| Abdomen 2 views (74019) |
$1,186.74 |
$1,186.74 |
11.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,321.80 |
$3,321.80 |
8.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$6,930.74 |
$6,930.74 |
2.2× |
| Angiography extremity bilateral rs&i (75716) |
$7,027.67 |
$7,027.67 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$7,037.34 |
$7,037.34 |
2.2× |
| Angiography internal mammary rs&i (75756) |
$4,137.67 |
$4,137.67 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,876.72 |
$6,876.72 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,798.90 |
$4,798.90 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,137.67 |
$4,137.67 |
1.3× |
| Angiography Spinal Selective Rs&I (75705) |
$6,876.72 |
$6,876.72 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,876.72 |
$6,876.72 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$6,248.04 |
$6,248.04 |
2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,905.42 |
$1,905.42 |
0.6× |
| Ankle 2 views (73600) |
$677.16 |
$677.16 |
7.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,351.54 |
$1,351.54 |
3.9× |
| Aortogram thoracic (75605) |
$6,876.72 |
$6,876.72 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,113.53 |
$7,113.53 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$6,999.96 |
$6,999.96 |
2.2× |
| Artery X-Rays Adrenal Gland (75731) |
$6,930.74 |
$6,930.74 |
2.2× |
| Arthrogram elbow (73085) |
$2,103.45 |
$2,103.45 |
6.0× |
| Arthrogram hip (73525) |
$1,622.94 |
$1,622.94 |
4.6× |
| Arthrogram shoulder (73040) |
$1,661.72 |
$1,661.72 |
4.7× |
| Arthrogram wrist (73115) |
$2,103.45 |
$2,103.45 |
6.0× |
| Arthrography knee lt (73580) |
$789.32 |
$789.32 |
2.2× |
| Basic radiation dosimetry calculation (77300) |
$246.76 |
$246.76 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,806.69 |
$1,806.69 |
4.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,360.54 |
$2,360.54 |
5.9× |
| Bone &/joint imaging whole body (78306) |
$5,309.55 |
$5,309.55 |
13.2× |
| Bone Imaging 3 Phase (78315) |
$4,914.13 |
$4,914.13 |
12.2× |
| Bone survey complete (77075) |
$3,013.24 |
$3,013.24 |
28.6× |
| Brain image w/flow 4 + views (78606) |
$3,420.31 |
$3,420.31 |
6.3× |
| Brain Imaging Minimum 4 Static Views (78605) |
$2,838.50 |
$2,838.50 |
5.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$13,565.69 |
$13,565.69 |
38.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,838.50 |
$2,838.50 |
5.2× |
| Cervical spine 2 or 3 views (72040) |
$815.63 |
$815.63 |
9.3× |
| Chest 1 view (71045) |
$909.79 |
$909.79 |
10.4× |
| Chest 3 views (71047) |
$1,337.68 |
$1,337.68 |
15.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,088.22 |
$2,088.22 |
11.8× |
| Clavicle complete (73000) |
$621.77 |
$621.77 |
7.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$883.74 |
$883.74 |
8.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$20,465.81 |
$20,465.81 |
58.3× |
| CT abdomen and pelvis without contrast (74176) |
$14,522.57 |
$14,522.57 |
60.5× |
| CT abdomen w contrast (74160) |
$10,758.75 |
$10,758.75 |
61.0× |
| CT abdomen w wo contrast (74170) |
$11,681.70 |
$11,681.70 |
66.2× |
| CT abdomen w/o contrast (74150) |
$9,582.54 |
$9,582.54 |
91.1× |
| CT angio hrt w/3d image (75574) |
$9,423.40 |
$9,423.40 |
26.8× |
| CT angiography upper extremity lt (73206) |
$8,404.97 |
$8,404.97 |
47.6× |
| CT c-spine w/o contrast (72125) |
$9,237.98 |
$9,237.98 |
87.8× |
| CT cervical spine w&w/o contrast (72127) |
$8,106.08 |
$8,106.08 |
45.9× |
| CT cervical spine with contrast (72126) |
$10,165.10 |
$10,165.10 |
29.0× |
| CT chest w/wo contrast (71270) |
$9,264.28 |
$9,264.28 |
52.5× |
| CT chest with contrast (71260) |
$9,246.28 |
$9,246.28 |
52.4× |
| CT head/brain with contrast (70460) |
$6,379.13 |
$6,379.13 |
36.1× |
| CT head/brain without and with contrast (70470) |
$8,557.16 |
$8,557.16 |
48.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$8,723.22 |
$8,723.22 |
24.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$331.97 |
$331.97 |
3.8× |
| CT hrt w/3d image congen (75573) |
$9,423.40 |
$9,423.40 |
26.8× |
| CT iac w contrast (70481) |
$3,352.86 |
$3,352.86 |
19.0× |
| CT limited/localized follow up study (76380) |
$972.78 |
$972.78 |
11.1× |
| CT lower ext w/o (73700) |
$4,898.51 |
$4,898.51 |
46.6× |
| CT lower extremity w wo contrast (73702) |
$7,516.58 |
$7,516.58 |
42.6× |
| CT lower extremity with contrast (73701) |
$4,596.85 |
$4,596.85 |
26.0× |
| CT lumbar spine w & w/o contrast (72133) |
$8,995.82 |
$8,995.82 |
51.0× |
| CT lumbar spine w/o contrast (72131) |
$8,829.78 |
$8,829.78 |
83.9× |
| CT lumbar spine with contrast (72132) |
$8,720.44 |
$8,720.44 |
24.8× |
| CT maxillofacial w contrast (70487) |
$5,319.18 |
$5,319.18 |
30.1× |
| CT maxillofacial w/o contrast (70486) |
$4,490.31 |
$4,490.31 |
42.7× |
| CT maxillofacial w/wo contrast (70488) |
$7,429.40 |
$7,429.40 |
42.1× |
| CT neck soft tissue w contrast (70491) |
$8,133.74 |
$8,133.74 |
46.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,571.48 |
$6,571.48 |
37.2× |
| CT orbits w/o contrast (70480) |
$5,013.36 |
$5,013.36 |
47.7× |
| CT pelvis w & w/o contrast (72194) |
$7,005.98 |
$7,005.98 |
39.7× |
| CT pelvis w/o contrast (72192) |
$7,158.21 |
$7,158.21 |
68.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$837.19 |
$837.19 |
9.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$10,130.52 |
$10,130.52 |
57.4× |
| CT soft tissue neck w/o contrast (70490) |
$7,390.67 |
$7,390.67 |
70.3× |
| CT thoracic spine w/contrast (72129) |
$8,208.46 |
$8,208.46 |
46.5× |
| CT thoracic spine w/o contrast (72128) |
$8,604.21 |
$8,604.21 |
81.8× |
| CT thoracic spine w/wo contrast (72130) |
$8,106.08 |
$8,106.08 |
45.9× |
| CT thorax w/o contrast (71250) |
$8,002.29 |
$8,002.29 |
76.1× |
| CT unlisted procedure (76497) |
$781.83 |
$781.83 |
8.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$7,516.58 |
$7,516.58 |
42.6× |
| CT upper extremity w/o contrast rt (73200) |
$4,138.84 |
$4,138.84 |
39.3× |
| CT upper extremity with contrast (73201) |
$4,596.85 |
$4,596.85 |
13.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$10,386.51 |
$10,386.51 |
58.9× |
| Cta Abdomen (74175) |
$9,096.85 |
$9,096.85 |
51.5× |
| CTA abdomen pelvis (74174) |
$12,787.33 |
$12,787.33 |
36.4× |
| CTA chest (71275) |
$10,201.07 |
$10,201.07 |
57.8× |
| Cta Head (70496) |
$9,218.61 |
$9,218.61 |
52.2× |
| CTA lwr ext w&w/o contrast (73706) |
$10,386.51 |
$10,386.51 |
58.9× |
| Cta Neck (70498) |
$10,201.07 |
$10,201.07 |
57.8× |
| Cta Pelvis (72191) |
$9,096.85 |
$9,096.85 |
51.5× |
| Cystography minimum 3 views rs&i (74430) |
$1,438.77 |
$1,438.77 |
4.1× |
| Diskogram cervical (72285) |
$2,809.71 |
$2,809.71 |
1.4× |
| Diskography lumbar (72295) |
$3,170.42 |
$3,170.42 |
1.6× |
| Echoencephalography real time imaging (76506) |
$1,702.17 |
$1,702.17 |
16.2× |
| Esophagus (74220) |
$2,088.22 |
$2,088.22 |
11.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$980.12 |
$980.12 |
9.3× |
| Fluoroscopy up to 1 hr (76000) |
$1,884.67 |
$1,884.67 |
7.9× |
| Foot 2 views (73620) |
$649.46 |
$649.46 |
7.4× |
| Forearm 2 views (73090) |
$722.84 |
$722.84 |
8.3× |
| Functional MRI brain by tech (70554) |
$7,277.73 |
$7,277.73 |
30.3× |
| Gated Heart Planar Single (78472) |
$4,204.49 |
$4,204.49 |
10.5× |
| Hand 2 views (73120) |
$648.07 |
$648.07 |
6.2× |
| Hand 3 views (73130) |
$745 |
$745 |
8.5× |
| Heart Infarct Image (78466) |
$2,392.50 |
$2,392.50 |
5.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,904.95 |
$3,904.95 |
7.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,404.08 |
$2,404.08 |
6.0× |
| Ht muscle image spect sing (78451) |
$6,923.18 |
$6,923.18 |
5.3× |
| Humerus Min 2 Views Left (73060) |
$729.78 |
$729.78 |
8.3× |
| Hysterosalpingogram (74740) |
$1,688.02 |
$1,688.02 |
7.0× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$927.98 |
$927.98 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,220.75 |
$2,220.75 |
4.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,232.73 |
$2,232.73 |
4.1× |
| Knee 3 views (73562) |
$799.01 |
$799.01 |
9.1× |
| Liver & spleen imaging static only (78215) |
$2,805.23 |
$2,805.23 |
7.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,528.31 |
$2,528.31 |
6.3× |
| Liver imaging static only (78201) |
$2,029.02 |
$2,029.02 |
3.7× |
| Liver imaging w/vascular flow (78202) |
$1,919.85 |
$1,919.85 |
3.5× |
| Lung perf&ventilat diferentl (78598) |
$7,221.40 |
$7,221.40 |
13.2× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$10,443.63 |
$10,443.63 |
3.3× |
| Lymphoscintigraphy (78195) |
$3,675.95 |
$3,675.95 |
6.7× |
| Mammary ductogram or galactogram single (77053) |
$397.44 |
$397.44 |
1.7× |
| MRA head w/o contrast (70544) |
$5,245.12 |
$5,245.12 |
21.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,717.61 |
$5,717.61 |
16.3× |
| MRA neck w/o contrast (70547) |
$4,161.71 |
$4,161.71 |
17.3× |
| MRI abdomen w contrast (74182) |
$7,235.79 |
$7,235.79 |
20.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$13,565.69 |
$13,565.69 |
38.6× |
| MRI abdomen w/o contrast (74181) |
$7,765.61 |
$7,765.61 |
32.3× |
| MRI any jnt lwr ext with con lt (73722) |
$6,815.01 |
$6,815.01 |
8.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$9,047.52 |
$9,047.52 |
11.5× |
| MRI breast w/o contrast bilateral (77047) |
$6,124.42 |
$6,124.42 |
25.5× |
| MRI breast w/o contrast unilat (77046) |
$6,124.42 |
$6,124.42 |
25.5× |
| MRI c-spine with contrast (72142) |
$7,511.20 |
$7,511.20 |
21.4× |
| MRI cardiac w/o cont stress (75559) |
$7,234.50 |
$7,234.50 |
13.2× |
| MRI cardiac w/o contrast (75557) |
$6,076.90 |
$6,076.90 |
25.3× |
| MRI cervical spine w/o contrast (72141) |
$7,604.84 |
$7,604.84 |
31.7× |
| MRI chest w/o & w/contrast material (71552) |
$9,434.76 |
$9,434.76 |
26.9× |
| MRI chest w/o contrast (71550) |
$5,802.88 |
$5,802.88 |
24.2× |
| MRI chest with contrast (71551) |
$7,235.79 |
$7,235.79 |
9.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,235.79 |
$7,235.79 |
20.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,238.57 |
$7,238.57 |
20.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,802.88 |
$5,802.88 |
24.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,856.48 |
$7,856.48 |
32.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$11,052.17 |
$11,052.17 |
31.5× |
| MRI pelvis w contrast (72196) |
$7,511.20 |
$7,511.20 |
21.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,927.30 |
$8,927.30 |
25.4× |
| MRI pelvis w/o contrast (72195) |
$6,624.89 |
$6,624.89 |
27.6× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$17,808 |
$17,808 |
22.6× |
| MRI scan of leg joint before and after contrast (73723) |
$10,136.52 |
$10,136.52 |
28.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$10,119.76 |
$10,119.76 |
28.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,511.20 |
$7,511.20 |
21.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$9,820.61 |
$9,820.61 |
28.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,511.20 |
$7,511.20 |
21.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$9,731.13 |
$9,731.13 |
27.7× |
| MRI thoracic spine w/o contrast (72146) |
$7,497.19 |
$7,497.19 |
31.2× |
| MRI tmj (70336) |
$7,856.48 |
$7,856.48 |
32.7× |
| MRI upper ext joint w/o contrast (73221) |
$5,802.88 |
$5,802.88 |
24.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$10,136.52 |
$10,136.52 |
28.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,802.88 |
$5,802.88 |
24.2× |
| Myelogram Cervical (72240) |
$3,857.93 |
$3,857.93 |
4.9× |
| Myelogram Lumbar (72265) |
$3,363.59 |
$3,363.59 |
4.3× |
| Myelogram thoracic (72255) |
$3,572.68 |
$3,572.68 |
4.5× |
| Myelography 2 or more regions (72270) |
$5,950.33 |
$5,950.33 |
7.5× |
| Myocardial Spect Multiple Studies (78452) |
$8,653.96 |
$8,653.96 |
6.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,219.63 |
$1,219.63 |
1.4× |
| Neck soft tissue (70360) |
$797.62 |
$797.62 |
9.1× |
| Nm bone marrow multiple (78103) |
$3,565.43 |
$3,565.43 |
8.9× |
| Nm cisternogram (78630) |
$4,906.14 |
$4,906.14 |
9.0× |
| Nm gastric emptying study (78264) |
$3,496.20 |
$3,496.20 |
8.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$8,653.96 |
$8,653.96 |
6.6× |
| Nuclear medicine of heart pumping function (78473) |
$5,284.26 |
$5,284.26 |
13.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$6,923.18 |
$6,923.18 |
5.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,171.62 |
$1,171.62 |
2.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,927.72 |
$2,927.72 |
7.3× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,919.85 |
$1,919.85 |
3.5× |
| Nuclear Rx Oral Admin (79005) |
$2,929.04 |
$2,929.04 |
12.5× |
| Parathyrd planar w/spect&CT (78072) |
$1,821.09 |
$1,821.09 |
3.3× |
| Parathyroid imaging (78070) |
$1,692.18 |
$1,692.18 |
4.2× |
| Pelvis 1 or 2 views (72170) |
$750.55 |
$750.55 |
7.1× |
| Peritoneogram rs&i (74190) |
$879.33 |
$879.33 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$10,136.52 |
$10,136.52 |
28.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,137.67 |
$4,137.67 |
1.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,065.86 |
$3,065.86 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,261.88 |
$3,261.88 |
8.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$7,221.40 |
$7,221.40 |
13.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,031.66 |
$1,031.66 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$835.01 |
$835.01 |
7.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$940.25 |
$940.25 |
8.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$409.54 |
$409.54 |
0.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$193.78 |
$193.78 |
1.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$226.10 |
$226.10 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,218.59 |
$1,218.59 |
11.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$740.85 |
$740.85 |
8.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,346 |
$1,346 |
12.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,178.45 |
$1,178.45 |
13.5× |
| Radiologic exam colon single contrast study (74270) |
$2,129.76 |
$2,129.76 |
12.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$761.62 |
$761.62 |
4.3× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$1,739.27 |
$1,739.27 |
7.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,070.22 |
$2,070.22 |
11.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,307.01 |
$2,307.01 |
13.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$758.85 |
$758.85 |
8.7× |
| Radiological examination surgical specimen (76098) |
$789.32 |
$789.32 |
1.4× |
| Radiopharm Dacryocystography (78660) |
$802.83 |
$802.83 |
2.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,832.81 |
$4,832.81 |
1.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$4,827.27 |
$4,827.27 |
1.5× |
| Ribs bilateral 3 views (71110) |
$1,182.58 |
$1,182.58 |
11.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,471.18 |
$1,471.18 |
3.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,657.04 |
$5,657.04 |
10.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,629.21 |
$4,629.21 |
8.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$4,526.70 |
$4,526.70 |
3.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$5,724.93 |
$5,724.93 |
4.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,526.70 |
$4,526.70 |
3.5× |
| Rp therapy intra-arterial particulate admn (79445) |
$948.13 |
$948.13 |
4.0× |
| Sacroiliac Joints < 3 Views (72200) |
$750.55 |
$750.55 |
7.1× |
| Scapula complete (73010) |
$631.46 |
$631.46 |
6.0× |
| Sella turcica (70240) |
$589.91 |
$589.91 |
6.7× |
| Sialogram (70390) |
$404.36 |
$404.36 |
1.7× |
| Small bowel series (74250) |
$3,326.19 |
$3,326.19 |
18.8× |
| Spine thoracic 3 views (72072) |
$1,656.18 |
$1,656.18 |
15.7× |
| Spleen imaging only (78185) |
$1,914.53 |
$1,914.53 |
4.8× |
| Superior sagittal sinus venogram (75870) |
$1,905.42 |
$1,905.42 |
0.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,990.27 |
$2,990.27 |
5.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,525.76 |
$1,525.76 |
3.8× |
| Thyroid uptake measurement (78012) |
$841.43 |
$841.43 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,684.05 |
$2,684.05 |
6.7× |
| Tomogram (76100) |
$2,077.14 |
$2,077.14 |
19.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$8,653.96 |
$8,653.96 |
15.8× |
| Ultrasound, abdomen limited (76705) |
$1,376.40 |
$1,376.40 |
13.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$436.21 |
$436.21 |
5.0× |
| Unlisted fluoroscopic procedure (76496) |
$1,575.86 |
$1,575.86 |
18.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,242.18 |
$1,242.18 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,431.84 |
$1,431.84 |
6.0× |
| Urethrocystography voiding (74455) |
$1,301.67 |
$1,301.67 |
5.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,890.20 |
$1,890.20 |
10.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,703.26 |
$1,703.26 |
9.7× |
| Us breast unilateral limited (76642) |
$1,607.67 |
$1,607.67 |
18.4× |
| Us chest (76604) |
$857.42 |
$857.42 |
8.2× |
| Us compl joint r-t w/image documentation (76881) |
$1,256.54 |
$1,256.54 |
11.9× |
| Us guided compression repair (76936) |
$1,572.42 |
$1,572.42 |
7.2× |
| Us kidney transplant (76776) |
$3,237.90 |
$3,237.90 |
30.8× |
| Us ob transvaginal (76817) |
$2,249.33 |
$2,249.33 |
21.4× |
| Us pelvic non ob complete (76856) |
$1,764.21 |
$1,764.21 |
16.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$858.84 |
$858.84 |
8.2× |
| Us pregnancy ltd (76815) |
$685.38 |
$685.38 |
6.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,248.56 |
$2,248.56 |
21.4× |
| Us retroperitoneal complete (76770) |
$1,666.90 |
$1,666.90 |
15.8× |
| Us retroperitoneal limited (76775) |
$926.53 |
$926.53 |
8.8× |
| Us scrotum and contents (76870) |
$1,594.98 |
$1,594.98 |
15.2× |
| Us soft tissue head/neck (76536) |
$1,369.34 |
$1,369.34 |
13.0× |
| Us transrectal (76872) |
$1,013.96 |
$1,013.96 |
9.6× |
| Us xtr non-vasc lmtd (76882) |
$891.27 |
$891.27 |
8.5× |
| Venogram extremity bilateral (75822) |
$4,698.49 |
$4,698.49 |
3.0× |
| Venogram orbital (75880) |
$2,903.85 |
$2,903.85 |
4.6× |
| Venography caval inferior serialography rs&i (75825) |
$4,314.23 |
$4,314.23 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$3,821.95 |
$3,821.95 |
2.4× |
| Venography epidural rs&i (75872) |
$1,905.42 |
$1,905.42 |
3.0× |
| Venography extremity unilateral rs&i (75820) |
$4,141.09 |
$4,141.09 |
2.6× |
| Venography Renal Bilateral (75833) |
$4,965.74 |
$4,965.74 |
1.6× |
| Venography renal unilateral selective rs&i (75831) |
$4,381.38 |
$4,381.38 |
1.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,137.67 |
$4,137.67 |
1.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$6,876.72 |
$6,876.72 |
1.2× |
| Wrist 2 views (73100) |
$648.07 |
$648.07 |
7.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,251.62 |
$2,251.62 |
21.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$711.77 |
$711.77 |
8.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$760.23 |
$760.23 |
8.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,525.80 |
$2,525.80 |
14.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$648.07 |
$648.07 |
7.4× |
| X-ray exam hip uni 1 view (73501) |
$519.31 |
$519.31 |
5.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$740.85 |
$740.85 |
8.5× |
| X-ray exam hip uni 4/> views (73503) |
$1,016.41 |
$1,016.41 |
9.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,250.46 |
$1,250.46 |
11.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,665.87 |
$1,665.87 |
15.8× |
| X-ray exam of femur 1 (73551) |
$408.51 |
$408.51 |
4.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$4,705.41 |
$4,705.41 |
26.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,372.31 |
$1,372.31 |
13.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$706.23 |
$706.23 |
8.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,883.07 |
$2,883.07 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$576.06 |
$576.06 |
6.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,750.34 |
$1,750.34 |
9.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$956.88 |
$956.88 |
9.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$967.96 |
$967.96 |
11.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$868.25 |
$868.25 |
8.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,273.78 |
$2,273.78 |
21.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,631.25 |
$1,631.25 |
15.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$835.01 |
$835.01 |
9.5× |
| X-ray of voice box or throat (70370) |
$847.48 |
$847.48 |
9.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$907.02 |
$907.02 |
8.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,924.82 |
$1,924.82 |
5.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$897.32 |
$897.32 |
10.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,074.58 |
$1,074.58 |
10.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,172.89 |
$1,172.89 |
11.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$750.55 |
$750.55 |
7.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$976.26 |
$976.26 |
11.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$911.17 |
$911.17 |
10.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,020.59 |
$1,020.59 |
11.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$657.77 |
$657.77 |
7.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,689.40 |
$1,689.40 |
16.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$895.94 |
$895.94 |
8.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$509.60 |
$509.60 |
5.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$750.55 |
$750.55 |
8.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$573.29 |
$573.29 |
6.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$596.83 |
$596.83 |
6.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$745 |
$745 |
8.5× |
| Xr arthrogram ankle (73615) |
$2,103.45 |
$2,103.45 |
6.0× |
| Xr c-spine 6 or more views (72052) |
$2,229.47 |
$2,229.47 |
21.2× |
| Xr chest 4+ views (71048) |
$1,656.18 |
$1,656.18 |
15.7× |
| Xr finger(s) 2+ views (73140) |
$580.21 |
$580.21 |
6.6× |
| Xr internal auditory meati complete (70134) |
$940.25 |
$940.25 |
1.7× |
| Xr optic foramina (70190) |
$589.91 |
$589.91 |
6.7× |
| Xr shoulder 1 view (73020) |
$519.31 |
$519.31 |
5.9× |
| Xr spine cervical 4 or 5 views (72050) |
$1,970.52 |
$1,970.52 |
18.7× |
| Xr tibia/fibula 2 views (73590) |
$786.56 |
$786.56 |
9.0× |
| Xr tmj bilateral (70330) |
$937.49 |
$937.49 |
10.7× |
| Xray knee 1 or 2 views rt (73560) |
$702.08 |
$702.08 |
8.0× |