| Abdomen 2 views (74019) |
$107.52 |
$512 |
1.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$649.53 |
$3,093 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$2,695.98 |
$12,838 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$2,799.30 |
$13,330 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$2,814 |
$13,400 |
1.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,614.73 |
$17,213 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,807.49 |
$13,369 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,807.49 |
$13,369 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,462.69 |
$16,489 |
0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,096.64 |
$9,984 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,552.34 |
$12,154 |
0.9× |
| Ankle 2 views (73600) |
$216.72 |
$1,032 |
2.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$480.69 |
$2,289 |
1.6× |
| Aortogram thoracic (75605) |
$3,614.73 |
$17,213 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,755.62 |
$13,122 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$2,800.14 |
$13,334 |
1.0× |
| Arthrogram elbow (73085) |
$656.04 |
$3,124 |
2.1× |
| Arthrogram hip (73525) |
$350.70 |
$1,670 |
1.1× |
| Arthrogram shoulder (73040) |
$513.66 |
$2,446 |
1.7× |
| Arthrogram wrist (73115) |
$437.64 |
$2,084 |
1.4× |
| Arthrography knee lt (73580) |
$623.28 |
$2,968 |
2.0× |
| Basic radiation dosimetry calculation (77300) |
$244.44 |
$1,164 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$965.79 |
$4,599 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,307.46 |
$6,226 |
3.7× |
| Bone age studies (77072) |
$189.84 |
$904 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,149.54 |
$5,474 |
3.2× |
| Bone survey complete (77075) |
$682.50 |
$3,250 |
7.4× |
| Brain image w/flow 4 + views (78606) |
$823.83 |
$3,923 |
1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,077.99 |
$19,419 |
3.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$294.84 |
$1,404 |
1.0× |
| Cervical spine 2 or 3 views (72040) |
$295.05 |
$1,405 |
3.8× |
| Chest 1 view (71045) |
$196.56 |
$936 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$367.08 |
$1,748 |
2.4× |
| Clavicle complete (73000) |
$241.08 |
$1,148 |
3.1× |
| Continuing medical physics consltj pr wk (77336) |
$244.44 |
$1,164 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,501.12 |
$16,672 |
11.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,033.24 |
$14,444 |
14.3× |
| CT abdomen w contrast (74160) |
$1,923.81 |
$9,161 |
12.4× |
| CT abdomen w wo contrast (74170) |
$2,284.38 |
$10,878 |
14.7× |
| CT abdomen w/o contrast (74150) |
$1,405.95 |
$6,695 |
15.1× |
| CT angio hrt w/3d image (75574) |
$2,193.66 |
$10,446 |
7.1× |
| CT angiography upper extremity lt (73206) |
$792.54 |
$3,774 |
5.1× |
| CT c-spine w/o contrast (72125) |
$1,693.44 |
$8,064 |
18.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$131.71 |
$627.20 |
0.8× |
| CT cervical spine w&w/o contrast (72127) |
$782.67 |
$3,727 |
5.0× |
| CT cervical spine with contrast (72126) |
$1,693.44 |
$8,064 |
5.5× |
| CT chest w/wo contrast (71270) |
$2,312.94 |
$11,014 |
14.8× |
| CT chest with contrast (71260) |
$1,387.26 |
$6,606 |
8.9× |
| CT head/brain with contrast (70460) |
$1,102.71 |
$5,251 |
7.1× |
| CT head/brain without and with contrast (70470) |
$2,161.74 |
$10,294 |
13.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,193.66 |
$10,446 |
7.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$66.15 |
$315 |
0.9× |
| CT hrt w/3d image congen (75573) |
$2,193.66 |
$10,446 |
7.1× |
| CT iac w contrast (70481) |
$1,393.35 |
$6,635 |
8.9× |
| CT limited/localized follow up study (76380) |
$1,060.71 |
$5,051 |
13.7× |
| CT lower ext w/o (73700) |
$1,352.82 |
$6,442 |
14.6× |
| CT lower extremity with contrast (73701) |
$1,244.88 |
$5,928 |
8.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,494.36 |
$7,116 |
9.6× |
| CT lumbar spine w/o contrast (72131) |
$1,445.85 |
$6,885 |
15.6× |
| CT lumbar spine with contrast (72132) |
$1,494.36 |
$7,116 |
4.8× |
| CT maxillofacial w contrast (70487) |
$1,505.28 |
$7,168 |
9.7× |
| CT maxillofacial w/o contrast (70486) |
$1,386.63 |
$6,603 |
14.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,458.87 |
$6,947 |
9.4× |
| CT neck soft tissue w contrast (70491) |
$1,702.47 |
$8,107 |
10.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$991.62 |
$4,722 |
6.4× |
| CT orbits w/o contrast (70480) |
$1,555.26 |
$7,406 |
16.8× |
| CT pelvis w & w/o contrast (72194) |
$1,216.74 |
$5,794 |
7.8× |
| CT pelvis w/o contrast (72192) |
$1,627.08 |
$7,748 |
17.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,526.70 |
$7,270 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,066.38 |
$5,078 |
11.5× |
| CT thoracic spine w/contrast (72129) |
$1,693.44 |
$8,064 |
10.9× |
| CT thoracic spine w/o contrast (72128) |
$1,693.44 |
$8,064 |
18.2× |
| CT thorax w/o contrast (71250) |
$764.61 |
$3,641 |
8.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,332.03 |
$6,343 |
14.3× |
| CT upper extremity with contrast (73201) |
$1,238.16 |
$5,896 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,192.17 |
$5,677 |
7.7× |
| Cta Abdomen (74175) |
$2,284.38 |
$10,878 |
14.7× |
| CTA abdomen pelvis (74174) |
$3,501.12 |
$16,672 |
11.3× |
| CTA chest (71275) |
$1,605.87 |
$7,647 |
10.3× |
| Cta Head (70496) |
$2,161.74 |
$10,294 |
13.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,688.44 |
$17,564 |
11.9× |
| CTA lwr ext w&w/o contrast (73706) |
$792.54 |
$3,774 |
5.1× |
| Cta Neck (70498) |
$1,526.70 |
$7,270 |
9.8× |
| Cta Pelvis (72191) |
$1,216.74 |
$5,794 |
7.8× |
| Cystography minimum 3 views rs&i (74430) |
$320.88 |
$1,528 |
1.0× |
| Diskography lumbar (72295) |
$1,270.08 |
$6,048 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$92.61 |
$441 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$55.65 |
$265 |
0.7× |
| Echoencephalography real time imaging (76506) |
$265.02 |
$1,262 |
2.9× |
| Esophagus (74220) |
$120.96 |
$576 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$196.35 |
$935 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$652.58 |
$3,107.50 |
3.1× |
| Foot 2 views (73620) |
$227.64 |
$1,084 |
2.9× |
| Forearm 2 views (73090) |
$236.46 |
$1,126 |
3.1× |
| Gated Heart Planar Single (78472) |
$1,221.99 |
$5,819 |
3.4× |
| Hand 2 views (73120) |
$227.64 |
$1,084 |
2.5× |
| Hand 3 views (73130) |
$278.25 |
$1,325 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,280.58 |
$6,098 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,280.58 |
$6,098 |
3.6× |
| Ht muscle image spect sing (78451) |
$3,520.65 |
$16,765 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$223.23 |
$1,063 |
2.9× |
| Hysterosalpingogram (74740) |
$397.32 |
$1,892 |
1.9× |
| Kidney funcj study non-img radioisotopic study (78725) |
$301.77 |
$1,437 |
0.8× |
| Kidney imaging morphology (78700) |
$425.88 |
$2,028 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$935.76 |
$4,456 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$777.21 |
$3,701 |
1.6× |
| Knee 3 views (73562) |
$159.39 |
$759 |
2.1× |
| Liver & spleen imaging static only (78215) |
$408.87 |
$1,947 |
1.2× |
| Lung perfusion differential (78597) |
$361.41 |
$1,721 |
1.0× |
| Lymphoscintigraphy (78195) |
$807.45 |
$3,845 |
1.7× |
| Meckels Diverticulum (78290) |
$481.53 |
$2,293 |
1.4× |
| MRA head w & w/o contrast (70546) |
$2,148.51 |
$10,231 |
6.9× |
| MRA head w/o contrast (70544) |
$1,939.98 |
$9,238 |
9.2× |
| MRA neck w contrast (70548) |
$2,051.91 |
$9,771 |
6.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,307.90 |
$10,990 |
7.4× |
| MRA neck w/o contrast (70547) |
$1,708.98 |
$8,138 |
8.1× |
| MRI abdomen w contrast (74182) |
$2,752.26 |
$13,106 |
8.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,217.22 |
$20,082 |
13.6× |
| MRI abdomen w/o contrast (74181) |
$2,477.79 |
$11,799 |
11.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,869 |
$8,900 |
2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,022.70 |
$4,870 |
1.5× |
| MRI c-spine with contrast (72142) |
$2,425.08 |
$11,548 |
7.8× |
| MRI cervical spine w/o contrast (72141) |
$2,874.69 |
$13,689 |
13.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,249.08 |
$5,948 |
4.0× |
| MRI chest w/o contrast (71550) |
$2,752.26 |
$13,106 |
13.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,022.70 |
$4,870 |
3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,022.70 |
$4,870 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$903.63 |
$4,303 |
4.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,251.22 |
$15,482 |
15.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,939.98 |
$9,238 |
6.3× |
| MRI pelvis w contrast (72196) |
$2,752.26 |
$13,106 |
8.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,217.22 |
$20,082 |
13.6× |
| MRI pelvis w/o contrast (72195) |
$1,708.98 |
$8,138 |
8.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,249.08 |
$5,948 |
4.0× |
| MRI scan of leg joint before and after contrast (73723) |
$2,078.58 |
$9,898 |
6.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,016.04 |
$19,124 |
13.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,145.57 |
$10,217 |
6.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,016.04 |
$19,124 |
13.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,145.57 |
$10,217 |
6.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,461.85 |
$16,485 |
11.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,875.53 |
$13,693 |
13.6× |
| MRI tmj (70336) |
$1,592.64 |
$7,584 |
7.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,323.23 |
$11,063 |
11.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,097.08 |
$14,748 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$947.52 |
$4,512 |
4.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,420.50 |
$21,050 |
3.8× |
| Neck soft tissue (70360) |
$253.26 |
$1,206 |
3.3× |
| Nm cisternogram (78630) |
$1,124.97 |
$5,357 |
2.3× |
| Nm gastric emptying study (78264) |
$816.90 |
$3,890 |
2.3× |
| Nm gastroesophageal reflux study (78262) |
$613.41 |
$2,921 |
1.7× |
| Nm peritoneal-venous shunt patency (78291) |
$571.62 |
$2,722 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$407.19 |
$1,939 |
1.1× |
| Osseous survey infant (77076) |
$198.03 |
$943 |
2.1× |
| Parathyrd planar w/wo subtrj (78071) |
$1,217.79 |
$5,799 |
3.4× |
| Parathyroid imaging (78070) |
$953.40 |
$4,540 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$296.94 |
$1,414 |
3.2× |
| PET image w/CT, skull-thigh (78815) |
$4,077.99 |
$19,419 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,077.99 |
$19,419 |
3.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,097.08 |
$14,748 |
10.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$823.83 |
$3,923 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,619.73 |
$7,713 |
3.4× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$698.62 |
$3,326.75 |
0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$415.80 |
$1,980 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$358.68 |
$1,708 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$358.68 |
$1,708 |
3.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$345.45 |
$1,645 |
3.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$330.96 |
$1,576 |
3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$358.68 |
$1,708 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$225.54 |
$1,074 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$302.40 |
$1,440 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$281.61 |
$1,341 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$382.83 |
$1,823 |
2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$195.93 |
$933 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$570.36 |
$2,716 |
3.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$570.36 |
$2,716 |
3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$246.75 |
$1,175 |
3.2× |
| Radiological examination surgical specimen (76098) |
$362.88 |
$1,728 |
0.7× |
| Ribs bilateral 3 views (71110) |
$337.05 |
$1,605 |
3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$898.38 |
$4,278 |
2.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$976.50 |
$4,650 |
2.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,425.69 |
$6,789 |
3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,054.20 |
$5,020 |
0.9× |
| Scanogram (77073) |
$297.57 |
$1,417 |
3.2× |
| Scapula complete (73010) |
$208.53 |
$993 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$27.51 |
$131 |
1.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$308.28 |
$1,468 |
3.3× |
| Simulation intermediate (77285) |
$636.09 |
$3,029 |
1.9× |
| Small bowel series (74250) |
$466.83 |
$2,223 |
3.0× |
| Speech evaluation complex (70371) |
$199.29 |
$949 |
0.9× |
| Testicular Imaging With Vascular Flow (78761) |
$416.64 |
$1,984 |
1.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$636.09 |
$3,029 |
1.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$244.44 |
$1,164 |
2.0× |
| Thoracolumbar 2 views (72080) |
$156.24 |
$744 |
2.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$885.15 |
$4,215 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$658.77 |
$3,137 |
1.9× |
| Treatment devices simple (77332) |
$467.67 |
$2,227 |
3.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,283.52 |
$6,112 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$568.47 |
$2,707 |
1.6× |
| Tx devices design & construction complex (77334) |
$467.67 |
$2,227 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$618.03 |
$2,943 |
6.7× |
| Unlisted fluoroscopic procedure (76496) |
$59.85 |
$285 |
0.8× |
| Upper Extremity Infant (73092) |
$132.30 |
$630 |
1.4× |
| Urethrocystography retrograde rs&i (74450) |
$283.50 |
$1,350 |
1.3× |
| Urethrocystography voiding (74455) |
$571.83 |
$2,723 |
2.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$628.53 |
$2,993 |
4.0× |
| Us breast unilateral complete (76641) |
$301.98 |
$1,438 |
3.3× |
| Us breast unilateral limited (76642) |
$301.98 |
$1,438 |
3.9× |
| Us chest (76604) |
$91.98 |
$438 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$458.22 |
$2,182 |
4.9× |
| Us guided compression repair (76936) |
$196.35 |
$935 |
1.0× |
| Us infant hips dynamic (76885) |
$355.53 |
$1,693 |
4.6× |
| Us ob transvaginal (76817) |
$384.51 |
$1,831 |
4.1× |
| Us pelvic non ob complete (76856) |
$625.38 |
$2,978 |
6.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$497.91 |
$2,371 |
5.4× |
| Us pregnancy ltd (76815) |
$72.45 |
$345 |
0.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$643.02 |
$3,062 |
6.9× |
| Us retroperitoneal complete (76770) |
$538.65 |
$2,565 |
5.8× |
| Us retroperitoneal limited (76775) |
$361.41 |
$1,721 |
3.9× |
| Us scrotum and contents (76870) |
$691.74 |
$3,294 |
7.5× |
| Us soft tissue head/neck (76536) |
$521.22 |
$2,482 |
5.6× |
| Us spinal canal and contents (76800) |
$263.55 |
$1,255 |
2.8× |
| Us transrectal (76872) |
$91.98 |
$438 |
1.0× |
| Us xtr non-vasc lmtd (76882) |
$458.22 |
$2,182 |
4.9× |
| Venogram extremity bilateral (75822) |
$1,053.57 |
$5,017 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,800.14 |
$13,334 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$2,639.28 |
$12,568 |
1.9× |
| Venography extremity unilateral rs&i (75820) |
$1,189.65 |
$5,665 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,096.64 |
$9,984 |
0.7× |
| Wrist 2 views (73100) |
$199.50 |
$950 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$180.81 |
$861 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$286.23 |
$1,363 |
3.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$252.63 |
$1,203 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$701.82 |
$3,342 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$196.56 |
$936 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$256.41 |
$1,221 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$184.38 |
$878 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$249.27 |
$1,187 |
3.2× |
| X-ray exam hip uni 4/> views (73503) |
$374.01 |
$1,781 |
4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$345.45 |
$1,645 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$690.90 |
$3,290 |
7.4× |
| X-ray exam of femur 1 (73551) |
$55.65 |
$265 |
0.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$635.46 |
$3,026 |
4.1× |
| X-ray eye for foreign body (70030) |
$254.10 |
$1,210 |
3.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$365.82 |
$1,742 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$274.89 |
$1,309 |
3.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$236.67 |
$1,127 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,337.49 |
$6,369 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$227.64 |
$1,084 |
2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$212.94 |
$1,014 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$304.29 |
$1,449 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$107.52 |
$512 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$132.30 |
$630 |
1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$373.38 |
$1,778 |
4.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$376.53 |
$1,793 |
4.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$255.15 |
$1,215 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$250.11 |
$1,191 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$232.47 |
$1,107 |
2.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$496.02 |
$2,362 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$229.53 |
$1,093 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$107.52 |
$512 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$180.81 |
$861 |
1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$155.40 |
$740 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$276.99 |
$1,319 |
3.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$284.13 |
$1,353 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$409.92 |
$1,952 |
5.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$212.94 |
$1,014 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$430.71 |
$2,051 |
4.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$343.35 |
$1,635 |
3.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$198.66 |
$946 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$129.36 |
$616 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$255.57 |
$1,217 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$363.30 |
$1,730 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$201.39 |
$959 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$259.77 |
$1,237 |
3.4× |
| Xr arthrogram ankle (73615) |
$603.75 |
$2,875 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$487.62 |
$2,322 |
5.3× |
| Xr chest 4+ views (71048) |
$228.27 |
$1,087 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$196.56 |
$936 |
2.5× |
| Xr shoulder 1 view (73020) |
$202.23 |
$963 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$392.07 |
$1,867 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$225.75 |
$1,075 |
2.9× |
| Xr tmj bilateral (70330) |
$194.25 |
$925 |
2.5× |
| Xray knee 1 or 2 views rt (73560) |
$207.06 |
$986 |
2.7× |