| 3-D radiotherapy plan dose-volume histograms (77295) |
$545.74 |
$5,450.76 |
0.4× |
| Abdomen 2 views (74019) |
$478.49 |
$326.45 |
4.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$554.56 |
$1,745.87 |
1.5× |
| Ankle 2 views (73600) |
$112.64 |
$214.16 |
1.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,600.14 |
$773.29 |
7.9× |
| Arthrogram elbow (73085) |
$4,389.93 |
$940.81 |
13.4× |
| Arthrogram hip (73525) |
$330.75 |
$896.01 |
1.0× |
| Arthrogram shoulder (73040) |
$1,825.74 |
$1,012.92 |
5.6× |
| Arthrogram wrist (73115) |
$2.32 |
$896.01 |
0.0× |
| Arthrography knee lt (73580) |
$147.74 |
$896.01 |
0.5× |
| Basic radiation dosimetry calculation (77300) |
$555.66 |
$482.90 |
4.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$42.83 |
$1,165.17 |
0.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$90.41 |
$1,560.75 |
0.2× |
| Bone &/joint imaging whole body (78306) |
$17.37 |
$2,079.32 |
0.0× |
| Bone age studies (77072) |
$665.45 |
$284.78 |
6.8× |
| Bone Imaging 3 Phase (78315) |
$104.45 |
$2,225.12 |
0.3× |
| Bone survey complete (77075) |
$1,736.44 |
$564.92 |
17.7× |
| Brachytx isodose complex (77318) |
$202.39 |
$202.39 |
0.6× |
| Brachytx isodose intermed (77317) |
$128.59 |
$128.59 |
0.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$98.19 |
$98.19 |
0.3× |
| Brain image w/flow 4 + views (78606) |
$455.33 |
$1,866.31 |
0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$455.33 |
$3,878.37 |
0.3× |
| Cervical spine 2 or 3 views (72040) |
$100.02 |
$192.36 |
1.2× |
| Chest 1 view (71045) |
$324.14 |
$154.40 |
4.0× |
| Chest 3 views (71047) |
$173.65 |
$302.14 |
2.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$240.35 |
$495.80 |
1.5× |
| Clavicle complete (73000) |
$2,663.85 |
$218.30 |
32.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$634.38 |
$563.51 |
6.5× |
| Continuing medical physics consltj pr wk (77336) |
$3.30 |
$662.55 |
0.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,683.09 |
$4,168.98 |
8.2× |
| CT abdomen and pelvis without contrast (74176) |
$224.58 |
$3,221.99 |
1.0× |
| CT abdomen w contrast (74160) |
$1,892.70 |
$2,390.28 |
11.5× |
| CT abdomen w wo contrast (74170) |
$971.42 |
$3,020.33 |
5.9× |
| CT abdomen w/o contrast (74150) |
$478.49 |
$1,769.79 |
4.9× |
| CT angio hrt w/3d image (75574) |
$675.51 |
$2,140.22 |
2.1× |
| CT angiography upper extremity lt (73206) |
$16.21 |
$2,952.18 |
0.1× |
| CT c-spine w/o contrast (72125) |
$123.87 |
$2,070.92 |
1.3× |
| CT cervical spine with contrast (72126) |
$145.53 |
$2,181.80 |
0.4× |
| CT chest w/wo contrast (71270) |
$79.80 |
$2,819.36 |
0.5× |
| CT chest with contrast (71260) |
$146.16 |
$2,662.97 |
0.9× |
| CT head/brain with contrast (70460) |
$215.87 |
$2,068.61 |
1.3× |
| CT head/brain without and with contrast (70470) |
$1,083.60 |
$2,606.84 |
6.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$765.24 |
$1,245.67 |
2.3× |
| CT hrt w/3d image congen (75573) |
$637.25 |
$2,073.23 |
1.9× |
| CT iac w contrast (70481) |
$244.79 |
$2,251.68 |
1.5× |
| CT limited/localized follow up study (76380) |
$17.64 |
$967.89 |
0.2× |
| CT lower ext w/o (73700) |
$5,747.77 |
$1,605.45 |
58.6× |
| CT lower extremity with contrast (73701) |
$3,669.65 |
$2,504.04 |
22.3× |
| CT lumbar spine w/o contrast (72131) |
$26.63 |
$2,091.24 |
0.3× |
| CT lumbar spine with contrast (72132) |
$246.96 |
$2,483.25 |
0.8× |
| CT maxillofacial w contrast (70487) |
$210 |
$2,187.57 |
1.3× |
| CT maxillofacial w/o contrast (70486) |
$415.64 |
$1,737.12 |
4.2× |
| CT maxillofacial w/wo contrast (70488) |
$215.76 |
$2,431.28 |
1.3× |
| CT neck soft tissue w contrast (70491) |
$38.59 |
$2,278.82 |
0.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$266.26 |
$2,389.12 |
1.6× |
| CT orbits w/o contrast (70480) |
$390.42 |
$1,824.57 |
4.0× |
| CT pelvis w & w/o contrast (72194) |
$187.95 |
$2,808.96 |
1.1× |
| CT pelvis w/o contrast (72192) |
$341.51 |
$1,796.03 |
3.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$496.13 |
$2,702.70 |
3.0× |
| CT soft tissue neck w/o contrast (70490) |
$181.44 |
$1,708.22 |
1.9× |
| CT thoracic spine w/contrast (72129) |
$87.98 |
$2,140.22 |
0.5× |
| CT thoracic spine w/o contrast (72128) |
$58.43 |
$2,004.85 |
0.6× |
| CT thoracic spine w/wo contrast (72130) |
$220.87 |
$2,725.80 |
1.3× |
| CT thorax w/o contrast (71250) |
$237.31 |
$1,707.09 |
2.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,538.56 |
$2,350.43 |
15.4× |
| CT upper extremity w/o contrast rt (73200) |
$46.31 |
$1,790.13 |
0.5× |
| CT upper extremity with contrast (73201) |
$59.54 |
$2,902.52 |
0.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$12.13 |
$3,197.04 |
0.1× |
| Cta Abdomen (74175) |
$535.16 |
$2,964.88 |
3.3× |
| CTA abdomen pelvis (74174) |
$167.58 |
$6,571.95 |
0.5× |
| CTA chest (71275) |
$191.70 |
$3,184.01 |
1.2× |
| Cta Head (70496) |
$269.01 |
$3,158.46 |
1.6× |
| CTA lwr ext w&w/o contrast (73706) |
$2,808.31 |
$2,952.18 |
17.1× |
| Cta Neck (70498) |
$275.63 |
$3,102.56 |
1.7× |
| Cystography minimum 3 views rs&i (74430) |
$238.14 |
$702.60 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$422.26 |
$399.38 |
4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$59.22 |
$214.16 |
0.7× |
| Echoencephalography real time imaging (76506) |
$2,767.80 |
$550.11 |
28.2× |
| Esophagus (74220) |
$472.98 |
$576.50 |
2.9× |
| Fetal biophysical profile non-stress testing (76818) |
$18.64 |
$579.87 |
0.2× |
| Fluoroscopy up to 1 hr (76000) |
$1,453.10 |
$377.06 |
6.5× |
| Foot 2 views (73620) |
$165.38 |
$282.46 |
2.0× |
| Forearm 2 views (73090) |
$19.85 |
$213 |
0.2× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$90.30 |
$1,729.38 |
0.2× |
| Gated Heart Planar Single (78472) |
$39.69 |
$1,875.18 |
0.1× |
| Hand 2 views (73120) |
$2.32 |
$187.87 |
0.0× |
| Hand 3 views (73130) |
$20.11 |
$151.66 |
0.2× |
| Heart Infarct Image (78466) |
$84.89 |
$1,433.96 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$102.53 |
$2,065.37 |
0.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$18.52 |
$2,105.94 |
0.0× |
| Ht muscle image spect sing (78451) |
$62.29 |
$2,618.56 |
0.1× |
| Humerus Min 2 Views Left (73060) |
$460.17 |
$152.69 |
5.6× |
| Hysterosalpingogram (74740) |
$4,652.11 |
$559.14 |
20.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$455.33 |
$1,919.57 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$90.30 |
$2,213.72 |
0.2× |
| Knee 3 views (73562) |
$185.25 |
$304.72 |
2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$14.33 |
$1,621.61 |
0.0× |
| Lung perf&ventilat diferentl (78598) |
$455.33 |
$2,274.57 |
0.9× |
| Lung perfusion differential (78597) |
$34.24 |
$1,679.94 |
0.1× |
| Lung Ventilation Imaging (78579) |
$84.89 |
$1,409.88 |
0.2× |
| Lymphoscintigraphy (78195) |
$28.67 |
$1,764.88 |
0.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$103.03 |
$223.42 |
1.3× |
| Meckels Diverticulum (78290) |
$102.53 |
$1,147.43 |
0.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$26.46 |
$1,024.22 |
0.1× |
| MRA head w & w/o contrast (70546) |
$91.51 |
$3,637.15 |
0.3× |
| MRA head w/o contrast (70544) |
$442.40 |
$2,652.45 |
2.0× |
| MRA head with contrast (70545) |
$54.02 |
$2,694.51 |
0.2× |
| MRA neck w contrast (70548) |
$118.27 |
$2,761.76 |
0.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$255.11 |
$3,702.09 |
0.8× |
| MRA neck w/o contrast (70547) |
$90.30 |
$2,401.25 |
0.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$119.07 |
$4,395.50 |
0.4× |
| MRI abdomen w/o contrast (74181) |
$2,878.04 |
$3,087.96 |
12.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,943.83 |
$2,912.58 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$307.44 |
$2,912.58 |
0.4× |
| MRI c-spine with contrast (72142) |
$174.20 |
$3,245.55 |
0.5× |
| MRI cervical spine w/o contrast (72141) |
$312.01 |
$2,998.38 |
1.4× |
| MRI chest w/o & w/contrast material (71552) |
$325.24 |
$3,829.42 |
1.0× |
| MRI chest w/o contrast (71550) |
$370.65 |
$2,510.39 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,747.77 |
$2,613.92 |
25.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,306.69 |
$2,635.91 |
5.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$101.18 |
$4,224.17 |
0.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,163.01 |
$3,748.50 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$578.81 |
$4,273.95 |
1.8× |
| MRI pelvis w/o contrast (72195) |
$106.05 |
$2,635.91 |
0.5× |
| MRI scan of arm joint before and after contrast (73223) |
$125.52 |
$3,768.07 |
0.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$29.40 |
$4,608.45 |
0.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$182.70 |
$3,667.13 |
0.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$49.28 |
$4,500.52 |
0.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$288.75 |
$3,444.21 |
0.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$49.28 |
$4,607.24 |
0.2× |
| MRI thoracic spine w/o contrast (72146) |
$206.45 |
$2,832.98 |
0.9× |
| MRI tmj (70336) |
$13.23 |
$2,767.88 |
0.1× |
| MRI upper ext joint w/o contrast (73221) |
$543.16 |
$2,704.21 |
2.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$41.67 |
$3,372.16 |
0.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$210.58 |
$2,500.47 |
0.9× |
| Myocardial Spect Multiple Studies (78452) |
$55.68 |
$4,754.54 |
0.0× |
| Neck soft tissue (70360) |
$90.41 |
$177.11 |
1.1× |
| Nm adrenal scan (78075) |
$46.31 |
$2,148.14 |
0.0× |
| Nm gastric emptying study (78264) |
$90.30 |
$1,906.88 |
0.2× |
| Nm gastroesophageal reflux study (78262) |
$116.92 |
$1,432.70 |
0.3× |
| Nm peritoneal-venous shunt patency (78291) |
$464.15 |
$1,157.57 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$764.03 |
$5,449.66 |
0.6× |
| Nuclear Rx Oral Admin (79005) |
$48.63 |
$878.22 |
0.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$984.51 |
$535.82 |
10.0× |
| Osseous survey infant (77076) |
$443.37 |
$408.64 |
4.5× |
| Osseous survey limited (77074) |
$1,053.84 |
$594.75 |
10.8× |
| Parathyroid imaging (78070) |
$16.21 |
$1,530.32 |
0.0× |
| Pelvis 1 or 2 views (72170) |
$173.17 |
$186.96 |
1.8× |
| Perineogram (74775) |
$6,770.79 |
$561.45 |
30.3× |
| PET image w/CT, skull-thigh (78815) |
$31.26 |
$4,382.88 |
0.0× |
| PET imaging CT for attenuation limited area (78814) |
$13.89 |
$3,878.37 |
0.0× |
| PET imaging for CT attenuation whole body (78816) |
$31.26 |
$4,382.88 |
0.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$50.47 |
$3,585.16 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$39.07 |
$1,619.08 |
0.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$47.34 |
$2,348.10 |
0.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$351.92 |
$471.87 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$252 |
$304.46 |
3.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$120.17 |
$463.05 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$215.87 |
$438.74 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$347.29 |
$356.55 |
3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$359.42 |
$578.81 |
3.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$52.92 |
$776.77 |
0.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$178.84 |
$484 |
1.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$15.44 |
$549.05 |
0.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$578.81 |
$407.48 |
5.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$478.49 |
$245.42 |
5.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$478.49 |
$347.29 |
4.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$180.81 |
$292.94 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$456.44 |
$603.12 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$912.87 |
$774.45 |
5.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$880.02 |
$997.98 |
5.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$89.30 |
$284.78 |
1.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$66.15 |
$269.72 |
0.8× |
| Radiological examination surgical specimen (76098) |
$773.96 |
$431.08 |
1.5× |
| Ribs bilateral 3 views (71110) |
$372.65 |
$373.92 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$81.59 |
$2,089.46 |
0.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$496.13 |
$2,061.20 |
1.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$497.78 |
$1,717.67 |
1.0× |
| Rp Therapy Intravenous Administration (79101) |
$41.67 |
$295.05 |
0.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$202.86 |
$451.77 |
0.9× |
| Salivary gland imaging serial images (78231) |
$157.66 |
$788.33 |
0.4× |
| Scanogram (77073) |
$916.84 |
$486.20 |
9.4× |
| Scapula complete (73010) |
$4,155.88 |
$198.45 |
42.4× |
| Screening digital breast tomosynthesis (77063) |
$306.47 |
$98.98 |
13.1× |
| Sella turcica (70240) |
$166.48 |
$154.40 |
2.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$12.13 |
$718.83 |
0.1× |
| Sialogram (70390) |
$384.63 |
$489.68 |
1.7× |
| Simulation intermediate (77285) |
$205.07 |
$1,155.42 |
0.6× |
| Small bowel series (74250) |
$868.77 |
$706.16 |
5.3× |
| Spec medical radj physics consltj (77370) |
$1,154.56 |
$432.62 |
9.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$30.87 |
$839 |
0.1× |
| Special dosimetry (77331) |
$9.79 |
$561.17 |
0.1× |
| Special treatment procedure (77470) |
$31.26 |
$2,311.94 |
0.1× |
| Spine thoracic 3 views (72072) |
$194.04 |
$390.12 |
2.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$80.71 |
$80.71 |
0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$106.39 |
$1,038.56 |
0.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$358.86 |
$646.28 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$3,148.74 |
$1,137.29 |
8.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$38.59 |
$1,587.60 |
0.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$205.07 |
$730.28 |
1.6× |
| Therapeutic Enema (74283) |
$213 |
$708.47 |
1.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$42.83 |
$2,001.97 |
0.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$41.90 |
$910.34 |
0.1× |
| Thyroid uptake measurement (78012) |
$107.14 |
$670.68 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$30.68 |
$1,382.62 |
0.1× |
| Tomogram (76100) |
$437.70 |
$443.96 |
4.5× |
| Treatment device intermediate (77333) |
— |
$622.91 |
— |
| Treatment devices simple (77332) |
$23.49 |
$313.11 |
0.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$181.86 |
$1,880.26 |
0.5× |
| Tx devices design & construction complex (77334) |
— |
$840.11 |
— |
| Ultrasound elastography first target lesion (76982) |
$280.04 |
$337.05 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$1,050.89 |
$653.18 |
10.7× |
| Upper Extremity Infant (73092) |
$15.44 |
$181.25 |
0.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,315.25 |
$1,058.67 |
6.2× |
| Urethrocystography retrograde rs&i (74450) |
$528.76 |
$529.03 |
2.4× |
| Urethrocystography voiding (74455) |
$643.98 |
$724.68 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$330.75 |
$950.41 |
2.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$735.37 |
$1,213.85 |
4.5× |
| Us abdl aorta screen aaa (76706) |
$1,822.68 |
$707.62 |
18.6× |
| Us breast unilateral complete (76641) |
$559.72 |
$614.40 |
5.7× |
| Us breast unilateral limited (76642) |
$851.13 |
$390.55 |
10.4× |
| Us chest (76604) |
$823.57 |
$400.35 |
8.4× |
| Us compl joint r-t w/image documentation (76881) |
$236.16 |
$599.89 |
2.4× |
| Us elastography parenchyma (76981) |
$349.61 |
$337.05 |
3.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$242.50 |
$698.54 |
2.5× |
| Us ob transvaginal (76817) |
$322.21 |
$563.20 |
3.3× |
| Us pelvic non ob complete (76856) |
$520.02 |
$666.79 |
5.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$72.77 |
$591.78 |
0.7× |
| Us pregnancy ltd (76815) |
$416.44 |
$312.64 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$132.18 |
$419.96 |
1.3× |
| Us retroperitoneal complete (76770) |
$130.24 |
$707.62 |
1.3× |
| Us retroperitoneal limited (76775) |
$1,153.51 |
$771.12 |
11.8× |
| Us scrotum and contents (76870) |
$1,250.24 |
$687.32 |
12.8× |
| Us soft tissue head/neck (76536) |
$1,769.17 |
$580.34 |
18.0× |
| Us spinal canal and contents (76800) |
$105.35 |
$662.26 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$200.66 |
$463.19 |
2.0× |
| Venogram extremity bilateral (75822) |
$12.13 |
$1,006.58 |
0.0× |
| Venography caval inferior serialography rs&i (75825) |
$12.13 |
$3,307.50 |
0.0× |
| Venography extremity unilateral rs&i (75820) |
$12.13 |
$804.83 |
0.0× |
| Wrist 2 views (73100) |
$170.89 |
$185.22 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$478.49 |
$446.29 |
4.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,825.74 |
$240.79 |
22.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$203.18 |
$180.39 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$202.86 |
$816.12 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$141.67 |
$133.80 |
1.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$94.82 |
$247.74 |
1.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$142.80 |
$578.81 |
1.5× |
| X-ray exam hip uni 1 view (73501) |
$101.43 |
$347.29 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$147.40 |
$312.85 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$126.22 |
$445.69 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$355.49 |
$438.74 |
3.6× |
| X-ray exam of femur 1 (73551) |
$53.45 |
$182.91 |
0.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$859.95 |
$901.79 |
5.2× |
| X-ray eye for foreign body (70030) |
$306.77 |
$184.07 |
3.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$578.81 |
$432.96 |
5.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$578.81 |
$285.94 |
7.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$111.57 |
$185.86 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$586.87 |
$185.22 |
7.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$76.73 |
$350.76 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$143.33 |
$282.46 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$217.08 |
$122.16 |
2.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$415.64 |
$172.48 |
5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$183.02 |
$319.50 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$786.03 |
$622.91 |
8.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$166.95 |
$442.22 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$78.28 |
$239.63 |
1.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$356.55 |
$216.48 |
4.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$49.94 |
$361.18 |
0.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$384.63 |
$336.87 |
3.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,399.51 |
$774.45 |
4.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$210.69 |
$272.04 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$46.87 |
$75.60 |
0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$91.51 |
$312.56 |
0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$113.53 |
$193.32 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$578.81 |
$283.68 |
7.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$180.81 |
$319.50 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$181.91 |
$192.17 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,490.03 |
$372.76 |
15.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$56.23 |
$310.24 |
0.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$276.73 |
$257 |
3.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$26.63 |
$246.57 |
0.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$38.20 |
$211.85 |
0.5× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$1,490.03 |
$102.53 |
18.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$94.96 |
$183.94 |
1.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,448 |
$103.45 |
17.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$60.20 |
$144.65 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$1,069.08 |
$581.13 |
10.9× |
| Xr chest 4+ views (71048) |
$163.04 |
$420.22 |
1.7× |
| Xr Cholecystography Oral Contrast (74290) |
$159.86 |
$400.54 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$67.68 |
$113.38 |
0.8× |
| Xr internal auditory meati complete (70134) |
$578.81 |
$1,059.23 |
1.1× |
| Xr shoulder 1 view (73020) |
$4,617.76 |
$154.40 |
56.6× |
| Xr spine cervical 4 or 5 views (72050) |
$960.28 |
$461.90 |
9.8× |
| Xr tibia/fibula 2 views (73590) |
$101.84 |
$164.75 |
1.2× |
| Xr tmj bilateral (70330) |
$1,104.08 |
$310.24 |
13.5× |
| Xray knee 1 or 2 views rt (73560) |
$88.25 |
$148.62 |
1.1× |