| 3-D radiotherapy plan dose-volume histograms (77295) |
$22,679.80 |
$34,892 |
17.0× |
| Abdomen 2 views (74019) |
$338 |
$520 |
3.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$547.30 |
$842 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$10,080.85 |
$15,509 |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$3,923.40 |
$6,036 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,108.65 |
$6,321 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,274.10 |
$8,114 |
1.0× |
| Ankle 2 views (73600) |
$250.90 |
$386 |
3.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,222 |
$1,880 |
3.6× |
| Aortogram thoracic (75605) |
$3,518.45 |
$5,413 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,889.60 |
$5,984 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$6,778.20 |
$10,428 |
2.2× |
| Arthrogram hip (73525) |
$573.95 |
$883 |
1.7× |
| Arthrogram shoulder (73040) |
$507.65 |
$781 |
1.5× |
| Arthrogram wrist (73115) |
$644.15 |
$991 |
1.9× |
| Arthrography knee lt (73580) |
$641.55 |
$987 |
1.9× |
| Basic radiation dosimetry calculation (77300) |
$22,821.82 |
$35,110.50 |
176.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,058.20 |
$1,628 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$1,167.08 |
$1,795.50 |
3.0× |
| Bone age studies (77072) |
$209.95 |
$323 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$760.18 |
$1,169.50 |
2.0× |
| Bone survey complete (77075) |
$590.20 |
$908 |
5.9× |
| Brachytx isodose complex (77318) |
$2,219.75 |
$3,415 |
6.2× |
| Brachytx isodose intermed (77317) |
$1,435.20 |
$2,208 |
4.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$780 |
$1,200 |
2.2× |
| Brain Imaging Vascular Flow Only (78610) |
$1,705.92 |
$2,624.50 |
3.3× |
| Cervical spine 2 or 3 views (72040) |
$277.55 |
$427 |
3.3× |
| Chest 1 view (71045) |
$236.60 |
$364 |
2.8× |
| Chest 3 views (71047) |
$462.80 |
$712 |
5.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$332.80 |
$512 |
2.0× |
| Clavicle complete (73000) |
$210.60 |
$324 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$367.90 |
$566 |
3.7× |
| Continuing medical physics consltj pr wk (77336) |
$19,748.30 |
$30,382 |
152.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,225.35 |
$8,039 |
15.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,292.25 |
$5,065 |
14.3× |
| CT abdomen w contrast (74160) |
$2,039.05 |
$3,137 |
12.1× |
| CT abdomen w wo contrast (74170) |
$2,272.08 |
$3,495.50 |
13.5× |
| CT abdomen w/o contrast (74150) |
$1,741.35 |
$2,679 |
17.3× |
| CT angio hrt w/3d image (75574) |
$2,134.60 |
$3,284 |
6.4× |
| CT angiography upper extremity lt (73206) |
$1,619.80 |
$2,492 |
9.6× |
| CT c-spine w/o contrast (72125) |
$1,676.35 |
$2,579 |
16.7× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$861.25 |
$1,325 |
5.1× |
| CT cervical spine w&w/o contrast (72127) |
$2,777.45 |
$4,273 |
16.5× |
| CT cervical spine with contrast (72126) |
$2,505.10 |
$3,854 |
7.5× |
| CT chest w/wo contrast (71270) |
$2,762.50 |
$4,250 |
16.4× |
| CT chest with contrast (71260) |
$1,795.30 |
$2,762 |
10.6× |
| CT head/brain with contrast (70460) |
$1,688.70 |
$2,598 |
10.0× |
| CT head/brain without and with contrast (70470) |
$1,966.90 |
$3,026 |
11.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$32.50 |
$50 |
0.4× |
| CT iac w contrast (70481) |
$1,650.35 |
$2,539 |
9.8× |
| CT limited/localized follow up study (76380) |
$780.65 |
$1,201 |
9.3× |
| CT lower ext w/o (73700) |
$1,719.90 |
$2,646 |
17.1× |
| CT lower extremity w wo contrast (73702) |
$2,403.70 |
$3,698 |
14.2× |
| CT lower extremity with contrast (73701) |
$1,930.50 |
$2,970 |
11.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,670.20 |
$4,108 |
15.8× |
| CT lumbar spine w/o contrast (72131) |
$1,851.20 |
$2,848 |
18.4× |
| CT lumbar spine with contrast (72132) |
$2,036.45 |
$3,133 |
6.1× |
| CT maxillofacial w contrast (70487) |
$1,275.30 |
$1,962 |
7.6× |
| CT maxillofacial w/o contrast (70486) |
$1,280.18 |
$1,969.50 |
12.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,147.60 |
$3,304 |
12.7× |
| CT neck soft tissue w contrast (70491) |
$1,275.30 |
$1,962 |
7.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,011.10 |
$3,094 |
11.9× |
| CT orbits w/o contrast (70480) |
$1,551.55 |
$2,387 |
15.4× |
| CT pelvis w & w/o contrast (72194) |
$2,031.90 |
$3,126 |
12.0× |
| CT pelvis w/o contrast (72192) |
$1,670.50 |
$2,570 |
16.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,662.05 |
$2,557 |
9.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,006.20 |
$1,548 |
10.0× |
| CT thoracic spine w/contrast (72129) |
$1,969.50 |
$3,030 |
11.7× |
| CT thoracic spine w/o contrast (72128) |
$1,816.75 |
$2,795 |
18.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,590.90 |
$3,986 |
15.4× |
| CT thorax w/o contrast (71250) |
$1,040 |
$1,600 |
10.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,826.20 |
$4,348 |
16.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,105.65 |
$1,701 |
11.0× |
| CT upper extremity with contrast (73201) |
$1,340.95 |
$2,063 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,080.30 |
$1,662 |
6.4× |
| Cta Abdomen (74175) |
$2,509.65 |
$3,861 |
14.9× |
| CTA abdomen pelvis (74174) |
$4,106.70 |
$6,318 |
12.2× |
| CTA chest (71275) |
$1,128.40 |
$1,736 |
6.7× |
| Cta Head (70496) |
$1,009.45 |
$1,553 |
6.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,498.95 |
$5,383 |
10.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,265.55 |
$1,947 |
7.5× |
| Cta Neck (70498) |
$980.20 |
$1,508 |
5.8× |
| Cystography minimum 3 views rs&i (74430) |
$1,071.85 |
$1,649 |
3.2× |
| Diskography lumbar (72295) |
$3,303.30 |
$5,082 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$335.40 |
$516 |
3.3× |
| Dxa bone density study axial skeleton (77085) |
$464.10 |
$714 |
4.6× |
| Esophagus (74220) |
$317.85 |
$489 |
1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$718.25 |
$1,105 |
7.1× |
| Fluoroscopy up to 1 hr (76000) |
$2,484.30 |
$3,822 |
10.8× |
| Foot 2 views (73620) |
$177.45 |
$273 |
2.1× |
| Forearm 2 views (73090) |
$192.40 |
$296 |
2.3× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$4,037.80 |
$6,212 |
7.7× |
| Gated Heart Planar Single (78472) |
$1,611.68 |
$2,479.50 |
4.2× |
| Hand 2 views (73120) |
$228.80 |
$352 |
2.3× |
| Hand 3 views (73130) |
$332.80 |
$512 |
4.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,852.50 |
$2,850 |
0.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,543.56 |
$2,374.71 |
3.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,570.72 |
$2,416.50 |
4.1× |
| Ht muscle image spect sing (78451) |
$3,067.35 |
$4,719 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$245.05 |
$377 |
2.9× |
| Hysterosalpingogram (74740) |
$1,074.45 |
$1,653 |
4.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,006.85 |
$1,549 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,086.50 |
$3,210 |
4.0× |
| Knee 3 views (73562) |
$264.55 |
$407 |
3.2× |
| Liver & spleen imaging static only (78215) |
$1,236.30 |
$1,902 |
3.2× |
| Lung Ventilation Imaging (78579) |
$1,118.65 |
$1,721 |
2.9× |
| Lymphoscintigraphy (78195) |
$15,340.40 |
$23,600.61 |
29.4× |
| Mammary ductogram or galactogram single (77053) |
$597.35 |
$919 |
2.6× |
| Meckels Diverticulum (78290) |
$1,679.60 |
$2,584 |
4.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$24,696.42 |
$37,994.50 |
68.6× |
| MRA head w & w/o contrast (70546) |
$3,288.35 |
$5,059 |
9.8× |
| MRA head w/o contrast (70544) |
$1,943.50 |
$2,990 |
8.5× |
| MRA head with contrast (70545) |
$2,901.60 |
$4,464 |
8.6× |
| MRA neck w contrast (70548) |
$2,190.50 |
$3,370 |
6.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,350.75 |
$5,155 |
10.0× |
| MRA neck w/o contrast (70547) |
$2,834.65 |
$4,361 |
12.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,696.55 |
$5,687 |
11.0× |
| MRI abdomen w/o contrast (74181) |
$2,028 |
$3,120 |
8.8× |
| MRI any jnt lwr ext with con lt (73722) |
$2,120.95 |
$3,263 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,356.25 |
$3,625 |
3.1× |
| MRI c-spine with contrast (72142) |
$3,021.85 |
$4,649 |
9.0× |
| MRI cervical spine w/o contrast (72141) |
$2,692.30 |
$4,142 |
11.7× |
| MRI chest w/o contrast (71550) |
$1,561.30 |
$2,402 |
6.8× |
| MRI fetal sngl/1st gestation (74712) |
$3,209.05 |
$4,937 |
14.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,358.50 |
$2,090 |
5.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,805.05 |
$2,777 |
7.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,449.55 |
$5,307 |
10.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,622.10 |
$4,034 |
7.8× |
| MRI pelvis w/o contrast (72195) |
$2,494.05 |
$3,837 |
10.9× |
| MRI scan of arm joint before and after contrast (73223) |
$3,194.75 |
$4,915 |
9.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,518.10 |
$3,874 |
7.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,966.95 |
$6,103 |
11.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,943.20 |
$4,528 |
8.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,901.30 |
$6,002 |
11.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,216.20 |
$4,948 |
9.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,391.35 |
$3,679 |
10.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,716.65 |
$2,641 |
7.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,696.85 |
$4,149 |
8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,330.25 |
$3,585 |
10.2× |
| Myelogram Lumbar (72265) |
$2,316.60 |
$3,564 |
3.1× |
| Myocardial Spect Multiple Studies (78452) |
$4,925.36 |
$7,577.48 |
4.0× |
| Neck soft tissue (70360) |
$209.95 |
$323 |
2.5× |
| Nm gastric emptying study (78264) |
$2,337.72 |
$3,596.50 |
6.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$23,958.35 |
$36,859 |
18.0× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,049.10 |
$1,614 |
2.7× |
| Nuclear Rx Oral Admin (79005) |
$1,552.85 |
$2,389 |
6.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$410.80 |
$632 |
4.1× |
| Osseous survey infant (77076) |
$304.85 |
$469 |
3.0× |
| Osseous survey limited (77074) |
$518.05 |
$797 |
5.2× |
| Parathyrd planar w/wo subtrj (78071) |
$1,989.65 |
$3,061 |
5.2× |
| Parathyroid imaging (78070) |
$1,019.85 |
$1,569 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$137.80 |
$212 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$5,911.75 |
$9,095 |
4.3× |
| PET imaging for CT attenuation whole body (78816) |
$4,804.80 |
$7,392 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,571.05 |
$2,417 |
4.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,946.75 |
$2,995 |
0.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,553.50 |
$2,390 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$856.70 |
$1,318 |
2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,134.25 |
$1,745 |
2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,036.10 |
$1,594 |
2.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$402.35 |
$619 |
4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$468 |
$720 |
4.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$394.55 |
$607 |
3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$961.35 |
$1,479 |
9.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$14,584.05 |
$22,437 |
27.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$3,283.80 |
$5,052 |
33.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$21,437.32 |
$32,980.50 |
57.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$232.70 |
$358 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$299 |
$460 |
3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$526.50 |
$810 |
5.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$359.45 |
$553 |
4.3× |
| Radiologic exam colon single contrast study (74270) |
$400.40 |
$616 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$551.20 |
$848 |
3.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,005.55 |
$1,547 |
6.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$243.75 |
$375 |
2.9× |
| Radiological examination surgical specimen (76098) |
$866.45 |
$1,333 |
1.6× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,181.45 |
$6,433 |
1.4× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,466.45 |
$5,333 |
1.1× |
| Ribs bilateral 3 views (71110) |
$423.80 |
$652 |
4.2× |
| Scanogram (77073) |
$271.05 |
$417 |
2.7× |
| Scapula complete (73010) |
$189.80 |
$292 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$75.40 |
$116 |
3.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$315.90 |
$486 |
3.1× |
| Simulation intermediate (77285) |
$1,387.75 |
$2,135 |
3.9× |
| Small bowel series (74250) |
$464.10 |
$714 |
2.8× |
| Spec medical radj physics consltj (77370) |
$557.70 |
$858 |
4.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$14,378.65 |
$22,121 |
39.9× |
| Special dosimetry (77331) |
$708.50 |
$1,090 |
5.5× |
| Special treatment procedure (77470) |
$15,565.88 |
$23,947.50 |
29.3× |
| Spine thoracic 3 views (72072) |
$330.20 |
$508 |
3.3× |
| Splenoportograpy rs&i (75810) |
$4,716.40 |
$7,256 |
1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$12,344.80 |
$18,992 |
34.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,452.10 |
$2,234 |
4.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$21,499.72 |
$33,076.50 |
59.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$20,623.52 |
$31,728.50 |
159.5× |
| Thoracolumbar 2 views (72080) |
$222.95 |
$343 |
2.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$516.10 |
$794 |
1.3× |
| Thyroid uptake measurement (78012) |
$850.85 |
$1,309 |
2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,214.52 |
$1,868.50 |
3.2× |
| Tmj unilateral (70328) |
$178.10 |
$274 |
2.1× |
| Treatment device intermediate (77333) |
$1,062.75 |
$1,635 |
8.2× |
| Treatment devices simple (77332) |
$13,331.50 |
$20,510 |
103.1× |
| Tx devices design & construction complex (77334) |
$20,277.08 |
$31,195.50 |
56.3× |
| Ultrasound, abdomen limited (76705) |
$573.95 |
$883 |
5.7× |
| Umbilical-artery Doppler (OB) (76820) |
$778.70 |
$1,198 |
7.7× |
| Unlisted magnetic resonance procedure (76498) |
$4,151.55 |
$6,387 |
49.6× |
| Unlisted Ultrasound Procedure (76999) |
$237.90 |
$366 |
2.8× |
| Upper Extremity Infant (73092) |
$195.65 |
$301 |
1.9× |
| Urethrocystography retrograde rs&i (74450) |
$706.55 |
$1,087 |
3.1× |
| Urethrocystography voiding (74455) |
$1,140.75 |
$1,755 |
5.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$987.35 |
$1,519 |
5.9× |
| Us abdl aorta screen aaa (76706) |
$417.95 |
$643 |
4.2× |
| Us breast unilateral complete (76641) |
$689 |
$1,060 |
6.9× |
| Us breast unilateral limited (76642) |
$193.05 |
$297 |
2.3× |
| Us chest (76604) |
$464.42 |
$714.50 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$444.60 |
$684 |
4.4× |
| Us ob transvaginal (76817) |
$270.40 |
$416 |
2.7× |
| Us pelvic non ob complete (76856) |
$611 |
$940 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$335.40 |
$516 |
3.3× |
| Us pregnancy ltd (76815) |
$440.05 |
$677 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$310.05 |
$477 |
3.1× |
| Us retroperitoneal complete (76770) |
$1,173.90 |
$1,806 |
11.7× |
| Us retroperitoneal limited (76775) |
$516.75 |
$795 |
5.1× |
| Us scrotum and contents (76870) |
$516.75 |
$795 |
5.1× |
| Us soft tissue head/neck (76536) |
$507.65 |
$781 |
5.0× |
| Us spinal canal and contents (76800) |
$749.45 |
$1,153 |
7.5× |
| Us xtr non-vasc lmtd (76882) |
$502.45 |
$773 |
5.0× |
| Venogram extremity bilateral (75822) |
$1,586.65 |
$2,441 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$3,783.65 |
$5,821 |
1.2× |
| Venography caval superior serialography rs&i (75827) |
$2,166.45 |
$3,333 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,095.25 |
$1,685 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,022.80 |
$3,112 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,022.50 |
$4,650 |
1.0× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$7,471.10 |
$11,494 |
1.4× |
| Wrist 2 views (73100) |
$147.55 |
$227 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$300.30 |
$462 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$193.70 |
$298 |
2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$330.20 |
$508 |
3.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,669.85 |
$2,569 |
9.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$263.25 |
$405 |
3.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$287.30 |
$442 |
3.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$791.05 |
$1,217 |
7.9× |
| X-ray exam hip uni 1 view (73501) |
$145.60 |
$224 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$286 |
$440 |
3.4× |
| X-ray exam hip uni 4/> views (73503) |
$581.10 |
$894 |
5.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$458.90 |
$706 |
4.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$746.20 |
$1,148 |
7.4× |
| X-ray exam of femur 1 (73551) |
$230.75 |
$355 |
2.8× |
| X-ray eye for foreign body (70030) |
$144.30 |
$222 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$164.45 |
$253 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$143 |
$220 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$192.40 |
$296 |
2.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,847 |
$4,380 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$165.10 |
$254 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$191.10 |
$294 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$345.80 |
$532 |
3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$210.60 |
$324 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$273.65 |
$421 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$367.90 |
$566 |
3.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$855.40 |
$1,316 |
8.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$129.35 |
$199 |
1.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$224.25 |
$345 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$370.50 |
$570 |
3.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$358.80 |
$552 |
3.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$916.50 |
$1,410 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$254.15 |
$391 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$237.90 |
$366 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,098.50 |
$1,690 |
10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$400.40 |
$616 |
4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$217.10 |
$334 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$315.25 |
$485 |
3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$400.40 |
$616 |
4.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$158.60 |
$244 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$303.55 |
$467 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$209.95 |
$323 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$159.90 |
$246 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$208 |
$320 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$355.55 |
$547 |
4.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$267.15 |
$411 |
2.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$380.90 |
$586 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$309.40 |
$476 |
3.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$295.10 |
$454 |
3.5× |
| Xr c-spine 6 or more views (72052) |
$616.20 |
$948 |
6.1× |
| Xr chest 4+ views (71048) |
$573.95 |
$883 |
5.7× |
| Xr finger(s) 2+ views (73140) |
$309.40 |
$476 |
3.7× |
| Xr shoulder 1 view (73020) |
$164.45 |
$253 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$391.95 |
$603 |
3.9× |
| Xr tibia/fibula 2 views (73590) |
$233.35 |
$359 |
2.8× |
| Xr tmj bilateral (70330) |
$264.55 |
$407 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$193.70 |
$298 |
2.3× |