| Abdomen 2 views (74019) |
$424.50 |
$424.50 |
3.9× |
| Acute gi blood loss imaging (78278) |
$4,573 |
$4,573 |
11.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) |
$2,068 |
$2,068 |
1.5× |
| Angio Adrenal Bilat Select (75733) |
$3,596 |
$3,596 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$7,142 |
$7,142 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,247 |
$6,247 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$5,085 |
$5,085 |
1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$12,583.50 |
$12,583.50 |
2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,489 |
$6,489 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,062 |
$4,062 |
1.2× |
| Angiography Spinal Selective Rs&I (75705) |
$24,808 |
$24,808 |
4.3× |
| 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× |
| Aortogram thoracic (75605) |
$7,963 |
$7,963 |
1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,014 |
$7,014 |
2.1× |
| Aortography abdominal serialography rs&i (75625) |
$8,382 |
$8,382 |
2.5× |
| Artery X-Rays Adrenal Gland (75731) |
$11,578 |
$11,578 |
3.5× |
| Arthrogram ankle (73615) |
$1,204 |
$1,204 |
3.3× |
| Arthrogram elbow (73085) |
$708 |
$708 |
1.9× |
| Arthrogram hip (73525) |
$1,097 |
$1,097 |
3.0× |
| Arthrogram knee (73580) |
$2,011 |
$2,011 |
5.5× |
| Arthrogram shoulder (73040) |
$2,377 |
$2,377 |
6.5× |
| Arthrogram wrist (73115) |
$1,204 |
$1,204 |
3.3× |
| Basic dosimetry (77300) |
$2,216 |
$2,216 |
15.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$7,257 |
$7,257 |
17.4× |
| Bone &/joint imaging whole body (78306) |
$7,921 |
$7,921 |
19.0× |
| Bone age studies (77072) |
$2,040 |
$2,040 |
18.7× |
| Bone Imaging 3 Phase (78315) |
$11,588 |
$11,588 |
27.8× |
| Bone survey complete (77075) |
$2,135 |
$2,135 |
19.6× |
| Bone survey infant (77076) |
$1,055 |
$1,055 |
9.7× |
| Bowel imaging (78290) |
$1,824 |
$1,824 |
4.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$5,338 |
$5,338 |
9.4× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,823 |
$3,823 |
9.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$9,328 |
$9,328 |
25.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,673 |
$1,673 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$4,169 |
$4,169 |
45.9× |
| Chest 1 view (71045) |
$1,106.50 |
$1,106.50 |
12.2× |
| Chest xray 3 views (71047) |
$1,621.50 |
$1,621.50 |
17.8× |
| Cholecystography, oral contrast Non-Facility (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× |
| Clavicle complete (73000) |
$302 |
$302 |
3.3× |
| 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 contrast (74160) |
$19,048 |
$19,048 |
104.0× |
| CT abdomen w wo contrast (74170) |
$19,957 |
$19,957 |
109.0× |
| CT abdomen w/o contrast (74150) |
$13,029 |
$13,029 |
119.3× |
| CT angio hrt w/3d image (75574) |
$10,582 |
$10,582 |
29.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$11,572 |
$11,572 |
63.2× |
| CT angiography upper extremity lt (73206) |
$5,942 |
$5,942 |
32.4× |
| CT c-spine w/contrast (72126) |
$17,763 |
$17,763 |
48.8× |
| CT c-spine w/o contrast (72125) |
$15,281 |
$15,281 |
140.0× |
| CT cervical spine w&w/o contrast (72127) |
$13,690 |
$13,690 |
74.7× |
| CT chest w contrast (71260) |
$20,649 |
$20,649 |
112.7× |
| CT chest w/wo contrast (71270) |
$21,654 |
$21,654 |
118.2× |
| 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 iac w contrast (70481) |
$19,054 |
$19,054 |
104.0× |
| CT limited/localized follow up study (76380) |
$4,137 |
$4,137 |
45.5× |
| CT lower ext w/o (73700) |
$12,426 |
$12,426 |
113.8× |
| CT lower extremity w wo contrast (73702) |
$12,727 |
$12,727 |
69.5× |
| CT lower extremity w/contrast material (73701) |
$18,175 |
$18,175 |
99.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,254 |
$1,254 |
6.8× |
| 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 maxillofacial w contrast (70487) |
$16,399 |
$16,399 |
89.5× |
| CT maxillofacial w/wo contrast (70488) |
$17,319 |
$17,319 |
94.6× |
| CT maxillofacial wo contrast (70486) |
$16,938 |
$16,938 |
155.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$19,959 |
$19,959 |
109.0× |
| CT orbits w/o contrast (70480) |
$16,399 |
$16,399 |
150.2× |
| CT pelvis w/o contrast (72192) |
$12,426 |
$12,426 |
113.8× |
| CT pelvis w/wo contrast (72194) |
$19,048 |
$19,048 |
104.0× |
| CT scan of arm combo (73202) |
$12,727 |
$12,727 |
69.5× |
| CT soft tissue neck w contrast (70491) |
$18,192 |
$18,192 |
99.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$13,690 |
$13,690 |
74.7× |
| CT soft tissue neck w/o contrast (70490) |
$12,426 |
$12,426 |
113.8× |
| 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/wo contrast (72130) |
$1,254 |
$1,254 |
6.8× |
| CT thorax w/o contrast (71250) |
$13,900 |
$13,900 |
127.3× |
| CT upper ext wo (73200) |
$12,727 |
$12,727 |
116.6× |
| CT upper extremity with contrast (73201) |
$12,727 |
$12,727 |
34.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,384 |
$3,384 |
18.5× |
| Cta Abdomen (74175) |
$16,182 |
$16,182 |
88.3× |
| CTA abdomen pelvis (74174) |
$1,323 |
$1,323 |
3.6× |
| CTA chest (71275) |
$12,727 |
$12,727 |
69.5× |
| Cta Head (70496) |
$16,182 |
$16,182 |
88.3× |
| Cta Neck (70498) |
$15,684 |
$15,684 |
85.6× |
| Cta Pelvis (72191) |
$1,323 |
$1,323 |
7.2× |
| Cystography minimum 3 views rs&i (74430) |
$1,809 |
$1,809 |
5.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$1,926 |
$1,926 |
0.9× |
| Diskogram cervical (72285) |
$12,013 |
$12,013 |
5.9× |
| Diskography lumbar (72295) |
$10,374 |
$10,374 |
5.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$617 |
$617 |
5.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$768 |
$768 |
7.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$3,176 |
$3,176 |
29.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$617 |
$617 |
2.5× |
| Esophagus (74220) |
$1,968 |
$1,968 |
10.7× |
| Facial bones min 3 views (70150) |
$4,977 |
$4,977 |
45.6× |
| Fetal biophysical profile non-stress testing (76818) |
$2,326 |
$2,326 |
21.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$735 |
$735 |
6.7× |
| Fetal Echo (76825) |
$768 |
$768 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$3,185 |
$3,185 |
12.8× |
| Foot 2 views (73620) |
$302 |
$302 |
3.3× |
| Forearm 2 views (73090) |
$3,033 |
$3,033 |
33.4× |
| Hand 2 views (73120) |
$555 |
$555 |
5.1× |
| Heart first pass single,planar (78481) |
$2,812 |
$2,812 |
5.0× |
| Heart Infarct Image (78466) |
$3,257 |
$3,257 |
7.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$8,021 |
$8,021 |
14.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$8,021 |
$8,021 |
19.2× |
| Hysterosalpingogram (74740) |
$4,456 |
$4,456 |
17.9× |
| Interstitial radiation source applic complex (77778) |
$5,832 |
$5,832 |
8.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$608 |
$608 |
5.6× |
| Kidney imaging morphology (78700) |
$2,010 |
$2,010 |
4.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$5,526 |
$5,526 |
9.7× |
| Knee 3 views (73562) |
$3,269 |
$3,269 |
36.0× |
| Liver & spleen imaging static only (78215) |
$9,462 |
$9,462 |
22.7× |
| Liver imaging static only (78201) |
$2,321 |
$2,321 |
4.1× |
| 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 ventilation imaging (78579) |
$11,255 |
$11,255 |
27.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$2,758 |
$2,758 |
0.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,957 |
$2,957 |
0.9× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$3,300 |
$3,300 |
2.0× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$2,726 |
$2,726 |
4.2× |
| Lymphoscintigraphy (78195) |
$3,165 |
$3,165 |
5.6× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$12,262 |
$12,262 |
15.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$12,262 |
$12,262 |
33.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$12,262 |
$12,262 |
33.7× |
| Mammary ductogram or galactogram multiple (77054) |
$2,851 |
$2,851 |
11.4× |
| Mammary ductogram or galactogram single (77053) |
$2,067 |
$2,067 |
8.3× |
| MRA head w & w/o contrast (70546) |
$10,482 |
$10,482 |
28.8× |
| MRA head w/o contrast (70544) |
$19,890 |
$19,890 |
79.8× |
| MRA head with contrast (70545) |
$10,241 |
$10,241 |
28.1× |
| MRA neck w contrast (70548) |
$10,637 |
$10,637 |
29.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$13,057 |
$13,057 |
35.8× |
| MRA neck w/o contrast (70547) |
$19,890 |
$19,890 |
79.8× |
| 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 jt lower extrem w/contrast material (73722) |
$12,262 |
$12,262 |
15.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$13,162 |
$13,162 |
36.1× |
| MRI bone marrow blood supply (77084) |
$9,328 |
$9,328 |
37.4× |
| MRI breast w/o contrast bilateral (77047) |
$3,147 |
$3,147 |
12.6× |
| MRI breast wo contrast unilateral (77046) |
$1,017 |
$1,017 |
4.1× |
| MRI c-spine with contrast (72142) |
$13,918 |
$13,918 |
38.2× |
| 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 chest w/o & w/contrast material (71552) |
$12,804 |
$12,804 |
35.1× |
| MRI chest w/o contrast (71550) |
$12,189 |
$12,189 |
48.9× |
| MRI chest with contrast (71551) |
$12,804 |
$12,804 |
15.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$12,262 |
$12,262 |
33.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$11,871 |
$11,871 |
32.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$11,871 |
$11,871 |
47.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$16,822 |
$16,822 |
67.5× |
| MRI orbit face neck w contrast (70542) |
$19,129 |
$19,129 |
52.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$16,915 |
$16,915 |
46.4× |
| MRI pelvis w/contrast (72196) |
$11,329 |
$11,329 |
31.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$12,262 |
$12,262 |
33.7× |
| MRI pelvis w/o contrast (72195) |
$7,831 |
$7,831 |
31.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$17,310 |
$17,310 |
47.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,590 |
$14,590 |
40.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$22,508 |
$22,508 |
61.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$13,267 |
$13,267 |
36.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$11,557 |
$11,557 |
31.7× |
| MRI temporomandibular joint (70336) |
$14,061 |
$14,061 |
56.4× |
| MRI thoracic spine w/o contrast (72146) |
$14,721 |
$14,721 |
59.1× |
| MRI up ext w/o contrast (73218) |
$11,871 |
$11,871 |
47.6× |
| MRI upper ext joint w/o contrast (73221) |
$11,871 |
$11,871 |
47.6× |
| MRI, joint upper extrem combo (73223) |
$10,241 |
$10,241 |
28.1× |
| Myelogram Cervical (72240) |
$6,393 |
$6,393 |
7.8× |
| Myelogram Lumbar (72265) |
$5,948 |
$5,948 |
7.3× |
| Myelogram thoracic (72255) |
$6,040 |
$6,040 |
7.4× |
| Myelography 2 or more regions (72270) |
$23,304 |
$23,304 |
28.5× |
| 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 Multiple Studies (78452) |
$1,315 |
$1,315 |
1.0× |
| Myocardial spect single study at rest or stress (78451) |
$1,390 |
$1,390 |
1.0× |
| Neck soft tissue (70360) |
$2,563 |
$2,563 |
28.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,446 |
$1,446 |
3.5× |
| Nm cisternogram (78630) |
$3,290 |
$3,290 |
5.8× |
| Nm gastric emptying study (78264) |
$5,242 |
$5,242 |
12.6× |
| Nm peritoneal-venous shunt patency (78291) |
$1,572 |
$1,572 |
3.8× |
| Nonvascular shunt X-ray (75809) |
$572 |
$572 |
5.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,477 |
$3,477 |
8.3× |
| Nuclear Rx Oral Admin (79005) |
$11,933 |
$11,933 |
49.0× |
| Osseous survey limited (77074) |
$1,072 |
$1,072 |
9.8× |
| Parathyroid Planar Imaging (78070) |
$1,635 |
$1,635 |
3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,079 |
$2,079 |
5.0× |
| Pelvis 1 or 2 views (72170) |
$2,116 |
$2,116 |
19.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$5,794 |
$5,794 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$7,493 |
$7,493 |
17.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$11,255 |
$11,255 |
19.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,138.50 |
$2,138.50 |
3.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$3,723 |
$3,723 |
41.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$302 |
$302 |
3.3× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$3,768 |
$3,768 |
41.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$347 |
$347 |
3.8× |
| Radex fingr minimum 2 views (73140) |
$2,802 |
$2,802 |
30.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$5,871 |
$5,871 |
64.6× |
| Radex Hand Minimum 3 Views (73130) |
$3,269 |
$3,269 |
36.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$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 Humerus Minimum 2 Views (73060) |
$2,883 |
$2,883 |
31.7× |
| Radex Kne 1/2 Views (73560) |
$2,154 |
$2,154 |
23.7× |
| Radex Kne Compl 4/More Views (73564) |
$572 |
$572 |
5.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$4,431 |
$4,431 |
40.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$3,577 |
$3,577 |
39.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$2,467 |
$2,467 |
22.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$3,723 |
$3,723 |
41.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$4,513 |
$4,513 |
49.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$555 |
$555 |
5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,694 |
$2,694 |
29.6× |
| Radex Toe Minimum 2 Views (73660) |
$302 |
$302 |
3.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$555 |
$555 |
5.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$3,276 |
$3,276 |
36.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$555 |
$555 |
5.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,334 |
$1,334 |
14.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$555 |
$555 |
5.1× |
| Radiologic exam chest 2 views (71046) |
$1,591.50 |
$1,591.50 |
17.5× |
| Radiologic exam colon single contrast study (74270) |
$6,213 |
$6,213 |
33.9× |
| 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 (73551) |
$347 |
$347 |
3.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$3,223 |
$3,223 |
35.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$1,090.50 |
$1,090.50 |
10.0× |
| Radiological examination surgical specimen (76098) |
$1,373 |
$1,373 |
2.4× |
| Renal Cyst Study (74470) |
$744 |
$744 |
1.3× |
| Ribs bilateral 3 views (71110) |
$3,904 |
$3,904 |
35.8× |
| 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× |
| Rp Therapy Intravenous Administration (79101) |
$2,313 |
$2,313 |
9.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$626 |
$626 |
2.5× |
| Salivary gland function study (78232) |
$3,876 |
$3,876 |
9.3× |
| Salivary gland imaging; with serial images Non-Facility (78231) |
$2,320 |
$2,320 |
5.6× |
| Scapula (73010) |
$555 |
$555 |
5.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$168 |
$168 |
7.2× |
| Sella turcica (70240) |
$613 |
$613 |
6.7× |
| Shoulder 1 view (73020) |
$302 |
$302 |
3.3× |
| Sialogram (70390) |
$3,133 |
$3,133 |
12.6× |
| 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× |
| Spine thoracic 3 views (72072) |
$555 |
$555 |
5.1× |
| Spleen imaging only (78185) |
$1,894 |
$1,894 |
4.5× |
| Splenoportograpy rs&i (75810) |
$3,923 |
$3,923 |
1.2× |
| Testicular Imaging With Vascular Flow (78761) |
$5,877 |
$5,877 |
14.1× |
| Thoracolumbar 2 views (72080) |
$2,702 |
$2,702 |
29.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,835 |
$2,835 |
5.0× |
| Thyroid imaging w/blood flow (78013) |
$972 |
$972 |
2.3× |
| Thyroid uptake measurement (78012) |
$735 |
$735 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,508 |
$1,508 |
3.6× |
| Tmj unilateral (70328) |
$302 |
$302 |
3.3× |
| Tomogram (76100) |
$6,213 |
$6,213 |
56.9× |
| Ultrasound breast complete (76641) |
$1,779 |
$1,779 |
16.3× |
| Ultrasound Exam Aaa Screen (76706) |
$537 |
$537 |
4.9× |
| 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× |
| Unlisted ultrasound procedure (76999) |
$346 |
$346 |
3.8× |
| Ureteral reflux study (78740) |
$1,571 |
$1,571 |
3.8× |
| Urethrocystogram voiding (74455) |
$5,129 |
$5,129 |
20.6× |
| Urethrocystography retrograde rs&i (74450) |
$3,500 |
$3,500 |
14.0× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$3,297 |
$3,297 |
18.0× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$15,668 |
$15,668 |
85.5× |
| Us breast unilateral limited (76642) |
$515 |
$515 |
5.7× |
| Us chest (76604) |
$840 |
$840 |
7.7× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,385 |
$1,385 |
6.1× |
| 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 infant hips w manipulation (76885) |
$291 |
$291 |
3.2× |
| Us lmtd joint/oth 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 limited (76815) |
$1,422 |
$1,422 |
13.0× |
| Us ob transvaginal (76817) |
$735 |
$735 |
6.7× |
| Us pelvic non ob complete (76856) |
$3,285 |
$3,285 |
30.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,686 |
$1,686 |
15.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$735 |
$735 |
6.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$894 |
$894 |
8.2× |
| Us retroperitoneal complete (76770) |
$1,494 |
$1,494 |
13.7× |
| Us retroperitoneal limited (76775) |
$2,904 |
$2,904 |
26.6× |
| Us scrotum and contents (76870) |
$2,683 |
$2,683 |
24.6× |
| Us soft tissue head/neck (76536) |
$2,489 |
$2,489 |
22.8× |
| Us spinal canal and contents (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,transplanted kidney, real time/ doppler (76776) |
$636 |
$636 |
5.8× |
| Venogram adrenal unilat (75840) |
$5,391 |
$5,391 |
1.6× |
| Venogram extremity bilateral (75822) |
$2,551 |
$2,551 |
1.6× |
| Venogram Extremity Unilateral (75820) |
$2,040 |
$2,040 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$10,013.50 |
$10,013.50 |
3.0× |
| Venography caval superior serialography rs&i (75827) |
$6,680 |
$6,680 |
4.1× |
| Venography Renal Bilateral (75833) |
$6,178 |
$6,178 |
1.9× |
| 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× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) |
$4,485 |
$4,485 |
6.8× |
| Venous sampling by catheter (75893) |
$3,144 |
$3,144 |
0.5× |
| Venous thrombosis imaging, venogram; unilateral Non-Facility (78457) |
$1,969 |
$1,969 |
3.5× |
| Wrist 2 views (73100) |
$302 |
$302 |
3.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$552 |
$552 |
5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,257 |
$2,257 |
24.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$6,953 |
$6,953 |
38.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$302 |
$302 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$347 |
$347 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$552 |
$552 |
5.1× |
| X-ray exam of femur 2/> (73552) |
$347 |
$347 |
3.8× |
| X-ray eye for foreign body (70030) |
$302 |
$302 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,024 |
$3,024 |
33.3× |
| X-ray IV pyelogram (ivp) (74400) |
$16,417 |
$16,417 |
89.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$3,003 |
$3,003 |
33.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,968 |
$1,968 |
21.7× |
| X-ray leg, infant (73592) |
$302 |
$302 |
3.3× |
| 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 nose-rectum child f.b. (76010) |
$613 |
$613 |
6.7× |
| X-ray optic foramen (70190) |
$302 |
$302 |
3.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$5,316 |
$5,316 |
48.7× |
| X-ray retrograde pyelogram (74420) |
$5,764 |
$5,764 |
15.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,421 |
$2,421 |
26.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$4,580 |
$4,580 |
42.0× |
| 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 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 Small Bowel Enteroclysis (74251) |
$2,768 |
$2,768 |
15.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$2,881 |
$2,881 |
31.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,175 |
$1,175 |
12.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$3,012 |
$3,012 |
33.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$3,835 |
$3,835 |
35.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$3,559 |
$3,559 |
32.6× |
| Xr bone length studies (77073) |
$1,121 |
$1,121 |
10.3× |
| Xr c-spine 4 or 5 views (72050) |
$4,465 |
$4,465 |
40.9× |
| Xr c-spine 6 or more views (72052) |
$4,743 |
$4,743 |
43.4× |
| Xr chest 4+ views (71048) |
$1,737 |
$1,737 |
15.9× |
| Xr urogram antegrade (74425) |
$989 |
$989 |
2.7× |