| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,140 |
— |
4.1× |
| Abdomen 1 View (74018) |
$731 |
— |
6.7× |
| Abdomen 2 views (74019) |
$1,454 |
— |
11.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,381 |
— |
4.8× |
| Adrenal Cortex & Medulla Img (78075) |
$2,265 |
— |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$8,727 |
— |
2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$8,574 |
— |
2.2× |
| Ankle 2 views (73600) |
$2,274 |
— |
20.9× |
| Artery X-Rays Abdomen (75726) |
$8,727 |
— |
1.3× |
| Arthrogram hip (73525) |
$1,601 |
— |
3.7× |
| Basic radiation dosimetry calculation (77300) |
$909 |
— |
5.4× |
| Bone age studies (77072) |
$812 |
— |
6.2× |
| Bone Imaging 3 Phase (78315) |
$3,283 |
— |
6.6× |
| Bone Imaging Limited Area (78300) |
$1,406 |
— |
2.8× |
| Bone Imaging Multiple Areas (78305) |
$2,716 |
— |
5.4× |
| Bone Imaging Whole Body (78306) |
$2,906 |
— |
5.8× |
| Bone survey infant (77076) |
$3,386 |
— |
25.9× |
| Brain Image W/Flow < 4 Views (78601) |
$2,381 |
— |
4.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,381 |
— |
3.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,278 |
— |
3.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$4,158 |
— |
8.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,642 |
— |
13.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$6,050 |
— |
6.2× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) |
$2,848 |
— |
4.2× |
| Cerebrospinal Fluid Scan (78630) |
$2,848 |
— |
4.2× |
| Chest 1 view (71045) |
$460 |
— |
4.2× |
| Chest 2 views (71046) |
$1,086 |
— |
10.0× |
| Chest 3 views (71047) |
$1,086 |
— |
10.0× |
| Chest 4 or more views (71048) |
$1,765 |
— |
13.5× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) |
$351 |
— |
2.7× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,392 |
— |
1.4× |
| Clavicle complete (73000) |
$1,147 |
— |
10.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,757 |
— |
21.1× |
| Continuing medical physics consltj pr wk (77336) |
$942 |
— |
5.6× |
| Contrast X-Ray Bladder (74430) |
$1,050 |
— |
2.4× |
| Contrast X-Ray Of Elbow (73085) |
$3,515 |
— |
8.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,203 |
— |
21.1× |
| CT abdomen and pelvis without contrast (74176) |
$6,675 |
— |
22.4× |
| CT abdomen w contrast (74160) |
$3,835 |
— |
17.5× |
| CT abdomen w wo contrast (74170) |
$4,601 |
— |
21.0× |
| CT abdomen w/o contrast (74150) |
$3,337 |
— |
25.6× |
| CT Angio Abdomen and Pelvis (74174) |
$6,966 |
— |
16.0× |
| CT Angio Chest (71275) |
$3,479 |
— |
15.9× |
| CT Angio Head (70496) |
$3,479 |
— |
15.9× |
| CT angio hrt w/3d image (75574) |
$2,674 |
— |
6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$6,631 |
— |
30.3× |
| CT Angio Neck (70498) |
$3,479 |
— |
15.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$6,631 |
— |
30.3× |
| CT cervical spine w/ contrast (72126) |
$3,174 |
— |
7.3× |
| CT cervical spine w/o contrast (72125) |
$2,649 |
— |
20.3× |
| CT cervical spine w/wo cont (72127) |
$5,855 |
— |
26.7× |
| CT chest w contrast (71260) |
$3,728 |
— |
17.0× |
| CT chest w/wo contrast (71270) |
$4,797 |
— |
21.9× |
| CT colonography screening (74263) |
$2,035 |
— |
6.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$2,035 |
— |
9.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$2,035 |
— |
15.6× |
| CT head/brain with contrast (70460) |
$2,629 |
— |
12.0× |
| CT head/brain without and with contrast (70470) |
$5,026 |
— |
23.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,115 |
— |
4.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48 |
— |
0.4× |
| CT hrt w/3d image congen (75573) |
$2,074 |
— |
4.8× |
| CT iac w contrast (70481) |
$3,359 |
— |
15.3× |
| CT l-spine w&w/o contrast (72133) |
$5,855 |
— |
26.7× |
| CT lower ext w/o (73700) |
$3,359 |
— |
25.7× |
| CT lower extremity w/contrast material (73701) |
$4,221 |
— |
19.3× |
| CT lumbar spine w contrast (72132) |
$3,911 |
— |
9.0× |
| CT lumbar spine w/o contrast (72131) |
$3,358 |
— |
25.7× |
| CT maxillofacial w contrast (70487) |
$3,341 |
— |
15.3× |
| CT maxillofacial wo contrast (70486) |
$2,896 |
— |
22.2× |
| CT neck tissue combo (70492) |
$6,136 |
— |
28.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$6,248 |
— |
28.5× |
| CT orbits w/o contrast (70480) |
$2,896 |
— |
22.2× |
| CT pelvis w&w/o contrast (72194) |
$4,601 |
— |
21.0× |
| CT pelvis w/o contrast (72192) |
$3,337 |
— |
25.6× |
| CT scan of leg combo (73702) |
$4,601 |
— |
21.0× |
| CT scans face/jaw combo (70488) |
$6,228 |
— |
28.4× |
| CT soft tissue neck w contrast (70491) |
$3,455 |
— |
15.8× |
| CT soft tissue neck w/o contrast (70490) |
$2,690 |
— |
20.6× |
| CT thoracic spine w contrast (72129) |
$3,911 |
— |
17.9× |
| CT thoracic spine w/o contrast (72128) |
$2,691 |
— |
20.6× |
| CT thoracic spine w/wo cont (72130) |
$4,797 |
— |
21.9× |
| CT thorax w/o contrast (71250) |
$3,358 |
— |
25.7× |
| CT unlisted procedure (76497) |
$1,046 |
— |
9.6× |
| CT upper ext wo (73200) |
$3,358 |
— |
25.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,600 |
— |
21.0× |
| CT upper extremity with contrast (73201) |
$4,220 |
— |
9.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$6,955 |
— |
31.8× |
| Cta Abdomen (74175) |
$3,479 |
— |
15.9× |
| CTA pelvis (72191) |
$3,479 |
— |
15.9× |
| Diskography lumbar (72295) |
$3,375 |
— |
1.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,315 |
— |
10.1× |
| Dxa Bone Density Axial (77080) |
$1,960 |
— |
15.0× |
| Dxa bone density study (77085) |
$827 |
— |
6.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$962 |
— |
8.9× |
| Echo exam of fetal heart (76825) |
$735 |
— |
1.1× |
| Echo exam uterus (76831) |
$1,000 |
— |
3.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$735 |
— |
2.5× |
| Echograp Trans R Pros Study (76873) |
$4,912 |
— |
37.6× |
| Esophagram (74220) |
$1,614 |
— |
7.4× |
| Fetal Biophys Profile W/Nst (76818) |
$2,351 |
— |
18.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,329 |
— |
17.8× |
| Fluoroscopy up to 1 hr (76000) |
$2,048 |
— |
6.9× |
| Follow-Up Angiography (75898) |
$757 |
— |
0.2× |
| Foot 2 views (73620) |
$1,861 |
— |
17.1× |
| Forearm 2 views (73090) |
$1,147 |
— |
10.6× |
| Gastric emptying imaging study (78264) |
$2,381 |
— |
4.8× |
| Gated Heart Planar Single (78472) |
$5,746 |
— |
11.5× |
| Hand 2 views (73120) |
$1,812 |
— |
13.9× |
| Heart Image (Pet) Multiple (78492) |
$15,817 |
— |
8.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$10,647 |
— |
2.7× |
| Hepatobil Syst Image W/Drug (78227) |
$7,795 |
— |
11.5× |
| Hepatobiliary System Imaging (78226) |
$6,906 |
— |
13.8× |
| Ht Muscle Image Spect Sing (78451) |
$11,832 |
— |
7.3× |
| Hysterosalpingogram (74740) |
$2,398 |
— |
8.1× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$7,862 |
— |
0.9× |
| K Flow/Funct Image W/Drug (78708) |
$2,784 |
— |
4.1× |
| K Flow/Funct Image W/O Drug (78707) |
$2,784 |
— |
4.1× |
| Knee 3 Views (73562) |
$2,804 |
— |
25.8× |
| Leveen/Shunt Patency Exam (78291) |
$2,381 |
— |
4.8× |
| Liver & Spleen Imaging Static Only (78215) |
$2,381 |
— |
4.8× |
| Lung Perf&Ventilat Diferentl (78598) |
$2,541 |
— |
3.7× |
| Lung perfusion differential (78597) |
$2,541 |
— |
5.1× |
| Lung Ventilat&Perfus Imaging (78582) |
$4,934 |
— |
7.3× |
| Lung Ventilation Imaging (78579) |
$2,541 |
— |
5.1× |
| Lymph System Imaging (78195) |
$14,677 |
— |
21.7× |
| Magnetic Image Jaw Joint (70336) |
$6,747 |
— |
22.7× |
| Mammary ductogram or galactogram multiple (77054) |
$2,109 |
— |
7.1× |
| Mammary ductogram or galactogram single (77053) |
$2,109 |
— |
7.1× |
| Meckels Divert Exam (78290) |
$2,381 |
— |
4.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$21,633 |
— |
46.3× |
| Mra Head W/O & W/Contrast Material (70546) |
$10,546 |
— |
24.2× |
| MRA head w/o contrast (70544) |
$6,750 |
— |
22.7× |
| MRA head with contrast (70545) |
$7,595 |
— |
17.4× |
| MRA neck w contrast (70548) |
$7,595 |
— |
17.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$10,546 |
— |
24.2× |
| MRA neck w/o contrast (70547) |
$6,750 |
— |
22.7× |
| MRI abdomen w contrast (74182) |
$7,597 |
— |
17.4× |
| MRI abdomen w/o contrast (74181) |
$6,747 |
— |
22.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,403 |
— |
3.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,899 |
— |
4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,899 |
— |
1.9× |
| MRI Breast W/O Contrast Bilateral (77047) |
$7,711 |
— |
25.9× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$6,429 |
— |
21.6× |
| MRI cardiac w/o contrast (75557) |
$3,819 |
— |
12.8× |
| MRI cervical spine w contrast (72142) |
$9,337 |
— |
21.4× |
| MRI cervical spine w/o cont (72141) |
$7,597 |
— |
25.5× |
| MRI chest w/o contrast (71550) |
$6,747 |
— |
22.7× |
| MRI chest with contrast (71551) |
$7,597 |
— |
7.8× |
| MRI chest wo w contrast (71552) |
$10,547 |
— |
24.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,899 |
— |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,269 |
— |
7.6× |
| MRI lumbar spine w contrast (72149) |
$7,597 |
— |
17.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$10,547 |
— |
24.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,747 |
— |
22.7× |
| MRI orbit face neck w contrast (70542) |
$7,064 |
— |
16.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$10,547 |
— |
24.2× |
| MRI pelvis w contrast (72196) |
$7,597 |
— |
17.4× |
| MRI pelvis w/o & w contrast (72197) |
$7,388 |
— |
17.0× |
| MRI pelvis w/o contrast (72195) |
$6,747 |
— |
22.7× |
| MRI spectroscopy (76390) |
$5,311 |
— |
48.9× |
| MRI thoracic spine w/o contrast (72146) |
$6,747 |
— |
22.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$971 |
— |
3.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,622 |
— |
3.7× |
| MRI, abdomen, combo (74183) |
$10,547 |
— |
24.2× |
| MRI, dorsal spine combo (72157) |
$10,547 |
— |
24.2× |
| MRI, dorsal spine contrast (72147) |
$7,597 |
— |
17.4× |
| MRI, joint upper extrem (73221) |
$1,134 |
— |
3.8× |
| MRI, joint upper extrem combo (73223) |
$1,899 |
— |
4.4× |
| MRI, lumbar spine combo (72158) |
$10,044 |
— |
23.1× |
| Myelogram cervical (72240) |
$3,377 |
— |
3.5× |
| Myelogram Lumbar (72265) |
$3,377 |
— |
3.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$15,817 |
— |
9.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$2,381 |
— |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$12,024 |
— |
7.4× |
| N-invas est c ffr sw aly CTA (75580) |
$3,336 |
— |
3.1× |
| Neck soft tissue (70360) |
$1,006 |
— |
9.3× |
| Nm csf leak detection (78650) |
$3,073 |
— |
1.9× |
| Nonvascular Shunt X-Ray (75809) |
$426 |
— |
3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,740 |
— |
5.6× |
| Ob us nuchal meas 1 gest (76813) |
$2,765 |
— |
21.2× |
| Parathyroid Planar Imaging (78070) |
$2,265 |
— |
4.5× |
| Pelvis 1 or 2 views (72170) |
$586 |
— |
4.5× |
| PET image w/CT, full body (78816) |
$15,817 |
— |
8.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$15,817 |
— |
8.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$15,817 |
— |
9.8× |
| Pet Myocardial Sngl Study (78491) |
$15,817 |
— |
8.9× |
| PET whole body (78813) |
$15,817 |
— |
8.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,381 |
— |
4.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$2,217 |
— |
17.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$3,042 |
— |
28.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,812 |
— |
16.7× |
| Radex elbow complete minimum 3 views (73080) |
$891 |
— |
8.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$1,550 |
— |
11.9× |
| Radex fingr minimum 2 views (73140) |
$612 |
— |
5.6× |
| Radex foot complete minimum 3 views (73630) |
$2,826 |
— |
26.0× |
| Radex Hand Minimum 3 Views (73130) |
$2,623 |
— |
24.1× |
| Radex lower extremity infant minimum 2 views (73592) |
$1,769 |
— |
16.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$1,198 |
— |
9.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$998 |
— |
9.2× |
| Radex Ribs Unilateral 2 Views (71100) |
$818 |
— |
7.5× |
| Radex shoulder complete minimum 2 views (73030) |
$1,147 |
— |
10.6× |
| Radex Spine 1 View Specify Level (72020) |
$1,696 |
— |
15.6× |
| Radex Sternum Minimum 2 Views (71120) |
$680 |
— |
6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,672 |
— |
15.4× |
| Radex Toe Minimum 2 Views (73660) |
$612 |
— |
5.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$895 |
— |
6.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$2,623 |
— |
24.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$34,377 |
— |
3.7× |
| Radiation treatment delivery level 1 (77402) |
$827 |
— |
6.5× |
| Radiation treatment delivery level 2 (77407) |
$1,244 |
— |
2.6× |
| Radiation treatment delivery level 3 (77412) |
$2,196 |
— |
3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$906 |
— |
6.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,217 |
— |
17.0× |
| Radiologic exam colon double contrast study (74280) |
$2,093 |
— |
9.6× |
| Radiologic exam colon single contrast study (74270) |
$1,820 |
— |
8.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,614 |
— |
7.4× |
| Radiologic exam knee complete 4/more views (73564) |
$2,340 |
— |
17.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$602 |
— |
4.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,621 |
— |
7.4× |
| Radiologic exam swallow function contrast study (74230) |
$1,960 |
— |
9.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,340 |
— |
10.7× |
| Radiologic examination femur minimum 2 views (73552) |
$1,147 |
— |
10.6× |
| Radiologic examination knee 1/2 views (73560) |
$1,874 |
— |
17.3× |
| Radiologic Examination Osseous Survey Limited (77074) |
$2,497 |
— |
19.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$2,271 |
— |
20.9× |
| Radiopharm Dacryocystography (78660) |
$1,824 |
— |
3.7× |
| Ribs bilateral 3 views (71110) |
$2,608 |
— |
20.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,459 |
— |
4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,597 |
— |
7.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,695 |
— |
6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$3,597 |
— |
5.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$4,695 |
— |
6.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$6,428 |
— |
3.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$5,667 |
— |
3.5× |
| Rp Therapy Intravenous Administration (79101) |
$936 |
— |
3.2× |
| Salivary Gland Imaging (78230) |
$1,273 |
— |
2.6× |
| Scapula (73010) |
$1,147 |
— |
8.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$1,499 |
— |
64.1× |
| Shoulder 1 view (73020) |
$854 |
— |
7.9× |
| Shoulder Arthrography (73040) |
$3,573 |
— |
8.2× |
| Sialogram (70390) |
$1,096 |
— |
3.7× |
| Skull less than 4 views (70250) |
$778 |
— |
6.0× |
| Special dosimetry (77331) |
$857 |
— |
5.1× |
| Special Physics Consult (77370) |
$942 |
— |
5.6× |
| Special treatment procedure (77470) |
$3,711 |
— |
5.4× |
| Spleen Imaging (78185) |
$1,871 |
— |
3.7× |
| Stereotactic Body Radiation Delivery (77373) |
$11,988 |
— |
5.4× |
| Sternoclavicular joints (71130) |
$924 |
— |
8.5× |
| Tbs technical calculation only (77091) |
$302 |
— |
2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,578 |
— |
5.5× |
| Testicular Imaging W/Flow (78761) |
$2,381 |
— |
4.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$5,011 |
— |
10.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$3,121 |
— |
6.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,812 |
— |
10.8× |
| Thoracic spine 2 views (72070) |
$1,393 |
— |
10.7× |
| Thoracic spine 3 views (72072) |
$1,778 |
— |
13.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,265 |
— |
4.5× |
| Thyroid Uptake Measurement (78012) |
$2,265 |
— |
4.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,265 |
— |
4.5× |
| Tx Devices Design & Construction Complex (77334) |
$1,262 |
— |
2.7× |
| Tx devices design & construction simple (77332) |
$1,572 |
— |
9.4× |
| Ultrasound Breast Limited (76642) |
$731 |
— |
6.7× |
| Ultrasound elastography first target lesion (76982) |
$1,456 |
— |
11.2× |
| Ultrasound Elastography Parenchyma (76981) |
$1,456 |
— |
11.2× |
| Ultrasound Exam Aaa Screen (76706) |
$1,505 |
— |
11.5× |
| Ultrasound, abdomen limited (76705) |
$3,827 |
— |
29.3× |
| Umbilical-artery Doppler (OB) (76820) |
$735 |
— |
5.6× |
| Upper gi w/o kub (74240) |
$1,960 |
— |
9.0× |
| Ureteral Reflux Study (78740) |
$2,381 |
— |
4.8× |
| Urethrocystogram voiding (74455) |
$1,251 |
— |
4.2× |
| Urethrocystography retrograde (74450) |
$1,723 |
— |
5.8× |
| Us breast unilateral complete (76641) |
$1,120 |
— |
8.6× |
| Us chest (76604) |
$1,000 |
— |
7.7× |
| Us complete joint (76881) |
$1,000 |
— |
7.7× |
| Us exam, pelvic, limited (76857) |
$1,095 |
— |
8.4× |
| Us head (76506) |
$897 |
— |
6.9× |
| Us kidney transplant (76776) |
$1,513 |
— |
11.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$539 |
— |
4.1× |
| Us ob detailed single fetus (76811) |
$1,244 |
— |
4.2× |
| Us ob limited 1 or more fetuses (76815) |
$1,244 |
— |
9.5× |
| Us ob transvaginal (76817) |
$1,386 |
— |
10.6× |
| Us pelvic non ob complete (76856) |
$1,095 |
— |
8.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,244 |
— |
9.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$1,058 |
— |
8.1× |
| Us retroperitoneal complete (76770) |
$5,904 |
— |
45.2× |
| Us retroperitoneal limited (76775) |
$3,827 |
— |
29.3× |
| Us scrotum and contents (76870) |
$1,948 |
— |
14.9× |
| Us thyroid (76536) |
$1,948 |
— |
14.9× |
| Vein X-Ray Chest (75827) |
$4,975 |
— |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$4,975 |
— |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,242 |
— |
0.6× |
| Vertebral fracture assessment via dxa (77086) |
$438 |
— |
4.0× |
| Wrist 2 views (73100) |
$1,499 |
— |
13.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$819 |
— |
7.5× |
| X-ray antegrade pyelogram tube (74425) |
$1,702 |
— |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$919 |
— |
8.5× |
| X-Ray Exam Breast Specimen (76098) |
$1,540 |
— |
2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$1,778 |
— |
16.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$1,778 |
— |
13.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$1,778 |
— |
13.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$464 |
— |
4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,332 |
— |
12.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$1,332 |
— |
10.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$2,665 |
— |
20.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,665 |
— |
20.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,665 |
— |
20.4× |
| X-Ray Exam L-S Spine Bending (72114) |
$2,323 |
— |
17.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$389 |
— |
3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$415 |
— |
3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$818 |
— |
6.3× |
| X-ray humerus (73060) |
$1,147 |
— |
10.6× |
| X-ray IV pyelogram (ivp) (74400) |
$2,381 |
— |
10.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,874 |
— |
17.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,098 |
— |
8.4× |
| X-ray nose-rectum child f.b. (76010) |
$669 |
— |
6.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,144 |
— |
24.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$907 |
— |
7.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$565 |
— |
5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,084 |
— |
10.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,095 |
— |
8.4× |
| X-ray thoracic spine 4 vw (72074) |
$1,856 |
— |
14.2× |
| X-Ray Tmj Unilat (70328) |
$778 |
— |
7.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,934 |
— |
4.4× |
| X-Rays Bone Length Studies (77073) |
$421 |
— |
3.2× |
| X-Rays Bone Survey Complete (77075) |
$4,952 |
— |
37.9× |
| Xr c-spine 4 or 5 views (72050) |
$415 |
— |
3.2× |
| Xr facial bones less than 3 views (70140) |
$778 |
— |
7.2× |
| Xr orbits complete 4 views (70200) |
$2,147 |
— |
16.5× |