| Angiography extremity bilateral rs&i (75716) |
— |
$11,171.67 |
— |
| Cat Scan Follow-Up Study (76380) |
— |
$1,430.28 |
— |
| Cerebrospinal Fluid Scan (78630) |
— |
$2,455.14 |
— |
| Chest 1 view (71045) |
— |
$900.45 |
— |
| Chest 2 views (71046) |
— |
$1,129.26 |
— |
| Contrast X-Ray Bladder (74430) |
— |
$1,327.62 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$12,275.70 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$7,090.50 |
— |
| CT abdomen w contrast (74160) |
— |
$6,854.73 |
— |
| CT abdomen w wo contrast (74170) |
— |
$7,967.46 |
— |
| CT abdomen w/o contrast (74150) |
— |
$4,450.92 |
— |
| CT angio hrt w/3d image (75574) |
— |
$5,990.82 |
— |
| CT cervical spine w/o contrast (72125) |
— |
$6,104.79 |
— |
| CT chest w contrast (71260) |
— |
$6,564.15 |
— |
| CT chest w/wo contrast (71270) |
— |
$7,417.62 |
— |
| CT head/brain with contrast (70460) |
— |
$8,394.63 |
— |
| CT l-spine w&w/o contrast (72133) |
— |
$12,989.10 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$5,850.75 |
— |
| CT maxillofacial wo contrast (70486) |
— |
$6,814.71 |
— |
| CT neck tissue combo (70492) |
— |
$6,664.20 |
— |
| CT pelvis w&w/o contrast (72194) |
— |
$6,443.22 |
— |
| CT pelvis w/o contrast (72192) |
— |
$2,902.32 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$4,648.41 |
— |
| CT thorax w/o contrast (71250) |
— |
$3,347.76 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$5,213.91 |
— |
| Dilation ureters/urethra rs&i (74485) |
— |
$3,848.88 |
— |
| Discography Cerv/Thor Spine (72285) |
— |
$5,313.09 |
— |
| Diskography lumbar (72295) |
— |
$5,313.09 |
— |
| Esophagram (74220) |
— |
$1,288.47 |
— |
| Fetal Biophys Profile W/Nst (76818) |
— |
$2,395.11 |
— |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
— |
$2,395.11 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$946.56 |
— |
| Gastric emptying imaging study (78264) |
— |
$4,639.71 |
— |
| Heart first pass single,planar (78481) |
— |
$2,364.66 |
— |
| Ht Muscle Image Spect Sing (78451) |
— |
$12,017.31 |
— |
| Lymph System Imaging (78195) |
— |
$2,909.28 |
— |
| MRI cervical spine w contrast (72142) |
— |
$10,543.53 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$5,217.39 |
— |
| Myelogram cervical (72240) |
— |
$3,006.72 |
— |
| Myelogram Lumbar (72265) |
— |
$3,006.72 |
— |
| Myocardial Spect Multiple Studies (78452) |
— |
$14,477.67 |
— |
| Neck soft tissue (70360) |
— |
$796.92 |
— |
| Pet Myocardial Sngl Study (78491) |
— |
$10,188.57 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$2,025.36 |
— |
| Thyroid Uptake Measurement (78012) |
— |
$1,679.10 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$2,096.70 |
— |
| Urethrocystogram voiding (74455) |
— |
$1,821.78 |
— |
| Urethrocystography retrograde (74450) |
— |
$1,821.78 |
— |
| Us chest (76604) |
— |
$1,706.07 |
— |
| Us ob transvaginal (76817) |
— |
$1,278.03 |
— |
| Us pelvic non ob complete (76856) |
— |
$2,628.27 |
— |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
— |
$1,229.31 |
— |
| Us retroperitoneal complete (76770) |
— |
$2,094.96 |
— |
| Us scrotum and contents (76870) |
— |
$2,776.17 |
— |
| Us thyroid (76536) |
— |
$2,449.92 |
— |
| Vein X-Ray Chest (75827) |
— |
$2,224.59 |
— |
| Venography caval inferior serialography rs&i (75825) |
— |
$6,956.52 |
— |
| Venography extremity bilateral rs&i (75822) |
— |
$3,593.10 |
— |
| X-Ray Aorta Leg Arteries (75630) |
— |
$6,956.52 |
— |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
— |
$1,281.51 |
— |
| X-ray IV pyelogram (ivp) (74400) |
— |
$3,361.68 |
— |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
— |
$1,681.71 |
— |
| Xr Tomogram Single Plane (76100) |
— |
$1,624.29 |
— |