| Abdomen 2 views (74019) |
$2,172 |
$2,172 |
19.9× |
| Acute gi blood loss imaging (78278) |
$2,499 |
$2,499 |
6.0× |
| Angiography extremity bilateral rs&i (75716) |
$15,762.50 |
$15,762.50 |
4.8× |
| Angiography extremity unilateral rs&i (75710) |
$12,497.50 |
$12,497.50 |
3.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$18,649 |
$18,649 |
3.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$18,649 |
$18,649 |
5.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$18,649 |
$18,649 |
5.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$18,649 |
$18,649 |
3.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$7,881 |
$7,881 |
2.4× |
| Ankle 2 views (73600) |
$678 |
$678 |
7.5× |
| Aortogram thoracic (75605) |
$18,649 |
$18,649 |
3.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$18,649 |
$18,649 |
5.7× |
| Aortography abdominal serialography rs&i (75625) |
$18,649 |
$18,649 |
5.7× |
| Arthrogram ankle (73615) |
$1,267 |
$1,267 |
3.5× |
| Arthrogram elbow (73085) |
$1,267 |
$1,267 |
3.5× |
| Arthrogram hip (73525) |
$2,895 |
$2,895 |
7.9× |
| Arthrogram knee (73580) |
$2,724 |
$2,724 |
7.5× |
| Arthrogram shoulder (73040) |
$4,058 |
$4,058 |
11.1× |
| Arthrogram wrist (73115) |
$2,728 |
$2,728 |
7.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$12,938 |
$12,938 |
31.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$3,442 |
$3,442 |
8.2× |
| Bone &/joint imaging whole body (78306) |
$6,718 |
$6,718 |
16.1× |
| Bone age studies (77072) |
$1,346 |
$1,346 |
12.3× |
| Bone Imaging 3 Phase (78315) |
$5,023 |
$5,023 |
12.0× |
| Bone survey complete (77075) |
$5,847 |
$5,847 |
53.6× |
| Bone survey infant (77076) |
$22,310 |
$22,310 |
204.4× |
| Bowel imaging (78290) |
$6,357 |
$6,357 |
15.2× |
| Brain imaging < 4 static views (78600) |
$4,637 |
$4,637 |
11.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,209 |
$3,209 |
5.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,898 |
$9,898 |
6.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,043 |
$2,043 |
3.6× |
| Cervical spine 2 or 3 views (72040) |
$2,089 |
$2,089 |
23.0× |
| Chest 1 view (71045) |
$922 |
$922 |
10.1× |
| Chest xray 3 views (71047) |
$2,650 |
$2,650 |
29.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,450 |
$3,450 |
18.8× |
| Clavicle complete (73000) |
$1,397 |
$1,397 |
15.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$26,875 |
$26,875 |
73.8× |
| CT abdomen and pelvis without contrast (74176) |
$23,855 |
$23,855 |
95.7× |
| CT abdomen w contrast (74160) |
$13,887 |
$13,887 |
75.8× |
| CT abdomen w wo contrast (74170) |
$15,458 |
$15,458 |
84.4× |
| CT abdomen w/o contrast (74150) |
$12,837 |
$12,837 |
117.6× |
| CT angio hrt w/3d image (75574) |
$13,555 |
$13,555 |
37.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,174 |
$2,174 |
11.9× |
| CT angiography upper extremity lt (73206) |
$8,385 |
$8,385 |
45.8× |
| CT c-spine w/contrast (72126) |
$12,448 |
$12,448 |
34.2× |
| CT c-spine w/o contrast (72125) |
$11,413 |
$11,413 |
104.5× |
| CT cervical spine w&w/o contrast (72127) |
$13,403 |
$13,403 |
73.2× |
| CT chest w contrast (71260) |
$12,658 |
$12,658 |
69.1× |
| CT chest w/wo contrast (71270) |
$15,400 |
$15,400 |
84.1× |
| CT head/brain with contrast (70460) |
$12,594 |
$12,594 |
68.8× |
| CT head/brain without and with contrast (70470) |
$18,006 |
$18,006 |
98.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,236 |
$3,236 |
8.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$3,236 |
$3,236 |
35.6× |
| CT hrt w/3d image congen (75573) |
$3,236 |
$3,236 |
8.9× |
| CT iac w contrast (70481) |
$14,864 |
$14,864 |
81.1× |
| CT limited/localized follow up study (76380) |
$10,292 |
$10,292 |
113.2× |
| CT lower ext w/o (73700) |
$12,280 |
$12,280 |
112.5× |
| CT lower extremity w/contrast material (73701) |
$13,155 |
$13,155 |
71.8× |
| CT lumbar spine w & w/o contrast (72133) |
$13,403 |
$13,403 |
73.2× |
| CT lumbar spine w/contrast (72132) |
$12,448 |
$12,448 |
34.2× |
| CT lumbar spine w/o contrast (72131) |
$11,413 |
$11,413 |
104.5× |
| CT maxillofacial w contrast (70487) |
$13,681 |
$13,681 |
74.7× |
| CT maxillofacial w/wo contrast (70488) |
$14,594 |
$14,594 |
79.7× |
| CT maxillofacial wo contrast (70486) |
$10,287 |
$10,287 |
94.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$23,525 |
$23,525 |
128.4× |
| CT orbits w/o contrast (70480) |
$8,668 |
$8,668 |
79.4× |
| CT pelvis w/o contrast (72192) |
$11,022 |
$11,022 |
101.0× |
| CT pelvis w/wo contrast (72194) |
$12,335 |
$12,335 |
67.3× |
| CT scan of arm combo (73202) |
$15,932 |
$15,932 |
87.0× |
| CT soft tissue neck w contrast (70491) |
$11,994 |
$11,994 |
65.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$14,594 |
$14,594 |
79.7× |
| CT soft tissue neck w/o contrast (70490) |
$11,007 |
$11,007 |
100.8× |
| CT thoracic spine w/contrast (72129) |
$11,605 |
$11,605 |
63.4× |
| CT thoracic spine w/o contrast (72128) |
$9,834 |
$9,834 |
90.1× |
| CT thoracic spine w/wo contrast (72130) |
$16,400 |
$16,400 |
89.5× |
| CT thorax w/o contrast (71250) |
$11,450 |
$11,450 |
104.9× |
| CT upper ext wo (73200) |
$12,104 |
$12,104 |
110.9× |
| CT upper extremity with contrast (73201) |
$13,155 |
$13,155 |
36.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$4,341 |
$4,341 |
23.7× |
| Cta Abdomen (74175) |
$15,272 |
$15,272 |
83.4× |
| CTA abdomen pelvis (74174) |
$18,015 |
$18,015 |
49.4× |
| CTA chest (71275) |
$16,761 |
$16,761 |
91.5× |
| Cta Head (70496) |
$19,800 |
$19,800 |
108.1× |
| Cta Neck (70498) |
$5,161 |
$5,161 |
28.2× |
| Cta Pelvis (72191) |
$13,563 |
$13,563 |
74.0× |
| Cystography minimum 3 views rs&i (74430) |
$2,564 |
$2,564 |
7.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,146 |
$1,146 |
10.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,720 |
$1,720 |
15.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$2,301 |
$2,301 |
21.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,830 |
$1,830 |
7.3× |
| Esophagus (74220) |
$2,331 |
$2,331 |
12.7× |
| Facial bones min 3 views (70150) |
$2,721 |
$2,721 |
24.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$3,957 |
$3,957 |
36.2× |
| Fetal Echo (76825) |
$11,793 |
$11,793 |
20.7× |
| Fluoroscopy up to 1 hr (76000) |
$1,920 |
$1,920 |
7.7× |
| Foot 2 views (73620) |
$737 |
$737 |
8.1× |
| Forearm 2 views (73090) |
$1,735 |
$1,735 |
19.1× |
| Hand 2 views (73120) |
$737 |
$737 |
6.8× |
| Heart Infarct Image (78466) |
$3,826 |
$3,826 |
9.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,518 |
$4,518 |
8.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,518 |
$4,518 |
10.8× |
| Hysterosalpingogram (74740) |
$2,937 |
$2,937 |
11.8× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$895 |
$895 |
2.1× |
| Kidney imaging morphology (78700) |
$2,885 |
$2,885 |
6.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,833 |
$3,833 |
6.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,026 |
$4,026 |
7.1× |
| Knee 3 views (73562) |
$1,471 |
$1,471 |
16.2× |
| Liver & spleen imaging static only (78215) |
$5,202 |
$5,202 |
12.5× |
| Liver imaging static only (78201) |
$3,883 |
$3,883 |
6.8× |
| Lung ventilation imaging (78579) |
$6,464 |
$6,464 |
15.5× |
| Lymphoscintigraphy (78195) |
$5,014 |
$5,014 |
8.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$13,505 |
$13,505 |
37.1× |
| Mammary ductogram or galactogram single (77053) |
$2,243 |
$2,243 |
9.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$339 |
$339 |
3.4× |
| MRA head w & w/o contrast (70546) |
$8,246 |
$8,246 |
22.6× |
| MRA head w/o contrast (70544) |
$5,152 |
$5,152 |
20.7× |
| MRA head with contrast (70545) |
$5,497 |
$5,497 |
15.1× |
| MRA neck w contrast (70548) |
$5,497 |
$5,497 |
15.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,246 |
$8,246 |
22.6× |
| MRA neck w/o contrast (70547) |
$5,152 |
$5,152 |
20.7× |
| MRI abdomen w contrast (74182) |
$15,185 |
$15,185 |
41.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$16,208 |
$16,208 |
44.5× |
| MRI abdomen w/o contrast (74181) |
$5,345 |
$5,345 |
21.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$7,106 |
$7,106 |
8.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$13,505 |
$13,505 |
37.1× |
| MRI breast w/o contrast bilateral (77047) |
$3,689 |
$3,689 |
14.8× |
| MRI breast wo contrast unilateral (77046) |
$1,845 |
$1,845 |
7.4× |
| MRI c-spine with contrast (72142) |
$14,467 |
$14,467 |
39.7× |
| MRI cervical spine w/o contrast (72141) |
$7,850 |
$7,850 |
31.5× |
| MRI chest w/o & w/contrast material (71552) |
$13,382 |
$13,382 |
36.7× |
| MRI chest w/o contrast (71550) |
$9,228 |
$9,228 |
37.0× |
| MRI chest with contrast (71551) |
$10,798 |
$10,798 |
13.2× |
| MRI fetal sngl/1st gestation (74712) |
$9,536 |
$9,536 |
38.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$13,505 |
$13,505 |
37.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$8,435 |
$8,435 |
33.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,279 |
$5,279 |
21.2× |
| MRI orbit face neck w contrast (70542) |
$5,345 |
$5,345 |
14.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$16,208 |
$16,208 |
44.5× |
| MRI pelvis w/contrast (72196) |
$11,914 |
$11,914 |
32.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$16,208 |
$16,208 |
44.5× |
| MRI pelvis w/o contrast (72195) |
$9,536 |
$9,536 |
38.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$20,298 |
$20,298 |
55.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,383 |
$14,383 |
39.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$20,177 |
$20,177 |
55.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$14,945 |
$14,945 |
41.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$20,973 |
$20,973 |
57.6× |
| MRI temporomandibular joint (70336) |
$13,833 |
$13,833 |
55.5× |
| MRI thoracic spine w/o contrast (72146) |
$7,130 |
$7,130 |
28.6× |
| MRI up ext w/o contrast (73218) |
$8,435 |
$8,435 |
33.9× |
| MRI upper ext joint w/o contrast (73221) |
$8,435 |
$8,435 |
33.9× |
| MRI, joint upper extrem combo (73223) |
$13,505 |
$13,505 |
37.1× |
| Myelogram Cervical (72240) |
$6,645 |
$6,645 |
8.1× |
| Myelogram Lumbar (72265) |
$5,871 |
$5,871 |
7.2× |
| Myelogram thoracic (72255) |
$5,871 |
$5,871 |
7.2× |
| Myelography 2 or more regions (72270) |
$2,354 |
$2,354 |
2.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$10,518 |
$10,518 |
7.8× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$10,518 |
$10,518 |
7.0× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$10,518 |
$10,518 |
7.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$8,016 |
$8,016 |
5.9× |
| Myocardial Spect Multiple Studies (78452) |
$12,301 |
$12,301 |
9.1× |
| Neck soft tissue (70360) |
$1,616 |
$1,616 |
17.8× |
| Nm cardiac blood pool multiple (78473) |
$3,813 |
$3,813 |
9.1× |
| Nm cisternogram (78630) |
$2,445 |
$2,445 |
4.3× |
| Nm gastric emptying study (78264) |
$6,109 |
$6,109 |
14.6× |
| Nm gastroesophageal reflux study (78262) |
$3,004 |
$3,004 |
7.2× |
| Nonvascular shunt X-ray (75809) |
$1,157 |
$1,157 |
10.6× |
| Nuclear Rx Oral Admin (79005) |
$6,248 |
$6,248 |
25.6× |
| Ob us nuchal meas 1 gest (76813) |
$789 |
$789 |
7.2× |
| Osseous survey limited (77074) |
$4,763 |
$4,763 |
43.6× |
| Parathyroid Planar Imaging (78070) |
$2,793 |
$2,793 |
6.7× |
| Pelvis 1 or 2 views (72170) |
$1,809 |
$1,809 |
16.6× |
| PET image w/CT, skull-thigh (78815) |
$9,900 |
$9,900 |
6.6× |
| PET imaging CT for attenuation limited area (78814) |
$9,898 |
$9,898 |
6.6× |
| PET imaging for CT attenuation whole body (78816) |
$9,900 |
$9,900 |
6.6× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$9,898 |
$9,898 |
7.3× |
| PET whole body (78813) |
$9,900 |
$9,900 |
6.6× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$9,900 |
$9,900 |
6.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$5,623 |
$5,623 |
13.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$8,110 |
$8,110 |
14.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,992 |
$1,992 |
3.5× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,323 |
$1,323 |
14.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,735 |
$1,735 |
19.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,735 |
$1,735 |
19.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,133 |
$1,133 |
12.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,872 |
$2,872 |
26.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$3,171 |
$3,171 |
29.0× |
| Radex fingr minimum 2 views (73140) |
$1,582 |
$1,582 |
17.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,735 |
$1,735 |
19.1× |
| Radex Hand Minimum 3 Views (73130) |
$1,650 |
$1,650 |
18.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$1,397 |
$1,397 |
15.4× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$2,179 |
$2,179 |
20.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,787 |
$1,787 |
16.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$2,963 |
$2,963 |
27.1× |
| Radex Humerus Minimum 2 Views (73060) |
$1,701 |
$1,701 |
18.7× |
| Radex Kne 1/2 Views (73560) |
$737 |
$737 |
8.1× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$2,475 |
$2,475 |
22.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,816 |
$1,816 |
20.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,840 |
$1,840 |
20.2× |
| Radex Sinuses Paransl < 3 Views (70210) |
$706 |
$706 |
7.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,289 |
$2,289 |
25.2× |
| Radex Toe Minimum 2 Views (73660) |
$1,428 |
$1,428 |
15.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$681 |
$681 |
6.2× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,734 |
$1,734 |
19.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$3,171 |
$3,171 |
29.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,989 |
$1,989 |
21.9× |
| Radiologic exam chest 2 views (71046) |
$1,922 |
$1,922 |
21.1× |
| Radiologic exam colon single contrast study (74270) |
$4,280 |
$4,280 |
23.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,935 |
$3,935 |
21.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,475 |
$3,475 |
19.0× |
| Radiologic examination femur 1 view (73551) |
$802 |
$802 |
8.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,735 |
$1,735 |
19.1× |
| Radiological examination surgical specimen (76098) |
$2,709 |
$2,709 |
4.7× |
| Ribs bilateral 3 views (71110) |
$941 |
$941 |
8.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$4,555 |
$4,555 |
10.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,666 |
$6,666 |
16.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$6,766 |
$6,766 |
11.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$8,425 |
$8,425 |
14.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,666 |
$6,666 |
11.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,354 |
$1,354 |
5.4× |
| Scapula (73010) |
$1,600 |
$1,600 |
14.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$135 |
$135 |
5.8× |
| Shoulder 1 view (73020) |
$1,701 |
$1,701 |
18.7× |
| Small bowel series (74250) |
$2,785 |
$2,785 |
15.2× |
| Testicular Imaging With Vascular Flow (78761) |
$4,814 |
$4,814 |
11.5× |
| Thoracolumbar 2 views (72080) |
$142 |
$142 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$7,110 |
$7,110 |
12.5× |
| Thyroid imaging w/blood flow (78013) |
$3,869 |
$3,869 |
9.3× |
| Thyroid uptake measurement (78012) |
$2,297 |
$2,297 |
5.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$10,568 |
$10,568 |
25.3× |
| Tmj unilateral (70328) |
$737 |
$737 |
8.1× |
| Tomogram (76100) |
$2,729 |
$2,729 |
25.0× |
| Ultrasound breast complete (76641) |
$3,641 |
$3,641 |
33.4× |
| Ultrasound, abdomen limited (76705) |
$3,264 |
$3,264 |
29.9× |
| Umbilical-artery Doppler (OB) (76820) |
$2,301 |
$2,301 |
21.1× |
| Ureteral reflux study (78740) |
$4,676 |
$4,676 |
11.2× |
| Urethrocystogram voiding (74455) |
$3,293 |
$3,293 |
13.2× |
| Urethrocystography retrograde rs&i (74450) |
$2,435 |
$2,435 |
9.8× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$2,564 |
$2,564 |
14.0× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$5,275 |
$5,275 |
28.8× |
| Us breast unilateral limited (76642) |
$3,209 |
$3,209 |
35.3× |
| Us chest (76604) |
$1,157 |
$1,157 |
10.6× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,075 |
$1,075 |
4.8× |
| Us compl joint r-t w/image documentation (76881) |
$936 |
$936 |
8.6× |
| Us encephalogram (76506) |
$1,720 |
$1,720 |
15.8× |
| Us infant hips w manipulation (76885) |
$660 |
$660 |
7.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$936 |
$936 |
8.6× |
| Us ob detailed single fetus (76811) |
$2,624 |
$2,624 |
10.5× |
| Us ob limited (76815) |
$2,520 |
$2,520 |
23.1× |
| Us ob transvaginal (76817) |
$1,634 |
$1,634 |
15.0× |
| Us pelvic non ob complete (76856) |
$3,982 |
$3,982 |
36.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,198 |
$2,198 |
20.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$5,617 |
$5,617 |
51.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$2,116 |
$2,116 |
19.4× |
| Us retroperitoneal complete (76770) |
$6,245 |
$6,245 |
57.2× |
| Us retroperitoneal limited (76775) |
$3,344 |
$3,344 |
30.6× |
| Us scrotum and contents (76870) |
$3,509 |
$3,509 |
32.1× |
| Us soft tissue head/neck (76536) |
$3,355.50 |
$3,355.50 |
30.7× |
| Us spinal canal and contents (76800) |
$3,961 |
$3,961 |
36.3× |
| Us transrectal (76872) |
$1,735 |
$1,735 |
15.9× |
| Us,transplanted kidney, real time/ doppler (76776) |
$2,574 |
$2,574 |
23.6× |
| Venogram extremity bilateral (75822) |
$5,162 |
$5,162 |
3.1× |
| Venogram Extremity Unilateral (75820) |
$6,020 |
$6,020 |
3.7× |
| Venography caval inferior serialography rs&i (75825) |
$18,649 |
$18,649 |
5.7× |
| Venography caval superior serialography rs&i (75827) |
$9,484 |
$9,484 |
5.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,862 |
$2,862 |
26.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,050 |
$2,050 |
22.6× |
| X-ray b.e. reductn intuss (74283) |
$2,580 |
$2,580 |
14.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,536 |
$4,536 |
24.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$737 |
$737 |
8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,787 |
$1,787 |
19.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,570 |
$2,570 |
23.5× |
| X-ray exam of femur 2/> (73552) |
$1,607 |
$1,607 |
17.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$737 |
$737 |
8.1× |
| X-ray IV pyelogram (ivp) (74400) |
$3,805 |
$3,805 |
20.8× |
| X-ray leg, infant (73592) |
$1,751 |
$1,751 |
19.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,872 |
$2,872 |
26.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,171 |
$3,171 |
29.0× |
| X-ray nose-rectum child f.b. (76010) |
$737 |
$737 |
8.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,599 |
$2,599 |
23.8× |
| X-ray retrograde pyelogram (74420) |
$4,006 |
$4,006 |
11.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$737 |
$737 |
8.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,259 |
$2,259 |
20.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,409 |
$3,409 |
31.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,517 |
$1,517 |
13.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,936 |
$1,936 |
21.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,523 |
$2,523 |
27.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,872 |
$2,872 |
26.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,630 |
$1,630 |
14.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,512 |
$1,512 |
16.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,830 |
$1,830 |
20.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,062 |
$2,062 |
22.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,069 |
$2,069 |
19.0× |
| Xr bone length studies (77073) |
$2,258 |
$2,258 |
20.7× |
| Xr c-spine 4 or 5 views (72050) |
$2,493 |
$2,493 |
22.8× |
| Xr c-spine 6 or more views (72052) |
$2,650 |
$2,650 |
24.3× |
| Xr chest 4+ views (71048) |
$2,650 |
$2,650 |
24.3× |