| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,494.80 |
$9,158 |
4.0× |
| Abdomen 1 View (74018) |
$104.40 |
$174 |
1.2× |
| Abdomen 2 views (74019) |
$174 |
$290 |
1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,619.40 |
$2,699 |
4.1× |
| Angio internal mammary (75756) |
$3,898.20 |
$6,497 |
1.2× |
| Ankle 2 views (73600) |
$136.80 |
$228 |
1.6× |
| Artery X-Rays Abdomen (75726) |
$3,864 |
$6,440 |
0.7× |
| Arthrogram ankle (73615) |
$1,194.60 |
$1,991 |
3.4× |
| Arthrogram hip (73525) |
$1,194.60 |
$1,991 |
3.4× |
| Arthrogram Wrist (73115) |
$1,194.60 |
$1,991 |
3.4× |
| Basic radiation dosimetry calculation (77300) |
$1,096.80 |
$1,828 |
8.2× |
| Bone age studies (77072) |
$176.40 |
$294 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$1,652.40 |
$2,754 |
4.2× |
| Bone Imaging Limited Area (78300) |
$960 |
$1,600 |
2.4× |
| Bone Imaging Multiple Areas (78305) |
$1,269 |
$2,115 |
3.2× |
| Bone Imaging Whole Body (78306) |
$1,353 |
$2,255 |
3.4× |
| Bone survey infant (77076) |
$168 |
$280 |
1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,793.60 |
$4,656 |
8.0× |
| Cat Scan Follow-Up Study (76380) |
$366 |
$610 |
4.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,519.20 |
$2,532 |
2.8× |
| Cerebrospinal Fluid Scan (78630) |
$1,714.80 |
$2,858 |
3.2× |
| Chest 1 view (71045) |
$120 |
$200 |
1.4× |
| Chest 2 views (71046) |
$108.60 |
$181 |
1.3× |
| Chest 3 views (71047) |
$239.40 |
$399 |
2.8× |
| Chest 4 or more views (71048) |
$783 |
$1,305 |
7.5× |
| Cholecystography Oral Contrast (74290) |
$210 |
$350 |
1.2× |
| Clavicle complete (73000) |
$136.80 |
$228 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$165.60 |
$276 |
1.6× |
| Contrast Exam Abdominl Aorta (75625) |
$3,864 |
$6,440 |
1.2× |
| Contrast X-Ray Bladder (74430) |
$639.60 |
$1,066 |
1.8× |
| Contrast X-Ray Of Elbow (73085) |
$1,194.60 |
$1,991 |
3.4× |
| Contrast X-Ray Of Knee Joint (73580) |
$2,350.80 |
$3,918 |
6.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,650.20 |
$4,417 |
7.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,771.80 |
$2,953 |
7.5× |
| CT abdomen w contrast (74160) |
$1,269 |
$2,115 |
7.3× |
| CT abdomen w wo contrast (74170) |
$1,690.20 |
$2,817 |
9.7× |
| CT abdomen w/o contrast (74150) |
$1,171.80 |
$1,953 |
11.3× |
| CT Angio Abdomen and Pelvis (74174) |
$2,043 |
$3,405 |
5.9× |
| CT Angio Chest (71275) |
$1,022.40 |
$1,704 |
5.9× |
| CT Angio Head (70496) |
$726.60 |
$1,211 |
4.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,278 |
$2,130 |
7.3× |
| CT Angio Neck (70498) |
$726.60 |
$1,211 |
4.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,278 |
$2,130 |
7.3× |
| CT cervical spine w/ contrast (72126) |
$1,234.80 |
$2,058 |
3.6× |
| CT cervical spine w/o contrast (72125) |
$867.60 |
$1,446 |
8.3× |
| CT cervical spine w/wo cont (72127) |
$1,484.40 |
$2,474 |
8.5× |
| CT chest w contrast (71260) |
$1,114.20 |
$1,857 |
6.4× |
| CT chest w/wo contrast (71270) |
$1,550.40 |
$2,584 |
8.9× |
| CT head/brain with contrast (70460) |
$820.20 |
$1,367 |
4.7× |
| CT head/brain without and with contrast (70470) |
$980.40 |
$1,634 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$128 |
$128 |
1.5× |
| CT iac w contrast (70481) |
$861 |
$1,435 |
4.9× |
| CT l-spine w&w/o contrast (72133) |
$1,649.40 |
$2,749 |
9.5× |
| CT lower ext w/o (73700) |
$734.40 |
$1,224 |
7.1× |
| CT lower extremity w/contrast material (73701) |
$1,045.80 |
$1,743 |
6.0× |
| CT lumbar spine w contrast (72132) |
$1,097.40 |
$1,829 |
3.2× |
| CT lumbar spine w/o contrast (72131) |
$964.80 |
$1,608 |
9.3× |
| CT maxillofacial w contrast (70487) |
$880.20 |
$1,467 |
5.0× |
| CT maxillofacial wo contrast (70486) |
$628.20 |
$1,047 |
6.0× |
| CT neck tissue combo (70492) |
$2,154 |
$3,590 |
12.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,029.60 |
$1,716 |
5.9× |
| CT orbits w/o contrast (70480) |
$784.80 |
$1,308 |
7.5× |
| CT pelvis w&w/o contrast (72194) |
$1,965 |
$3,275 |
11.3× |
| CT pelvis w/o contrast (72192) |
$1,008.60 |
$1,681 |
9.7× |
| CT scan of leg combo (73702) |
$1,264.80 |
$2,108 |
7.2× |
| CT scans face/jaw combo (70488) |
$1,045.20 |
$1,742 |
6.0× |
| CT soft tissue neck w contrast (70491) |
$1,498.20 |
$2,497 |
8.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,591.20 |
$2,652 |
15.3× |
| CT thoracic spine w contrast (72129) |
$1,371.60 |
$2,286 |
7.9× |
| CT thoracic spine w/o contrast (72128) |
$964.80 |
$1,608 |
9.3× |
| CT thoracic spine w/wo cont (72130) |
$1,649.40 |
$2,749 |
9.5× |
| CT thorax w/o contrast (71250) |
$937.20 |
$1,562 |
9.0× |
| CT upper ext wo (73200) |
$734.40 |
$1,224 |
7.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,278 |
$2,130 |
7.3× |
| CT upper extremity with contrast (73201) |
$1,044.60 |
$1,741 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,278 |
$2,130 |
7.3× |
| Cta Abdomen (74175) |
$1,278 |
$2,130 |
7.3× |
| CTA pelvis (72191) |
$1,278 |
$2,130 |
7.3× |
| Dxa Bone Density Axial (77080) |
$186.60 |
$311 |
1.8× |
| Dxa bone density study (77085) |
$533.40 |
$889 |
5.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$266.40 |
$444 |
3.1× |
| Echo exam uterus (76831) |
$937.80 |
$1,563 |
4.0× |
| Echo Guide For Artery Repair (76936) |
$479.40 |
$799 |
2.2× |
| Echograp Trans R Pros Study (76873) |
$1,113 |
$1,855 |
10.7× |
| Esophagram (74220) |
$229.20 |
$382 |
1.3× |
| Fetal Biophys Profile W/Nst (76818) |
$696.60 |
$1,161 |
6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$467.40 |
$779 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$348 |
$580 |
1.5× |
| Foot 2 views (73620) |
$136.80 |
$228 |
1.6× |
| Forearm 2 views (73090) |
$133.80 |
$223 |
1.5× |
| Gastric emptying imaging study (78264) |
$1,426.20 |
$2,377 |
3.6× |
| Gastric Mucosa Imaging (78261) |
$1,234.20 |
$2,057 |
3.1× |
| Gated Heart Planar Single (78472) |
$1,483.80 |
$2,473 |
3.7× |
| Gated Heart, Multiple (78473) |
$4,023 |
$6,705 |
10.1× |
| Hand 2 views (73120) |
$136.80 |
$228 |
1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,119.40 |
$5,199 |
1.0× |
| Hepatobil Syst Image W/Drug (78227) |
$1,385.40 |
$2,309 |
2.6× |
| Hepatobiliary System Imaging (78226) |
$1,385.40 |
$2,309 |
3.5× |
| Ht Musc Image Planar Mult (78454) |
$5,770.20 |
$9,617 |
4.5× |
| Ht Muscle Image Spect Sing (78451) |
$3,597.60 |
$5,996 |
2.8× |
| Hysterosalpingogram (74740) |
$289.80 |
$483 |
1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$668.40 |
$1,114 |
7.7× |
| Infant hip ultrasound, limited static exam (76886) |
$158.40 |
$264 |
1.8× |
| K Flow/Funct Image Multiple (78709) |
$1,624.80 |
$2,708 |
3.0× |
| K Flow/Funct Image W/Drug (78708) |
$1,560.60 |
$2,601 |
2.9× |
| K Flow/Funct Image W/O Drug (78707) |
$1,475.40 |
$2,459 |
2.7× |
| Kidney Imaging Morphol (78700) |
$1,444.80 |
$2,408 |
3.6× |
| Knee 3 Views (73562) |
$253.20 |
$422 |
2.9× |
| Liver & Spleen Imaging Static Only (78215) |
$1,090.80 |
$1,818 |
2.7× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,734 |
$2,890 |
3.2× |
| Lung Ventilation Imaging (78579) |
$1,734 |
$2,890 |
4.4× |
| Lymph System Imaging (78195) |
$1,511.40 |
$2,519 |
2.8× |
| Magnetic Image Jaw Joint (70336) |
$1,999.20 |
$3,332 |
8.4× |
| Mammary ductogram or galactogram multiple (77054) |
$1,116 |
$1,860 |
4.7× |
| Mammary ductogram or galactogram single (77053) |
$1,116 |
$1,860 |
4.7× |
| Meckels Divert Exam (78290) |
$1,426.20 |
$2,377 |
3.6× |
| Mr safety determination physician/other qhp (76016) |
$138.60 |
$231 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$38.40 |
$64 |
1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$144 |
$240 |
1.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$380.40 |
$634 |
1.6× |
| Mra Head W/O & W/Contrast Material (70546) |
$3,213.60 |
$5,356 |
9.3× |
| MRA head w/o contrast (70544) |
$1,543.80 |
$2,573 |
6.5× |
| MRA head with contrast (70545) |
$1,980 |
$3,300 |
5.7× |
| MRA neck w contrast (70548) |
$2,732.40 |
$4,554 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,142.20 |
$5,237 |
9.1× |
| MRA neck w/o contrast (70547) |
$2,376.60 |
$3,961 |
10.0× |
| MRI abdomen w contrast (74182) |
$2,523 |
$4,205 |
7.3× |
| MRI abdomen w/o contrast (74181) |
$1,964.40 |
$3,274 |
8.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,563.20 |
$4,272 |
3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,693.60 |
$6,156 |
10.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,080.20 |
$3,467 |
2.7× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,805.20 |
$6,342 |
16.0× |
| MRI cardiac w/o contrast (75557) |
$1,876.80 |
$3,128 |
7.9× |
| MRI cervical spine w contrast (72142) |
$3,091.20 |
$5,152 |
8.9× |
| MRI cervical spine w/o cont (72141) |
$1,080 |
$1,800 |
4.5× |
| MRI chest w/o contrast (71550) |
$3,008.40 |
$5,014 |
12.7× |
| MRI chest with contrast (71551) |
$3,460.20 |
$5,767 |
4.4× |
| MRI chest wo w contrast (71552) |
$5,172.60 |
$8,621 |
14.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,695.20 |
$4,492 |
7.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,480.40 |
$4,134 |
7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,876.20 |
$3,127 |
7.9× |
| MRI lumbar spine w contrast (72149) |
$2,958.60 |
$4,931 |
8.5× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,881.80 |
$4,803 |
8.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,218.20 |
$3,697 |
9.3× |
| MRI orbit face neck w contrast (70542) |
$2,551.80 |
$4,253 |
7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,932.80 |
$4,888 |
8.4× |
| MRI pelvis w contrast (72196) |
$3,073.20 |
$5,122 |
8.9× |
| MRI pelvis w/o & w contrast (72197) |
$5,301.60 |
$8,836 |
15.3× |
| MRI pelvis w/o contrast (72195) |
$2,137.80 |
$3,563 |
9.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,178.60 |
$3,631 |
9.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$3,082.80 |
$5,138 |
8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,864.80 |
$3,108 |
7.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,544.20 |
$5,907 |
10.2× |
| MRI, abdomen, combo (74183) |
$2,011.20 |
$3,352 |
5.8× |
| MRI, dorsal spine combo (72157) |
$2,969.40 |
$4,949 |
8.6× |
| MRI, dorsal spine contrast (72147) |
$2,997 |
$4,995 |
8.6× |
| MRI, joint upper extrem (73221) |
$922.20 |
$1,537 |
3.9× |
| MRI, joint upper extrem combo (73223) |
$2,989.80 |
$4,983 |
8.6× |
| MRI, lumbar spine combo (72158) |
$2,811.60 |
$4,686 |
8.1× |
| Myelogram cervical (72240) |
$1,048.80 |
$1,748 |
1.3× |
| Myelogram Lumbar (72265) |
$1,048.80 |
$1,748 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,312.60 |
$5,521 |
2.6× |
| Neck soft tissue (70360) |
$115.80 |
$193 |
1.3× |
| Nonvascular Shunt X-Ray (75809) |
$498.60 |
$831 |
4.8× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) |
$113.40 |
$189 |
1.1× |
| Optic foramina (70190) |
$262.20 |
$437 |
3.0× |
| Parathyroid Planar Imaging (78070) |
$1,264.80 |
$2,108 |
3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,350.60 |
$2,251 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$147.60 |
$246 |
1.4× |
| PET image w/CT, full body (78816) |
$5,261.40 |
$8,769 |
3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,261.40 |
$8,769 |
3.7× |
| PET whole body (78813) |
$8,545.20 |
$14,242 |
6.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,119.40 |
$5,199 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,361.40 |
$2,269 |
3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$221.40 |
$369 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$873.60 |
$1,456 |
1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$109.80 |
$183 |
1.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$136.80 |
$228 |
1.6× |
| Radex elbow complete minimum 3 views (73080) |
$277.80 |
$463 |
3.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$637.80 |
$1,063 |
6.1× |
| Radex fingr minimum 2 views (73140) |
$113.40 |
$189 |
1.3× |
| Radex foot complete minimum 3 views (73630) |
$109.80 |
$183 |
1.3× |
| Radex Hand Minimum 3 Views (73130) |
$117 |
$195 |
1.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$188.40 |
$314 |
2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$243.60 |
$406 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$176.40 |
$294 |
2.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$164.40 |
$274 |
1.9× |
| Radex shoulder complete minimum 2 views (73030) |
$139.20 |
$232 |
1.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$121.80 |
$203 |
1.4× |
| Radex Spine 1 View Specify Level (72020) |
$121.80 |
$203 |
1.4× |
| Radex Sternum Minimum 2 Views (71120) |
$183 |
$305 |
2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$93 |
$155 |
1.1× |
| Radex Toe Minimum 2 Views (73660) |
$292.80 |
$488 |
3.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$188.40 |
$314 |
1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$109.80 |
$183 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$147.60 |
$246 |
1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$221.40 |
$369 |
2.1× |
| Radiologic exam colon double contrast study (74280) |
$505.20 |
$842 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$315.60 |
$526 |
1.8× |
| Radiologic exam knee complete 4/more views (73564) |
$420.60 |
$701 |
4.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$198.60 |
$331 |
1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$256.80 |
$428 |
1.5× |
| Radiologic exam swallow function contrast study (74230) |
$271.20 |
$452 |
1.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$414.60 |
$691 |
2.4× |
| Radiologic examination femur 1 view (73551) |
$89.40 |
$149 |
1.0× |
| Radiologic examination femur minimum 2 views (73552) |
$156.60 |
$261 |
1.8× |
| Radiologic examination knee 1/2 views (73560) |
$223.20 |
$372 |
2.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$142.80 |
$238 |
1.6× |
| Ribs bilateral 3 views (71110) |
$208.20 |
$347 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,384.20 |
$2,307 |
3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,737.60 |
$2,896 |
3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,737.60 |
$2,896 |
3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,193 |
$3,655 |
1.7× |
| Scapula (73010) |
$147.60 |
$246 |
1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$30 |
$50 |
1.3× |
| Sella turcica (70240) |
$156.60 |
$261 |
1.8× |
| Shoulder 1 view (73020) |
$136.80 |
$228 |
1.6× |
| Shoulder Arthrography (73040) |
$712.80 |
$1,188 |
2.1× |
| Sialogram (70390) |
$687 |
$1,145 |
2.9× |
| Skull less than 4 views (70250) |
$147 |
$245 |
1.4× |
| Sternoclavicular joints (71130) |
$183 |
$305 |
2.1× |
| Testicular Imaging W/Flow (78761) |
$1,475.40 |
$2,459 |
3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$784.80 |
$1,308 |
4.5× |
| Thoracic spine 2 views (72070) |
$259.20 |
$432 |
2.5× |
| Thoracic spine 3 views (72072) |
$242.40 |
$404 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$685.80 |
$1,143 |
1.7× |
| Thyroid Uptake Measurement (78012) |
$480.60 |
$801 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$963 |
$1,605 |
2.4× |
| Tx devices design & construction simple (77332) |
$1,842 |
$3,070 |
13.8× |
| Ultrasound Breast Limited (76642) |
$144 |
$240 |
1.7× |
| Ultrasound Exam Aaa Screen (76706) |
$109.80 |
$183 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$137.40 |
$229 |
1.3× |
| Unlisted us procedure (76999) |
$388.80 |
$648 |
4.5× |
| Upper gi w/o kub (74240) |
$380.40 |
$634 |
2.2× |
| Urethrocystogram voiding (74455) |
$304.80 |
$508 |
1.3× |
| Urethrocystography retrograde (74450) |
$269.40 |
$449 |
1.1× |
| Us breast unilateral complete (76641) |
$102.60 |
$171 |
1.0× |
| Us chest (76604) |
$746.40 |
$1,244 |
7.2× |
| Us complete joint (76881) |
$717 |
$1,195 |
6.9× |
| Us exam, pelvic, limited (76857) |
$696.60 |
$1,161 |
6.7× |
| Us head (76506) |
$653.40 |
$1,089 |
6.3× |
| Us kidney transplant (76776) |
$668.40 |
$1,114 |
6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$381.60 |
$636 |
3.7× |
| Us ob detailed single fetus (76811) |
$880.80 |
$1,468 |
3.7× |
| Us ob limited 1 or more fetuses (76815) |
$596.40 |
$994 |
5.7× |
| Us ob transvaginal (76817) |
$659.40 |
$1,099 |
6.3× |
| Us pelvic non ob complete (76856) |
$198 |
$330 |
1.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$500.40 |
$834 |
4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$583.80 |
$973 |
5.6× |
| Us retroperitoneal complete (76770) |
$664.20 |
$1,107 |
6.4× |
| Us retroperitoneal limited (76775) |
$389.40 |
$649 |
3.7× |
| Us scrotum and contents (76870) |
$606.60 |
$1,011 |
5.8× |
| Us thyroid (76536) |
$601.80 |
$1,003 |
5.8× |
| Us transrectal (76872) |
$1,076.40 |
$1,794 |
10.3× |
| Vein X-Ray Chest (75827) |
$3,119.40 |
$5,199 |
2.0× |
| Venogram Sinus/Jugular (75860) |
$2,724 |
$4,540 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$1,924.20 |
$3,207 |
1.2× |
| Vertebral fracture assessment via dxa (77086) |
$417 |
$695 |
4.8× |
| Wrist 2 views (73100) |
$118.80 |
$198 |
1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$183 |
$305 |
2.1× |
| X-ray antegrade pyelogram tube (74425) |
$289.80 |
$483 |
0.8× |
| X-Ray Bend Only L-S Spine (72120) |
$186.60 |
$311 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$233.40 |
$389 |
2.7× |
| X-Ray Exam Breast Specimen (76098) |
$501 |
$835 |
0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$121.80 |
$203 |
1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$287.40 |
$479 |
2.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$153.60 |
$256 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$129 |
$215 |
1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$171.60 |
$286 |
1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$510.60 |
$851 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$681.60 |
$1,136 |
6.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$723.60 |
$1,206 |
7.0× |
| X-Ray Exam L-S Spine Bending (72114) |
$292.80 |
$488 |
2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$126 |
$210 |
1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$234.60 |
$391 |
2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$146.40 |
$244 |
1.4× |
| X-ray eye for foreign body (70030) |
$148.80 |
$248 |
1.7× |
| X-ray humerus (73060) |
$223.20 |
$372 |
2.6× |
| X-ray IV pyelogram (ivp) (74400) |
$400.20 |
$667 |
2.3× |
| X-ray IV pyelogram+tomography (74415) |
$400.20 |
$667 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$161.40 |
$269 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$637.80 |
$1,063 |
7.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$149.40 |
$249 |
1.4× |
| X-ray nose-rectum child f.b. (76010) |
$158.40 |
$264 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$272.40 |
$454 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$183 |
$305 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$147.60 |
$246 |
1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$212.40 |
$354 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$234.60 |
$391 |
2.3× |
| X-ray thoracic spine 4 vw (72074) |
$612.60 |
$1,021 |
5.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$316.20 |
$527 |
0.9× |
| X-Rays Bone Length Studies (77073) |
$156.60 |
$261 |
1.5× |
| X-Rays Bone Survey Complete (77075) |
$353.40 |
$589 |
3.4× |
| Xr c-spine 4 or 5 views (72050) |
$189.60 |
$316 |
1.8× |
| Xr facial bones less than 3 views (70140) |
$147 |
$245 |
1.7× |
| Xr orbits complete 4 views (70200) |
$267.60 |
$446 |
2.6× |
| Xr Tomogram Single Plane (76100) |
$255 |
$425 |
2.5× |