| Acute gi blood loss imaging (78278) |
$4,573 |
$4,573 |
11.0× |
| Angio adrenal bilat select (75733) |
$3,596 |
$3,596 |
1.1× |
| Angio adrenal unilat select (75731) |
$11,578 |
$11,578 |
3.5× |
| Angio extremity unilateral (75710) |
$6,247 |
$6,247 |
1.9× |
| Angio pulmonary unilateral (75741) |
$4,062 |
$4,062 |
1.2× |
| Angiogram extremity bilateral (75716) |
$7,142 |
$7,142 |
2.2× |
| Angiogram pelvic (75736) |
$12,583.50 |
$12,583.50 |
2.2× |
| Angiography internal mammary rs&i (75756) |
$5,085 |
$5,085 |
1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,489 |
$6,489 |
2.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$20,032 |
$20,032 |
3.4× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$961 |
$961 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$8,769 |
$8,769 |
2.7× |
| Ankle 2 views (73600) |
$302 |
$302 |
3.3× |
| Arthrography knee lt (73580) |
$2,011 |
$2,011 |
5.5× |
| Arthrography wrist lt (73115) |
$1,204 |
$1,204 |
3.3× |
| Barium enema (74270) |
$6,213 |
$6,213 |
33.9× |
| Basic dosimetry (77300) |
$2,216 |
$2,216 |
15.8× |
| Bilat selctv renal venogram (75833) |
$6,178 |
$6,178 |
1.9× |
| Bone age studies (77072) |
$2,040 |
$2,040 |
18.7× |
| Bone imaging limited area (78300) |
$7,257 |
$7,257 |
17.4× |
| Bone survey complete (77075) |
$2,135 |
$2,135 |
19.6× |
| Bowel imaging (78290) |
$1,824 |
$1,824 |
4.4× |
| Brain image w/flow 4 + views (78606) |
$5,338 |
$5,338 |
9.4× |
| Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or… (78481) |
$2,812 |
$2,812 |
5.0× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$9,328 |
$9,328 |
25.6× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$3,169 |
$3,169 |
17.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,851 |
$1,851 |
10.1× |
| Cisternogram (78630) |
$3,290 |
$3,290 |
5.8× |
| Clavicle complete (73000) |
$302 |
$302 |
3.3× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$19,054 |
$19,054 |
104.0× |
| Contrast exam abdominl aorta (75625) |
$8,382 |
$8,382 |
2.5× |
| Contrast exam thoracic aorta (75605) |
$7,963 |
$7,963 |
1.4× |
| Csf shunt evaluation (78645) |
$1,673 |
$1,673 |
3.0× |
| CT - st neck w&wo contr (70492) |
$13,690 |
$13,690 |
74.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$39,003 |
$39,003 |
107.1× |
| CT abdomen and pelvis without contrast (74176) |
$25,461 |
$25,461 |
102.2× |
| CT abdomen w wo contrast (74170) |
$19,957 |
$19,957 |
109.0× |
| CT abdomen w/contrast (74160) |
$19,048 |
$19,048 |
104.0× |
| CT abdomen w/o contrast (74150) |
$13,029 |
$13,029 |
119.3× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$1,323 |
$1,323 |
3.6× |
| CT angio abdom w/o & w/dye (74175) |
$16,182 |
$16,182 |
88.3× |
| CT angio abdominal arteries (75635) |
$3,384 |
$3,384 |
18.5× |
| CT angio hrt w/3d image (75574) |
$10,582 |
$10,582 |
29.0× |
| CT angiograph pelv w/o&w/dye (72191) |
$1,323 |
$1,323 |
7.2× |
| CT cervical spine w/contrast (72126) |
$17,763 |
$17,763 |
48.8× |
| CT cervical spine w/o contrast (72125) |
$15,281 |
$15,281 |
140.0× |
| CT chest w/contrast (71260) |
$20,649 |
$20,649 |
112.7× |
| CT extremity upper w & w/o contrast (73202) |
$12,727 |
$12,727 |
69.5× |
| CT head/brain with contrast (70460) |
$18,192 |
$18,192 |
99.3× |
| CT head/brain without and with contrast (70470) |
$19,048 |
$19,048 |
104.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$10,582 |
$10,582 |
29.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$10,582 |
$10,582 |
116.4× |
| CT hrt w/3d image congen (75573) |
$10,582 |
$10,582 |
29.0× |
| CT limited/localized follow up study (76380) |
$4,137 |
$4,137 |
45.5× |
| CT lower ext w/wo contrast (73702) |
$12,727 |
$12,727 |
69.5× |
| CT lower extremity w contrast (73701) |
$18,175 |
$18,175 |
99.2× |
| CT lower extremity w/o contrast unilateral (73700) |
$12,426 |
$12,426 |
113.8× |
| CT lumbar spine w/contrast (72132) |
$19,533 |
$19,533 |
53.6× |
| CT lumbar spine w/o contrast (72131) |
$16,399 |
$16,399 |
150.2× |
| CT lumbar spine w/o then w/ con (72133) |
$1,254 |
$1,254 |
6.8× |
| CT maxillofacial area w/o contrast (70486) |
$16,938 |
$16,938 |
155.2× |
| CT maxillofacial w/contrast (70487) |
$16,399 |
$16,399 |
89.5× |
| CT maxillofacial w/o then w/ con (70488) |
$17,319 |
$17,319 |
94.6× |
| CT orbit sella ear w/o con (70480) |
$16,399 |
$16,399 |
150.2× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$19,959 |
$19,959 |
109.0× |
| CT pelvis w & w/o contrast (72194) |
$19,048 |
$19,048 |
104.0× |
| CT pelvis w/o contrast (72192) |
$12,426 |
$12,426 |
113.8× |
| CT soft tissue neck w/contrast (70491) |
$18,192 |
$18,192 |
99.3× |
| CT soft tissue neck w/o contrast (70490) |
$12,426 |
$12,426 |
113.8× |
| CT spine cervical w/wo contrast (72127) |
$13,690 |
$13,690 |
74.7× |
| CT thoracic spine w/contrast (72129) |
$17,334 |
$17,334 |
94.6× |
| CT thoracic spine w/o contrast (72128) |
$11,862 |
$11,862 |
108.7× |
| CT thoracic spine w/o then w/ con (72130) |
$1,254 |
$1,254 |
6.8× |
| CT thorax w/o contrast (71250) |
$13,900 |
$13,900 |
127.3× |
| CT thorax w/o then w/ contrast (71270) |
$21,654 |
$21,654 |
118.2× |
| CT upper extremity w/dye (73201) |
$12,727 |
$12,727 |
34.9× |
| CT upper extremity w/o contrast rt (73200) |
$12,727 |
$12,727 |
116.6× |
| CTA chest w/wo contrast (71275) |
$12,727 |
$12,727 |
69.5× |
| CTA head w contrast (70496) |
$16,182 |
$16,182 |
88.3× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$11,572 |
$11,572 |
63.2× |
| Cta Neck (70498) |
$15,684 |
$15,684 |
85.6× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$5,942 |
$5,942 |
32.4× |
| Dilation ureters/urethra rs&i (74485) |
$1,926 |
$1,926 |
0.9× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) |
$12,013 |
$12,013 |
5.9× |
| Diskography lumbar (72295) |
$10,374 |
$10,374 |
5.1× |
| Doppler echo fetal spectral display complete (76827) |
$768 |
$768 |
7.0× |
| Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study… (76828) |
$617 |
$617 |
5.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$617 |
$617 |
2.5× |
| Esophogram (74220) |
$1,968 |
$1,968 |
10.7× |
| Fetal biophysical profile non-stress testing (76818) |
$2,326 |
$2,326 |
21.3× |
| Fetal biophysical profile w/o nst (76819) |
$735 |
$735 |
6.7× |
| Fetal echo complete (76825) |
$768 |
$768 |
1.3× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$3,185 |
$3,185 |
12.8× |
| Gastric emptying study (78264) |
$5,242 |
$5,242 |
12.6× |
| Gated heart planar single (78472) |
$3,823 |
$3,823 |
9.2× |
| Heart infarct image (78466) |
$3,257 |
$3,257 |
7.8× |
| Hepatobil syst image w/drug (78227) |
$8,021 |
$8,021 |
14.1× |
| Hepatobiliary system imaging (78226) |
$8,021 |
$8,021 |
19.2× |
| Humerus min 2 views (73060) |
$2,883 |
$2,883 |
31.7× |
| Hysterosalpingography (74740) |
$4,456 |
$4,456 |
17.9× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$1,446 |
$1,446 |
3.5× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$5,832 |
$5,832 |
8.0× |
| Ivp (74400) |
$16,417 |
$16,417 |
89.6× |
| Ivp w tomography (74415) |
$15,668 |
$15,668 |
85.5× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$5,526 |
$5,526 |
9.7× |
| Liver & spleen; static only (78215) |
$9,462 |
$9,462 |
22.7× |
| Liver imaging w/vascular flow (78202) |
$2,321 |
$2,321 |
4.1× |
| Lung perf&ventilat diferentl (78598) |
$8,571 |
$8,571 |
15.1× |
| Lung perfusion differential (78597) |
$8,990 |
$8,990 |
21.5× |
| Lung ventilat&perfus imaging (78582) |
$11,255 |
$11,255 |
19.8× |
| Lung ventilation imaging (78579) |
$11,255 |
$11,255 |
27.0× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75803) |
$3,300 |
$3,300 |
2.0× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75801) |
$2,726 |
$2,726 |
4.2× |
| Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75807) |
$2,758 |
$2,758 |
0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$2,957 |
$2,957 |
0.9× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$13,162 |
$13,162 |
36.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$11,871 |
$11,871 |
32.6× |
| Mammary ductogram multiple ducts (77054) |
$2,851 |
$2,851 |
11.4× |
| Mammary ductogram single (77053) |
$2,067 |
$2,067 |
8.3× |
| MRA head w & w/o contrast (70546) |
$10,482 |
$10,482 |
28.8× |
| MRA head w/contrast (70545) |
$10,241 |
$10,241 |
28.1× |
| MRA head w/o contrast (70544) |
$19,890 |
$19,890 |
79.8× |
| MRA neck w/contrast (70548) |
$10,637 |
$10,637 |
29.2× |
| MRA neck w/o contrast (70547) |
$19,890 |
$19,890 |
79.8× |
| MRA neck w/wo contrast (70549) |
$13,057 |
$13,057 |
35.8× |
| MRI abdomen w/contrast (74182) |
$12,963 |
$12,963 |
35.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$12,963 |
$12,963 |
35.6× |
| MRI abdomen w/o contrast (74181) |
$12,963 |
$12,963 |
52.0× |
| MRI any jnt lwr ext with con lt (73722) |
$12,262 |
$12,262 |
15.0× |
| MRI bone marrow (77084) |
$9,328 |
$9,328 |
37.4× |
| MRI breast without contrast bilateral (77047) |
$3,147 |
$3,147 |
12.6× |
| MRI breast without contrast material unilateral (77046) |
$1,017 |
$1,017 |
4.1× |
| MRI cardiac w/o contrast (75557) |
$9,328 |
$9,328 |
37.4× |
| MRI cervical spine w/o contrast (72141) |
$16,091 |
$16,091 |
64.6× |
| MRI cervical spine with contrast (72142) |
$13,918 |
$13,918 |
38.2× |
| MRI chest w & w/o contrast (71552) |
$12,804 |
$12,804 |
35.1× |
| MRI chest w/contrast (71551) |
$12,804 |
$12,804 |
15.6× |
| MRI chest w/o contrast (71550) |
$12,189 |
$12,189 |
48.9× |
| MRI joint upper ext w/contrast (73222) |
$12,262 |
$12,262 |
15.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$10,241 |
$10,241 |
28.1× |
| MRI joint upr extrem w/o dye (73221) |
$11,871 |
$11,871 |
47.6× |
| Mri Lower Extremity W/O Dye (73718) |
$11,871 |
$11,871 |
47.6× |
| MRI lumbar spine with contrast (72149) |
$14,590 |
$14,590 |
40.0× |
| MRI lumbar w/wo contrast (72158) |
$22,508 |
$22,508 |
61.8× |
| MRI lwr ext w/o jnts with con rt (73719) |
$12,262 |
$12,262 |
33.7× |
| MRI orbit/face/neck w/contrast (70542) |
$19,129 |
$19,129 |
52.5× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$16,915 |
$16,915 |
46.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$16,822 |
$16,822 |
67.5× |
| MRI pelvis w/ contrast (72196) |
$11,329 |
$11,329 |
31.1× |
| MRI pelvis w/o contrast (72195) |
$7,831 |
$7,831 |
31.4× |
| MRI pelvis w/wo contrast (72197) |
$12,262 |
$12,262 |
33.7× |
| MRI spine cervical wo/w contrast (72156) |
$17,310 |
$17,310 |
47.5× |
| MRI spine thoracic w/contrast (72147) |
$13,267 |
$13,267 |
36.4× |
| MRI thoracic spine w wo contrast (72157) |
$11,557 |
$11,557 |
31.7× |
| MRI thoracic spine w/o contrast (72146) |
$14,721 |
$14,721 |
59.1× |
| MRI tmj (70336) |
$14,061 |
$14,061 |
56.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$11,871 |
$11,871 |
47.6× |
| Mri Upper Extremity W/Dye (73219) |
$12,262 |
$12,262 |
33.7× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$12,262 |
$12,262 |
33.7× |
| Myelogram thoracic (72255) |
$6,040 |
$6,040 |
7.4× |
| Myelography 2 or more regions (72270) |
$23,304 |
$23,304 |
28.5× |
| Myelography lumbosacral (72265) |
$5,948 |
$5,948 |
7.3× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$6,249 |
$6,249 |
4.6× |
| Myocardial perfusion planar multiple studies (78454) |
$7,292 |
$7,292 |
5.4× |
| Myocardial spect single study at rest or stress (78451) |
$1,390 |
$1,390 |
1.0× |
| Nm bone 3 phase (78315) |
$11,588 |
$11,588 |
27.8× |
| Nm bone imaging whole body (78306) |
$7,921 |
$7,921 |
19.0× |
| Nm heart perfusion spect stress rest (78452) |
$1,315 |
$1,315 |
1.0× |
| Nm kidney imaging morphology (78700) |
$2,010 |
$2,010 |
4.8× |
| Nm liver image static only (78201) |
$2,321 |
$2,321 |
4.1× |
| Nm lymph system (78195) |
$3,165 |
$3,165 |
5.6× |
| Nm thyroid imaging only (78013) |
$972 |
$972 |
2.3× |
| Nose to rectum for fb child (76010) |
$613 |
$613 |
6.7× |
| Nuclear medicine study of salivary gland with serial images (78231) |
$2,320 |
$2,320 |
5.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,477 |
$3,477 |
8.3× |
| Nuclear medicine study to assess blood clot in vein using radiolabeled peptide (78456) |
$2,068 |
$2,068 |
1.5× |
| Nuclear rx IV admin (79101) |
$2,313 |
$2,313 |
9.5× |
| Ob us < 14 wks single fetus (76801) |
$735 |
$735 |
6.7× |
| Oral radiopharm rx (79005) |
$11,933 |
$11,933 |
49.0× |
| Parathyroid imaging (78070) |
$1,635 |
$1,635 |
3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,079 |
$2,079 |
5.0× |
| Peritoneal-venous shunt patency test (78291) |
$1,572 |
$1,572 |
3.8× |
| Pulmonary perfusion imaging particulate (78580) |
$7,493 |
$7,493 |
17.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,138.50 |
$2,138.50 |
3.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$347 |
$347 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$555 |
$555 |
5.1× |
| Radex hip unilateral with pelvis 1 view (73501) |
$347 |
$347 |
3.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$347 |
$347 |
3.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$555 |
$555 |
5.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$578 |
$578 |
5.3× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$555 |
$555 |
5.1× |
| Radex spine cervical 2 or 3 views (72040) |
$4,169 |
$4,169 |
45.9× |
| Radex spine cervical 4 or 5 views (72050) |
$4,465 |
$4,465 |
40.9× |
| Radex spine cervical 6 or more views (72052) |
$4,743 |
$4,743 |
43.4× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$2,702 |
$2,702 |
29.7× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,737 |
$1,737 |
15.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,052 |
$1,052 |
5.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$7,070 |
$7,070 |
38.6× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$347 |
$347 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$347 |
$347 |
3.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$552 |
$552 |
5.1× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$6,213 |
$6,213 |
56.9× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$3,559 |
$3,559 |
32.6× |
| Renal cyst study (74470) |
$744 |
$744 |
1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$4,343 |
$4,343 |
10.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$5,806 |
$5,806 |
13.9× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$6,367 |
$6,367 |
11.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$12,102 |
$12,102 |
21.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,846 |
$5,846 |
10.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,501 |
$1,501 |
6.2× |
| Saline infused sonohysterogram (76831) |
$626 |
$626 |
2.5× |
| Salivary gland funct study (78232) |
$3,876 |
$3,876 |
9.3× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$168 |
$168 |
7.2× |
| Selective spinal angiogram (75705) |
$24,808 |
$24,808 |
4.3× |
| Shoulder arthrogram (73040) |
$2,377 |
$2,377 |
6.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$572 |
$572 |
5.2× |
| Small bowel series (74250) |
$2,421 |
$2,421 |
13.2× |
| Special physics consult (77370) |
$3,281 |
$3,281 |
23.4× |
| Speech evaluation complex (70371) |
$1,133 |
$1,133 |
4.5× |
| Spleen imaging only (78185) |
$1,894 |
$1,894 |
4.5× |
| Splenoportography (75810) |
$3,923 |
$3,923 |
1.2× |
| Testicular imaging w/flow (78761) |
$5,877 |
$5,877 |
14.1× |
| Thyroid met imaging body (78018) |
$2,835 |
$2,835 |
5.0× |
| Thyroid uptake single/multiple quant measurement (78012) |
$735 |
$735 |
1.8× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,508 |
$1,508 |
3.6× |
| Ultrasound breast limited (76642) |
$515 |
$515 |
5.7× |
| Ultrasound, abdomen limited (76705) |
$2,385 |
$2,385 |
21.8× |
| Umbilical-artery Doppler (OB) (76820) |
$537 |
$537 |
4.9× |
| Unlisted diagnostic radiographic procedure (76499) |
$1,396 |
$1,396 |
15.4× |
| Ureteral reflux study (78740) |
$1,571 |
$1,571 |
3.8× |
| Urethrocystography retrograde rs&i (74450) |
$3,500 |
$3,500 |
14.0× |
| Urethrocystography voiding (74455) |
$5,129 |
$5,129 |
20.6× |
| Urography antegrade (74425) |
$989 |
$989 |
2.7× |
| Urography retrograde w/wo kub (74420) |
$5,764 |
$5,764 |
15.8× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$3,297 |
$3,297 |
18.0× |
| Us abdominal aorta real time screen study aaa (76706) |
$537 |
$537 |
4.9× |
| Us breast uni real time with image complete (76641) |
$1,779 |
$1,779 |
16.3× |
| Us chest (76604) |
$840 |
$840 |
7.7× |
| Us compl joint r-t w/image documentation (76881) |
$2,339 |
$2,339 |
21.4× |
| Us encephalogram (76506) |
$1,701 |
$1,701 |
15.6× |
| Us guided compression repair (76936) |
$1,385 |
$1,385 |
6.1× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$291 |
$291 |
3.2× |
| Us kidney transplanted (76776) |
$636 |
$636 |
5.8× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$2,339 |
$2,339 |
21.4× |
| Us ob detailed single fetus (76811) |
$2,857 |
$2,857 |
11.5× |
| Us ob followup per fetus (76816) |
$894 |
$894 |
8.2× |
| Us ob limited 1 or more fetuses (76815) |
$1,422 |
$1,422 |
13.0× |
| Us obstetric transvaginal (76817) |
$735 |
$735 |
6.7× |
| Us pelvic limited or f/u non-ob (76857) |
$1,686 |
$1,686 |
15.4× |
| Us pelvis complete (76856) |
$3,285 |
$3,285 |
30.1× |
| Us retroperitoneal complete (76770) |
$1,494 |
$1,494 |
13.7× |
| Us retroperitoneal limited (76775) |
$2,904 |
$2,904 |
26.6× |
| Us scrotum (76870) |
$2,683 |
$2,683 |
24.6× |
| Us soft tissue head/neck (76536) |
$2,489 |
$2,489 |
22.8× |
| Us spinal canal (76800) |
$759 |
$759 |
7.0× |
| Us transrectal (76872) |
$1,121.50 |
$1,121.50 |
10.3× |
| Us transrectal prostate volume (76873) |
$654 |
$654 |
6.0× |
| Us unlstd proc (76999) |
$346 |
$346 |
3.8× |
| Vein X-ray liver w/hemodynam (75885) |
$5,794 |
$5,794 |
1.8× |
| Venogram epidural (75872) |
$4,485 |
$4,485 |
6.8× |
| Venogram extremity bilateral (75822) |
$2,551 |
$2,551 |
1.6× |
| Venogram ivc w serialography (75825) |
$10,013.50 |
$10,013.50 |
3.0× |
| Venogram svc w serialography (75827) |
$6,680 |
$6,680 |
4.1× |
| Venography adrenal unilateral selective rs&i (75840) |
$5,391 |
$5,391 |
1.6× |
| Venography ext unilateral (75820) |
$2,040 |
$2,040 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$3,694 |
$3,694 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$12,046 |
$12,046 |
3.7× |
| Venous sampling by catheter (75893) |
$3,144 |
$3,144 |
0.5× |
| Venous thrombosis imaging - nm extremity veins thrombosis right (78457) |
$1,969 |
$1,969 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,257 |
$2,257 |
24.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$3,723 |
$3,723 |
41.0× |
| X-ray aorta leg arteries (75630) |
$7,014 |
$7,014 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$6,953 |
$6,953 |
38.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$3,768 |
$3,768 |
41.5× |
| X-ray exam hips bi 3-4 views (73522) |
$552 |
$552 |
5.1× |
| X-ray exam of finger(s) (73140) |
$2,802 |
$2,802 |
30.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,768 |
$2,768 |
15.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,024 |
$3,024 |
33.3× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$302 |
$302 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$5,871 |
$5,871 |
64.6× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$555 |
$555 |
5.1× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$3,269 |
$3,269 |
36.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$302 |
$302 |
3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$3,003 |
$3,003 |
33.0× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$3,269 |
$3,269 |
36.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$572 |
$572 |
5.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,968 |
$1,968 |
21.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$6,518 |
$6,518 |
59.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$7,002 |
$7,002 |
64.1× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$1,090.50 |
$1,090.50 |
10.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,421 |
$2,421 |
26.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,918 |
$3,918 |
35.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,055 |
$1,055 |
9.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$3,723 |
$3,723 |
41.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$3,723 |
$3,723 |
41.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$6,720 |
$6,720 |
73.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$5,514 |
$5,514 |
50.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,793 |
$2,793 |
25.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,175 |
$1,175 |
12.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$302 |
$302 |
3.3× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$302 |
$302 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$3,276 |
$3,276 |
36.0× |
| Xr abdomen 1 view (74018) |
$1,334 |
$1,334 |
14.7× |
| Xr abdomen 2 views (74019) |
$424.50 |
$424.50 |
3.9× |
| Xr abdomen 3 views (74021) |
$555 |
$555 |
5.1× |
| Xr arthrogram ankle (73615) |
$1,204 |
$1,204 |
3.3× |
| Xr arthrogram elbow (73085) |
$708 |
$708 |
1.9× |
| Xr arthrogram hip (73525) |
$1,097 |
$1,097 |
3.0× |
| Xr bone density axial (77080) |
$3,176 |
$3,176 |
29.1× |
| Xr bone length study (77073) |
$1,121 |
$1,121 |
10.3× |
| Xr bone survey infant (77076) |
$1,055 |
$1,055 |
9.7× |
| Xr bone survey limited (77074) |
$1,072 |
$1,072 |
9.8× |
| Xr chest 1 view (71045) |
$1,106.50 |
$1,106.50 |
12.2× |
| Xr chest 2 views (71046) |
$1,591.50 |
$1,591.50 |
17.5× |
| Xr chest 3 views (71047) |
$1,621.50 |
$1,621.50 |
17.8× |
| Xr cystogram 3+ views (74430) |
$1,809 |
$1,809 |
5.0× |
| Xr eye foreign body (70030) |
$302 |
$302 |
3.3× |
| Xr facial bones 3 views (70150) |
$4,977 |
$4,977 |
45.6× |
| Xr joint survey 1 view (77077) |
$608 |
$608 |
5.6× |
| Xr lower extremity 2 views infant (73592) |
$302 |
$302 |
3.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$555 |
$555 |
5.1× |
| Xr mandible 4 views (70110) |
$4,431 |
$4,431 |
40.6× |
| Xr myelogram c-spine (72240) |
$6,393 |
$6,393 |
7.8× |
| Xr nasal bones (70160) |
$3,577 |
$3,577 |
39.4× |
| Xr pelvis 3 views (72190) |
$2,467 |
$2,467 |
22.6× |
| Xr sella turcica (70240) |
$613 |
$613 |
6.7× |
| Xr sialogram (70390) |
$3,133 |
$3,133 |
12.6× |
| Xr spine 1 view (72020) |
$2,881 |
$2,881 |
31.7× |
| Xr sternum 2 views (71120) |
$3,012 |
$3,012 |
33.1× |
| Xr surgical specimen (76098) |
$1,373 |
$1,373 |
2.4× |
| Xr upper extremity 2 views infant (73092) |
$555 |
$555 |
5.1× |
| Xray elbow 2 views (73070) |
$302 |
$302 |
3.3× |
| Xray forearm 2 views (73090) |
$3,033 |
$3,033 |
33.4× |
| Xray knee 1 or 2 views rt (73560) |
$2,154 |
$2,154 |
23.7× |
| Xray neck soft tissue (70360) |
$2,563 |
$2,563 |
28.2× |
| Xray optic foramina (70190) |
$302 |
$302 |
3.3× |
| Xray orbits complete min 4 views (70200) |
$5,316 |
$5,316 |
48.7× |
| Xray pelvis 1 or 2 views (72170) |
$2,116 |
$2,116 |
19.4× |
| Xray ribs bilateral 3 views (71110) |
$3,904 |
$3,904 |
35.8× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$4,580 |
$4,580 |
42.0× |
| Xray scapula complete (73010) |
$555 |
$555 |
5.1× |
| Xray shoulder 1 view (73020) |
$302 |
$302 |
3.3× |
| Xray sinuses paranasal <3 views (70210) |
$4,513 |
$4,513 |
49.7× |
| Xray spine thoracic 2 views (72070) |
$3,835 |
$3,835 |
35.1× |
| Xray spine thoracic 3 views (72072) |
$555 |
$555 |
5.1× |
| Xray tibia-fibula 2 views bil (73590) |
$3,223 |
$3,223 |
35.5× |
| Xray tmj open - closed unilat (70328) |
$302 |
$302 |
3.3× |
| Xray tmj's bilateral open-clsc (70330) |
$2,694 |
$2,694 |
29.6× |