| Acute gi blood loss imaging (78278) |
$4,809.50 |
$4,809.50 |
11.5× |
| Angio adrenal bilat select (75733) |
$6,782.25 |
$6,782.25 |
2.1× |
| Angio adrenal unilat select (75731) |
$6,782.25 |
$6,782.25 |
2.1× |
| Angio extremity unilateral (75710) |
$7,737 |
$7,737 |
2.3× |
| Angio pulmonary unilateral (75741) |
$8,461.50 |
$8,461.50 |
2.6× |
| Angiogram extremity bilateral (75716) |
$11,325.25 |
$11,325.25 |
3.4× |
| Angiogram pelvic (75736) |
$8,143.75 |
$8,143.75 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$12,486 |
$12,486 |
3.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,026.75 |
$16,026.75 |
2.8× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$13,592.75 |
$13,592.75 |
4.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$8,951.50 |
$8,951.50 |
2.7× |
| Arthrography knee lt (73580) |
$4,437 |
$4,437 |
12.2× |
| Barium enema (74270) |
$5,659.50 |
$5,659.50 |
30.9× |
| Bone age studies (77072) |
$2,195.75 |
$2,195.75 |
20.1× |
| Bone imaging limited area (78300) |
$3,346.75 |
$3,346.75 |
8.0× |
| Bone survey complete (77075) |
$5,397.50 |
$5,397.50 |
49.4× |
| Bowel imaging (78290) |
$2,314.50 |
$2,314.50 |
5.5× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$2,337.75 |
$2,337.75 |
4.1× |
| Brain image w/flow 4 + views (78606) |
$7,033.50 |
$7,033.50 |
12.4× |
| Cerebrospinal fluid leakage (78650) |
$5,812.50 |
$5,812.50 |
4.3× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$1,367.75 |
$1,367.75 |
7.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,178.25 |
$1,178.25 |
6.4× |
| Cisternogram (78630) |
$7,625.50 |
$7,625.50 |
13.4× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$3,879.25 |
$3,879.25 |
4.7× |
| Clavicle complete (73000) |
$1,950 |
$1,950 |
21.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$18,986 |
$18,986 |
103.7× |
| Contrast exam abdominl aorta (75625) |
$13,142.62 |
$13,142.62 |
4.0× |
| Contrast exam thoracic aorta (75605) |
$7,827.25 |
$7,827.25 |
1.3× |
| Csf shunt evaluation (78645) |
$3,479.25 |
$3,479.25 |
6.1× |
| CT - st neck w&wo contr (70492) |
$9,564.25 |
$9,564.25 |
52.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$22,631.75 |
$22,631.75 |
62.1× |
| CT abdomen and pelvis without contrast (74176) |
$19,352.50 |
$19,352.50 |
77.7× |
| CT abdomen w wo contrast (74170) |
$22,631.75 |
$22,631.75 |
123.6× |
| CT abdomen w/contrast (74160) |
$19,352.50 |
$19,352.50 |
105.7× |
| CT abdomen w/o contrast (74150) |
$21,068 |
$21,068 |
193.0× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$1,818.75 |
$1,818.75 |
5.0× |
| CT angio abdominal arteries (75635) |
$13,071.75 |
$13,071.75 |
71.4× |
| CT angio hrt w/3d image (75574) |
$15,598.25 |
$15,598.25 |
42.8× |
| CT angiograph pelv w/o&w/dye (72191) |
$682.75 |
$682.75 |
3.7× |
| CT cervical spine w/contrast (72126) |
$8,639.50 |
$8,639.50 |
23.7× |
| CT cervical spine w/o contrast (72125) |
$8,639.50 |
$8,639.50 |
79.1× |
| CT chest w/contrast (71260) |
$19,807 |
$19,807 |
108.1× |
| CT head/brain with contrast (70460) |
$20,101.25 |
$20,101.25 |
109.7× |
| CT head/brain without and with contrast (70470) |
$21,662 |
$21,662 |
118.3× |
| CT limited/localized follow up study (76380) |
$6,056.25 |
$6,056.25 |
66.6× |
| CT lower extremity w contrast (73701) |
$17,715.25 |
$17,715.25 |
96.7× |
| CT lower extremity w/o contrast unilateral (73700) |
$17,715.25 |
$17,715.25 |
162.3× |
| CT lumbar spine w/contrast (72132) |
$16,292.50 |
$16,292.50 |
44.7× |
| CT lumbar spine w/o contrast (72131) |
$19,707.75 |
$19,707.75 |
180.5× |
| CT lumbar spine w/o then w/ con (72133) |
$21,362.25 |
$21,362.25 |
116.6× |
| CT maxillofacial area w/o contrast (70486) |
$16,755.50 |
$16,755.50 |
153.5× |
| CT maxillofacial w/contrast (70487) |
$16,755.50 |
$16,755.50 |
91.5× |
| CT maxillofacial w/o then w/ con (70488) |
$20,101.25 |
$20,101.25 |
109.7× |
| CT orbit sella ear w/o con (70480) |
$17,263.50 |
$17,263.50 |
158.1× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$16,744.50 |
$16,744.50 |
91.4× |
| CT pelvis w & w/o contrast (72194) |
$20,861.25 |
$20,861.25 |
113.9× |
| CT pelvis w/o contrast (72192) |
$19,747.25 |
$19,747.25 |
180.9× |
| CT soft tissue neck w/contrast (70491) |
$6,999.75 |
$6,999.75 |
38.2× |
| CT soft tissue neck w/o contrast (70490) |
$6,999.75 |
$6,999.75 |
64.1× |
| CT spine cervical w/wo contrast (72127) |
$15,777.75 |
$15,777.75 |
86.1× |
| CT thoracic spine w/contrast (72129) |
$19,707.75 |
$19,707.75 |
107.6× |
| CT thoracic spine w/o contrast (72128) |
$19,707.75 |
$19,707.75 |
180.5× |
| CT thoracic spine w/o then w/ con (72130) |
$19,707.75 |
$19,707.75 |
107.6× |
| CT thorax w/o contrast (71250) |
$19,807 |
$19,807 |
181.4× |
| CT thorax w/o then w/ contrast (71270) |
$19,807 |
$19,807 |
108.1× |
| CT upper extremity w/dye (73201) |
$17,715.25 |
$17,715.25 |
48.6× |
| CT upper extremity w/o contrast rt (73200) |
$17,715.25 |
$17,715.25 |
162.3× |
| CTA chest w/wo contrast (71275) |
$19,807 |
$19,807 |
108.1× |
| CTA head w contrast (70496) |
$20,101.25 |
$20,101.25 |
109.7× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$507 |
$507 |
2.8× |
| Cta Neck (70498) |
$20,101.25 |
$20,101.25 |
109.7× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$18,786 |
$18,786 |
102.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Other Diagnostic Radiology FS (70170) |
$1,381 |
$1,381 |
5.5× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) |
$2,133 |
$2,133 |
3.8× |
| Esophogram (74220) |
$4,223 |
$4,223 |
23.1× |
| Fetal biophysical profile non-stress testing (76818) |
$2,940.50 |
$2,940.50 |
26.9× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$4,021.25 |
$4,021.25 |
16.1× |
| Gastric emptying study (78264) |
$3,339 |
$3,339 |
8.0× |
| Gastric mucosa imaging (78261) |
$2,314.50 |
$2,314.50 |
5.5× |
| Gastroesophageal reflux study (78262) |
$3,815 |
$3,815 |
9.1× |
| Gated heart planar single (78472) |
$4,662.25 |
$4,662.25 |
11.2× |
| Heart infarct image (78466) |
$6,037.25 |
$6,037.25 |
14.5× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$13,142.50 |
$13,142.50 |
4.0× |
| Hepatobil syst image w/drug (78227) |
$13,731.75 |
$13,731.75 |
24.2× |
| Hepatobiliary system imaging (78226) |
$6,760.50 |
$6,760.50 |
16.2× |
| Humerus min 2 views (73060) |
$2,129 |
$2,129 |
23.4× |
| Hysterosalpingography (74740) |
$5,827.50 |
$5,827.50 |
23.4× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$17,806.75 |
$17,806.75 |
24.5× |
| Ivp (74400) |
$5,071.50 |
$5,071.50 |
27.7× |
| Ivp w tomography (74415) |
$9,449.50 |
$9,449.50 |
51.6× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$8,734.50 |
$8,734.50 |
15.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$4,423.75 |
$4,423.75 |
7.8× |
| Liver & spleen; static only (78215) |
$4,203.50 |
$4,203.50 |
10.1× |
| Lung perfusion differential (78597) |
$9,227.25 |
$9,227.25 |
22.1× |
| Lung ventilat&perfus imaging (78582) |
$4,974.50 |
$4,974.50 |
8.8× |
| Lung ventilation imaging (78579) |
$11,719.50 |
$11,719.50 |
28.1× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75801) |
$6,867 |
$6,867 |
10.5× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$9,901.25 |
$9,901.25 |
27.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$15,262.50 |
$15,262.50 |
41.9× |
| Mammary ductogram single (77053) |
$1,939.25 |
$1,939.25 |
7.8× |
| MRA head w & w/o contrast (70546) |
$17,202.50 |
$17,202.50 |
47.2× |
| MRA head w/contrast (70545) |
$10,973.25 |
$10,973.25 |
30.1× |
| MRA head w/o contrast (70544) |
$9,723.75 |
$9,723.75 |
39.0× |
| MRA neck w/contrast (70548) |
$1,047 |
$1,047 |
2.9× |
| MRA neck w/o contrast (70547) |
$9,220.25 |
$9,220.25 |
37.0× |
| MRA neck w/wo contrast (70549) |
$9,220.25 |
$9,220.25 |
25.3× |
| MRI abdomen w/contrast (74182) |
$9,220.25 |
$9,220.25 |
25.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$13,947.50 |
$13,947.50 |
38.3× |
| MRI abdomen w/o contrast (74181) |
$9,220.25 |
$9,220.25 |
37.0× |
| MRI any jnt lwr ext with con lt (73722) |
$9,144 |
$9,144 |
11.2× |
| MRI bone marrow (77084) |
$14,502.50 |
$14,502.50 |
58.2× |
| MRI breast without contrast bilateral (77047) |
$2,012.50 |
$2,012.50 |
8.1× |
| MRI breast without contrast material unilateral (77046) |
$1,083.75 |
$1,083.75 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$18,069.25 |
$18,069.25 |
72.5× |
| MRI cervical spine with contrast (72142) |
$18,069.25 |
$18,069.25 |
49.6× |
| MRI chest w & w/o contrast (71552) |
$15,340.25 |
$15,340.25 |
42.1× |
| MRI chest w/contrast (71551) |
$13,760.50 |
$13,760.50 |
16.8× |
| MRI chest w/o contrast (71550) |
$13,760.50 |
$13,760.50 |
55.2× |
| MRI joint upper ext w/contrast (73222) |
$9,144 |
$9,144 |
11.2× |
| MRI joint upr extr w/o&w/dye (73223) |
$9,901.25 |
$9,901.25 |
27.2× |
| MRI joint upr extrem w/o dye (73221) |
$9,901.25 |
$9,901.25 |
39.7× |
| Mri Lower Extremity W/O Dye (73718) |
$18,069.25 |
$18,069.25 |
72.5× |
| MRI lumbar spine with contrast (72149) |
$18,069.25 |
$18,069.25 |
49.6× |
| MRI lumbar w/wo contrast (72158) |
$20,130.50 |
$20,130.50 |
55.3× |
| MRI lwr ext w/o jnts with con rt (73719) |
$14,502.50 |
$14,502.50 |
39.8× |
| MRI orbit/face/neck w/contrast (70542) |
$14,502.50 |
$14,502.50 |
39.8× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$15,262.50 |
$15,262.50 |
41.9× |
| MRI orbit/face/neck w/o contrast (70540) |
$5,684.25 |
$5,684.25 |
22.8× |
| MRI pelvis w/ contrast (72196) |
$14,502.50 |
$14,502.50 |
39.8× |
| MRI pelvis w/o contrast (72195) |
$18,069.25 |
$18,069.25 |
72.5× |
| MRI pelvis w/wo contrast (72197) |
$15,262.50 |
$15,262.50 |
41.9× |
| MRI spectroscopy (76390) |
$7,889 |
$7,889 |
86.8× |
| MRI spine cervical wo/w contrast (72156) |
$20,130.50 |
$20,130.50 |
55.3× |
| MRI spine thoracic w/contrast (72147) |
$5,952.75 |
$5,952.75 |
16.3× |
| MRI thoracic spine w wo contrast (72157) |
$11,685.50 |
$11,685.50 |
32.1× |
| MRI thoracic spine w/o contrast (72146) |
$5,952.75 |
$5,952.75 |
23.9× |
| MRI tmj (70336) |
$14,502.50 |
$14,502.50 |
58.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$9,144 |
$9,144 |
36.7× |
| Mri Upper Extremity W/Dye (73219) |
$14,502.50 |
$14,502.50 |
39.8× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$15,262.50 |
$15,262.50 |
41.9× |
| Myelogram thoracic (72255) |
$2,633.75 |
$2,633.75 |
3.2× |
| Myelography 2 or more regions (72270) |
$4,613.88 |
$4,613.88 |
5.6× |
| Myelography lumbosacral (72265) |
$4,090.62 |
$4,090.62 |
5.0× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$8,193 |
$8,193 |
6.1× |
| Myocardial perfusion planar multiple studies (78454) |
$16,391 |
$16,391 |
12.1× |
| Myocardial spect single study at rest or stress (78451) |
$8,193 |
$8,193 |
6.1× |
| Myocrd img PET metab eval single study (78459) |
$7,565 |
$7,565 |
5.6× |
| Nm bone 3 phase (78315) |
$6,257 |
$6,257 |
15.0× |
| Nm bone imaging whole body (78306) |
$8,580.50 |
$8,580.50 |
20.6× |
| Nm heart perfusion spect stress rest (78452) |
$16,392.25 |
$16,392.25 |
12.1× |
| Nm liver image static only (78201) |
$8,623 |
$8,623 |
15.2× |
| Nm lymph system (78195) |
$3,766 |
$3,766 |
6.6× |
| Nuclear medicine study of brain, 4 static views or more (78605) |
$4,745.25 |
$4,745.25 |
8.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$10,302.25 |
$10,302.25 |
24.7× |
| Nuclear rx IV admin (79101) |
$9,884.75 |
$9,884.75 |
40.6× |
| Ob us < 14 wks single fetus (76801) |
$3,067.25 |
$3,067.25 |
28.1× |
| Oral radiopharm rx (79005) |
$10,131.50 |
$10,131.50 |
41.6× |
| Parathyroid imaging (78070) |
$4,247.50 |
$4,247.50 |
10.2× |
| Peritoneal-venous shunt patency test (78291) |
$4,458.75 |
$4,458.75 |
10.7× |
| PET brain metabolic eval (78608) |
$7,565 |
$7,565 |
5.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$16,932.75 |
$16,932.75 |
11.3× |
| PET imaging CT for attenuation limited area (78814) |
$14,748.25 |
$14,748.25 |
9.9× |
| PET imaging for CT attenuation whole body (78816) |
$20,087.50 |
$20,087.50 |
13.5× |
| Pulmonary perfusion imaging particulate (78580) |
$6,324 |
$6,324 |
15.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,592.50 |
$2,592.50 |
4.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$317.25 |
$317.25 |
3.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$523.25 |
$523.25 |
4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$800 |
$800 |
7.3× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$800 |
$800 |
7.3× |
| Radex hip unilateral with pelvis 1 view (73501) |
$317.25 |
$317.25 |
3.5× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$317.25 |
$317.25 |
3.5× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$523.25 |
$523.25 |
4.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$419.50 |
$419.50 |
3.8× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$800 |
$800 |
7.3× |
| Radex spine cervical 2 or 3 views (72040) |
$1,921.25 |
$1,921.25 |
21.1× |
| Radex spine cervical 4 or 5 views (72050) |
$3,876.50 |
$3,876.50 |
35.5× |
| Radex spine cervical 6 or more views (72052) |
$3,996.75 |
$3,996.75 |
36.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$2,004.75 |
$2,004.75 |
18.4× |
| Radiologic exam esophagus double contrast study (74221) |
$935 |
$935 |
5.1× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$4,223 |
$4,223 |
23.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$935 |
$935 |
5.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$835.50 |
$835.50 |
4.6× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$317.25 |
$317.25 |
3.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$317.25 |
$317.25 |
3.5× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$611.75 |
$611.75 |
5.6× |
| Radiologic examination, salivary gland for calculus Other Diagnostic Radiology FS (70380) |
$1,439.75 |
$1,439.75 |
15.8× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$4,285.75 |
$4,285.75 |
39.3× |
| Renal cyst study (74470) |
$2,709 |
$2,709 |
4.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,636.25 |
$1,636.25 |
3.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,257 |
$6,257 |
15.0× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$5,076.75 |
$5,076.75 |
9.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,583.25 |
$5,583.25 |
9.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,634 |
$5,634 |
9.9× |
| Saline infused sonohysterogram (76831) |
$4,550.25 |
$4,550.25 |
18.3× |
| Shoulder arthrogram (73040) |
$4,457 |
$4,457 |
12.2× |
| Small bowel series (74250) |
$4,265.25 |
$4,265.25 |
23.3× |
| Spleen imaging only (78185) |
$7,831.25 |
$7,831.25 |
18.8× |
| Testicular imaging w/flow (78761) |
$6,128.75 |
$6,128.75 |
14.7× |
| Thyroid met imaging body (78018) |
$10,372.75 |
$10,372.75 |
18.3× |
| Thyroid uptake single/multiple quant measurement (78012) |
$5,474 |
$5,474 |
13.1× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$6,085.25 |
$6,085.25 |
14.6× |
| Ultrasound breast limited (76642) |
$2,537.50 |
$2,537.50 |
27.9× |
| Ultrasound, abdomen limited (76705) |
$2,274.75 |
$2,274.75 |
20.8× |
| Ureteral reflux study (78740) |
$4,107.25 |
$4,107.25 |
9.8× |
| Urethrocystography retrograde rs&i (74450) |
$3,646 |
$3,646 |
14.6× |
| Urethrocystography voiding (74455) |
$3,646 |
$3,646 |
14.6× |
| Urography antegrade (74425) |
$2,699 |
$2,699 |
7.4× |
| Urography retrograde w/wo kub (74420) |
$3,217.50 |
$3,217.50 |
8.8× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$5,685.50 |
$5,685.50 |
31.0× |
| Us abdominal aorta real time screen study aaa (76706) |
$216.75 |
$216.75 |
2.0× |
| Us breast uni real time with image complete (76641) |
$2,537.50 |
$2,537.50 |
23.2× |
| Us chest (76604) |
$3,185.75 |
$3,185.75 |
29.2× |
| Us compl joint r-t w/image documentation (76881) |
$2,665.50 |
$2,665.50 |
24.4× |
| Us guided compression repair (76936) |
$2,966 |
$2,966 |
13.2× |
| Us kidney transplanted (76776) |
$2,357.75 |
$2,357.75 |
21.6× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$2,041.75 |
$2,041.75 |
18.7× |
| Us ob followup per fetus (76816) |
$2,651.75 |
$2,651.75 |
24.3× |
| Us ob limited 1 or more fetuses (76815) |
$1,984.50 |
$1,984.50 |
18.2× |
| Us obstetric transvaginal (76817) |
$4,920.50 |
$4,920.50 |
45.1× |
| Us pelvic limited or f/u non-ob (76857) |
$1,475.50 |
$1,475.50 |
13.5× |
| Us pelvis complete (76856) |
$5,646.25 |
$5,646.25 |
51.7× |
| Us retroperitoneal complete (76770) |
$3,164 |
$3,164 |
29.0× |
| Us retroperitoneal limited (76775) |
$3,970 |
$3,970 |
36.4× |
| Us scrotum (76870) |
$4,920.50 |
$4,920.50 |
45.1× |
| Us soft tissue head/neck (76536) |
$2,106 |
$2,106 |
19.3× |
| Us spinal canal (76800) |
$4,162 |
$4,162 |
38.1× |
| Us transrectal (76872) |
$2,412.50 |
$2,412.50 |
22.1× |
| Us trgt dyn mbubb 1st les (76978) |
$1,253.25 |
$1,253.25 |
3.4× |
| Vascular flow imaging (78445) |
$2,707 |
$2,707 |
6.5× |
| Venogram extremity bilateral (75822) |
$4,628.25 |
$4,628.25 |
2.8× |
| Venogram ivc w serialography (75825) |
$9,437 |
$9,437 |
2.9× |
| Venogram svc w serialography (75827) |
$8,087.75 |
$8,087.75 |
4.9× |
| Venography adrenal unilateral selective rs&i (75840) |
$8,492 |
$8,492 |
2.6× |
| Venography ext unilateral (75820) |
$4,408.25 |
$4,408.25 |
2.7× |
| Venous sampling by catheter (75893) |
$12,471.50 |
$12,471.50 |
2.1× |
| Venous thrombosis imaging - nm extremity veins thrombosis right (78457) |
$5,385.50 |
$5,385.50 |
9.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,105.50 |
$2,105.50 |
23.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$2,280 |
$2,280 |
25.1× |
| X-ray aorta leg arteries (75630) |
$11,393.75 |
$11,393.75 |
3.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$6,480.50 |
$6,480.50 |
35.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,540.75 |
$2,540.75 |
28.0× |
| X-ray exam hips bi 3-4 views (73522) |
$419.50 |
$419.50 |
3.8× |
| X-ray exam of finger(s) (73140) |
$2,086.50 |
$2,086.50 |
23.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,235.50 |
$2,235.50 |
24.6× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,363.25 |
$1,363.25 |
12.5× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,044.25 |
$2,044.25 |
22.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,914.25 |
$1,914.25 |
21.1× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,210.50 |
$2,210.50 |
24.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,562.75 |
$2,562.75 |
23.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$651.25 |
$651.25 |
7.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,176.75 |
$2,176.75 |
19.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,363.50 |
$4,363.50 |
40.0× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$2,585.75 |
$2,585.75 |
23.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$3,208 |
$3,208 |
35.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$611.75 |
$611.75 |
5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$793 |
$793 |
7.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,280 |
$2,280 |
25.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,562.75 |
$2,562.75 |
28.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$3,678.50 |
$3,678.50 |
40.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,766 |
$3,766 |
34.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,880.50 |
$1,880.50 |
17.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,149 |
$2,149 |
23.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$2,086.50 |
$2,086.50 |
23.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,963.75 |
$2,963.75 |
32.6× |
| Xr abdomen 1 view (74018) |
$2,083.50 |
$2,083.50 |
22.9× |
| Xr abdomen 2 views (74019) |
$4,622.75 |
$4,622.75 |
42.3× |
| Xr abdomen 3 views (74021) |
$4,622.75 |
$4,622.75 |
42.3× |
| Xr arthrogram elbow (73085) |
$4,457 |
$4,457 |
12.2× |
| Xr arthrogram hip (73525) |
$3,202.25 |
$3,202.25 |
8.8× |
| Xr bone density axial (77080) |
$1,508 |
$1,508 |
13.8× |
| Xr bone length study (77073) |
$1,467 |
$1,467 |
13.4× |
| Xr bone survey infant (77076) |
$1,107 |
$1,107 |
10.1× |
| Xr bone survey limited (77074) |
$4,265.25 |
$4,265.25 |
39.1× |
| Xr chest 1 view (71045) |
$1,485.25 |
$1,485.25 |
16.3× |
| Xr chest 2 views (71046) |
$1,699 |
$1,699 |
18.7× |
| Xr chest 3 views (71047) |
$1,114 |
$1,114 |
12.3× |
| Xr cystogram 3+ views (74430) |
$2,364.50 |
$2,364.50 |
6.5× |
| Xr eye foreign body (70030) |
$1,056.25 |
$1,056.25 |
11.6× |
| Xr facial bones 3 views (70150) |
$3,256.75 |
$3,256.75 |
29.8× |
| Xr joint survey 1 view (77077) |
$1,314.25 |
$1,314.25 |
12.0× |
| Xr lower extremity 2 views infant (73592) |
$902.50 |
$902.50 |
9.9× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$1,339 |
$1,339 |
12.3× |
| Xr mandible 4 views (70110) |
$3,256.75 |
$3,256.75 |
29.8× |
| Xr myelogram c-spine (72240) |
$4,090.62 |
$4,090.62 |
5.0× |
| Xr nasal bones (70160) |
$2,430 |
$2,430 |
26.7× |
| Xr sella turcica (70240) |
$2,004.75 |
$2,004.75 |
22.1× |
| Xr sialogram (70390) |
$3,834.25 |
$3,834.25 |
15.4× |
| Xr spine 1 view (72020) |
$890 |
$890 |
9.8× |
| Xr sternum 2 views (71120) |
$2,612.75 |
$2,612.75 |
28.7× |
| Xr surgical specimen (76098) |
$760.88 |
$760.88 |
1.3× |
| Xr upper extremity 2 views infant (73092) |
$651.25 |
$651.25 |
6.0× |
| Xray elbow 2 views (73070) |
$1,266.50 |
$1,266.50 |
13.9× |
| Xray forearm 2 views (73090) |
$1,950 |
$1,950 |
21.5× |
| Xray internal auditory meati compl (70134) |
$2,323.75 |
$2,323.75 |
4.1× |
| Xray knee 1 or 2 views rt (73560) |
$1,474 |
$1,474 |
16.2× |
| Xray neck soft tissue (70360) |
$1,963.75 |
$1,963.75 |
21.6× |
| Xray optic foramina (70190) |
$1,302.25 |
$1,302.25 |
14.3× |
| Xray orbits complete min 4 views (70200) |
$4,265.25 |
$4,265.25 |
39.1× |
| Xray pelvis 1 or 2 views (72170) |
$3,208 |
$3,208 |
29.4× |
| Xray ribs bilateral 3 views (71110) |
$4,285.75 |
$4,285.75 |
39.3× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$611.75 |
$611.75 |
5.6× |
| Xray scapula complete (73010) |
$2,049.75 |
$2,049.75 |
18.8× |
| Xray shoulder 1 view (73020) |
$2,210.50 |
$2,210.50 |
24.3× |
| Xray spine thoracic 2 views (72070) |
$2,612.75 |
$2,612.75 |
23.9× |
| Xray tibia-fibula 2 views bil (73590) |
$2,235.50 |
$2,235.50 |
24.6× |
| Xray tmj's bilateral open-clsc (70330) |
$2,083.50 |
$2,083.50 |
22.9× |