| Acute gi blood loss imaging (78278) |
$2,867 |
$2,867 |
6.9× |
| Angio adrenal bilat select (75733) |
$20,013 |
$20,013 |
6.1× |
| Angio adrenal unilat select (75731) |
$16,944 |
$16,944 |
5.1× |
| Angio extremity unilateral (75710) |
$16,944 |
$16,944 |
5.1× |
| Angio pulmonary unilateral (75741) |
$7,407 |
$7,407 |
2.2× |
| Angiogram extremity bilateral (75716) |
$16,944 |
$16,944 |
5.1× |
| Angiogram pelvic (75736) |
$16,944 |
$16,944 |
2.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$16,944 |
$16,944 |
5.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,944 |
$16,944 |
2.9× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$1,572 |
$1,572 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$7,407 |
$7,407 |
2.2× |
| Ankle 2 views (73600) |
$1,544 |
$1,544 |
17.0× |
| Arthrography knee lt (73580) |
$3,818 |
$3,818 |
10.5× |
| Arthrography wrist lt (73115) |
$5,015 |
$5,015 |
13.8× |
| Barium enema (74270) |
$3,897 |
$3,897 |
21.3× |
| Basic dosimetry (77300) |
$634 |
$634 |
4.5× |
| Bilat selctv renal venogram (75833) |
$7,407 |
$7,407 |
2.2× |
| Bone age studies (77072) |
$1,744 |
$1,744 |
16.0× |
| Bone imaging limited area (78300) |
$6,094 |
$6,094 |
14.6× |
| Bone survey complete (77075) |
$4,459 |
$4,459 |
40.8× |
| Bowel imaging (78290) |
$3,866 |
$3,866 |
9.3× |
| Brain image w/flow 4 + views (78606) |
$3,007 |
$3,007 |
5.3× |
| Card MRI w/stress img & dye (75563) |
$2,733 |
$2,733 |
3.3× |
| Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or… (78483) |
$7,049 |
$7,049 |
12.4× |
| Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or… (78481) |
$4,465 |
$4,465 |
7.9× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$9,814 |
$9,814 |
23.5× |
| Cardiac MRI w/stress img (75559) |
$1,857 |
$1,857 |
3.3× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$1,359 |
$1,359 |
3.7× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Age Under 21 (78635) |
$4,412 |
$4,412 |
7.8× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$2,587 |
$2,587 |
14.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$4,323 |
$4,323 |
23.6× |
| Cisternogram (78630) |
$4,393 |
$4,393 |
7.7× |
| Clavicle complete (73000) |
$2,320 |
$2,320 |
25.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$15,251 |
$15,251 |
83.3× |
| Contrast exam abdominl aorta (75625) |
$16,944 |
$16,944 |
5.1× |
| Contrast exam thoracic aorta (75605) |
$16,944 |
$16,944 |
2.9× |
| Corpora cavernosography (74445) |
$1,511 |
$1,511 |
13.8× |
| CT - st neck w&wo contr (70492) |
$13,990 |
$13,990 |
76.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$17,715 |
$17,715 |
48.6× |
| CT abdomen and pelvis without contrast (74176) |
$14,681 |
$14,681 |
58.9× |
| CT abdomen w wo contrast (74170) |
$14,766 |
$14,766 |
80.6× |
| CT abdomen w/contrast (74160) |
$15,718 |
$15,718 |
85.8× |
| CT abdomen w/o contrast (74150) |
$15,013 |
$15,013 |
137.5× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$5,239 |
$5,239 |
14.4× |
| CT angio abdom w/o & w/dye (74175) |
$15,904 |
$15,904 |
86.8× |
| CT angio abdominal arteries (75635) |
$16,433 |
$16,433 |
89.7× |
| CT angio hrt w/3d image (75574) |
$6,060 |
$6,060 |
16.6× |
| CT angiograph pelv w/o&w/dye (72191) |
$15,876 |
$15,876 |
86.7× |
| CT cervical spine w/contrast (72126) |
$12,893.50 |
$12,893.50 |
35.4× |
| CT cervical spine w/o contrast (72125) |
$16,089 |
$16,089 |
147.4× |
| CT chest w/contrast (71260) |
$18,187 |
$18,187 |
99.3× |
| CT extremity upper w & w/o contrast (73202) |
$15,521 |
$15,521 |
84.7× |
| CT head/brain with contrast (70460) |
$16,117 |
$16,117 |
88.0× |
| CT head/brain without and with contrast (70470) |
$16,933 |
$16,933 |
92.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,060 |
$6,060 |
16.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$6,060 |
$6,060 |
66.7× |
| CT hrt w/3d image congen (75573) |
$6,060 |
$6,060 |
16.6× |
| CT limited/localized follow up study (76380) |
$2,621 |
$2,621 |
28.8× |
| CT lower ext w/wo contrast (73702) |
$13,101 |
$13,101 |
71.5× |
| CT lower extremity w contrast (73701) |
$2,192 |
$2,192 |
12.0× |
| CT lower extremity w/o contrast unilateral (73700) |
$13,902 |
$13,902 |
127.3× |
| CT lumbar spine w/contrast (72132) |
$13,449 |
$13,449 |
36.9× |
| CT lumbar spine w/o contrast (72131) |
$14,662 |
$14,662 |
134.3× |
| CT lumbar spine w/o then w/ con (72133) |
$18,383 |
$18,383 |
100.4× |
| CT maxillofacial area w/o contrast (70486) |
$14,545 |
$14,545 |
133.2× |
| CT maxillofacial w/contrast (70487) |
$2,955 |
$2,955 |
16.1× |
| CT maxillofacial w/o then w/ con (70488) |
$3,462 |
$3,462 |
18.9× |
| CT orbit sella ear w/o con (70480) |
$12,410 |
$12,410 |
113.7× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$14,239 |
$14,239 |
77.7× |
| CT pelvis w & w/o contrast (72194) |
$11,297 |
$11,297 |
61.7× |
| CT pelvis w/o contrast (72192) |
$13,127 |
$13,127 |
120.2× |
| CT soft tissue neck w/contrast (70491) |
$15,263 |
$15,263 |
83.3× |
| CT soft tissue neck w/o contrast (70490) |
$13,028 |
$13,028 |
119.3× |
| CT spine cervical w/wo contrast (72127) |
$17,414 |
$17,414 |
95.1× |
| CT thoracic spine w/contrast (72129) |
$12,397 |
$12,397 |
67.7× |
| CT thoracic spine w/o contrast (72128) |
$15,785 |
$15,785 |
144.6× |
| CT thoracic spine w/o then w/ con (72130) |
$17,414 |
$17,414 |
95.1× |
| CT thorax lung cancer scr c- (71271) |
$431 |
$431 |
3.9× |
| CT thorax w/o contrast (71250) |
$13,333 |
$13,333 |
122.1× |
| CT thorax w/o then w/ contrast (71270) |
$16,778 |
$16,778 |
91.6× |
| CT upper extremity w/dye (73201) |
$14,913 |
$14,913 |
40.9× |
| CT upper extremity w/o contrast rt (73200) |
$14,430 |
$14,430 |
132.2× |
| CTA chest w/wo contrast (71275) |
$18,982 |
$18,982 |
103.6× |
| CTA head w contrast (70496) |
$16,891 |
$16,891 |
92.2× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$12,178 |
$12,178 |
66.5× |
| Cta Neck (70498) |
$16,570 |
$16,570 |
90.5× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$13,703 |
$13,703 |
74.8× |
| Dilation ureters/urethra rs&i (74485) |
$11,714 |
$11,714 |
5.4× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) |
$2,776 |
$2,776 |
1.4× |
| Diskography lumbar (72295) |
$9,880 |
$9,880 |
4.8× |
| Doppler echo fetal spectral display complete (76827) |
$896 |
$896 |
8.2× |
| Dxa bone density study axial skeleton (77085) |
$749 |
$749 |
6.9× |
| Esophogram (74220) |
$3,191 |
$3,191 |
17.4× |
| Fetal biophysical profile non-stress testing (76818) |
$3,240 |
$3,240 |
29.7× |
| Fetal echo complete (76825) |
$3,115 |
$3,115 |
5.5× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$2,440 |
$2,440 |
9.8× |
| Gastric emptying study (78264) |
$6,714 |
$6,714 |
16.1× |
| Gastric mucosa imaging (78261) |
$4,229 |
$4,229 |
10.1× |
| Gastroesophageal reflux study (78262) |
$4,229 |
$4,229 |
10.1× |
| Gated heart planar single (78472) |
$7,381 |
$7,381 |
17.7× |
| Heart infarct image (78466) |
$2,035 |
$2,035 |
4.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$7,407 |
$7,407 |
2.2× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$16,944 |
$16,944 |
5.1× |
| Hepatobil syst image w/drug (78227) |
$2,946 |
$2,946 |
5.2× |
| Hepatobiliary system imaging (78226) |
$2,946 |
$2,946 |
7.1× |
| Humerus min 2 views (73060) |
$2,373 |
$2,373 |
26.1× |
| Hysterosalpingography (74740) |
$3,656 |
$3,656 |
14.7× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$8,378 |
$8,378 |
11.5× |
| Ivp (74400) |
$4,585 |
$4,585 |
25.0× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$10,919 |
$10,919 |
19.3× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$10,038 |
$10,038 |
17.7× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$2,965 |
$2,965 |
5.2× |
| Kidney w vascular flow (78701) |
$6,080 |
$6,080 |
14.6× |
| Liver & spleen; static only (78215) |
$8,467 |
$8,467 |
20.3× |
| Liver & spleen; w vasc flow (78216) |
$4,229 |
$4,229 |
10.1× |
| Liver imaging w/vascular flow (78202) |
$4,229 |
$4,229 |
7.5× |
| Lung perf&ventilat diferentl (78598) |
$3,176 |
$3,176 |
5.6× |
| Lung perfusion differential (78597) |
$2,032 |
$2,032 |
4.9× |
| Lung ventilat&perfus imaging (78582) |
$3,176 |
$3,176 |
5.6× |
| Lung ventilation imaging (78579) |
$2,032 |
$2,032 |
4.9× |
| Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75807) |
$15,991 |
$15,991 |
4.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$11,980 |
$11,980 |
3.6× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$16,434 |
$16,434 |
45.1× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$16,524 |
$16,524 |
45.4× |
| Mammary ductogram multiple ducts (77054) |
$2,292 |
$2,292 |
9.2× |
| Mammary ductogram single (77053) |
$2,132 |
$2,132 |
8.6× |
| Med physic dos eval rad exps (76145) |
$657 |
$657 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$93 |
$93 |
3.1× |
| MRA head w & w/o contrast (70546) |
$11,728 |
$11,728 |
32.2× |
| MRA head w/contrast (70545) |
$11,364 |
$11,364 |
31.2× |
| MRA head w/o contrast (70544) |
$10,942 |
$10,942 |
43.9× |
| MRA neck w/contrast (70548) |
$12,231 |
$12,231 |
33.6× |
| MRA neck w/o contrast (70547) |
$10,904 |
$10,904 |
43.8× |
| MRA neck w/wo contrast (70549) |
$12,748 |
$12,748 |
35.0× |
| MRI abdomen w/contrast (74182) |
$17,208 |
$17,208 |
47.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$18,157 |
$18,157 |
49.8× |
| MRI abdomen w/o contrast (74181) |
$16,348 |
$16,348 |
65.6× |
| MRI any jnt lwr ext with con lt (73722) |
$14,227 |
$14,227 |
17.4× |
| MRI bone marrow (77084) |
$3,180 |
$3,180 |
12.8× |
| MRI breast without contrast bilateral (77047) |
$12,396 |
$12,396 |
49.7× |
| MRI breast without contrast material unilateral (77046) |
$10,372 |
$10,372 |
41.6× |
| MRI cardiac w/o contrast (75557) |
$3,654 |
$3,654 |
14.7× |
| MRI cervical spine w/o contrast (72141) |
$14,562 |
$14,562 |
58.4× |
| MRI cervical spine with contrast (72142) |
$17,907 |
$17,907 |
49.2× |
| MRI chest w & w/o contrast (71552) |
$15,719 |
$15,719 |
43.1× |
| MRI chest w/contrast (71551) |
$15,341 |
$15,341 |
18.7× |
| MRI chest w/o contrast (71550) |
$15,173 |
$15,173 |
60.9× |
| MRI joint upper ext w/contrast (73222) |
$13,133 |
$13,133 |
16.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$16,554 |
$16,554 |
45.4× |
| MRI joint upr extrem w/o dye (73221) |
$12,390 |
$12,390 |
49.7× |
| Mri Lower Extremity W/O Dye (73718) |
$14,758 |
$14,758 |
59.2× |
| MRI lumbar spine with contrast (72149) |
$20,196 |
$20,196 |
55.4× |
| MRI lumbar w/wo contrast (72158) |
$19,572 |
$19,572 |
53.7× |
| MRI lwr ext w/o jnts with con rt (73719) |
$13,133 |
$13,133 |
36.0× |
| MRI orbit/face/neck w/contrast (70542) |
$13,868 |
$13,868 |
38.1× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$14,870 |
$14,870 |
40.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$16,434 |
$16,434 |
66.0× |
| MRI pelvis w/ contrast (72196) |
$12,098 |
$12,098 |
33.2× |
| MRI pelvis w/o contrast (72195) |
$13,596 |
$13,596 |
54.6× |
| MRI pelvis w/wo contrast (72197) |
$17,257 |
$17,257 |
47.4× |
| MRI spectroscopy (76390) |
$12,766 |
$12,766 |
140.5× |
| MRI spine cervical wo/w contrast (72156) |
$18,705 |
$18,705 |
51.3× |
| MRI spine thoracic w/contrast (72147) |
$19,698 |
$19,698 |
54.1× |
| MRI thoracic spine w wo contrast (72157) |
$21,305 |
$21,305 |
58.5× |
| MRI thoracic spine w/o contrast (72146) |
$13,644 |
$13,644 |
54.8× |
| MRI tmj (70336) |
$12,910 |
$12,910 |
51.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$12,498 |
$12,498 |
50.2× |
| Mri Upper Extremity W/Dye (73219) |
$13,133 |
$13,133 |
36.0× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$16,910 |
$16,910 |
46.4× |
| Myelogram thoracic (72255) |
$8,891 |
$8,891 |
10.9× |
| Myelography 2 or more regions (72270) |
$11,650 |
$11,650 |
14.2× |
| Myelography lumbosacral (72265) |
$8,891 |
$8,891 |
10.9× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$10,655 |
$10,655 |
7.1× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$15,921 |
$15,921 |
10.7× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$6,047 |
$6,047 |
4.5× |
| Myocardial spect single study at rest or stress (78451) |
$4,343 |
$4,343 |
3.2× |
| Myocrd img PET metab eval single study (78459) |
$15,921 |
$15,921 |
11.8× |
| Nm bone 3 phase (78315) |
$12,814 |
$12,814 |
30.7× |
| Nm bone imaging whole body (78306) |
$9,581 |
$9,581 |
23.0× |
| Nm bone multi (78305) |
$9,861 |
$9,861 |
23.6× |
| Nm heart perfusion spect stress rest (78452) |
$6,622 |
$6,622 |
4.9× |
| Nm kidney function (78725) |
$6,563 |
$6,563 |
15.7× |
| Nm liver image static only (78201) |
$3,239 |
$3,239 |
5.7× |
| Nm lymph system (78195) |
$11,349 |
$11,349 |
20.0× |
| Nm myocard infarct spect (78469) |
$6,398 |
$6,398 |
11.3× |
| Nm thyroid ca mets limited (78015) |
$4,229 |
$4,229 |
10.1× |
| Nm thyroid imaging only (78013) |
$1,438 |
$1,438 |
3.4× |
| Nose to rectum for fb child (76010) |
$1,311 |
$1,311 |
14.4× |
| Nuclear medicine study of heart pumping function by labeling red blood cells with measurement of internal blood volume… (78494) |
$2,927 |
$2,927 |
7.0× |
| Ob us < 14 wks single fetus (76801) |
$724 |
$724 |
6.6× |
| Ob us nuchal meas 1 gest (76813) |
$1,697 |
$1,697 |
15.5× |
| Oral radiopharm rx (79005) |
$852 |
$852 |
3.5× |
| Orthopantogram (70355) |
$1,454 |
$1,454 |
16.0× |
| Parathyroid imaging (78070) |
$7,465 |
$7,465 |
17.9× |
| Peritoneal-venous shunt patency test (78291) |
$6,556 |
$6,556 |
15.7× |
| Peritoneogram rs&i (74190) |
$2,888 |
$2,888 |
5.1× |
| PET brain metabolic eval (78608) |
$14,609 |
$14,609 |
9.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$14,609 |
$14,609 |
9.8× |
| PET imaging CT for attenuation limited area (78814) |
$14,609 |
$14,609 |
9.8× |
| PET imaging for CT attenuation whole body (78816) |
$14,609 |
$14,609 |
9.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$7,407 |
$7,407 |
2.2× |
| Pulmonary perfusion imaging particulate (78580) |
$8,970 |
$8,970 |
21.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,348 |
$3,348 |
5.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$6,730 |
$6,730 |
74.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,249 |
$3,249 |
29.8× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$6,900 |
$6,900 |
63.2× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$7,320 |
$7,320 |
67.1× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,849 |
$1,849 |
20.3× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$2,266 |
$2,266 |
24.9× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$4,812 |
$4,812 |
44.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,396 |
$2,396 |
21.9× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$7,739 |
$7,739 |
70.9× |
| Radex spine cervical 2 or 3 views (72040) |
$2,706 |
$2,706 |
29.8× |
| Radex spine cervical 4 or 5 views (72050) |
$2,746 |
$2,746 |
25.2× |
| Radex spine cervical 6 or more views (72052) |
$4,140 |
$4,140 |
37.9× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$638 |
$638 |
7.0× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$3,002.50 |
$3,002.50 |
27.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,462 |
$2,462 |
13.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,372 |
$3,372 |
18.4× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$2,526 |
$2,526 |
27.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,526 |
$2,526 |
27.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$3,338 |
$3,338 |
30.6× |
| Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) |
$2,761 |
$2,761 |
25.3× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$4,831 |
$4,831 |
44.3× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$3,262 |
$3,262 |
29.9× |
| Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Other Diagnostic… (70370) |
$429 |
$429 |
4.7× |
| Radiopharmaceutical dacryocystography Age Under 21 (78660) |
$4,602 |
$4,602 |
11.0× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$13,020 |
$13,020 |
53.4× |
| Renal cyst study (74470) |
$2,193 |
$2,193 |
3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$4,167 |
$4,167 |
10.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,520 |
$6,520 |
15.6× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$12,708 |
$12,708 |
22.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$12,321 |
$12,321 |
21.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$8,133 |
$8,133 |
14.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,610 |
$2,610 |
1.9× |
| Rp loclzj tum spect CT 2area/sep acquisj img (78832) |
$2,961 |
$2,961 |
2.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,610 |
$2,610 |
1.9× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,952 |
$1,952 |
8.0× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$457 |
$457 |
19.5× |
| Selective spinal angiogram (75705) |
$20,013 |
$20,013 |
3.4× |
| Shoulder arthrogram (73040) |
$5,538 |
$5,538 |
15.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$588 |
$588 |
5.4× |
| Small bowel series (74250) |
$3,357 |
$3,357 |
18.3× |
| Speech evaluation complex (70371) |
$1,492 |
$1,492 |
6.0× |
| Spleen imaging only (78185) |
$4,229 |
$4,229 |
10.1× |
| Therapeutic enema barium or air (74283) |
$3,965 |
$3,965 |
21.6× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age Under 21 (78016) |
$4,937 |
$4,937 |
11.8× |
| Thyroid met imaging body (78018) |
$10,750 |
$10,750 |
19.0× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$2,228.50 |
$2,228.50 |
5.3× |
| Ultrasound breast limited (76642) |
$2,481 |
$2,481 |
27.3× |
| Ultrasound, abdomen limited (76705) |
$3,802 |
$3,802 |
34.8× |
| Unlisted CT procedure (76497) |
$386 |
$386 |
4.2× |
| Unlisted diagnostic radiographic procedure (76499) |
$666 |
$666 |
7.3× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$3,183 |
$3,183 |
7.6× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$2,448 |
$2,448 |
5.9× |
| Urethrocystography retrograde rs&i (74450) |
$3,676 |
$3,676 |
14.8× |
| Urethrocystography voiding (74455) |
$3,688 |
$3,688 |
14.8× |
| Urography antegrade (74425) |
$2,448 |
$2,448 |
6.7× |
| Urography retrograde w/wo kub (74420) |
$4,774 |
$4,774 |
13.1× |
| Us abdominal aorta real time screen study aaa (76706) |
$777 |
$777 |
7.1× |
| Us breast uni real time with image complete (76641) |
$2,481 |
$2,481 |
22.7× |
| Us chest (76604) |
$2,698 |
$2,698 |
24.7× |
| Us compl joint r-t w/image documentation (76881) |
$947 |
$947 |
8.7× |
| Us encephalogram (76506) |
$1,934 |
$1,934 |
17.7× |
| Us guided compression repair (76936) |
$1,359 |
$1,359 |
6.0× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$4,092 |
$4,092 |
45.0× |
| Us kidney transplanted (76776) |
$1,119 |
$1,119 |
10.3× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$615 |
$615 |
5.6× |
| Us ob detailed single fetus (76811) |
$1,394 |
$1,394 |
5.6× |
| Us ob followup per fetus (76816) |
$1,196 |
$1,196 |
11.0× |
| Us ob limited 1 or more fetuses (76815) |
$1,196 |
$1,196 |
11.0× |
| Us obstetric transvaginal (76817) |
$3,328 |
$3,328 |
30.5× |
| Us pelvic limited or f/u non-ob (76857) |
$1,407 |
$1,407 |
12.9× |
| Us pelvis complete (76856) |
$3,645 |
$3,645 |
33.4× |
| Us retroperitoneal complete (76770) |
$3,940 |
$3,940 |
36.1× |
| Us retroperitoneal limited (76775) |
$3,874 |
$3,874 |
35.5× |
| Us scrotum (76870) |
$4,014 |
$4,014 |
36.8× |
| Us soft tissue head/neck (76536) |
$3,284 |
$3,284 |
30.1× |
| Us transrectal (76872) |
$3,881 |
$3,881 |
35.6× |
| Us unlstd proc (76999) |
$742 |
$742 |
8.2× |
| Vein X-ray liver w/hemodynam (75885) |
$16,944 |
$16,944 |
5.1× |
| Venogram extremity bilateral (75822) |
$6,061 |
$6,061 |
3.7× |
| Venogram ivc w serialography (75825) |
$7,407 |
$7,407 |
2.2× |
| Venogram svc w serialography (75827) |
$7,407 |
$7,407 |
4.5× |
| Venography adrenal unilateral selective rs&i (75840) |
$6,987 |
$6,987 |
2.1× |
| Venography ext unilateral (75820) |
$6,061 |
$6,061 |
3.7× |
| Venography renal unilateral selective rs&i (75831) |
$6,987 |
$6,987 |
2.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,987 |
$6,987 |
2.1× |
| Venous sampling by catheter (75893) |
$20,013 |
$20,013 |
3.4× |
| Vertebral fracture assessment via dxa (77086) |
$471 |
$471 |
5.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,073 |
$2,073 |
22.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,981 |
$1,981 |
21.8× |
| X-ray aorta leg arteries (75630) |
$16,944 |
$16,944 |
5.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,412 |
$4,412 |
24.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,596 |
$1,596 |
17.6× |
| X-ray exam hips bi 3-4 views (73522) |
$6,900 |
$6,900 |
63.2× |
| X-ray exam of finger(s) (73140) |
$1,662 |
$1,662 |
18.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,520 |
$2,520 |
13.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,524 |
$2,524 |
27.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,537 |
$1,537 |
16.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,952 |
$1,952 |
21.5× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,511 |
$1,511 |
13.8× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,944 |
$1,944 |
21.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,818 |
$1,818 |
20.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,892 |
$2,892 |
31.8× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,693 |
$1,693 |
18.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,950 |
$1,950 |
17.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$2,167 |
$2,167 |
23.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,231 |
$2,231 |
20.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$5,107 |
$5,107 |
46.8× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$2,192 |
$2,192 |
20.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,963 |
$1,963 |
21.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,145 |
$3,145 |
28.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,767 |
$1,767 |
16.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$1,170 |
$1,170 |
10.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,682 |
$2,682 |
29.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,696 |
$2,696 |
29.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,988 |
$2,988 |
32.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,461 |
$3,461 |
31.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,102 |
$2,102 |
19.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$665 |
$665 |
7.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,551 |
$1,551 |
17.1× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,820 |
$1,820 |
20.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,423 |
$2,423 |
26.7× |
| Xr abdomen 1 view (74018) |
$1,635 |
$1,635 |
18.0× |
| Xr abdomen 2 views (74019) |
$2,599 |
$2,599 |
23.8× |
| Xr abdomen 3 views (74021) |
$2,805 |
$2,805 |
25.7× |
| Xr arthrogram ankle (73615) |
$1,616 |
$1,616 |
4.4× |
| Xr arthrogram elbow (73085) |
$3,555 |
$3,555 |
9.8× |
| Xr arthrogram hip (73525) |
$4,791 |
$4,791 |
13.2× |
| Xr bone density axial (77080) |
$2,265 |
$2,265 |
20.7× |
| Xr bone length study (77073) |
$1,693 |
$1,693 |
15.5× |
| Xr bone survey infant (77076) |
$2,167 |
$2,167 |
19.8× |
| Xr bone survey limited (77074) |
$1,950 |
$1,950 |
17.9× |
| Xr chest 1 view (71045) |
$1,419 |
$1,419 |
15.6× |
| Xr chest 2 views (71046) |
$1,704 |
$1,704 |
18.8× |
| Xr chest 3 views (71047) |
$2,889 |
$2,889 |
31.8× |
| Xr cystogram 3+ views (74430) |
$2,597 |
$2,597 |
7.1× |
| Xr eye foreign body (70030) |
$1,266 |
$1,266 |
13.9× |
| Xr facial bones 3 views (70150) |
$3,534 |
$3,534 |
32.4× |
| Xr joint survey 1 view (77077) |
$462 |
$462 |
4.2× |
| Xr lower extremity 2 views infant (73592) |
$2,862 |
$2,862 |
31.5× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$2,029 |
$2,029 |
18.6× |
| Xr mandible 4 views (70110) |
$3,319 |
$3,319 |
30.4× |
| Xr myelogram c-spine (72240) |
$8,891 |
$8,891 |
10.9× |
| Xr nasal bones (70160) |
$2,046 |
$2,046 |
22.5× |
| Xr pelvis 3 views (72190) |
$1,741 |
$1,741 |
15.9× |
| Xr sella turcica (70240) |
$1,849 |
$1,849 |
20.3× |
| Xr spine 1 view (72020) |
$2,006 |
$2,006 |
22.1× |
| Xr sternum 2 views (71120) |
$1,869 |
$1,869 |
20.6× |
| Xr stress view joint (77071) |
$1,454 |
$1,454 |
16.0× |
| Xr surgical specimen (76098) |
$1,207 |
$1,207 |
2.1× |
| Xr upper extremity 2 views infant (73092) |
$2,862 |
$2,862 |
26.2× |
| Xray elbow 2 views (73070) |
$1,739 |
$1,739 |
19.1× |
| Xray forearm 2 views (73090) |
$1,998 |
$1,998 |
22.0× |
| Xray internal auditory meati compl (70134) |
$2,295 |
$2,295 |
4.0× |
| Xray knee 1 or 2 views rt (73560) |
$1,632 |
$1,632 |
18.0× |
| Xray neck soft tissue (70360) |
$2,415 |
$2,415 |
26.6× |
| Xray optic foramina (70190) |
$1,494 |
$1,494 |
16.4× |
| Xray orbits complete min 4 views (70200) |
$3,112 |
$3,112 |
28.5× |
| Xray pelvis 1 or 2 views (72170) |
$1,981 |
$1,981 |
18.1× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,801 |
$2,801 |
25.7× |
| Xray scapula complete (73010) |
$2,480 |
$2,480 |
22.7× |
| Xray shoulder 1 view (73020) |
$1,268 |
$1,268 |
14.0× |
| Xray sinuses paranasal <3 views (70210) |
$1,989 |
$1,989 |
21.9× |
| Xray spine thoracic 2 views (72070) |
$2,006 |
$2,006 |
18.4× |
| Xray spine thoracic 3 views (72072) |
$2,968 |
$2,968 |
27.2× |
| Xray tibia-fibula 2 views bil (73590) |
$1,951 |
$1,951 |
21.5× |
| Xray tmj open - closed unilat (70328) |
$1,344 |
$1,344 |
14.8× |
| Xray tmj's bilateral open-clsc (70330) |
$2,432 |
$2,432 |
26.8× |