| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,676.25 |
$10,235 |
5.3× |
| Abdomen 2 views (74019) |
$233.25 |
$311 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,477.50 |
$1,970 |
3.5× |
| Angiography extremity bilateral rs&i (75716) |
$439.50 |
$586 |
0.1× |
| Angiography extremity unilateral rs&i (75710) |
$3,541.88 |
$4,722.50 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,528.75 |
$12,705 |
1.6× |
| Ankle 2 views (73600) |
$189.38 |
$252.50 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$794.25 |
$1,059 |
2.2× |
| Aortogram thoracic (75605) |
$9,528.75 |
$12,705 |
1.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,731.25 |
$4,975 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$338.25 |
$451 |
0.1× |
| Arthrogram shoulder (73040) |
$937.50 |
$1,250 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$804.75 |
$1,073 |
5.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$552.75 |
$737 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$672 |
$896 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$653.62 |
$871.50 |
1.5× |
| Bone age studies (77072) |
$168.75 |
$225 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$840 |
$1,120 |
2.0× |
| Bone survey complete (77075) |
$615 |
$820 |
5.6× |
| Brain Imaging Vascular Flow Only (78610) |
$1,657.88 |
$2,210.50 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$166.50 |
$222 |
1.8× |
| Chest 1 view (71045) |
$69.75 |
$93 |
0.8× |
| Chest 3 views (71047) |
$296.62 |
$395.50 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$287.25 |
$383 |
1.6× |
| Cineradiography/videoradiography (76120) |
$315 |
$420 |
2.9× |
| Cisternography Positive Contrast Rs&I (70015) |
$294.75 |
$393 |
0.4× |
| Clavicle complete (73000) |
$228.75 |
$305 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$242.25 |
$323 |
2.2× |
| Continuing medical physics consltj pr wk (77336) |
$624.75 |
$833 |
4.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$931.50 |
$1,242 |
2.5× |
| CT abdomen and pelvis without contrast (74176) |
$501 |
$668 |
2.0× |
| CT abdomen w contrast (74160) |
$1,136.25 |
$1,515 |
6.1× |
| CT abdomen w wo contrast (74170) |
$1,281 |
$1,708 |
6.9× |
| CT abdomen w/o contrast (74150) |
$873 |
$1,164 |
7.9× |
| CT angio hrt w/3d image (75574) |
$1,992.75 |
$2,657 |
5.4× |
| CT angiography upper extremity lt (73206) |
$929.62 |
$1,239.50 |
5.0× |
| CT c-spine w/o contrast (72125) |
$358.50 |
$478 |
3.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,519.50 |
$2,026 |
8.2× |
| CT cervical spine with contrast (72126) |
$1,065 |
$1,420 |
2.9× |
| CT chest w/wo contrast (71270) |
$1,688.62 |
$2,251.50 |
9.1× |
| CT chest with contrast (71260) |
$750 |
$1,000 |
4.1× |
| CT head/brain with contrast (70460) |
$1,038.75 |
$1,385 |
5.6× |
| CT head/brain without and with contrast (70470) |
$1,140 |
$1,520 |
6.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$274.50 |
$366 |
3.0× |
| CT iac w contrast (70481) |
$1,162.12 |
$1,549.50 |
6.3× |
| CT limited/localized follow up study (76380) |
$733.12 |
$977.50 |
8.0× |
| CT lower ext w/o (73700) |
$602.25 |
$803 |
5.5× |
| CT lower extremity w wo contrast (73702) |
$2,166 |
$2,888 |
11.7× |
| CT lower extremity with contrast (73701) |
$1,397.25 |
$1,863 |
7.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,939.88 |
$2,586.50 |
10.5× |
| CT lumbar spine w/o contrast (72131) |
$327.38 |
$436.50 |
3.0× |
| CT lumbar spine with contrast (72132) |
$1,217.25 |
$1,623 |
3.3× |
| CT maxillofacial w contrast (70487) |
$761.25 |
$1,015 |
4.1× |
| CT maxillofacial w/o contrast (70486) |
$353.25 |
$471 |
3.2× |
| CT maxillofacial w/wo contrast (70488) |
$749.25 |
$999 |
4.0× |
| CT neck soft tissue w contrast (70491) |
$1,127.25 |
$1,503 |
6.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,099.50 |
$1,466 |
5.9× |
| CT orbits w/o contrast (70480) |
$696 |
$928 |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$1,272 |
$1,696 |
6.9× |
| CT pelvis w/o contrast (72192) |
$854.25 |
$1,139 |
7.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,133.25 |
$1,511 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$968.25 |
$1,291 |
8.8× |
| CT thoracic spine w/contrast (72129) |
$1,149.75 |
$1,533 |
6.2× |
| CT thoracic spine w/o contrast (72128) |
$989.25 |
$1,319 |
9.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,163.50 |
$4,218 |
17.1× |
| CT thorax w/o contrast (71250) |
$363.75 |
$485 |
3.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,126.25 |
$2,835 |
11.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,148.62 |
$1,531.50 |
10.4× |
| CT upper extremity with contrast (73201) |
$1,353 |
$1,804 |
3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$792 |
$1,056 |
4.3× |
| Cta Abdomen (74175) |
$720.75 |
$961 |
3.9× |
| CTA abdomen pelvis (74174) |
$1,401 |
$1,868 |
3.8× |
| CTA chest (71275) |
$723 |
$964 |
3.9× |
| Cta Head (70496) |
$714 |
$952 |
3.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,702.62 |
$3,603.50 |
14.6× |
| Cta Neck (70498) |
$714 |
$952 |
3.9× |
| Cta Pelvis (72191) |
$1,111.88 |
$1,482.50 |
6.0× |
| Cystography minimum 3 views rs&i (74430) |
$560.25 |
$747 |
1.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$263.25 |
$351 |
2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$202.88 |
$270.50 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$96.38 |
$128.50 |
0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$139.88 |
$186.50 |
1.5× |
| Echoencephalography real time imaging (76506) |
$238.50 |
$318 |
2.2× |
| Esophagus (74220) |
$405.75 |
$541 |
2.2× |
| Fetal biophysical profile non-stress testing (76818) |
$302.25 |
$403 |
2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$191.62 |
$255.50 |
1.7× |
| Fluoroscopy up to 1 hr (76000) |
$120.75 |
$161 |
0.5× |
| Foot 2 views (73620) |
$189.38 |
$252.50 |
2.1× |
| Forearm 2 views (73090) |
$118.50 |
$158 |
1.3× |
| Gated Heart Planar Single (78472) |
$1,455.75 |
$1,941 |
3.5× |
| Hand 2 views (73120) |
$221.25 |
$295 |
2.0× |
| Hand 3 views (73130) |
$278.62 |
$371.50 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$895.12 |
$1,193.50 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,374 |
$1,832 |
3.3× |
| Ht muscle image spect sing (78451) |
$3,018.75 |
$4,025 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$109.50 |
$146 |
1.2× |
| Hysterosalpingogram (74740) |
$429 |
$572 |
1.7× |
| Image fusion (77399) |
$368.25 |
$491 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,031.25 |
$1,375 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,007.62 |
$1,343.50 |
1.8× |
| Knee 3 views (73562) |
$199.50 |
$265.99 |
2.2× |
| Liver & spleen imaging static only (78215) |
$2,047.50 |
$2,730 |
4.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,959.75 |
$2,613 |
4.6× |
| Liver imaging w/vascular flow (78202) |
$1,520.25 |
$2,027 |
2.7× |
| Lung perf&ventilat diferentl (78598) |
$2,512.50 |
$3,350 |
4.4× |
| Lung perfusion differential (78597) |
$409.50 |
$546 |
1.0× |
| Lymphoscintigraphy (78195) |
$1,852.50 |
$2,470 |
3.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,695.75 |
$2,261 |
4.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$95.62 |
$127.50 |
3.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$223.12 |
$297.50 |
2.2× |
| MRA head w & w/o contrast (70546) |
$1,525.50 |
$2,034 |
4.1× |
| MRA head w/o contrast (70544) |
$591.75 |
$789 |
2.4× |
| MRA head with contrast (70545) |
$1,719.38 |
$2,292.50 |
4.7× |
| MRA neck w contrast (70548) |
$1,299.38 |
$1,732.50 |
3.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$826.50 |
$1,102 |
2.2× |
| MRA neck w/o contrast (70547) |
$1,117.50 |
$1,490 |
4.4× |
| MRI abdomen w contrast (74182) |
$1,439.62 |
$1,919.50 |
3.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,492.50 |
$1,990 |
4.1× |
| MRI abdomen w/o contrast (74181) |
$1,042.50 |
$1,390 |
4.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,669.12 |
$2,225.50 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,669.12 |
$2,225.50 |
2.0× |
| MRI c-spine with contrast (72142) |
$1,710.38 |
$2,280.50 |
4.6× |
| MRI cervical spine w/o contrast (72141) |
$523.50 |
$698 |
2.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,813.12 |
$2,417.50 |
4.9× |
| MRI chest w/o contrast (71550) |
$1,266.75 |
$1,689 |
5.0× |
| MRI chest with contrast (71551) |
$1,309.12 |
$1,745.50 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,394.25 |
$1,859 |
3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,861.12 |
$2,481.50 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,261.50 |
$1,682 |
5.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$618.75 |
$825 |
2.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$927.75 |
$1,237 |
2.5× |
| MRI orbit/face/neck w/contrast (70542) |
$734.25 |
$979 |
2.0× |
| MRI pelvis w contrast (72196) |
$1,941.75 |
$2,589 |
5.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,803.75 |
$2,405 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,380 |
$1,840 |
5.5× |
| MRI scan of arm joint before and after contrast (73223) |
$1,492.50 |
$1,990 |
4.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,216.25 |
$2,955 |
6.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$873.75 |
$1,165 |
2.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,860 |
$2,480 |
5.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$875.25 |
$1,167 |
2.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,712.62 |
$2,283.50 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$876 |
$1,168 |
2.4× |
| MRI thoracic spine w/o contrast (72146) |
$522.75 |
$697 |
2.1× |
| MRI tmj (70336) |
$1,254.38 |
$1,672.50 |
5.0× |
| MRI upper ext joint w/o contrast (73221) |
$913.12 |
$1,217.50 |
3.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,492.50 |
$1,990 |
4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$955.50 |
$1,274 |
3.8× |
| Myocardial Spect Multiple Studies (78452) |
$985.50 |
$1,314 |
0.7× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,571.75 |
$3,429 |
2.8× |
| Neck soft tissue (70360) |
$85.50 |
$114 |
0.9× |
| Nm gastric emptying study (78264) |
$633 |
$844 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,961 |
$7,948 |
4.1× |
| Nuclear medicine of heart pumping function (78473) |
$2,093.25 |
$2,791 |
5.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$196.50 |
$262 |
1.8× |
| Osseous survey infant (77076) |
$233.25 |
$311 |
2.1× |
| Parathyrd planar w/wo subtrj (78071) |
$2,197.50 |
$2,930 |
5.2× |
| Parathyroid imaging (78070) |
$97.50 |
$130 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$200.25 |
$267 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$4,341 |
$5,788 |
2.9× |
| PET imaging for CT attenuation whole body (78816) |
$4,452 |
$5,936 |
3.0× |
| Pr MRI brain w/o & w/ dye (70559) |
$2,354.25 |
$3,139 |
12.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,786.50 |
$2,382 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,153.50 |
$1,538 |
2.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,074.75 |
$1,433 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$795.75 |
$1,061 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$243 |
$324 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$203.25 |
$271 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$73.50 |
$98 |
0.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,236 |
$1,648 |
2.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$375 |
$500 |
3.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$429.75 |
$573 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$243 |
$324 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$81.75 |
$109 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$317.25 |
$423 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$90.75 |
$121 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$429 |
$572 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$85.50 |
$114 |
0.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$471 |
$628 |
2.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$405 |
$540 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$180.75 |
$241 |
2.0× |
| Radiological examination surgical specimen (76098) |
$932.25 |
$1,243 |
1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$665.25 |
$887 |
1.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,838.62 |
$2,451.50 |
3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,728 |
$2,304 |
1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,195.25 |
$2,927 |
1.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,165.50 |
$1,554 |
0.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$230.25 |
$307 |
0.9× |
| Scanogram (77073) |
$255 |
$340 |
2.3× |
| Scapula complete (73010) |
$277.50 |
$370 |
2.5× |
| Screening digital breast tomosynthesis (77063) |
$74.25 |
$99 |
3.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$62.25 |
$83 |
0.6× |
| Simulation intermediate (77285) |
$1,946.25 |
$2,595 |
4.9× |
| Small bowel series (74250) |
$440.25 |
$587 |
2.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,647.75 |
$2,197 |
4.2× |
| Special dosimetry (77331) |
$534.75 |
$713 |
3.8× |
| Special treatment procedure (77470) |
$2,532 |
$3,376 |
4.3× |
| Spine thoracic 3 views (72072) |
$258 |
$344 |
2.3× |
| Stereotactic body radiation delivery (77373) |
$13,776.75 |
$18,369 |
7.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,142 |
$2,856 |
5.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,204.25 |
$2,939 |
5.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$969.75 |
$1,293 |
6.8× |
| Therapeutic Enema (74283) |
$482.25 |
$643 |
2.6× |
| Thoracolumbar 2 views (72080) |
$219.75 |
$293 |
2.4× |
| Thyroid uptake measurement (78012) |
$902.25 |
$1,203 |
2.1× |
| Treatment device intermediate (77333) |
$942 |
$1,256 |
6.6× |
| Treatment devices simple (77332) |
$624.75 |
$833 |
4.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$642 |
$856 |
1.5× |
| Tx devices design & construction complex (77334) |
$1,647.75 |
$2,197 |
4.2× |
| Ultrasound, abdomen limited (76705) |
$237.75 |
$317 |
2.2× |
| Umbilical-artery Doppler (OB) (76820) |
$123 |
$164 |
1.1× |
| Unlisted magnetic resonance procedure (76498) |
$533.25 |
$711 |
5.8× |
| Upper Extremity Infant (73092) |
$221.25 |
$295 |
2.0× |
| Urethrocystography retrograde rs&i (74450) |
$592.88 |
$790.50 |
2.4× |
| Urethrocystography voiding (74455) |
$661.88 |
$882.50 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$266.25 |
$355 |
2.4× |
| Us breast unilateral complete (76641) |
$438.75 |
$585 |
4.0× |
| Us breast unilateral limited (76642) |
$145.50 |
$194 |
1.6× |
| Us chest (76604) |
$166.50 |
$222 |
1.5× |
| Us compl joint r-t w/image documentation (76881) |
$129.75 |
$173 |
1.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$163.50 |
$218 |
1.5× |
| Us guided compression repair (76936) |
$591.75 |
$789 |
2.6× |
| Us ob detailed single fetus (76811) |
$255 |
$340 |
1.0× |
| Us ob transvaginal (76817) |
$252.75 |
$337 |
2.3× |
| Us pelvic non ob complete (76856) |
$289.50 |
$386 |
2.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$139.50 |
$186 |
1.3× |
| Us pregnancy ltd (76815) |
$202.50 |
$270 |
1.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$264 |
$352 |
2.4× |
| Us retroperitoneal complete (76770) |
$358.50 |
$478 |
3.3× |
| Us retroperitoneal limited (76775) |
$299.25 |
$399 |
2.7× |
| Us scrotum and contents (76870) |
$271.50 |
$362 |
2.5× |
| Us soft tissue head/neck (76536) |
$264.75 |
$353 |
2.4× |
| Us transrectal (76872) |
$391.12 |
$521.50 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$174.75 |
$233 |
1.6× |
| Venography caval inferior serialography rs&i (75825) |
$7,855.50 |
$10,474 |
2.4× |
| Venography extremity unilateral rs&i (75820) |
$1,256.62 |
$1,675.50 |
0.8× |
| Wrist 2 views (73100) |
$189.38 |
$252.50 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$337.50 |
$450 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$229.12 |
$305.50 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$134.25 |
$179 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$706.12 |
$941.50 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$228.75 |
$305 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$128.62 |
$171.50 |
1.4× |
| X-ray exam hip uni 1 view (73501) |
$196.12 |
$261.50 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$249.75 |
$333 |
2.7× |
| X-ray exam hip uni 4/> views (73503) |
$417.38 |
$556.50 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$281.25 |
$375 |
2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$384 |
$512 |
3.5× |
| X-ray exam of femur 1 (73551) |
$21.75 |
$29 |
0.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$644.25 |
$859 |
3.5× |
| X-ray eye for foreign body (70030) |
$90 |
$120 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$129 |
$172 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$185.25 |
$247 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$130.12 |
$173.50 |
1.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$4,063.50 |
$5,418 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$117.38 |
$156.50 |
1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$185.25 |
$247 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$243 |
$324 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$287.25 |
$383 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$111.75 |
$149 |
1.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$407.25 |
$543 |
3.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$338.25 |
$451 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$103.50 |
$138 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$134.25 |
$179 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$160.88 |
$214.50 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$223.50 |
$298 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$223.50 |
$298 |
0.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$246 |
$328 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$304.50 |
$406 |
2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$221.25 |
$295 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$207.75 |
$277 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$166.50 |
$222 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$241.12 |
$321.50 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$187.88 |
$250.50 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$120.75 |
$161 |
1.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$98.25 |
$131 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$163.12 |
$217.50 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$216.75 |
$289 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$171.75 |
$229 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$219 |
$292 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$333 |
$444 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$190.50 |
$254 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$166.50 |
$222 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$360.75 |
$481 |
3.3× |
| Xr chest 4+ views (71048) |
$402 |
$536 |
3.6× |
| Xr finger(s) 2+ views (73140) |
$189.38 |
$252.50 |
2.1× |
| Xr shoulder 1 view (73020) |
$189.38 |
$252.50 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$291.75 |
$389 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$190.50 |
$254 |
2.1× |
| Xr tmj bilateral (70330) |
$39 |
$52 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$120.75 |
$161 |
1.3× |