| Acute gi blood loss imaging (78278) |
$7,016 |
$7,016 |
16.8× |
| Angio extremity unilateral (75710) |
$13,050 |
$13,050 |
4.0× |
| Angiogram extremity bilateral (75716) |
$15,508 |
$15,508 |
4.7× |
| Angiogram pelvic (75736) |
$22,679 |
$22,679 |
3.9× |
| Angiography internal mammary rs&i (75756) |
$16,212 |
$16,212 |
4.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$13,567 |
$13,567 |
2.3× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$4,803 |
$4,803 |
1.5× |
| Ankle 2 views (73600) |
$1,614 |
$1,614 |
17.8× |
| Aortography thoracic w/o serialography rs&i (75600) |
$22,679 |
$22,679 |
6.9× |
| Arthrography knee lt (73580) |
$6,157 |
$6,157 |
16.9× |
| Arthrography wrist lt (73115) |
$7,056 |
$7,056 |
19.4× |
| Barium enema (74270) |
$3,767 |
$3,767 |
20.6× |
| Bone age studies (77072) |
$1,502 |
$1,502 |
13.8× |
| Bone survey complete (77075) |
$3,700 |
$3,700 |
33.9× |
| Bowel imaging (78290) |
$8,547 |
$8,547 |
20.5× |
| Brain image w/flow 4 + views (78606) |
$4,177 |
$4,177 |
7.4× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$6,622 |
$6,622 |
15.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,772 |
$3,772 |
20.6× |
| Cisternogram (78630) |
$10,074 |
$10,074 |
17.8× |
| Clavicle complete (73000) |
$2,296 |
$2,296 |
25.3× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$6,353 |
$6,353 |
34.7× |
| Contrast exam abdominl aorta (75625) |
$14,387 |
$14,387 |
4.4× |
| Contrast exam thoracic aorta (75605) |
$23,814 |
$23,814 |
4.1× |
| Csf shunt evaluation (78645) |
$3,059 |
$3,059 |
5.4× |
| CT - st neck w&wo contr (70492) |
$7,080 |
$7,080 |
38.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$12,920 |
$12,920 |
35.5× |
| CT abdomen and pelvis without contrast (74176) |
$11,045 |
$11,045 |
44.3× |
| CT abdomen w wo contrast (74170) |
$6,484 |
$6,484 |
35.4× |
| CT abdomen w/contrast (74160) |
$6,571 |
$6,571 |
35.9× |
| CT abdomen w/o contrast (74150) |
$4,958 |
$4,958 |
45.4× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$13,720 |
$13,720 |
37.7× |
| CT angio abdom w/o & w/dye (74175) |
$6,867 |
$6,867 |
37.5× |
| CT angio abdominal arteries (75635) |
$6,617 |
$6,617 |
36.1× |
| CT angio hrt w/3d image (75574) |
$2,407 |
$2,407 |
6.6× |
| CT angiograph pelv w/o&w/dye (72191) |
$7,383 |
$7,383 |
40.3× |
| CT cervical spine w/contrast (72126) |
$5,659 |
$5,659 |
15.5× |
| CT cervical spine w/o contrast (72125) |
$6,717 |
$6,717 |
61.5× |
| CT chest w/contrast (71260) |
$7,191 |
$7,191 |
39.3× |
| CT colonography w/o cntrst (74261) |
$2,308 |
$2,308 |
21.1× |
| CT extremity upper w & w/o contrast (73202) |
$4,712 |
$4,712 |
25.7× |
| CT head/brain with contrast (70460) |
$5,580 |
$5,580 |
30.5× |
| CT head/brain without and with contrast (70470) |
$5,518 |
$5,518 |
30.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,798 |
$1,798 |
4.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$2,512 |
$2,512 |
27.6× |
| CT limited/localized follow up study (76380) |
$4,886 |
$4,886 |
53.8× |
| CT lower ext w/wo contrast (73702) |
$3,951 |
$3,951 |
21.6× |
| CT lower extremity w contrast (73701) |
$4,007 |
$4,007 |
21.9× |
| CT lower extremity w/o contrast unilateral (73700) |
$2,568 |
$2,568 |
23.5× |
| CT lumbar spine w/contrast (72132) |
$5,072 |
$5,072 |
13.9× |
| CT lumbar spine w/o contrast (72131) |
$6,570 |
$6,570 |
60.2× |
| CT lumbar spine w/o then w/ con (72133) |
$5,462 |
$5,462 |
29.8× |
| CT maxillofacial area w/o contrast (70486) |
$6,637 |
$6,637 |
60.8× |
| CT maxillofacial w/contrast (70487) |
$6,088 |
$6,088 |
33.2× |
| CT maxillofacial w/o then w/ con (70488) |
$5,462 |
$5,462 |
29.8× |
| CT orbit sella ear w/o con (70480) |
$4,681 |
$4,681 |
42.9× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$6,093 |
$6,093 |
33.3× |
| CT pelvis w & w/o contrast (72194) |
$7,789 |
$7,789 |
42.5× |
| CT pelvis w/o contrast (72192) |
$5,901 |
$5,901 |
54.1× |
| CT soft tissue neck w/contrast (70491) |
$6,297 |
$6,297 |
34.4× |
| CT soft tissue neck w/o contrast (70490) |
$5,805 |
$5,805 |
53.2× |
| CT spine cervical w/wo contrast (72127) |
$5,462 |
$5,462 |
29.8× |
| CT thoracic spine w/contrast (72129) |
$5,072 |
$5,072 |
27.7× |
| CT thoracic spine w/o contrast (72128) |
$6,923 |
$6,923 |
63.4× |
| CT thoracic spine w/o then w/ con (72130) |
$6,401 |
$6,401 |
34.9× |
| CT thorax lung cancer scr c- (71271) |
$345 |
$345 |
3.2× |
| CT thorax w/o contrast (71250) |
$5,668 |
$5,668 |
51.9× |
| CT thorax w/o then w/ contrast (71270) |
$5,734 |
$5,734 |
31.3× |
| CT upper extremity w/dye (73201) |
$3,600 |
$3,600 |
9.9× |
| CT upper extremity w/o contrast rt (73200) |
$2,671 |
$2,671 |
24.5× |
| CTA chest w/wo contrast (71275) |
$6,708 |
$6,708 |
36.6× |
| CTA head w contrast (70496) |
$6,617 |
$6,617 |
36.1× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$6,617 |
$6,617 |
36.1× |
| Cta Neck (70498) |
$6,617 |
$6,617 |
36.1× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$9,424 |
$9,424 |
51.4× |
| Dxa bone density study axial skeleton (77085) |
$703 |
$703 |
6.4× |
| Esophogram (74220) |
$5,072 |
$5,072 |
27.7× |
| Fetal biophysical profile non-stress testing (76818) |
$2,853 |
$2,853 |
26.1× |
| Fetal biophysical profile w/o nst (76819) |
$2,665 |
$2,665 |
24.4× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,004 |
$1,004 |
4.0× |
| Gastric emptying study (78264) |
$5,470 |
$5,470 |
13.1× |
| Gated heart planar single (78472) |
$4,189 |
$4,189 |
10.0× |
| Heart infarct image (78466) |
$6,622 |
$6,622 |
15.9× |
| Hepatobil syst image w/drug (78227) |
$8,762 |
$8,762 |
15.5× |
| Hepatobiliary system imaging (78226) |
$6,131 |
$6,131 |
14.7× |
| Humerus min 2 views (73060) |
$2,193 |
$2,193 |
24.1× |
| Hysterosalpingography (74740) |
$3,335 |
$3,335 |
13.4× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$9,126 |
$9,126 |
12.5× |
| Ivp w tomography (74415) |
$5,097 |
$5,097 |
27.8× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$11,496 |
$11,496 |
20.3× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$4,312 |
$4,312 |
7.6× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$7,474 |
$7,474 |
13.2× |
| Kidney w vascular flow (78701) |
$11,496 |
$11,496 |
27.5× |
| Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age Under 21 (78140) |
$3,266 |
$3,266 |
7.8× |
| Liver & spleen; static only (78215) |
$6,949 |
$6,949 |
16.6× |
| Lung perfusion differential (78597) |
$5,660 |
$5,660 |
13.6× |
| Lung ventilat&perfus imaging (78582) |
$8,353 |
$8,353 |
14.7× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$6,461 |
$6,461 |
17.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$7,269 |
$7,269 |
20.0× |
| Mammary ductogram multiple ducts (77054) |
$2,760 |
$2,760 |
11.1× |
| Mammary ductogram single (77053) |
$2,760 |
$2,760 |
11.1× |
| MRA head w & w/o contrast (70546) |
$6,375 |
$6,375 |
17.5× |
| MRA head w/o contrast (70544) |
$4,464 |
$4,464 |
17.9× |
| MRA neck w/contrast (70548) |
$5,357 |
$5,357 |
14.7× |
| MRA neck w/o contrast (70547) |
$4,147 |
$4,147 |
16.6× |
| MRA neck w/wo contrast (70549) |
$4,949 |
$4,949 |
13.6× |
| MRI abdomen w/contrast (74182) |
$9,846 |
$9,846 |
27.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$15,351 |
$15,351 |
42.1× |
| MRI abdomen w/o contrast (74181) |
$7,872 |
$7,872 |
31.6× |
| MRI any jnt lwr ext with con lt (73722) |
$6,178 |
$6,178 |
7.5× |
| MRI breast without contrast material unilateral (77046) |
$3,366 |
$3,366 |
13.5× |
| MRI cervical spine w/o contrast (72141) |
$5,513 |
$5,513 |
22.1× |
| MRI cervical spine with contrast (72142) |
$4,908 |
$4,908 |
13.5× |
| MRI chest w & w/o contrast (71552) |
$6,925 |
$6,925 |
19.0× |
| MRI chest w/contrast (71551) |
$4,414 |
$4,414 |
5.4× |
| MRI chest w/o contrast (71550) |
$4,414 |
$4,414 |
17.7× |
| MRI joint upper ext w/contrast (73222) |
$5,065 |
$5,065 |
6.2× |
| MRI joint upr extr w/o&w/dye (73223) |
$5,958 |
$5,958 |
16.4× |
| MRI joint upr extrem w/o dye (73221) |
$3,826 |
$3,826 |
15.4× |
| Mri Lower Extremity W/O Dye (73718) |
$4,393 |
$4,393 |
17.6× |
| MRI lumbar spine with contrast (72149) |
$11,257 |
$11,257 |
30.9× |
| MRI lumbar w/wo contrast (72158) |
$13,323 |
$13,323 |
36.6× |
| MRI lwr ext w/o jnts with con rt (73719) |
$5,357 |
$5,357 |
14.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,441 |
$2,441 |
6.7× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$2,820 |
$2,820 |
7.7× |
| MRI orbit/face/neck w/o contrast (70540) |
$1,686 |
$1,686 |
6.8× |
| MRI pelvis w/ contrast (72196) |
$5,357 |
$5,357 |
14.7× |
| MRI pelvis w/o contrast (72195) |
$4,562 |
$4,562 |
18.3× |
| MRI pelvis w/wo contrast (72197) |
$6,342 |
$6,342 |
17.4× |
| MRI spine cervical wo/w contrast (72156) |
$8,117 |
$8,117 |
22.3× |
| MRI spine thoracic w/contrast (72147) |
$5,153 |
$5,153 |
14.1× |
| MRI thoracic spine w wo contrast (72157) |
$7,252 |
$7,252 |
19.9× |
| MRI thoracic spine w/o contrast (72146) |
$4,147 |
$4,147 |
16.6× |
| MRI tmj (70336) |
$9,240 |
$9,240 |
37.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,562 |
$4,562 |
18.3× |
| Mri Upper Extremity W/Dye (73219) |
$5,357 |
$5,357 |
14.7× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$7,088 |
$7,088 |
19.5× |
| Myelogram thoracic (72255) |
$3,576 |
$3,576 |
4.4× |
| Myelography 2 or more regions (72270) |
$3,576 |
$3,576 |
4.4× |
| Myelography lumbosacral (72265) |
$3,576 |
$3,576 |
4.4× |
| Myocardial spect single study at rest or stress (78451) |
$6,622 |
$6,622 |
4.9× |
| Myocrd img PET metab eval single study (78459) |
$16,452 |
$16,452 |
12.2× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$3,269 |
$3,269 |
3.6× |
| Nm bone 3 phase (78315) |
$5,950 |
$5,950 |
14.3× |
| Nm bone imaging whole body (78306) |
$4,519 |
$4,519 |
10.8× |
| Nm bone marrow scan limited (78102) |
$1,792 |
$1,792 |
4.3× |
| Nm bone marrow scan multiple (78103) |
$1,512 |
$1,512 |
3.6× |
| Nm bone multi (78305) |
$4,519 |
$4,519 |
10.8× |
| Nm heart perfusion spect stress rest (78452) |
$6,622 |
$6,622 |
4.9× |
| Nm kidney function (78725) |
$4,312 |
$4,312 |
10.3× |
| Nm kidney imaging morphology (78700) |
$4,312 |
$4,312 |
10.3× |
| Nm lymph system (78195) |
$4,080 |
$4,080 |
7.2× |
| Nose to rectum for fb child (76010) |
$1,146 |
$1,146 |
12.6× |
| Nuclear rx IV admin (79101) |
$2,191 |
$2,191 |
9.0× |
| Ob us < 14 wks single fetus (76801) |
$3,194 |
$3,194 |
29.3× |
| Oral radiopharm rx (79005) |
$2,320 |
$2,320 |
9.5× |
| Parathyroid imaging (78070) |
$7,679 |
$7,679 |
18.4× |
| Peritoneal-venous shunt patency test (78291) |
$3,059 |
$3,059 |
7.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$27,507 |
$27,507 |
18.4× |
| PET imaging CT for attenuation limited area (78814) |
$23,258 |
$23,258 |
15.6× |
| PET imaging for CT attenuation whole body (78816) |
$19,210 |
$19,210 |
12.9× |
| Pulmonary perfusion imaging particulate (78580) |
$5,660 |
$5,660 |
13.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,401 |
$2,401 |
4.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$8,735 |
$8,735 |
96.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,913 |
$2,913 |
26.7× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$5,824 |
$5,824 |
53.3× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$5,824 |
$5,824 |
53.3× |
| Radex hip unilateral with pelvis 1 view (73501) |
$870 |
$870 |
9.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,869 |
$1,869 |
20.6× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,803 |
$2,803 |
25.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$4,656 |
$4,656 |
42.6× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$9,310 |
$9,310 |
85.3× |
| Radex spine cervical 2 or 3 views (72040) |
$2,578 |
$2,578 |
28.4× |
| Radex spine cervical 4 or 5 views (72050) |
$3,447 |
$3,447 |
31.6× |
| Radex spine cervical 6 or more views (72052) |
$3,480 |
$3,480 |
31.9× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$2,913 |
$2,913 |
32.1× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,523 |
$1,523 |
14.0× |
| Radiologic exam esophagus double contrast study (74221) |
$5,072 |
$5,072 |
27.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,524 |
$2,524 |
13.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,659 |
$2,659 |
14.5× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$363 |
$363 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$3,117 |
$3,117 |
34.3× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,669 |
$1,669 |
15.3× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$4,245 |
$4,245 |
38.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$14,988 |
$14,988 |
35.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$7,665 |
$7,665 |
18.4× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$11,140 |
$11,140 |
19.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$9,181 |
$9,181 |
16.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$11,758 |
$11,758 |
20.7× |
| Selective spinal angiogram (75705) |
$31,981 |
$31,981 |
5.5× |
| Shoulder arthrogram (73040) |
$6,692 |
$6,692 |
18.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$3,095 |
$3,095 |
28.4× |
| Small bowel series (74250) |
$4,913 |
$4,913 |
26.8× |
| Testicular imaging w/flow (78761) |
$4,747 |
$4,747 |
11.4× |
| Therapeutic enema barium or air (74283) |
$2,809 |
$2,809 |
15.3× |
| Thyroid met imaging body (78018) |
$8,297 |
$8,297 |
14.6× |
| Thyroid uptake single/multiple quant measurement (78012) |
$5,790 |
$5,790 |
13.9× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$5,442 |
$5,442 |
13.0× |
| Ultrasound breast limited (76642) |
$1,004 |
$1,004 |
11.0× |
| Ultrasound, abdomen limited (76705) |
$1,555 |
$1,555 |
14.2× |
| Ultrasound, elastography; first target lesion (76982) |
$1,481 |
$1,481 |
13.6× |
| Unlisted fluoroscopic procedure (76496) |
$1,255 |
$1,255 |
13.8× |
| Urethrocystography retrograde rs&i (74450) |
$3,089 |
$3,089 |
12.4× |
| Urethrocystography voiding (74455) |
$3,767 |
$3,767 |
15.1× |
| Urography antegrade (74425) |
$2,038 |
$2,038 |
5.6× |
| Urography retrograde w/wo kub (74420) |
$3,315 |
$3,315 |
9.1× |
| Us abdominal aorta real time screen study aaa (76706) |
$787 |
$787 |
7.2× |
| Us breast uni real time with image complete (76641) |
$1,004 |
$1,004 |
9.2× |
| Us chest (76604) |
$1,996 |
$1,996 |
18.3× |
| Us compl joint r-t w/image documentation (76881) |
$1,729 |
$1,729 |
15.8× |
| Us elastography parenchyma (76981) |
$429 |
$429 |
3.9× |
| Us encephalogram (76506) |
$828 |
$828 |
7.6× |
| Us guided compression repair (76936) |
$2,096 |
$2,096 |
9.3× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$1,831 |
$1,831 |
20.1× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$1,695 |
$1,695 |
18.7× |
| Us kidney transplanted (76776) |
$1,142 |
$1,142 |
10.5× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$656 |
$656 |
6.0× |
| Us ob followup per fetus (76816) |
$1,940 |
$1,940 |
17.8× |
| Us ob limited 1 or more fetuses (76815) |
$984 |
$984 |
9.0× |
| Us obstetric transvaginal (76817) |
$2,983 |
$2,983 |
27.3× |
| Us pelvic limited or f/u non-ob (76857) |
$3,020 |
$3,020 |
27.7× |
| Us pelvis complete (76856) |
$4,780 |
$4,780 |
43.8× |
| Us retroperitoneal complete (76770) |
$2,451 |
$2,451 |
22.5× |
| Us retroperitoneal limited (76775) |
$1,338 |
$1,338 |
12.3× |
| Us scrotum (76870) |
$4,970 |
$4,970 |
45.5× |
| Us soft tissue head/neck (76536) |
$1,787 |
$1,787 |
16.4× |
| Us spinal canal (76800) |
$2,458 |
$2,458 |
22.5× |
| Us transrectal (76872) |
$3,281 |
$3,281 |
30.1× |
| Us unlstd proc (76999) |
$773 |
$773 |
8.5× |
| Venogram extremity bilateral (75822) |
$15,703 |
$15,703 |
9.6× |
| Venogram ivc w serialography (75825) |
$20,017 |
$20,017 |
6.1× |
| Venogram svc w serialography (75827) |
$8,779 |
$8,779 |
5.3× |
| Venography ext unilateral (75820) |
$7,320 |
$7,320 |
4.5× |
| Venography renal unilateral selective rs&i (75831) |
$16,212 |
$16,212 |
4.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$16,469 |
$16,469 |
5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,310 |
$2,310 |
25.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$2,304 |
$2,304 |
25.4× |
| X-ray aorta leg arteries (75630) |
$23,261 |
$23,261 |
7.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,659 |
$4,659 |
25.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$737 |
$737 |
8.1× |
| X-ray exam hips bi 3-4 views (73522) |
$3,475 |
$3,475 |
31.8× |
| X-ray exam of finger(s) (73140) |
$1,953 |
$1,953 |
21.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$8,058 |
$8,058 |
44.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,412 |
$3,412 |
37.5× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$633 |
$633 |
7.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,197 |
$2,197 |
24.2× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,915 |
$1,915 |
17.5× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,241 |
$2,241 |
24.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$2,155 |
$2,155 |
23.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,719 |
$1,719 |
18.9× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,382 |
$2,382 |
26.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,327 |
$2,327 |
21.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,201 |
$1,201 |
13.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,578 |
$2,578 |
23.6× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$3,944 |
$3,944 |
36.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,359 |
$2,359 |
26.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,683 |
$3,683 |
33.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,902 |
$2,902 |
26.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$2,431 |
$2,431 |
22.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,345 |
$2,345 |
25.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,252 |
$2,252 |
24.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,770 |
$2,770 |
30.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,731 |
$1,731 |
15.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,152 |
$1,152 |
10.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,847 |
$2,847 |
31.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$2,000 |
$2,000 |
22.0× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,453 |
$1,453 |
16.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,213 |
$2,213 |
24.4× |
| Xr abdomen 1 view (74018) |
$1,067 |
$1,067 |
11.7× |
| Xr abdomen 2 views (74019) |
$1,730 |
$1,730 |
15.8× |
| Xr arthrogram elbow (73085) |
$6,131 |
$6,131 |
16.8× |
| Xr arthrogram hip (73525) |
$5,757 |
$5,757 |
15.8× |
| Xr bone density axial (77080) |
$703 |
$703 |
6.4× |
| Xr bone length study (77073) |
$3,060 |
$3,060 |
28.0× |
| Xr bone survey infant (77076) |
$3,700 |
$3,700 |
33.9× |
| Xr chest 1 view (71045) |
$528 |
$528 |
5.8× |
| Xr chest 2 views (71046) |
$705 |
$705 |
7.8× |
| Xr chest 3 views (71047) |
$1,030 |
$1,030 |
11.3× |
| Xr cystogram 3+ views (74430) |
$3,432 |
$3,432 |
9.4× |
| Xr eye foreign body (70030) |
$2,051 |
$2,051 |
22.6× |
| Xr facial bones 3 views (70150) |
$3,412 |
$3,412 |
31.3× |
| Xr lower extremity 2 views infant (73592) |
$1,808 |
$1,808 |
19.9× |
| Xr mandible 4 views (70110) |
$3,095 |
$3,095 |
28.4× |
| Xr myelogram c-spine (72240) |
$3,576 |
$3,576 |
4.4× |
| Xr nasal bones (70160) |
$2,231 |
$2,231 |
24.5× |
| Xr pelvis 3 views (72190) |
$1,984 |
$1,984 |
18.2× |
| Xr sialogram (70390) |
$2,921 |
$2,921 |
11.7× |
| Xr spine 1 view (72020) |
$1,242 |
$1,242 |
13.7× |
| Xr sternum 2 views (71120) |
$2,458 |
$2,458 |
27.0× |
| Xr surgical specimen (76098) |
$4,361 |
$4,361 |
7.6× |
| Xr upper extremity 2 views infant (73092) |
$1,326 |
$1,326 |
12.1× |
| Xray elbow 2 views (73070) |
$2,146 |
$2,146 |
23.6× |
| Xray forearm 2 views (73090) |
$2,147 |
$2,147 |
23.6× |
| Xray knee 1 or 2 views rt (73560) |
$1,189 |
$1,189 |
13.1× |
| Xray neck soft tissue (70360) |
$1,420 |
$1,420 |
15.6× |
| Xray orbits complete min 4 views (70200) |
$2,825 |
$2,825 |
25.9× |
| Xray pelvis 1 or 2 views (72170) |
$1,507 |
$1,507 |
13.8× |
| Xray ribs bilateral 3 views (71110) |
$2,372 |
$2,372 |
21.7× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$3,030 |
$3,030 |
27.8× |
| Xray scapula complete (73010) |
$1,604 |
$1,604 |
14.7× |
| Xray shoulder 1 view (73020) |
$441 |
$441 |
4.9× |
| Xray sinuses paranasal <3 views (70210) |
$1,845 |
$1,845 |
20.3× |
| Xray spine thoracic 2 views (72070) |
$2,597 |
$2,597 |
23.8× |
| Xray spine thoracic 3 views (72072) |
$3,336 |
$3,336 |
30.6× |
| Xray tibia-fibula 2 views bil (73590) |
$2,343 |
$2,343 |
25.8× |
| Xray tmj's bilateral open-clsc (70330) |
$4,987 |
$4,987 |
54.9× |