| Abdomen 2 views (74019) |
$678 |
$678 |
6.2× |
| Acute gi blood loss imaging (78278) |
$1,698 |
$1,698 |
4.1× |
| Angio Adrenal Bilat Select (75733) |
$6,107 |
$6,107 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$5,280 |
$5,280 |
1.6× |
| Angiography extremity unilateral rs&i (75710) |
$4,534 |
$4,534 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,934 |
$7,934 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,648 |
$5,648 |
1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,948 |
$3,948 |
1.2× |
| Angiography Spinal Selective Rs&I (75705) |
$10,054 |
$10,054 |
1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,099 |
$8,099 |
1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,309 |
$3,309 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,929 |
$4,929 |
1.5× |
| Ankle 2 views (73600) |
$305 |
$305 |
3.4× |
| Aortogram thoracic (75605) |
$8,848 |
$8,848 |
1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,064 |
$5,064 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$7,274 |
$7,274 |
2.2× |
| Artery X-Rays Adrenal Gland (75731) |
$3,981 |
$3,981 |
1.2× |
| Arthrogram ankle (73615) |
$1,477 |
$1,477 |
4.1× |
| Arthrogram elbow (73085) |
$1,584 |
$1,584 |
4.3× |
| Arthrogram hip (73525) |
$1,642 |
$1,642 |
4.5× |
| Arthrogram knee (73580) |
$1,791 |
$1,791 |
4.9× |
| Arthrogram shoulder (73040) |
$1,970 |
$1,970 |
5.4× |
| Arthrogram wrist (73115) |
$2,334 |
$2,334 |
6.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,724 |
$1,724 |
4.1× |
| Bone &/joint imaging whole body (78306) |
$2,081 |
$2,081 |
5.0× |
| Bone age studies (77072) |
$545 |
$545 |
5.0× |
| Bone Imaging 3 Phase (78315) |
$1,294 |
$1,294 |
3.1× |
| Bone survey complete (77075) |
$920 |
$920 |
8.4× |
| Bone survey infant (77076) |
$1,101 |
$1,101 |
10.1× |
| Bowel imaging (78290) |
$1,713 |
$1,713 |
4.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$13,892 |
$13,892 |
9.3× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$8,590 |
$8,590 |
10.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,131 |
$4,131 |
11.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,878 |
$2,878 |
5.1× |
| Cervical spine 2 or 3 views (72040) |
$551 |
$551 |
6.1× |
| Chest 1 view (71045) |
$795 |
$795 |
8.7× |
| Chest xray 3 views (71047) |
$1,440 |
$1,440 |
15.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$672 |
$672 |
3.7× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,541 |
$2,541 |
3.1× |
| Clavicle complete (73000) |
$410 |
$410 |
4.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,001 |
$6,001 |
16.5× |
| CT abdomen and pelvis without contrast (74176) |
$4,852 |
$4,852 |
19.5× |
| CT abdomen w contrast (74160) |
$2,614 |
$2,614 |
14.3× |
| CT abdomen w wo contrast (74170) |
$2,787 |
$2,787 |
15.2× |
| CT abdomen w/o contrast (74150) |
$1,285 |
$1,285 |
11.8× |
| CT angio hrt w/3d image (75574) |
$1,349 |
$1,349 |
3.7× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,488 |
$2,488 |
13.6× |
| CT angiography upper extremity lt (73206) |
$1,456 |
$1,456 |
7.9× |
| CT c-spine w/contrast (72126) |
$2,696 |
$2,696 |
7.4× |
| CT c-spine w/o contrast (72125) |
$2,574 |
$2,574 |
23.6× |
| CT chest w contrast (71260) |
$2,965 |
$2,965 |
16.2× |
| CT chest w/wo contrast (71270) |
$3,064 |
$3,064 |
16.7× |
| CT head/brain with contrast (70460) |
$2,056 |
$2,056 |
11.2× |
| CT head/brain without and with contrast (70470) |
$2,455 |
$2,455 |
13.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,300 |
$1,300 |
3.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$545 |
$545 |
6.0× |
| CT hrt w/3d image congen (75573) |
$1,129 |
$1,129 |
3.1× |
| CT iac w contrast (70481) |
$2,238 |
$2,238 |
12.2× |
| CT limited/localized follow up study (76380) |
$1,214 |
$1,214 |
13.4× |
| CT lower ext w/o (73700) |
$2,162 |
$2,162 |
19.8× |
| CT lower extremity w wo contrast (73702) |
$2,488 |
$2,488 |
13.6× |
| CT lower extremity w/contrast material (73701) |
$2,264 |
$2,264 |
12.4× |
| CT lumbar spine w/contrast (72132) |
$2,364 |
$2,364 |
6.5× |
| CT lumbar spine w/o contrast (72131) |
$2,152 |
$2,152 |
19.7× |
| CT maxillofacial w contrast (70487) |
$2,351 |
$2,351 |
12.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,455 |
$2,455 |
13.4× |
| CT maxillofacial wo contrast (70486) |
$1,983 |
$1,983 |
18.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,455 |
$2,455 |
13.4× |
| CT orbits w/o contrast (70480) |
$2,160 |
$2,160 |
19.8× |
| CT pelvis w/o contrast (72192) |
$2,358 |
$2,358 |
21.6× |
| CT pelvis w/wo contrast (72194) |
$2,940 |
$2,940 |
16.1× |
| CT scan of arm combo (73202) |
$2,342 |
$2,342 |
12.8× |
| CT soft tissue neck w contrast (70491) |
$2,374 |
$2,374 |
13.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,579 |
$2,579 |
14.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,643 |
$1,643 |
15.0× |
| CT thoracic spine w/contrast (72129) |
$2,696 |
$2,696 |
14.7× |
| CT thoracic spine w/o contrast (72128) |
$2,451 |
$2,451 |
22.5× |
| CT thorax w/o contrast (71250) |
$2,476 |
$2,476 |
22.7× |
| CT upper ext wo (73200) |
$1,723 |
$1,723 |
15.8× |
| CT upper extremity with contrast (73201) |
$2,052 |
$2,052 |
5.6× |
| Cta Abdomen (74175) |
$1,520 |
$1,520 |
8.3× |
| CTA abdomen pelvis (74174) |
$1,692 |
$1,692 |
4.6× |
| CTA chest (71275) |
$1,759 |
$1,759 |
9.6× |
| Cta Head (70496) |
$1,472 |
$1,472 |
8.0× |
| Cta Neck (70498) |
$1,456 |
$1,456 |
7.9× |
| Cta Pelvis (72191) |
$1,303 |
$1,303 |
7.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,494 |
$1,494 |
4.1× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$4,142 |
$4,142 |
1.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$568 |
$568 |
5.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$724 |
$724 |
6.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,039 |
$1,039 |
9.5× |
| Dxa bone density study axial skeleton (77085) |
$886 |
$886 |
8.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,404 |
$1,404 |
5.6× |
| Esophageal motility (78258) |
$1,340 |
$1,340 |
3.2× |
| Esophagus (74220) |
$672 |
$672 |
3.7× |
| Facial bones min 3 views (70150) |
$549 |
$549 |
5.0× |
| Fetal Echo (76825) |
$1,648 |
$1,648 |
2.9× |
| Fluoroscopy up to 1 hr (76000) |
$948 |
$948 |
3.8× |
| Foot 2 views (73620) |
$261 |
$261 |
2.9× |
| Forearm 2 views (73090) |
$414 |
$414 |
4.6× |
| Functional MRI brain by phys/psych (70555) |
$1,424 |
$1,424 |
5.7× |
| Functional MRI brain by tech (70554) |
$1,013 |
$1,013 |
4.1× |
| Hand 2 views (73120) |
$428 |
$428 |
3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$4,918 |
$4,918 |
1.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,950 |
$4,950 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,955 |
$1,955 |
3.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,936 |
$1,936 |
4.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$523 |
$523 |
4.8× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$1,399 |
$1,399 |
3.4× |
| Kidney imaging morphology (78700) |
$2,509 |
$2,509 |
6.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,817 |
$1,817 |
3.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,182 |
$2,182 |
3.8× |
| Knee 3 views (73562) |
$662 |
$662 |
7.3× |
| Liver & spleen imaging static only (78215) |
$1,936 |
$1,936 |
4.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,332 |
$1,332 |
3.2× |
| Lung perfusion differential (78597) |
$2,456 |
$2,456 |
5.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$8,492 |
$8,492 |
2.6× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$4,316 |
$4,316 |
1.3× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$3,516 |
$3,516 |
2.1× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$1,993 |
$1,993 |
3.0× |
| Lymphoscintigraphy (78195) |
$1,741 |
$1,741 |
3.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$3,894 |
$3,894 |
4.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$6,843 |
$6,843 |
18.8× |
| Magnetic Resonance Elastography (76391) |
$2,813 |
$2,813 |
11.3× |
| MRA head w & w/o contrast (70546) |
$7,398 |
$7,398 |
20.3× |
| MRA head w/o contrast (70544) |
$4,202 |
$4,202 |
16.9× |
| MRA head with contrast (70545) |
$4,622 |
$4,622 |
12.7× |
| MRA neck w contrast (70548) |
$4,114 |
$4,114 |
11.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$7,398 |
$7,398 |
20.3× |
| MRA neck w/o contrast (70547) |
$3,927 |
$3,927 |
15.8× |
| MRI abdomen w contrast (74182) |
$4,329 |
$4,329 |
11.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,508 |
$5,508 |
15.1× |
| MRI abdomen w/o contrast (74181) |
$3,577 |
$3,577 |
14.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,749 |
$3,749 |
4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,929 |
$5,929 |
16.3× |
| MRI c-spine with contrast (72142) |
$4,663 |
$4,663 |
12.8× |
| MRI cardiac w/o contrast (75557) |
$3,098 |
$3,098 |
12.4× |
| MRI cervical spine w/o contrast (72141) |
$4,466 |
$4,466 |
17.9× |
| MRI chest w/o & w/contrast material (71552) |
$6,859 |
$6,859 |
18.8× |
| MRI chest w/o contrast (71550) |
$3,595 |
$3,595 |
14.4× |
| MRI fetal sngl/1st gestation (74712) |
$3,460 |
$3,460 |
13.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,290 |
$5,290 |
14.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,267 |
$3,267 |
13.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,420 |
$4,420 |
17.7× |
| MRI orbit face neck w contrast (70542) |
$4,863 |
$4,863 |
13.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,796 |
$6,796 |
18.7× |
| MRI pelvis w/contrast (72196) |
$3,935 |
$3,935 |
10.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,763 |
$5,763 |
15.8× |
| MRI pelvis w/o contrast (72195) |
$3,577 |
$3,577 |
14.4× |
| MRI spectroscopy (76390) |
$3,706 |
$3,706 |
40.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,250 |
$7,250 |
19.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,370 |
$4,370 |
12.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,141 |
$6,141 |
16.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,806 |
$4,806 |
13.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,807 |
$6,807 |
18.7× |
| MRI temporomandibular joint (70336) |
$3,541 |
$3,541 |
14.2× |
| MRI thoracic spine w/o contrast (72146) |
$4,588 |
$4,588 |
18.4× |
| MRI up ext w/o contrast (73218) |
$3,422 |
$3,422 |
13.7× |
| MRI upper ext joint w/o contrast (73221) |
$3,774 |
$3,774 |
15.1× |
| MRI, joint upper extrem combo (73223) |
$6,843 |
$6,843 |
18.8× |
| Myelogram Cervical (72240) |
$2,023 |
$2,023 |
2.5× |
| Myelogram Lumbar (72265) |
$2,023 |
$2,023 |
2.5× |
| Myelogram thoracic (72255) |
$1,519 |
$1,519 |
1.9× |
| Myelography 2 or more regions (72270) |
$1,759 |
$1,759 |
2.1× |
| Neck soft tissue (70360) |
$445 |
$445 |
4.9× |
| Nm bone marrow wb (78104) |
$1,251 |
$1,251 |
3.0× |
| Nm cisternogram (78630) |
$2,741 |
$2,741 |
4.8× |
| Nm csf leak detection (78650) |
$3,952 |
$3,952 |
2.9× |
| Nm gastric emptying study (78264) |
$2,046 |
$2,046 |
4.9× |
| Nm gastroesophageal reflux study (78262) |
$1,949 |
$1,949 |
4.7× |
| Orthopantogram (70355) |
$379 |
$379 |
4.2× |
| Osseous survey limited (77074) |
$523 |
$523 |
4.8× |
| Parathyrd planar w/spect&CT (78072) |
$1,279 |
$1,279 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$631 |
$631 |
5.8× |
| Perineogram (74775) |
$1,484 |
$1,484 |
6.0× |
| Peritoneogram after injection (74190) |
$842 |
$842 |
1.5× |
| PET image w/CT, skull-thigh (78815) |
$12,316 |
$12,316 |
8.2× |
| PET imaging for CT attenuation whole body (78816) |
$10,479 |
$10,479 |
7.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,874 |
$4,874 |
1.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$4,838 |
$4,838 |
1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,490 |
$1,490 |
3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,658 |
$1,658 |
2.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$662 |
$662 |
7.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$345 |
$345 |
3.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$456 |
$456 |
5.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$422 |
$422 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$701 |
$701 |
6.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$416 |
$416 |
3.8× |
| Radex fingr minimum 2 views (73140) |
$414 |
$414 |
4.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$414 |
$414 |
4.6× |
| Radex Hand Minimum 3 Views (73130) |
$414 |
$414 |
4.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$229 |
$229 |
2.5× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$673 |
$673 |
6.2× |
| Radex Humerus Minimum 2 Views (73060) |
$414 |
$414 |
4.6× |
| Radex Kne 1/2 Views (73560) |
$414 |
$414 |
4.6× |
| Radex Kne Compl 4/More Views (73564) |
$729 |
$729 |
6.7× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$549 |
$549 |
5.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$347 |
$347 |
3.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$428 |
$428 |
3.9× |
| Radex Sho Compl Minimum 2 Views (73030) |
$631 |
$631 |
6.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$428 |
$428 |
4.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$549 |
$549 |
5.0× |
| Radex Toe Minimum 2 Views (73660) |
$431 |
$431 |
4.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$414 |
$414 |
3.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$414 |
$414 |
4.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$845 |
$845 |
7.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$423 |
$423 |
4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$755 |
$755 |
6.9× |
| Radiologic exam chest 2 views (71046) |
$566.50 |
$566.50 |
6.2× |
| Radiologic exam colon single contrast study (74270) |
$1,130 |
$1,130 |
6.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$447 |
$447 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$977 |
$977 |
5.3× |
| Radiologic examination femur 1 view (73551) |
$205 |
$205 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$414 |
$414 |
4.6× |
| Radiologic examination, teeth; complete, full mouth Non-Facility (70320) |
$166 |
$166 |
0.7× |
| Renal Cyst Study (74470) |
$2,015 |
$2,015 |
3.5× |
| Ribs bilateral 3 views (71110) |
$604 |
$604 |
5.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,040 |
$2,040 |
4.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$5,201 |
$5,201 |
9.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,719 |
$2,719 |
4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,878 |
$3,878 |
2.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,878 |
$3,878 |
2.9× |
| Sacroiliac Joints < 3 Views (72200) |
$350 |
$350 |
3.2× |
| Scapula (73010) |
$347 |
$347 |
3.2× |
| Sialogram (70390) |
$1,173 |
$1,173 |
4.7× |
| Small bowel series (74250) |
$633 |
$633 |
3.5× |
| Speech evaluation complex (70371) |
$989 |
$989 |
4.0× |
| Superior sagittal sinus venogram (75870) |
$4,180 |
$4,180 |
1.3× |
| Thoracolumbar 2 views (72080) |
$313 |
$313 |
3.4× |
| Thyroid imaging w/blood flow (78013) |
$893 |
$893 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,593 |
$1,593 |
3.8× |
| Ultrasound Exam Aaa Screen (76706) |
$609 |
$609 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$920 |
$920 |
8.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,375 |
$1,375 |
15.1× |
| Unlisted fluoroscopic procedure (76496) |
$993 |
$993 |
10.9× |
| Unlisted magnetic resonance procedure (76498) |
$7,172 |
$7,172 |
78.9× |
| Ureteral reflux study (78740) |
$2,389 |
$2,389 |
5.7× |
| Urethrocystogram voiding (74455) |
$1,619 |
$1,619 |
6.5× |
| Urethrocystography retrograde rs&i (74450) |
$1,644 |
$1,644 |
6.6× |
| Us breast unilateral limited (76642) |
$625 |
$625 |
6.9× |
| Us chest (76604) |
$876 |
$876 |
8.0× |
| Us compl joint r-t w/image documentation (76881) |
$761 |
$761 |
7.0× |
| Us elastography parenchyma (76981) |
$369 |
$369 |
3.4× |
| Us encephalogram (76506) |
$659 |
$659 |
6.0× |
| Us hips infant static (76886) |
$420 |
$420 |
4.6× |
| Us infant hips w manipulation (76885) |
$725 |
$725 |
8.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$575 |
$575 |
5.3× |
| Us pelvic non ob complete (76856) |
$920 |
$920 |
8.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$625 |
$625 |
5.7× |
| Us retroperitoneal complete (76770) |
$920 |
$920 |
8.4× |
| Us retroperitoneal limited (76775) |
$467 |
$467 |
4.3× |
| Us scrotum and contents (76870) |
$920 |
$920 |
8.4× |
| Us soft tissue head/neck (76536) |
$920 |
$920 |
8.4× |
| Us spinal canal and contents (76800) |
$622 |
$622 |
5.7× |
| Us,transplanted kidney, real time/ doppler (76776) |
$665 |
$665 |
6.1× |
| Venogram adrenal unilat (75840) |
$6,107 |
$6,107 |
1.9× |
| Venogram extremity bilateral (75822) |
$3,712 |
$3,712 |
2.3× |
| Venogram Extremity Unilateral (75820) |
$3,276 |
$3,276 |
2.0× |
| Venography caval inferior serialography rs&i (75825) |
$5,144 |
$5,144 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$3,072 |
$3,072 |
1.9× |
| Venography Orbital Rs&I (75880) |
$2,885 |
$2,885 |
4.4× |
| Venography Renal Bilateral (75833) |
$19,951 |
$19,951 |
6.1× |
| Venography renal unilateral selective rs&i (75831) |
$11,947 |
$11,947 |
3.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,273 |
$5,273 |
1.6× |
| Venography, epidural, radiological supervision and interpretation Non-Facility (75872) |
$3,815 |
$3,815 |
5.8× |
| Venous sampling by catheter (75893) |
$8,876 |
$8,876 |
1.5× |
| Vertebral fracture assessment via dxa (77086) |
$260 |
$260 |
2.9× |
| Wrist 2 views (73100) |
$414 |
$414 |
4.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$879 |
$879 |
8.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$457 |
$457 |
5.0× |
| X-ray b.e. reductn intuss (74283) |
$886 |
$886 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$414 |
$414 |
4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$464 |
$464 |
5.1× |
| X-ray exam of femur 2/> (73552) |
$603 |
$603 |
6.6× |
| X-ray eye for foreign body (70030) |
$270 |
$270 |
3.0× |
| X-ray IV pyelogram (ivp) (74400) |
$1,644 |
$1,644 |
9.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$345 |
$345 |
3.8× |
| X-ray leg, infant (73592) |
$623 |
$623 |
6.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$563 |
$563 |
5.2× |
| X-ray nose-rectum child f.b. (76010) |
$423 |
$423 |
4.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$618 |
$618 |
5.7× |
| X-ray retrograde pyelogram (74420) |
$1,827 |
$1,827 |
5.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$361 |
$361 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$538 |
$538 |
4.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$619 |
$619 |
5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$549 |
$549 |
5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$362 |
$362 |
4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$602 |
$602 |
6.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$800 |
$800 |
7.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$692 |
$692 |
6.3× |
| X-Ray Small Bowel Enteroclysis (74251) |
$611 |
$611 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$414 |
$414 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$355 |
$355 |
3.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$305 |
$305 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$662 |
$662 |
6.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$694 |
$694 |
6.4× |
| Xr bone length studies (77073) |
$454 |
$454 |
4.2× |
| Xr c-spine 4 or 5 views (72050) |
$662 |
$662 |
6.1× |
| Xr c-spine 6 or more views (72052) |
$1,092 |
$1,092 |
10.0× |
| Xr chest 4+ views (71048) |
$1,536 |
$1,536 |
14.1× |