| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$4,580.08 |
$7,046.28 |
3.1× |
| Acute gi blood loss imaging (78278) |
$1,899.89 |
$2,922.90 |
4.5× |
| Angio adrenal bilat select (75733) |
$8,032.15 |
$12,357.15 |
2.4× |
| Angio adrenal unilat select (75731) |
$6,364.88 |
$9,792.12 |
1.9× |
| Angio extremity unilateral (75710) |
$6,589.65 |
$10,137.93 |
2.0× |
| Angio pulmonary unilateral (75741) |
$8,299.56 |
$12,768.56 |
2.5× |
| Angiogram extremity bilateral (75716) |
$6,537.23 |
$10,057.27 |
1.9× |
| Angiogram pelvic (75736) |
$8,473.96 |
$13,036.86 |
1.4× |
| Angiography internal mammary rs&i (75756) |
$9,370.28 |
$14,415.81 |
2.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$8,712.50 |
$13,403.84 |
2.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,473.96 |
$13,036.86 |
1.4× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$5,267.08 |
$8,103.20 |
1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$9,370.28 |
$14,415.81 |
2.8× |
| Ankle 2 views (73600) |
$342.19 |
$526.45 |
3.7× |
| Arthrography knee lt (73580) |
$1,595.94 |
$2,455.29 |
4.3× |
| Arthrography wrist lt (73115) |
$1,879.87 |
$2,892.10 |
5.1× |
| Barium enema (74270) |
$790.11 |
$1,215.55 |
4.2× |
| Basic dosimetry (77300) |
$835.71 |
$1,285.71 |
5.8× |
| Bilat selctv renal venogram (75833) |
$7,126.77 |
$10,964.26 |
2.1× |
| Bone age studies (77072) |
$248.92 |
$382.95 |
2.2× |
| Bone imaging limited area (78300) |
$1,570.71 |
$2,416.48 |
3.7× |
| Bone marrow imaging whole body (78104) |
$1,315.30 |
$2,023.54 |
3.1× |
| Bone survey complete (77075) |
$459.13 |
$706.35 |
4.1× |
| Bowel imaging (78290) |
$1,889.08 |
$2,906.28 |
4.4× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$2,321.53 |
$3,571.58 |
5.8× |
| Brain flow imaging only - nm brain flow only brain death (78610) |
$1,653.76 |
$2,544.24 |
2.9× |
| Brain image w/flow 4 + views (78606) |
$2,377.93 |
$3,658.36 |
4.1× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) |
$1,283.34 |
$1,974.37 |
3.0× |
| Card MRI w/stress img & dye (75563) |
$1,809.11 |
$2,783.24 |
2.2× |
| Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or… (78481) |
$1,564.69 |
$2,407.21 |
2.7× |
| Cardiac MRI w/stress img (75559) |
$1,244.24 |
$1,914.21 |
2.1× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$2,350.43 |
$3,616.04 |
6.3× |
| Cardiac shunt detection (78428) |
$1,564.69 |
$2,407.21 |
3.7× |
| Cerebrospinal fluid leakage (78650) |
$2,975.46 |
$4,577.63 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$772.81 |
$1,188.94 |
4.1× |
| Cisternogram (78630) |
$2,441.46 |
$3,756.09 |
4.2× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$1,644.58 |
$2,530.13 |
2.0× |
| Clavicle complete (73000) |
$438.28 |
$674.28 |
4.7× |
| Computed tomographic (CT) colonography, screening, including image postprocessing UNSCHEDULED (74263) |
$1,332.74 |
$2,050.37 |
5.2× |
| Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Age Under 21 (77078) |
$848.66 |
$1,305.63 |
9.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$2,186.28 |
$3,363.50 |
11.7× |
| Continuing medical physics consltj pr wk (77336) |
$592.62 |
$911.72 |
4.1× |
| Contrast exam abdominl aorta (75625) |
$5,114.60 |
$7,868.61 |
1.5× |
| Contrast exam thoracic aorta (75605) |
$8,588.61 |
$13,213.24 |
1.4× |
| Corpora cavernosography (74445) |
$632 |
$972.30 |
5.7× |
| Csf shunt evaluation (78645) |
$1,878.28 |
$2,889.66 |
3.2× |
| CT - st neck w&wo contr (70492) |
$2,310.83 |
$3,555.12 |
12.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,331.51 |
$8,202.33 |
14.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,768.81 |
$4,259.70 |
10.9× |
| CT abdomen w wo contrast (74170) |
$3,361.01 |
$5,170.78 |
18.0× |
| CT abdomen w/contrast (74160) |
$2,542.44 |
$3,911.44 |
13.6× |
| CT abdomen w/o contrast (74150) |
$1,804.53 |
$2,776.20 |
16.2× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$4,175.89 |
$6,424.44 |
11.2× |
| CT angio abdom w/o & w/dye (74175) |
$2,736.62 |
$4,210.19 |
14.7× |
| CT angio abdominal arteries (75635) |
$2,606.10 |
$4,009.38 |
14.0× |
| CT angio hrt w/3d image (75574) |
$1,604.96 |
$2,469.17 |
4.3× |
| CT angiograph pelv w/o&w/dye (72191) |
$2,333.66 |
$3,590.25 |
12.5× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$760.21 |
$1,169.55 |
4.1× |
| CT cervical spine w/contrast (72126) |
$2,319.64 |
$3,568.67 |
6.2× |
| CT cervical spine w/o contrast (72125) |
$1,711.90 |
$2,633.69 |
15.4× |
| CT chest w/contrast (71260) |
$2,606.10 |
$4,009.38 |
14.0× |
| CT colonography diag w cont (74262) |
$2,515.55 |
$3,870.07 |
13.5× |
| CT colonography w/o cntrst (74261) |
$1,913.45 |
$2,943.77 |
17.2× |
| CT extremity upper w & w/o contrast (73202) |
$2,120.07 |
$3,261.65 |
11.4× |
| CT head/brain with contrast (70460) |
$2,186.28 |
$3,363.50 |
11.7× |
| CT head/brain without and with contrast (70470) |
$2,621.44 |
$4,032.98 |
14.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,768.77 |
$2,721.18 |
4.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$438.29 |
$674.29 |
4.7× |
| CT hrt w/3d image congen (75573) |
$1,604.96 |
$2,469.17 |
4.3× |
| CT limited/localized follow up study (76380) |
$1,200.71 |
$1,847.25 |
13.0× |
| CT lower ext w/wo contrast (73702) |
$2,793.71 |
$4,298.01 |
15.0× |
| CT lower extremity w contrast (73701) |
$1,782.16 |
$2,741.79 |
9.5× |
| CT lower extremity w/o contrast unilateral (73700) |
$1,435.92 |
$2,209.10 |
12.9× |
| CT lumbar spine w/contrast (72132) |
$2,391.10 |
$3,678.62 |
6.4× |
| CT lumbar spine w/o contrast (72131) |
$1,787.55 |
$2,750.07 |
16.1× |
| CT lumbar spine w/o then w/ con (72133) |
$2,409.74 |
$3,707.29 |
12.9× |
| CT maxillofacial area w/o contrast (70486) |
$1,698.74 |
$2,613.44 |
15.3× |
| CT maxillofacial w/contrast (70487) |
$2,054.45 |
$3,160.69 |
11.0× |
| CT maxillofacial w/o then w/ con (70488) |
$2,551.72 |
$3,925.73 |
13.7× |
| CT orbit sella ear w/o con (70480) |
$1,767.06 |
$2,718.56 |
15.9× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$2,258 |
$3,473.85 |
12.1× |
| CT pelvis w & w/o contrast (72194) |
$2,430.92 |
$3,739.87 |
13.0× |
| CT pelvis w/o contrast (72192) |
$1,565.04 |
$2,407.76 |
14.1× |
| CT soft tissue neck w/contrast (70491) |
$1,869.63 |
$2,876.35 |
10.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,593.87 |
$2,452.10 |
14.3× |
| CT spine cervical w/wo contrast (72127) |
$2,355.28 |
$3,623.51 |
12.6× |
| CT thoracic spine w/contrast (72129) |
$1,883.79 |
$2,898.14 |
10.1× |
| CT thoracic spine w/o contrast (72128) |
$1,645.09 |
$2,530.91 |
14.8× |
| CT thoracic spine w/o then w/ con (72130) |
$2,491.95 |
$3,833.77 |
13.3× |
| CT thorax lung cancer scr c- (71271) |
$1,525.91 |
$2,347.55 |
13.7× |
| CT thorax w/o contrast (71250) |
$2,060.95 |
$3,170.69 |
18.5× |
| CT thorax w/o then w/ contrast (71270) |
$3,173.68 |
$4,882.58 |
17.0× |
| CT upper extremity w/dye (73201) |
$2,053.53 |
$3,159.28 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,882.94 |
$2,896.83 |
16.9× |
| CTA chest w/wo contrast (71275) |
$2,736.62 |
$4,210.19 |
14.7× |
| CTA head w contrast (70496) |
$2,483.72 |
$3,821.10 |
13.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$4,967.43 |
$7,642.20 |
13.4× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$3,623.80 |
$5,575.08 |
19.4× |
| Cta Neck (70498) |
$2,483.72 |
$3,821.10 |
13.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$1,753.93 |
$2,698.35 |
9.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Other Diagnostic Radiology FS (70170) |
$548.20 |
$843.39 |
2.2× |
| Dilation ureters/urethra rs&i (74485) |
$4,136.11 |
$6,363.25 |
1.9× |
| Discography, cervical or thoracic, radiological supervision and interpretation Other Diagnostic Radiology FS (72285) |
$6,859.20 |
$10,552.61 |
3.3× |
| Diskography lumbar (72295) |
$7,961.01 |
$12,247.70 |
3.8× |
| Doppler echo fetal spectral display complete (76827) |
$434.58 |
$668.58 |
3.9× |
| Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study… (76828) |
$434.58 |
$668.58 |
3.9× |
| Doppler fetal mid cerebral artery (76821) |
$296.14 |
$455.60 |
2.7× |
| Dxa bone density study axial skeleton (77085) |
$217.85 |
$335.16 |
2.0× |
| Esophageal motility (78258) |
$1,217.62 |
$1,873.26 |
2.9× |
| Esophogram (74220) |
$479.63 |
$737.89 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$566.65 |
$871.77 |
5.1× |
| Fetal biophysical profile w/o nst (76819) |
$566.65 |
$871.77 |
5.1× |
| Fetal echo complete (76825) |
$2,910.51 |
$4,477.70 |
5.0× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$777.01 |
$1,195.40 |
3.1× |
| Full mouth X-ray of teeth (70320) |
$510.13 |
$784.81 |
2.0× |
| Functional MRI brain by phys/psych (70555) |
$1,813.01 |
$2,789.24 |
7.1× |
| Functional MRI brain by tech (70554) |
$1,813.01 |
$2,789.24 |
7.1× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,253.36 |
$3,466.71 |
3.9× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit Age Under 21 (78265) |
$1,698.31 |
$2,612.78 |
4.0× |
| Gastric emptying study (78264) |
$1,627.21 |
$2,503.40 |
3.8× |
| Gastric mucosa imaging (78261) |
$1,283.34 |
$1,974.37 |
3.0× |
| Gastroesophageal reflux study (78262) |
$2,339.10 |
$3,598.61 |
5.5× |
| Gated heart planar single (78472) |
$1,784.87 |
$2,745.96 |
4.2× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,406.34 |
$5,240.53 |
4.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,406.34 |
$5,240.53 |
4.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$3,406.34 |
$5,240.53 |
4.6× |
| Heart infarct image (78466) |
$1,283.34 |
$1,974.37 |
3.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,114.60 |
$7,868.61 |
1.5× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$5,114.60 |
$7,868.61 |
1.5× |
| Hepatobil syst image w/drug (78227) |
$2,560.46 |
$3,939.17 |
4.4× |
| Hepatobiliary system imaging (78226) |
$1,865.33 |
$2,869.74 |
4.4× |
| Humerus min 2 views (73060) |
$306.16 |
$471.02 |
3.3× |
| Hysterosalpingography (74740) |
$1,284.48 |
$1,976.12 |
5.1× |
| Imrt planning (77301) |
$9,437.23 |
$14,518.82 |
6.4× |
| Infusion of radioelement (77750) |
$814.88 |
$1,253.66 |
2.0× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$1,283.34 |
$1,974.37 |
3.0× |
| Intraoperative radiation treatment delivery, electrons, single treatment session 2nd-5th Sessions (77425) |
$28,365.10 |
$43,638.62 |
3.6× |
| Intraoperative radiation treatment delivery, x-ray, single treatment session 2nd-5th Sessions (77424) |
$28,365.10 |
$43,638.62 |
3.6× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,949.45 |
$2,999.16 |
4.9× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,715.06 |
$2,638.56 |
4.3× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$4,850.63 |
$7,462.50 |
12.2× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$4,479.35 |
$6,891.31 |
11.2× |
| Ivp w tomography (74415) |
$596.21 |
$917.25 |
3.2× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$1,914.69 |
$2,945.67 |
3.3× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$1,821.72 |
$2,802.64 |
3.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$1,938.46 |
$2,982.25 |
3.4× |
| Kidney w vascular flow (78701) |
$1,746.71 |
$2,687.25 |
4.1× |
| Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age Under 21 (78140) |
$2,004.28 |
$3,083.51 |
4.7× |
| Liver & spleen; static only (78215) |
$1,707.24 |
$2,626.52 |
4.0× |
| Liver & spleen; w vasc flow (78216) |
$1,863.35 |
$2,866.69 |
4.4× |
| Liver imaging w/vascular flow (78202) |
$4,463.18 |
$6,866.43 |
7.7× |
| Lung perf&ventilat diferentl (78598) |
$2,459.87 |
$3,784.42 |
4.3× |
| Lung perfusion differential (78597) |
$1,055.69 |
$1,624.14 |
2.5× |
| Lung ventilat&perfus imaging (78582) |
$1,787.64 |
$2,750.22 |
3.1× |
| Lung ventilation imaging (78579) |
$1,027.65 |
$1,581 |
2.4× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75803) |
$2,799.32 |
$4,306.65 |
1.7× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75801) |
$1,200.50 |
$1,846.92 |
1.8× |
| Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Other Diagnostic Radiology FS (75807) |
$6,925.87 |
$10,655.18 |
2.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$5,405.60 |
$8,316.30 |
1.6× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$2,786.93 |
$4,287.58 |
7.5× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$2,309.64 |
$3,553.29 |
6.2× |
| Mammary ductogram multiple ducts (77054) |
$615.32 |
$946.65 |
2.4× |
| Mammary ductogram single (77053) |
$615.32 |
$946.65 |
2.4× |
| Mlc device(s) for imrt (77338) |
$1,751.18 |
$2,694.13 |
4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$118.10 |
$181.69 |
3.8× |
| MRA head w & w/o contrast (70546) |
$2,667.95 |
$4,104.54 |
7.2× |
| MRA head w/contrast (70545) |
$2,425.98 |
$3,732.28 |
6.5× |
| MRA head w/o contrast (70544) |
$1,564.10 |
$2,406.30 |
6.2× |
| MRA neck w/contrast (70548) |
$1,991 |
$3,063.07 |
5.4× |
| MRA neck w/o contrast (70547) |
$1,564.10 |
$2,406.30 |
6.2× |
| MRA neck w/wo contrast (70549) |
$2,667.95 |
$4,104.54 |
7.2× |
| MRI abdomen w/contrast (74182) |
$2,850.08 |
$4,384.74 |
7.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,845 |
$5,915.39 |
10.4× |
| MRI abdomen w/o contrast (74181) |
$2,218.66 |
$3,413.33 |
8.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,116.87 |
$3,256.72 |
2.5× |
| MRI breast without contrast bilateral (77047) |
$1,722.67 |
$2,650.26 |
6.8× |
| MRI breast without contrast material unilateral (77046) |
$1,722.67 |
$2,650.26 |
6.8× |
| MRI cardiac w/o contrast (75557) |
$1,203.53 |
$1,851.58 |
4.7× |
| MRI cervical spine w/o contrast (72141) |
$1,768.73 |
$2,721.13 |
7.0× |
| MRI cervical spine with contrast (72142) |
$2,434.13 |
$3,744.81 |
6.6× |
| MRI chest w & w/o contrast (71552) |
$3,463.79 |
$5,328.90 |
9.3× |
| MRI chest w/contrast (71551) |
$2,710.42 |
$4,169.87 |
3.2× |
| MRI chest w/o contrast (71550) |
$2,096.63 |
$3,225.59 |
8.3× |
| MRI elastography (76391) |
$1,722.67 |
$2,650.26 |
6.8× |
| MRI fetal sngl/1st gestation (74712) |
$1,072.51 |
$1,650.01 |
4.2× |
| MRI joint upper ext w/contrast (73222) |
$1,953.58 |
$3,005.50 |
2.3× |
| MRI joint upr extr w/o&w/dye (73223) |
$2,481.04 |
$3,816.99 |
6.7× |
| MRI joint upr extrem w/o dye (73221) |
$1,841.65 |
$2,833.30 |
7.2× |
| Mri Lower Extremity W/O Dye (73718) |
$1,970.52 |
$3,031.57 |
7.8× |
| MRI lumbar spine with contrast (72149) |
$2,213.85 |
$3,405.93 |
6.0× |
| MRI lumbar w/wo contrast (72158) |
$3,052.11 |
$4,695.56 |
8.2× |
| MRI lwr ext w/o jnts with con rt (73719) |
$2,100.16 |
$3,231.02 |
5.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,496.44 |
$3,840.68 |
6.7× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$2,915.68 |
$4,485.66 |
7.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$2,400.68 |
$3,693.36 |
9.4× |
| MRI pelvis w/ contrast (72196) |
$2,483.62 |
$3,820.96 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$1,782.33 |
$2,742.04 |
7.0× |
| MRI pelvis w/wo contrast (72197) |
$3,288.73 |
$5,059.59 |
8.9× |
| MRI spectroscopy (76390) |
$2,253.81 |
$3,467.40 |
24.3× |
| MRI spine cervical wo/w contrast (72156) |
$2,994.20 |
$4,606.46 |
8.1× |
| MRI spine thoracic w/contrast (72147) |
$2,208.38 |
$3,397.50 |
5.9× |
| MRI thoracic spine w wo contrast (72157) |
$2,965.49 |
$4,562.29 |
8.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,776.94 |
$2,733.76 |
7.0× |
| MRI tmj (70336) |
$2,119.72 |
$3,261.10 |
8.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,970.64 |
$3,031.75 |
7.8× |
| Mri Upper Extremity W/Dye (73219) |
$2,710.42 |
$4,169.87 |
7.3× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$2,253.91 |
$3,467.56 |
6.1× |
| Myelogram thoracic (72255) |
$2,179.54 |
$3,353.14 |
2.6× |
| Myelography 2 or more regions (72270) |
$3,168.95 |
$4,875.30 |
3.8× |
| Myelography lumbosacral (72265) |
$2,179.54 |
$3,353.14 |
2.6× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$5,838.18 |
$8,981.82 |
3.8× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$5,838.18 |
$8,981.82 |
3.8× |
| Myocardial perfusion planar 1 study rest/stress (78453) |
$4,110.68 |
$6,324.13 |
3.0× |
| Myocardial perfusion planar multiple studies (78454) |
$5,561.50 |
$8,556.15 |
4.0× |
| Myocardial spect single study at rest or stress (78451) |
$3,924.20 |
$6,037.23 |
2.8× |
| Myocrd img PET metab eval single study (78459) |
$6,662.05 |
$10,249.31 |
4.8× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$5,239.36 |
$8,060.55 |
3.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$5,239.36 |
$8,060.55 |
3.4× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$8,171.29 |
$12,571.22 |
3.5× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$9,986.72 |
$15,364.19 |
4.3× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$9,986.72 |
$15,364.19 |
6.2× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$4,253.77 |
$6,544.26 |
4.7× |
| Nm adrenal imaging (78075) |
$5,009.63 |
$7,707.12 |
3.6× |
| Nm bone 3 phase (78315) |
$1,876.13 |
$2,886.35 |
4.4× |
| Nm bone imaging whole body (78306) |
$1,570.71 |
$2,416.48 |
3.7× |
| Nm bone marrow scan limited (78102) |
$1,192.06 |
$1,833.94 |
2.8× |
| Nm bone marrow scan multiple (78103) |
$1,192.06 |
$1,833.94 |
2.8× |
| Nm bone multi (78305) |
$1,570.71 |
$2,416.48 |
3.7× |
| Nm heart perfusion spect stress rest (78452) |
$5,561.50 |
$8,556.15 |
4.0× |
| Nm kidney function (78725) |
$855.56 |
$1,316.24 |
2.0× |
| Nm kidney imaging morphology (78700) |
$1,647.69 |
$2,534.91 |
3.9× |
| Nm liver image static only (78201) |
$4,463.18 |
$6,866.43 |
7.7× |
| Nm lymph system (78195) |
$1,886.92 |
$2,902.95 |
3.3× |
| Nm myocard infarct spect (78469) |
$2,975.46 |
$4,577.63 |
5.1× |
| Nm thyroid ca mets limited (78015) |
$1,121.43 |
$1,725.27 |
2.6× |
| Nm thyroid imaging only (78013) |
$1,242.98 |
$1,912.27 |
2.9× |
| Nose to rectum for fb child (76010) |
$580.26 |
$892.70 |
6.3× |
| Nuclear medicine study of brain, 4 static views or more (78605) |
$1,102.51 |
$1,696.17 |
1.9× |
| Nuclear medicine study of brain, less than 4 static views (78600) |
$1,283.34 |
$1,974.37 |
3.0× |
| Nuclear medicine study of red blood cell survival (78130) |
$2,004.28 |
$3,083.51 |
4.7× |
| Nuclear medicine study of salivary gland with serial images (78231) |
$992.14 |
$1,526.37 |
2.3× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,018.69 |
$1,567.21 |
2.4× |
| Nuclear rx IV admin (79101) |
$1,078.04 |
$1,658.53 |
4.3× |
| Ob us < 14 wks single fetus (76801) |
$541.48 |
$833.05 |
4.9× |
| Ob us nuchal meas 1 gest (76813) |
$272.32 |
$418.95 |
2.4× |
| Oral radiopharm rx (79005) |
$1,515.72 |
$2,331.87 |
6.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,695.25 |
$2,608.08 |
2.9× |
| Parathyroid imaging (78070) |
$1,653.70 |
$2,544.15 |
3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,752.37 |
$2,695.96 |
4.1× |
| Peritoneal-venous shunt patency test (78291) |
$1,217.62 |
$1,873.26 |
2.9× |
| Peritoneogram rs&i (74190) |
$1,214.75 |
$1,868.84 |
2.1× |
| PET brain metabolic eval (78608) |
$5,838.18 |
$8,981.82 |
3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,840.75 |
$8,985.77 |
3.8× |
| PET imaging CT for attenuation limited area (78814) |
$5,840.75 |
$8,985.77 |
3.8× |
| PET imaging for CT attenuation whole body (78816) |
$5,840.75 |
$8,985.77 |
3.8× |
| PET imaging limited area chest head/neck (78811) |
$1,678.60 |
$2,582.46 |
1.2× |
| PET imaging whole body (78813) |
$3,329.20 |
$5,121.85 |
2.2× |
| Plasma volume multiple (78111) |
$2,975.46 |
$4,577.63 |
2.2× |
| Platelet survival study (78191) |
$855.56 |
$1,316.24 |
2.0× |
| Proton treatment complex (77525) |
$5,038.72 |
$7,751.87 |
3.8× |
| Proton trmt intermediate (77523) |
$5,028.74 |
$7,736.52 |
3.8× |
| Proton trmt simple w/comp (77522) |
$5,018.77 |
$7,721.18 |
3.8× |
| Proton trmt simple w/o comp (77520) |
$2,504.39 |
$3,852.91 |
4.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,698.65 |
$8,767.16 |
1.7× |
| Pulmonary perfusion imaging particulate (78580) |
$1,284.60 |
$1,976.31 |
3.0× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$4,253.77 |
$6,544.26 |
4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,182.75 |
$1,819.61 |
2.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$183.99 |
$283.06 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$256.59 |
$394.75 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$493.14 |
$758.68 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$493.14 |
$758.68 |
4.4× |
| Radex hip unilateral with pelvis 1 view (73501) |
$181.27 |
$278.88 |
2.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$181.27 |
$278.88 |
2.0× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$300.22 |
$461.87 |
2.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$300.22 |
$461.87 |
2.7× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$572.34 |
$880.53 |
5.1× |
| Radex spine cervical 2 or 3 views (72040) |
$341.74 |
$525.75 |
3.7× |
| Radex spine cervical 4 or 5 views (72050) |
$732.12 |
$1,126.34 |
6.6× |
| Radex spine cervical 6 or more views (72052) |
$898.20 |
$1,381.84 |
8.1× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$205.54 |
$316.21 |
2.2× |
| Radiation delivery stereotactic cranial linear (77372) |
$31,128.17 |
$47,889.49 |
4.0× |
| Radiation tx delivery lvl 1 (77402) |
$293.80 |
$452 |
2.7× |
| Radiation tx delivery lvl 2 (77407) |
$1,110.62 |
$1,708.65 |
2.7× |
| Radiation tx delivery lvl 3 (77412) |
$1,591.06 |
$2,447.78 |
2.7× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$546.33 |
$840.50 |
4.9× |
| Radiologic exam esophagus double contrast study (74221) |
$435.26 |
$669.63 |
2.3× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$479.63 |
$737.89 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$721.49 |
$1,109.99 |
3.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$969.20 |
$1,491.08 |
5.2× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$181.27 |
$278.88 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$453.11 |
$697.10 |
4.9× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$673.44 |
$1,036.06 |
6.0× |
| Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) |
$328.88 |
$505.98 |
3.0× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$248.92 |
$382.95 |
2.2× |
| Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Other Diagnostic… (70370) |
$408.82 |
$628.95 |
4.4× |
| Radiopharmaceutical dacryocystography Age Under 21 (78660) |
$934.30 |
$1,437.39 |
2.2× |
| Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion UNSCHEDULED (79403) |
$3,045.39 |
$4,685.22 |
12.3× |
| Red cell mass multiple (78121) |
$2,004.28 |
$3,083.51 |
3.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$655.36 |
$1,008.24 |
1.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$655.36 |
$1,008.24 |
1.6× |
| Renal cyst study (74470) |
$1,182.75 |
$1,819.61 |
2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,305.24 |
$2,008.06 |
3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,824.75 |
$4,345.77 |
6.6× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$4,316.37 |
$6,640.57 |
7.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,975.46 |
$4,577.63 |
5.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,931.76 |
$7,587.33 |
8.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$4,618.65 |
$7,105.62 |
3.4× |
| Rp loclzj tum spect CT 2area/sep acquisj img (78832) |
$5,239.36 |
$8,060.55 |
3.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,618.65 |
$7,105.62 |
3.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,306.14 |
$2,009.44 |
5.3× |
| Saline infused sonohysterogram (76831) |
$1,034.70 |
$1,591.85 |
4.1× |
| Salivary gland funct study (78232) |
$1,164.27 |
$1,791.18 |
2.7× |
| Salivary gland imaging (78230) |
$1,283.34 |
$1,974.37 |
3.0× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$145.39 |
$223.68 |
6.2× |
| Selective spinal angiogram (75705) |
$9,223.06 |
$14,189.32 |
1.6× |
| Shoulder arthrogram (73040) |
$1,136.17 |
$1,747.96 |
3.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$365.64 |
$562.53 |
3.3× |
| Simulation complex (77290) |
$2,663.60 |
$4,097.84 |
6.7× |
| Simulation intermediate (77285) |
$2,337.67 |
$3,596.42 |
5.9× |
| Simulation simple (77280) |
$410.87 |
$632.11 |
2.9× |
| Small bowel series (74250) |
$670.21 |
$1,031.09 |
3.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,162.59 |
$1,788.60 |
2.9× |
| Special dosimetry (77331) |
$355.93 |
$547.58 |
2.5× |
| Special physics consult (77370) |
$966.86 |
$1,487.48 |
6.8× |
| Special treatment procedure (77470) |
$1,258.20 |
$1,935.69 |
2.1× |
| Spleen imaging only (78185) |
$1,192.06 |
$1,833.94 |
2.8× |
| Splenoportography (75810) |
$10,535.45 |
$16,208.38 |
3.1× |
| Stereotactic body radiation delivery (77373) |
$23,495.06 |
$36,146.25 |
12.3× |
| Superior sagittal sinus venogram (75870) |
$5,405.60 |
$8,316.30 |
1.6× |
| Surface application of low dose rate radionuclide source 2nd-5th Sessions (77789) |
$678.56 |
$1,043.94 |
6.2× |
| Temporomandibular joint arthrography, radiological supervision and interpretation Other Diagnostic Radiology FS (70332) |
$1,213.42 |
$1,866.80 |
4.8× |
| Testicular imaging w/flow (78761) |
$1,647.69 |
$2,534.91 |
3.9× |
| Therapeutic enema barium or air (74283) |
$587.89 |
$904.44 |
3.1× |
| Thyroid met imaging body (78018) |
$1,776.91 |
$2,733.71 |
3.1× |
| Thyroid uptake single/multiple quant measurement (78012) |
$855.56 |
$1,316.24 |
2.0× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,373.09 |
$2,112.45 |
3.2× |
| Treatment device intermediate (77333) |
$1,014.05 |
$1,560.08 |
7.1× |
| Treatment devices complex (77334) |
$1,781.08 |
$2,740.13 |
4.5× |
| Treatment devices simple (77332) |
$980.69 |
$1,508.76 |
6.9× |
| Ultrasound breast limited (76642) |
$914.78 |
$1,407.35 |
9.9× |
| Ultrasound, abdomen limited (76705) |
$623.20 |
$958.77 |
5.6× |
| Ultrasound, elastography; first target lesion (76982) |
$1,046.32 |
$1,609.73 |
9.4× |
| Umbilical-artery Doppler (OB) (76820) |
$296.14 |
$455.60 |
2.7× |
| Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) |
$1,283.34 |
$1,974.37 |
3.0× |
| Unlisted CT procedure (76497) |
$2,281.63 |
$3,510.20 |
24.6× |
| Unlisted diagnostic radiographic procedure (76499) |
$161.03 |
$247.74 |
1.7× |
| Unlisted fluoroscopic procedure (76496) |
$216.37 |
$332.88 |
2.3× |
| Unlisted gastrointestinal procedure, diagnostic nuclear medicine UNSCHEDULED (78299) |
$1,307.48 |
$2,011.50 |
3.1× |
| Unlisted magnetic resonance procedure (76498) |
$2,299.89 |
$3,538.29 |
24.8× |
| Urea breath test, C-14 (isotopic); acquisition for analysis Other Outpatient (78267) |
$169.83 |
$261.28 |
15.4× |
| Ureteral reflux study (78740) |
$1,627.49 |
$2,503.83 |
3.8× |
| Urethrocystography retrograde rs&i (74450) |
$853.34 |
$1,312.83 |
3.4× |
| Urethrocystography voiding (74455) |
$853.34 |
$1,312.83 |
3.4× |
| Urography antegrade (74425) |
$1,007.64 |
$1,550.22 |
2.7× |
| Urography retrograde w/wo kub (74420) |
$917.40 |
$1,411.39 |
2.5× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$578.82 |
$890.49 |
3.1× |
| Us abdominal aorta real time screen study aaa (76706) |
$644.56 |
$991.63 |
5.8× |
| Us breast uni real time with image complete (76641) |
$914.78 |
$1,407.35 |
8.2× |
| Us chest (76604) |
$533.90 |
$821.38 |
4.8× |
| Us compl joint r-t w/image documentation (76881) |
$610.75 |
$939.62 |
5.5× |
| Us elastography parenchyma (76981) |
$1,046.32 |
$1,609.73 |
9.4× |
| Us encephalogram (76506) |
$1,031.93 |
$1,587.58 |
9.3× |
| Us guided compression repair (76936) |
$526.45 |
$809.93 |
2.3× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$772.08 |
$1,187.82 |
8.3× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$485.76 |
$747.32 |
5.2× |
| Us kidney transplanted (76776) |
$839.10 |
$1,290.93 |
7.5× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$358.31 |
$551.24 |
3.2× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$284.86 |
$438.24 |
2.6× |
| Us ob detailed single fetus (76811) |
$1,064.80 |
$1,638.16 |
4.2× |
| Us ob followup per fetus (76816) |
$370.18 |
$569.50 |
3.3× |
| Us ob limited 1 or more fetuses (76815) |
$490.82 |
$755.10 |
4.4× |
| Us obstetric transvaginal (76817) |
$831.56 |
$1,279.32 |
7.5× |
| Us pelvic limited or f/u non-ob (76857) |
$332.61 |
$511.70 |
3.0× |
| Us pelvis complete (76856) |
$782.26 |
$1,203.47 |
7.0× |
| Us retroperitoneal complete (76770) |
$677.50 |
$1,042.31 |
6.1× |
| Us retroperitoneal limited (76775) |
$644.56 |
$991.63 |
5.8× |
| Us scrotum (76870) |
$395.47 |
$608.42 |
3.6× |
| Us soft tissue head/neck (76536) |
$623.16 |
$958.70 |
5.6× |
| Us spinal canal (76800) |
$507.34 |
$780.53 |
4.6× |
| Us transrectal (76872) |
$679.71 |
$1,045.70 |
6.1× |
| Us transrectal prostate volume (76873) |
$272.32 |
$418.95 |
2.4× |
| Us trgt dyn mbubb 1st les (76978) |
$704.51 |
$1,083.86 |
1.9× |
| Us unlstd proc (76999) |
$201.29 |
$309.68 |
2.2× |
| Vascular flow imaging (78445) |
$936.34 |
$1,440.53 |
2.2× |
| Vein X-ray liver w/hemodynam (75885) |
$5,559.67 |
$8,553.34 |
1.7× |
| Venogram epidural (75872) |
$7,113.27 |
$10,943.49 |
10.6× |
| Venogram extremity bilateral (75822) |
$2,697.30 |
$4,149.69 |
1.6× |
| Venogram ivc w serialography (75825) |
$5,114.60 |
$7,868.61 |
1.5× |
| Venogram svc w serialography (75827) |
$3,902.70 |
$6,004.15 |
2.3× |
| Venography adrenal unilateral selective rs&i (75840) |
$7,820.53 |
$12,031.59 |
2.3× |
| Venography ext unilateral (75820) |
$2,875.07 |
$4,423.19 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$6,302.92 |
$9,696.80 |
1.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,518.45 |
$10,028.39 |
1.9× |
| Venography, orbital, radiological supervision and interpretation Other Diagnostic Radiology FS (75880) |
$6,925.87 |
$10,655.18 |
10.4× |
| Venous sampling by catheter (75893) |
$8,473.96 |
$13,036.86 |
1.4× |
| Venous thrombosis imaging - nm extremity veins thrombosis right (78457) |
$2,975.46 |
$4,577.63 |
5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$299.78 |
$461.18 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$420.32 |
$646.65 |
4.5× |
| X-ray aorta leg arteries (75630) |
$5,114.60 |
$7,868.61 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,149.73 |
$1,768.81 |
6.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$756.13 |
$1,163.28 |
8.2× |
| X-ray exam hips bi 3-4 views (73522) |
$300.22 |
$461.87 |
2.7× |
| X-ray exam of finger(s) (73140) |
$487.77 |
$750.42 |
5.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$701.72 |
$1,079.57 |
3.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$162.90 |
$250.61 |
1.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$501.54 |
$771.60 |
5.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$565.35 |
$869.77 |
6.1× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$389.79 |
$599.67 |
3.5× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$467.43 |
$719.13 |
5.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$459.03 |
$706.20 |
5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$243.56 |
$374.70 |
2.6× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$807.56 |
$1,242.40 |
8.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$648.78 |
$998.12 |
5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$294.44 |
$452.99 |
3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$400.96 |
$616.86 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$624.12 |
$960.19 |
5.6× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$328.88 |
$505.98 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$189.98 |
$292.27 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$617.72 |
$950.34 |
5.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$435.10 |
$669.38 |
3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$248.92 |
$382.95 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$205.54 |
$316.21 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$478.46 |
$736.10 |
5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$302.30 |
$465.08 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$340.25 |
$523.46 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$438.60 |
$674.77 |
3.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$263.03 |
$404.66 |
2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$359.89 |
$553.68 |
3.9× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$451.35 |
$694.39 |
4.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$478.55 |
$736.23 |
5.2× |
| Xr abdomen 1 view (74018) |
$412.02 |
$633.87 |
4.4× |
| Xr abdomen 2 views (74019) |
$484.63 |
$745.58 |
4.4× |
| Xr abdomen 3 views (74021) |
$421.40 |
$648.31 |
3.8× |
| Xr arthrogram ankle (73615) |
$896.86 |
$1,379.78 |
2.4× |
| Xr arthrogram elbow (73085) |
$1,645.29 |
$2,531.21 |
4.4× |
| Xr arthrogram hip (73525) |
$1,144.55 |
$1,760.84 |
3.1× |
| Xr bone density appendicular (77081) |
$183.99 |
$283.06 |
2.0× |
| Xr bone density axial (77080) |
$248.92 |
$382.95 |
2.2× |
| Xr bone length study (77073) |
$459.71 |
$707.25 |
4.1× |
| Xr bone survey infant (77076) |
$392.63 |
$604.05 |
3.5× |
| Xr bone survey limited (77074) |
$433.69 |
$667.22 |
3.9× |
| Xr chest 1 view (71045) |
$442.83 |
$681.28 |
4.8× |
| Xr chest 2 views (71046) |
$442.83 |
$681.28 |
4.8× |
| Xr chest 3 views (71047) |
$509.33 |
$783.59 |
5.5× |
| Xr cystogram 3+ views (74430) |
$917.40 |
$1,411.39 |
2.5× |
| Xr eye foreign body (70030) |
$184.67 |
$284.11 |
2.0× |
| Xr facial bones 3 views (70150) |
$475.35 |
$731.30 |
4.3× |
| Xr joint survey 1 view (77077) |
$248.92 |
$382.95 |
2.2× |
| Xr lower extremity 2 views infant (73592) |
$209.50 |
$322.32 |
2.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$583 |
$896.92 |
5.2× |
| Xr mandible 4 views (70110) |
$451.39 |
$694.45 |
4.1× |
| Xr myelogram c-spine (72240) |
$2,447.32 |
$3,765.11 |
2.9× |
| Xr nasal bones (70160) |
$263.78 |
$405.81 |
2.8× |
| Xr pelvis 3 views (72190) |
$372.13 |
$572.50 |
3.3× |
| Xr sialogram (70390) |
$980.23 |
$1,508.04 |
3.9× |
| Xr spine 1 view (72020) |
$293.14 |
$450.98 |
3.2× |
| Xr sternum 2 views (71120) |
$200.11 |
$307.86 |
2.2× |
| Xr stress view joint (77071) |
$183.99 |
$283.06 |
2.0× |
| Xr surgical specimen (76098) |
$1,325.47 |
$2,039.18 |
2.3× |
| Xr upper extremity 2 views infant (73092) |
$291.48 |
$448.42 |
2.6× |
| Xray elbow 2 views (73070) |
$382.25 |
$588.08 |
4.1× |
| Xray forearm 2 views (73090) |
$473.29 |
$728.14 |
5.1× |
| Xray knee 1 or 2 views rt (73560) |
$287.90 |
$442.93 |
3.1× |
| Xray neck soft tissue (70360) |
$540.04 |
$830.83 |
5.8× |
| Xray optic foramina (70190) |
$204.43 |
$314.51 |
2.2× |
| Xray orbits complete min 4 views (70200) |
$488.72 |
$751.88 |
4.4× |
| Xray pelvis 1 or 2 views (72170) |
$335.60 |
$516.31 |
3.0× |
| Xray ribs bilateral 3 views (71110) |
$351.92 |
$541.41 |
3.2× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$339.86 |
$522.86 |
3.1× |
| Xray scapula complete (73010) |
$527.78 |
$811.96 |
4.7× |
| Xray shoulder 1 view (73020) |
$426.92 |
$656.80 |
4.6× |
| Xray sinuses paranasal <3 views (70210) |
$209.79 |
$322.76 |
2.3× |
| Xray spine thoracic 2 views (72070) |
$248.92 |
$382.95 |
2.2× |
| Xray spine thoracic 3 views (72072) |
$248.92 |
$382.95 |
2.2× |
| Xray tibia-fibula 2 views bil (73590) |
$315.26 |
$485.02 |
3.4× |
| Xray tmj open - closed unilat (70328) |
$183.99 |
$283.06 |
2.0× |
| Xray tmj's bilateral open-clsc (70330) |
$227.30 |
$349.69 |
2.5× |