| Abdomen 2 views (74019) |
$406.35 |
$2,257.50 |
3.7× |
| Acute gi blood loss imaging (78278) |
$1,412.32 |
$7,846.20 |
3.4× |
| Angiography extremity bilateral rs&i (75716) |
$1,760.33 |
$9,779.63 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,760.33 |
$9,779.63 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,554.19 |
$14,189.96 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,760.33 |
$9,779.63 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,760.33 |
$9,779.63 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,271.58 |
$18,175.45 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$947.39 |
$5,263.30 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,617.20 |
$8,984.45 |
0.5× |
| Ankle 2 views (73600) |
$433.84 |
$2,410.20 |
4.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,554.19 |
$14,189.96 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,760.33 |
$9,779.63 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,760.33 |
$9,779.63 |
0.5× |
| Arthrogram ankle (73615) |
$1,455.07 |
$8,083.72 |
4.0× |
| Arthrogram elbow (73085) |
$1,301.82 |
$7,232.32 |
3.6× |
| Arthrogram hip (73525) |
$1,547.39 |
$8,596.62 |
4.2× |
| Arthrogram knee (73580) |
$1,455.07 |
$8,083.72 |
4.0× |
| Arthrogram shoulder (73040) |
$1,379.68 |
$7,664.90 |
3.8× |
| Arthrogram wrist (73115) |
$1,301.82 |
$7,232.32 |
3.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$909.19 |
$5,051.04 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$1,771.28 |
$9,840.44 |
4.2× |
| Bone age studies (77072) |
$212.73 |
$1,181.86 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$2,007.97 |
$11,155.41 |
4.8× |
| Bone survey complete (77075) |
$959.79 |
$5,332.15 |
8.8× |
| Bone survey infant (77076) |
$428.57 |
$2,380.94 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$312.70 |
$1,737.23 |
3.4× |
| Chest 1 view (71045) |
$199.72 |
$1,109.58 |
2.2× |
| Chest xray 3 views (71047) |
$350.91 |
$1,949.50 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$655.14 |
$3,639.68 |
3.6× |
| Clavicle complete (73000) |
$483.20 |
$2,684.44 |
5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,454.02 |
$24,744.54 |
12.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,538.78 |
$14,104.34 |
10.2× |
| CT abdomen w contrast (74160) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT abdomen w wo contrast (74170) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT abdomen w/o contrast (74150) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,297.75 |
$12,765.27 |
12.5× |
| CT angiography upper extremity lt (73206) |
$2,297.75 |
$12,765.27 |
12.5× |
| CT c-spine w/contrast (72126) |
$2,009.63 |
$11,164.59 |
5.5× |
| CT c-spine w/o contrast (72125) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT chest w contrast (71260) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT chest w/wo contrast (71270) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT head/brain with contrast (70460) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT head/brain without and with contrast (70470) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$41.61 |
$231.14 |
0.5× |
| CT iac w contrast (70481) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT limited/localized follow up study (76380) |
$685.92 |
$3,810.65 |
7.5× |
| CT lower ext w/o (73700) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT lower extremity w wo contrast (73702) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT lower extremity w/contrast material (73701) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT lumbar spine w & w/o contrast (72133) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT lumbar spine w/contrast (72132) |
$2,009.63 |
$11,164.59 |
5.5× |
| CT lumbar spine w/o contrast (72131) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT maxillofacial w contrast (70487) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT maxillofacial wo contrast (70486) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT orbits w/o contrast (70480) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT pelvis w/o contrast (72192) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT pelvis w/wo contrast (72194) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT scan of arm combo (73202) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT soft tissue neck w contrast (70491) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT thoracic spine w/contrast (72129) |
$2,009.63 |
$11,164.59 |
11.0× |
| CT thoracic spine w/o contrast (72128) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,226.49 |
$12,369.40 |
12.2× |
| CT thorax w/o contrast (71250) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT upper ext wo (73200) |
$1,269.18 |
$7,051.02 |
11.6× |
| CT upper extremity with contrast (73201) |
$2,009.63 |
$11,164.59 |
5.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,297.75 |
$12,765.27 |
12.5× |
| Cta Abdomen (74175) |
$2,297.75 |
$12,765.27 |
12.5× |
| CTA abdomen pelvis (74174) |
$4,594.47 |
$25,524.81 |
12.6× |
| CTA chest (71275) |
$2,297.75 |
$12,765.27 |
12.5× |
| Cta Head (70496) |
$2,297.75 |
$12,765.27 |
12.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$5,864.70 |
$32,581.66 |
16.1× |
| Cta Neck (70498) |
$2,297.75 |
$12,765.27 |
12.5× |
| Cta Pelvis (72191) |
$2,297.75 |
$12,765.27 |
12.5× |
| Cystography minimum 3 views rs&i (74430) |
$1,182.85 |
$6,571.39 |
3.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$231.53 |
$1,286.28 |
2.1× |
| Esophagus (74220) |
$542.58 |
$3,014.33 |
3.0× |
| Facial bones min 3 views (70150) |
$492.18 |
$2,734.35 |
4.5× |
| Fetal biophysical profile non-stress testing (76818) |
$533.70 |
$2,964.99 |
4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$533.70 |
$2,964.99 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$734.80 |
$4,082.22 |
2.9× |
| Foot 2 views (73620) |
$366.20 |
$2,034.41 |
4.0× |
| Forearm 2 views (73090) |
$551.46 |
$3,063.66 |
6.1× |
| Hand 2 views (73120) |
$403.37 |
$2,240.96 |
3.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$1,487.19 |
$8,262.19 |
0.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,725.22 |
$9,584.57 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,261.13 |
$7,006.27 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,261.13 |
$7,006.27 |
3.0× |
| Hysterosalpingogram (74740) |
$1,182.02 |
$6,566.79 |
4.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,211.15 |
$6,728.59 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,771.28 |
$9,840.44 |
3.1× |
| Knee 3 views (73562) |
$544.64 |
$3,025.80 |
6.0× |
| Lung perfusion differential (78597) |
$841.23 |
$4,673.52 |
2.0× |
| Lymphoscintigraphy (78195) |
$1,766.32 |
$9,812.91 |
3.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$1,794.83 |
$9,971.25 |
2.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$1,794.83 |
$9,971.25 |
4.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,262.02 |
$12,566.77 |
6.2× |
| Mr safety determination physician/other qhp (76016) |
$38.43 |
$213.48 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$5.76 |
$32.01 |
0.2× |
| MRA head w & w/o contrast (70546) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRA head w/o contrast (70544) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRA head with contrast (70545) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRA neck w contrast (70548) |
$1,794.83 |
$9,971.25 |
4.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRA neck w/o contrast (70547) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI abdomen w contrast (74182) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI abdomen w/o contrast (74181) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,794.83 |
$9,971.25 |
2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI breast wo contrast unilateral (77046) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI c-spine with contrast (72142) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI cervical spine w/o contrast (72141) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI chest w/o contrast (71550) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI chest with contrast (71551) |
$1,794.83 |
$9,971.25 |
2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,146.15 |
$11,923.05 |
5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,968.53 |
$10,936.25 |
7.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI orbit face neck w contrast (70542) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI pelvis w/contrast (72196) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI pelvis w/o contrast (72195) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,794.83 |
$9,971.25 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,262.02 |
$12,566.77 |
6.2× |
| MRI temporomandibular joint (70336) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI up ext w/o contrast (73218) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,462.09 |
$8,122.73 |
5.9× |
| MRI, joint upper extrem combo (73223) |
$2,262.02 |
$12,566.77 |
6.2× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$2,271.52 |
$12,619.54 |
1.7× |
| Myocardial Spect Multiple Studies (78452) |
$3,725.35 |
$20,696.37 |
2.8× |
| Myocardial spect single study at rest or stress (78451) |
$2,225.67 |
$12,364.81 |
1.6× |
| Neck soft tissue (70360) |
$367.64 |
$2,042.44 |
4.0× |
| Nm gastric emptying study (78264) |
$824.30 |
$4,579.43 |
2.0× |
| Osseous survey limited (77074) |
$718.96 |
$3,994.24 |
6.6× |
| Parathyroid Planar Imaging (78070) |
$718.96 |
$3,994.24 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$267.06 |
$1,483.64 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$2,401.02 |
$13,338.99 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$2,401.02 |
$13,338.99 |
1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,487.19 |
$8,262.19 |
0.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,641.99 |
$9,122.15 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,091.15 |
$6,061.92 |
1.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$522.34 |
$2,901.88 |
5.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$247.85 |
$1,376.93 |
2.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$551.88 |
$3,065.96 |
6.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$268.91 |
$1,493.97 |
3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$537.83 |
$2,987.93 |
4.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$537.83 |
$2,987.93 |
4.9× |
| Radex fingr minimum 2 views (73140) |
$298.86 |
$1,660.34 |
3.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$518.31 |
$2,879.50 |
5.7× |
| Radex Hand Minimum 3 Views (73130) |
$531.63 |
$2,953.50 |
5.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$143.13 |
$795.18 |
1.6× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$430.43 |
$2,391.27 |
3.9× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$311.25 |
$1,729.19 |
2.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$622.51 |
$3,458.39 |
5.7× |
| Radex Humerus Minimum 2 Views (73060) |
$575.32 |
$3,196.20 |
6.3× |
| Radex Kne 1/2 Views (73560) |
$395 |
$2,194.48 |
4.3× |
| Radex Kne Compl 4/More Views (73564) |
$393.66 |
$2,187.02 |
3.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$576.24 |
$3,201.36 |
5.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$309.60 |
$1,720.02 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$397.38 |
$2,207.68 |
3.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$348.02 |
$1,933.44 |
3.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$291.63 |
$1,620.18 |
3.2× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$396.56 |
$2,203.09 |
3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$373.22 |
$2,073.42 |
4.1× |
| Radex Toe Minimum 2 Views (73660) |
$298.86 |
$1,660.34 |
3.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$482.89 |
$2,682.72 |
4.4× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$349.88 |
$1,943.76 |
3.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$537.83 |
$2,987.93 |
4.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$396.56 |
$2,203.09 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$425.88 |
$2,366.02 |
3.9× |
| Radiologic exam chest 2 views (71046) |
$253.84 |
$1,410.20 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$915.80 |
$5,087.75 |
5.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$932.89 |
$5,182.73 |
5.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$903.09 |
$5,017.14 |
4.9× |
| Radiologic examination femur 1 view (73551) |
$185.47 |
$1,030.40 |
2.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$502.20 |
$2,790 |
5.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$376.73 |
$2,092.93 |
3.5× |
| Radiological examination surgical specimen (76098) |
$253.84 |
$1,410.20 |
0.4× |
| Ribs bilateral 3 views (71110) |
$492.18 |
$2,734.35 |
4.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$845.16 |
$4,695.33 |
2.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,467.67 |
$8,153.71 |
2.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,482.19 |
$13,789.93 |
4.4× |
| Sacroiliac Joints < 3 Views (72200) |
$311.25 |
$1,729.19 |
2.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$753.87 |
$4,188.16 |
3.0× |
| Scapula (73010) |
$302.58 |
$1,681 |
2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$273.87 |
$1,521.50 |
11.7× |
| Shoulder 1 view (73020) |
$263.02 |
$1,461.27 |
2.9× |
| Small bowel series (74250) |
$635.73 |
$3,531.82 |
3.5× |
| Spine thoracic 3 views (72072) |
$502.51 |
$2,791.72 |
4.6× |
| Thoracolumbar 2 views (72080) |
$240.98 |
$1,338.75 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$907.95 |
$5,044.15 |
2.2× |
| Ultrasound breast complete (76641) |
$1,499.48 |
$8,330.42 |
13.7× |
| Ultrasound Exam Aaa Screen (76706) |
$847.64 |
$4,709.09 |
7.8× |
| Ultrasound, abdomen limited (76705) |
$655.14 |
$3,639.68 |
6.0× |
| Unlisted ultrasound procedure (76999) |
$257.14 |
$1,428.57 |
2.8× |
| Urethrocystogram voiding (74455) |
$1,968.32 |
$10,935.10 |
7.9× |
| Urethrocystography retrograde rs&i (74450) |
$1,968.32 |
$10,935.10 |
7.9× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$1,543.47 |
$8,574.81 |
8.4× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$1,968.32 |
$10,935.10 |
10.7× |
| Us breast unilateral limited (76642) |
$562.30 |
$3,123.90 |
6.2× |
| Us chest (76604) |
$421.75 |
$2,343.08 |
3.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$351.74 |
$1,954.09 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$628.29 |
$3,490.52 |
5.8× |
| Us encephalogram (76506) |
$436.83 |
$2,426.83 |
4.0× |
| Us infant hips w manipulation (76885) |
$531.01 |
$2,950.07 |
5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$313.73 |
$1,742.96 |
2.9× |
| Us ob detailed single fetus (76811) |
$810.87 |
$4,504.85 |
3.3× |
| Us ob limited (76815) |
$373.22 |
$2,073.42 |
3.4× |
| Us ob transvaginal (76817) |
$421.75 |
$2,343.08 |
3.9× |
| Us pelvic non ob complete (76856) |
$747.46 |
$4,152.58 |
6.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$356.69 |
$1,981.63 |
3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$421.75 |
$2,343.08 |
3.9× |
| Us retroperitoneal complete (76770) |
$847.64 |
$4,709.09 |
7.8× |
| Us retroperitoneal limited (76775) |
$831.11 |
$4,617.30 |
7.6× |
| Us scrotum and contents (76870) |
$482.06 |
$2,678.13 |
4.4× |
| Us soft tissue head/neck (76536) |
$810.87 |
$4,504.85 |
7.4× |
| Us spinal canal and contents (76800) |
$373.22 |
$2,073.42 |
3.4× |
| Us transrectal (76872) |
$373.22 |
$2,073.42 |
3.4× |
| Venogram extremity bilateral (75822) |
$504.78 |
$2,804.34 |
0.3× |
| Venogram Extremity Unilateral (75820) |
$734 |
$4,077.78 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$1,867.73 |
$10,376.30 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$599.38 |
$3,329.88 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$1,487.19 |
$8,262.19 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,196.56 |
$6,647.55 |
0.4× |
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure |
$2,486.15 |
$13,811.96 |
0.4× |
| Wrist 2 views (73100) |
$419.79 |
$2,332.16 |
4.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$606.07 |
$3,367.08 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$258.79 |
$1,437.74 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,239.85 |
$6,888.08 |
6.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$415.66 |
$2,309.22 |
4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$286.88 |
$1,593.80 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$311.25 |
$1,729.19 |
2.9× |
| X-ray exam of femur 2/> (73552) |
$555.90 |
$3,088.33 |
6.1× |
| X-ray eye for foreign body (70030) |
$252.19 |
$1,401.03 |
2.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$171.64 |
$953.53 |
1.9× |
| X-ray IV pyelogram (ivp) (74400) |
$1,543.47 |
$8,574.81 |
8.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$263.34 |
$1,462.99 |
2.9× |
| X-ray leg, infant (73592) |
$482.89 |
$2,682.72 |
5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$396.56 |
$2,203.09 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$575.62 |
$3,197.91 |
5.3× |
| X-ray nose-rectum child f.b. (76010) |
$291.63 |
$1,620.18 |
3.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$365.57 |
$2,030.97 |
3.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$367.23 |
$2,040.15 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$367.23 |
$2,040.15 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$492.18 |
$2,734.35 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$355.25 |
$1,973.60 |
3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$311.25 |
$1,729.19 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$457.90 |
$2,543.88 |
5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$457.90 |
$2,543.88 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$309.60 |
$1,720.02 |
2.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$91.70 |
$509.46 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$268.91 |
$1,493.97 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$221.41 |
$1,230.05 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$334.80 |
$1,860 |
3.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$615.28 |
$3,418.22 |
5.6× |
| Xr bone length studies (77073) |
$357.73 |
$1,987.37 |
3.3× |
| Xr c-spine 4 or 5 views (72050) |
$638.41 |
$3,546.73 |
5.8× |
| Xr c-spine 6 or more views (72052) |
$615.69 |
$3,420.52 |
5.6× |
| Xr chest 4+ views (71048) |
$350.91 |
$1,949.50 |
3.2× |
| Xr urogram antegrade (74425) |
$1,829.73 |
$10,165.18 |
5.0× |