| Acute gi blood loss imaging (78278) |
$4,440 |
$4,440 |
10.6× |
| Angio extremity unilateral (75710) |
$9,769 |
$9,769 |
3.0× |
| Angio pulmonary unilateral (75741) |
$10,045 |
$10,045 |
3.0× |
| Angiogram extremity bilateral (75716) |
$9,769 |
$9,769 |
3.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$15,612 |
$15,612 |
4.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$11,957 |
$11,957 |
2.1× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$3,118.50 |
$3,118.50 |
0.9× |
| Ankle 2 views (73600) |
$490 |
$490 |
5.4× |
| Arthrography knee lt (73580) |
$5,320 |
$5,320 |
14.6× |
| Barium enema (74270) |
$5,535 |
$5,535 |
30.2× |
| Bone age studies (77072) |
$1,581 |
$1,581 |
14.5× |
| Bone imaging limited area (78300) |
$6,853 |
$6,853 |
16.4× |
| Bone survey complete (77075) |
$1,678 |
$1,678 |
15.4× |
| Bowel imaging (78290) |
$4,483 |
$4,483 |
10.7× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$2,140 |
$2,140 |
3.8× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$19,981 |
$19,981 |
54.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$4,280 |
$4,280 |
23.4× |
| Cisternogram (78630) |
$4,406 |
$4,406 |
7.8× |
| Clavicle complete (73000) |
$2,217 |
$2,217 |
24.4× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$14,054 |
$14,054 |
76.7× |
| Contrast exam abdominl aorta (75625) |
$18,079.50 |
$18,079.50 |
5.5× |
| Contrast exam thoracic aorta (75605) |
$14,449 |
$14,449 |
2.5× |
| CT - st neck w&wo contr (70492) |
$17,689 |
$17,689 |
96.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$38,736 |
$38,736 |
106.3× |
| CT abdomen and pelvis without contrast (74176) |
$29,346 |
$29,346 |
117.8× |
| CT abdomen w wo contrast (74170) |
$19,365 |
$19,365 |
105.7× |
| CT abdomen w/contrast (74160) |
$16,137 |
$16,137 |
88.1× |
| CT abdomen w/o contrast (74150) |
$14,673 |
$14,673 |
134.4× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$36,390 |
$36,390 |
99.9× |
| CT angio abdom w/o & w/dye (74175) |
$18,197 |
$18,197 |
99.3× |
| CT angio abdominal arteries (75635) |
$18,197 |
$18,197 |
99.3× |
| CT angio hrt w/3d image (75574) |
$2,397 |
$2,397 |
6.6× |
| CT angiograph pelv w/o&w/dye (72191) |
$18,197 |
$18,197 |
99.3× |
| CT cervical spine w/contrast (72126) |
$15,911 |
$15,911 |
43.7× |
| CT cervical spine w/o contrast (72125) |
$14,463 |
$14,463 |
132.5× |
| CT chest w/contrast (71260) |
$15,529 |
$15,529 |
84.8× |
| CT head/brain with contrast (70460) |
$12,613 |
$12,613 |
68.9× |
| CT head/brain without and with contrast (70470) |
$15,133 |
$15,133 |
82.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$355 |
$355 |
3.9× |
| CT limited/localized follow up study (76380) |
$5,342 |
$5,342 |
58.8× |
| CT lower extremity w contrast (73701) |
$13,830 |
$13,830 |
75.5× |
| CT lower extremity w/o contrast unilateral (73700) |
$15,209 |
$15,209 |
139.3× |
| CT lumbar spine w/contrast (72132) |
$14,199 |
$14,199 |
39.0× |
| CT lumbar spine w/o contrast (72131) |
$12,906 |
$12,906 |
118.2× |
| CT maxillofacial area w/o contrast (70486) |
$12,798 |
$12,798 |
117.2× |
| CT maxillofacial w/contrast (70487) |
$14,075 |
$14,075 |
76.8× |
| CT orbit sella ear w/o con (70480) |
$10,643 |
$10,643 |
97.5× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$11,716 |
$11,716 |
64.0× |
| CT pelvis w & w/o contrast (72194) |
$19,365 |
$19,365 |
105.7× |
| CT pelvis w/o contrast (72192) |
$14,673 |
$14,673 |
134.4× |
| CT soft tissue neck w/contrast (70491) |
$14,742 |
$14,742 |
80.5× |
| CT soft tissue neck w/o contrast (70490) |
$13,402 |
$13,402 |
122.8× |
| CT thoracic spine w/contrast (72129) |
$13,424 |
$13,424 |
73.3× |
| CT thoracic spine w/o contrast (72128) |
$12,200 |
$12,200 |
111.8× |
| CT thorax lung cancer scr c- (71271) |
$14,928.50 |
$14,928.50 |
136.7× |
| CT thorax w/o contrast (71250) |
$14,112 |
$14,112 |
129.3× |
| CT thorax w/o then w/ contrast (71270) |
$18,630 |
$18,630 |
101.7× |
| CT upper extremity w/dye (73201) |
$12,145 |
$12,145 |
33.3× |
| CT upper extremity w/o contrast rt (73200) |
$11,039 |
$11,039 |
101.1× |
| CTA chest w/wo contrast (71275) |
$18,197 |
$18,197 |
99.3× |
| CTA head w contrast (70496) |
$18,197 |
$18,197 |
99.3× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$18,197 |
$18,197 |
99.3× |
| Cta Neck (70498) |
$18,197 |
$18,197 |
99.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$18,197 |
$18,197 |
99.3× |
| Esophogram (74220) |
$2,060 |
$2,060 |
11.2× |
| Fetal biophysical profile non-stress testing (76818) |
$3,951 |
$3,951 |
36.2× |
| Fetal biophysical profile w/o nst (76819) |
$3,762 |
$3,762 |
34.5× |
| Fetal echo complete (76825) |
$2,164 |
$2,164 |
3.8× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$3,055 |
$3,055 |
12.3× |
| Gastric emptying study (78264) |
$5,936 |
$5,936 |
14.2× |
| Gastroesophageal reflux study (78262) |
$2,024 |
$2,024 |
4.8× |
| Gated heart planar single (78472) |
$6,300 |
$6,300 |
15.1× |
| Heart infarct image (78466) |
$1,649 |
$1,649 |
3.9× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$18,676 |
$18,676 |
5.7× |
| Hepatobil syst image w/drug (78227) |
$1,977 |
$1,977 |
3.5× |
| Hepatobiliary system imaging (78226) |
$1,977 |
$1,977 |
4.7× |
| Humerus min 2 views (73060) |
$2,076 |
$2,076 |
22.8× |
| Hysterosalpingography (74740) |
$1,710 |
$1,710 |
6.9× |
| Ivp (74400) |
$4,881 |
$4,881 |
26.6× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$6,138 |
$6,138 |
10.8× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$7,422 |
$7,422 |
13.1× |
| Liver & spleen; static only (78215) |
$6,161 |
$6,161 |
14.8× |
| Lung ventilat&perfus imaging (78582) |
$2,133 |
$2,133 |
3.8× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$19,981 |
$19,981 |
54.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$19,981 |
$19,981 |
54.8× |
| Mammary ductogram multiple ducts (77054) |
$2,124 |
$2,124 |
8.5× |
| Mammary ductogram single (77053) |
$2,124 |
$2,124 |
8.5× |
| MRA head w & w/o contrast (70546) |
$19,981 |
$19,981 |
54.8× |
| MRA head w/contrast (70545) |
$16,617 |
$16,617 |
45.6× |
| MRA head w/o contrast (70544) |
$15,173 |
$15,173 |
60.9× |
| MRA neck w/contrast (70548) |
$16,617 |
$16,617 |
45.6× |
| MRA neck w/o contrast (70547) |
$15,173 |
$15,173 |
60.9× |
| MRA neck w/wo contrast (70549) |
$19,981 |
$19,981 |
54.8× |
| MRI abdomen w/contrast (74182) |
$16,617 |
$16,617 |
45.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$19,981 |
$19,981 |
54.8× |
| MRI abdomen w/o contrast (74181) |
$15,173 |
$15,173 |
60.9× |
| MRI any jnt lwr ext with con lt (73722) |
$16,617 |
$16,617 |
20.3× |
| MRI breast without contrast bilateral (77047) |
$15,173 |
$15,173 |
60.9× |
| MRI breast without contrast material unilateral (77046) |
$1,035 |
$1,035 |
4.2× |
| MRI cardiac w/o contrast (75557) |
$1,031 |
$1,031 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$16,617 |
$16,617 |
66.7× |
| MRI cervical spine with contrast (72142) |
$16,617 |
$16,617 |
45.6× |
| MRI chest w & w/o contrast (71552) |
$19,981 |
$19,981 |
54.8× |
| MRI chest w/contrast (71551) |
$16,617 |
$16,617 |
20.3× |
| MRI chest w/o contrast (71550) |
$15,173 |
$15,173 |
60.9× |
| MRI fetal sngl/1st gestation (74712) |
$1,108 |
$1,108 |
4.4× |
| MRI joint upper ext w/contrast (73222) |
$16,617 |
$16,617 |
20.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$19,981 |
$19,981 |
54.8× |
| MRI joint upr extrem w/o dye (73221) |
$15,173 |
$15,173 |
60.9× |
| Mri Lower Extremity W/O Dye (73718) |
$15,173 |
$15,173 |
60.9× |
| MRI lumbar spine with contrast (72149) |
$16,617 |
$16,617 |
45.6× |
| MRI lumbar w/wo contrast (72158) |
$19,981 |
$19,981 |
54.8× |
| MRI lwr ext w/o jnts with con rt (73719) |
$16,617 |
$16,617 |
45.6× |
| MRI orbit/face/neck w/contrast (70542) |
$16,617 |
$16,617 |
45.6× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$19,981 |
$19,981 |
54.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$15,173 |
$15,173 |
60.9× |
| MRI pelvis w/ contrast (72196) |
$16,617 |
$16,617 |
45.6× |
| MRI pelvis w/o contrast (72195) |
$15,173 |
$15,173 |
60.9× |
| MRI pelvis w/wo contrast (72197) |
$19,981 |
$19,981 |
54.8× |
| MRI spectroscopy (76390) |
$15,173 |
$15,173 |
167.0× |
| MRI spine cervical wo/w contrast (72156) |
$19,981 |
$19,981 |
54.8× |
| MRI spine thoracic w/contrast (72147) |
$16,617 |
$16,617 |
45.6× |
| MRI thoracic spine w wo contrast (72157) |
$19,981 |
$19,981 |
54.8× |
| MRI thoracic spine w/o contrast (72146) |
$15,173 |
$15,173 |
60.9× |
| MRI tmj (70336) |
$15,173 |
$15,173 |
60.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$15,173 |
$15,173 |
60.9× |
| Mri Upper Extremity W/Dye (73219) |
$16,617 |
$16,617 |
45.6× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$19,981 |
$19,981 |
54.8× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$1,172 |
$1,172 |
0.9× |
| Myocardial perfusion planar multiple studies (78454) |
$1,851 |
$1,851 |
1.4× |
| Myocardial spect single study at rest or stress (78451) |
$6,191 |
$6,191 |
4.6× |
| Nm bone 3 phase (78315) |
$8,401 |
$8,401 |
20.1× |
| Nm bone imaging whole body (78306) |
$8,021 |
$8,021 |
19.2× |
| Nm heart perfusion spect stress rest (78452) |
$11,790 |
$11,790 |
8.7× |
| Nm kidney imaging morphology (78700) |
$5,652 |
$5,652 |
13.5× |
| Nm lymph system (78195) |
$5,849 |
$5,849 |
10.3× |
| Nm thyroid imaging only (78013) |
$2,126 |
$2,126 |
5.1× |
| Nose to rectum for fb child (76010) |
$1,347 |
$1,347 |
14.8× |
| Ob us < 14 wks single fetus (76801) |
$1,011 |
$1,011 |
9.3× |
| Ob us nuchal meas 1 gest (76813) |
$1,346 |
$1,346 |
12.3× |
| Oral radiopharm rx (79005) |
$6,393 |
$6,393 |
26.2× |
| Orthopantogram (70355) |
$456 |
$456 |
5.0× |
| Parathyroid imaging (78070) |
$2,721 |
$2,721 |
6.5× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,721 |
$2,721 |
6.5× |
| Pulmonary perfusion imaging particulate (78580) |
$1,851 |
$1,851 |
4.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,773 |
$2,773 |
4.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$490 |
$490 |
5.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$567 |
$567 |
5.2× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$1,080 |
$1,080 |
9.9× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,745 |
$1,745 |
19.2× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$2,474 |
$2,474 |
27.2× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$3,643 |
$3,643 |
33.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$3,297 |
$3,297 |
30.2× |
| Radex spine cervical 2 or 3 views (72040) |
$2,206 |
$2,206 |
24.3× |
| Radex spine cervical 4 or 5 views (72050) |
$3,134 |
$3,134 |
28.7× |
| Radex spine cervical 6 or more views (72052) |
$3,254 |
$3,254 |
29.8× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$2,263 |
$2,263 |
24.9× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$2,060 |
$2,060 |
18.9× |
| Radiologic exam esophagus double contrast study (74221) |
$862 |
$862 |
4.7× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$954 |
$954 |
5.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$954 |
$954 |
5.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$954 |
$954 |
5.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,242 |
$2,242 |
24.7× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$3,307 |
$3,307 |
30.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,711 |
$1,711 |
4.1× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$7,012 |
$7,012 |
12.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$8,059 |
$8,059 |
14.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,156 |
$6,156 |
10.9× |
| Saline infused sonohysterogram (76831) |
$2,044 |
$2,044 |
8.2× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$334 |
$334 |
14.3× |
| Shoulder arthrogram (73040) |
$5,320 |
$5,320 |
14.6× |
| Small bowel series (74250) |
$4,491 |
$4,491 |
24.5× |
| Thyroid uptake single/multiple quant measurement (78012) |
$2,077 |
$2,077 |
5.0× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$4,542 |
$4,542 |
10.9× |
| Ultrasound breast limited (76642) |
$627 |
$627 |
6.9× |
| Ultrasound, abdomen limited (76705) |
$4,306 |
$4,306 |
39.4× |
| Umbilical-artery Doppler (OB) (76820) |
$1,024 |
$1,024 |
9.4× |
| Urethrocystography retrograde rs&i (74450) |
$2,124 |
$2,124 |
8.5× |
| Urethrocystography voiding (74455) |
$3,984 |
$3,984 |
16.0× |
| Urography retrograde w/wo kub (74420) |
$3,416 |
$3,416 |
9.4× |
| Us breast uni real time with image complete (76641) |
$627 |
$627 |
5.7× |
| Us chest (76604) |
$1,447 |
$1,447 |
13.3× |
| Us compl joint r-t w/image documentation (76881) |
$3,307 |
$3,307 |
30.3× |
| Us encephalogram (76506) |
$4,268 |
$4,268 |
39.1× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$1,432 |
$1,432 |
15.8× |
| Us kidney transplanted (76776) |
$4,008 |
$4,008 |
36.7× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,656 |
$1,656 |
15.2× |
| Us ob detailed single fetus (76811) |
$4,666 |
$4,666 |
18.7× |
| Us ob limited 1 or more fetuses (76815) |
$3,634 |
$3,634 |
33.3× |
| Us obstetric transvaginal (76817) |
$765 |
$765 |
7.0× |
| Us pelvic limited or f/u non-ob (76857) |
$861 |
$861 |
7.9× |
| Us pelvis complete (76856) |
$4,806 |
$4,806 |
44.0× |
| Us retroperitoneal complete (76770) |
$4,803 |
$4,803 |
44.0× |
| Us retroperitoneal limited (76775) |
$4,306 |
$4,306 |
39.4× |
| Us scrotum (76870) |
$4,568 |
$4,568 |
41.8× |
| Us soft tissue head/neck (76536) |
$4,672 |
$4,672 |
42.8× |
| Us spinal canal (76800) |
$1,605 |
$1,605 |
14.7× |
| Venogram extremity bilateral (75822) |
$3,801 |
$3,801 |
2.3× |
| Venogram ivc w serialography (75825) |
$14,052 |
$14,052 |
4.3× |
| Venogram svc w serialography (75827) |
$10,656 |
$10,656 |
6.5× |
| Venography ext unilateral (75820) |
$2,195 |
$2,195 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,151 |
$2,151 |
23.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$2,232 |
$2,232 |
24.6× |
| X-ray aorta leg arteries (75630) |
$17,423 |
$17,423 |
5.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,630 |
$4,630 |
25.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,226 |
$2,226 |
24.5× |
| X-ray exam hips bi 3-4 views (73522) |
$3,297 |
$3,297 |
30.2× |
| X-ray exam of finger(s) (73140) |
$1,861 |
$1,861 |
20.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$451 |
$451 |
5.0× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$341 |
$341 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,117 |
$2,117 |
23.3× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$341 |
$341 |
3.1× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,055 |
$2,055 |
22.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,610 |
$1,610 |
17.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$451 |
$451 |
5.0× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,461 |
$2,461 |
27.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$3,205 |
$3,205 |
29.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,038 |
$4,038 |
37.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,575 |
$2,575 |
23.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,851 |
$1,851 |
17.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,268 |
$1,268 |
14.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,242 |
$2,242 |
24.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,985 |
$2,985 |
32.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,141 |
$3,141 |
28.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,435 |
$2,435 |
22.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,546 |
$2,546 |
28.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$2,087 |
$2,087 |
23.0× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$341 |
$341 |
3.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,028 |
$2,028 |
22.3× |
| Xr abdomen 1 view (74018) |
$2,818 |
$2,818 |
31.0× |
| Xr abdomen 2 views (74019) |
$2,943 |
$2,943 |
27.0× |
| Xr arthrogram elbow (73085) |
$2,297 |
$2,297 |
6.3× |
| Xr arthrogram hip (73525) |
$2,575 |
$2,575 |
7.1× |
| Xr bone density appendicular (77081) |
$1,248 |
$1,248 |
13.7× |
| Xr bone density axial (77080) |
$3,117 |
$3,117 |
28.6× |
| Xr bone length study (77073) |
$2,184 |
$2,184 |
20.0× |
| Xr bone survey infant (77076) |
$1,678 |
$1,678 |
15.4× |
| Xr bone survey limited (77074) |
$1,484 |
$1,484 |
13.6× |
| Xr chest 1 view (71045) |
$2,151 |
$2,151 |
23.7× |
| Xr chest 2 views (71046) |
$2,028 |
$2,028 |
22.3× |
| Xr chest 3 views (71047) |
$2,217 |
$2,217 |
24.4× |
| Xr cystogram 3+ views (74430) |
$2,441 |
$2,441 |
6.7× |
| Xr facial bones 3 views (70150) |
$2,985 |
$2,985 |
27.3× |
| Xr lower extremity 2 views infant (73592) |
$2,344 |
$2,344 |
25.8× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$3,205 |
$3,205 |
29.4× |
| Xr mandible 4 views (70110) |
$2,833 |
$2,833 |
26.0× |
| Xr nasal bones (70160) |
$2,087 |
$2,087 |
23.0× |
| Xr spine 1 view (72020) |
$2,280 |
$2,280 |
25.1× |
| Xr sternum 2 views (71120) |
$2,212 |
$2,212 |
24.3× |
| Xr surgical specimen (76098) |
$1,333 |
$1,333 |
2.3× |
| Xr upper extremity 2 views infant (73092) |
$2,076 |
$2,076 |
19.0× |
| Xray elbow 2 views (73070) |
$2,232 |
$2,232 |
24.6× |
| Xray forearm 2 views (73090) |
$2,010 |
$2,010 |
22.1× |
| Xray knee 1 or 2 views rt (73560) |
$341 |
$341 |
3.8× |
| Xray neck soft tissue (70360) |
$1,876 |
$1,876 |
20.6× |
| Xray orbits complete min 4 views (70200) |
$2,818 |
$2,818 |
25.8× |
| Xray pelvis 1 or 2 views (72170) |
$2,051 |
$2,051 |
18.8× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,474 |
$2,474 |
22.7× |
| Xray scapula complete (73010) |
$1,743 |
$1,743 |
16.0× |
| Xray shoulder 1 view (73020) |
$341 |
$341 |
3.8× |
| Xray sinuses paranasal <3 views (70210) |
$1,876 |
$1,876 |
20.6× |
| Xray spine thoracic 3 views (72072) |
$490 |
$490 |
4.5× |
| Xray tibia-fibula 2 views bil (73590) |
$2,076 |
$2,076 |
22.8× |
| Xray tmj's bilateral open-clsc (70330) |
$2,539 |
$2,539 |
27.9× |