| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,386.18 |
$15,965.43 |
4.3× |
| Abdomen 2 views (74019) |
$413.94 |
$1,034.84 |
3.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,308.80 |
$3,271.98 |
3.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,094.52 |
$12,736.30 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$4,384.86 |
$10,962.14 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$2,330.60 |
$5,826.50 |
0.7× |
| Angiography internal mammary rs&i (75756) |
$1,720.06 |
$4,300.15 |
0.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,468.20 |
$8,670.50 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,117.86 |
$10,294.64 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,079.66 |
$5,199.13 |
0.6× |
| Angiography Spinal Selective Rs&I (75705) |
$3,670.64 |
$9,176.60 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,486.04 |
$8,715.08 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,824.20 |
$4,560.49 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,332.18 |
$3,330.44 |
0.4× |
| Ankle 2 views (73600) |
$341.44 |
$853.59 |
3.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,015 |
$2,537.49 |
2.7× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,817.90 |
$7,044.75 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,118.36 |
$7,795.88 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$3,659.44 |
$9,148.60 |
1.1× |
| Artery X-Rays Adrenal Gland (75731) |
$2,547.26 |
$6,368.15 |
0.8× |
| Arthrogram elbow (73085) |
$783.48 |
$1,958.70 |
2.1× |
| Arthrogram hip (73525) |
$559.38 |
$1,398.44 |
1.5× |
| Arthrogram shoulder (73040) |
$716.51 |
$1,791.26 |
1.9× |
| Arthrogram wrist (73115) |
$1,074.48 |
$2,686.20 |
2.9× |
| Arthrography knee lt (73580) |
$929.58 |
$2,323.94 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$839.96 |
$2,099.88 |
5.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,519.18 |
$3,797.95 |
3.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,823.02 |
$4,557.55 |
4.3× |
| Bone &/joint imaging whole body (78306) |
$2,443.25 |
$6,108.12 |
5.7× |
| Bone age studies (77072) |
$262.04 |
$655.09 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,060.36 |
$5,150.88 |
4.8× |
| Bone Marrow Imaging Limited Area (78102) |
$411.87 |
$1,029.67 |
1.0× |
| Bone survey complete (77075) |
$817.86 |
$2,044.65 |
7.3× |
| Brachytx isodose complex (77318) |
$4,074.54 |
$10,186.34 |
10.2× |
| Brachytx isodose intermed (77317) |
$3,159.26 |
$7,898.13 |
7.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$2,919.60 |
$7,299 |
7.3× |
| Brain image w/flow 4 + views (78606) |
$1,176.92 |
$2,942.29 |
2.0× |
| Brain imaging < 4 static views w vascular flow (78601) |
$625.77 |
$1,564.41 |
1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,338.42 |
$13,346.05 |
3.5× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$218.15 |
$545.37 |
19.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$184.60 |
$461.49 |
0.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,480.20 |
$3,700.50 |
4.0× |
| Cardiac shunt detection (78428) |
$1,274.56 |
$3,186.38 |
3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,011.90 |
$2,529.75 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$456.09 |
$1,140.21 |
4.9× |
| Chest 1 view (71045) |
$322.32 |
$805.78 |
3.5× |
| Chest 3 views (71047) |
$470.60 |
$1,176.49 |
5.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$725.62 |
$1,814.03 |
3.9× |
| Cineradiography/videoradiography (76120) |
$977.87 |
$2,444.67 |
8.8× |
| Clavicle complete (73000) |
$452.66 |
$1,131.63 |
4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$379.49 |
$948.71 |
3.4× |
| Continuing medical physics consltj pr wk (77336) |
$1,024.47 |
$2,561.17 |
7.1× |
| Corpora cavernosography (74445) |
$238.83 |
$597.07 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,185.93 |
$15,464.82 |
16.6× |
| CT abdomen and pelvis without contrast (74176) |
$4,120.54 |
$10,301.33 |
16.2× |
| CT abdomen w contrast (74160) |
$2,828.88 |
$7,072.20 |
15.1× |
| CT abdomen w wo contrast (74170) |
$3,240.24 |
$8,100.60 |
17.3× |
| CT abdomen w/o contrast (74150) |
$2,167.09 |
$5,417.71 |
19.4× |
| CT angio hrt w/3d image (75574) |
$673.50 |
$1,683.73 |
1.8× |
| CT angiography upper extremity lt (73206) |
$2,481.68 |
$6,204.18 |
13.3× |
| CT c-spine w/o contrast (72125) |
$2,306.88 |
$5,767.18 |
20.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,672.23 |
$6,680.56 |
14.3× |
| CT cervical spine with contrast (72126) |
$2,580.72 |
$6,451.79 |
6.9× |
| CT chest w/wo contrast (71270) |
$3,012.54 |
$7,531.33 |
16.1× |
| CT chest with contrast (71260) |
$2,957.21 |
$7,393.02 |
15.8× |
| CT head/brain with contrast (70460) |
$2,604.33 |
$6,510.82 |
13.9× |
| CT head/brain without and with contrast (70470) |
$3,105.14 |
$7,762.83 |
16.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,924.26 |
$4,810.64 |
5.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$2,043.12 |
$5,107.80 |
22.0× |
| CT hrt w/3d image congen (75573) |
$1,306.41 |
$3,266.01 |
3.5× |
| CT iac w contrast (70481) |
$2,511.25 |
$6,278.11 |
13.4× |
| CT limited/localized follow up study (76380) |
$1,200.14 |
$3,000.35 |
12.9× |
| CT lower ext w/o (73700) |
$2,248.02 |
$5,620.04 |
20.2× |
| CT lower extremity w wo contrast (73702) |
$4,208.30 |
$10,520.74 |
22.5× |
| CT lower extremity with contrast (73701) |
$3,506.92 |
$8,767.29 |
18.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,546.41 |
$6,366.01 |
13.6× |
| CT lumbar spine w/o contrast (72131) |
$2,302.23 |
$5,755.57 |
20.6× |
| CT lumbar spine with contrast (72132) |
$2,519.43 |
$6,298.56 |
6.8× |
| CT maxillofacial w contrast (70487) |
$2,687.42 |
$6,718.54 |
14.4× |
| CT maxillofacial w/o contrast (70486) |
$2,055.55 |
$5,138.87 |
18.4× |
| CT maxillofacial w/wo contrast (70488) |
$3,224.90 |
$8,062.23 |
17.2× |
| CT neck soft tissue w contrast (70491) |
$2,978.33 |
$7,445.81 |
15.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,973.41 |
$7,433.52 |
15.9× |
| CT orbits w/o contrast (70480) |
$2,373.70 |
$5,934.24 |
21.3× |
| CT pelvis w & w/o contrast (72194) |
$2,945.70 |
$7,364.24 |
15.7× |
| CT pelvis w/o contrast (72192) |
$1,953.47 |
$4,883.67 |
17.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,341.86 |
$8,354.65 |
17.9× |
| CT soft tissue neck w/o contrast (70490) |
$2,224.42 |
$5,561.03 |
19.9× |
| CT thoracic spine w/contrast (72129) |
$2,451.16 |
$6,127.89 |
13.1× |
| CT thoracic spine w/o contrast (72128) |
$2,354.46 |
$5,886.13 |
21.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,941.40 |
$7,353.49 |
15.7× |
| CT thorax w/o contrast (71250) |
$2,099 |
$5,247.48 |
18.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,513.71 |
$8,784.26 |
18.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,428.60 |
$6,071.50 |
21.8× |
| CT upper extremity with contrast (73201) |
$2,888.14 |
$7,220.35 |
7.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,378.56 |
$8,446.38 |
18.1× |
| Cta Abdomen (74175) |
$3,160.88 |
$7,902.20 |
16.9× |
| CTA abdomen pelvis (74174) |
$6,456.04 |
$16,140.08 |
17.3× |
| CTA chest (71275) |
$3,306.60 |
$8,266.49 |
17.7× |
| Cta Head (70496) |
$3,283.26 |
$8,208.15 |
17.6× |
| CTA lwr ext w&w/o contrast (73706) |
$5,409.22 |
$13,523.04 |
28.9× |
| Cta Neck (70498) |
$3,479.72 |
$8,699.29 |
18.6× |
| Cta Pelvis (72191) |
$3,295.16 |
$8,237.90 |
17.6× |
| Cystography minimum 3 views rs&i (74430) |
$747.24 |
$1,868.09 |
2.0× |
| Diskogram cervical (72285) |
$2,632.15 |
$6,580.37 |
1.3× |
| Diskography lumbar (72295) |
$2,632.15 |
$6,580.37 |
1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$663.70 |
$1,659.25 |
6.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$865.70 |
$2,164.25 |
7.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$450.02 |
$1,125.04 |
4.0× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$966.70 |
$2,416.74 |
8.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$391.08 |
$977.68 |
3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$462.40 |
$1,156 |
5.0× |
| Dxa bone density study axial skeleton (77085) |
$550.54 |
$1,376.34 |
4.9× |
| Echo exam of fetal heart (76825) |
$1,962.25 |
$4,905.62 |
3.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$865.70 |
$2,164.25 |
3.4× |
| Echoencephalography real time imaging (76506) |
$577.13 |
$1,442.82 |
5.2× |
| Esophagus (74220) |
$635.05 |
$1,587.62 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$818 |
$2,045 |
7.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$681.67 |
$1,704.16 |
6.1× |
| Fluoroscopy up to 1 hr (76000) |
$614.30 |
$1,535.74 |
2.4× |
| Foot 2 views (73620) |
$347.74 |
$869.34 |
3.7× |
| Forearm 2 views (73090) |
$401.43 |
$1,003.56 |
4.3× |
| Functional MRI brain by phys/psych (70555) |
$5,342.88 |
$13,357.18 |
21.0× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,405.34 |
$6,013.34 |
4.2× |
| Gated Heart Planar Single (78472) |
$1,970.10 |
$4,925.23 |
4.6× |
| Hand 2 views (73120) |
$400.16 |
$1,000.40 |
3.6× |
| Hand 3 views (73130) |
$427.82 |
$1,069.54 |
4.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,723.22 |
$4,308.03 |
2.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$6,694.91 |
$16,737.27 |
9.0× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$5,405.59 |
$13,513.96 |
7.3× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$6,694.91 |
$16,737.27 |
16.3× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$5,169.65 |
$12,924.11 |
12.6× |
| Heart Infarct Image (78466) |
$1,186.40 |
$2,965.98 |
2.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,420.66 |
$6,051.63 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,141.90 |
$5,354.74 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,987.21 |
$4,968.01 |
4.7× |
| Ht muscle image spect sing (78451) |
$4,383.98 |
$10,959.95 |
3.2× |
| Humerus Min 2 Views Left (73060) |
$454.30 |
$1,135.74 |
4.9× |
| Hysterosalpingogram (74740) |
$750.81 |
$1,877.02 |
3.0× |
| Interstitial radiation source applic complex (77778) |
$7,965.74 |
$19,914.33 |
10.7× |
| Intracavitary Radiation Source Applic Complex (77763) |
$4,335.69 |
$10,839.22 |
5.8× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$5,034.26 |
$12,585.64 |
0.6× |
| Io rad tx deliver by elctrns (77425) |
$4,830.29 |
$12,075.71 |
0.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$287.75 |
$719.37 |
2.6× |
| Kidney funcj study non-img radioisotopic study (78725) |
$817.80 |
$2,044.50 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,906.86 |
$4,767.14 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,839.65 |
$7,099.12 |
4.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,466.50 |
$3,666.24 |
2.5× |
| Knee 3 views (73562) |
$477.18 |
$1,192.96 |
5.1× |
| Liver & spleen imaging static only (78215) |
$1,159.24 |
$2,898.10 |
2.7× |
| Liver imaging static only (78201) |
$1,190.20 |
$2,975.50 |
2.1× |
| Lung perf&ventilat diferentl (78598) |
$1,735.29 |
$4,338.22 |
3.0× |
| Lung perfusion differential (78597) |
$1,735.29 |
$4,338.22 |
4.1× |
| Lung Ventilation Imaging (78579) |
$1,637.44 |
$4,093.58 |
3.8× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,686.99 |
$4,217.46 |
0.5× |
| Lymphoscintigraphy (78195) |
$1,714.89 |
$4,287.21 |
3.0× |
| Mammary ductogram or galactogram multiple (77054) |
$732.70 |
$1,831.75 |
2.9× |
| Mammary ductogram or galactogram single (77053) |
$610.59 |
$1,526.46 |
2.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$315.80 |
$789.51 |
3.4× |
| Meckels Diverticulum (78290) |
$1,197.15 |
$2,992.86 |
2.8× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$966.36 |
$2,415.89 |
2.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$12,138.33 |
$30,345.82 |
30.4× |
| Mr safety determination physician/other qhp (76016) |
$551.20 |
$1,378 |
5.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$551.20 |
$1,378 |
8.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$551.20 |
$1,378 |
17.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$551.20 |
$1,378 |
5.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$551.20 |
$1,378 |
2.2× |
| MRA head w & w/o contrast (70546) |
$3,630.77 |
$9,076.92 |
9.8× |
| MRA head w/o contrast (70544) |
$2,372.53 |
$5,931.32 |
9.3× |
| MRA head with contrast (70545) |
$2,514.59 |
$6,286.47 |
6.8× |
| MRA neck w contrast (70548) |
$2,832.46 |
$7,081.15 |
7.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,206.25 |
$8,015.61 |
8.6× |
| MRA neck w/o contrast (70547) |
$2,458.68 |
$6,146.70 |
9.7× |
| MRI abdomen w contrast (74182) |
$2,838.09 |
$7,095.22 |
7.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,157.89 |
$7,894.71 |
8.5× |
| MRI abdomen w/o contrast (74181) |
$2,520.89 |
$6,302.22 |
9.9× |
| MRI any jnt lwr ext with con lt (73722) |
$3,926.73 |
$9,816.82 |
4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,230.86 |
$10,577.12 |
5.1× |
| MRI breast w/o contrast bilateral (77047) |
$2,371.18 |
$5,927.94 |
9.3× |
| MRI breast w/o contrast unilat (77046) |
$1,839.94 |
$4,599.84 |
7.2× |
| MRI c-spine with contrast (72142) |
$2,802.96 |
$7,007.38 |
7.5× |
| MRI cardiac w/o cont stress (75559) |
$1,161.69 |
$2,904.22 |
2.0× |
| MRI cardiac w/o contrast (75557) |
$968.08 |
$2,420.18 |
3.8× |
| MRI cervical spine w/o contrast (72141) |
$2,562.31 |
$6,405.76 |
10.1× |
| MRI chest w/o & w/contrast material (71552) |
$3,329.68 |
$8,324.20 |
8.9× |
| MRI chest w/o contrast (71550) |
$2,131 |
$5,327.49 |
8.4× |
| MRI chest with contrast (71551) |
$2,663.74 |
$6,659.35 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,047.97 |
$10,119.92 |
10.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,303.39 |
$10,758.46 |
11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,556.55 |
$8,891.37 |
14.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,732.12 |
$6,830.30 |
10.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,519.55 |
$8,798.87 |
9.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,841.66 |
$7,104.14 |
7.6× |
| MRI pelvis w contrast (72196) |
$2,291.94 |
$5,729.83 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,132.46 |
$7,831.14 |
8.4× |
| MRI pelvis w/o contrast (72195) |
$1,451.40 |
$3,628.48 |
5.7× |
| MRI scan of arm joint before and after contrast (73223) |
$4,663.78 |
$11,659.44 |
12.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,776.24 |
$4,440.60 |
2.1× |
| MRI scan of leg joint before and after contrast (73723) |
$4,712.08 |
$11,780.18 |
12.7× |
| MRI spectroscopy (76390) |
$3,289.91 |
$8,224.76 |
35.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,096.78 |
$7,741.93 |
8.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,078.86 |
$7,697.15 |
8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,475.08 |
$8,687.70 |
9.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,735.66 |
$6,839.13 |
7.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,267.86 |
$8,169.63 |
8.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,446.03 |
$6,115.07 |
9.6× |
| MRI tmj (70336) |
$3,602.61 |
$9,006.52 |
14.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,546.34 |
$8,865.84 |
13.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,857.56 |
$12,143.90 |
13.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,514.23 |
$8,785.57 |
13.8× |
| Myelogram Cervical (72240) |
$1,151.42 |
$2,878.53 |
1.4× |
| Myelogram Lumbar (72265) |
$1,129.78 |
$2,824.44 |
1.4× |
| Myelogram thoracic (72255) |
$885.96 |
$2,214.88 |
1.1× |
| Myelography 2 or more regions (72270) |
$1,309.33 |
$3,273.31 |
1.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,265.71 |
$8,164.26 |
2.4× |
| Myocardial infarct spect (78469) |
$1,412.68 |
$3,531.68 |
2.4× |
| Myocardial Spect Multiple Studies (78452) |
$5,321.32 |
$13,303.28 |
3.9× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$4,435.55 |
$11,088.86 |
2.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$4,435.55 |
$11,088.86 |
2.9× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$4,435.55 |
$11,088.86 |
1.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$4,646.50 |
$11,616.24 |
2.0× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$3,278.64 |
$8,196.60 |
2.0× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$6,753.40 |
$16,883.48 |
7.4× |
| Neck soft tissue (70360) |
$361.47 |
$903.66 |
3.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$466.09 |
$1,165.21 |
1.1× |
| Nm adrenal scan (78075) |
$1,954.38 |
$4,885.94 |
1.4× |
| Nm bone marrow multiple (78103) |
$1,398.77 |
$3,496.91 |
3.3× |
| Nm bone marrow wb (78104) |
$1,583.11 |
$3,957.76 |
3.7× |
| Nm cisternogram (78630) |
$2,430.50 |
$6,076.24 |
4.2× |
| Nm csf leak detection (78650) |
$1,444.07 |
$3,610.16 |
1.0× |
| Nm gastric emptying study (78264) |
$1,668.34 |
$4,170.85 |
3.9× |
| Nm peritoneal-venous shunt patency (78291) |
$830.15 |
$2,075.37 |
1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,754.41 |
$26,886.02 |
7.3× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$4,273.78 |
$10,684.45 |
2.8× |
| Nuclear medicine of heart pumping function (78473) |
$2,364.10 |
$5,910.25 |
5.5× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3,606.51 |
$9,016.27 |
2.4× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,419.03 |
$8,547.57 |
2.2× |
| Nuclear medicine study of digestive tracts (78299) |
$922.86 |
$2,307.15 |
2.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$694.70 |
$1,736.74 |
1.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,924.27 |
$4,810.67 |
4.5× |
| Nuclear Rx Oral Admin (79005) |
$2,056.25 |
$5,140.62 |
8.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$577.13 |
$1,442.82 |
5.2× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$675.78 |
$1,689.42 |
4.8× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$346.28 |
$865.68 |
3.1× |
| Orthopantogram (70355) |
$291.33 |
$728.32 |
3.1× |
| Osseous survey infant (77076) |
$548.58 |
$1,371.45 |
4.9× |
| Osseous survey limited (77074) |
$303.72 |
$759.30 |
2.7× |
| Parathyrd planar w/spect&CT (78072) |
$3,675.23 |
$9,188.06 |
6.3× |
| Parathyrd planar w/wo subtrj (78071) |
$2,809.25 |
$7,023.12 |
6.6× |
| Parathyroid imaging (78070) |
$1,841.95 |
$4,604.86 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$340.48 |
$851.19 |
3.1× |
| Peritoneogram rs&i (74190) |
$1,250.50 |
$3,126.24 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$5,111.14 |
$12,777.85 |
3.4× |
| PET imaging CT for attenuation limited area (78814) |
$4,879.11 |
$12,197.76 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$5,355.66 |
$13,389.14 |
3.5× |
| PET whole body (78813) |
$3,702.54 |
$9,256.34 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,050.22 |
$12,625.52 |
13.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,806.58 |
$7,016.44 |
0.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,172.37 |
$2,930.92 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,363.22 |
$3,408.04 |
3.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,482.46 |
$6,206.13 |
4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$820.17 |
$2,050.42 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$429.73 |
$1,074.31 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$515.68 |
$1,289.18 |
4.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$829.20 |
$2,073 |
7.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$561.14 |
$1,402.84 |
5.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$742.56 |
$1,856.39 |
6.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$13,140.52 |
$32,851.30 |
1.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,230.62 |
$3,076.53 |
2.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$527.78 |
$1,319.45 |
4.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$889.18 |
$2,222.94 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$604.07 |
$1,510.16 |
5.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$284.41 |
$711.02 |
3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$420.98 |
$1,052.44 |
3.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$392.56 |
$981.38 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$998.44 |
$2,496.10 |
5.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$607.95 |
$1,519.87 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$333.90 |
$834.73 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$701.14 |
$1,752.85 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$128.88 |
$322.18 |
1.4× |
| Radiological examination surgical specimen (76098) |
$348.62 |
$871.54 |
0.6× |
| Review by radiologist of adrenal gland vein image (75840) |
$3,734.82 |
$9,337.04 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,904.78 |
$7,261.95 |
0.9× |
| Ribs bilateral 3 views (71110) |
$903.20 |
$2,257.98 |
8.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,884.25 |
$7,210.62 |
6.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,378 |
$5,944.99 |
4.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,949.80 |
$7,374.49 |
5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,893.74 |
$9,734.34 |
2.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$4,283.11 |
$10,707.77 |
2.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,244.79 |
$8,111.96 |
2.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,130.51 |
$2,826.26 |
4.5× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,187.38 |
$2,968.45 |
4.8× |
| Rp Therapy Intravenous Administration (79101) |
$1,111.21 |
$2,778.01 |
4.5× |
| Sacroiliac Joints < 3 Views (72200) |
$423.91 |
$1,059.76 |
3.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$865.70 |
$2,164.25 |
3.4× |
| Scanogram (77073) |
$105.17 |
$262.91 |
0.9× |
| Scapula complete (73010) |
$462.14 |
$1,155.34 |
4.1× |
| Screening digital breast tomosynthesis (77063) |
$16 |
$40 |
0.7× |
| Sella turcica (70240) |
$323.82 |
$809.53 |
3.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$313.18 |
$782.95 |
2.8× |
| Sialogram (70390) |
$292.17 |
$730.41 |
1.1× |
| Simulation intermediate (77285) |
$1,687.63 |
$4,219.06 |
4.2× |
| Small bowel series (74250) |
$683.67 |
$1,709.17 |
3.7× |
| Spec medical radj physics consltj (77370) |
$1,541.63 |
$3,854.06 |
10.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,335.77 |
$5,839.41 |
5.8× |
| Special dosimetry (77331) |
$1,260.14 |
$3,150.34 |
8.8× |
| Special treatment procedure (77470) |
$6,869.44 |
$17,173.60 |
11.7× |
| Speech evaluation complex (70371) |
$758.78 |
$1,896.94 |
3.0× |
| Spine thoracic 3 views (72072) |
$565.28 |
$1,413.19 |
5.1× |
| Stereotactic body radiation delivery (77373) |
$11,344.36 |
$28,360.90 |
5.9× |
| Superior sagittal sinus venogram (75870) |
$1,616.37 |
$4,040.92 |
0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$1,526.12 |
$3,815.28 |
14.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,503.58 |
$11,258.93 |
11.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$4,041.62 |
$10,104.04 |
10.1× |
| Testicular Imaging With Vascular Flow (78761) |
$849.04 |
$2,122.58 |
2.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,351.70 |
$5,879.25 |
5.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,197.50 |
$2,993.73 |
8.4× |
| Therapeutic Enema (74283) |
$565.28 |
$1,413.18 |
3.0× |
| Thoracolumbar 2 views (72080) |
$519.08 |
$1,297.69 |
5.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,532.80 |
$6,331.99 |
4.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$895.39 |
$2,238.46 |
2.1× |
| Thyroid uptake measurement (78012) |
$481.26 |
$1,203.14 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,658.52 |
$4,146.30 |
3.9× |
| Tmj unilateral (70328) |
$539.79 |
$1,349.47 |
5.8× |
| Tomogram (76100) |
$614.66 |
$1,536.65 |
5.5× |
| Treatment device intermediate (77333) |
$1,192.34 |
$2,980.84 |
8.3× |
| Treatment devices simple (77332) |
$925.90 |
$2,314.75 |
6.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,721.36 |
$6,803.40 |
4.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$771.85 |
$1,929.62 |
1.8× |
| Tx devices design & construction complex (77334) |
$1,510.55 |
$3,776.36 |
3.8× |
| Ultrasound elastography first target lesion (76982) |
$139.52 |
$348.80 |
1.3× |
| Ultrasound scan to determine eye length and lens power (76519) |
$415.54 |
$1,038.84 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$617.54 |
$1,543.83 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$560.93 |
$1,402.31 |
5.0× |
| Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) |
$921.30 |
$2,303.23 |
2.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$3,793.67 |
$9,484.17 |
40.9× |
| Unlisted fluoroscopic procedure (76496) |
$731.32 |
$1,828.29 |
7.9× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$921.30 |
$2,303.23 |
2.2× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$922.86 |
$2,307.15 |
2.2× |
| Unlisted magnetic resonance procedure (76498) |
$2,224.56 |
$5,561.39 |
24.0× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$896.92 |
$2,242.29 |
2.1× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$921.30 |
$2,303.23 |
2.2× |
| Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED (78699) |
$921.30 |
$2,303.23 |
2.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$3,610.73 |
$9,026.81 |
33.2× |
| Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions (77299) |
$186.41 |
$466.01 |
1.3× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$921.30 |
$2,303.23 |
2.2× |
| Unlisted Ultrasound Procedure (76999) |
$1,017.23 |
$2,543.06 |
11.0× |
| Upper Extremity Infant (73092) |
$907.37 |
$2,268.40 |
8.1× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$546.14 |
$1,365.33 |
5.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$992.87 |
$2,482.16 |
2.3× |
| Urethrocystography retrograde rs&i (74450) |
$866.64 |
$2,166.59 |
3.4× |
| Urethrocystography voiding (74455) |
$901.15 |
$2,252.87 |
3.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$217.37 |
$543.42 |
1.2× |
| Us abdl aorta screen aaa (76706) |
$577.13 |
$1,442.82 |
5.2× |
| Us breast unilateral complete (76641) |
$923.41 |
$2,308.52 |
8.3× |
| Us breast unilateral limited (76642) |
$519.42 |
$1,298.54 |
5.6× |
| Us chest (76604) |
$829.63 |
$2,074.06 |
7.4× |
| Us compl joint r-t w/image documentation (76881) |
$966.70 |
$2,416.74 |
8.7× |
| Us elastography parenchyma (76981) |
$139.52 |
$348.80 |
1.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$663.70 |
$1,659.25 |
6.0× |
| Us guided compression repair (76936) |
$761.25 |
$1,903.12 |
3.3× |
| Us infant hips dynamic (76885) |
$346.28 |
$865.68 |
3.7× |
| Us kidney transplant (76776) |
$663.70 |
$1,659.25 |
6.0× |
| Us ob detailed single fetus (76811) |
$577.13 |
$1,442.82 |
2.3× |
| Us ob transvaginal (76817) |
$577.13 |
$1,442.82 |
5.2× |
| Us pelvic non ob complete (76856) |
$692.56 |
$1,731.40 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$617.54 |
$1,543.83 |
5.5× |
| Us pregnancy ltd (76815) |
$577.13 |
$1,442.82 |
5.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$577.13 |
$1,442.82 |
5.2× |
| Us retroperitoneal complete (76770) |
$853.74 |
$2,134.34 |
7.7× |
| Us retroperitoneal limited (76775) |
$682.99 |
$1,707.47 |
6.1× |
| Us scrotum and contents (76870) |
$663.70 |
$1,659.25 |
6.0× |
| Us soft tissue head/neck (76536) |
$577.13 |
$1,442.82 |
5.2× |
| Us spinal canal and contents (76800) |
$346.28 |
$865.68 |
3.1× |
| Us transrectal (76872) |
$577.13 |
$1,442.82 |
5.2× |
| Us transrectal prostate volume (76873) |
$663.70 |
$1,659.25 |
6.0× |
| Us xtr non-vasc lmtd (76882) |
$519.42 |
$1,298.54 |
4.7× |
| Us, eye b-scan (76512) |
$966.70 |
$2,416.74 |
8.7× |
| Venogram extremity bilateral (75822) |
$2,216.15 |
$5,540.37 |
1.3× |
| Venogram orbital (75880) |
$1,026.22 |
$2,565.53 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,302.01 |
$5,755.01 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$2,297.17 |
$5,742.91 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,100.47 |
$2,751.17 |
0.7× |
| Venography Renal Bilateral (75833) |
$5,771.86 |
$14,429.64 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,885.93 |
$7,214.82 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$11,509.58 |
$28,773.93 |
3.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,687.39 |
$6,718.46 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$64.08 |
$160.18 |
0.7× |
| Wrist 2 views (73100) |
$385.29 |
$963.22 |
4.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$507.63 |
$1,269.07 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$758.36 |
$1,895.90 |
8.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$511.32 |
$1,278.28 |
5.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,100.23 |
$2,750.56 |
5.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$386.32 |
$965.80 |
4.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$434.98 |
$1,087.46 |
4.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$618.81 |
$1,547.01 |
5.5× |
| X-ray exam hip uni 1 view (73501) |
$531.54 |
$1,328.85 |
5.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$637.85 |
$1,594.61 |
6.9× |
| X-ray exam hip uni 4/> views (73503) |
$765.41 |
$1,913.52 |
6.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$995.03 |
$2,487.57 |
8.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,194.05 |
$2,985.12 |
10.7× |
| X-ray exam of femur 1 (73551) |
$107.39 |
$268.47 |
1.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,227.62 |
$3,069.03 |
6.6× |
| X-ray eye for foreign body (70030) |
$622.41 |
$1,556.02 |
6.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$578.90 |
$1,447.25 |
5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$381.30 |
$953.24 |
4.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$463.50 |
$1,158.74 |
5.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,087.55 |
$2,718.86 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$402.71 |
$1,006.76 |
4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$539.79 |
$1,349.47 |
5.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$669.76 |
$1,674.38 |
6.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$483.49 |
$1,208.72 |
5.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$550.22 |
$1,375.52 |
5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$601.16 |
$1,502.88 |
5.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,129.37 |
$2,823.41 |
10.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$764.76 |
$1,911.89 |
6.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$446.36 |
$1,115.89 |
4.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$338.36 |
$845.89 |
3.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$669.82 |
$1,674.55 |
6.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$395.16 |
$987.88 |
3.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$1,002.21 |
$2,505.51 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$606.56 |
$1,516.38 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$649.24 |
$1,623.10 |
7.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$813.41 |
$2,033.52 |
7.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$944.40 |
$2,361 |
8.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$515.81 |
$1,289.51 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$443.31 |
$1,108.27 |
4.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$525.28 |
$1,313.18 |
5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$593.62 |
$1,484.05 |
6.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$365.79 |
$914.46 |
3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$853.28 |
$2,133.19 |
7.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$429.33 |
$1,073.32 |
3.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$356.07 |
$890.16 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$449.01 |
$1,122.52 |
4.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$447.70 |
$1,119.24 |
4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$471.07 |
$1,177.67 |
4.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$678.34 |
$1,695.85 |
6.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$366.94 |
$917.35 |
4.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$450.68 |
$1,126.68 |
4.9× |
| Xr arthrogram ankle (73615) |
$584.90 |
$1,462.24 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$850.32 |
$2,125.80 |
7.6× |
| Xr chest 4+ views (71048) |
$550.91 |
$1,377.26 |
4.9× |
| Xr Cholecystography Oral Contrast (74290) |
$338.73 |
$846.81 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$395.37 |
$988.41 |
4.3× |
| Xr shoulder 1 view (73020) |
$285.78 |
$714.44 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$694.21 |
$1,735.51 |
6.2× |
| Xr tibia/fibula 2 views (73590) |
$439.57 |
$1,098.92 |
4.7× |
| Xr tmj bilateral (70330) |
$701.72 |
$1,754.29 |
7.6× |
| Xray knee 1 or 2 views rt (73560) |
$454.06 |
$1,135.15 |
4.9× |