| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,170.64 |
$5,048 |
1.8× |
| Abdomen 2 views (74019) |
$211.99 |
$493 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$962.34 |
$2,238 |
2.8× |
| Angiography extremity bilateral rs&i (75716) |
$4,506.40 |
$10,480 |
1.7× |
| Angiography extremity unilateral rs&i (75710) |
$4,217.44 |
$9,808 |
1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,217.44 |
$9,808 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,217.44 |
$9,808 |
1.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,217.44 |
$9,808 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$736.16 |
$1,712 |
0.3× |
| Ankle 2 views (73600) |
$178.02 |
$414 |
2.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$349.59 |
$813 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,217.44 |
$9,808 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$4,217.44 |
$9,808 |
1.5× |
| Arthrogram elbow (73085) |
$612.32 |
$1,424 |
2.0× |
| Arthrogram hip (73525) |
$537.93 |
$1,251 |
1.8× |
| Arthrogram shoulder (73040) |
$635.54 |
$1,478 |
2.1× |
| Arthrogram wrist (73115) |
$604.15 |
$1,405 |
2.0× |
| Arthrography knee lt (73580) |
$598.56 |
$1,392 |
2.0× |
| Basic radiation dosimetry calculation (77300) |
$397.32 |
$924 |
3.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,016.52 |
$2,364 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,122.73 |
$2,611 |
3.3× |
| Bone age studies (77072) |
$187.48 |
$436 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,007.49 |
$2,343 |
2.9× |
| Bone survey complete (77075) |
$283.37 |
$659 |
3.1× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,004.05 |
$2,335 |
2.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,506.15 |
$12,805 |
4.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,827.50 |
$4,250 |
6.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$985.13 |
$2,291 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$144.91 |
$337 |
1.9× |
| Chest 1 view (71045) |
$152 |
$353.50 |
2.0× |
| Chest 3 views (71047) |
$86 |
$200 |
1.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$201.24 |
$468 |
1.3× |
| Clavicle complete (73000) |
$146.20 |
$340 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$402.48 |
$936 |
4.5× |
| Continuing medical physics consltj pr wk (77336) |
$351.31 |
$817 |
3.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,568.39 |
$5,973 |
8.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,017.13 |
$4,691 |
9.8× |
| CT abdomen w contrast (74160) |
$1,179.92 |
$2,744 |
7.8× |
| CT abdomen w wo contrast (74170) |
$1,332.14 |
$3,098 |
8.8× |
| CT abdomen w/o contrast (74150) |
$987.28 |
$2,296 |
11.0× |
| CT angio hrt w/3d image (75574) |
$1,819.33 |
$4,231 |
6.0× |
| CT angiography upper extremity lt (73206) |
$1,655.50 |
$3,850 |
10.9× |
| CT c-spine w/o contrast (72125) |
$1,314.08 |
$3,056 |
14.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,688.61 |
$3,927 |
11.2× |
| CT cervical spine with contrast (72126) |
$1,321.82 |
$3,074 |
4.4× |
| CT chest w/wo contrast (71270) |
$1,589.28 |
$3,696 |
10.5× |
| CT chest with contrast (71260) |
$1,248.72 |
$2,904 |
8.3× |
| CT head/brain with contrast (70460) |
$1,044.26 |
$2,428.50 |
6.9× |
| CT head/brain without and with contrast (70470) |
$1,376.86 |
$3,202 |
9.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$94.82 |
$220.50 |
1.3× |
| CT hrt w/3d image congen (75573) |
$1,653.78 |
$3,846 |
5.5× |
| CT iac w contrast (70481) |
$960.62 |
$2,234 |
6.4× |
| CT lower ext w/o (73700) |
$1,237.11 |
$2,877 |
13.7× |
| CT lower extremity w wo contrast (73702) |
$1,579.82 |
$3,674 |
10.4× |
| CT lower extremity with contrast (73701) |
$1,248.72 |
$2,904 |
8.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,535.10 |
$3,570 |
10.2× |
| CT lumbar spine w/o contrast (72131) |
$1,158.85 |
$2,695 |
12.9× |
| CT lumbar spine with contrast (72132) |
$1,176.91 |
$2,737 |
3.9× |
| CT maxillofacial w contrast (70487) |
$573.19 |
$1,333 |
3.8× |
| CT maxillofacial w/o contrast (70486) |
$509.98 |
$1,186 |
5.7× |
| CT maxillofacial w/wo contrast (70488) |
$903.86 |
$2,102 |
6.0× |
| CT neck soft tissue w contrast (70491) |
$1,136.92 |
$2,644 |
7.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,152.83 |
$2,681 |
7.6× |
| CT orbits w/o contrast (70480) |
$770.13 |
$1,791 |
8.5× |
| CT pelvis w & w/o contrast (72194) |
$1,581.54 |
$3,678 |
10.5× |
| CT pelvis w/o contrast (72192) |
$1,237.11 |
$2,877 |
13.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,495.97 |
$3,479 |
9.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,124.45 |
$2,615 |
12.5× |
| CT thoracic spine w/contrast (72129) |
$1,201.85 |
$2,795 |
7.9× |
| CT thoracic spine w/o contrast (72128) |
$1,194.54 |
$2,778 |
13.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,535.10 |
$3,570 |
10.2× |
| CT thorax w/o contrast (71250) |
$1,237.11 |
$2,877 |
13.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,816.75 |
$4,225 |
12.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,182.50 |
$2,750 |
13.1× |
| CT upper extremity with contrast (73201) |
$1,277.10 |
$2,970 |
4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,664.10 |
$3,870 |
11.0× |
| Cta Abdomen (74175) |
$1,664.10 |
$3,870 |
11.0× |
| CTA abdomen pelvis (74174) |
$2,900.78 |
$6,746 |
9.6× |
| CTA chest (71275) |
$1,670.55 |
$3,885 |
11.0× |
| Cta Head (70496) |
$1,348.91 |
$3,137 |
8.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,109.40 |
$2,580 |
7.3× |
| Cta Neck (70498) |
$1,348.91 |
$3,137 |
8.9× |
| Cta Pelvis (72191) |
$1,277.10 |
$2,970 |
8.4× |
| Cystography minimum 3 views rs&i (74430) |
$463.54 |
$1,078 |
1.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$283.80 |
$660 |
3.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$330.67 |
$769 |
3.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$239.51 |
$557 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$230.48 |
$536 |
2.6× |
| Dxa bone density study axial skeleton (77085) |
$138.46 |
$322 |
1.5× |
| Echo exam of fetal heart (76825) |
$847.53 |
$1,971 |
1.8× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$537.50 |
$1,250 |
2.6× |
| Echoencephalography real time imaging (76506) |
$339.70 |
$790 |
3.8× |
| Esophagus (74220) |
$285.95 |
$665 |
1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$411.08 |
$956 |
4.6× |
| Fluoroscopy up to 1 hr (76000) |
$219.73 |
$511 |
1.1× |
| Foot 2 views (73620) |
$145.77 |
$339 |
1.9× |
| Forearm 2 views (73090) |
$169.85 |
$395 |
2.3× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$175.44 |
$408 |
0.9× |
| Gated Heart Planar Single (78472) |
$1,087.90 |
$2,530 |
3.2× |
| Hand 2 views (73120) |
$224.46 |
$522 |
2.5× |
| Hand 3 views (73130) |
$155.66 |
$362 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,100.80 |
$2,560 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,100.80 |
$2,560 |
3.2× |
| Ht muscle image spect sing (78451) |
$1,096.07 |
$2,549 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$150.93 |
$351 |
2.0× |
| Hysterosalpingogram (74740) |
$564.16 |
$1,312 |
2.7× |
| Interstitial radiation source applic complex (77778) |
$1,538.97 |
$3,579 |
2.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$107.50 |
$250 |
1.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$949.87 |
$2,209 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,100.37 |
$2,559 |
2.4× |
| Knee 3 views (73562) |
$152.65 |
$355 |
2.0× |
| Liver & spleen imaging static only (78215) |
$946.86 |
$2,202 |
2.7× |
| Lung perf&ventilat diferentl (78598) |
$626.94 |
$1,458 |
1.3× |
| Lymphoscintigraphy (78195) |
$923.64 |
$2,148 |
2.0× |
| Meckels Diverticulum (78290) |
$985.13 |
$2,291 |
2.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$642.85 |
$1,495 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$32.25 |
$75 |
1.3× |
| MRA head w & w/o contrast (70546) |
$1,835.67 |
$4,269 |
6.1× |
| MRA head w/o contrast (70544) |
$1,569.50 |
$3,650 |
7.6× |
| MRA neck w contrast (70548) |
$1,536.82 |
$3,574 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,107.86 |
$4,902 |
7.0× |
| MRA neck w/o contrast (70547) |
$1,526.07 |
$3,549 |
7.4× |
| MRI abdomen w contrast (74182) |
$1,430.18 |
$3,326 |
4.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,928.55 |
$4,485 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$1,389.76 |
$3,232 |
6.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,652.49 |
$3,843 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,609.06 |
$3,742 |
2.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,557.89 |
$3,623 |
7.6× |
| MRI breast w/o contrast unilat (77046) |
$1,353.64 |
$3,148 |
6.6× |
| MRI c-spine with contrast (72142) |
$1,474.04 |
$3,428 |
4.9× |
| MRI cardiac w/o contrast (75557) |
$1,259.47 |
$2,929 |
6.1× |
| MRI cervical spine w/o contrast (72141) |
$1,443.08 |
$3,356 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,047.23 |
$4,761 |
6.8× |
| MRI chest w/o contrast (71550) |
$322.50 |
$750 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,621.96 |
$3,772 |
5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,570.79 |
$3,653 |
5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,494.25 |
$3,475 |
7.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,519.19 |
$3,533 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,086.79 |
$4,853 |
6.9× |
| MRI pelvis w contrast (72196) |
$1,675.28 |
$3,896 |
5.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,088.94 |
$4,858 |
6.9× |
| MRI pelvis w/o contrast (72195) |
$1,498.98 |
$3,486 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,235.14 |
$5,198 |
7.4× |
| MRI scan of leg joint before and after contrast (73723) |
$2,273.41 |
$5,287 |
7.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,107.43 |
$4,901 |
7.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,475.33 |
$3,431 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,158.17 |
$5,019 |
7.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,480.49 |
$3,443 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,107.43 |
$4,901 |
7.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,417.71 |
$3,297 |
6.9× |
| MRI tmj (70336) |
$1,417.71 |
$3,297 |
6.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,530.37 |
$3,559 |
7.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,189.13 |
$5,091 |
7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,455.98 |
$3,386 |
7.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,974.13 |
$4,591 |
1.8× |
| Neck soft tissue (70360) |
$107.93 |
$251 |
1.4× |
| Nm cisternogram (78630) |
$985.13 |
$2,291 |
2.1× |
| Nm gastric emptying study (78264) |
$827.32 |
$1,924 |
2.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,626.01 |
$6,107 |
2.2× |
| Nuclear Rx Oral Admin (79005) |
$258 |
$600 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$273.48 |
$636 |
3.0× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$141.90 |
$330 |
1.6× |
| Osseous survey infant (77076) |
$218.01 |
$507 |
2.4× |
| Osseous survey limited (77074) |
$230.48 |
$536 |
2.6× |
| Parathyrd planar w/spect&CT (78072) |
$903 |
$2,100 |
1.9× |
| Parathyrd planar w/wo subtrj (78071) |
$851.40 |
$1,980 |
2.5× |
| Parathyroid imaging (78070) |
$635.11 |
$1,477 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$169.42 |
$394 |
1.9× |
| Peritoneogram rs&i (74190) |
$483.75 |
$1,125 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$4,472.43 |
$10,401 |
3.6× |
| PET imaging CT for attenuation limited area (78814) |
$4,622.07 |
$10,749 |
3.7× |
| PET imaging for CT attenuation whole body (78816) |
$4,587.24 |
$10,668 |
3.7× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) |
$1,609.92 |
$3,744 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,224.39 |
$5,173 |
7.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$852.26 |
$1,982 |
2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,328.27 |
$3,089 |
2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$409.79 |
$953 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$87.72 |
$204 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$173.29 |
$403 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$144.91 |
$337 |
1.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,475.98 |
$17,386 |
1.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$502.24 |
$1,168 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$194.79 |
$453 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$142.33 |
$331 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$172 |
$400 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$155.66 |
$362 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$293.26 |
$682 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$285.95 |
$665 |
1.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$285.95 |
$665 |
1.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$176.73 |
$411 |
2.4× |
| Radiological examination surgical specimen (76098) |
$257.14 |
$598 |
0.5× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$611.46 |
$1,422 |
1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,059.52 |
$2,464 |
3.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,122.73 |
$2,611 |
2.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,505 |
$3,500 |
1.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$394.31 |
$917 |
2.0× |
| Rp Therapy Intravenous Administration (79101) |
$753.36 |
$1,752 |
3.7× |
| Scanogram (77073) |
$161.68 |
$376 |
1.8× |
| Scapula complete (73010) |
$191.78 |
$446 |
2.1× |
| Screening digital breast tomosynthesis (77063) |
$47.73 |
$111 |
2.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$129.43 |
$301 |
1.4× |
| Small bowel series (74250) |
$295.84 |
$688 |
2.0× |
| Spec medical radj physics consltj (77370) |
$540.08 |
$1,256 |
4.7× |
| Special dosimetry (77331) |
$241.23 |
$561 |
2.1× |
| Special treatment procedure (77470) |
$670.58 |
$1,559.50 |
1.4× |
| Spine thoracic 3 views (72072) |
$201.67 |
$469 |
2.2× |
| Stereotactic body radiation delivery (77373) |
$2,335.76 |
$5,432 |
1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,080.59 |
$2,513 |
3.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$642.85 |
$1,495 |
2.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$285.52 |
$664 |
2.5× |
| Thoracolumbar 2 views (72080) |
$66.65 |
$155 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,059.52 |
$2,464 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$689.29 |
$1,603 |
2.0× |
| Thyroid uptake measurement (78012) |
$458.38 |
$1,066 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$786.90 |
$1,830 |
2.3× |
| Tmj unilateral (70328) |
$205.54 |
$478 |
2.7× |
| Treatment devices simple (77332) |
$424.84 |
$988 |
3.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,560.47 |
$3,629 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,197.98 |
$2,786 |
3.5× |
| Tx devices design & construction complex (77334) |
$642.85 |
$1,495 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$329.38 |
$766 |
3.7× |
| Umbilical-artery Doppler (OB) (76820) |
$194.79 |
$453 |
2.2× |
| Unlisted Ultrasound Procedure (76999) |
$443.76 |
$1,032 |
5.9× |
| Upper Extremity Infant (73092) |
$155.66 |
$362 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$371.95 |
$865 |
1.8× |
| Urethrocystography voiding (74455) |
$380.98 |
$886 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$368.51 |
$857 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$361.20 |
$840 |
4.0× |
| Us breast unilateral complete (76641) |
$214.14 |
$498 |
2.4× |
| Us breast unilateral limited (76642) |
$138.89 |
$323 |
1.9× |
| Us chest (76604) |
$131.15 |
$305 |
1.5× |
| Us elastography parenchyma (76981) |
$93.74 |
$218 |
1.0× |
| Us infant hips dynamic (76885) |
$118.25 |
$275 |
1.6× |
| Us kidney transplant (76776) |
$334.54 |
$778 |
3.7× |
| Us ob detailed single fetus (76811) |
$363.35 |
$845 |
1.8× |
| Us ob transvaginal (76817) |
$202.53 |
$471 |
2.2× |
| Us pelvic non ob complete (76856) |
$471.71 |
$1,097 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$355.18 |
$826 |
3.9× |
| Us pregnancy ltd (76815) |
$368.08 |
$856 |
4.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$298.85 |
$695 |
3.3× |
| Us retroperitoneal complete (76770) |
$361.20 |
$840 |
4.0× |
| Us retroperitoneal limited (76775) |
$361.20 |
$840 |
4.0× |
| Us scrotum and contents (76870) |
$158.67 |
$369 |
1.8× |
| Us soft tissue head/neck (76536) |
$410 |
$953.50 |
4.5× |
| Us spinal canal and contents (76800) |
$339.70 |
$790 |
3.8× |
| Us transrectal (76872) |
$214.14 |
$498 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$221.88 |
$516 |
2.5× |
| Us, eye b-scan (76512) |
$141.90 |
$330 |
1.6× |
| Venogram extremity bilateral (75822) |
$2,571.40 |
$5,980 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$4,217.44 |
$9,808 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$1,933.71 |
$4,497 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,004.48 |
$2,336 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$4,217.44 |
$9,808 |
1.5× |
| Wrist 2 views (73100) |
$178.02 |
$414 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$211.99 |
$493 |
2.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$236.93 |
$551 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$340.56 |
$792 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$146.63 |
$341 |
2.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$155.66 |
$362 |
2.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$172 |
$400 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$70.09 |
$163 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$97.61 |
$227 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$154.80 |
$360 |
1.7× |
| X-ray exam of femur 1 (73551) |
$87.72 |
$204 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$195.22 |
$454 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$248.97 |
$579 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$152.65 |
$355 |
2.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,343.75 |
$3,125 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$146.63 |
$341 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$194.79 |
$453 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$239.94 |
$558 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$84.28 |
$196 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$233.49 |
$543 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$201.67 |
$469 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$356.04 |
$828 |
4.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$144.91 |
$337 |
1.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$174.15 |
$405 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$113.52 |
$264 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$167.27 |
$389 |
1.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$175.87 |
$409 |
2.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$421.40 |
$980 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$198.23 |
$461 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$211.99 |
$493 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$170.28 |
$396 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$268.54 |
$624.50 |
3.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$188.77 |
$439 |
2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$194.36 |
$452 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$273.05 |
$635 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$226.61 |
$527 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$121.69 |
$283 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$150.07 |
$349 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$121.26 |
$282 |
1.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$129 |
$300 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$152.65 |
$355 |
2.0× |
| Xr arthrogram ankle (73615) |
$564.16 |
$1,312 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$279.07 |
$649 |
3.1× |
| Xr chest 4+ views (71048) |
$164.26 |
$382 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$135.02 |
$314 |
1.8× |
| Xr shoulder 1 view (73020) |
$181.03 |
$421 |
2.4× |
| Xr spine cervical 4 or 5 views (72050) |
$230.05 |
$535 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$178.02 |
$414 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$145.77 |
$339 |
1.9× |