| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,163.87 |
$3,606.45 |
1.7× |
| Abdomen 2 views (74019) |
$181.80 |
$303 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$440.10 |
$733.50 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$4,500.60 |
$7,501 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,303.02 |
$2,171.70 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,435.10 |
$4,058.50 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,782.50 |
$4,637.50 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$960.34 |
$1,600.56 |
0.3× |
| Ankle 2 views (73600) |
$131.04 |
$218.40 |
1.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$159.94 |
$266.56 |
0.5× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,640.36 |
$2,733.93 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,500.60 |
$7,501 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$4,500.60 |
$7,501 |
1.5× |
| Arthrogram elbow (73085) |
$219.52 |
$365.86 |
0.7× |
| Arthrogram hip (73525) |
$222.16 |
$370.26 |
0.7× |
| Arthrogram shoulder (73040) |
$300.96 |
$501.60 |
0.9× |
| Arthrogram wrist (73115) |
$225.69 |
$376.15 |
0.7× |
| Arthrography knee lt (73580) |
$315.60 |
$526 |
1.0× |
| Basic radiation dosimetry calculation (77300) |
$222.68 |
$371.13 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$864.27 |
$1,440.45 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,211.43 |
$2,019.05 |
3.3× |
| Bone age studies (77072) |
$181.80 |
$303 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,347.06 |
$2,245.10 |
3.6× |
| Bone survey complete (77075) |
$310.82 |
$518.04 |
3.2× |
| Brachytx isodose complex (77318) |
$544.20 |
$907 |
1.6× |
| Brachytx isodose intermed (77317) |
$475.80 |
$793 |
1.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$544.20 |
$907 |
1.6× |
| Brain image w/flow 4 + views (78606) |
$616.41 |
$1,027.35 |
1.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$530.54 |
$884.24 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$175.89 |
$293.15 |
2.2× |
| Chest 1 view (71045) |
$129.60 |
$216 |
1.6× |
| Chest 3 views (71047) |
$123.55 |
$205.92 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$295.80 |
$493 |
1.8× |
| Clavicle complete (73000) |
$169.22 |
$282.04 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,276.20 |
$2,127 |
13.1× |
| Continuing medical physics consltj pr wk (77336) |
$253.30 |
$422.17 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,904 |
$4,840 |
9.0× |
| CT abdomen and pelvis without contrast (74176) |
$2,904 |
$4,840 |
13.1× |
| CT abdomen w contrast (74160) |
$1,257.43 |
$2,095.72 |
7.7× |
| CT abdomen w wo contrast (74170) |
$1,431.94 |
$2,386.56 |
8.8× |
| CT abdomen w/o contrast (74150) |
$1,133.88 |
$1,889.80 |
11.7× |
| CT angio hrt w/3d image (75574) |
$471.24 |
$785.40 |
1.5× |
| CT angiography upper extremity lt (73206) |
$1,052.40 |
$1,754 |
6.5× |
| CT c-spine w/o contrast (72125) |
$1,728.97 |
$2,881.62 |
17.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,143.12 |
$1,905.20 |
7.0× |
| CT cervical spine with contrast (72126) |
$1,257.43 |
$2,095.72 |
3.9× |
| CT chest w/wo contrast (71270) |
$1,875.26 |
$3,125.43 |
11.5× |
| CT chest with contrast (71260) |
$1,693.76 |
$2,822.93 |
10.4× |
| CT head/brain with contrast (70460) |
$790.91 |
$1,318.19 |
4.9× |
| CT head/brain without and with contrast (70470) |
$1,728.97 |
$2,881.62 |
10.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$471.24 |
$785.40 |
1.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$231.55 |
$385.92 |
2.9× |
| CT hrt w/3d image congen (75573) |
$471.24 |
$785.40 |
1.5× |
| CT iac w contrast (70481) |
$1,332.58 |
$2,220.96 |
8.2× |
| CT limited/localized follow up study (76380) |
$338.58 |
$564.30 |
4.2× |
| CT lower ext w/o (73700) |
$1,004.52 |
$1,674.20 |
10.3× |
| CT lower extremity w wo contrast (73702) |
$1,027.98 |
$1,713.29 |
6.3× |
| CT lower extremity with contrast (73701) |
$984.19 |
$1,640.32 |
6.0× |
| CT lumbar spine w & w/o contrast (72133) |
$879.55 |
$1,465.92 |
5.4× |
| CT lumbar spine w/o contrast (72131) |
$1,281.72 |
$2,136.20 |
13.2× |
| CT lumbar spine with contrast (72132) |
$1,075.01 |
$1,791.68 |
3.3× |
| CT maxillofacial w contrast (70487) |
$1,211.33 |
$2,018.89 |
7.4× |
| CT maxillofacial w/o contrast (70486) |
$1,211.33 |
$2,018.89 |
12.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,211.33 |
$2,018.89 |
7.4× |
| CT neck soft tissue w contrast (70491) |
$1,555.09 |
$2,591.82 |
9.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$911.13 |
$1,518.55 |
5.6× |
| CT orbits w/o contrast (70480) |
$1,211.33 |
$2,018.89 |
12.5× |
| CT pelvis w & w/o contrast (72194) |
$1,428.77 |
$2,381.28 |
8.8× |
| CT pelvis w/o contrast (72192) |
$928.15 |
$1,546.92 |
9.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,650 |
$2,750 |
10.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,381.22 |
$2,302.03 |
14.2× |
| CT thoracic spine w/contrast (72129) |
$1,028.81 |
$1,714.68 |
6.3× |
| CT thoracic spine w/o contrast (72128) |
$1,257.43 |
$2,095.72 |
13.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,143.12 |
$1,905.20 |
7.0× |
| CT thorax w/o contrast (71250) |
$1,276.21 |
$2,127.02 |
13.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,200 |
$2,000 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,004.52 |
$1,674.20 |
10.3× |
| CT upper extremity with contrast (73201) |
$1,143.12 |
$1,905.20 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,408.18 |
$2,346.96 |
8.6× |
| Cta Abdomen (74175) |
$1,402.63 |
$2,337.72 |
8.6× |
| CTA abdomen pelvis (74174) |
$1,680 |
$2,800 |
5.2× |
| CTA chest (71275) |
$1,567.45 |
$2,612.42 |
9.6× |
| Cta Head (70496) |
$1,102.76 |
$1,837.94 |
6.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,052.40 |
$1,754 |
6.5× |
| Cta Neck (70498) |
$1,212.79 |
$2,021.31 |
7.4× |
| Cta Pelvis (72191) |
$1,004.40 |
$1,674 |
6.2× |
| Cystography minimum 3 views rs&i (74430) |
$620.40 |
$1,034 |
1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$166.80 |
$278 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$181.80 |
$303 |
1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$86.13 |
$143.55 |
1.1× |
| Echoencephalography real time imaging (76506) |
$315.90 |
$526.50 |
3.3× |
| Esophagus (74220) |
$295.80 |
$493 |
1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$193.75 |
$322.92 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$500.26 |
$833.76 |
2.3× |
| Foot 2 views (73620) |
$115.20 |
$192 |
1.4× |
| Forearm 2 views (73090) |
$169.22 |
$282.04 |
2.1× |
| Gated Heart Planar Single (78472) |
$660.33 |
$1,100.55 |
1.8× |
| Hand 2 views (73120) |
$181.80 |
$303 |
1.9× |
| Hand 3 views (73130) |
$140.71 |
$234.52 |
1.7× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,202.40 |
$2,004 |
1.9× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,025.40 |
$1,709 |
1.6× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$306.60 |
$511 |
0.9× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$255.60 |
$426 |
0.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$3,350.40 |
$5,584 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,080 |
$1,800 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$944.46 |
$1,574.10 |
2.5× |
| Ht muscle image spect sing (78451) |
$672.03 |
$1,120.05 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$169.22 |
$282.04 |
2.1× |
| Hysterosalpingogram (74740) |
$378.60 |
$631 |
1.7× |
| Interstitial radiation source applic complex (77778) |
$1,658.58 |
$2,764.30 |
2.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$181.80 |
$303 |
1.9× |
| Kidney imaging morphology (78700) |
$435 |
$725 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$766.80 |
$1,278 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,135.86 |
$1,893.10 |
2.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$665.40 |
$1,109 |
1.3× |
| Knee 3 views (73562) |
$158.30 |
$263.84 |
2.0× |
| Liver & spleen imaging static only (78215) |
$835.65 |
$1,392.75 |
2.3× |
| Lung perfusion differential (78597) |
$886.72 |
$1,477.88 |
2.4× |
| Lung Ventilation Imaging (78579) |
$600 |
$1,000 |
1.6× |
| Lymphoscintigraphy (78195) |
$355.41 |
$592.35 |
0.7× |
| Mammary ductogram or galactogram multiple (77054) |
$439.44 |
$732.40 |
2.0× |
| Mammary ductogram or galactogram single (77053) |
$527.74 |
$879.56 |
2.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$57.36 |
$95.60 |
0.7× |
| Meckels Diverticulum (78290) |
$650.43 |
$1,084.05 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,774.47 |
$2,957.45 |
5.1× |
| MRA head w/o contrast (70544) |
$882.60 |
$1,471 |
4.0× |
| MRA neck w contrast (70548) |
$1,024.50 |
$1,707.50 |
3.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,159.20 |
$1,932 |
3.6× |
| MRA neck w/o contrast (70547) |
$882.60 |
$1,471 |
4.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,275.12 |
$2,125.20 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$882.60 |
$1,471 |
4.0× |
| MRI any jnt lwr ext with con lt (73722) |
$1,024.20 |
$1,707 |
1.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,200 |
$2,000 |
5.4× |
| MRI breast w/o contrast unilat (77046) |
$1,200 |
$2,000 |
5.4× |
| MRI c-spine with contrast (72142) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI cervical spine w/o contrast (72141) |
$1,047.60 |
$1,746 |
4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,024.20 |
$1,707 |
3.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$882.60 |
$1,471 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$882.60 |
$1,471 |
4.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,024.50 |
$1,707.50 |
3.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,024.50 |
$1,707.50 |
3.2× |
| MRI pelvis w/o contrast (72195) |
$882.60 |
$1,471 |
4.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,024.50 |
$1,707.50 |
3.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,024.50 |
$1,707.50 |
3.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,216.50 |
$2,027.50 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,047.60 |
$1,746 |
4.7× |
| MRI upper ext joint w/o contrast (73221) |
$882.60 |
$1,471 |
4.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,024.50 |
$1,707.50 |
3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$882.60 |
$1,471 |
4.0× |
| Myelogram Cervical (72240) |
$525.60 |
$876 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$1,930.05 |
$3,216.75 |
1.6× |
| Neck soft tissue (70360) |
$175.89 |
$293.15 |
2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$600 |
$1,000 |
1.6× |
| Nm cisternogram (78630) |
$732 |
$1,220 |
1.5× |
| Nm csf leak detection (78650) |
$706.20 |
$1,177 |
0.6× |
| Nm gastric emptying study (78264) |
$878.79 |
$1,464.65 |
2.4× |
| Nm peritoneal-venous shunt patency (78291) |
$309.87 |
$516.45 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,022.60 |
$3,371 |
1.6× |
| Nuclear Rx Oral Admin (79005) |
$389.14 |
$648.56 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$162.86 |
$271.44 |
1.7× |
| Osseous survey infant (77076) |
$181.80 |
$303 |
1.9× |
| Osseous survey limited (77074) |
$270.24 |
$450.40 |
2.8× |
| Parathyrd planar w/wo subtrj (78071) |
$859.98 |
$1,433.30 |
2.3× |
| Parathyroid imaging (78070) |
$362.34 |
$603.90 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$181.80 |
$303 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,024.50 |
$1,707.50 |
3.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,175.85 |
$1,959.75 |
2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$213.46 |
$355.76 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$248.62 |
$414.36 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$181.80 |
$303 |
1.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$157.20 |
$262 |
1.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$5,229 |
$8,715 |
0.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$383.07 |
$638.45 |
0.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$199.20 |
$332 |
2.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$160.80 |
$268 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$251.59 |
$419.32 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$129.60 |
$216 |
1.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$184.98 |
$308.30 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$158.14 |
$263.56 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$295.80 |
$493 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$295.80 |
$493 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$140.71 |
$234.52 |
1.7× |
| Radiological examination surgical specimen (76098) |
$782.40 |
$1,304 |
1.5× |
| Ribs bilateral 3 views (71110) |
$221.76 |
$369.60 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$504.60 |
$841 |
1.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,697.37 |
$2,828.95 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,255.65 |
$2,092.75 |
2.5× |
| Rp Therapy Intravenous Administration (79101) |
$385.80 |
$643 |
1.8× |
| Scanogram (77073) |
$154.86 |
$258.10 |
1.6× |
| Scapula complete (73010) |
$138.46 |
$230.76 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$40.20 |
$67 |
1.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$181.80 |
$303 |
1.9× |
| Simulation intermediate (77285) |
$544.20 |
$907 |
1.6× |
| Small bowel series (74250) |
$295.80 |
$493 |
1.8× |
| Spec medical radj physics consltj (77370) |
$413.82 |
$689.70 |
3.3× |
| Special dosimetry (77331) |
$171.72 |
$286.20 |
1.4× |
| Special treatment procedure (77470) |
$1,134.54 |
$1,890.90 |
2.2× |
| Spine thoracic 3 views (72072) |
$181.80 |
$303 |
1.9× |
| Stereotactic body radiation delivery (77373) |
$2,872.20 |
$4,787 |
1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$544.20 |
$907 |
1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$544.20 |
$907 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$767.71 |
$1,279.51 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$397.05 |
$661.75 |
3.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$831.90 |
$1,386.50 |
1.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$402.60 |
$671 |
1.1× |
| Thyroid uptake measurement (78012) |
$381.90 |
$636.50 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$859.98 |
$1,433.30 |
2.3× |
| Treatment devices simple (77332) |
$327.75 |
$546.25 |
2.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,092.80 |
$3,488 |
4.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,020 |
$1,700 |
2.7× |
| Tx devices design & construction complex (77334) |
$544.20 |
$907 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$184.40 |
$307.34 |
1.9× |
| Umbilical-artery Doppler (OB) (76820) |
$332.11 |
$553.52 |
3.4× |
| Upper Extremity Infant (73092) |
$141.30 |
$235.50 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$155.28 |
$258.80 |
0.7× |
| Urethrocystography voiding (74455) |
$378.60 |
$631 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$365.38 |
$608.96 |
2.2× |
| Us abdl aorta screen aaa (76706) |
$181.80 |
$303 |
1.9× |
| Us breast unilateral complete (76641) |
$249.48 |
$415.80 |
2.6× |
| Us breast unilateral limited (76642) |
$249.48 |
$415.80 |
3.1× |
| Us chest (76604) |
$238.32 |
$397.20 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$287.50 |
$479.16 |
3.0× |
| Us guided compression repair (76936) |
$167.95 |
$279.92 |
0.8× |
| Us ob detailed single fetus (76811) |
$352.80 |
$588 |
1.6× |
| Us ob transvaginal (76817) |
$181.80 |
$303 |
1.9× |
| Us pelvic non ob complete (76856) |
$462.23 |
$770.39 |
4.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$238.92 |
$398.20 |
2.5× |
| Us pregnancy ltd (76815) |
$186.84 |
$311.40 |
1.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$248.94 |
$414.90 |
2.6× |
| Us retroperitoneal complete (76770) |
$388.78 |
$647.96 |
4.0× |
| Us retroperitoneal limited (76775) |
$272.48 |
$454.12 |
2.8× |
| Us soft tissue head/neck (76536) |
$343.20 |
$572 |
3.5× |
| Us transrectal (76872) |
$264.53 |
$440.88 |
2.7× |
| Us transrectal prostate volume (76873) |
$241.82 |
$403.04 |
2.5× |
| Us xtr non-vasc lmtd (76882) |
$181.80 |
$303 |
1.9× |
| Venogram extremity bilateral (75822) |
$825.60 |
$1,376 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,663.70 |
$2,772.83 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,064.23 |
$1,773.72 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$768 |
$1,280 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$840.48 |
$1,400.80 |
0.3× |
| Wrist 2 views (73100) |
$138.25 |
$230.42 |
1.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$181.80 |
$303 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$221.76 |
$369.60 |
2.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$295.80 |
$493 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$140.71 |
$234.52 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$169.22 |
$282.04 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$206.96 |
$344.94 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$162.36 |
$270.60 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$251.59 |
$419.32 |
2.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$240 |
$400 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$140.71 |
$234.52 |
1.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,200 |
$2,000 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$140.71 |
$234.52 |
1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$181.80 |
$303 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$78.14 |
$130.24 |
1.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$89.86 |
$149.76 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$197.80 |
$329.67 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$365.38 |
$608.96 |
3.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$181.80 |
$303 |
1.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$60.21 |
$100.35 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$221.76 |
$369.60 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$157.03 |
$261.72 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$169.22 |
$282.04 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$240 |
$400 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$181.80 |
$303 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$314.49 |
$524.15 |
3.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$277.20 |
$462 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$199.53 |
$332.55 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$129.60 |
$216 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$147.05 |
$245.08 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$169.22 |
$282.04 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$181.80 |
$303 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$140.71 |
$234.52 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$169.22 |
$282.04 |
2.1× |
| Xr arthrogram ankle (73615) |
$210.37 |
$350.61 |
0.6× |
| Xr c-spine 6 or more views (72052) |
$303.86 |
$506.44 |
3.1× |
| Xr chest 4+ views (71048) |
$143.04 |
$238.40 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$140.71 |
$234.52 |
1.7× |
| Xr shoulder 1 view (73020) |
$129.60 |
$216 |
1.6× |
| Xr spine cervical 4 or 5 views (72050) |
$251.59 |
$419.32 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$169.22 |
$282.04 |
2.1× |
| Xr tmj bilateral (70330) |
$272.91 |
$454.85 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$167.09 |
$278.49 |
2.1× |