| Abdomen 2 views (74019) |
$331.34 |
$1,333.04 |
3.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,068.50 |
$4,298.67 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,932.57 |
$15,821.12 |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$3,932.57 |
$15,821.12 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,932.57 |
$15,821.12 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,339.63 |
$5,389.46 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,485 |
$6,012.14 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,932.57 |
$15,821.12 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$391.67 |
$1,575.72 |
0.1× |
| Ankle 2 views (73600) |
$269.35 |
$1,090.49 |
3.4× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,091.93 |
$4,392.94 |
0.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,932.57 |
$15,821.12 |
1.4× |
| Aortography abdominal serialography rs&i (75625) |
$3,932.57 |
$15,821.12 |
1.4× |
| Aortography thoracic w/o serialography rs&i (75600) |
$935.18 |
$3,762.34 |
0.3× |
| Arthrogram elbow (73085) |
$429.64 |
$1,728.47 |
1.3× |
| Arthrogram hip (73525) |
$484.14 |
$1,947.72 |
1.5× |
| Arthrogram shoulder (73040) |
$466.10 |
$1,875.15 |
1.5× |
| Arthrogram wrist (73115) |
$645.66 |
$2,597.54 |
2.0× |
| Arthrography knee lt (73580) |
$531.48 |
$2,138.22 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,266.24 |
$5,094.20 |
3.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,496.06 |
$6,018.78 |
4.1× |
| Bone &/joint imaging whole body (78306) |
$1,727.02 |
$6,947.96 |
4.7× |
| Bone age studies (77072) |
$213.22 |
$857.76 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,602.60 |
$6,447.38 |
4.4× |
| Bone survey complete (77075) |
$600.72 |
$2,416.73 |
6.3× |
| Brain image w/flow 4 + views (78606) |
$1,949.52 |
$7,843.10 |
3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,986.59 |
$12,015.34 |
2.3× |
| Brain Imaging Vascular Flow Only (78610) |
$1,949.52 |
$7,843.10 |
3.9× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$19.52 |
$79.02 |
1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,611.08 |
$14,527.70 |
11.3× |
| Cervical spine 2 or 3 views (72040) |
$355.24 |
$1,429.18 |
4.5× |
| Chest 1 view (71045) |
$235.70 |
$948.22 |
3.0× |
| Chest 3 views (71047) |
$242.20 |
$974.41 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$521.71 |
$2,098.90 |
3.2× |
| Cineradiography/videoradiography (76120) |
$629.22 |
$2,531.38 |
6.6× |
| Clavicle complete (73000) |
$292.20 |
$1,168.79 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$84 |
$337.91 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,301.36 |
$17,304.80 |
13.5× |
| CT abdomen and pelvis without contrast (74176) |
$3,176.02 |
$12,777.42 |
14.5× |
| CT abdomen w contrast (74160) |
$2,154.59 |
$8,668.13 |
13.4× |
| CT abdomen w wo contrast (74170) |
$2,370.26 |
$9,535.76 |
14.8× |
| CT abdomen w/o contrast (74150) |
$1,648.10 |
$6,640.67 |
17.2× |
| CT angio hrt w/3d image (75574) |
$1,791.70 |
$7,208.16 |
5.6× |
| CT angiography upper extremity lt (73206) |
$648.60 |
$2,609.36 |
4.0× |
| CT c-spine w/o contrast (72125) |
$1,302.30 |
$5,239.28 |
13.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,777.04 |
$7,149.18 |
11.1× |
| CT cervical spine with contrast (72126) |
$1,380.61 |
$5,554.33 |
4.3× |
| CT chest w/wo contrast (71270) |
$2,271.70 |
$9,139.26 |
14.1× |
| CT chest with contrast (71260) |
$1,798.04 |
$7,233.71 |
11.2× |
| CT head/brain with contrast (70460) |
$1,296.28 |
$5,215.08 |
8.1× |
| CT head/brain without and with contrast (70470) |
$1,472.82 |
$5,925.30 |
9.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,791.70 |
$7,208.16 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$895.84 |
$3,604.07 |
11.2× |
| CT hrt w/3d image congen (75573) |
$1,791.70 |
$7,208.16 |
5.6× |
| CT iac w contrast (70481) |
$1,239.12 |
$4,990.50 |
7.7× |
| CT limited/localized follow up study (76380) |
$717.32 |
$2,885.86 |
9.0× |
| CT lower ext w/o (73700) |
$1,401.59 |
$5,638.74 |
14.6× |
| CT lower extremity w wo contrast (73702) |
$1,877.69 |
$7,554.14 |
11.7× |
| CT lower extremity with contrast (73701) |
$1,607.14 |
$6,465.70 |
10.0× |
| CT lumbar spine w & w/o contrast (72133) |
$2,029.66 |
$8,165.50 |
12.6× |
| CT lumbar spine w/o contrast (72131) |
$1,701.46 |
$6,845.14 |
17.8× |
| CT lumbar spine with contrast (72132) |
$1,823.44 |
$7,335.91 |
5.7× |
| CT maxillofacial w contrast (70487) |
$1,709.74 |
$6,878.48 |
10.6× |
| CT maxillofacial w/o contrast (70486) |
$1,054.84 |
$4,243.72 |
11.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,879.64 |
$7,562 |
11.7× |
| CT neck soft tissue w contrast (70491) |
$1,404.40 |
$5,650.06 |
8.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,262.08 |
$5,077.46 |
7.9× |
| CT orbits w/o contrast (70480) |
$1,180.74 |
$4,748.80 |
12.3× |
| CT pelvis w & w/o contrast (72194) |
$1,931.27 |
$7,769.70 |
12.0× |
| CT pelvis w/o contrast (72192) |
$1,450.94 |
$5,837.28 |
15.2× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$312.08 |
$1,255.54 |
3.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,622.42 |
$6,527.16 |
10.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,190.16 |
$4,788.12 |
12.4× |
| CT thoracic spine w/contrast (72129) |
$1,973.78 |
$7,940.74 |
12.3× |
| CT thoracic spine w/o contrast (72128) |
$1,794.95 |
$7,221.26 |
18.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,172.35 |
$8,739.56 |
13.5× |
| CT thorax w/o contrast (71250) |
$1,634.84 |
$6,577.10 |
17.1× |
| CT unlisted procedure (76497) |
$86.50 |
$347.96 |
1.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,877.69 |
$7,554.14 |
11.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,437.58 |
$5,783.56 |
15.0× |
| CT upper extremity with contrast (73201) |
$1,627.02 |
$6,545.67 |
5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,396.46 |
$9,641.22 |
14.9× |
| Cta Abdomen (74175) |
$2,311.94 |
$9,301.14 |
14.4× |
| CTA abdomen pelvis (74174) |
$2,201.84 |
$8,858.24 |
6.9× |
| CTA chest (71275) |
$1,802.44 |
$7,251.39 |
11.2× |
| Cta Head (70496) |
$1,170.99 |
$4,711.02 |
7.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,926.36 |
$7,749.94 |
12.0× |
| Cta Neck (70498) |
$1,404.40 |
$5,650.06 |
8.7× |
| Cta Pelvis (72191) |
$266.46 |
$1,071.99 |
1.7× |
| Cystography minimum 3 views rs&i (74430) |
$466.49 |
$1,876.74 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$340.42 |
$1,369.54 |
3.6× |
| Echoencephalography real time imaging (76506) |
$428.87 |
$1,725.39 |
4.5× |
| Esophagus (74220) |
$443.86 |
$1,785.68 |
2.8× |
| Fetal biophysical profile non-stress testing (76818) |
$751.37 |
$3,022.83 |
7.8× |
| Fluoroscopy up to 1 hr (76000) |
$364.60 |
$1,466.84 |
1.7× |
| Foot 2 views (73620) |
$259.12 |
$1,049.08 |
3.3× |
| Forearm 2 views (73090) |
$254.01 |
$1,028.40 |
3.2× |
| Gated Heart Planar Single (78472) |
$1,702.60 |
$6,849.72 |
4.7× |
| Hand 2 views (73120) |
$283.59 |
$1,148.14 |
3.0× |
| Hand 3 views (73130) |
$311.91 |
$1,254.84 |
3.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,182.60 |
$8,780.81 |
4.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,182.60 |
$8,780.81 |
6.0× |
| Ht muscle image spect sing (78451) |
$3,498.19 |
$14,073.57 |
3.0× |
| Humerus Min 2 Views Left (73060) |
$271.87 |
$1,087.47 |
3.4× |
| Hysterosalpingogram (74740) |
$595.50 |
$2,395.74 |
2.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$258.02 |
$1,038 |
2.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,970.37 |
$7,927 |
5.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,153.28 |
$8,662.88 |
4.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$755.02 |
$3,037.51 |
1.5× |
| Knee 3 views (73562) |
$380.98 |
$1,532.71 |
4.8× |
| Liver & spleen imaging static only (78215) |
$1,697.55 |
$6,829.41 |
4.6× |
| Liver imaging static only (78201) |
$1,521.15 |
$6,119.73 |
3.1× |
| Lung perf&ventilat diferentl (78598) |
$2,149.54 |
$8,647.80 |
4.3× |
| Lymphoscintigraphy (78195) |
$1,637.12 |
$6,586.30 |
3.3× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$181.84 |
$736.21 |
2.3× |
| Meckels Diverticulum (78290) |
$1,207.61 |
$4,858.33 |
3.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$19.51 |
$79 |
0.7× |
| MRA head w & w/o contrast (70546) |
$2,901.74 |
$11,673.96 |
9.1× |
| MRA head w/o contrast (70544) |
$2,351.03 |
$9,458.43 |
10.8× |
| MRA head with contrast (70545) |
$2,556.42 |
$10,284.72 |
8.0× |
| MRA neck w contrast (70548) |
$2,556.42 |
$10,284.72 |
8.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,901.74 |
$11,673.96 |
9.1× |
| MRA neck w/o contrast (70547) |
$2,297.28 |
$9,242.19 |
10.5× |
| MRI abdomen w contrast (74182) |
$1,996.10 |
$8,030.51 |
6.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,632.49 |
$10,590.76 |
8.2× |
| MRI abdomen w/o contrast (74181) |
$2,178.78 |
$8,820.98 |
10.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,400.36 |
$9,656.92 |
3.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,916.38 |
$11,732.90 |
4.1× |
| MRI bone marrow blood supply (77084) |
$1,703.74 |
$6,854.30 |
7.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,049.20 |
$8,244.12 |
9.4× |
| MRI breast w/o contrast unilat (77046) |
$1,620.34 |
$6,518.80 |
7.4× |
| MRI c-spine with contrast (72142) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI cardiac w/o contrast (75557) |
$3,194.42 |
$12,851.48 |
14.6× |
| MRI cervical spine w/o contrast (72141) |
$2,063.53 |
$8,301.78 |
9.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,503.27 |
$10,134.70 |
7.8× |
| MRI chest w/o contrast (71550) |
$1,814.82 |
$7,301.18 |
8.3× |
| MRI chest with contrast (71551) |
$2,020.05 |
$8,126.86 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,916.38 |
$11,732.90 |
9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,677.92 |
$10,773.56 |
8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,400.36 |
$9,656.92 |
11.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,244.30 |
$9,086.23 |
10.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,238.24 |
$13,027.74 |
10.1× |
| MRI orbit/face/neck w/contrast (70542) |
$2,660.12 |
$10,640.46 |
8.3× |
| MRI pelvis w contrast (72196) |
$2,418.30 |
$9,729.04 |
7.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,704.14 |
$10,879.06 |
8.5× |
| MRI pelvis w/o contrast (72195) |
$2,418.30 |
$9,729.04 |
11.1× |
| MRI scan of arm joint before and after contrast (73223) |
$3,193.92 |
$12,849.48 |
10.0× |
| MRI scan of leg joint before and after contrast (73723) |
$3,193.92 |
$12,849.48 |
10.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,996.68 |
$12,055.94 |
9.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,215.52 |
$8,913.24 |
10.1× |
| MRI tmj (70336) |
$1,993.17 |
$8,018.72 |
9.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,432.96 |
$9,788.02 |
11.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,193.92 |
$12,849.48 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,362.91 |
$9,506.22 |
10.8× |
| Myelogram Cervical (72240) |
$1,027.90 |
$4,135.37 |
1.4× |
| Myelogram Lumbar (72265) |
$1,027.90 |
$4,135.37 |
1.4× |
| Myelogram thoracic (72255) |
$1,027.90 |
$4,135.37 |
1.4× |
| Myelography 2 or more regions (72270) |
$1,073.52 |
$4,318.85 |
1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,986.59 |
$12,015.34 |
2.5× |
| Myocardial infarct spect (78469) |
$3,016.72 |
$12,136.56 |
6.1× |
| Myocardial Spect Multiple Studies (78452) |
$4,051.66 |
$16,300.24 |
3.4× |
| Neck soft tissue (70360) |
$262.56 |
$1,056.32 |
3.3× |
| Nm cisternogram (78630) |
$2,506.25 |
$10,082.88 |
5.0× |
| Nm gastric emptying study (78264) |
$993.26 |
$3,995.96 |
2.7× |
| Nm gastroesophageal reflux study (78262) |
$528.22 |
$2,125.06 |
1.4× |
| Nm peritoneal-venous shunt patency (78291) |
$575.96 |
$2,317.12 |
1.6× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$2,986.59 |
$12,015.34 |
2.3× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,384.42 |
$9,592.74 |
2.0× |
| Nuclear medicine of heart pumping function (78473) |
$2,115.50 |
$8,510.88 |
5.8× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$2,596.98 |
$10,447.91 |
2.0× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$2,986.59 |
$12,015.34 |
2.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,821.66 |
$7,328.73 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$1,238.38 |
$4,982.14 |
5.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$327.24 |
$1,316.50 |
3.4× |
| Osseous survey limited (77074) |
$588.66 |
$2,368.23 |
6.1× |
| Parathyroid imaging (78070) |
$2,442.89 |
$9,827.98 |
6.7× |
| Pelvis 1 or 2 views (72170) |
$61.36 |
$245.42 |
0.6× |
| PET image w/CT, skull-thigh (78815) |
$2,596.98 |
$10,447.91 |
2.0× |
| PET imaging CT for attenuation limited area (78814) |
$2,596.98 |
$10,447.91 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$2,596.98 |
$10,447.91 |
2.0× |
| PET imaging limited area chest head/neck (78811) |
$2,596.98 |
$10,447.91 |
2.2× |
| PET whole body (78813) |
$2,596.98 |
$10,447.91 |
2.0× |
| Pr heart first pass single,planar (78481) |
$1,139.20 |
$4,583.10 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,400.36 |
$9,656.92 |
7.5× |
| Pr non-imaging heart function (78414) |
$599.08 |
$2,410.18 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,149.54 |
$8,647.80 |
5.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,149.54 |
$8,647.80 |
4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$546.14 |
$2,197.16 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$717 |
$2,884.58 |
7.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$369.74 |
$1,487.52 |
3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$421.37 |
$1,695.21 |
4.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$315.01 |
$1,267.32 |
4.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$304.10 |
$1,223.42 |
3.8× |
| Radiologic exam colon single contrast study (74270) |
$598.74 |
$2,408.81 |
3.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$600.23 |
$2,418.40 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$719.28 |
$2,912.07 |
4.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$305.24 |
$1,228.03 |
3.8× |
| Radiological examination surgical specimen (76098) |
$251.70 |
$1,009.61 |
0.5× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$604.62 |
$2,432.44 |
1.7× |
| Ribs bilateral 3 views (71110) |
$198.65 |
$799.18 |
2.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,666.44 |
$6,704.26 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,127.58 |
$8,510.31 |
4.3× |
| Rp Therapy Intravenous Administration (79101) |
$6,287.36 |
$25,294.66 |
29.4× |
| Scanogram (77073) |
$393.52 |
$1,583.18 |
4.1× |
| Scapula complete (73010) |
$280 |
$1,126.44 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$66.88 |
$267.52 |
2.9× |
| Sella turcica (70240) |
$202.30 |
$813.86 |
2.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$468.12 |
$1,883.31 |
4.9× |
| Sialogram (70390) |
$418.76 |
$1,684.73 |
1.9× |
| Small bowel series (74250) |
$620.26 |
$2,495.34 |
3.9× |
| Speech evaluation complex (70371) |
$411.77 |
$1,656.58 |
1.9× |
| Spine thoracic 3 views (72072) |
$385.54 |
$1,551.08 |
4.0× |
| Testicular Imaging With Vascular Flow (78761) |
$1,280.24 |
$5,150.52 |
3.5× |
| Thoracolumbar 2 views (72080) |
$230.48 |
$927.23 |
2.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,129.18 |
$8,565.92 |
4.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,393.30 |
$5,605.37 |
3.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,393.30 |
$5,605.37 |
3.8× |
| Tmj unilateral (70328) |
$270.88 |
$1,089.77 |
3.4× |
| Tomogram (76100) |
$608.04 |
$2,446.18 |
6.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,794.95 |
$7,221.26 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$939.17 |
$3,778.36 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$624.39 |
$2,497.55 |
6.5× |
| Upper Extremity Infant (73092) |
$198.65 |
$799.18 |
2.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,346.06 |
$5,415.32 |
3.7× |
| Urethrocystography retrograde rs&i (74450) |
$408.84 |
$1,644.78 |
1.9× |
| Urethrocystography voiding (74455) |
$622.04 |
$2,502.54 |
2.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$928.42 |
$3,735.11 |
5.8× |
| Us abdl aorta screen aaa (76706) |
$81.88 |
$329.40 |
0.9× |
| Us breast unilateral complete (76641) |
$315.34 |
$1,276.69 |
3.3× |
| Us breast unilateral limited (76642) |
$384.65 |
$1,538.58 |
4.8× |
| Us chest (76604) |
$431.14 |
$1,734.52 |
4.5× |
| Us compl joint r-t w/image documentation (76881) |
$929.56 |
$3,739.71 |
9.7× |
| Us infant hips dynamic (76885) |
$387.18 |
$1,557.64 |
4.9× |
| Us infant hips limited static (76886) |
$475.94 |
$1,914.74 |
6.0× |
| Us ob detailed single fetus (76811) |
$638 |
$2,566.75 |
2.9× |
| Us ob transvaginal (76817) |
$625.62 |
$2,516.94 |
6.5× |
| Us pelvic non ob complete (76856) |
$630.85 |
$2,554.06 |
6.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$663.42 |
$2,669 |
6.9× |
| Us pregnancy ltd (76815) |
$357.20 |
$1,437.06 |
3.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$357.20 |
$1,437.06 |
3.7× |
| Us retroperitoneal complete (76770) |
$636.34 |
$2,545.38 |
6.6× |
| Us retroperitoneal limited (76775) |
$560.65 |
$2,255.55 |
5.9× |
| Us scrotum and contents (76870) |
$663.42 |
$2,669 |
6.9× |
| Us soft tissue head/neck (76536) |
$602.17 |
$2,408.66 |
6.3× |
| Us spinal canal and contents (76800) |
$386.84 |
$1,556.28 |
4.0× |
| Us transrectal (76872) |
$708.70 |
$2,851.17 |
7.4× |
| Vascular flow imaging (78445) |
$780.69 |
$3,140.78 |
2.1× |
| Venogram extremity bilateral (75822) |
$1,225.58 |
$4,902.33 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$1,006.64 |
$4,075.46 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$608.44 |
$2,433.77 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,264.18 |
$5,085.91 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,038.93 |
$4,179.72 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$66.54 |
$267.68 |
0.8× |
| Wrist 2 views (73100) |
$246.27 |
$997.04 |
3.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$380.34 |
$1,530.13 |
4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$338 |
$1,351.99 |
4.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$313.38 |
$1,260.77 |
3.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$872.88 |
$3,511.70 |
5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$294.90 |
$1,193.93 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$341.72 |
$1,374.80 |
4.3× |
| X-ray exam hip uni 1 view (73501) |
$173.46 |
$697.88 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$296.44 |
$1,192.62 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$401.18 |
$1,613.98 |
4.2× |
| X-ray exam of femur 1 (73551) |
$173.80 |
$699.19 |
2.2× |
| X-ray eye for foreign body (70030) |
$246.76 |
$992.77 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$299.54 |
$1,205.08 |
3.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$277.88 |
$1,117.93 |
3.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$299.70 |
$1,205.72 |
3.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,064.60 |
$4,282.96 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$263.55 |
$1,060.29 |
3.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$928.42 |
$3,735.11 |
5.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$242.86 |
$977.04 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$415.35 |
$1,670.98 |
4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$305.24 |
$1,228.03 |
3.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105.48 |
$424.34 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$397.11 |
$1,597.62 |
4.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$912.30 |
$3,670.26 |
9.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$546.46 |
$2,198.49 |
5.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$315.18 |
$1,268 |
4.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$170.22 |
$684.79 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$430.66 |
$1,732.59 |
4.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$337.17 |
$1,356.45 |
3.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$480.18 |
$1,931.80 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$369.57 |
$1,486.82 |
4.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$385.86 |
$1,552.37 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$408.02 |
$1,641.48 |
4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$354.92 |
$1,427.88 |
3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$297.59 |
$1,197.22 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$308.34 |
$1,240.46 |
3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$428.87 |
$1,725.39 |
5.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$283.26 |
$1,139.56 |
3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$460.47 |
$1,852.52 |
4.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$424.79 |
$1,708.97 |
4.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$302.97 |
$1,219.48 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$281.62 |
$1,132.99 |
3.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$308.50 |
$1,241.12 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$279.50 |
$1,124.47 |
2.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$306.70 |
$1,233.92 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$237 |
$953.48 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$284.72 |
$1,145.42 |
3.6× |
| Xr arthrogram ankle (73615) |
$660.96 |
$2,659.13 |
2.1× |
| Xr c-spine 6 or more views (72052) |
$614.07 |
$2,470.46 |
6.4× |
| Xr chest 4+ views (71048) |
$321.20 |
$1,292.24 |
3.4× |
| Xr Cholecystography Oral Contrast (74290) |
$128.51 |
$517.02 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$238.30 |
$958.68 |
3.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$249.04 |
$1,001.94 |
2.6× |
| Xr optic foramina (70190) |
$324.14 |
$1,304.06 |
4.1× |
| Xr shoulder 1 view (73020) |
$253.94 |
$1,021.59 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$291.80 |
$1,181.39 |
3.7× |
| Xr tmj bilateral (70330) |
$459.65 |
$1,849.22 |
5.8× |
| Xray knee 1 or 2 views rt (73560) |
$305.24 |
$1,228.03 |
3.8× |