| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,000 |
$3,000 |
2.2× |
| Abdomen 2 views (74019) |
$138.50 |
$138.50 |
1.3× |
| Acute gi blood loss imaging (78278) |
$835 |
$835 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$4,000 |
$4,000 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$4,000 |
$4,000 |
1.3× |
| Angiography internal mammary rs&i (75756) |
$2,500 |
$2,500 |
0.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,280 |
$5,280 |
1.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,500 |
$3,500 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,500 |
$3,500 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,750 |
$4,750 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,000 |
$3,000 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,500 |
$3,500 |
1.1× |
| Ankle 2 views (73600) |
$164.50 |
$164.50 |
1.9× |
| Aortogram thoracic (75605) |
$4,900 |
$4,900 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,000 |
$4,000 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$5,050 |
$5,050 |
1.6× |
| Arthrogram hip (73525) |
$540 |
$540 |
1.6× |
| Arthrogram shoulder (73040) |
$580 |
$580 |
1.7× |
| Basic dosimetry (77300) |
$510 |
$510 |
3.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$730 |
$730 |
1.8× |
| Bone &/joint imaging whole body (78306) |
$915 |
$915 |
2.3× |
| Bone age studies (77072) |
$350 |
$350 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$915 |
$915 |
2.3× |
| Bone survey complete (77075) |
$298 |
$298 |
2.9× |
| Bone survey infant (77076) |
$228 |
$228 |
2.2× |
| Bowel imaging (78290) |
$835 |
$835 |
2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,126 |
$3,126 |
2.2× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$900 |
$900 |
2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$748 |
$748 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$173 |
$173 |
2.0× |
| Chest 1 view (71045) |
$135 |
$135 |
1.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$315.50 |
$315.50 |
1.8× |
| Clavicle complete (73000) |
$135 |
$135 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$582 |
$582 |
5.6× |
| Continuing medical physics consltj pr wk (77336) |
$698 |
$698 |
5.3× |
| Corpora cavernosography (74445) |
$800 |
$800 |
7.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,585 |
$1,585 |
4.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,252 |
$1,252 |
5.3× |
| CT abdomen w contrast (74160) |
$899 |
$899 |
5.2× |
| CT abdomen w wo contrast (74170) |
$1,003 |
$1,003 |
5.8× |
| CT abdomen w/o contrast (74150) |
$582 |
$582 |
5.6× |
| CT angio hrt w/3d image (75574) |
$1,016 |
$1,016 |
2.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,016 |
$1,016 |
5.9× |
| CT angiography upper extremity lt (73206) |
$1,003 |
$1,003 |
5.8× |
| CT c-spine w/contrast (72126) |
$1,133 |
$1,133 |
3.3× |
| CT c-spine w/o contrast (72125) |
$737 |
$737 |
7.1× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$950 |
$950 |
5.5× |
| CT cervical spine w&w/o contrast (72127) |
$1,003 |
$1,003 |
5.8× |
| CT chest w contrast (71260) |
$899 |
$899 |
5.2× |
| CT chest w/wo contrast (71270) |
$1,003 |
$1,003 |
5.8× |
| CT head/brain with contrast (70460) |
$899 |
$899 |
5.2× |
| CT head/brain without and with contrast (70470) |
$1,003 |
$1,003 |
5.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,016 |
$1,016 |
2.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$80 |
$80 |
0.9× |
| CT hrt w/3d image congen (75573) |
$1,016 |
$1,016 |
2.9× |
| CT iac w contrast (70481) |
$899 |
$899 |
5.2× |
| CT limited/localized follow up study (76380) |
$562 |
$562 |
6.5× |
| CT lower ext w/o (73700) |
$678 |
$678 |
6.6× |
| CT lower extremity w/contrast material (73701) |
$899 |
$899 |
5.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,003 |
$1,003 |
5.8× |
| CT lumbar spine w/contrast (72132) |
$934.50 |
$934.50 |
2.7× |
| CT lumbar spine w/o contrast (72131) |
$737 |
$737 |
7.1× |
| CT maxillofacial w contrast (70487) |
$899 |
$899 |
5.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,003 |
$1,003 |
5.8× |
| CT maxillofacial wo contrast (70486) |
$737 |
$737 |
7.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,003 |
$1,003 |
5.8× |
| CT orbits w/o contrast (70480) |
$735 |
$735 |
7.1× |
| CT pelvis w/o contrast (72192) |
$582 |
$582 |
5.6× |
| CT pelvis w/wo contrast (72194) |
$1,003 |
$1,003 |
5.8× |
| CT soft tissue neck w contrast (70491) |
$899 |
$899 |
5.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$992 |
$992 |
5.7× |
| CT soft tissue neck w/o contrast (70490) |
$720 |
$720 |
7.0× |
| CT thoracic spine w/contrast (72129) |
$899 |
$899 |
5.2× |
| CT thoracic spine w/o contrast (72128) |
$720 |
$720 |
7.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,003 |
$1,003 |
5.8× |
| CT thorax w/o contrast (71250) |
$737 |
$737 |
7.1× |
| CT upper ext wo (73200) |
$737 |
$737 |
7.1× |
| CT upper extremity with contrast (73201) |
$899 |
$899 |
2.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,281 |
$1,281 |
7.4× |
| Cta Abdomen (74175) |
$1,042.50 |
$1,042.50 |
6.0× |
| CTA abdomen pelvis (74174) |
$1,585 |
$1,585 |
4.6× |
| CTA chest (71275) |
$1,016 |
$1,016 |
5.9× |
| Cta Head (70496) |
$1,042.50 |
$1,042.50 |
6.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,750 |
$1,750 |
5.1× |
| Cta Neck (70498) |
$1,042.50 |
$1,042.50 |
6.0× |
| Cta Pelvis (72191) |
$1,016 |
$1,016 |
5.9× |
| Cystography minimum 3 views rs&i (74430) |
$362 |
$362 |
1.1× |
| Diskogram cervical (72285) |
$2,264 |
$2,264 |
1.2× |
| Diskography lumbar (72295) |
$2,264 |
$2,264 |
1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$333 |
$333 |
3.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$333 |
$333 |
3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$204 |
$204 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$246 |
$246 |
2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$135 |
$135 |
1.6× |
| Echo exam of eye (76529) |
$187 |
$187 |
2.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$650 |
$650 |
2.8× |
| Esophagus (74220) |
$355 |
$355 |
2.0× |
| Facial bones min 3 views (70150) |
$170 |
$170 |
1.6× |
| Fetal biophysical profile non-stress testing (76818) |
$247 |
$247 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$370 |
$370 |
3.6× |
| Fetal Echo (76825) |
$1,362 |
$1,362 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$393 |
$393 |
1.7× |
| Foot 2 views (73620) |
$164 |
$164 |
1.9× |
| Forearm 2 views (73090) |
$138.50 |
$138.50 |
1.6× |
| Hand 2 views (73120) |
$138.50 |
$138.50 |
1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,509.50 |
$3,509.50 |
1.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,813.50 |
$2,813.50 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,035 |
$1,035 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,035 |
$1,035 |
2.6× |
| Hysterosalpingogram (74740) |
$350 |
$350 |
1.5× |
| Interstitial radiation source applic complex (77778) |
$7,000 |
$7,000 |
10.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$154 |
$154 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$712.50 |
$712.50 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$870 |
$870 |
1.6× |
| Knee 3 views (73562) |
$138.50 |
$138.50 |
1.6× |
| Liver & spleen imaging static only (78215) |
$835 |
$835 |
2.1× |
| Lung perf&ventilat diferentl (78598) |
$1,010 |
$1,010 |
1.9× |
| Lung perfusion differential (78597) |
$650 |
$650 |
1.6× |
| Lung ventilation imaging (78579) |
$620 |
$620 |
1.6× |
| Lymphoscintigraphy (78195) |
$880 |
$880 |
1.6× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,765 |
$1,765 |
2.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,398 |
$1,398 |
4.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$1,708 |
$1,708 |
5.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,666 |
$1,666 |
4.5× |
| MRA head w & w/o contrast (70546) |
$1,765.50 |
$1,765.50 |
5.1× |
| MRA head w/o contrast (70544) |
$1,469 |
$1,469 |
6.2× |
| MRA head with contrast (70545) |
$1,398 |
$1,398 |
4.1× |
| MRA neck w contrast (70548) |
$1,398 |
$1,398 |
4.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,148 |
$2,148 |
6.2× |
| MRA neck w/o contrast (70547) |
$1,384 |
$1,384 |
5.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,708 |
$1,708 |
5.0× |
| MRI abdomen w/o contrast (74181) |
$1,097 |
$1,097 |
4.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,810 |
$1,810 |
2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,767 |
$1,767 |
5.1× |
| MRI c-spine with contrast (72142) |
$1,398 |
$1,398 |
4.1× |
| MRI cervical spine w/o contrast (72141) |
$1,097 |
$1,097 |
4.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,831 |
$1,831 |
5.3× |
| MRI chest w/o contrast (71550) |
$1,385 |
$1,385 |
5.9× |
| MRI fetal sngl/1st gestation (74712) |
$1,097 |
$1,097 |
4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,398 |
$1,398 |
4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,912 |
$2,912 |
8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,125 |
$1,125 |
4.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,097 |
$1,097 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,708 |
$1,708 |
5.0× |
| MRI pelvis w/contrast (72196) |
$1,398 |
$1,398 |
4.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,768.50 |
$1,768.50 |
5.1× |
| MRI pelvis w/o contrast (72195) |
$1,166 |
$1,166 |
4.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,761 |
$1,761 |
5.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,398 |
$1,398 |
4.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,708 |
$1,708 |
5.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,398 |
$1,398 |
4.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,708 |
$1,708 |
5.0× |
| MRI temporomandibular joint (70336) |
$1,470 |
$1,470 |
6.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,097 |
$1,097 |
4.7× |
| MRI up ext w/o contrast (73218) |
$1,162 |
$1,162 |
4.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,097 |
$1,097 |
4.7× |
| MRI, joint upper extrem combo (73223) |
$1,708 |
$1,708 |
5.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,000 |
$2,000 |
1.6× |
| Neck soft tissue (70360) |
$172 |
$172 |
2.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$437.50 |
$437.50 |
1.1× |
| Nm cisternogram (78630) |
$1,500 |
$1,500 |
2.8× |
| Nm gastric emptying study (78264) |
$835 |
$835 |
2.1× |
| Nm gastroesophageal reflux study (78262) |
$928 |
$928 |
2.3× |
| Nonvascular shunt X-ray (75809) |
$441.20 |
$441.20 |
4.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,775 |
$5,775 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$1,050 |
$1,050 |
4.6× |
| Ob us nuchal meas 1 gest (76813) |
$216 |
$216 |
2.1× |
| Osseous survey limited (77074) |
$237 |
$237 |
2.3× |
| Parathyrd planar w/spect&CT (78072) |
$955 |
$955 |
1.8× |
| Parathyroid Planar Imaging (78070) |
$635 |
$635 |
1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$955 |
$955 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$170 |
$170 |
1.6× |
| PET image w/CT, skull-thigh (78815) |
$3,675 |
$3,675 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$3,126 |
$3,126 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,000 |
$4,000 |
2.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,250 |
$3,250 |
1.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,250 |
$3,250 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$710 |
$710 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,576.86 |
$1,576.86 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$489 |
$489 |
0.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$164 |
$164 |
1.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$164 |
$164 |
1.9× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$138.50 |
$138.50 |
1.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$228 |
$228 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$228 |
$228 |
2.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$228 |
$228 |
2.2× |
| Radex fingr minimum 2 views (73140) |
$138.50 |
$138.50 |
1.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$164 |
$164 |
1.9× |
| Radex Hand Minimum 3 Views (73130) |
$138.50 |
$138.50 |
1.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$172 |
$172 |
2.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$197 |
$197 |
1.9× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$138.50 |
$138.50 |
1.3× |
| Radex Humerus Minimum 2 Views (73060) |
$138.50 |
$138.50 |
1.6× |
| Radex Kne 1/2 Views (73560) |
$172 |
$172 |
2.0× |
| Radex Kne Compl 4/More Views (73564) |
$223 |
$223 |
2.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$148 |
$148 |
1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$172 |
$172 |
2.0× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$190 |
$190 |
1.8× |
| Radex Sho Compl Minimum 2 Views (73030) |
$169 |
$169 |
2.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$135 |
$135 |
1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$205 |
$205 |
2.4× |
| Radex Toe Minimum 2 Views (73660) |
$138.50 |
$138.50 |
1.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$142 |
$142 |
1.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$138.50 |
$138.50 |
1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$228 |
$228 |
2.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$26,007 |
$26,007 |
3.6× |
| Radiation treatment delivery level 3 (77412) |
$735 |
$735 |
1.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$200 |
$200 |
2.3× |
| Radiologic exam chest 2 views (71046) |
$206 |
$206 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$323 |
$323 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$413 |
$413 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$333 |
$333 |
1.9× |
| Radiologic examination femur 1 view (73551) |
$161 |
$161 |
1.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$138.50 |
$138.50 |
1.6× |
| Radiological examination surgical specimen (76098) |
$845 |
$845 |
1.6× |
| Ribs bilateral 3 views (71110) |
$150 |
$150 |
1.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$865 |
$865 |
2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,610 |
$1,610 |
3.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,500 |
$1,500 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,240.50 |
$1,240.50 |
2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,400 |
$2,400 |
1.9× |
| Rp Therapy Intravenous Administration (79101) |
$800 |
$800 |
3.5× |
| Sacroiliac Joints < 3 Views (72200) |
$168 |
$168 |
1.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$426 |
$426 |
1.8× |
| Scapula (73010) |
$138.50 |
$138.50 |
1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$48.50 |
$48.50 |
2.1× |
| Shoulder 1 view (73020) |
$132.50 |
$132.50 |
1.5× |
| Sialogram (70390) |
$338 |
$338 |
1.4× |
| Small bowel series (74250) |
$260 |
$260 |
1.5× |
| Special dosimetry (77331) |
$484 |
$484 |
3.6× |
| Special Physics Consult (77370) |
$850 |
$850 |
6.4× |
| Special treatment procedure (77470) |
$1,320 |
$1,320 |
2.4× |
| Spine thoracic 3 views (72072) |
$164 |
$164 |
1.6× |
| Stereotactic Body Radiation Delivery (77373) |
$7,500 |
$7,500 |
4.2× |
| Superior sagittal sinus venogram (75870) |
$1,500 |
$1,500 |
0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,000 |
$1,000 |
2.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,500 |
$1,500 |
4.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$500 |
$500 |
3.8× |
| Thoracolumbar 2 views (72080) |
$135 |
$135 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,700 |
$1,700 |
3.2× |
| Thyroid imaging w/blood flow (78013) |
$425 |
$425 |
1.1× |
| Thyroid uptake measurement (78012) |
$425 |
$425 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$635 |
$635 |
1.6× |
| Treatment device complex (77334) |
$700 |
$700 |
1.9× |
| Treatment device intermediate (77333) |
$500 |
$500 |
3.8× |
| Treatment devices simple (77332) |
$529 |
$529 |
4.0× |
| Ultrasound breast complete (76641) |
$285 |
$285 |
2.8× |
| Ultrasound Exam Aaa Screen (76706) |
$365 |
$365 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$333 |
$333 |
3.2× |
| Umbilical-artery Doppler (OB) (76820) |
$210 |
$210 |
2.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$63 |
$63 |
0.7× |
| Unlisted fluoroscopic procedure (76496) |
$375 |
$375 |
4.4× |
| Unlisted ultrasound procedure (76999) |
$407 |
$407 |
4.7× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) |
$40 |
$40 |
3.6× |
| Urethrocystogram voiding (74455) |
$528 |
$528 |
2.2× |
| Urethrocystography retrograde rs&i (74450) |
$645 |
$645 |
2.7× |
| Us breast unilateral limited (76642) |
$300 |
$300 |
3.5× |
| Us chest (76604) |
$247 |
$247 |
2.4× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$440 |
$440 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$340 |
$340 |
3.3× |
| Us encephalogram (76506) |
$242 |
$242 |
2.3× |
| Us infant hips w manipulation (76885) |
$290 |
$290 |
3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$183 |
$183 |
1.8× |
| Us ob detailed single fetus (76811) |
$393 |
$393 |
1.7× |
| Us ob limited (76815) |
$252.50 |
$252.50 |
2.4× |
| Us ob transvaginal (76817) |
$248 |
$248 |
2.4× |
| Us pelvic non ob complete (76856) |
$368 |
$368 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$290 |
$290 |
2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$275.50 |
$275.50 |
2.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$309.50 |
$309.50 |
3.0× |
| Us retroperitoneal complete (76770) |
$358.50 |
$358.50 |
3.5× |
| Us retroperitoneal limited (76775) |
$262.50 |
$262.50 |
2.5× |
| Us scrotum and contents (76870) |
$384 |
$384 |
3.7× |
| Us soft tissue head/neck (76536) |
$391 |
$391 |
3.8× |
| Us spinal canal and contents (76800) |
$239 |
$239 |
2.3× |
| Us transrectal (76872) |
$330 |
$330 |
3.2× |
| Us transrectal prostate volume (76873) |
$470 |
$470 |
4.6× |
| Venogram adrenal unilat (75840) |
$3,000 |
$3,000 |
1.0× |
| Venogram extremity bilateral (75822) |
$1,500 |
$1,500 |
1.0× |
| Venogram Extremity Unilateral (75820) |
$1,500 |
$1,500 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$3,000 |
$3,000 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$2,000 |
$2,000 |
1.3× |
| Venography Orbital Rs&I (75880) |
$1,500 |
$1,500 |
2.4× |
| Venography Renal Bilateral (75833) |
$4,500 |
$4,500 |
1.4× |
| Venography renal unilateral selective rs&i (75831) |
$3,000 |
$3,000 |
1.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,500 |
$1,500 |
0.5× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) |
$1,500 |
$1,500 |
2.4× |
| Venous sampling by catheter (75893) |
$8,100 |
$8,100 |
1.5× |
| Wrist 2 views (73100) |
$138.50 |
$138.50 |
1.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$228 |
$228 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$172 |
$172 |
2.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$441 |
$441 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$170.50 |
$170.50 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$138.50 |
$138.50 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$222 |
$222 |
2.1× |
| X-ray exam of femur 2/> (73552) |
$138.50 |
$138.50 |
1.6× |
| X-ray eye for foreign body (70030) |
$160 |
$160 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$142 |
$142 |
1.7× |
| X-ray IV pyelogram (ivp) (74400) |
$1,699 |
$1,699 |
9.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$161 |
$161 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$140 |
$140 |
1.6× |
| X-ray leg, infant (73592) |
$135 |
$135 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$143 |
$143 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$251 |
$251 |
2.4× |
| X-ray nose-rectum child f.b. (76010) |
$175 |
$175 |
2.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$135 |
$135 |
1.3× |
| X-ray retrograde pyelogram (74420) |
$690 |
$690 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$172 |
$172 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$172 |
$172 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$228 |
$228 |
2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$168 |
$168 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$138.50 |
$138.50 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$135 |
$135 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$238 |
$238 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$138.50 |
$138.50 |
1.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$159 |
$159 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$172 |
$172 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$170 |
$170 |
1.6× |
| Xr bone length studies (77073) |
$150 |
$150 |
1.5× |
| Xr c-spine 4 or 5 views (72050) |
$290 |
$290 |
2.8× |
| Xr c-spine 6 or more views (72052) |
$247 |
$247 |
2.4× |
| Xr urogram antegrade (74425) |
$680 |
$680 |
2.0× |