| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,082.21 |
$11,033 |
2.8× |
| Abdomen 2 views (74019) |
$259.74 |
$702 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$903.91 |
$2,443 |
2.2× |
| Angiography extremity bilateral rs&i (75716) |
$1,192.14 |
$3,222 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$2,259.59 |
$6,107 |
0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,575.46 |
$4,258 |
0.5× |
| Ankle 2 views (73600) |
$152.07 |
$411 |
1.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$263.44 |
$712 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,259.59 |
$6,107 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,259.59 |
$6,107 |
0.7× |
| Arthrogram elbow (73085) |
$313.76 |
$848 |
0.9× |
| Arthrogram hip (73525) |
$370.37 |
$1,001 |
1.0× |
| Arthrogram shoulder (73040) |
$392.94 |
$1,062 |
1.1× |
| Arthrogram wrist (73115) |
$313.76 |
$848 |
0.9× |
| Arthrography knee lt (73580) |
$313.76 |
$848 |
0.9× |
| Basic radiation dosimetry calculation (77300) |
$427.35 |
$1,155 |
3.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$768.49 |
$2,077 |
1.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,226.55 |
$3,315 |
3.0× |
| Bone &/joint imaging whole body (78306) |
$1,279.46 |
$3,458 |
3.1× |
| Bone age studies (77072) |
$125.80 |
$340 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$1,706.07 |
$4,611 |
4.1× |
| Bone survey complete (77075) |
$558.70 |
$1,510 |
5.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$487.66 |
$1,318 |
0.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,468.16 |
$3,968 |
3.5× |
| Cervical spine 2 or 3 views (72040) |
$250.12 |
$676 |
2.8× |
| Chest 1 view (71045) |
$141.34 |
$382 |
1.6× |
| Chest 3 views (71047) |
$254.93 |
$689 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$320.42 |
$866 |
1.8× |
| Cineradiography/videoradiography (76120) |
$131.35 |
$355 |
1.2× |
| Clavicle complete (73000) |
$218.67 |
$591 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,481.66 |
$4,004.50 |
13.6× |
| Continuing medical physics consltj pr wk (77336) |
$617.16 |
$1,668 |
4.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,016.24 |
$8,152 |
8.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,461.98 |
$6,654 |
9.9× |
| CT abdomen w contrast (74160) |
$1,830.39 |
$4,947 |
10.0× |
| CT abdomen w wo contrast (74170) |
$2,244.42 |
$6,066 |
12.3× |
| CT abdomen w/o contrast (74150) |
$1,743.81 |
$4,713 |
16.1× |
| CT angiography upper extremity lt (73206) |
$1,214.34 |
$3,282 |
6.7× |
| CT c-spine w/o contrast (72125) |
$1,309.43 |
$3,539 |
12.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,768.60 |
$4,780 |
9.7× |
| CT cervical spine with contrast (72126) |
$1,183.26 |
$3,198 |
3.3× |
| CT chest w/wo contrast (71270) |
$2,244.42 |
$6,066 |
12.3× |
| CT chest with contrast (71260) |
$1,595.81 |
$4,313 |
8.8× |
| CT head/brain with contrast (70460) |
$1,402.67 |
$3,791 |
7.7× |
| CT head/brain without and with contrast (70470) |
$1,685.35 |
$4,555 |
9.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,094.83 |
$2,959 |
3.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$113.22 |
$306 |
1.3× |
| CT iac w contrast (70481) |
$1,424.50 |
$3,850 |
7.8× |
| CT limited/localized follow up study (76380) |
$462.87 |
$1,251 |
5.1× |
| CT lower ext w/o (73700) |
$1,625.41 |
$4,393 |
15.0× |
| CT lower extremity w wo contrast (73702) |
$1,697.93 |
$4,589 |
9.3× |
| CT lower extremity with contrast (73701) |
$1,574.72 |
$4,256 |
8.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,517.37 |
$4,101 |
8.3× |
| CT lumbar spine w/o contrast (72131) |
$1,421.54 |
$3,842 |
13.1× |
| CT lumbar spine with contrast (72132) |
$1,402.30 |
$3,790 |
3.9× |
| CT maxillofacial w contrast (70487) |
$1,319.42 |
$3,566 |
7.2× |
| CT maxillofacial w/o contrast (70486) |
$1,214.34 |
$3,282 |
11.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,529.21 |
$4,133 |
8.4× |
| CT neck soft tissue w contrast (70491) |
$1,427.46 |
$3,858 |
7.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,528.47 |
$4,131 |
8.4× |
| CT orbits w/o contrast (70480) |
$1,402.67 |
$3,791 |
12.9× |
| CT pelvis w & w/o contrast (72194) |
$1,674.99 |
$4,527 |
9.2× |
| CT pelvis w/o contrast (72192) |
$1,539.20 |
$4,160 |
14.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,559.92 |
$4,216 |
8.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,364.56 |
$3,688 |
12.6× |
| CT thoracic spine w/contrast (72129) |
$1,386.76 |
$3,748 |
7.6× |
| CT thoracic spine w/o contrast (72128) |
$1,485.55 |
$4,015 |
13.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,517.37 |
$4,101 |
8.3× |
| CT thorax w/o contrast (71250) |
$1,503.68 |
$4,064 |
13.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,361.60 |
$3,680 |
7.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,359.75 |
$3,675 |
12.5× |
| CT upper extremity with contrast (73201) |
$1,104.08 |
$2,984 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,935.47 |
$5,231 |
10.6× |
| Cta Abdomen (74175) |
$1,989.49 |
$5,377 |
10.9× |
| CTA abdomen pelvis (74174) |
$2,631.26 |
$7,111.50 |
7.3× |
| CTA chest (71275) |
$1,768.97 |
$4,781 |
9.7× |
| Cta Head (70496) |
$1,017.87 |
$2,751 |
5.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,134.05 |
$3,065 |
3.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,323.49 |
$3,577 |
7.3× |
| Cta Neck (70498) |
$1,420.80 |
$3,840 |
7.8× |
| Cta Pelvis (72191) |
$1,454.84 |
$3,932 |
8.0× |
| Cystography minimum 3 views rs&i (74430) |
$251.97 |
$681 |
0.7× |
| Diskogram cervical (72285) |
$799.57 |
$2,161 |
0.4× |
| Diskography lumbar (72295) |
$994.56 |
$2,688 |
0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$112.11 |
$303 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$321.53 |
$869 |
3.0× |
| Echoencephalography real time imaging (76506) |
$216.45 |
$585 |
2.0× |
| Esophagus (74220) |
$350.39 |
$947 |
1.9× |
| Fetal biophysical profile non-stress testing (76818) |
$332.08 |
$897.50 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$518 |
$1,400 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$399.97 |
$1,081 |
1.6× |
| Foot 2 views (73620) |
$185 |
$500 |
2.0× |
| Forearm 2 views (73090) |
$190.92 |
$516 |
2.1× |
| Gated Heart Planar Single (78472) |
$1,362.71 |
$3,683 |
3.3× |
| Hand 2 views (73120) |
$172.42 |
$466 |
1.6× |
| Hand 3 views (73130) |
$270.10 |
$730 |
3.0× |
| Heart Infarct Image (78466) |
$447.70 |
$1,210 |
1.1× |
| Heart infarct image w ef (78468) |
$447.70 |
$1,210 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,278.72 |
$3,456 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$963.48 |
$2,604 |
2.3× |
| Ht muscle image spect sing (78451) |
$1,689.42 |
$4,566 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$229.03 |
$619 |
2.5× |
| Hysterosalpingogram (74740) |
$325.97 |
$881 |
1.3× |
| Image fusion (77399) |
$277.13 |
$749 |
2.0× |
| Interstitial radiation source applic complex (77778) |
$4,690.12 |
$12,676 |
6.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,095.94 |
$2,962 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,322.75 |
$3,575 |
2.3× |
| Knee 3 views (73562) |
$252.34 |
$682 |
2.8× |
| Liver & spleen imaging static only (78215) |
$744.81 |
$2,013 |
1.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$783.29 |
$2,117 |
1.9× |
| Liver imaging static only (78201) |
$358.53 |
$969 |
0.6× |
| Lung perfusion differential (78597) |
$912.05 |
$2,465 |
2.2× |
| Lymphoscintigraphy (78195) |
$854.70 |
$2,310 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$6,164.94 |
$16,662 |
15.9× |
| Mr safety determination physician/other qhp (76016) |
$280.83 |
$759 |
3.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$189.44 |
$512 |
3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$78.44 |
$212 |
2.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$292.67 |
$791 |
3.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$770.71 |
$2,083 |
3.1× |
| MRA head w & w/o contrast (70546) |
$1,880.34 |
$5,082 |
5.2× |
| MRA head w/o contrast (70544) |
$1,841.12 |
$4,976 |
7.4× |
| MRA head with contrast (70545) |
$1,889.22 |
$5,106 |
5.2× |
| MRA neck w contrast (70548) |
$1,676.47 |
$4,531 |
4.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,810.41 |
$4,893 |
5.0× |
| MRA neck w/o contrast (70547) |
$1,576.20 |
$4,260 |
6.4× |
| MRI abdomen w contrast (74182) |
$1,738.63 |
$4,699 |
4.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,459.76 |
$6,648 |
6.8× |
| MRI abdomen w/o contrast (74181) |
$1,768.97 |
$4,781 |
7.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,455.32 |
$6,636 |
3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,732.34 |
$4,682 |
2.1× |
| MRI bone marrow blood supply (77084) |
$1,484.81 |
$4,013 |
6.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,919.56 |
$5,188 |
7.7× |
| MRI breast w/o contrast unilat (77046) |
$1,282.42 |
$3,466 |
5.2× |
| MRI c-spine with contrast (72142) |
$2,625.89 |
$7,097 |
7.2× |
| MRI cervical spine w/o contrast (72141) |
$2,474.93 |
$6,689 |
10.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,282.53 |
$6,169 |
6.3× |
| MRI chest w/o contrast (71550) |
$1,877.01 |
$5,073 |
7.6× |
| MRI chest with contrast (71551) |
$1,794.87 |
$4,851 |
2.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,454.47 |
$3,931 |
4.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,496.65 |
$4,045 |
4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,562.14 |
$4,222 |
6.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,126.76 |
$5,748 |
8.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,660.30 |
$7,190 |
7.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,238.13 |
$6,049 |
6.2× |
| MRI pelvis w contrast (72196) |
$1,963.96 |
$5,308 |
5.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,163.76 |
$5,848 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,803.38 |
$4,874 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,606.54 |
$4,342 |
4.4× |
| MRI scan of leg joint before and after contrast (73723) |
$2,990.71 |
$8,083 |
8.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,070.63 |
$8,299 |
8.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,663.26 |
$7,198 |
7.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,074.70 |
$8,310 |
8.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,663.26 |
$7,198 |
7.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,955.19 |
$7,987 |
8.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,506.38 |
$6,774 |
10.1× |
| MRI tmj (70336) |
$1,674.62 |
$4,526 |
6.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,648.72 |
$4,456 |
6.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,958.41 |
$5,293 |
5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,412.66 |
$3,818 |
5.7× |
| Myelogram Cervical (72240) |
$497.28 |
$1,344 |
0.6× |
| Myelogram Lumbar (72265) |
$522.07 |
$1,411 |
0.6× |
| Myelogram thoracic (72255) |
$497.28 |
$1,344 |
0.6× |
| Myelography 2 or more regions (72270) |
$576.09 |
$1,557 |
0.7× |
| Myocardial infarct spect (78469) |
$1,313.87 |
$3,551 |
2.3× |
| Myocardial Spect Multiple Studies (78452) |
$2,831.61 |
$7,653 |
2.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,629.85 |
$4,405 |
1.8× |
| Neck soft tissue (70360) |
$183.89 |
$497 |
2.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$185 |
$500 |
0.4× |
| Nm gastric emptying study (78264) |
$1,230.25 |
$3,325 |
3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,492.65 |
$14,845 |
3.8× |
| Nuclear medicine of heart pumping function (78473) |
$1,468.16 |
$3,968 |
3.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$987.53 |
$2,669 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$1,253.93 |
$3,389 |
5.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$243.46 |
$658 |
2.2× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$119.88 |
$324 |
1.1× |
| Osseous survey infant (77076) |
$157.25 |
$425 |
1.4× |
| Osseous survey limited (77074) |
$558.70 |
$1,510 |
5.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,006.03 |
$2,719 |
1.8× |
| Parathyroid imaging (78070) |
$723.35 |
$1,955 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$182.78 |
$494 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$3,475.41 |
$9,393 |
2.3× |
| PET imaging CT for attenuation limited area (78814) |
$4,154.36 |
$11,228 |
2.8× |
| PET imaging for CT attenuation whole body (78816) |
$3,721.83 |
$10,059 |
2.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,852.59 |
$5,007 |
5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$832.13 |
$2,249 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$320.05 |
$865 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$505.79 |
$1,367 |
5.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$234.95 |
$635 |
2.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$252.34 |
$682 |
2.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$290.08 |
$784 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$478.78 |
$1,294 |
4.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,425.41 |
$44,393 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$770.71 |
$2,083 |
1.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$524.29 |
$1,417 |
4.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$629 |
$1,700 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$297.48 |
$804 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$185.37 |
$501 |
2.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$219.41 |
$593 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$362.60 |
$980 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$522.81 |
$1,413 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$525.03 |
$1,419 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$287.86 |
$778 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$253.08 |
$684 |
2.8× |
| Radiological examination surgical specimen (76098) |
$116.92 |
$316 |
0.2× |
| Ribs bilateral 3 views (71110) |
$313.02 |
$846 |
2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$876.53 |
$2,369 |
2.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,199.54 |
$3,242 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,077.44 |
$2,912 |
1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,820.62 |
$10,326 |
2.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,569.02 |
$9,646 |
2.7× |
| Rp Therapy Intravenous Administration (79101) |
$1,770.08 |
$4,784 |
7.3× |
| Sacroiliac Joints < 3 Views (72200) |
$246.79 |
$667 |
2.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$369.26 |
$998 |
1.5× |
| Scanogram (77073) |
$162.43 |
$439 |
1.5× |
| Scapula complete (73010) |
$201.65 |
$545 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$28.86 |
$78 |
1.2× |
| Sella turcica (70240) |
$181.67 |
$491 |
2.0× |
| Sialogram (70390) |
$318.20 |
$860 |
1.3× |
| Small bowel series (74250) |
$365.56 |
$988 |
2.0× |
| Spec medical radj physics consltj (77370) |
$487.29 |
$1,317 |
3.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,233.21 |
$3,333 |
3.2× |
| Special dosimetry (77331) |
$642.32 |
$1,736 |
4.6× |
| Special treatment procedure (77470) |
$1,802.64 |
$4,872 |
3.1× |
| Spine thoracic 3 views (72072) |
$345.95 |
$935 |
3.2× |
| Stereotactic body radiation delivery (77373) |
$4,625.74 |
$12,502 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,869.72 |
$7,756 |
7.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,418.21 |
$3,833 |
3.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,017.50 |
$2,750 |
7.3× |
| Thoracolumbar 2 views (72080) |
$314.13 |
$849 |
3.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,175.12 |
$3,176 |
2.1× |
| Thyroid uptake measurement (78012) |
$377.40 |
$1,020 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$919.08 |
$2,484 |
2.2× |
| Tmj unilateral (70328) |
$181.67 |
$491 |
2.0× |
| Tomogram (76100) |
$431.05 |
$1,165 |
4.0× |
| Treatment device intermediate (77333) |
$617.16 |
$1,668 |
4.4× |
| Treatment devices simple (77332) |
$404.78 |
$1,094 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,220.26 |
$3,298 |
2.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$564.25 |
$1,525 |
1.4× |
| Tx devices design & construction complex (77334) |
$863.58 |
$2,334 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$303.03 |
$819 |
2.8× |
| Umbilical-artery Doppler (OB) (76820) |
$129.50 |
$350 |
1.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$66.23 |
$179 |
0.7× |
| Unlisted magnetic resonance procedure (76498) |
$2,638.47 |
$7,131 |
29.2× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$332.63 |
$899 |
0.8× |
| Upper Extremity Infant (73092) |
$158.36 |
$428 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$257.52 |
$696 |
1.0× |
| Urethrocystography voiding (74455) |
$257.52 |
$696 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$519.11 |
$1,403 |
2.9× |
| Us abdl aorta screen aaa (76706) |
$233.47 |
$631 |
2.2× |
| Us breast unilateral complete (76641) |
$216.82 |
$586 |
2.0× |
| Us breast unilateral limited (76642) |
$138.75 |
$375 |
1.5× |
| Us chest (76604) |
$222.92 |
$602.50 |
2.1× |
| Us infant hips dynamic (76885) |
$172.42 |
$466 |
1.9× |
| Us ob detailed single fetus (76811) |
$398.86 |
$1,078 |
1.6× |
| Us ob transvaginal (76817) |
$405.52 |
$1,096 |
3.7× |
| Us pelvic non ob complete (76856) |
$425.50 |
$1,150 |
3.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$173.90 |
$470 |
1.6× |
| Us pregnancy ltd (76815) |
$254.19 |
$687 |
2.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$290.64 |
$785.50 |
2.7× |
| Us retroperitoneal complete (76770) |
$344.10 |
$930 |
3.2× |
| Us retroperitoneal limited (76775) |
$275.65 |
$745 |
2.5× |
| Us scrotum and contents (76870) |
$400.34 |
$1,082 |
3.7× |
| Us soft tissue head/neck (76536) |
$247.34 |
$668.50 |
2.3× |
| Us spinal canal and contents (76800) |
$344.10 |
$930 |
3.2× |
| Us transrectal (76872) |
$355.38 |
$960.50 |
3.3× |
| Us xtr non-vasc lmtd (76882) |
$321.53 |
$869 |
3.0× |
| Vascular flow imaging (78445) |
$358.53 |
$969 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,259.59 |
$6,107 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$2,551.15 |
$6,895 |
1.6× |
| Wrist 2 views (73100) |
$159.84 |
$432 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$318.94 |
$862 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$229.03 |
$619 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$239.76 |
$648 |
2.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$586.82 |
$1,586 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$181.30 |
$490 |
2.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$234.95 |
$635 |
2.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$229.40 |
$620 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$97.31 |
$263 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$202.02 |
$546 |
2.2× |
| X-ray exam of femur 1 (73551) |
$97.31 |
$263 |
1.1× |
| X-ray eye for foreign body (70030) |
$159.84 |
$432 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$325.60 |
$880 |
3.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$181.67 |
$491 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$268.25 |
$725 |
3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$163.54 |
$442 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$181.67 |
$491 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$266.40 |
$720 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$176.49 |
$477 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$158.36 |
$428 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$310.06 |
$838 |
2.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$452.14 |
$1,222 |
4.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$411.07 |
$1,111 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$243.46 |
$658 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$264.18 |
$714 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$256.41 |
$693 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$189.44 |
$512 |
1.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$475.45 |
$1,285 |
0.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$293.78 |
$794 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$225.70 |
$610 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$271.58 |
$734 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$329.67 |
$891 |
3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$205.35 |
$555 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$167.24 |
$452 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$166.13 |
$449 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$317.09 |
$857 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$178.34 |
$482 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$342.25 |
$925 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$236.43 |
$639 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$171.31 |
$463 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$189.07 |
$511 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$214.23 |
$579 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$314.13 |
$849 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$190.92 |
$516 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$239.76 |
$648 |
2.7× |
| Xr arthrogram ankle (73615) |
$313.76 |
$848 |
0.9× |
| Xr c-spine 6 or more views (72052) |
$455.84 |
$1,232 |
4.2× |
| Xr chest 4+ views (71048) |
$281.20 |
$760 |
2.6× |
| Xr finger(s) 2+ views (73140) |
$160.95 |
$435 |
1.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$181.67 |
$491 |
1.7× |
| Xr shoulder 1 view (73020) |
$158.36 |
$428 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$408.11 |
$1,103 |
3.8× |
| Xr tibia/fibula 2 views (73590) |
$224.59 |
$607 |
2.5× |
| Xr tmj bilateral (70330) |
$258.63 |
$699 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$212.38 |
$574 |
2.4× |