| Acute gi blood loss imaging (78278) |
$5,641 |
$5,641 |
13.5× |
| Angio adrenal bilat select (75733) |
$22,120 |
$22,120 |
6.7× |
| Angio adrenal unilat select (75731) |
$17,691 |
$17,691 |
5.4× |
| Angio extremity unilateral (75710) |
$7,234.50 |
$7,234.50 |
2.2× |
| Angio pulmonary unilateral (75741) |
$17,691 |
$17,691 |
5.4× |
| Angiogram extremity bilateral (75716) |
$14,869 |
$14,869 |
4.5× |
| Angiogram pelvic (75736) |
$11,982 |
$11,982 |
2.1× |
| Angiography internal mammary rs&i (75756) |
$6,277 |
$6,277 |
1.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,235 |
$11,235 |
3.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,948 |
$9,948 |
1.7× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$3,310 |
$3,310 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$6,277 |
$6,277 |
1.9× |
| Arthrography knee lt (73580) |
$4,981 |
$4,981 |
13.7× |
| Arthrography wrist lt (73115) |
$4,981 |
$4,981 |
13.7× |
| Barium enema (74270) |
$4,085 |
$4,085 |
22.3× |
| Basic dosimetry (77300) |
$1,030 |
$1,030 |
7.3× |
| Bilat selctv renal venogram (75833) |
$12,293 |
$12,293 |
3.7× |
| Bone age studies (77072) |
$2,497 |
$2,497 |
22.9× |
| Bone imaging limited area (78300) |
$4,275 |
$4,275 |
10.2× |
| Bone survey complete (77075) |
$4,687 |
$4,687 |
42.9× |
| Bowel imaging (78290) |
$6,322 |
$6,322 |
15.1× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$4,396 |
$4,396 |
7.8× |
| Brain image w/flow 4 + views (78606) |
$7,223 |
$7,223 |
12.7× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$6,351 |
$6,351 |
15.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,563 |
$1,563 |
8.5× |
| Cisternogram (78630) |
$4,428 |
$4,428 |
7.8× |
| Clavicle complete (73000) |
$2,036 |
$2,036 |
22.4× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Age Under 21 (77078) |
$4,502 |
$4,502 |
49.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$7,872 |
$7,872 |
43.0× |
| Contrast exam abdominl aorta (75625) |
$14,859 |
$14,859 |
4.5× |
| Contrast exam thoracic aorta (75605) |
$14,974 |
$14,974 |
2.6× |
| Corpora cavernosography (74445) |
$3,353 |
$3,353 |
30.7× |
| Csf shunt evaluation (78645) |
$4,428 |
$4,428 |
7.8× |
| CT - st neck w&wo contr (70492) |
$11,809 |
$11,809 |
64.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$23,617 |
$23,617 |
64.8× |
| CT abdomen and pelvis without contrast (74176) |
$16,304 |
$16,304 |
65.4× |
| CT abdomen w wo contrast (74170) |
$11,809 |
$11,809 |
64.5× |
| CT abdomen w/contrast (74160) |
$8,990 |
$8,990 |
49.1× |
| CT abdomen w/o contrast (74150) |
$8,152 |
$8,152 |
74.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$6,510 |
$6,510 |
17.9× |
| CT angio abdom w/o & w/dye (74175) |
$4,036 |
$4,036 |
22.0× |
| CT angio abdominal arteries (75635) |
$10,002 |
$10,002 |
54.6× |
| CT angio hrt w/3d image (75574) |
$12,503 |
$12,503 |
34.3× |
| CT angiograph pelv w/o&w/dye (72191) |
$4,036 |
$4,036 |
22.0× |
| CT cervical spine w/contrast (72126) |
$6,863 |
$6,863 |
18.8× |
| CT cervical spine w/o contrast (72125) |
$6,323 |
$6,323 |
57.9× |
| CT chest w/contrast (71260) |
$10,684 |
$10,684 |
58.3× |
| CT extremity upper w & w/o contrast (73202) |
$9,245 |
$9,245 |
50.5× |
| CT head/brain with contrast (70460) |
$6,888 |
$6,888 |
37.6× |
| CT head/brain without and with contrast (70470) |
$8,858 |
$8,858 |
48.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$12,503 |
$12,503 |
34.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$8,999 |
$8,999 |
99.0× |
| CT hrt w/3d image congen (75573) |
$8,999 |
$8,999 |
24.7× |
| CT limited/localized follow up study (76380) |
$2,222 |
$2,222 |
24.4× |
| CT lower ext w/wo contrast (73702) |
$9,245 |
$9,245 |
50.5× |
| CT lower extremity w contrast (73701) |
$6,907 |
$6,907 |
37.7× |
| CT lower extremity w/o contrast unilateral (73700) |
$7,872 |
$7,872 |
72.1× |
| CT lumbar spine w/contrast (72132) |
$9,536 |
$9,536 |
26.2× |
| CT lumbar spine w/o contrast (72131) |
$8,990 |
$8,990 |
82.3× |
| CT lumbar spine w/o then w/ con (72133) |
$11,809 |
$11,809 |
64.5× |
| CT maxillofacial area w/o contrast (70486) |
$7,027 |
$7,027 |
64.4× |
| CT maxillofacial w/contrast (70487) |
$7,027 |
$7,027 |
38.4× |
| CT maxillofacial w/o then w/ con (70488) |
$8,199 |
$8,199 |
44.8× |
| CT orbit sella ear w/o con (70480) |
$7,313 |
$7,313 |
67.0× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$9,053 |
$9,053 |
49.4× |
| CT pelvis w & w/o contrast (72194) |
$11,809 |
$11,809 |
64.5× |
| CT pelvis w/o contrast (72192) |
$8,152 |
$8,152 |
74.7× |
| CT soft tissue neck w/contrast (70491) |
$8,990 |
$8,990 |
49.1× |
| CT soft tissue neck w/o contrast (70490) |
$6,021 |
$6,021 |
55.2× |
| CT spine cervical w/wo contrast (72127) |
$11,809 |
$11,809 |
64.5× |
| CT thoracic spine w/contrast (72129) |
$9,536 |
$9,536 |
52.1× |
| CT thoracic spine w/o contrast (72128) |
$8,990 |
$8,990 |
82.3× |
| CT thoracic spine w/o then w/ con (72130) |
$11,809 |
$11,809 |
64.5× |
| CT thorax lung cancer scr c- (71271) |
$296 |
$296 |
2.7× |
| CT thorax w/o contrast (71250) |
$8,990 |
$8,990 |
82.3× |
| CT thorax w/o then w/ contrast (71270) |
$11,809 |
$11,809 |
64.5× |
| CT upper extremity w/dye (73201) |
$6,907 |
$6,907 |
19.0× |
| CT upper extremity w/o contrast rt (73200) |
$7,872 |
$7,872 |
72.1× |
| CTA chest w/wo contrast (71275) |
$4,036 |
$4,036 |
22.0× |
| CTA head w contrast (70496) |
$4,036 |
$4,036 |
22.0× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$10,002 |
$10,002 |
54.6× |
| Cta Neck (70498) |
$10,002 |
$10,002 |
54.6× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$10,002 |
$10,002 |
54.6× |
| Dilation ureters/urethra rs&i (74485) |
$2,852 |
$2,852 |
1.3× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) |
$5,465 |
$5,465 |
2.7× |
| Diskography lumbar (72295) |
$5,465 |
$5,465 |
2.7× |
| Doppler fetal mid cerebral artery (76821) |
$2,704 |
$2,704 |
24.8× |
| Esophogram (74220) |
$1,563 |
$1,563 |
8.5× |
| Fetal biophysical profile non-stress testing (76818) |
$3,585 |
$3,585 |
32.8× |
| Fetal biophysical profile w/o nst (76819) |
$2,366 |
$2,366 |
21.7× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$2,038 |
$2,038 |
8.2× |
| Gastric emptying study (78264) |
$7,134 |
$7,134 |
17.1× |
| Gastroesophageal reflux study (78262) |
$6,010 |
$6,010 |
14.4× |
| Gated heart planar single (78472) |
$6,735 |
$6,735 |
16.1× |
| Heart infarct image (78466) |
$6,735 |
$6,735 |
16.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,195 |
$5,195 |
1.6× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$7,866 |
$7,866 |
2.4× |
| Hepatobil syst image w/drug (78227) |
$6,833 |
$6,833 |
12.1× |
| Hepatobiliary system imaging (78226) |
$6,833 |
$6,833 |
16.4× |
| Humerus min 2 views (73060) |
$2,378 |
$2,378 |
26.2× |
| Hysterosalpingography (74740) |
$4,189 |
$4,189 |
16.8× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$18,278 |
$18,278 |
25.1× |
| Ivp (74400) |
$3,804 |
$3,804 |
20.8× |
| Ivp w tomography (74415) |
$7,160 |
$7,160 |
39.1× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$4,104 |
$4,104 |
7.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$7,094 |
$7,094 |
12.5× |
| Liver & spleen; static only (78215) |
$4,468 |
$4,468 |
10.7× |
| Lung perf&ventilat diferentl (78598) |
$5,832 |
$5,832 |
10.3× |
| Lung perfusion differential (78597) |
$4,078 |
$4,078 |
9.8× |
| Lung ventilat&perfus imaging (78582) |
$5,095 |
$5,095 |
9.0× |
| Lung ventilation imaging (78579) |
$4,078 |
$4,078 |
9.8× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$17,487 |
$17,487 |
48.0× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$18,333 |
$18,333 |
50.3× |
| Mammary ductogram single (77053) |
$1,719 |
$1,719 |
6.9× |
| MRA head w & w/o contrast (70546) |
$17,034 |
$17,034 |
46.8× |
| MRA head w/contrast (70545) |
$11,354 |
$11,354 |
31.2× |
| MRA head w/o contrast (70544) |
$11,354 |
$11,354 |
45.6× |
| MRA neck w/contrast (70548) |
$11,354 |
$11,354 |
31.2× |
| MRA neck w/o contrast (70547) |
$11,354 |
$11,354 |
45.6× |
| MRA neck w/wo contrast (70549) |
$22,701 |
$22,701 |
62.3× |
| MRI abdomen w/contrast (74182) |
$15,356 |
$15,356 |
42.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$22,658 |
$22,658 |
62.2× |
| MRI abdomen w/o contrast (74181) |
$12,878 |
$12,878 |
51.7× |
| MRI any jnt lwr ext with con lt (73722) |
$11,816 |
$11,816 |
14.4× |
| MRI breast without contrast bilateral (77047) |
$36,022 |
$36,022 |
144.6× |
| MRI breast without contrast material unilateral (77046) |
$18,193 |
$18,193 |
73.0× |
| MRI cardiac w/o contrast (75557) |
$12,277 |
$12,277 |
49.3× |
| MRI cervical spine w/o contrast (72141) |
$11,264 |
$11,264 |
45.2× |
| MRI cervical spine with contrast (72142) |
$14,260 |
$14,260 |
39.1× |
| MRI chest w & w/o contrast (71552) |
$17,487 |
$17,487 |
48.0× |
| MRI chest w/contrast (71551) |
$12,277 |
$12,277 |
15.0× |
| MRI chest w/o contrast (71550) |
$12,277 |
$12,277 |
49.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$17,487 |
$17,487 |
48.0× |
| MRI joint upr extrem w/o dye (73221) |
$12,026 |
$12,026 |
48.3× |
| Mri Lower Extremity W/O Dye (73718) |
$12,157 |
$12,157 |
48.8× |
| MRI lumbar spine with contrast (72149) |
$14,260 |
$14,260 |
39.1× |
| MRI lumbar w/wo contrast (72158) |
$19,019 |
$19,019 |
52.2× |
| MRI lwr ext w/o jnts with con rt (73719) |
$12,157 |
$12,157 |
33.4× |
| MRI orbit/face/neck w/contrast (70542) |
$15,226 |
$15,226 |
41.8× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$17,487 |
$17,487 |
48.0× |
| MRI orbit/face/neck w/o contrast (70540) |
$11,796 |
$11,796 |
47.3× |
| MRI pelvis w/ contrast (72196) |
$18,311 |
$18,311 |
50.3× |
| MRI pelvis w/o contrast (72195) |
$12,102 |
$12,102 |
48.6× |
| MRI pelvis w/wo contrast (72197) |
$36,443 |
$36,443 |
100.0× |
| MRI spectroscopy (76390) |
$4,587 |
$4,587 |
50.5× |
| MRI spine cervical wo/w contrast (72156) |
$19,019 |
$19,019 |
52.2× |
| MRI spine thoracic w/contrast (72147) |
$14,260 |
$14,260 |
39.1× |
| MRI thoracic spine w wo contrast (72157) |
$19,019 |
$19,019 |
52.2× |
| MRI thoracic spine w/o contrast (72146) |
$11,264 |
$11,264 |
45.2× |
| MRI tmj (70336) |
$12,277 |
$12,277 |
49.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$12,102 |
$12,102 |
48.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$18,220 |
$18,220 |
50.0× |
| Myelogram thoracic (72255) |
$9,778 |
$9,778 |
11.9× |
| Myelography 2 or more regions (72270) |
$13,575.50 |
$13,575.50 |
16.6× |
| Myelography lumbosacral (72265) |
$9,493.50 |
$9,493.50 |
11.6× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$14,463 |
$14,463 |
9.7× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$14,463 |
$14,463 |
9.7× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$9,209 |
$9,209 |
6.8× |
| Myocardial perfusion planar multiple studies (78454) |
$13,817 |
$13,817 |
10.2× |
| Myocardial spect single study at rest or stress (78451) |
$9,061 |
$9,061 |
6.7× |
| Myocrd img PET metab eval single study (78459) |
$14,463 |
$14,463 |
10.7× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$2,988.54 |
$2,988.54 |
3.3× |
| Nm adrenal imaging (78075) |
$4,428 |
$4,428 |
3.3× |
| Nm bone 3 phase (78315) |
$4,428 |
$4,428 |
10.6× |
| Nm bone imaging whole body (78306) |
$7,604 |
$7,604 |
18.2× |
| Nm bone multi (78305) |
$2,852 |
$2,852 |
6.8× |
| Nm heart perfusion spect stress rest (78452) |
$18,120 |
$18,120 |
13.4× |
| Nm kidney imaging morphology (78700) |
$5,290 |
$5,290 |
12.7× |
| Nm lymph system (78195) |
$4,390 |
$4,390 |
7.7× |
| Nm myocard infarct spect (78469) |
$4,104 |
$4,104 |
7.2× |
| Nm thyroid ca mets limited (78015) |
$2,951 |
$2,951 |
7.1× |
| Nm thyroid imaging only (78013) |
$4,753 |
$4,753 |
11.4× |
| Nose to rectum for fb child (76010) |
$1,696 |
$1,696 |
18.7× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$7,604 |
$7,604 |
18.2× |
| Nuclear rx IV admin (79101) |
$4,205 |
$4,205 |
17.3× |
| Ob us < 14 wks single fetus (76801) |
$3,769 |
$3,769 |
34.5× |
| Oral radiopharm rx (79005) |
$4,205 |
$4,205 |
17.3× |
| Parathyroid imaging (78070) |
$4,326 |
$4,326 |
10.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$4,568 |
$4,568 |
10.9× |
| PET brain metabolic eval (78608) |
$16,920 |
$16,920 |
11.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$18,789 |
$18,789 |
12.6× |
| PET imaging CT for attenuation limited area (78814) |
$18,789 |
$18,789 |
12.6× |
| PET imaging for CT attenuation whole body (78816) |
$18,789 |
$18,789 |
12.6× |
| PET imaging limited area chest head/neck (78811) |
$16,920 |
$16,920 |
12.5× |
| PET imaging whole body (78813) |
$16,920 |
$16,920 |
11.3× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21 (78812) |
$16,920 |
$16,920 |
11.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,941 |
$5,941 |
1.8× |
| Pulmonary perfusion imaging particulate (78580) |
$4,078 |
$4,078 |
9.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,368 |
$3,368 |
5.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,214 |
$3,214 |
29.4× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,719 |
$1,719 |
18.9× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$2,652 |
$2,652 |
29.2× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,915 |
$2,915 |
26.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$3,433 |
$3,433 |
31.4× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$3,787 |
$3,787 |
34.7× |
| Radex spine cervical 2 or 3 views (72040) |
$2,159 |
$2,159 |
23.8× |
| Radex spine cervical 4 or 5 views (72050) |
$4,523 |
$4,523 |
41.4× |
| Radex spine cervical 6 or more views (72052) |
$6,681 |
$6,681 |
61.2× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,890 |
$1,890 |
17.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$5,523 |
$5,523 |
30.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,563 |
$1,563 |
8.5× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$2,699 |
$2,699 |
29.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,699 |
$2,699 |
29.7× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$3,636 |
$3,636 |
33.3× |
| Radiologic examination, salivary gland for calculus Other Diagnostic Radiology FS (70380) |
$2,412 |
$2,412 |
26.5× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$6,091 |
$6,091 |
55.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$4,428 |
$4,428 |
10.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$4,428 |
$4,428 |
10.6× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$8,210 |
$8,210 |
14.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$7,604 |
$7,604 |
13.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,134 |
$7,134 |
12.6× |
| Saline infused sonohysterogram (76831) |
$2,270 |
$2,270 |
9.1× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$1,518 |
$1,518 |
64.9× |
| Selective spinal angiogram (75705) |
$17,691 |
$17,691 |
3.0× |
| Shoulder arthrogram (73040) |
$6,446 |
$6,446 |
17.7× |
| Small bowel series (74250) |
$4,468 |
$4,468 |
24.4× |
| Special treatment procedure (77470) |
$3,312 |
$3,312 |
5.7× |
| Testicular imaging w/flow (78761) |
$4,573 |
$4,573 |
11.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age Under 21 (78016) |
$3,951 |
$3,951 |
9.5× |
| Thyroid met imaging body (78018) |
$6,172 |
$6,172 |
10.9× |
| Thyroid uptake single/multiple quant measurement (78012) |
$3,075 |
$3,075 |
7.4× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$7,042 |
$7,042 |
16.9× |
| Ultrasound breast limited (76642) |
$2,730 |
$2,730 |
30.0× |
| Ultrasound, abdomen limited (76705) |
$3,573.50 |
$3,573.50 |
32.7× |
| Umbilical-artery Doppler (OB) (76820) |
$2,704 |
$2,704 |
24.8× |
| Unlisted gastrointestinal procedure, diagnostic nuclear medicine UNSCHEDULED (78299) |
$4,376 |
$4,376 |
10.5× |
| Ureteral reflux study (78740) |
$5,895 |
$5,895 |
14.1× |
| Urethrocystography retrograde rs&i (74450) |
$3,353 |
$3,353 |
13.5× |
| Urethrocystography voiding (74455) |
$6,332 |
$6,332 |
25.4× |
| Urography antegrade (74425) |
$2,277 |
$2,277 |
6.3× |
| Urography retrograde w/wo kub (74420) |
$5,666 |
$5,666 |
15.6× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$4,062 |
$4,062 |
22.2× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,217 |
$1,217 |
11.1× |
| Us breast uni real time with image complete (76641) |
$2,730 |
$2,730 |
25.0× |
| Us chest (76604) |
$2,004 |
$2,004 |
18.4× |
| Us compl joint r-t w/image documentation (76881) |
$2,812 |
$2,812 |
25.8× |
| Us encephalogram (76506) |
$5,660 |
$5,660 |
51.8× |
| Us guided compression repair (76936) |
$6,026 |
$6,026 |
26.7× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$4,094 |
$4,094 |
45.0× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$2,151 |
$2,151 |
19.7× |
| Us ob detailed single fetus (76811) |
$5,330 |
$5,330 |
21.4× |
| Us ob followup per fetus (76816) |
$2,477 |
$2,477 |
22.7× |
| Us ob limited 1 or more fetuses (76815) |
$2,743 |
$2,743 |
25.1× |
| Us obstetric transvaginal (76817) |
$6,103 |
$6,103 |
55.9× |
| Us pelvic limited or f/u non-ob (76857) |
$3,196 |
$3,196 |
29.3× |
| Us pelvis complete (76856) |
$4,993 |
$4,993 |
45.7× |
| Us retroperitoneal complete (76770) |
$8,765 |
$8,765 |
80.3× |
| Us retroperitoneal limited (76775) |
$5,306 |
$5,306 |
48.6× |
| Us scrotum (76870) |
$5,306 |
$5,306 |
48.6× |
| Us soft tissue head/neck (76536) |
$5,210 |
$5,210 |
47.7× |
| Us spinal canal (76800) |
$2,835 |
$2,835 |
26.0× |
| Us transrectal (76872) |
$1,219 |
$1,219 |
11.2× |
| Vein X-ray liver w/hemodynam (75885) |
$6,877 |
$6,877 |
2.1× |
| Venogram extremity bilateral (75822) |
$6,425 |
$6,425 |
3.9× |
| Venogram ivc w serialography (75825) |
$12,293 |
$12,293 |
3.7× |
| Venogram svc w serialography (75827) |
$12,293 |
$12,293 |
7.5× |
| Venography adrenal unilateral selective rs&i (75840) |
$12,293 |
$12,293 |
3.7× |
| Venography ext unilateral (75820) |
$6,425 |
$6,425 |
3.9× |
| Venography renal unilateral selective rs&i (75831) |
$12,293 |
$12,293 |
3.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,878 |
$6,878 |
2.1× |
| Venous sampling by catheter (75893) |
$12,293 |
$12,293 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$3,235 |
$3,235 |
35.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$2,449 |
$2,449 |
26.9× |
| X-ray aorta leg arteries (75630) |
$15,196 |
$15,196 |
4.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$5,493 |
$5,493 |
30.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,378 |
$2,378 |
26.2× |
| X-ray exam hips bi 3-4 views (73522) |
$3,603 |
$3,603 |
33.0× |
| X-ray exam of finger(s) (73140) |
$1,706 |
$1,706 |
18.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,505 |
$3,505 |
38.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,631 |
$2,631 |
29.0× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,036 |
$2,036 |
22.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$2,038 |
$2,038 |
22.4× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,716 |
$2,716 |
29.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$2,716 |
$2,716 |
29.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,527 |
$2,527 |
23.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,337 |
$4,337 |
39.7× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$4,831 |
$4,831 |
44.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$474 |
$474 |
5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,268 |
$1,268 |
11.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,652 |
$2,652 |
24.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,680 |
$2,680 |
29.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$3,174 |
$3,174 |
34.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$3,724 |
$3,724 |
41.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,949 |
$3,949 |
36.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,603 |
$2,603 |
23.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,378 |
$2,378 |
26.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$2,036 |
$2,036 |
22.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,036 |
$2,036 |
22.4× |
| Xr abdomen 1 view (74018) |
$2,105 |
$2,105 |
23.2× |
| Xr abdomen 2 views (74019) |
$2,875 |
$2,875 |
26.3× |
| Xr abdomen 3 views (74021) |
$2,875 |
$2,875 |
26.3× |
| Xr arthrogram elbow (73085) |
$4,981 |
$4,981 |
13.7× |
| Xr arthrogram hip (73525) |
$4,981 |
$4,981 |
13.7× |
| Xr bone density appendicular (77081) |
$663 |
$663 |
7.3× |
| Xr bone density axial (77080) |
$1,099 |
$1,099 |
10.1× |
| Xr bone length study (77073) |
$1,536 |
$1,536 |
14.1× |
| Xr bone survey infant (77076) |
$9,791 |
$9,791 |
89.7× |
| Xr chest 1 view (71045) |
$1,004 |
$1,004 |
11.0× |
| Xr chest 2 views (71046) |
$1,719 |
$1,719 |
18.9× |
| Xr chest 3 views (71047) |
$1,857 |
$1,857 |
20.4× |
| Xr cystogram 3+ views (74430) |
$3,621 |
$3,621 |
9.9× |
| Xr facial bones 3 views (70150) |
$4,523 |
$4,523 |
41.4× |
| Xr joint survey 1 view (77077) |
$1,211 |
$1,211 |
11.1× |
| Xr mandible 4 views (70110) |
$3,724 |
$3,724 |
34.1× |
| Xr myelogram c-spine (72240) |
$11,756 |
$11,756 |
14.4× |
| Xr nasal bones (70160) |
$2,159 |
$2,159 |
23.8× |
| Xr sella turcica (70240) |
$1,623 |
$1,623 |
17.9× |
| Xr sialogram (70390) |
$3,016 |
$3,016 |
12.1× |
| Xr spine 1 view (72020) |
$2,543 |
$2,543 |
28.0× |
| Xr sternum 2 views (71120) |
$2,850 |
$2,850 |
31.4× |
| Xr surgical specimen (76098) |
$779 |
$779 |
1.4× |
| Xray elbow 2 views (73070) |
$2,269 |
$2,269 |
25.0× |
| Xray forearm 2 views (73090) |
$2,378 |
$2,378 |
26.2× |
| Xray internal auditory meati compl (70134) |
$3,893 |
$3,893 |
6.8× |
| Xray knee 1 or 2 views rt (73560) |
$2,378 |
$2,378 |
26.2× |
| Xray neck soft tissue (70360) |
$2,159 |
$2,159 |
23.8× |
| Xray orbits complete min 4 views (70200) |
$3,724 |
$3,724 |
34.1× |
| Xray pelvis 1 or 2 views (72170) |
$1,706 |
$1,706 |
15.6× |
| Xray ribs bilateral 3 views (71110) |
$757 |
$757 |
6.9× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$3,054 |
$3,054 |
28.0× |
| Xray scapula complete (73010) |
$2,442 |
$2,442 |
22.4× |
| Xray sinuses paranasal <3 views (70210) |
$949 |
$949 |
10.4× |
| Xray spine thoracic 2 views (72070) |
$4,311 |
$4,311 |
39.5× |
| Xray tibia-fibula 2 views bil (73590) |
$2,378 |
$2,378 |
26.2× |
| Xray tmj's bilateral open-clsc (70330) |
$2,826 |
$2,826 |
31.1× |