| Abdomen 2 views (74019) |
$2,875 |
$2,875 |
26.3× |
| Acute gi blood loss imaging (78278) |
$5,641 |
$5,641 |
13.5× |
| Angio Adrenal Bilat Select (75733) |
$22,120 |
$22,120 |
6.7× |
| Angiography extremity bilateral rs&i (75716) |
$14,869 |
$14,869 |
4.5× |
| Angiography extremity unilateral rs&i (75710) |
$7,234.50 |
$7,234.50 |
2.2× |
| Angiography internal mammary rs&i (75756) |
$6,277 |
$6,277 |
1.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$11,982 |
$11,982 |
2.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$11,235 |
$11,235 |
3.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$17,691 |
$17,691 |
5.4× |
| Angiography Spinal Selective Rs&I (75705) |
$17,691 |
$17,691 |
3.0× |
| 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× |
| Aortogram thoracic (75605) |
$14,974 |
$14,974 |
2.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$15,196 |
$15,196 |
4.6× |
| Aortography abdominal serialography rs&i (75625) |
$14,859 |
$14,859 |
4.5× |
| Artery X-Rays Adrenal Gland (75731) |
$17,691 |
$17,691 |
5.4× |
| Arthrogram elbow (73085) |
$4,981 |
$4,981 |
13.7× |
| Arthrogram hip (73525) |
$4,981 |
$4,981 |
13.7× |
| Arthrogram knee (73580) |
$4,981 |
$4,981 |
13.7× |
| Arthrogram shoulder (73040) |
$6,446 |
$6,446 |
17.7× |
| Arthrogram wrist (73115) |
$4,981 |
$4,981 |
13.7× |
| Basic dosimetry (77300) |
$1,030 |
$1,030 |
7.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$4,275 |
$4,275 |
10.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,852 |
$2,852 |
6.8× |
| Bone &/joint imaging whole body (78306) |
$7,604 |
$7,604 |
18.2× |
| Bone age studies (77072) |
$2,497 |
$2,497 |
22.9× |
| Bone Imaging 3 Phase (78315) |
$4,428 |
$4,428 |
10.6× |
| Bone survey complete (77075) |
$4,687 |
$4,687 |
42.9× |
| Bone survey infant (77076) |
$9,791 |
$9,791 |
89.7× |
| Bowel imaging (78290) |
$6,322 |
$6,322 |
15.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$7,223 |
$7,223 |
12.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$16,920 |
$16,920 |
11.3× |
| Brain Imaging Vascular Flow Only (78610) |
$4,396 |
$4,396 |
7.8× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$6,735 |
$6,735 |
16.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,428 |
$4,428 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$2,159 |
$2,159 |
23.8× |
| Chest 1 view (71045) |
$1,004 |
$1,004 |
11.0× |
| Chest xray 3 views (71047) |
$1,857 |
$1,857 |
20.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,563 |
$1,563 |
8.5× |
| Clavicle complete (73000) |
$2,036 |
$2,036 |
22.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$296 |
$296 |
2.7× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Non-Facility (77078) |
$4,502 |
$4,502 |
49.5× |
| Corpora cavernosography (74445) |
$3,353 |
$3,353 |
30.7× |
| 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 contrast (74160) |
$8,990 |
$8,990 |
49.1× |
| CT abdomen w wo contrast (74170) |
$11,809 |
$11,809 |
64.5× |
| CT abdomen w/o contrast (74150) |
$8,152 |
$8,152 |
74.7× |
| CT angio hrt w/3d image (75574) |
$12,503 |
$12,503 |
34.3× |
| CT angio lwr extr w/o&w/dye (73706) |
$10,002 |
$10,002 |
54.6× |
| CT angiography upper extremity lt (73206) |
$10,002 |
$10,002 |
54.6× |
| CT c-spine w/contrast (72126) |
$6,863 |
$6,863 |
18.8× |
| CT c-spine w/o contrast (72125) |
$6,323 |
$6,323 |
57.9× |
| CT cervical spine w&w/o contrast (72127) |
$11,809 |
$11,809 |
64.5× |
| CT chest w contrast (71260) |
$10,684 |
$10,684 |
58.3× |
| CT chest w/wo contrast (71270) |
$11,809 |
$11,809 |
64.5× |
| 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 iac w contrast (70481) |
$7,872 |
$7,872 |
43.0× |
| CT limited/localized follow up study (76380) |
$2,222 |
$2,222 |
24.4× |
| CT lower ext w/o (73700) |
$7,872 |
$7,872 |
72.1× |
| CT lower extremity w wo contrast (73702) |
$9,245 |
$9,245 |
50.5× |
| CT lower extremity w/contrast material (73701) |
$6,907 |
$6,907 |
37.7× |
| CT lumbar spine w & w/o contrast (72133) |
$11,809 |
$11,809 |
64.5× |
| 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 maxillofacial w contrast (70487) |
$7,027 |
$7,027 |
38.4× |
| CT maxillofacial w/wo contrast (70488) |
$8,199 |
$8,199 |
44.8× |
| CT maxillofacial wo contrast (70486) |
$7,027 |
$7,027 |
64.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$9,053 |
$9,053 |
49.4× |
| CT orbits w/o contrast (70480) |
$7,313 |
$7,313 |
67.0× |
| CT pelvis w/o contrast (72192) |
$8,152 |
$8,152 |
74.7× |
| CT pelvis w/wo contrast (72194) |
$11,809 |
$11,809 |
64.5× |
| CT scan of arm combo (73202) |
$9,245 |
$9,245 |
50.5× |
| CT soft tissue neck w contrast (70491) |
$8,990 |
$8,990 |
49.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$11,809 |
$11,809 |
64.5× |
| CT soft tissue neck w/o contrast (70490) |
$6,021 |
$6,021 |
55.2× |
| 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/wo contrast (72130) |
$11,809 |
$11,809 |
64.5× |
| CT thorax w/o contrast (71250) |
$8,990 |
$8,990 |
82.3× |
| CT upper ext wo (73200) |
$7,872 |
$7,872 |
72.1× |
| CT upper extremity with contrast (73201) |
$6,907 |
$6,907 |
19.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$10,002 |
$10,002 |
54.6× |
| Cta Abdomen (74175) |
$4,036 |
$4,036 |
22.0× |
| CTA abdomen pelvis (74174) |
$6,510 |
$6,510 |
17.9× |
| CTA chest (71275) |
$4,036 |
$4,036 |
22.0× |
| Cta Head (70496) |
$4,036 |
$4,036 |
22.0× |
| Cta Neck (70498) |
$10,002 |
$10,002 |
54.6× |
| Cta Pelvis (72191) |
$4,036 |
$4,036 |
22.0× |
| Cystography minimum 3 views rs&i (74430) |
$3,621 |
$3,621 |
9.9× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$2,852 |
$2,852 |
1.3× |
| Diskogram cervical (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× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,099 |
$1,099 |
10.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$663 |
$663 |
7.3× |
| Esophagus (74220) |
$1,563 |
$1,563 |
8.5× |
| Facial bones min 3 views (70150) |
$4,523 |
$4,523 |
41.4× |
| Fetal biophysical profile non-stress testing (76818) |
$3,585 |
$3,585 |
32.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,366 |
$2,366 |
21.7× |
| Fluoroscopy up to 1 hr (76000) |
$2,038 |
$2,038 |
8.2× |
| Forearm 2 views (73090) |
$2,378 |
$2,378 |
26.2× |
| Heart Infarct Image (78466) |
$6,735 |
$6,735 |
16.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$7,866 |
$7,866 |
2.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,195 |
$5,195 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,833 |
$6,833 |
12.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$6,833 |
$6,833 |
16.4× |
| Hysterosalpingogram (74740) |
$4,189 |
$4,189 |
16.8× |
| Interstitial radiation source applic complex (77778) |
$18,278 |
$18,278 |
25.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$1,211 |
$1,211 |
11.1× |
| Kidney imaging morphology (78700) |
$5,290 |
$5,290 |
12.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,104 |
$4,104 |
7.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$7,094 |
$7,094 |
12.5× |
| Knee 3 views (73562) |
$2,716 |
$2,716 |
29.9× |
| Liver & spleen imaging 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 ventilation imaging (78579) |
$4,078 |
$4,078 |
9.8× |
| Lymphoscintigraphy (78195) |
$4,390 |
$4,390 |
7.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$18,220 |
$18,220 |
50.0× |
| Mammary ductogram or galactogram single (77053) |
$1,719 |
$1,719 |
6.9× |
| MRA head w & w/o contrast (70546) |
$17,034 |
$17,034 |
46.8× |
| MRA head w/o contrast (70544) |
$11,354 |
$11,354 |
45.6× |
| MRA head with contrast (70545) |
$11,354 |
$11,354 |
31.2× |
| MRA neck w contrast (70548) |
$11,354 |
$11,354 |
31.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$22,701 |
$22,701 |
62.3× |
| MRA neck w/o contrast (70547) |
$11,354 |
$11,354 |
45.6× |
| 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 jt lower extrem w/contrast material (73722) |
$11,816 |
$11,816 |
14.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$17,487 |
$17,487 |
48.0× |
| MRI breast w/o contrast bilateral (77047) |
$36,022 |
$36,022 |
144.6× |
| MRI breast wo contrast unilateral (77046) |
$18,193 |
$18,193 |
73.0× |
| MRI c-spine with contrast (72142) |
$14,260 |
$14,260 |
39.1× |
| 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 chest w/o & w/contrast material (71552) |
$17,487 |
$17,487 |
48.0× |
| MRI chest w/o contrast (71550) |
$12,277 |
$12,277 |
49.3× |
| MRI chest with contrast (71551) |
$12,277 |
$12,277 |
15.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$12,157 |
$12,157 |
33.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$18,333 |
$18,333 |
50.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$12,157 |
$12,157 |
48.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$11,796 |
$11,796 |
47.3× |
| MRI orbit face neck w contrast (70542) |
$15,226 |
$15,226 |
41.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$17,487 |
$17,487 |
48.0× |
| MRI pelvis w/contrast (72196) |
$18,311 |
$18,311 |
50.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$36,443 |
$36,443 |
100.0× |
| MRI pelvis w/o contrast (72195) |
$12,102 |
$12,102 |
48.6× |
| MRI spectroscopy (76390) |
$4,587 |
$4,587 |
50.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$19,019 |
$19,019 |
52.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,260 |
$14,260 |
39.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$19,019 |
$19,019 |
52.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$14,260 |
$14,260 |
39.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$19,019 |
$19,019 |
52.2× |
| MRI temporomandibular joint (70336) |
$12,277 |
$12,277 |
49.3× |
| MRI thoracic spine w/o contrast (72146) |
$11,264 |
$11,264 |
45.2× |
| MRI up ext w/o contrast (73218) |
$12,102 |
$12,102 |
48.6× |
| MRI upper ext joint w/o contrast (73221) |
$12,026 |
$12,026 |
48.3× |
| MRI, joint upper extrem combo (73223) |
$17,487 |
$17,487 |
48.0× |
| Myelogram Cervical (72240) |
$11,756 |
$11,756 |
14.4× |
| Myelogram Lumbar (72265) |
$9,493.50 |
$9,493.50 |
11.6× |
| Myelogram thoracic (72255) |
$9,778 |
$9,778 |
11.9× |
| Myelography 2 or more regions (72270) |
$13,575.50 |
$13,575.50 |
16.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$14,463 |
$14,463 |
10.7× |
| 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 infarct spect (78469) |
$4,104 |
$4,104 |
7.2× |
| 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 Multiple Studies (78452) |
$18,120 |
$18,120 |
13.4× |
| Myocardial spect single study at rest or stress (78451) |
$9,061 |
$9,061 |
6.7× |
| N-invas est c ffr sw aly CTA (75580) |
$2,988.54 |
$2,988.54 |
3.3× |
| Neck soft tissue (70360) |
$2,159 |
$2,159 |
23.8× |
| Nm adrenal scan (78075) |
$4,428 |
$4,428 |
3.3× |
| Nm cardiac blood pool multiple (78473) |
$6,351 |
$6,351 |
15.2× |
| Nm cisternogram (78630) |
$4,428 |
$4,428 |
7.8× |
| Nm gastric emptying study (78264) |
$7,134 |
$7,134 |
17.1× |
| Nm gastroesophageal reflux study (78262) |
$6,010 |
$6,010 |
14.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$7,604 |
$7,604 |
18.2× |
| Nuclear Rx Oral Admin (79005) |
$4,205 |
$4,205 |
17.3× |
| Parathyroid Planar Imaging (78070) |
$4,326 |
$4,326 |
10.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$4,568 |
$4,568 |
10.9× |
| Pelvis 1 or 2 views (72170) |
$1,706 |
$1,706 |
15.6× |
| PET image w/CT, skull-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 whole body (78813) |
$16,920 |
$16,920 |
11.3× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$16,920 |
$16,920 |
11.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,877 |
$6,877 |
2.1× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,095 |
$5,095 |
9.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,368 |
$3,368 |
5.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$2,449 |
$2,449 |
26.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$2,038 |
$2,038 |
22.4× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$2,378 |
$2,378 |
26.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,214 |
$3,214 |
29.4× |
| Radex fingr minimum 2 views (73140) |
$1,706 |
$1,706 |
18.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$2,631 |
$2,631 |
29.0× |
| Radex Hand Minimum 3 Views (73130) |
$2,036 |
$2,036 |
22.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$1,719 |
$1,719 |
18.9× |
| 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 Humerus Minimum 2 Views (73060) |
$2,378 |
$2,378 |
26.2× |
| Radex Kne 1/2 Views (73560) |
$2,378 |
$2,378 |
26.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$3,724 |
$3,724 |
34.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$2,159 |
$2,159 |
23.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$3,174 |
$3,174 |
34.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$949 |
$949 |
10.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,826 |
$2,826 |
31.1× |
| Radex Toe Minimum 2 Views (73660) |
$2,036 |
$2,036 |
22.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$2,036 |
$2,036 |
22.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$2,105 |
$2,105 |
23.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,875 |
$2,875 |
26.3× |
| Radiologic exam chest 2 views (71046) |
$1,719 |
$1,719 |
18.9× |
| Radiologic exam colon single contrast study (74270) |
$4,085 |
$4,085 |
22.3× |
| 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 (73551) |
$2,699 |
$2,699 |
29.7× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$2,412 |
$2,412 |
26.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$2,378 |
$2,378 |
26.2× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$3,893 |
$3,893 |
6.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$4,831 |
$4,831 |
44.3× |
| Radiological examination surgical specimen (76098) |
$779 |
$779 |
1.4× |
| Ribs bilateral 3 views (71110) |
$757 |
$757 |
6.9× |
| 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× |
| Rp Therapy Intravenous Administration (79101) |
$4,205 |
$4,205 |
17.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,270 |
$2,270 |
9.1× |
| Scapula (73010) |
$2,442 |
$2,442 |
22.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$1,518 |
$1,518 |
64.9× |
| Sella turcica (70240) |
$1,623 |
$1,623 |
17.9× |
| Sialogram (70390) |
$3,016 |
$3,016 |
12.1× |
| Small bowel series (74250) |
$4,468 |
$4,468 |
24.4× |
| Special treatment procedure (77470) |
$3,312 |
$3,312 |
5.7× |
| Testicular Imaging With Vascular Flow (78761) |
$4,573 |
$4,573 |
11.0× |
| Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) |
$2,951 |
$2,951 |
7.1× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) |
$3,951 |
$3,951 |
9.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,172 |
$6,172 |
10.9× |
| Thyroid imaging w/blood flow (78013) |
$4,753 |
$4,753 |
11.4× |
| Thyroid uptake measurement (78012) |
$3,075 |
$3,075 |
7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$7,042 |
$7,042 |
16.9× |
| Tomogram (76100) |
$6,091 |
$6,091 |
55.8× |
| Ultrasound breast complete (76641) |
$2,730 |
$2,730 |
25.0× |
| Ultrasound Exam Aaa Screen (76706) |
$1,217 |
$1,217 |
11.1× |
| 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 px dx nuclear medicine (78299) |
$4,376 |
$4,376 |
10.5× |
| Ureteral reflux study (78740) |
$5,895 |
$5,895 |
14.1× |
| Urethrocystogram voiding (74455) |
$6,332 |
$6,332 |
25.4× |
| Urethrocystography retrograde rs&i (74450) |
$3,353 |
$3,353 |
13.5× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$4,062 |
$4,062 |
22.2× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$7,160 |
$7,160 |
39.1× |
| Us breast unilateral limited (76642) |
$2,730 |
$2,730 |
30.0× |
| Us chest (76604) |
$2,004 |
$2,004 |
18.4× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$6,026 |
$6,026 |
26.7× |
| 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 infant hips w manipulation (76885) |
$4,094 |
$4,094 |
45.0× |
| Us lmtd joint/oth 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 limited (76815) |
$2,743 |
$2,743 |
25.1× |
| Us ob transvaginal (76817) |
$6,103 |
$6,103 |
55.9× |
| Us pelvic non ob complete (76856) |
$4,993 |
$4,993 |
45.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$3,196 |
$3,196 |
29.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$3,769 |
$3,769 |
34.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$2,477 |
$2,477 |
22.7× |
| Us retroperitoneal complete (76770) |
$8,765 |
$8,765 |
80.3× |
| Us retroperitoneal limited (76775) |
$5,306 |
$5,306 |
48.6× |
| Us scrotum and contents (76870) |
$5,306 |
$5,306 |
48.6× |
| Us soft tissue head/neck (76536) |
$5,210 |
$5,210 |
47.7× |
| Us spinal canal and contents (76800) |
$2,835 |
$2,835 |
26.0× |
| Us transrectal (76872) |
$1,219 |
$1,219 |
11.2× |
| Venogram adrenal unilat (75840) |
$12,293 |
$12,293 |
3.7× |
| Venogram extremity bilateral (75822) |
$6,425 |
$6,425 |
3.9× |
| Venogram Extremity Unilateral (75820) |
$6,425 |
$6,425 |
3.9× |
| Venography caval inferior serialography rs&i (75825) |
$12,293 |
$12,293 |
3.7× |
| Venography caval superior serialography rs&i (75827) |
$12,293 |
$12,293 |
7.5× |
| Venography Renal Bilateral (75833) |
$12,293 |
$12,293 |
3.7× |
| 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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$3,636 |
$3,636 |
33.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$3,235 |
$3,235 |
35.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$5,493 |
$5,493 |
30.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$2,269 |
$2,269 |
25.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$2,652 |
$2,652 |
29.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$3,603 |
$3,603 |
33.0× |
| X-ray exam of femur 2/> (73552) |
$2,699 |
$2,699 |
29.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$3,505 |
$3,505 |
38.6× |
| X-ray IV pyelogram (ivp) (74400) |
$3,804 |
$3,804 |
20.8× |
| 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 nose-rectum child f.b. (76010) |
$1,696 |
$1,696 |
18.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$3,724 |
$3,724 |
34.1× |
| X-ray retrograde pyelogram (74420) |
$5,666 |
$5,666 |
15.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$474 |
$474 |
5.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$3,054 |
$3,054 |
28.0× |
| 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 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 Spine One View - Xr Spine (72020) |
$2,543 |
$2,543 |
28.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,378 |
$2,378 |
26.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,850 |
$2,850 |
31.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$4,311 |
$4,311 |
39.5× |
| Xr bone length studies (77073) |
$1,536 |
$1,536 |
14.1× |
| Xr c-spine 4 or 5 views (72050) |
$4,523 |
$4,523 |
41.4× |
| Xr c-spine 6 or more views (72052) |
$6,681 |
$6,681 |
61.2× |
| Xr chest 4+ views (71048) |
$1,890 |
$1,890 |
17.3× |
| Xr urogram antegrade (74425) |
$2,277 |
$2,277 |
6.3× |