| Acute gi blood loss imaging (78278) |
$4,611 |
$4,611 |
11.0× |
| Angio extremity unilateral (75710) |
$18,759 |
$18,759 |
5.7× |
| Angio pulmonary unilateral (75741) |
$3,392 |
$3,392 |
1.0× |
| Angiogram extremity bilateral (75716) |
$12,488.50 |
$12,488.50 |
3.8× |
| Angiogram pelvic (75736) |
$5,495 |
$5,495 |
0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,019 |
$5,019 |
1.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$17,086 |
$17,086 |
2.9× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$5,784 |
$5,784 |
1.8× |
| Ankle 2 views (73600) |
$1,053 |
$1,053 |
11.6× |
| Barium enema (74270) |
$3,563 |
$3,563 |
19.5× |
| Bone age studies (77072) |
$1,624 |
$1,624 |
14.9× |
| Bone imaging limited area (78300) |
$5,411 |
$5,411 |
13.0× |
| Bone survey complete (77075) |
$3,520 |
$3,520 |
32.2× |
| Bowel imaging (78290) |
$4,344 |
$4,344 |
10.4× |
| Brain image w/flow 4 + views (78606) |
$6,203 |
$6,203 |
10.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,557 |
$3,557 |
19.4× |
| Cisternogram (78630) |
$8,457 |
$8,457 |
14.9× |
| Clavicle complete (73000) |
$1,913 |
$1,913 |
21.0× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$10,772 |
$10,772 |
58.8× |
| Contrast exam abdominl aorta (75625) |
$24,702 |
$24,702 |
7.5× |
| Contrast exam thoracic aorta (75605) |
$2,907 |
$2,907 |
0.5× |
| Csf shunt evaluation (78645) |
$5,508 |
$5,508 |
9.7× |
| CT - st neck w&wo contr (70492) |
$14,320 |
$14,320 |
78.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$27,520 |
$27,520 |
75.5× |
| CT abdomen and pelvis without contrast (74176) |
$21,409 |
$21,409 |
85.9× |
| CT abdomen w wo contrast (74170) |
$14,639 |
$14,639 |
79.9× |
| CT abdomen w/contrast (74160) |
$12,853 |
$12,853 |
70.2× |
| CT abdomen w/o contrast (74150) |
$12,146 |
$12,146 |
111.3× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$27,520 |
$27,520 |
75.5× |
| CT angio abdom w/o & w/dye (74175) |
$5,266 |
$5,266 |
28.7× |
| CT angio abdominal arteries (75635) |
$5,690 |
$5,690 |
31.1× |
| CT angio hrt w/3d image (75574) |
$5,304 |
$5,304 |
14.6× |
| CT angiograph pelv w/o&w/dye (72191) |
$5,690 |
$5,690 |
31.1× |
| CT cervical spine w/contrast (72126) |
$4,586 |
$4,586 |
12.6× |
| CT cervical spine w/o contrast (72125) |
$11,726 |
$11,726 |
107.4× |
| CT chest w/contrast (71260) |
$12,656 |
$12,656 |
69.1× |
| CT extremity upper w & w/o contrast (73202) |
$9,623 |
$9,623 |
52.5× |
| CT head/brain with contrast (70460) |
$11,901 |
$11,901 |
65.0× |
| CT head/brain without and with contrast (70470) |
$13,692 |
$13,692 |
74.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$5,304 |
$5,304 |
14.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$5,304 |
$5,304 |
58.4× |
| CT limited/localized follow up study (76380) |
$3,941 |
$3,941 |
43.4× |
| CT lower ext w/wo contrast (73702) |
$13,874 |
$13,874 |
75.7× |
| CT lower extremity w contrast (73701) |
$11,712 |
$11,712 |
63.9× |
| CT lower extremity w/o contrast unilateral (73700) |
$11,468 |
$11,468 |
105.0× |
| CT lumbar spine w/contrast (72132) |
$4,586 |
$4,586 |
12.6× |
| CT lumbar spine w/o contrast (72131) |
$12,424 |
$12,424 |
113.8× |
| CT lumbar spine w/o then w/ con (72133) |
$12,540 |
$12,540 |
68.5× |
| CT maxillofacial area w/o contrast (70486) |
$7,313 |
$7,313 |
67.0× |
| CT maxillofacial w/contrast (70487) |
$9,297 |
$9,297 |
50.8× |
| CT maxillofacial w/o then w/ con (70488) |
$10,858 |
$10,858 |
59.3× |
| CT orbit sella ear w/o con (70480) |
$10,850 |
$10,850 |
99.4× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$13,357 |
$13,357 |
72.9× |
| CT pelvis w & w/o contrast (72194) |
$12,455 |
$12,455 |
68.0× |
| CT pelvis w/o contrast (72192) |
$11,457 |
$11,457 |
104.9× |
| CT soft tissue neck w/contrast (70491) |
$12,054 |
$12,054 |
65.8× |
| CT soft tissue neck w/o contrast (70490) |
$13,256 |
$13,256 |
121.4× |
| CT spine cervical w/wo contrast (72127) |
$5,617 |
$5,617 |
30.7× |
| CT thoracic spine w/contrast (72129) |
$4,586 |
$4,586 |
25.0× |
| CT thoracic spine w/o contrast (72128) |
$14,320 |
$14,320 |
131.2× |
| CT thoracic spine w/o then w/ con (72130) |
$5,617 |
$5,617 |
30.7× |
| CT thorax lung cancer scr c- (71271) |
$11,551 |
$11,551 |
105.8× |
| CT thorax w/o contrast (71250) |
$11,551 |
$11,551 |
105.8× |
| CT thorax w/o then w/ contrast (71270) |
$14,320 |
$14,320 |
78.2× |
| CT upper extremity w/dye (73201) |
$10,566 |
$10,566 |
29.0× |
| CT upper extremity w/o contrast rt (73200) |
$10,259 |
$10,259 |
94.0× |
| CTA chest w/wo contrast (71275) |
$5,266 |
$5,266 |
28.7× |
| CTA head w contrast (70496) |
$5,690 |
$5,690 |
31.1× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$13,874 |
$13,874 |
75.7× |
| Cta Neck (70498) |
$5,690 |
$5,690 |
31.1× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$11,712 |
$11,712 |
63.9× |
| Doppler echo fetal spectral display complete (76827) |
$1,383 |
$1,383 |
12.7× |
| Esophogram (74220) |
$2,247 |
$2,247 |
12.3× |
| Fetal biophysical profile w/o nst (76819) |
$2,025 |
$2,025 |
18.5× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$2,005 |
$2,005 |
8.0× |
| Gastric emptying study (78264) |
$4,309 |
$4,309 |
10.3× |
| Gated heart planar single (78472) |
$5,833 |
$5,833 |
14.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$18,759 |
$18,759 |
5.7× |
| Hepatobil syst image w/drug (78227) |
$5,302 |
$5,302 |
9.4× |
| Hepatobiliary system imaging (78226) |
$5,302 |
$5,302 |
12.7× |
| Humerus min 2 views (73060) |
$2,083 |
$2,083 |
22.9× |
| Hysterosalpingography (74740) |
$3,138 |
$3,138 |
12.6× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$5,331 |
$5,331 |
9.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$5,473 |
$5,473 |
9.7× |
| Lung perf&ventilat diferentl (78598) |
$12,480 |
$12,480 |
22.0× |
| Lung perfusion differential (78597) |
$12,480 |
$12,480 |
29.9× |
| Lung ventilat&perfus imaging (78582) |
$12,480 |
$12,480 |
22.0× |
| Lung ventilation imaging (78579) |
$12,480 |
$12,480 |
29.9× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$13,556 |
$13,556 |
37.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$12,211 |
$12,211 |
33.5× |
| MRA head w & w/o contrast (70546) |
$6,065 |
$6,065 |
16.6× |
| MRA head w/contrast (70545) |
$9,945 |
$9,945 |
27.3× |
| MRA head w/o contrast (70544) |
$4,982 |
$4,982 |
20.0× |
| MRA neck w/o contrast (70547) |
$4,096 |
$4,096 |
16.4× |
| MRA neck w/wo contrast (70549) |
$6,065 |
$6,065 |
16.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$15,254 |
$15,254 |
41.9× |
| MRI abdomen w/o contrast (74181) |
$13,440 |
$13,440 |
53.9× |
| MRI cervical spine w/o contrast (72141) |
$14,036 |
$14,036 |
56.3× |
| MRI cervical spine with contrast (72142) |
$18,608 |
$18,608 |
51.1× |
| MRI chest w & w/o contrast (71552) |
$15,254 |
$15,254 |
41.9× |
| MRI chest w/contrast (71551) |
$13,170 |
$13,170 |
16.1× |
| MRI chest w/o contrast (71550) |
$11,624 |
$11,624 |
46.7× |
| MRI joint upper ext w/contrast (73222) |
$11,813 |
$11,813 |
14.4× |
| MRI joint upr extr w/o&w/dye (73223) |
$12,625.50 |
$12,625.50 |
34.7× |
| MRI joint upr extrem w/o dye (73221) |
$12,211 |
$12,211 |
49.0× |
| Mri Lower Extremity W/O Dye (73718) |
$13,000 |
$13,000 |
52.2× |
| MRI lumbar spine with contrast (72149) |
$7,859 |
$7,859 |
21.6× |
| MRI lumbar w/wo contrast (72158) |
$12,566 |
$12,566 |
34.5× |
| MRI lwr ext w/o jnts with con rt (73719) |
$12,211 |
$12,211 |
33.5× |
| MRI orbit/face/neck w/contrast (70542) |
$9,939 |
$9,939 |
27.3× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$9,939 |
$9,939 |
27.3× |
| MRI orbit/face/neck w/o contrast (70540) |
$14,646 |
$14,646 |
58.8× |
| MRI pelvis w/ contrast (72196) |
$12,211 |
$12,211 |
33.5× |
| MRI pelvis w/o contrast (72195) |
$11,896 |
$11,896 |
47.7× |
| MRI pelvis w/wo contrast (72197) |
$11,276 |
$11,276 |
31.0× |
| MRI spectroscopy (76390) |
$12,293 |
$12,293 |
135.3× |
| MRI spine cervical wo/w contrast (72156) |
$19,196 |
$19,196 |
52.7× |
| MRI spine thoracic w/contrast (72147) |
$7,280 |
$7,280 |
20.0× |
| MRI thoracic spine w wo contrast (72157) |
$17,773 |
$17,773 |
48.8× |
| MRI thoracic spine w/o contrast (72146) |
$12,816 |
$12,816 |
51.4× |
| MRI tmj (70336) |
$9,075 |
$9,075 |
36.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$12,211 |
$12,211 |
49.0× |
| Mri Upper Extremity W/Dye (73219) |
$12,211 |
$12,211 |
33.5× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$13,438 |
$13,438 |
36.9× |
| Myocardial perfusion planar multiple studies (78454) |
$7,777 |
$7,777 |
5.8× |
| Myocardial spect single study at rest or stress (78451) |
$7,777 |
$7,777 |
5.8× |
| Nm bone 3 phase (78315) |
$7,527 |
$7,527 |
18.0× |
| Nm bone imaging whole body (78306) |
$4,972 |
$4,972 |
11.9× |
| Nm heart perfusion spect stress rest (78452) |
$11,214 |
$11,214 |
8.3× |
| Nm liver image static only (78201) |
$3,201 |
$3,201 |
5.6× |
| Nm lymph system (78195) |
$5,347 |
$5,347 |
9.4× |
| Nm thyroid imaging only (78013) |
$1,845 |
$1,845 |
4.4× |
| Nose to rectum for fb child (76010) |
$2,052 |
$2,052 |
22.6× |
| Ob us < 14 wks single fetus (76801) |
$3,393 |
$3,393 |
31.1× |
| Parathyroid imaging (78070) |
$1,785 |
$1,785 |
4.3× |
| Pulmonary perfusion imaging particulate (78580) |
$6,477 |
$6,477 |
15.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,862.50 |
$2,862.50 |
5.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$2,003 |
$2,003 |
22.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,342 |
$3,342 |
30.6× |
| Radex hip unilateral with pelvis 1 view (73501) |
$2,003 |
$2,003 |
22.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$2,529 |
$2,529 |
27.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,319 |
$2,319 |
21.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,518 |
$1,518 |
13.9× |
| Radex spine cervical 2 or 3 views (72040) |
$2,138 |
$2,138 |
23.5× |
| Radex spine cervical 4 or 5 views (72050) |
$4,244 |
$4,244 |
38.9× |
| Radex spine cervical 6 or more views (72052) |
$3,157 |
$3,157 |
28.9× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,508 |
$1,508 |
16.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$3,402 |
$3,402 |
31.2× |
| Radiologic exam esophagus double contrast study (74221) |
$2,247 |
$2,247 |
12.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$4,434 |
$4,434 |
24.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$4,301 |
$4,301 |
23.5× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$2,003 |
$2,003 |
22.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,529 |
$2,529 |
27.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$3,173 |
$3,173 |
29.1× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$3,831 |
$3,831 |
35.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,003 |
$7,003 |
12.4× |
| Salivary gland imaging (78230) |
$2,967 |
$2,967 |
7.1× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$63 |
$63 |
2.7× |
| Selective spinal angiogram (75705) |
$18,759 |
$18,759 |
3.2× |
| Shoulder arthrogram (73040) |
$6,194 |
$6,194 |
17.0× |
| Small bowel series (74250) |
$2,912 |
$2,912 |
15.9× |
| Splenoportography (75810) |
$10,663 |
$10,663 |
3.2× |
| Testicular imaging w/flow (78761) |
$4,885 |
$4,885 |
11.7× |
| Thyroid met imaging body (78018) |
$6,203 |
$6,203 |
10.9× |
| Thyroid uptake single/multiple quant measurement (78012) |
$1,403 |
$1,403 |
3.4× |
| Ultrasound breast limited (76642) |
$2,885 |
$2,885 |
31.7× |
| Ultrasound, abdomen limited (76705) |
$2,336 |
$2,336 |
21.4× |
| Urethrocystography retrograde rs&i (74450) |
$2,967 |
$2,967 |
11.9× |
| Urethrocystography voiding (74455) |
$1,581 |
$1,581 |
6.3× |
| Urography antegrade (74425) |
$1,450 |
$1,450 |
4.0× |
| Urography retrograde w/wo kub (74420) |
$1,362 |
$1,362 |
3.7× |
| Us breast uni real time with image complete (76641) |
$1,932 |
$1,932 |
17.7× |
| Us chest (76604) |
$2,275.50 |
$2,275.50 |
20.8× |
| Us compl joint r-t w/image documentation (76881) |
$3,198 |
$3,198 |
29.3× |
| Us encephalogram (76506) |
$1,454 |
$1,454 |
13.3× |
| Us guided compression repair (76936) |
$2,281 |
$2,281 |
10.1× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$1,147 |
$1,147 |
12.6× |
| Us kidney transplanted (76776) |
$2,658 |
$2,658 |
24.3× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,870 |
$1,870 |
17.1× |
| Us ob detailed single fetus (76811) |
$4,618 |
$4,618 |
18.5× |
| Us ob limited 1 or more fetuses (76815) |
$2,223 |
$2,223 |
20.4× |
| Us obstetric transvaginal (76817) |
$3,050 |
$3,050 |
27.9× |
| Us pelvic limited or f/u non-ob (76857) |
$2,289 |
$2,289 |
21.0× |
| Us pelvis complete (76856) |
$3,322 |
$3,322 |
30.4× |
| Us retroperitoneal complete (76770) |
$3,014 |
$3,014 |
27.6× |
| Us retroperitoneal limited (76775) |
$2,111 |
$2,111 |
19.3× |
| Us scrotum (76870) |
$2,729 |
$2,729 |
25.0× |
| Us soft tissue head/neck (76536) |
$2,315 |
$2,315 |
21.2× |
| Us spinal canal (76800) |
$2,977 |
$2,977 |
27.3× |
| Vein X-ray liver w/hemodynam (75885) |
$18,759 |
$18,759 |
5.7× |
| Venogram extremity bilateral (75822) |
$4,064 |
$4,064 |
2.5× |
| Venogram ivc w serialography (75825) |
$2,228 |
$2,228 |
0.7× |
| Venogram svc w serialography (75827) |
$6,614 |
$6,614 |
4.0× |
| Venography ext unilateral (75820) |
$5,080 |
$5,080 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,990 |
$1,990 |
21.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$2,449 |
$2,449 |
26.9× |
| X-ray aorta leg arteries (75630) |
$14,659 |
$14,659 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,226 |
$4,226 |
23.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,247 |
$2,247 |
24.7× |
| X-ray exam hips bi 3-4 views (73522) |
$3,978 |
$3,978 |
36.4× |
| X-ray exam of finger(s) (73140) |
$1,316 |
$1,316 |
14.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,913 |
$1,913 |
21.0× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,028 |
$1,028 |
11.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,399 |
$2,399 |
26.4× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,222 |
$1,222 |
11.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,026 |
$2,026 |
22.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,531 |
$1,531 |
16.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,963 |
$1,963 |
21.6× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,332 |
$1,332 |
14.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,375 |
$2,375 |
21.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,222 |
$1,222 |
13.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,128 |
$2,128 |
19.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,476 |
$4,476 |
41.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,247 |
$2,247 |
24.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,762 |
$3,762 |
34.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,774 |
$1,774 |
16.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,608 |
$1,608 |
17.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,856 |
$2,856 |
31.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$3,138 |
$3,138 |
34.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,247 |
$3,247 |
29.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,624 |
$1,624 |
14.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,395 |
$1,395 |
15.3× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,125 |
$1,125 |
12.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,375 |
$2,375 |
26.1× |
| Xr abdomen 1 view (74018) |
$2,453 |
$2,453 |
27.0× |
| Xr abdomen 2 views (74019) |
$2,714 |
$2,714 |
24.9× |
| Xr arthrogram hip (73525) |
$5,389 |
$5,389 |
14.8× |
| Xr bone density axial (77080) |
$777 |
$777 |
7.1× |
| Xr bone length study (77073) |
$1,498 |
$1,498 |
13.7× |
| Xr bone survey infant (77076) |
$1,785 |
$1,785 |
16.4× |
| Xr chest 1 view (71045) |
$1,956 |
$1,956 |
21.5× |
| Xr chest 2 views (71046) |
$2,523 |
$2,523 |
27.8× |
| Xr chest 3 views (71047) |
$2,714 |
$2,714 |
29.9× |
| Xr cystogram 3+ views (74430) |
$2,751 |
$2,751 |
7.6× |
| Xr eye foreign body (70030) |
$1,965 |
$1,965 |
21.6× |
| Xr facial bones 3 views (70150) |
$2,251 |
$2,251 |
20.6× |
| Xr lower extremity 2 views infant (73592) |
$1,053 |
$1,053 |
11.6× |
| Xr mandible 4 views (70110) |
$3,474 |
$3,474 |
31.8× |
| Xr nasal bones (70160) |
$2,083 |
$2,083 |
22.9× |
| Xr pelvis 3 views (72190) |
$2,120 |
$2,120 |
19.4× |
| Xr spine 1 view (72020) |
$2,580 |
$2,580 |
28.4× |
| Xr sternum 2 views (71120) |
$2,083 |
$2,083 |
22.9× |
| Xr surgical specimen (76098) |
$1,722 |
$1,722 |
3.0× |
| Xr upper extremity 2 views infant (73092) |
$1,053 |
$1,053 |
9.6× |
| Xray elbow 2 views (73070) |
$1,125 |
$1,125 |
12.4× |
| Xray forearm 2 views (73090) |
$2,083 |
$2,083 |
22.9× |
| Xray knee 1 or 2 views rt (73560) |
$1,222 |
$1,222 |
13.4× |
| Xray neck soft tissue (70360) |
$2,330 |
$2,330 |
25.6× |
| Xray orbits complete min 4 views (70200) |
$2,083 |
$2,083 |
19.1× |
| Xray pelvis 1 or 2 views (72170) |
$2,718 |
$2,718 |
24.9× |
| Xray ribs bilateral 3 views (71110) |
$3,294 |
$3,294 |
30.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$3,073 |
$3,073 |
28.1× |
| Xray scapula complete (73010) |
$1,763 |
$1,763 |
16.1× |
| Xray shoulder 1 view (73020) |
$1,252 |
$1,252 |
13.8× |
| Xray spine thoracic 2 views (72070) |
$1,630 |
$1,630 |
14.9× |
| Xray spine thoracic 3 views (72072) |
$2,739 |
$2,739 |
25.1× |
| Xray tibia-fibula 2 views bil (73590) |
$2,151 |
$2,151 |
23.7× |