| 3-D radiotherapy plan dose-volume histograms (77295) |
$38,573.89 |
$38,573.89 |
27.7× |
| Abdomen 2 views (74019) |
$1,214.18 |
$1,214.18 |
11.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$7,636.15 |
$7,636.15 |
19.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$14,937.86 |
$14,937.86 |
4.7× |
| Angiography extremity bilateral rs&i (75716) |
$14,937.86 |
$14,937.86 |
4.7× |
| Angiography extremity unilateral rs&i (75710) |
$14,937.86 |
$14,937.86 |
4.7× |
| Angiography internal mammary rs&i (75756) |
$9,331.51 |
$9,331.51 |
2.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$14,937.86 |
$14,937.86 |
2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,809.58 |
$10,809.58 |
3.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$14,937.86 |
$14,937.86 |
4.7× |
| Angiography Spinal Selective Rs&I (75705) |
$14,937.86 |
$14,937.86 |
2.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$14,937.86 |
$14,937.86 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,100.72 |
$4,100.72 |
1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$9,331.51 |
$9,331.51 |
2.9× |
| Ankle 2 views (73600) |
$890.41 |
$890.41 |
10.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,795.89 |
$2,795.89 |
8.0× |
| Aortogram thoracic (75605) |
$14,937.86 |
$14,937.86 |
2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$14,937.86 |
$14,937.86 |
4.7× |
| Aortography abdominal serialography rs&i (75625) |
$14,274.10 |
$14,274.10 |
4.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$8,939.73 |
$8,939.73 |
2.8× |
| Artery X-Rays Adrenal Gland (75731) |
$14,937.86 |
$14,937.86 |
4.7× |
| Arthrogram elbow (73085) |
$2,315.06 |
$2,315.06 |
6.6× |
| Arthrogram hip (73525) |
$3,202.25 |
$3,202.25 |
9.1× |
| Arthrogram shoulder (73040) |
$3,506.60 |
$3,506.60 |
10.0× |
| Arthrogram wrist (73115) |
$2,315.06 |
$2,315.06 |
6.6× |
| Arthrography knee lt (73580) |
$2,366.88 |
$2,366.88 |
6.8× |
| Basic radiation dosimetry calculation (77300) |
$1,040.19 |
$1,040.19 |
7.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,598.93 |
$3,598.93 |
9.0× |
| Bone &/joint imaging whole body (78306) |
$7,165.30 |
$7,165.30 |
17.8× |
| Bone age studies (77072) |
$914.69 |
$914.69 |
8.7× |
| Bone Imaging 3 Phase (78315) |
$8,959.62 |
$8,959.62 |
22.3× |
| Bone Marrow Imaging Limited Area (78102) |
$3,268.46 |
$3,268.46 |
8.1× |
| Bone survey complete (77075) |
$2,964.28 |
$2,964.28 |
28.2× |
| Brain image w/flow 4 + views (78606) |
$7,786.81 |
$7,786.81 |
14.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,642.61 |
$4,642.61 |
13.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$6,155.98 |
$6,155.98 |
11.3× |
| Cervical spine 2 or 3 views (72040) |
$1,332.40 |
$1,332.40 |
15.2× |
| Chest 1 view (71045) |
$1,133.27 |
$1,133.27 |
13.0× |
| Chest 3 views (71047) |
$1,295.15 |
$1,295.15 |
14.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,349.06 |
$2,349.06 |
13.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,937.84 |
$1,937.84 |
2.5× |
| Clavicle complete (73000) |
$1,183.44 |
$1,183.44 |
13.5× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$164,516.56 |
$164,516.56 |
22.2× |
| Continuing medical physics consltj pr wk (77336) |
$1,608.49 |
$1,608.49 |
11.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$16,804.68 |
$16,804.68 |
48.0× |
| CT abdomen and pelvis without contrast (74176) |
$11,369.37 |
$11,369.37 |
47.4× |
| CT abdomen w contrast (74160) |
$8,798.40 |
$8,798.40 |
49.9× |
| CT abdomen w wo contrast (74170) |
$9,967.30 |
$9,967.30 |
56.6× |
| CT abdomen w/o contrast (74150) |
$6,547.08 |
$6,547.08 |
62.3× |
| CT angio hrt w/3d image (75574) |
$4,752.04 |
$4,752.04 |
13.6× |
| CT angiography upper extremity lt (73206) |
$8,812.30 |
$8,812.30 |
50.0× |
| CT c-spine w/o contrast (72125) |
$7,856.50 |
$7,856.50 |
74.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$6,741.70 |
$6,741.70 |
38.3× |
| CT cervical spine w&w/o contrast (72127) |
$10,617.39 |
$10,617.39 |
60.3× |
| CT cervical spine with contrast (72126) |
$8,795.31 |
$8,795.31 |
25.1× |
| CT chest w/wo contrast (71270) |
$10,439.04 |
$10,439.04 |
59.2× |
| CT chest with contrast (71260) |
$8,690.33 |
$8,690.33 |
49.3× |
| CT colonography screening (74263) |
$1,599.71 |
$1,599.71 |
6.7× |
| CT colonography w/dye (74262) |
$2,435.07 |
$2,435.07 |
13.8× |
| CT colonography w/o cntrst (74261) |
$1,599.71 |
$1,599.71 |
15.2× |
| CT head/brain with contrast (70460) |
$6,743.18 |
$6,743.18 |
38.3× |
| CT head/brain without and with contrast (70470) |
$8,863.26 |
$8,863.26 |
50.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,831.05 |
$2,831.05 |
8.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$767.43 |
$767.43 |
8.8× |
| CT hrt w/3d image congen (75573) |
$2,259.06 |
$2,259.06 |
6.4× |
| CT iac w contrast (70481) |
$9,148.92 |
$9,148.92 |
51.9× |
| CT limited/localized follow up study (76380) |
$2,775.56 |
$2,775.56 |
31.7× |
| CT lower ext w/o (73700) |
$6,249.06 |
$6,249.06 |
59.5× |
| CT lower extremity w wo contrast (73702) |
$7,031.93 |
$7,031.93 |
39.9× |
| CT lower extremity with contrast (73701) |
$6,639.72 |
$6,639.72 |
37.7× |
| CT lumbar spine w & w/o contrast (72133) |
$10,617.39 |
$10,617.39 |
60.3× |
| CT lumbar spine w/o contrast (72131) |
$7,856.50 |
$7,856.50 |
74.8× |
| CT lumbar spine with contrast (72132) |
$8,795.31 |
$8,795.31 |
25.1× |
| CT maxillofacial w contrast (70487) |
$7,433.40 |
$7,433.40 |
42.2× |
| CT maxillofacial w/o contrast (70486) |
$7,113.77 |
$7,113.77 |
67.7× |
| CT maxillofacial w/wo contrast (70488) |
$7,742.23 |
$7,742.23 |
43.9× |
| CT neck soft tissue w contrast (70491) |
$8,795.31 |
$8,795.31 |
49.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$10,378.02 |
$10,378.02 |
58.9× |
| CT orbits w/o contrast (70480) |
$8,542.09 |
$8,542.09 |
81.3× |
| CT pelvis w & w/o contrast (72194) |
$6,842.01 |
$6,842.01 |
38.8× |
| CT pelvis w/o contrast (72192) |
$4,822.30 |
$4,822.30 |
45.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,768.12 |
$9,768.12 |
55.4× |
| CT soft tissue neck w/o contrast (70490) |
$6,639.72 |
$6,639.72 |
63.2× |
| CT thoracic spine w/contrast (72129) |
$8,795.31 |
$8,795.31 |
49.9× |
| CT thoracic spine w/o contrast (72128) |
$7,856.50 |
$7,856.50 |
74.8× |
| CT thoracic spine w/wo contrast (72130) |
$10,617.39 |
$10,617.39 |
60.3× |
| CT thorax w/o contrast (71250) |
$6,686.04 |
$6,686.04 |
63.7× |
| CT unlisted procedure (76497) |
$1,945.60 |
$1,945.60 |
22.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$7,031.93 |
$7,031.93 |
39.9× |
| CT upper extremity w/o contrast rt (73200) |
$6,249.06 |
$6,249.06 |
59.5× |
| CT upper extremity with contrast (73201) |
$6,639.72 |
$6,639.72 |
18.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$11,749.21 |
$11,749.21 |
66.7× |
| Cta Abdomen (74175) |
$12,603.12 |
$12,603.12 |
71.5× |
| CTA abdomen pelvis (74174) |
$12,813.12 |
$12,813.12 |
36.6× |
| CTA chest (71275) |
$11,749.21 |
$11,749.21 |
66.7× |
| Cta Head (70496) |
$11,749.21 |
$11,749.21 |
66.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$17,873.72 |
$17,873.72 |
51.0× |
| CTA lwr ext w&w/o contrast (73706) |
$13,457.02 |
$13,457.02 |
76.4× |
| Cta Neck (70498) |
$11,749.21 |
$11,749.21 |
66.7× |
| Cta Pelvis (72191) |
$10,940.86 |
$10,940.86 |
62.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,858.53 |
$1,858.53 |
5.3× |
| Diskogram cervical (72285) |
$11,576.96 |
$11,576.96 |
5.9× |
| Diskography lumbar (72295) |
$8,493.40 |
$8,493.40 |
4.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$3,783 |
$3,783 |
36.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,828.98 |
$1,828.98 |
17.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$681.56 |
$681.56 |
6.5× |
| Echo exam of fetal heart (76825) |
$4,282.53 |
$4,282.53 |
7.8× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$3,323.22 |
$3,323.22 |
13.9× |
| Echoencephalography real time imaging (76506) |
$2,760.39 |
$2,760.39 |
26.3× |
| Esophagus (74220) |
$2,308.58 |
$2,308.58 |
13.1× |
| Fetal biophysical profile non-stress testing (76818) |
$2,905.40 |
$2,905.40 |
27.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,687.86 |
$2,687.86 |
25.6× |
| Fluoroscopy up to 1 hr (76000) |
$2,043.08 |
$2,043.08 |
8.5× |
| Foot 2 views (73620) |
$1,040.98 |
$1,040.98 |
11.9× |
| Forearm 2 views (73090) |
$1,152.68 |
$1,152.68 |
13.2× |
| Functional MRI brain by phys/psych (70555) |
$4,156.20 |
$4,156.20 |
17.3× |
| Functional MRI brain by tech (70554) |
$3,621.49 |
$3,621.49 |
15.1× |
| Gated Heart Planar Single (78472) |
$6,744.80 |
$6,744.80 |
16.8× |
| Hand 2 views (73120) |
$1,201.23 |
$1,201.23 |
11.4× |
| Hand 3 views (73130) |
$1,361.52 |
$1,361.52 |
15.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$2,633.71 |
$2,633.71 |
3.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$2,633.71 |
$2,633.71 |
3.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,633.71 |
$2,633.71 |
3.8× |
| Heart Infarct Image (78466) |
$3,776.97 |
$3,776.97 |
9.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$10,251.06 |
$10,251.06 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,497.59 |
$6,497.59 |
11.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,929.23 |
$4,929.23 |
12.3× |
| Ht muscle image spect sing (78451) |
$8,743.58 |
$8,743.58 |
6.7× |
| Humerus Min 2 Views Left (73060) |
$1,183.44 |
$1,183.44 |
13.5× |
| Hysterosalpingogram (74740) |
$2,580.56 |
$2,580.56 |
10.8× |
| Image fusion (77399) |
$14,304.70 |
$14,304.70 |
105.9× |
| Interstitial radiation source applic complex (77778) |
$17,453.56 |
$17,453.56 |
24.9× |
| Intracavitary Radiation Source Applic Complex (77763) |
$7,814.31 |
$7,814.31 |
11.2× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$5,489.88 |
$5,489.88 |
9.9× |
| Intracavitary radiation source applic simple (77761) |
$3,700.42 |
$3,700.42 |
6.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$4,533.74 |
$4,533.74 |
11.3× |
| Kidney imaging morphology (78700) |
$4,615.93 |
$4,615.93 |
11.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$5,665.48 |
$5,665.48 |
10.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$6,569.48 |
$6,569.48 |
12.0× |
| Knee 3 views (73562) |
$1,248.21 |
$1,248.21 |
14.3× |
| Liver & spleen imaging static only (78215) |
$6,182.56 |
$6,182.56 |
15.4× |
| Liver imaging w/vascular flow (78202) |
$5,151.83 |
$5,151.83 |
9.4× |
| Lung perf&ventilat diferentl (78598) |
$7,014.62 |
$7,014.62 |
12.9× |
| Lung perfusion differential (78597) |
$4,490.95 |
$4,490.95 |
11.2× |
| Lung Ventilation Imaging (78579) |
$4,484.11 |
$4,484.11 |
11.2× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$3,951.81 |
$3,951.81 |
1.2× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$1,979.70 |
$1,979.70 |
3.1× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$5,047.01 |
$5,047.01 |
3.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$3,679.81 |
$3,679.81 |
1.2× |
| Lymphoscintigraphy (78195) |
$8,177.19 |
$8,177.19 |
15.0× |
| Mammary ductogram or galactogram multiple (77054) |
$2,387.10 |
$2,387.10 |
10.0× |
| Mammary ductogram or galactogram single (77053) |
$1,797.02 |
$1,797.02 |
7.5× |
| Meckels Diverticulum (78290) |
$5,936 |
$5,936 |
14.8× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$1,689.07 |
$1,689.07 |
4.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,631.69 |
$1,631.69 |
4.3× |
| Mr elastography (76391) |
$999.75 |
$999.75 |
4.2× |
| Mr safety determination physician/other qhp (76016) |
$157.50 |
$157.50 |
1.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$157.50 |
$157.50 |
2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$78.75 |
$78.75 |
2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$78.75 |
$78.75 |
0.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,260 |
$1,260 |
5.3× |
| MRA head w & w/o contrast (70546) |
$8,730.24 |
$8,730.24 |
24.9× |
| MRA head w/o contrast (70544) |
$7,743.41 |
$7,743.41 |
32.3× |
| MRA head with contrast (70545) |
$7,026.28 |
$7,026.28 |
20.0× |
| MRA neck w contrast (70548) |
$7,026.28 |
$7,026.28 |
20.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,730.24 |
$8,730.24 |
24.9× |
| MRA neck w/o contrast (70547) |
$7,743.41 |
$7,743.41 |
32.3× |
| MRI abdomen w contrast (74182) |
$10,466.93 |
$10,466.93 |
29.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$13,856.12 |
$13,856.12 |
39.5× |
| MRI abdomen w/o contrast (74181) |
$10,466.93 |
$10,466.93 |
43.7× |
| MRI any jnt lwr ext with con lt (73722) |
$6,645.88 |
$6,645.88 |
8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$9,872.93 |
$9,872.93 |
12.5× |
| MRI bone marrow blood supply (77084) |
$7,481.49 |
$7,481.49 |
31.2× |
| MRI breast w/o contrast bilateral (77047) |
$3,830.61 |
$3,830.61 |
16.0× |
| MRI breast w/o contrast unilat (77046) |
$3,600.72 |
$3,600.72 |
15.0× |
| MRI c-spine with contrast (72142) |
$8,368.55 |
$8,368.55 |
23.9× |
| MRI cardiac w/o contrast (75557) |
$3,029.06 |
$3,029.06 |
12.6× |
| MRI cervical spine w/o contrast (72141) |
$7,123.71 |
$7,123.71 |
29.7× |
| MRI chest w/o & w/contrast material (71552) |
$11,893.37 |
$11,893.37 |
33.9× |
| MRI chest w/o contrast (71550) |
$9,366.27 |
$9,366.27 |
39.1× |
| MRI chest with contrast (71551) |
$8,501.05 |
$8,501.05 |
10.8× |
| MRI fetal sngl/1st gestation (74712) |
$9,585.09 |
$9,585.09 |
40.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$10,296.98 |
$10,296.98 |
29.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$10,296.98 |
$10,296.98 |
29.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$9,366.27 |
$9,366.27 |
39.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$9,029.54 |
$9,029.54 |
37.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,395.21 |
$10,395.21 |
29.7× |
| MRI orbit/face/neck w/contrast (70542) |
$9,097.37 |
$9,097.37 |
26.0× |
| MRI pelvis w contrast (72196) |
$6,237.44 |
$6,237.44 |
17.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,267.92 |
$7,267.92 |
20.7× |
| MRI pelvis w/o contrast (72195) |
$6,237.44 |
$6,237.44 |
26.0× |
| MRI scan of arm joint before and after contrast (73223) |
$10,816.13 |
$10,816.13 |
30.9× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$3,552.75 |
$3,552.75 |
4.5× |
| MRI scan of leg joint before and after contrast (73723) |
$7,897.72 |
$7,897.72 |
22.5× |
| MRI spectroscopy (76390) |
$8,142.49 |
$8,142.49 |
93.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$9,621.96 |
$9,621.96 |
27.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$9,477.76 |
$9,477.76 |
27.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$10,728.04 |
$10,728.04 |
30.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$10,573.71 |
$10,573.71 |
30.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,728.04 |
$10,728.04 |
30.6× |
| MRI thoracic spine w/o contrast (72146) |
$8,231.36 |
$8,231.36 |
34.3× |
| MRI tmj (70336) |
$4,985.58 |
$4,985.58 |
20.8× |
| MRI upper ext joint w/o contrast (73221) |
$8,929.78 |
$8,929.78 |
37.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$11,232.36 |
$11,232.36 |
32.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$9,366.27 |
$9,366.27 |
39.1× |
| Myelogram Cervical (72240) |
$6,542.09 |
$6,542.09 |
8.3× |
| Myelogram Lumbar (72265) |
$6,542.09 |
$6,542.09 |
8.3× |
| Myelogram thoracic (72255) |
$6,542.09 |
$6,542.09 |
8.3× |
| Myelography 2 or more regions (72270) |
$11,653.06 |
$11,653.06 |
14.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$6,643.61 |
$6,643.61 |
5.1× |
| Myocardial Spect Multiple Studies (78452) |
$12,683.53 |
$12,683.53 |
9.8× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$7,197.46 |
$7,197.46 |
5.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$7,197.46 |
$7,197.46 |
5.0× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$10,942 |
$10,942 |
4.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$13,373.01 |
$13,373.01 |
6.0× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$13,373.01 |
$13,373.01 |
8.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$6,725.25 |
$6,725.25 |
7.8× |
| Neck soft tissue (70360) |
$958.42 |
$958.42 |
11.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$1,589.06 |
$1,589.06 |
4.1× |
| Nm bone marrow multiple (78103) |
$4,949.79 |
$4,949.79 |
12.3× |
| Nm bone marrow wb (78104) |
$6,263.02 |
$6,263.02 |
15.6× |
| Nm cisternogram (78630) |
$6,543.78 |
$6,543.78 |
12.0× |
| Nm csf leak detection (78650) |
$7,721.73 |
$7,721.73 |
5.9× |
| Nm gastric emptying study (78264) |
$6,744.11 |
$6,744.11 |
16.8× |
| Nm gastroesophageal reflux study (78262) |
$6,744.11 |
$6,744.11 |
16.8× |
| Nm peritoneal-venous shunt patency (78291) |
$4,574.85 |
$4,574.85 |
11.4× |
| Nm whole blood volume (78122) |
$4,790.57 |
$4,790.57 |
8.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,721.29 |
$10,721.29 |
7.7× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$6,643.61 |
$6,643.61 |
4.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$11,555 |
$11,555 |
8.9× |
| Nuclear medicine of heart pumping function (78473) |
$9,299.60 |
$9,299.60 |
23.2× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$12,712.60 |
$12,712.60 |
8.8× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$6,643.61 |
$6,643.61 |
4.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$7,967.10 |
$7,967.10 |
6.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,960.30 |
$2,960.30 |
7.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$7,512.86 |
$7,512.86 |
18.7× |
| Nuclear Rx Oral Admin (79005) |
$5,036.26 |
$5,036.26 |
21.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,720.11 |
$2,720.11 |
25.9× |
| Osseous survey infant (77076) |
$1,503.99 |
$1,503.99 |
14.3× |
| Osseous survey limited (77074) |
$2,208.23 |
$2,208.23 |
21.0× |
| Parathyrd planar w/spect&CT (78072) |
$2,838.73 |
$2,838.73 |
5.2× |
| Parathyrd planar w/wo subtrj (78071) |
$2,838.73 |
$2,838.73 |
7.1× |
| Parathyroid imaging (78070) |
$6,182.56 |
$6,182.56 |
15.4× |
| Pelvis 1 or 2 views (72170) |
$1,028.02 |
$1,028.02 |
9.8× |
| Perineogram (74775) |
$1,672.34 |
$1,672.34 |
7.0× |
| Peritoneogram rs&i (74190) |
$3,202.25 |
$3,202.25 |
5.8× |
| PET image w/CT, skull-thigh (78815) |
$12,712.60 |
$12,712.60 |
8.8× |
| PET imaging CT for attenuation limited area (78814) |
$12,712.60 |
$12,712.60 |
8.8× |
| PET imaging for CT attenuation whole body (78816) |
$12,712.60 |
$12,712.60 |
8.8× |
| PET whole body (78813) |
$12,712.60 |
$12,712.60 |
8.8× |
| Pr csf ventriculography (78635) |
$5,365.84 |
$5,365.84 |
9.8× |
| Pr heart first pass single,planar (78481) |
$3,820.36 |
$3,820.36 |
7.0× |
| Pr MRI brain w/ dye (70558) |
$9,141.79 |
$9,141.79 |
51.9× |
| Pr MRI brain w/o & w/ dye (70559) |
$10,395.21 |
$10,395.21 |
59.0× |
| Pr MRI brain w/o dye (70557) |
$8,730.24 |
$8,730.24 |
15.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$12,113.19 |
$12,113.19 |
34.6× |
| Pr red cell survival study (78130) |
$4,448.14 |
$4,448.14 |
11.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$12,001.12 |
$12,001.12 |
3.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$10,251.06 |
$10,251.06 |
3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,615.93 |
$4,615.93 |
11.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$7,014.62 |
$7,014.62 |
12.9× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$2,500 |
$2,500 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,775.15 |
$1,775.15 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,000.49 |
$1,000.49 |
11.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,001.01 |
$2,001.01 |
19.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,340.48 |
$1,340.48 |
12.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$2,331.27 |
$2,331.27 |
22.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$738.24 |
$738.24 |
7.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,962.38 |
$1,962.38 |
3.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,237.18 |
$1,237.18 |
12.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,540.32 |
$1,540.32 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,745.20 |
$1,745.20 |
16.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,133.27 |
$1,133.27 |
13.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,156.39 |
$1,156.39 |
11.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,254.67 |
$1,254.67 |
14.4× |
| Radiologic exam colon single contrast study (74270) |
$3,059.78 |
$3,059.78 |
17.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$2,132.66 |
$2,132.66 |
12.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,632.88 |
$3,632.88 |
20.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,035.17 |
$3,035.17 |
17.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,220.67 |
$1,220.67 |
14.0× |
| Radiological examination surgical specimen (76098) |
$764.22 |
$764.22 |
1.4× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$29,090.98 |
$29,090.98 |
124.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$14,937.86 |
$14,937.86 |
4.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$12,001.12 |
$12,001.12 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$5,268.72 |
$5,268.72 |
13.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,006.28 |
$5,006.28 |
9.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,249.38 |
$4,249.38 |
7.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$5,980.14 |
$5,980.14 |
4.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$6,344.33 |
$6,344.33 |
4.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$5,672.86 |
$5,672.86 |
4.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$6,569.48 |
$6,569.48 |
28.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$6,774.94 |
$6,774.94 |
28.9× |
| Rp Therapy Intravenous Administration (79101) |
$3,501.32 |
$3,501.32 |
14.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,905.40 |
$2,905.40 |
12.1× |
| Salivary gland imaging (78230) |
$3,990.98 |
$3,990.98 |
9.9× |
| Scanogram (77073) |
$998.88 |
$998.88 |
9.5× |
| Scapula complete (73010) |
$1,301.62 |
$1,301.62 |
12.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$638.94 |
$638.94 |
6.1× |
| Sialogram (70390) |
$1,973.50 |
$1,973.50 |
8.2× |
| Simulation intermediate (77285) |
$3,170.56 |
$3,170.56 |
8.4× |
| Small bowel series (74250) |
$3,079.21 |
$3,079.21 |
17.5× |
| Spec medical radj physics consltj (77370) |
$1,970.19 |
$1,970.19 |
14.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$3,588.26 |
$3,588.26 |
9.5× |
| Special dosimetry (77331) |
$2,909.15 |
$2,909.15 |
21.5× |
| Special treatment procedure (77470) |
$6,012.20 |
$6,012.20 |
10.8× |
| Speech evaluation complex (70371) |
$385.30 |
$385.30 |
1.6× |
| Spine thoracic 3 views (72072) |
$1,725.78 |
$1,725.78 |
16.4× |
| Splenoportograpy rs&i (75810) |
$8,339.11 |
$8,339.11 |
2.6× |
| Superior sagittal sinus venogram (75870) |
$4,511.96 |
$4,511.96 |
1.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$1,540.13 |
$1,540.13 |
15.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,740.76 |
$3,740.76 |
9.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,654.88 |
$1,654.88 |
4.4× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$2,292.40 |
$2,292.40 |
9.6× |
| Testicular Imaging With Vascular Flow (78761) |
$2,605.88 |
$2,605.88 |
6.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$4,023.88 |
$4,023.88 |
10.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,152.79 |
$2,152.79 |
15.9× |
| Therapeutic Enema (74283) |
$2,821.80 |
$2,821.80 |
16.0× |
| Thoracolumbar 2 views (72080) |
$1,821.30 |
$1,821.30 |
20.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$7,211.53 |
$7,211.53 |
13.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,321.77 |
$1,321.77 |
3.3× |
| Thyroid uptake measurement (78012) |
$1,008.44 |
$1,008.44 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,052.87 |
$2,052.87 |
5.1× |
| Tomogram (76100) |
$3,202.25 |
$3,202.25 |
30.5× |
| Treatment device intermediate (77333) |
$2,033.44 |
$2,033.44 |
15.1× |
| Treatment devices simple (77332) |
$1,701.31 |
$1,701.31 |
12.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$7,757.71 |
$7,757.71 |
14.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,547.05 |
$3,547.05 |
8.8× |
| Tx devices design & construction complex (77334) |
$2,384.45 |
$2,384.45 |
6.3× |
| Ultrasound, abdomen limited (76705) |
$2,751.52 |
$2,751.52 |
26.2× |
| Umbilical-artery Doppler (OB) (76820) |
$1,828.98 |
$1,828.98 |
17.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$5,006.54 |
$5,006.54 |
57.3× |
| Unlisted magnetic resonance procedure (76498) |
$4,160.89 |
$4,160.89 |
47.6× |
| Unlisted Ultrasound Procedure (76999) |
$1,558.26 |
$1,558.26 |
17.8× |
| Upper Extremity Infant (73092) |
$1,028.02 |
$1,028.02 |
9.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,573.35 |
$2,573.35 |
6.4× |
| Urethrocystography retrograde rs&i (74450) |
$2,455.92 |
$2,455.92 |
10.2× |
| Urethrocystography voiding (74455) |
$2,043.08 |
$2,043.08 |
8.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,721.42 |
$2,721.42 |
15.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$3,636.12 |
$3,636.12 |
20.6× |
| Us abdl aorta screen aaa (76706) |
$862.12 |
$862.12 |
8.2× |
| Us breast unilateral complete (76641) |
$1,298.82 |
$1,298.82 |
12.4× |
| Us breast unilateral limited (76642) |
$747.72 |
$747.72 |
8.6× |
| Us chest (76604) |
$2,651.60 |
$2,651.60 |
25.2× |
| Us compl joint r-t w/image documentation (76881) |
$10,993.22 |
$10,993.22 |
104.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$2,905.40 |
$2,905.40 |
27.7× |
| Us guided compression repair (76936) |
$5,436.98 |
$5,436.98 |
25.1× |
| Us infant hips dynamic (76885) |
$2,760.39 |
$2,760.39 |
31.6× |
| Us infant hips limited static (76886) |
$2,301.13 |
$2,301.13 |
26.3× |
| Us kidney transplant (76776) |
$2,143.21 |
$2,143.21 |
20.4× |
| Us ob detailed single fetus (76811) |
$3,820.72 |
$3,820.72 |
15.9× |
| Us ob transvaginal (76817) |
$2,784.56 |
$2,784.56 |
26.5× |
| Us pelvic non ob complete (76856) |
$3,060.11 |
$3,060.11 |
29.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,830.59 |
$1,830.59 |
17.4× |
| Us pregnancy ltd (76815) |
$1,940.17 |
$1,940.17 |
18.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,060.11 |
$3,060.11 |
29.1× |
| Us retroperitoneal complete (76770) |
$3,135.85 |
$3,135.85 |
29.9× |
| Us retroperitoneal limited (76775) |
$1,060.33 |
$1,060.33 |
10.1× |
| Us scrotum and contents (76870) |
$2,484.83 |
$2,484.83 |
23.7× |
| Us soft tissue head/neck (76536) |
$2,934.41 |
$2,934.41 |
27.9× |
| Us spinal canal and contents (76800) |
$2,994.03 |
$2,994.03 |
28.5× |
| Us xtr non-vasc lmtd (76882) |
$2,602.48 |
$2,602.48 |
24.8× |
| Venogram extremity bilateral (75822) |
$9,331.51 |
$9,331.51 |
5.9× |
| Venogram orbital (75880) |
$1,979.70 |
$1,979.70 |
3.1× |
| Venography caval inferior serialography rs&i (75825) |
$12,134.68 |
$12,134.68 |
3.8× |
| Venography caval superior serialography rs&i (75827) |
$9,331.51 |
$9,331.51 |
5.9× |
| Venography epidural rs&i (75872) |
$1,595.26 |
$1,595.26 |
2.5× |
| Venography extremity unilateral rs&i (75820) |
$9,331.51 |
$9,331.51 |
5.9× |
| Venography Renal Bilateral (75833) |
$14,937.86 |
$14,937.86 |
4.7× |
| Venography renal unilateral selective rs&i (75831) |
$14,937.86 |
$14,937.86 |
4.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$9,331.51 |
$9,331.51 |
2.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$14,937.86 |
$14,937.86 |
2.7× |
| Vertebral fracture assessment via dxa (77086) |
$681.56 |
$681.56 |
7.8× |
| Wrist 2 views (73100) |
$1,003.73 |
$1,003.73 |
11.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,800.25 |
$1,800.25 |
17.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,288.66 |
$1,288.66 |
14.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,275.73 |
$1,275.73 |
14.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,969.62 |
$3,969.62 |
22.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,013.44 |
$1,013.44 |
11.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,361.52 |
$1,361.52 |
15.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,038.25 |
$2,038.25 |
19.4× |
| X-ray exam hip uni 1 view (73501) |
$760.89 |
$760.89 |
8.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,180.18 |
$1,180.18 |
13.5× |
| X-ray exam hip uni 4/> views (73503) |
$1,340.48 |
$1,340.48 |
12.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,130.51 |
$2,130.51 |
20.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,130.51 |
$2,130.51 |
20.3× |
| X-ray exam of femur 1 (73551) |
$760.89 |
$760.89 |
8.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,079.21 |
$3,079.21 |
17.5× |
| X-ray eye for foreign body (70030) |
$398.25 |
$398.25 |
4.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,725.78 |
$1,725.78 |
16.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$678.34 |
$678.34 |
7.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,275.73 |
$1,275.73 |
14.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$5,228.78 |
$5,228.78 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$935.74 |
$935.74 |
10.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$858.03 |
$858.03 |
9.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,390.68 |
$1,390.68 |
13.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$927.64 |
$927.64 |
10.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,028.02 |
$1,028.02 |
11.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,821.30 |
$1,821.30 |
17.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,554.67 |
$2,554.67 |
24.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,821.30 |
$1,821.30 |
17.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,028.02 |
$1,028.02 |
11.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,201.23 |
$1,201.23 |
13.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,351.82 |
$1,351.82 |
12.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,667.49 |
$1,667.49 |
15.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,648.58 |
$2,648.58 |
7.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,589.79 |
$1,589.79 |
15.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,156.41 |
$2,156.41 |
20.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,248.21 |
$1,248.21 |
11.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,255.48 |
$1,255.48 |
14.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,324.28 |
$1,324.28 |
15.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,593.04 |
$1,593.04 |
18.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$785.17 |
$785.17 |
9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,811.59 |
$1,811.59 |
17.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,117.05 |
$1,117.05 |
10.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$858.03 |
$858.03 |
9.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,361.52 |
$1,361.52 |
15.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,351.82 |
$1,351.82 |
15.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,635.12 |
$1,635.12 |
15.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$840.23 |
$840.23 |
9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,361.52 |
$1,361.52 |
15.6× |
| Xr arthrogram ankle (73615) |
$2,315.06 |
$2,315.06 |
6.6× |
| Xr c-spine 6 or more views (72052) |
$3,017.68 |
$3,017.68 |
28.7× |
| Xr chest 4+ views (71048) |
$1,651.30 |
$1,651.30 |
15.7× |
| Xr finger(s) 2+ views (73140) |
$836.99 |
$836.99 |
9.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$398.25 |
$398.25 |
3.8× |
| Xr shoulder 1 view (73020) |
$725.28 |
$725.28 |
8.3× |
| Xr spine cervical 4 or 5 views (72050) |
$2,331.27 |
$2,331.27 |
22.2× |
| Xr tibia/fibula 2 views (73590) |
$1,113.82 |
$1,113.82 |
12.7× |
| Xr tmj bilateral (70330) |
$1,745.20 |
$1,745.20 |
20.0× |
| Xray knee 1 or 2 views rt (73560) |
$1,117.05 |
$1,117.05 |
12.8× |