$3,811 |
6.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$7,279 |
$7,279 |
8.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$7,279 |
$7,279 |
20.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$12,738 |
$12,738 |
35.0× |
| Mammary ductogram or galactogram multiple (77054) |
$1,481 |
$1,481 |
5.9× |
| Mammary ductogram or galactogram single (77053) |
$1,999 |
$1,999 |
8.0× |
| MRA head w & w/o contrast (70546) |
$12,738 |
$12,738 |
35.0× |
| MRA head w/o contrast (70544) |
$7,279 |
$7,279 |
29.2× |
| MRA head with contrast (70545) |
$7,279 |
$7,279 |
20.0× |
| MRA neck w contrast (70548) |
$7,279 |
$7,279 |
20.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$12,738 |
$12,738 |
35.0× |
| MRA neck w/o contrast (70547) |
$7,279 |
$7,279 |
29.2× |
| 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 jt lower extrem w/contrast material (73722) |
$7,279 |
$7,279 |
8.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$12,738 |
$12,738 |
35.0× |
| MRI bone marrow blood supply (77084) |
$7,279 |
$7,279 |
29.2× |
| MRI breast w/o contrast bilateral (77047) |
$7,279 |
$7,279 |
29.2× |
| MRI breast wo contrast unilateral (77046) |
$7,279 |
$7,279 |
29.2× |
| MRI c-spine with contrast (72142) |
$7,279 |
$7,279 |
20.0× |
| 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 chest w/o & w/contrast material (71552) |
$12,738 |
$12,738 |
35.0× |
| MRI chest w/o contrast (71550) |
$7,279 |
$7,279 |
29.2× |
| MRI chest with contrast (71551) |
$7,279 |
$7,279 |
8.9× |
| MRI fetal sngl/1st gestation (74712) |
$7,279 |
$7,279 |
29.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,279 |
$7,279 |
20.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$12,738 |
$12,738 |
35.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,279 |
$7,279 |
29.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,279 |
$7,279 |
29.2× |
| MRI orbit face neck w contrast (70542) |
$7,279 |
$7,279 |
20.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$12,738 |
$12,738 |
35.0× |
| MRI pelvis w/contrast (72196) |
$7,279 |
$7,279 |
20.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$12,738 |
$12,738 |
35.0× |
| MRI pelvis w/o contrast (72195) |
$7,279 |
$7,279 |
29.2× |
| MRI spectroscopy (76390) |
$7,279 |
$7,279 |
80.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$12,738 |
$12,738 |
35.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,279 |
$7,279 |
20.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$12,738 |
$12,738 |
35.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,279 |
$7,279 |
20.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$12,738 |
$12,738 |
35.0× |
| MRI temporomandibular joint (70336) |
$7,279 |
$7,279 |
29.2× |
| MRI thoracic spine w/o contrast (72146) |
$7,279 |
$7,279 |
29.2× |
| MRI up ext w/o contrast (73218) |
$7,279 |
$7,279 |
29.2× |
| MRI upper ext joint w/o contrast (73221) |
$7,279 |
$7,279 |
29.2× |
| MRI, joint upper extrem combo (73223) |
$12,738 |
$12,738 |
35.0× |
| Myelogram Cervical (72240) |
$4,852 |
$4,852 |
5.9× |
| Myelogram Lumbar (72265) |
$4,852 |
$4,852 |
5.9× |
| Myelogram thoracic (72255) |
$4,852 |
$4,852 |
5.9× |
| Myelography 2 or more regions (72270) |
$4,852 |
$4,852 |
5.9× |
| Myocardial Spect Multiple Studies (78452) |
$10,440 |
$10,440 |
7.7× |
| Myocardial spect single study at rest or stress (78451) |
$7,034 |
$7,034 |
5.2× |
| Neck soft tissue (70360) |
$1,066 |
$1,066 |
11.7× |
| Nm bone marrow multi (78103) |
$1,778 |
$1,778 |
4.3× |
| Nm cisternogram (78630) |
$2,053 |
$2,053 |
3.6× |
| Nm gastric emptying study (78264) |
$5,018 |
$5,018 |
12.0× |
| Nm gastroesophageal reflux study (78262) |
$3,144 |
$3,144 |
7.5× |
| Noncardiac Vascular Flow Imaging (78445) |
$2,299 |
$2,299 |
5.5× |
| Nonvascular shunt X-ray (75809) |
$1,763.50 |
$1,763.50 |
16.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,150 |
$3,150 |
7.5× |
| Nuclear Rx Oral Admin (79005) |
$11,152 |
$11,152 |
45.8× |
| Parathyroid Planar Imaging (78070) |
$1,474 |
$1,474 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$1,260 |
$1,260 |
11.5× |
| PET image w/CT, skull-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 Hemodyn Eval Rs&I (75885) |
$5,876 |
$5,876 |
1.8× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,633 |
$5,633 |
9.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,803 |
$1,803 |
3.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,070 |
$1,070 |
11.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,202 |
$1,202 |
13.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,451 |
$1,451 |
16.0× |
| Radex fingr minimum 2 views (73140) |
$666 |
$666 |
7.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$474 |
$474 |
5.2× |
| Radex Hand Minimum 3 Views (73130) |
$1,292 |
$1,292 |
14.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$1,366 |
$1,366 |
15.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,736 |
$1,736 |
15.9× |
| Radex Humerus Minimum 2 Views (73060) |
$1,274 |
$1,274 |
14.0× |
| Radex Kne 1/2 Views (73560) |
$855 |
$855 |
9.4× |
| Radex Kne Compl 4/More Views (73564) |
$2,180 |
$2,180 |
20.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,851 |
$1,851 |
17.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,805 |
$1,805 |
19.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$1,885 |
$1,885 |
17.3× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,911 |
$1,911 |
21.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$1,938 |
$1,938 |
21.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$2,140 |
$2,140 |
19.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,115 |
$2,115 |
23.3× |
| Radex Toe Minimum 2 Views (73660) |
$688 |
$688 |
7.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$1,902 |
$1,902 |
17.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,467 |
$1,467 |
16.1× |
| Radiation treatment delivery level 1 (77402) |
$3,322 |
$3,322 |
31.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,481 |
$1,481 |
16.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,481 |
$1,481 |
13.6× |
| Radiologic exam chest 2 views (71046) |
$1,524 |
$1,524 |
16.8× |
| Radiologic exam colon single contrast study (74270) |
$2,752 |
$2,752 |
15.0× |
| 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 (73551) |
$700 |
$700 |
7.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,481 |
$1,481 |
16.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$1,769 |
$1,769 |
16.2× |
| Radiological examination surgical specimen (76098) |
$686.50 |
$686.50 |
1.2× |
| 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 Infus Sonohysterography W/Color Doppler (76831) |
$3,554 |
$3,554 |
14.3× |
| Scapula (73010) |
$1,476 |
$1,476 |
13.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$1,479 |
$1,479 |
63.3× |
| Sella turcica (70240) |
$1,212 |
$1,212 |
13.3× |
| Shoulder 1 view (73020) |
$1,838 |
$1,838 |
20.2× |
| Sialogram (70390) |
$3,110 |
$3,110 |
12.5× |
| Small bowel series (74250) |
$2,225 |
$2,225 |
12.1× |
| Spine thoracic 3 views (72072) |
$1,987 |
$1,987 |
18.2× |
| Superior sagittal sinus venogram (75870) |
$16,916 |
$16,916 |
5.1× |
| Testicular Imaging With Vascular Flow (78761) |
$4,660 |
$4,660 |
11.2× |
| Thoracolumbar 2 views (72080) |
$1,987 |
$1,987 |
21.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,923 |
$3,923 |
6.9× |
| Thyroid imaging w/blood flow (78013) |
$3,454 |
$3,454 |
8.3× |
| Thyroid uptake measurement (78012) |
$1,049 |
$1,049 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,424 |
$4,424 |
10.6× |
| Tmj unilateral (70328) |
$986 |
$986 |
10.8× |
| Tomogram (76100) |
$2,455 |
$2,455 |
22.5× |
| Ultrasound breast complete (76641) |
$1,326 |
$1,326 |
12.1× |
| Ultrasound, abdomen limited (76705) |
$3,018 |
$3,018 |
27.6× |
| Urethrocystogram voiding (74455) |
$3,420 |
$3,420 |
13.7× |
| Urethrocystography retrograde rs&i (74450) |
$3,420 |
$3,420 |
13.7× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$3,342 |
$3,342 |
18.2× |
| Us breast unilateral limited (76642) |
$1,326 |
$1,326 |
14.6× |
| Us chest (76604) |
$1,364 |
$1,364 |
12.5× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$934 |
$934 |
4.1× |
| Us encephalogram (76506) |
$1,630 |
$1,630 |
14.9× |
| Us hips infant static (76886) |
$1,823 |
$1,823 |
20.1× |
| Us lmtd joint/oth 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 limited (76815) |
$2,487 |
$2,487 |
22.8× |
| Us ob transvaginal (76817) |
$1,823 |
$1,823 |
16.7× |
| Us pelvic non ob complete (76856) |
$3,294 |
$3,294 |
30.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$3,294 |
$3,294 |
30.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$3,294 |
$3,294 |
30.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$2,534 |
$2,534 |
23.2× |
| Us retroperitoneal complete (76770) |
$3,352 |
$3,352 |
30.7× |
| Us retroperitoneal limited (76775) |
$3,087 |
$3,087 |
28.3× |
| Us scrotum and contents (76870) |
$3,218 |
$3,218 |
29.5× |
| Us soft tissue head/neck (76536) |
$2,548 |
$2,548 |
23.3× |
| Us spinal canal and contents (76800) |
$2,941 |
$2,941 |
26.9× |
| Us,transplanted kidney, real time/ doppler (76776) |
$2,822 |
$2,822 |
25.8× |
| Venogram adrenal unilat (75840) |
$6,484 |
$6,484 |
2.0× |
| Venogram extremity bilateral (75822) |
$3,690 |
$3,690 |
2.2× |
| Venogram Extremity Unilateral (75820) |
$2,822 |
$2,822 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$7,903.50 |
$7,903.50 |
2.4× |
| Venography caval superior serialography rs&i (75827) |
$4,002 |
$4,002 |
2.4× |
| Venography Renal Bilateral (75833) |
$3,431 |
$3,431 |
1.0× |
| 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× |
| Wrist 2 views (73100) |
$783 |
$783 |
8.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$592 |
$592 |
6.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,052 |
$4,052 |
22.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,366 |
$1,366 |
15.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,366 |
$1,366 |
15.0× |
| X-ray exam of femur 2/> (73552) |
$1,397 |
$1,397 |
15.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,329 |
$1,329 |
14.6× |
| X-ray IV pyelogram (ivp) (74400) |
$2,190 |
$2,190 |
12.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,283 |
$1,283 |
14.1× |
| X-ray leg, infant (73592) |
$2,221 |
$2,221 |
24.4× |
| 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 nose-rectum child f.b. (76010) |
$1,186 |
$1,186 |
13.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,946 |
$1,946 |
17.8× |
| X-ray retrograde pyelogram (74420) |
$1,397 |
$1,397 |
3.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,784 |
$2,784 |
25.5× |
| 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 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 Spine One View - Xr Spine (72020) |
$1,212 |
$1,212 |
13.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,583 |
$1,583 |
17.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,734 |
$1,734 |
19.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,987 |
$1,987 |
18.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$2,193 |
$2,193 |
20.1× |
| Xr bone length studies (77073) |
$892 |
$892 |
8.2× |
| Xr c-spine 4 or 5 views (72050) |
$1,851 |
$1,851 |
17.0× |
| Xr c-spine 6 or more views (72052) |
$1,958 |
$1,958 |
17.9× |
| Xr chest 4+ views (71048) |
$1,695 |
$1,695 |
15.5× |
| Xr urogram antegrade (74425) |
$848 |
$848 |
2.3× |