| Abdomen 2 views (74019) |
$291.36 |
$728.40 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,569.86 |
$3,924.66 |
4.0× |
| Acute venous thrombus image (78456) |
$1,050.66 |
$2,626.65 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$1,853.80 |
$4,634.51 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$2,300.19 |
$5,750.48 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,488.48 |
$13,721.18 |
1.7× |
| Ankle 2 views (73600) |
$425.92 |
$1,064.79 |
4.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$536.02 |
$1,340.04 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$5,541.41 |
$13,853.52 |
1.8× |
| Arthrogram elbow (73085) |
$1,368.07 |
$3,420.17 |
3.9× |
| Arthrogram shoulder (73040) |
$1,296.88 |
$3,242.20 |
3.7× |
| Arthrogram wrist (73115) |
$830.72 |
$2,076.79 |
2.4× |
| Arthrography knee lt (73580) |
$1,344.94 |
$3,362.35 |
3.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,985.73 |
$4,964.34 |
5.0× |
| Bone &/joint imaging whole body (78306) |
$1,843.92 |
$4,609.79 |
4.6× |
| Bone age studies (77072) |
$236.88 |
$592.19 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$1,804.90 |
$4,512.24 |
4.5× |
| Bone Marrow Imaging Limited Area (78102) |
$1,717.48 |
$4,293.72 |
4.3× |
| Bone survey complete (77075) |
$556.69 |
$1,391.73 |
5.4× |
| Brain image w/flow 4 + views (78606) |
$935.08 |
$2,337.68 |
1.7× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,027.07 |
$2,567.67 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$496.44 |
$1,241.10 |
5.7× |
| Chest 1 view (71045) |
$148.10 |
$370.26 |
1.7× |
| Chest 3 views (71047) |
$277.16 |
$692.88 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$239.10 |
$597.76 |
1.4× |
| Clavicle complete (73000) |
$475.98 |
$1,189.93 |
5.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$117.33 |
$293.32 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,273.18 |
$13,182.96 |
15.2× |
| CT abdomen and pelvis without contrast (74176) |
$5,055 |
$12,637.51 |
21.3× |
| CT abdomen w contrast (74160) |
$2,630.28 |
$6,575.68 |
15.1× |
| CT abdomen w wo contrast (74170) |
$2,964.10 |
$7,410.26 |
17.0× |
| CT abdomen w/o contrast (74150) |
$2,768.81 |
$6,922.03 |
26.6× |
| CT angio hrt w/3d image (75574) |
$1,236.17 |
$3,090.43 |
3.6× |
| CT angiography upper extremity lt (73206) |
$1,927.23 |
$4,818.07 |
11.1× |
| CT c-spine w/o contrast (72125) |
$2,730.34 |
$6,825.86 |
26.3× |
| CT cervical spine w&w/o contrast (72127) |
$3,053.73 |
$7,634.33 |
17.5× |
| CT cervical spine with contrast (72126) |
$2,638.72 |
$6,596.79 |
7.6× |
| CT chest w/wo contrast (71270) |
$2,485.90 |
$6,214.76 |
14.3× |
| CT chest with contrast (71260) |
$2,316.43 |
$5,791.08 |
13.3× |
| CT head/brain with contrast (70460) |
$1,507.96 |
$3,769.91 |
8.6× |
| CT head/brain without and with contrast (70470) |
$2,629.37 |
$6,573.42 |
15.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$209.08 |
$522.68 |
2.4× |
| CT iac w contrast (70481) |
$1,904.75 |
$4,761.88 |
10.9× |
| CT limited/localized follow up study (76380) |
$625.87 |
$1,564.67 |
7.2× |
| CT lower ext w/o (73700) |
$2,377.82 |
$5,944.56 |
22.9× |
| CT lower extremity w wo contrast (73702) |
$1,336.02 |
$3,340.06 |
7.7× |
| CT lower extremity with contrast (73701) |
$2,377.82 |
$5,944.56 |
13.6× |
| CT lumbar spine w & w/o contrast (72133) |
$3,046.17 |
$7,615.42 |
17.5× |
| CT lumbar spine w/o contrast (72131) |
$2,450.78 |
$6,126.93 |
23.6× |
| CT lumbar spine with contrast (72132) |
$2,757.02 |
$6,892.55 |
7.9× |
| CT maxillofacial w contrast (70487) |
$2,348.68 |
$5,871.71 |
13.5× |
| CT maxillofacial w/o contrast (70486) |
$1,986.77 |
$4,966.93 |
19.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,619.18 |
$4,047.96 |
9.3× |
| CT neck soft tissue w contrast (70491) |
$2,589.99 |
$6,474.98 |
14.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,533.95 |
$6,334.88 |
14.5× |
| CT orbits w/o contrast (70480) |
$1,904.75 |
$4,761.88 |
18.3× |
| CT pelvis w & w/o contrast (72194) |
$2,379.82 |
$5,949.55 |
13.6× |
| CT pelvis w/o contrast (72192) |
$2,287.30 |
$5,718.25 |
22.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$711.94 |
$1,779.86 |
8.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,758.28 |
$4,395.72 |
10.1× |
| CT soft tissue neck w/o contrast (70490) |
$2,446.54 |
$6,116.36 |
23.5× |
| CT thoracic spine w/contrast (72129) |
$1,469.27 |
$3,673.18 |
8.4× |
| CT thoracic spine w/o contrast (72128) |
$1,858.05 |
$4,645.13 |
17.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,350.50 |
$3,376.24 |
7.7× |
| CT thorax w/o contrast (71250) |
$1,995.26 |
$4,988.16 |
19.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,396.14 |
$3,490.36 |
8.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,858.93 |
$4,647.34 |
17.9× |
| CT upper extremity with contrast (73201) |
$1,632.51 |
$4,081.27 |
4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,563.79 |
$3,909.48 |
9.0× |
| Cta Abdomen (74175) |
$3,068.18 |
$7,670.46 |
17.6× |
| CTA abdomen pelvis (74174) |
$610.71 |
$1,526.78 |
1.8× |
| CTA chest (71275) |
$2,624.26 |
$6,560.64 |
15.1× |
| Cta Head (70496) |
$2,825.76 |
$7,064.39 |
16.2× |
| CTA lwr ext w&w/o contrast (73706) |
$2,377.82 |
$5,944.56 |
13.6× |
| Cta Neck (70498) |
$2,825.76 |
$7,064.39 |
16.2× |
| Cta Pelvis (72191) |
$610.71 |
$1,526.78 |
3.5× |
| Cystography minimum 3 views rs&i (74430) |
$822.26 |
$2,055.64 |
2.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$206.60 |
$516.51 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$153.51 |
$383.76 |
1.8× |
| Echoencephalography real time imaging (76506) |
$380.10 |
$950.25 |
3.7× |
| Esophageal motility (78258) |
$1,072.10 |
$2,680.24 |
2.7× |
| Esophagus (74220) |
$439.94 |
$1,099.84 |
2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$601.63 |
$1,504.07 |
5.8× |
| Fluoroscopy up to 1 hr (76000) |
$418.14 |
$1,045.36 |
1.8× |
| Foot 2 views (73620) |
$320.94 |
$802.36 |
3.7× |
| Forearm 2 views (73090) |
$398.35 |
$995.88 |
4.6× |
| Gated Heart Planar Single (78472) |
$1,608.86 |
$4,022.16 |
4.0× |
| Hand 2 views (73120) |
$362.54 |
$906.35 |
3.5× |
| Hand 3 views (73130) |
$396.35 |
$990.88 |
4.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,986.71 |
$4,966.77 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,986.71 |
$4,966.77 |
5.0× |
| Ht muscle image spect sing (78451) |
$4,005.46 |
$10,013.64 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$441.05 |
$1,102.62 |
5.1× |
| Hysterosalpingogram (74740) |
$1,041.34 |
$2,603.34 |
4.4× |
| Kidney funcj study non-img radioisotopic study (78725) |
$595.78 |
$1,489.47 |
1.5× |
| Kidney imaging morphology (78700) |
$1,507.02 |
$3,767.55 |
3.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,113.53 |
$2,783.82 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,744.70 |
$4,361.74 |
3.2× |
| Knee 3 views (73562) |
$453.06 |
$1,132.64 |
5.2× |
| Liver & spleen imaging static only (78215) |
$1,637.06 |
$4,092.65 |
4.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,703.50 |
$4,258.77 |
4.3× |
| Lung perfusion differential (78597) |
$1,174.91 |
$2,937.28 |
3.0× |
| Lung Ventilation Imaging (78579) |
$1,336.76 |
$3,341.89 |
3.4× |
| Lymphoscintigraphy (78195) |
$903.06 |
$2,257.65 |
1.7× |
| Mammary ductogram or galactogram single (77053) |
$262.72 |
$656.80 |
1.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$83.41 |
$208.53 |
1.0× |
| Meckels Diverticulum (78290) |
$1,180.94 |
$2,952.36 |
3.0× |
| Mr safety determination physician/other qhp (76016) |
$140.92 |
$352.29 |
1.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$95.07 |
$237.68 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$37.50 |
$93.76 |
1.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$386.87 |
$967.17 |
1.6× |
| MRA head w/o contrast (70544) |
$1,089.82 |
$2,724.56 |
4.6× |
| MRA neck w contrast (70548) |
$1,573.20 |
$3,932.98 |
4.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,404.64 |
$3,511.58 |
4.1× |
| MRA neck w/o contrast (70547) |
$1,446.80 |
$3,617 |
6.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,005.59 |
$2,513.98 |
2.9× |
| MRI abdomen w/o contrast (74181) |
$1,786.33 |
$4,465.82 |
7.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,143.59 |
$7,858.98 |
4.0× |
| MRI cervical spine w/o contrast (72141) |
$3,294.60 |
$8,236.51 |
13.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,736.42 |
$4,341.04 |
5.0× |
| MRI chest w/o contrast (71550) |
$2,251.80 |
$5,629.51 |
9.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,736.42 |
$4,341.04 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,843.54 |
$7,108.86 |
12.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,405.86 |
$8,514.64 |
14.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,736.42 |
$4,341.04 |
5.0× |
| MRI pelvis w contrast (72196) |
$3,221.20 |
$8,053.01 |
9.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,736.42 |
$4,341.04 |
5.0× |
| MRI pelvis w/o contrast (72195) |
$3,382.92 |
$8,457.28 |
14.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,954.20 |
$4,885.51 |
5.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,736.42 |
$4,341.04 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,499.66 |
$8,749.17 |
10.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,368.13 |
$3,420.32 |
3.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,519.46 |
$8,798.66 |
10.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,602.66 |
$9,006.64 |
10.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,396.70 |
$8,491.74 |
14.3× |
| MRI tmj (70336) |
$2,427.64 |
$6,069.09 |
10.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,143.59 |
$7,858.98 |
13.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,088.66 |
$7,721.64 |
8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,088.66 |
$7,721.64 |
13.0× |
| Myelogram Cervical (72240) |
$904.10 |
$2,260.24 |
1.2× |
| Myelogram Lumbar (72265) |
$1,045.78 |
$2,614.46 |
1.3× |
| Myelogram thoracic (72255) |
$904.10 |
$2,260.24 |
1.2× |
| Myelography 2 or more regions (72270) |
$1,543.78 |
$3,859.44 |
2.0× |
| Myocardial Spect Multiple Studies (78452) |
$4,005.46 |
$10,013.64 |
3.1× |
| Neck soft tissue (70360) |
$267.57 |
$668.92 |
3.1× |
| Nm bone marrow multiple (78103) |
$1,717.48 |
$4,293.72 |
4.3× |
| Nm bone marrow wb (78104) |
$1,717.48 |
$4,293.72 |
4.3× |
| Nm cisternogram (78630) |
$924.48 |
$2,311.20 |
1.7× |
| Nm csf leak detection (78650) |
$848.62 |
$2,121.56 |
0.7× |
| Nm gastric emptying study (78264) |
$1,639.47 |
$4,098.67 |
4.1× |
| Nm red cell sequestration (78140) |
$697.41 |
$1,743.52 |
1.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,005.46 |
$10,013.64 |
3.1× |
| Nuclear medicine of heart pumping function (78473) |
$3,328.53 |
$8,321.32 |
8.4× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$4,933.80 |
$12,334.49 |
9.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,005.46 |
$10,013.64 |
3.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,653.67 |
$4,134.18 |
4.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,061.50 |
$2,653.76 |
2.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$195.50 |
$488.74 |
1.9× |
| Osseous survey infant (77076) |
$279.36 |
$698.40 |
2.7× |
| Parathyrd planar w/spect&CT (78072) |
$856.30 |
$2,140.74 |
1.6× |
| Parathyrd planar w/wo subtrj (78071) |
$856.30 |
$2,140.74 |
2.2× |
| Parathyroid imaging (78070) |
$1,226.94 |
$3,067.36 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$503.54 |
$1,258.84 |
4.8× |
| PET image w/CT, skull-thigh (78815) |
$5,793.40 |
$14,483.50 |
4.1× |
| PET imaging CT for attenuation limited area (78814) |
$5,793.40 |
$14,483.50 |
4.1× |
| PET imaging for CT attenuation whole body (78816) |
$5,793.40 |
$14,483.50 |
4.1× |
| Pr heart first pass single,planar (78481) |
$1,261.13 |
$3,152.83 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,736.42 |
$4,341.04 |
5.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,116.90 |
$2,792.25 |
2.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,158.31 |
$2,895.78 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$743.31 |
$1,858.27 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$115.40 |
$288.50 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$474.85 |
$1,187.12 |
4.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$191.10 |
$477.76 |
1.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$302.04 |
$755.10 |
2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$364.36 |
$910.90 |
3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$613.42 |
$1,533.57 |
5.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$247.77 |
$619.42 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$291.22 |
$728.05 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$168.06 |
$420.16 |
1.9× |
| Radiologic exam colon single contrast study (74270) |
$690.15 |
$1,725.38 |
4.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$643.61 |
$1,609.03 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$228.30 |
$570.76 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$115.40 |
$288.50 |
1.3× |
| Radiological examination surgical specimen (76098) |
$1,776.53 |
$4,441.32 |
3.3× |
| Ribs bilateral 3 views (71110) |
$482.42 |
$1,206.04 |
4.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,243.32 |
$3,108.31 |
3.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,755.16 |
$6,887.89 |
5.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,508.95 |
$6,272.38 |
4.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,390.97 |
$3,477.42 |
1.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,853.90 |
$9,634.74 |
2.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,196.36 |
$2,990.90 |
5.0× |
| Scanogram (77073) |
$251.98 |
$629.96 |
2.4× |
| Scapula complete (73010) |
$498 |
$1,244.99 |
4.8× |
| Screening digital breast tomosynthesis (77063) |
$51.88 |
$129.70 |
2.2× |
| Small bowel series (74250) |
$733.52 |
$1,833.81 |
4.2× |
| Testicular Imaging With Vascular Flow (78761) |
$773.60 |
$1,934.01 |
1.9× |
| Thoracolumbar 2 views (72080) |
$512 |
$1,279.99 |
5.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,315.42 |
$5,788.54 |
4.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$432.02 |
$1,080.05 |
1.1× |
| Thyroid uptake measurement (78012) |
$328.24 |
$820.60 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$670.20 |
$1,675.49 |
1.7× |
| Tomogram (76100) |
$536.02 |
$1,340.04 |
5.2× |
| Ultrasound elastography first target lesion (76982) |
$262.92 |
$657.32 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$944.36 |
$2,360.91 |
9.1× |
| Upper Extremity Infant (73092) |
$202.84 |
$507.12 |
2.0× |
| Urethrocystography retrograde rs&i (74450) |
$346.97 |
$867.42 |
1.5× |
| Urethrocystography voiding (74455) |
$979.28 |
$2,448.20 |
4.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,177.02 |
$2,942.53 |
6.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,580.68 |
$3,951.71 |
9.1× |
| Us abdl aorta screen aaa (76706) |
$288.44 |
$721.10 |
2.8× |
| Us breast unilateral complete (76641) |
$407.73 |
$1,019.32 |
3.9× |
| Us breast unilateral limited (76642) |
$407.73 |
$1,019.32 |
4.7× |
| Us chest (76604) |
$202.84 |
$507.12 |
2.0× |
| Us compl joint r-t w/image documentation (76881) |
$424.58 |
$1,061.47 |
4.1× |
| Us elastography parenchyma (76981) |
$262.92 |
$657.32 |
2.5× |
| Us guided compression repair (76936) |
$876.76 |
$2,191.90 |
4.1× |
| Us infant hips dynamic (76885) |
$918.12 |
$2,295.29 |
10.6× |
| Us ob transvaginal (76817) |
$451.06 |
$1,127.67 |
4.3× |
| Us pelvic non ob complete (76856) |
$1,177.02 |
$2,942.53 |
11.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,126.33 |
$2,815.82 |
10.8× |
| Us pregnancy ltd (76815) |
$551.14 |
$1,377.86 |
5.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$627.66 |
$1,569.14 |
6.0× |
| Us retroperitoneal complete (76770) |
$552.26 |
$1,380.66 |
5.3× |
| Us scrotum and contents (76870) |
$1,032.88 |
$2,582.22 |
9.9× |
| Us soft tissue head/neck (76536) |
$852.74 |
$2,131.85 |
8.2× |
| Us spinal canal and contents (76800) |
$889.88 |
$2,224.70 |
8.6× |
| Us transrectal (76872) |
$1,246.62 |
$3,116.54 |
12.0× |
| Us xtr non-vasc lmtd (76882) |
$220.04 |
$550.08 |
2.1× |
| Vascular flow imaging (78445) |
$752.06 |
$1,880.16 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,823.89 |
$7,059.73 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$1,843.57 |
$4,608.93 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$663.68 |
$1,659.20 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$153.51 |
$383.76 |
1.8× |
| Wrist 2 views (73100) |
$399.90 |
$999.76 |
4.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$382.11 |
$955.28 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$506.20 |
$1,265.52 |
5.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$439.94 |
$1,099.84 |
5.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$775.11 |
$1,937.78 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$317.83 |
$794.58 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$462.83 |
$1,157.08 |
5.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$364.36 |
$910.90 |
3.5× |
| X-ray exam hip uni 1 view (73501) |
$120.37 |
$300.93 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$115.40 |
$288.50 |
1.3× |
| X-ray exam hip uni 4/> views (73503) |
$191.10 |
$477.76 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$191.10 |
$477.76 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$364.36 |
$910.90 |
3.5× |
| X-ray exam of femur 1 (73551) |
$115.40 |
$288.50 |
1.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$925.91 |
$2,314.77 |
5.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$637.66 |
$1,594.16 |
6.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$371.44 |
$928.61 |
4.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$355.86 |
$889.64 |
4.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$411.47 |
$1,028.68 |
4.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$502.22 |
$1,255.54 |
4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$853.86 |
$2,134.64 |
9.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$202.84 |
$507.12 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$512 |
$1,279.99 |
4.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$606.08 |
$1,515.18 |
5.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$408.12 |
$1,020.30 |
3.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$289.36 |
$723.41 |
3.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$147.45 |
$368.64 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$412.58 |
$1,031.44 |
4.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$201.73 |
$504.32 |
1.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,146.32 |
$2,865.82 |
3.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$297.14 |
$742.84 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$375.66 |
$939.14 |
3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$259.79 |
$649.48 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$510.65 |
$1,276.64 |
4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$314.26 |
$785.66 |
3.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$495.53 |
$1,238.82 |
5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$642.99 |
$1,607.48 |
7.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$145.59 |
$363.98 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$727.07 |
$1,817.68 |
7.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$413.68 |
$1,034.20 |
4.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$377.15 |
$942.87 |
4.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$297.14 |
$742.84 |
3.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$508 |
$1,269.98 |
5.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$600.52 |
$1,501.29 |
5.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$316.93 |
$792.33 |
3.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$439.94 |
$1,099.84 |
5.1× |
| Xr chest 4+ views (71048) |
$291.36 |
$728.40 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$295.59 |
$738.97 |
3.4× |
| Xr shoulder 1 view (73020) |
$246.66 |
$616.64 |
2.9× |
| Xr spine cervical 4 or 5 views (72050) |
$722.62 |
$1,806.54 |
7.0× |
| Xr tibia/fibula 2 views (73590) |
$477.08 |
$1,192.69 |
5.5× |
| Xr tmj bilateral (70330) |
$367 |
$917.48 |
4.2× |
| Xray knee 1 or 2 views rt (73560) |
$412.58 |
$1,031.44 |
4.8× |