| Acute gi blood loss imaging (78278) |
$2,631 |
$2,631 |
6.3× |
| Angio adrenal bilat select (75733) |
$16,728 |
$16,728 |
5.1× |
| Angio adrenal unilat select (75731) |
$16,728 |
$16,728 |
5.1× |
| Angio extremity unilateral (75710) |
$6,201 |
$6,201 |
1.9× |
| Angio pulmonary unilateral (75741) |
$11,056 |
$11,056 |
3.4× |
| Angiogram extremity bilateral (75716) |
$12,080 |
$12,080 |
3.7× |
| Angiogram pelvic (75736) |
$9,486 |
$9,486 |
1.6× |
| Angiography internal mammary rs&i (75756) |
$16,728 |
$16,728 |
5.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$14,402.50 |
$14,402.50 |
4.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$11,246 |
$11,246 |
1.9× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$15,508 |
$15,508 |
4.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$6,922 |
$6,922 |
2.1× |
| Ankle 2 views (73600) |
$1,534 |
$1,534 |
16.9× |
| Arthrography knee lt (73580) |
$2,425 |
$2,425 |
6.7× |
| Arthrography wrist lt (73115) |
$2,451 |
$2,451 |
6.7× |
| Barium enema (74270) |
$4,415 |
$4,415 |
24.1× |
| Bilat selctv renal venogram (75833) |
$11,749 |
$11,749 |
3.6× |
| Bone age studies (77072) |
$1,364 |
$1,364 |
12.5× |
| Bone imaging limited area (78300) |
$1,155 |
$1,155 |
2.8× |
| Bone survey complete (77075) |
$2,455 |
$2,455 |
22.5× |
| Bowel imaging (78290) |
$5,512 |
$5,512 |
13.2× |
| Brain image w/flow 4 + views (78606) |
$6,830 |
$6,830 |
12.0× |
| Card MRI w/stress img & dye (75563) |
$3,604 |
$3,604 |
4.4× |
| Cardiac MRI w/stress img (75559) |
$3,204 |
$3,204 |
5.6× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$3,426 |
$3,426 |
9.4× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$1,860 |
$1,860 |
10.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,428 |
$3,428 |
18.7× |
| Cineradiography/videoradiography (76120) |
$1,056 |
$1,056 |
9.7× |
| Cisternogram (78630) |
$1,172 |
$1,172 |
2.1× |
| Clavicle complete (73000) |
$1,868 |
$1,868 |
20.6× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$10,704 |
$10,704 |
58.4× |
| Contrast exam abdominl aorta (75625) |
$13,620 |
$13,620 |
4.1× |
| Contrast exam thoracic aorta (75605) |
$10,981 |
$10,981 |
1.9× |
| CT - st neck w&wo contr (70492) |
$9,924 |
$9,924 |
54.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$20,790 |
$20,790 |
57.1× |
| CT abdomen and pelvis without contrast (74176) |
$13,039.50 |
$13,039.50 |
52.3× |
| CT abdomen w wo contrast (74170) |
$10,542 |
$10,542 |
57.6× |
| CT abdomen w/contrast (74160) |
$9,094 |
$9,094 |
49.6× |
| CT abdomen w/o contrast (74150) |
$7,062 |
$7,062 |
64.7× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$27,073 |
$27,073 |
74.3× |
| CT angio abdom w/o & w/dye (74175) |
$14,264 |
$14,264 |
77.9× |
| CT angio abdominal arteries (75635) |
$16,208 |
$16,208 |
88.5× |
| CT angio hrt w/3d image (75574) |
$11,435 |
$11,435 |
31.4× |
| CT angiograph pelv w/o&w/dye (72191) |
$12,192 |
$12,192 |
66.6× |
| CT cervical spine w/contrast (72126) |
$11,383 |
$11,383 |
31.2× |
| CT cervical spine w/o contrast (72125) |
$11,751 |
$11,751 |
107.6× |
| CT chest w/contrast (71260) |
$11,697 |
$11,697 |
63.9× |
| CT head/brain with contrast (70460) |
$6,923 |
$6,923 |
37.8× |
| CT head/brain without and with contrast (70470) |
$11,554 |
$11,554 |
63.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$11,357 |
$11,357 |
31.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$404 |
$404 |
4.4× |
| CT limited/localized follow up study (76380) |
$6,259 |
$6,259 |
68.9× |
| CT lower ext w/wo contrast (73702) |
$12,661 |
$12,661 |
69.1× |
| CT lower extremity w contrast (73701) |
$12,661 |
$12,661 |
69.1× |
| CT lower extremity w/o contrast unilateral (73700) |
$11,854 |
$11,854 |
108.6× |
| CT lumbar spine w/contrast (72132) |
$11,383 |
$11,383 |
31.2× |
| CT lumbar spine w/o contrast (72131) |
$10,686 |
$10,686 |
97.9× |
| CT lumbar spine w/o then w/ con (72133) |
$12,661 |
$12,661 |
69.1× |
| CT maxillofacial area w/o contrast (70486) |
$9,573 |
$9,573 |
87.7× |
| CT maxillofacial w/contrast (70487) |
$10,202 |
$10,202 |
55.7× |
| CT maxillofacial w/o then w/ con (70488) |
$12,020 |
$12,020 |
65.6× |
| CT orbit sella ear w/o con (70480) |
$10,182 |
$10,182 |
93.3× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$12,825 |
$12,825 |
70.0× |
| CT pelvis w & w/o contrast (72194) |
$10,102 |
$10,102 |
55.2× |
| CT pelvis w/o contrast (72192) |
$5,925 |
$5,925 |
54.3× |
| CT soft tissue neck w/contrast (70491) |
$9,378 |
$9,378 |
51.2× |
| CT soft tissue neck w/o contrast (70490) |
$8,704 |
$8,704 |
79.7× |
| CT spine cervical w/wo contrast (72127) |
$13,378 |
$13,378 |
73.0× |
| CT thoracic spine w/contrast (72129) |
$14,043 |
$14,043 |
76.7× |
| CT thoracic spine w/o contrast (72128) |
$11,751 |
$11,751 |
107.6× |
| CT thoracic spine w/o then w/ con (72130) |
$15,225 |
$15,225 |
83.1× |
| CT thorax lung cancer scr c- (71271) |
$852 |
$852 |
7.8× |
| CT thorax w/o contrast (71250) |
$10,892 |
$10,892 |
99.8× |
| CT thorax w/o then w/ contrast (71270) |
$11,838 |
$11,838 |
64.6× |
| CT upper extremity w/dye (73201) |
$12,341 |
$12,341 |
33.9× |
| CT upper extremity w/o contrast rt (73200) |
$11,775.50 |
$11,775.50 |
107.9× |
| CTA chest w/wo contrast (71275) |
$11,060 |
$11,060 |
60.4× |
| CTA head w contrast (70496) |
$22,909 |
$22,909 |
125.1× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$9,460 |
$9,460 |
51.6× |
| Cta Neck (70498) |
$12,661 |
$12,661 |
69.1× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$9,460 |
$9,460 |
51.6× |
| Dilation ureters/urethra rs&i (74485) |
$5,050 |
$5,050 |
2.3× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) |
$4,106 |
$4,106 |
2.0× |
| Diskography lumbar (72295) |
$4,106 |
$4,106 |
2.0× |
| Esophogram (74220) |
$1,820 |
$1,820 |
9.9× |
| Fetal biophysical profile w/o nst (76819) |
$3,036 |
$3,036 |
27.8× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$4,775.50 |
$4,775.50 |
19.2× |
| Gastric emptying study (78264) |
$2,336 |
$2,336 |
5.6× |
| Gated heart planar single (78472) |
$3,612 |
$3,612 |
8.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$11,745 |
$11,745 |
3.6× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$11,749 |
$11,749 |
3.6× |
| Hepatobil syst image w/drug (78227) |
$12,249 |
$12,249 |
21.6× |
| Hepatobiliary system imaging (78226) |
$6,706 |
$6,706 |
16.1× |
| Humerus min 2 views (73060) |
$1,891 |
$1,891 |
20.8× |
| Hysterosalpingography (74740) |
$2,365 |
$2,365 |
9.5× |
| Ivp (74400) |
$6,353 |
$6,353 |
34.7× |
| Ivp w tomography (74415) |
$7,743 |
$7,743 |
42.3× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$4,551 |
$4,551 |
8.0× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$9,103 |
$9,103 |
16.1× |
| Kidney w vascular flow (78701) |
$6,555 |
$6,555 |
15.7× |
| Liver & spleen; static only (78215) |
$4,704 |
$4,704 |
11.3× |
| Liver & spleen; w vasc flow (78216) |
$4,719 |
$4,719 |
11.3× |
| Lung ventilat&perfus imaging (78582) |
$12,329 |
$12,329 |
21.7× |
| Lung ventilation imaging (78579) |
$7,671 |
$7,671 |
18.4× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$9,696 |
$9,696 |
26.6× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$12,804 |
$12,804 |
35.1× |
| Mammary ductogram multiple ducts (77054) |
$602 |
$602 |
2.4× |
| Mammary ductogram single (77053) |
$2,736 |
$2,736 |
11.0× |
| Mr safety determination physician/other qhp (76016) |
$385 |
$385 |
4.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$260 |
$260 |
4.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$107 |
$107 |
3.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$402 |
$402 |
4.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,058 |
$1,058 |
4.2× |
| MRA head w & w/o contrast (70546) |
$10,526 |
$10,526 |
28.9× |
| MRA head w/contrast (70545) |
$7,170 |
$7,170 |
19.7× |
| MRA head w/o contrast (70544) |
$6,538 |
$6,538 |
26.2× |
| MRA neck w/contrast (70548) |
$12,804 |
$12,804 |
35.1× |
| MRA neck w/o contrast (70547) |
$11,473 |
$11,473 |
46.0× |
| MRA neck w/wo contrast (70549) |
$13,274 |
$13,274 |
36.4× |
| MRI abdomen w/contrast (74182) |
$7,737 |
$7,737 |
21.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,384 |
$9,384 |
25.8× |
| MRI abdomen w/o contrast (74181) |
$6,810 |
$6,810 |
27.3× |
| MRI any jnt lwr ext with con lt (73722) |
$8,288 |
$8,288 |
10.1× |
| MRI breast without contrast bilateral (77047) |
$7,916 |
$7,916 |
31.8× |
| MRI cardiac w/o contrast (75557) |
$7,737 |
$7,737 |
31.1× |
| MRI cervical spine w/o contrast (72141) |
$8,539 |
$8,539 |
34.3× |
| MRI cervical spine with contrast (72142) |
$6,263 |
$6,263 |
17.2× |
| MRI chest w & w/o contrast (71552) |
$12,557 |
$12,557 |
34.5× |
| MRI chest w/contrast (71551) |
$10,500 |
$10,500 |
12.8× |
| MRI chest w/o contrast (71550) |
$7,577 |
$7,577 |
30.4× |
| MRI joint upper ext w/contrast (73222) |
$8,422 |
$8,422 |
10.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$9,714 |
$9,714 |
26.7× |
| MRI joint upr extrem w/o dye (73221) |
$7,964 |
$7,964 |
32.0× |
| Mri Lower Extremity W/O Dye (73718) |
$7,918 |
$7,918 |
31.8× |
| MRI lumbar spine with contrast (72149) |
$7,844 |
$7,844 |
21.5× |
| MRI lumbar w/wo contrast (72158) |
$10,847 |
$10,847 |
29.8× |
| MRI lwr ext w/o jnts with con rt (73719) |
$8,389 |
$8,389 |
23.0× |
| MRI orbit/face/neck w/contrast (70542) |
$7,650 |
$7,650 |
21.0× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$9,384 |
$9,384 |
25.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$11,420 |
$11,420 |
45.8× |
| MRI pelvis w/ contrast (72196) |
$9,336 |
$9,336 |
25.6× |
| MRI pelvis w/o contrast (72195) |
$7,828 |
$7,828 |
31.4× |
| MRI pelvis w/wo contrast (72197) |
$9,384 |
$9,384 |
25.8× |
| MRI spectroscopy (76390) |
$1,646 |
$1,646 |
18.1× |
| MRI spine cervical wo/w contrast (72156) |
$11,795 |
$11,795 |
32.4× |
| MRI spine thoracic w/contrast (72147) |
$6,263 |
$6,263 |
17.2× |
| MRI thoracic spine w wo contrast (72157) |
$12,195 |
$12,195 |
33.5× |
| MRI thoracic spine w/o contrast (72146) |
$8,817 |
$8,817 |
35.4× |
| MRI tmj (70336) |
$11,260 |
$11,260 |
45.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,918 |
$7,918 |
31.8× |
| Mri Upper Extremity W/Dye (73219) |
$8,372 |
$8,372 |
23.0× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$15,477 |
$15,477 |
42.5× |
| Myelogram thoracic (72255) |
$8,662 |
$8,662 |
10.6× |
| Myelography lumbosacral (72265) |
$6,775 |
$6,775 |
8.3× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$4,653 |
$4,653 |
5.2× |
| Nm bone 3 phase (78315) |
$5,963 |
$5,963 |
14.3× |
| Nm bone imaging whole body (78306) |
$6,268 |
$6,268 |
15.0× |
| Nm heart perfusion spect stress rest (78452) |
$11,894 |
$11,894 |
8.8× |
| Nm kidney function (78725) |
$4,551 |
$4,551 |
10.9× |
| Nm kidney imaging morphology (78700) |
$4,551 |
$4,551 |
10.9× |
| Nm liver image static only (78201) |
$4,387 |
$4,387 |
7.7× |
| Nm lymph system (78195) |
$5,966 |
$5,966 |
10.5× |
| Nm thyroid imaging only (78013) |
$5,448 |
$5,448 |
13.1× |
| Nose to rectum for fb child (76010) |
$1,292 |
$1,292 |
14.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,209 |
$3,209 |
7.7× |
| Nuclear rx IV admin (79101) |
$8,715 |
$8,715 |
35.8× |
| Ob us < 14 wks single fetus (76801) |
$1,773 |
$1,773 |
16.2× |
| Oral radiopharm rx (79005) |
$5,361 |
$5,361 |
22.0× |
| Parathyroid imaging (78070) |
$4,768 |
$4,768 |
11.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$4,768 |
$4,768 |
11.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$16,426 |
$16,426 |
11.0× |
| PET imaging CT for attenuation limited area (78814) |
$16,426 |
$16,426 |
11.0× |
| PET imaging for CT attenuation whole body (78816) |
$16,426 |
$16,426 |
11.0× |
| PET imaging limited area chest head/neck (78811) |
$13,147 |
$13,147 |
9.7× |
| PET imaging whole body (78813) |
$13,147 |
$13,147 |
8.8× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21 (78812) |
$13,147 |
$13,147 |
8.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$9,166 |
$9,166 |
2.8× |
| Pulmonary perfusion imaging particulate (78580) |
$4,224 |
$4,224 |
10.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$4,378 |
$4,378 |
7.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$2,822 |
$2,822 |
31.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$5,938 |
$5,938 |
54.4× |
| Radex hip unilateral with pelvis 1 view (73501) |
$3,238 |
$3,238 |
35.6× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$3,265 |
$3,265 |
35.9× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$3,974 |
$3,974 |
36.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,877 |
$2,877 |
26.4× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$4,184 |
$4,184 |
38.3× |
| Radex spine cervical 2 or 3 views (72040) |
$3,326 |
$3,326 |
36.6× |
| Radex spine cervical 4 or 5 views (72050) |
$3,930 |
$3,930 |
36.0× |
| Radex spine cervical 6 or more views (72052) |
$3,532 |
$3,532 |
32.4× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$3,605 |
$3,605 |
33.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,826 |
$3,826 |
20.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,826 |
$3,826 |
20.9× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$2,115 |
$2,115 |
23.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,498 |
$2,498 |
27.5× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$3,924 |
$3,924 |
35.9× |
| Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) |
$2,505 |
$2,505 |
22.9× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$3,147 |
$3,147 |
28.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,867 |
$2,867 |
6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,738 |
$1,738 |
4.2× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$4,004 |
$4,004 |
7.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,975 |
$6,975 |
12.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,144 |
$7,144 |
12.6× |
| Saline infused sonohysterogram (76831) |
$4,100 |
$4,100 |
16.5× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$1,616 |
$1,616 |
69.1× |
| Selective spinal angiogram (75705) |
$6,148 |
$6,148 |
1.1× |
| Shoulder arthrogram (73040) |
$5,082 |
$5,082 |
13.9× |
| Small bowel series (74250) |
$2,237 |
$2,237 |
12.2× |
| Spleen imaging only (78185) |
$5,022 |
$5,022 |
12.0× |
| Splenoportography (75810) |
$3,578 |
$3,578 |
1.1× |
| Superior sagittal sinus venogram (75870) |
$4,113 |
$4,113 |
1.2× |
| Therapeutic enema barium or air (74283) |
$2,725 |
$2,725 |
14.9× |
| Thyroid met imaging body (78018) |
$4,728 |
$4,728 |
8.3× |
| Thyroid uptake single/multiple quant measurement (78012) |
$5,406 |
$5,406 |
12.9× |
| Ultrasound breast limited (76642) |
$3,169 |
$3,169 |
34.9× |
| Ultrasound, abdomen limited (76705) |
$3,634 |
$3,634 |
33.3× |
| Umbilical-artery Doppler (OB) (76820) |
$1,629 |
$1,629 |
14.9× |
| Unlisted diagnostic radiographic procedure (76499) |
$2,534 |
$2,534 |
27.9× |
| Urethrocystography retrograde rs&i (74450) |
$5,432 |
$5,432 |
21.8× |
| Urethrocystography voiding (74455) |
$4,281 |
$4,281 |
17.2× |
| Urography antegrade (74425) |
$2,147 |
$2,147 |
5.9× |
| Urography retrograde w/wo kub (74420) |
$2,462 |
$2,462 |
6.8× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$7,743 |
$7,743 |
42.3× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,133 |
$1,133 |
10.4× |
| Us breast uni real time with image complete (76641) |
$3,803 |
$3,803 |
34.8× |
| Us chest (76604) |
$2,635 |
$2,635 |
24.1× |
| Us kidney transplanted (76776) |
$5,682 |
$5,682 |
52.0× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,171 |
$1,171 |
10.7× |
| Us ob detailed single fetus (76811) |
$1,819 |
$1,819 |
7.3× |
| Us ob followup per fetus (76816) |
$1,819 |
$1,819 |
16.7× |
| Us ob limited 1 or more fetuses (76815) |
$1,819 |
$1,819 |
16.7× |
| Us obstetric transvaginal (76817) |
$2,860 |
$2,860 |
26.2× |
| Us pelvic limited or f/u non-ob (76857) |
$1,457 |
$1,457 |
13.3× |
| Us pelvis complete (76856) |
$2,760 |
$2,760 |
25.3× |
| Us retroperitoneal complete (76770) |
$4,876 |
$4,876 |
44.7× |
| Us retroperitoneal limited (76775) |
$2,567 |
$2,567 |
23.5× |
| Us scrotum (76870) |
$2,398 |
$2,398 |
22.0× |
| Us soft tissue head/neck (76536) |
$2,635 |
$2,635 |
24.1× |
| Us spinal canal (76800) |
$3,374 |
$3,374 |
30.9× |
| Us transrectal (76872) |
$3,173 |
$3,173 |
29.1× |
| Vascular flow imaging (78445) |
$2,546 |
$2,546 |
6.1× |
| Vein X-ray liver w/hemodynam (75885) |
$11,459 |
$11,459 |
3.5× |
| Venogram epidural (75872) |
$16,728 |
$16,728 |
25.5× |
| Venogram extremity bilateral (75822) |
$4,474 |
$4,474 |
2.7× |
| Venogram ivc w serialography (75825) |
$5,271 |
$5,271 |
1.6× |
| Venogram svc w serialography (75827) |
$5,271 |
$5,271 |
3.2× |
| Venography adrenal unilateral selective rs&i (75840) |
$10,743 |
$10,743 |
3.3× |
| Venography ext unilateral (75820) |
$4,474 |
$4,474 |
2.7× |
| Venography renal unilateral selective rs&i (75831) |
$14,238.50 |
$14,238.50 |
4.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$16,728 |
$16,728 |
5.1× |
| Venous sampling by catheter (75893) |
$11,006 |
$11,006 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$5,476 |
$5,476 |
60.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,665 |
$1,665 |
18.3× |
| X-ray aorta leg arteries (75630) |
$12,375.50 |
$12,375.50 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,415 |
$4,415 |
24.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,592 |
$2,592 |
28.5× |
| X-ray exam hips bi 3-4 views (73522) |
$3,767 |
$3,767 |
34.5× |
| X-ray exam of finger(s) (73140) |
$2,220 |
$2,220 |
24.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,928 |
$2,928 |
32.2× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,860 |
$1,860 |
20.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,220 |
$2,220 |
24.4× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,263 |
$1,263 |
11.6× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,173 |
$2,173 |
23.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$2,043 |
$2,043 |
22.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,106 |
$2,106 |
23.2× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,673.50 |
$2,673.50 |
29.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$3,624 |
$3,624 |
33.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$2,255 |
$2,255 |
24.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$3,668 |
$3,668 |
33.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$6,463 |
$6,463 |
59.2× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$2,505 |
$2,505 |
22.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,755 |
$2,755 |
30.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$7,053 |
$7,053 |
64.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,752 |
$1,752 |
16.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$3,545 |
$3,545 |
39.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$3,531.50 |
$3,531.50 |
38.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,455 |
$2,455 |
27.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,375 |
$2,375 |
21.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,916 |
$1,916 |
17.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$969 |
$969 |
10.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,747 |
$1,747 |
19.2× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,945 |
$1,945 |
21.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,362 |
$2,362 |
26.0× |
| Xr abdomen 1 view (74018) |
$2,075 |
$2,075 |
22.8× |
| Xr abdomen 2 views (74019) |
$4,146 |
$4,146 |
38.0× |
| Xr arthrogram ankle (73615) |
$2,425 |
$2,425 |
6.7× |
| Xr arthrogram elbow (73085) |
$2,258.50 |
$2,258.50 |
6.2× |
| Xr arthrogram hip (73525) |
$2,540 |
$2,540 |
7.0× |
| Xr bone density appendicular (77081) |
$1,501 |
$1,501 |
16.5× |
| Xr bone density axial (77080) |
$1,501 |
$1,501 |
13.7× |
| Xr bone length study (77073) |
$1,974 |
$1,974 |
18.1× |
| Xr bone survey infant (77076) |
$1,612 |
$1,612 |
14.8× |
| Xr bone survey limited (77074) |
$2,455 |
$2,455 |
22.5× |
| Xr chest 1 view (71045) |
$1,170 |
$1,170 |
12.9× |
| Xr chest 2 views (71046) |
$2,621 |
$2,621 |
28.8× |
| Xr chest 3 views (71047) |
$2,451 |
$2,451 |
27.0× |
| Xr cystogram 3+ views (74430) |
$2,624 |
$2,624 |
7.2× |
| Xr facial bones 3 views (70150) |
$3,013 |
$3,013 |
27.6× |
| Xr lower extremity 2 views infant (73592) |
$1,731 |
$1,731 |
19.0× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$4,321 |
$4,321 |
39.6× |
| Xr mandible 4 views (70110) |
$2,956 |
$2,956 |
27.1× |
| Xr myelogram c-spine (72240) |
$6,775 |
$6,775 |
8.3× |
| Xr nasal bones (70160) |
$2,075 |
$2,075 |
22.8× |
| Xr sella turcica (70240) |
$2,064 |
$2,064 |
22.7× |
| Xr sialogram (70390) |
$2,318 |
$2,318 |
9.3× |
| Xr spine 1 view (72020) |
$2,436 |
$2,436 |
26.8× |
| Xr sternum 2 views (71120) |
$1,722 |
$1,722 |
18.9× |
| Xr surgical specimen (76098) |
$1,115 |
$1,115 |
2.0× |
| Xr upper extremity 2 views infant (73092) |
$2,303 |
$2,303 |
21.1× |
| Xray elbow 2 views (73070) |
$1,945 |
$1,945 |
21.4× |
| Xray forearm 2 views (73090) |
$1,654 |
$1,654 |
18.2× |
| Xray internal auditory meati compl (70134) |
$2,760 |
$2,760 |
4.8× |
| Xray knee 1 or 2 views rt (73560) |
$2,255 |
$2,255 |
24.8× |
| Xray neck soft tissue (70360) |
$1,909 |
$1,909 |
21.0× |
| Xray optic foramina (70190) |
$1,916 |
$1,916 |
21.1× |
| Xray orbits complete min 4 views (70200) |
$2,901 |
$2,901 |
26.6× |
| Xray pelvis 1 or 2 views (72170) |
$1,499 |
$1,499 |
13.7× |
| Xray ribs bilateral 3 views (71110) |
$6,537 |
$6,537 |
59.9× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$3,026 |
$3,026 |
27.7× |
| Xray scapula complete (73010) |
$1,916 |
$1,916 |
17.6× |
| Xray shoulder 1 view (73020) |
$1,516 |
$1,516 |
16.7× |
| Xray sinuses paranasal <3 views (70210) |
$1,230 |
$1,230 |
13.5× |
| Xray spine thoracic 2 views (72070) |
$2,279 |
$2,279 |
20.9× |
| Xray tibia-fibula 2 views bil (73590) |
$2,075 |
$2,075 |
22.8× |
| Xray tmj open - closed unilat (70328) |
$2,498.50 |
$2,498.50 |
27.5× |
| Xray tmj's bilateral open-clsc (70330) |
$2,237 |
$2,237 |
24.6× |