| Abdomen 2 views (74019) |
$4,146 |
$4,146 |
38.0× |
| Acute gi blood loss imaging (78278) |
$2,631 |
$2,631 |
6.3× |
| Angio Adrenal Bilat Select (75733) |
$16,728 |
$16,728 |
5.1× |
| Angiography extremity bilateral rs&i (75716) |
$12,080 |
$12,080 |
3.7× |
| Angiography extremity unilateral rs&i (75710) |
$6,201 |
$6,201 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$16,728 |
$16,728 |
5.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$9,486 |
$9,486 |
1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$14,402.50 |
$14,402.50 |
4.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$11,056 |
$11,056 |
3.4× |
| Angiography Spinal Selective Rs&I (75705) |
$6,148 |
$6,148 |
1.1× |
| 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× |
| Aortogram thoracic (75605) |
$10,981 |
$10,981 |
1.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$12,375.50 |
$12,375.50 |
3.8× |
| Aortography abdominal serialography rs&i (75625) |
$13,620 |
$13,620 |
4.1× |
| Artery X-Rays Adrenal Gland (75731) |
$16,728 |
$16,728 |
5.1× |
| Arthrogram ankle (73615) |
$2,425 |
$2,425 |
6.7× |
| Arthrogram elbow (73085) |
$2,258.50 |
$2,258.50 |
6.2× |
| Arthrogram hip (73525) |
$2,540 |
$2,540 |
7.0× |
| Arthrogram knee (73580) |
$2,425 |
$2,425 |
6.7× |
| Arthrogram shoulder (73040) |
$5,082 |
$5,082 |
13.9× |
| Arthrogram wrist (73115) |
$2,451 |
$2,451 |
6.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,155 |
$1,155 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$6,268 |
$6,268 |
15.0× |
| Bone age studies (77072) |
$1,364 |
$1,364 |
12.5× |
| Bone Imaging 3 Phase (78315) |
$5,963 |
$5,963 |
14.3× |
| Bone survey complete (77075) |
$2,455 |
$2,455 |
22.5× |
| Bone survey infant (77076) |
$1,612 |
$1,612 |
14.8× |
| Bowel imaging (78290) |
$5,512 |
$5,512 |
13.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$6,830 |
$6,830 |
12.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,612 |
$3,612 |
8.7× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$3,604 |
$3,604 |
4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,426 |
$3,426 |
9.4× |
| Cervical spine 2 or 3 views (72040) |
$3,326 |
$3,326 |
36.6× |
| Chest 1 view (71045) |
$1,170 |
$1,170 |
12.9× |
| Chest xray 3 views (71047) |
$2,451 |
$2,451 |
27.0× |
| Cholecystography, oral contrast Non-Facility (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× |
| Clavicle complete (73000) |
$1,868 |
$1,868 |
20.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$852 |
$852 |
7.8× |
| 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 contrast (74160) |
$9,094 |
$9,094 |
49.6× |
| CT abdomen w wo contrast (74170) |
$10,542 |
$10,542 |
57.6× |
| CT abdomen w/o contrast (74150) |
$7,062 |
$7,062 |
64.7× |
| CT angio hrt w/3d image (75574) |
$11,435 |
$11,435 |
31.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$9,460 |
$9,460 |
51.6× |
| CT angiography upper extremity lt (73206) |
$9,460 |
$9,460 |
51.6× |
| CT c-spine w/contrast (72126) |
$11,383 |
$11,383 |
31.2× |
| CT c-spine w/o contrast (72125) |
$11,751 |
$11,751 |
107.6× |
| CT cervical spine w&w/o contrast (72127) |
$13,378 |
$13,378 |
73.0× |
| CT chest w contrast (71260) |
$11,697 |
$11,697 |
63.9× |
| CT chest w/wo contrast (71270) |
$11,838 |
$11,838 |
64.6× |
| 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 iac w contrast (70481) |
$10,704 |
$10,704 |
58.4× |
| CT limited/localized follow up study (76380) |
$6,259 |
$6,259 |
68.9× |
| CT lower ext w/o (73700) |
$11,854 |
$11,854 |
108.6× |
| CT lower extremity w wo contrast (73702) |
$12,661 |
$12,661 |
69.1× |
| CT lower extremity w/contrast material (73701) |
$12,661 |
$12,661 |
69.1× |
| CT lumbar spine w & w/o contrast (72133) |
$12,661 |
$12,661 |
69.1× |
| 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 maxillofacial w contrast (70487) |
$10,202 |
$10,202 |
55.7× |
| CT maxillofacial w/wo contrast (70488) |
$12,020 |
$12,020 |
65.6× |
| CT maxillofacial wo contrast (70486) |
$9,573 |
$9,573 |
87.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$12,825 |
$12,825 |
70.0× |
| CT orbits w/o contrast (70480) |
$10,182 |
$10,182 |
93.3× |
| CT pelvis w/o contrast (72192) |
$5,925 |
$5,925 |
54.3× |
| CT pelvis w/wo contrast (72194) |
$10,102 |
$10,102 |
55.2× |
| CT soft tissue neck w contrast (70491) |
$9,378 |
$9,378 |
51.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,924 |
$9,924 |
54.2× |
| CT soft tissue neck w/o contrast (70490) |
$8,704 |
$8,704 |
79.7× |
| 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/wo contrast (72130) |
$15,225 |
$15,225 |
83.1× |
| CT thorax w/o contrast (71250) |
$10,892 |
$10,892 |
99.8× |
| CT upper ext wo (73200) |
$11,775.50 |
$11,775.50 |
107.9× |
| CT upper extremity with contrast (73201) |
$12,341 |
$12,341 |
33.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$16,208 |
$16,208 |
88.5× |
| Cta Abdomen (74175) |
$14,264 |
$14,264 |
77.9× |
| CTA abdomen pelvis (74174) |
$27,073 |
$27,073 |
74.3× |
| CTA chest (71275) |
$11,060 |
$11,060 |
60.4× |
| Cta Head (70496) |
$22,909 |
$22,909 |
125.1× |
| Cta Neck (70498) |
$12,661 |
$12,661 |
69.1× |
| Cta Pelvis (72191) |
$12,192 |
$12,192 |
66.6× |
| Cystography minimum 3 views rs&i (74430) |
$2,624 |
$2,624 |
7.2× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$5,050 |
$5,050 |
2.3× |
| Diskogram cervical (72285) |
$4,106 |
$4,106 |
2.0× |
| Diskography lumbar (72295) |
$4,106 |
$4,106 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,501 |
$1,501 |
13.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,501 |
$1,501 |
16.5× |
| Esophagus (74220) |
$1,820 |
$1,820 |
9.9× |
| Facial bones min 3 views (70150) |
$3,013 |
$3,013 |
27.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$3,036 |
$3,036 |
27.8× |
| Fluoroscopy up to 1 hr (76000) |
$4,775.50 |
$4,775.50 |
19.2× |
| Foot 2 views (73620) |
$1,860 |
$1,860 |
20.5× |
| Forearm 2 views (73090) |
$1,654 |
$1,654 |
18.2× |
| Hand 2 views (73120) |
$1,263 |
$1,263 |
11.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$11,749 |
$11,749 |
3.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$11,745 |
$11,745 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$12,249 |
$12,249 |
21.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$6,706 |
$6,706 |
16.1× |
| Hysterosalpingogram (74740) |
$2,365 |
$2,365 |
9.5× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$4,551 |
$4,551 |
10.9× |
| Kidney imaging morphology (78700) |
$4,551 |
$4,551 |
10.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,551 |
$4,551 |
8.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$9,103 |
$9,103 |
16.1× |
| Knee 3 views (73562) |
$2,673.50 |
$2,673.50 |
29.4× |
| Liver & spleen imaging static only (78215) |
$4,704 |
$4,704 |
11.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$4,719 |
$4,719 |
11.3× |
| Liver imaging static only (78201) |
$4,387 |
$4,387 |
7.7× |
| Lung ventilation imaging (78579) |
$7,671 |
$7,671 |
18.4× |
| Lymphoscintigraphy (78195) |
$5,966 |
$5,966 |
10.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$8,422 |
$8,422 |
10.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$8,372 |
$8,372 |
23.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$15,477 |
$15,477 |
42.5× |
| Mammary ductogram or galactogram multiple (77054) |
$602 |
$602 |
2.4× |
| Mammary ductogram or galactogram single (77053) |
$2,736 |
$2,736 |
11.0× |
| Mr safety determination physician/other qhp (76016) |
$385 |
$385 |
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 implt pos&/immoblj (76019) |
$260 |
$260 |
4.2× |
| 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/o contrast (70544) |
$6,538 |
$6,538 |
26.2× |
| MRA head with contrast (70545) |
$7,170 |
$7,170 |
19.7× |
| MRA neck w contrast (70548) |
$12,804 |
$12,804 |
35.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$13,274 |
$13,274 |
36.4× |
| MRA neck w/o contrast (70547) |
$11,473 |
$11,473 |
46.0× |
| 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 jt lower extrem w/contrast material (73722) |
$8,288 |
$8,288 |
10.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$9,696 |
$9,696 |
26.6× |
| MRI breast w/o contrast bilateral (77047) |
$7,916 |
$7,916 |
31.8× |
| MRI c-spine with contrast (72142) |
$6,263 |
$6,263 |
17.2× |
| MRI cardiac w/o cont stress (75559) |
$3,204 |
$3,204 |
5.6× |
| 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 chest w/o & w/contrast material (71552) |
$12,557 |
$12,557 |
34.5× |
| MRI chest w/o contrast (71550) |
$7,577 |
$7,577 |
30.4× |
| MRI chest with contrast (71551) |
$10,500 |
$10,500 |
12.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$8,389 |
$8,389 |
23.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$12,804 |
$12,804 |
35.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,918 |
$7,918 |
31.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$11,420 |
$11,420 |
45.8× |
| MRI orbit face neck w contrast (70542) |
$7,650 |
$7,650 |
21.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$9,384 |
$9,384 |
25.8× |
| MRI pelvis w/contrast (72196) |
$9,336 |
$9,336 |
25.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$9,384 |
$9,384 |
25.8× |
| MRI pelvis w/o contrast (72195) |
$7,828 |
$7,828 |
31.4× |
| MRI spectroscopy (76390) |
$1,646 |
$1,646 |
18.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$11,795 |
$11,795 |
32.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,844 |
$7,844 |
21.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$10,847 |
$10,847 |
29.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,263 |
$6,263 |
17.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$12,195 |
$12,195 |
33.5× |
| MRI temporomandibular joint (70336) |
$11,260 |
$11,260 |
45.2× |
| MRI thoracic spine w/o contrast (72146) |
$8,817 |
$8,817 |
35.4× |
| MRI up ext w/o contrast (73218) |
$7,918 |
$7,918 |
31.8× |
| MRI upper ext joint w/o contrast (73221) |
$7,964 |
$7,964 |
32.0× |
| MRI, joint upper extrem combo (73223) |
$9,714 |
$9,714 |
26.7× |
| Myelogram Cervical (72240) |
$6,775 |
$6,775 |
8.3× |
| Myelogram Lumbar (72265) |
$6,775 |
$6,775 |
8.3× |
| Myelogram thoracic (72255) |
$8,662 |
$8,662 |
10.6× |
| Myocardial Spect Multiple Studies (78452) |
$11,894 |
$11,894 |
8.8× |
| N-invas est c ffr sw aly CTA (75580) |
$4,653 |
$4,653 |
5.2× |
| Neck soft tissue (70360) |
$1,909 |
$1,909 |
21.0× |
| Nm cisternogram (78630) |
$1,172 |
$1,172 |
2.1× |
| Nm gastric emptying study (78264) |
$2,336 |
$2,336 |
5.6× |
| Nm kidney scan w/flow (78701) |
$6,555 |
$6,555 |
15.7× |
| Noncardiac Vascular Flow Imaging (78445) |
$2,546 |
$2,546 |
6.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,209 |
$3,209 |
7.7× |
| Nuclear Rx Oral Admin (79005) |
$5,361 |
$5,361 |
22.0× |
| Osseous survey limited (77074) |
$2,455 |
$2,455 |
22.5× |
| Parathyroid Planar Imaging (78070) |
$4,768 |
$4,768 |
11.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$4,768 |
$4,768 |
11.4× |
| Pelvis 1 or 2 views (72170) |
$1,499 |
$1,499 |
13.7× |
| PET image w/CT, skull-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 whole body (78813) |
$13,147 |
$13,147 |
8.8× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$13,147 |
$13,147 |
8.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$11,459 |
$11,459 |
3.5× |
| 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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$12,329 |
$12,329 |
21.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$4,378 |
$4,378 |
7.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,665 |
$1,665 |
18.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$2,043 |
$2,043 |
22.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$2,592 |
$2,592 |
28.5× |
| 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 fingr minimum 2 views (73140) |
$2,220 |
$2,220 |
24.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$2,220 |
$2,220 |
24.4× |
| Radex Hand Minimum 3 Views (73130) |
$2,173 |
$2,173 |
23.9× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$3,238 |
$3,238 |
35.6× |
| 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 Humerus Minimum 2 Views (73060) |
$1,891 |
$1,891 |
20.8× |
| Radex Kne 1/2 Views (73560) |
$2,255 |
$2,255 |
24.8× |
| Radex Kne Compl 4/More Views (73564) |
$3,624 |
$3,624 |
33.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$2,956 |
$2,956 |
27.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$2,075 |
$2,075 |
22.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$3,531.50 |
$3,531.50 |
38.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$1,230 |
$1,230 |
13.5× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$4,321 |
$4,321 |
39.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,237 |
$2,237 |
24.6× |
| Radex Toe Minimum 2 Views (73660) |
$1,747 |
$1,747 |
19.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$2,303 |
$2,303 |
21.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$2,362 |
$2,362 |
26.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$2,075 |
$2,075 |
22.8× |
| Radiologic exam chest 2 views (71046) |
$2,621 |
$2,621 |
28.8× |
| Radiologic exam colon single contrast study (74270) |
$4,415 |
$4,415 |
24.1× |
| 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 (73551) |
$2,115 |
$2,115 |
23.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$2,075 |
$2,075 |
22.8× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$2,760 |
$2,760 |
4.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$2,505 |
$2,505 |
22.9× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$2,505 |
$2,505 |
22.9× |
| Radiological examination surgical specimen (76098) |
$1,115 |
$1,115 |
2.0× |
| Ribs bilateral 3 views (71110) |
$6,537 |
$6,537 |
59.9× |
| 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× |
| Rp Therapy Intravenous Administration (79101) |
$8,715 |
$8,715 |
35.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$4,100 |
$4,100 |
16.5× |
| Scapula (73010) |
$1,916 |
$1,916 |
17.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$1,616 |
$1,616 |
69.1× |
| Sella turcica (70240) |
$2,064 |
$2,064 |
22.7× |
| Shoulder 1 view (73020) |
$1,516 |
$1,516 |
16.7× |
| Sialogram (70390) |
$2,318 |
$2,318 |
9.3× |
| Small bowel series (74250) |
$2,237 |
$2,237 |
12.2× |
| Spleen imaging only (78185) |
$5,022 |
$5,022 |
12.0× |
| Splenoportograpy rs&i (75810) |
$3,578 |
$3,578 |
1.1× |
| Superior sagittal sinus venogram (75870) |
$4,113 |
$4,113 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,728 |
$4,728 |
8.3× |
| Thyroid imaging w/blood flow (78013) |
$5,448 |
$5,448 |
13.1× |
| Thyroid uptake measurement (78012) |
$5,406 |
$5,406 |
12.9× |
| Tmj unilateral (70328) |
$2,498.50 |
$2,498.50 |
27.5× |
| Tomogram (76100) |
$3,147 |
$3,147 |
28.8× |
| Ultrasound breast complete (76641) |
$3,803 |
$3,803 |
34.8× |
| Ultrasound Exam Aaa Screen (76706) |
$1,133 |
$1,133 |
10.4× |
| 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× |
| Urethrocystogram voiding (74455) |
$4,281 |
$4,281 |
17.2× |
| Urethrocystography retrograde rs&i (74450) |
$5,432 |
$5,432 |
21.8× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$7,743 |
$7,743 |
42.3× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$7,743 |
$7,743 |
42.3× |
| Us breast unilateral limited (76642) |
$3,169 |
$3,169 |
34.9× |
| Us chest (76604) |
$2,635 |
$2,635 |
24.1× |
| Us lmtd joint/oth 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 limited (76815) |
$1,819 |
$1,819 |
16.7× |
| Us ob transvaginal (76817) |
$2,860 |
$2,860 |
26.2× |
| Us pelvic non ob complete (76856) |
$2,760 |
$2,760 |
25.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,457 |
$1,457 |
13.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,773 |
$1,773 |
16.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,819 |
$1,819 |
16.7× |
| Us retroperitoneal complete (76770) |
$4,876 |
$4,876 |
44.7× |
| Us retroperitoneal limited (76775) |
$2,567 |
$2,567 |
23.5× |
| Us scrotum and contents (76870) |
$2,398 |
$2,398 |
22.0× |
| Us soft tissue head/neck (76536) |
$2,635 |
$2,635 |
24.1× |
| Us spinal canal and contents (76800) |
$3,374 |
$3,374 |
30.9× |
| Us transrectal (76872) |
$3,173 |
$3,173 |
29.1× |
| Us,transplanted kidney, real time/ doppler (76776) |
$5,682 |
$5,682 |
52.0× |
| Venogram adrenal unilat (75840) |
$10,743 |
$10,743 |
3.3× |
| Venogram extremity bilateral (75822) |
$4,474 |
$4,474 |
2.7× |
| Venogram Extremity Unilateral (75820) |
$4,474 |
$4,474 |
2.7× |
| Venography caval inferior serialography rs&i (75825) |
$5,271 |
$5,271 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$5,271 |
$5,271 |
3.2× |
| Venography Renal Bilateral (75833) |
$11,749 |
$11,749 |
3.6× |
| 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× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) |
$16,728 |
$16,728 |
25.5× |
| Venous sampling by catheter (75893) |
$11,006 |
$11,006 |
1.9× |
| Wrist 2 views (73100) |
$1,945 |
$1,945 |
21.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$3,924 |
$3,924 |
35.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$5,476 |
$5,476 |
60.3× |
| X-ray b.e. reductn intuss (74283) |
$2,725 |
$2,725 |
14.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,415 |
$4,415 |
24.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,945 |
$1,945 |
21.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$3,265 |
$3,265 |
35.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$3,767 |
$3,767 |
34.5× |
| X-ray exam of femur 2/> (73552) |
$2,498 |
$2,498 |
27.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,928 |
$2,928 |
32.2× |
| X-ray IV pyelogram (ivp) (74400) |
$6,353 |
$6,353 |
34.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,106 |
$2,106 |
23.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$2,255 |
$2,255 |
24.8× |
| X-ray leg, infant (73592) |
$1,731 |
$1,731 |
19.0× |
| 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 nose-rectum child f.b. (76010) |
$1,292 |
$1,292 |
14.2× |
| X-ray optic foramen (70190) |
$1,916 |
$1,916 |
21.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,901 |
$2,901 |
26.6× |
| X-ray retrograde pyelogram (74420) |
$2,462 |
$2,462 |
6.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,755 |
$2,755 |
30.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$3,026 |
$3,026 |
27.7× |
| 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 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 Spine One View - Xr Spine (72020) |
$2,436 |
$2,436 |
26.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$969 |
$969 |
10.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,722 |
$1,722 |
18.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,279 |
$2,279 |
20.9× |
| Xr bone length studies (77073) |
$1,974 |
$1,974 |
18.1× |
| Xr c-spine 4 or 5 views (72050) |
$3,930 |
$3,930 |
36.0× |
| Xr c-spine 6 or more views (72052) |
$3,532 |
$3,532 |
32.4× |
| Xr chest 4+ views (71048) |
$3,605 |
$3,605 |
33.0× |
| Xr urogram antegrade (74425) |
$2,147 |
$2,147 |
5.9× |