| Abdomen 2 views (74019) |
$421.68 |
$1,757 |
3.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,191.68 |
$9,132 |
5.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$7,011.12 |
$29,213 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$7,011.12 |
$29,213 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$4,556.64 |
$18,986 |
1.4× |
| Angiography internal mammary rs&i (75756) |
$3,283.44 |
$13,681 |
1.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,896.48 |
$20,402 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,011.12 |
$29,213 |
2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,540.08 |
$18,917 |
1.3× |
| Angiography Spinal Selective Rs&I (75705) |
$7,711.92 |
$32,133 |
1.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,711.92 |
$32,133 |
1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,525.76 |
$10,524 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,319.68 |
$13,832 |
1.0× |
| Ankle 2 views (73600) |
$333.60 |
$1,390 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,081.44 |
$4,506 |
2.9× |
| Aortogram thoracic (75605) |
$4,896.48 |
$20,402 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,540.08 |
$18,917 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$4,540.08 |
$18,917 |
1.3× |
| Artery X-Rays Adrenal Gland (75731) |
$4,540.08 |
$18,917 |
1.3× |
| Arthrogram elbow (73085) |
$1,023.12 |
$4,263 |
2.7× |
| Arthrogram hip (73525) |
$1,253.04 |
$5,221 |
3.4× |
| Arthrogram shoulder (73040) |
$1,067.40 |
$4,447.50 |
2.9× |
| Arthrogram wrist (73115) |
$907.92 |
$3,783 |
2.4× |
| Arthrography knee lt (73580) |
$1,040.76 |
$4,336.50 |
2.8× |
| Basic radiation dosimetry calculation (77300) |
$178.80 |
$745 |
1.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,974 |
$8,225 |
4.6× |
| Bone &/joint imaging whole body (78306) |
$2,111.76 |
$8,799 |
5.0× |
| Bone age studies (77072) |
$189.60 |
$790 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$2,247.60 |
$9,365 |
5.3× |
| Bone survey complete (77075) |
$837.84 |
$3,491 |
7.5× |
| Brain image w/flow 4 + views (78606) |
$1,365.60 |
$5,690 |
2.4× |
| Cardiac shunt detection (78428) |
$752.40 |
$3,135 |
1.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$842.40 |
$3,510 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$340.32 |
$1,418 |
3.7× |
| Chest 1 view (71045) |
$260.16 |
$1,084 |
2.8× |
| Chest 3 views (71047) |
$353.76 |
$1,474 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$607.92 |
$2,533 |
3.2× |
| Clavicle complete (73000) |
$383.28 |
$1,597 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$161.52 |
$673 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,965.28 |
$16,522 |
10.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,150.72 |
$13,128 |
12.4× |
| CT abdomen w contrast (74160) |
$1,919.52 |
$7,998 |
10.3× |
| CT abdomen w wo contrast (74170) |
$2,229.12 |
$9,288 |
11.9× |
| CT abdomen w/o contrast (74150) |
$1,856.16 |
$7,734 |
16.6× |
| CT angio hrt w/3d image (75574) |
$511.44 |
$2,131 |
1.4× |
| CT angiography upper extremity lt (73206) |
$1,895.04 |
$7,896 |
10.1× |
| CT c-spine w/o contrast (72125) |
$1,427.28 |
$5,947 |
12.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$360 |
$1,500 |
1.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,883.04 |
$7,846 |
10.1× |
| CT cervical spine with contrast (72126) |
$1,624.32 |
$6,768 |
4.4× |
| CT chest w/wo contrast (71270) |
$2,441.52 |
$10,173 |
13.0× |
| CT chest with contrast (71260) |
$2,042.16 |
$8,509 |
10.9× |
| CT colonography w/o cntrst (74261) |
$2,043.84 |
$8,516 |
18.3× |
| CT head/brain with contrast (70460) |
$1,960.56 |
$8,169 |
10.5× |
| CT head/brain without and with contrast (70470) |
$2,055.60 |
$8,565 |
11.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,559.52 |
$6,498 |
4.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,646.16 |
$6,859 |
17.7× |
| CT iac w contrast (70481) |
$1,715.76 |
$7,149 |
9.2× |
| CT limited/localized follow up study (76380) |
$582 |
$2,425 |
6.3× |
| CT lower ext w/o (73700) |
$2,323.68 |
$9,682 |
20.8× |
| CT lower extremity w wo contrast (73702) |
$2,761.20 |
$11,505 |
14.8× |
| CT lower extremity with contrast (73701) |
$2,542.20 |
$10,592.50 |
13.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,883.04 |
$7,846 |
10.1× |
| CT lumbar spine w/o contrast (72131) |
$1,427.28 |
$5,947 |
12.8× |
| CT lumbar spine with contrast (72132) |
$1,624.32 |
$6,768 |
4.4× |
| CT maxillofacial w contrast (70487) |
$1,415.76 |
$5,899 |
7.6× |
| CT maxillofacial w/o contrast (70486) |
$1,398.24 |
$5,826 |
12.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,744.80 |
$7,270 |
9.3× |
| CT neck soft tissue w contrast (70491) |
$1,730.40 |
$7,210 |
9.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,928.16 |
$8,034 |
10.3× |
| CT orbits w/o contrast (70480) |
$1,218.24 |
$5,076 |
10.9× |
| CT pelvis w & w/o contrast (72194) |
$1,736.40 |
$7,235 |
9.3× |
| CT pelvis w/o contrast (72192) |
$1,447.68 |
$6,032 |
13.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,774.80 |
$7,395 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,610.88 |
$6,712 |
14.4× |
| CT thoracic spine w/contrast (72129) |
$1,624.32 |
$6,768 |
8.7× |
| CT thoracic spine w/o contrast (72128) |
$1,427.28 |
$5,947 |
12.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,883.04 |
$7,846 |
10.1× |
| CT thorax w/o contrast (71250) |
$1,646.16 |
$6,859 |
14.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,540.28 |
$10,584.50 |
13.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,646.16 |
$6,859 |
14.8× |
| CT upper extremity with contrast (73201) |
$2,030.40 |
$8,460 |
5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,342.64 |
$9,761 |
12.5× |
| Cta Abdomen (74175) |
$1,952.88 |
$8,137 |
10.4× |
| CTA abdomen pelvis (74174) |
$3,751.68 |
$15,632 |
10.1× |
| CTA chest (71275) |
$2,025.36 |
$8,439 |
10.8× |
| Cta Head (70496) |
$1,888.80 |
$7,870 |
10.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,808 |
$11,700 |
7.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,895.04 |
$7,896 |
10.1× |
| Cta Neck (70498) |
$1,952.88 |
$8,137 |
10.4× |
| Cta Pelvis (72191) |
$1,798.80 |
$7,495 |
9.6× |
| Cystography minimum 3 views rs&i (74430) |
$898.80 |
$3,745 |
2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$131.04 |
$546 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$305.52 |
$1,273 |
2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$398.40 |
$1,660 |
4.3× |
| Dxa bone density study axial skeleton (77085) |
$392.16 |
$1,634 |
3.5× |
| Echoencephalography real time imaging (76506) |
$561.12 |
$2,338 |
5.0× |
| Esophagus (74220) |
$480.96 |
$2,004 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$1,127.04 |
$4,696 |
10.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$619.44 |
$2,581 |
5.6× |
| Fluoroscopy up to 1 hr (76000) |
$462.96 |
$1,929 |
1.8× |
| Foot 2 views (73620) |
$363.24 |
$1,513.50 |
3.9× |
| Forearm 2 views (73090) |
$350.16 |
$1,459 |
3.8× |
| Gated Heart Planar Single (78472) |
$1,614 |
$6,725 |
3.8× |
| Hand 2 views (73120) |
$315.12 |
$1,313 |
2.8× |
| Hand 3 views (73130) |
$446.52 |
$1,860.50 |
4.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,540.08 |
$18,917 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,813.92 |
$7,558 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,813.92 |
$7,558 |
4.3× |
| Ht muscle image spect sing (78451) |
$1,712.16 |
$7,134 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$445.44 |
$1,856 |
4.8× |
| Hysterosalpingogram (74740) |
$502.32 |
$2,093 |
2.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$313.44 |
$1,306 |
2.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,152.96 |
$4,804 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,272.24 |
$5,301 |
2.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,987.92 |
$8,283 |
3.4× |
| Knee 3 views (73562) |
$411.12 |
$1,713 |
4.4× |
| Liver & spleen imaging static only (78215) |
$1,248 |
$5,200 |
2.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,765.68 |
$7,357 |
4.1× |
| Lung perf&ventilat diferentl (78598) |
$2,548.32 |
$10,618 |
4.4× |
| Lung Ventilation Imaging (78579) |
$1,243.68 |
$5,182 |
2.9× |
| Lymphoscintigraphy (78195) |
$547.20 |
$2,280 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$807.84 |
$3,366 |
3.2× |
| Mammary ductogram or galactogram single (77053) |
$628.32 |
$2,618 |
2.5× |
| Meckels Diverticulum (78290) |
$1,363.68 |
$5,682 |
3.2× |
| MRA head w & w/o contrast (70546) |
$3,625.92 |
$15,108 |
9.7× |
| MRA head w/o contrast (70544) |
$2,185.20 |
$9,105 |
8.6× |
| MRA head with contrast (70545) |
$2,460.96 |
$10,254 |
6.6× |
| MRA neck w contrast (70548) |
$1,871.04 |
$7,796 |
5.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,807.84 |
$15,866 |
10.2× |
| MRA neck w/o contrast (70547) |
$1,732.32 |
$7,218 |
6.8× |
| MRI abdomen w contrast (74182) |
$2,636.16 |
$10,984 |
7.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,754.56 |
$15,644 |
10.1× |
| MRI abdomen w/o contrast (74181) |
$2,425.20 |
$10,105 |
9.5× |
| MRI any jnt lwr ext with con lt (73722) |
$3,768.72 |
$15,703 |
4.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,470.80 |
$10,295 |
3.0× |
| MRI breast w/o contrast bilateral (77047) |
$921.84 |
$3,841 |
3.6× |
| MRI breast w/o contrast unilat (77046) |
$921.84 |
$3,841 |
3.6× |
| MRI c-spine with contrast (72142) |
$2,736.24 |
$11,401 |
7.3× |
| MRI cervical spine w/o contrast (72141) |
$2,642.64 |
$11,011 |
10.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,320.40 |
$13,835 |
8.9× |
| MRI chest w/o contrast (71550) |
$2,429.52 |
$10,123 |
9.5× |
| MRI chest with contrast (71551) |
$2,477.28 |
$10,322 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,475.36 |
$10,314 |
6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,060.44 |
$16,918.50 |
10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,762.96 |
$15,679 |
14.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,340.24 |
$9,751 |
9.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,328.56 |
$13,869 |
8.9× |
| MRI orbit/face/neck w/contrast (70542) |
$2,832.48 |
$11,802 |
7.6× |
| MRI pelvis w contrast (72196) |
$3,180.48 |
$13,252 |
8.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,435.12 |
$14,313 |
9.2× |
| MRI pelvis w/o contrast (72195) |
$2,724.48 |
$11,352 |
10.7× |
| MRI scan of arm joint before and after contrast (73223) |
$5,285.76 |
$22,024 |
14.2× |
| MRI scan of leg joint before and after contrast (73723) |
$4,998.36 |
$20,826.50 |
13.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,815.76 |
$15,899 |
10.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,779.92 |
$11,583 |
7.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,815.76 |
$15,899 |
10.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,854.56 |
$11,894 |
7.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,815.76 |
$15,899 |
10.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,715.36 |
$11,314 |
10.7× |
| MRI tmj (70336) |
$1,854.96 |
$7,729 |
7.3× |
| MRI upper ext joint w/o contrast (73221) |
$3,546.36 |
$14,776.50 |
13.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,607.36 |
$10,864 |
7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,515.28 |
$14,647 |
13.8× |
| Myocardial Spect Multiple Studies (78452) |
$3,587.04 |
$14,946 |
2.6× |
| Neck soft tissue (70360) |
$329.28 |
$1,372 |
3.5× |
| Nm cisternogram (78630) |
$1,365.60 |
$5,690 |
2.4× |
| Nm gastric emptying study (78264) |
$1,261.92 |
$5,258 |
3.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,329.60 |
$5,540 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$534.72 |
$2,228 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$619.68 |
$2,582 |
5.6× |
| Osseous survey infant (77076) |
$307.68 |
$1,282 |
2.8× |
| Osseous survey limited (77074) |
$234 |
$975 |
2.1× |
| Parathyrd planar w/spect&CT (78072) |
$2,079.36 |
$8,664 |
3.6× |
| Parathyrd planar w/wo subtrj (78071) |
$2,079.36 |
$8,664 |
4.9× |
| Parathyroid imaging (78070) |
$1,506.96 |
$6,279 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$322.08 |
$1,342 |
2.9× |
| Peritoneogram rs&i (74190) |
$452.16 |
$1,884 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,578.84 |
$19,078.50 |
12.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,747.04 |
$11,446 |
0.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,787.60 |
$11,615 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$633.12 |
$2,638 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,548.32 |
$10,618 |
4.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$563.28 |
$2,347 |
1.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$891.60 |
$3,715 |
9.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$891.60 |
$3,715 |
8.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$507.12 |
$2,113 |
4.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$452.16 |
$1,884 |
4.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,190.40 |
$4,960 |
10.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$487.68 |
$2,032 |
4.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$410.88 |
$1,712 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$432.48 |
$1,802 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$292.08 |
$1,217 |
3.1× |
| Radiologic exam colon single contrast study (74270) |
$648 |
$2,700 |
3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$612.96 |
$2,554 |
3.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$612.96 |
$2,554 |
3.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,424.88 |
$5,937 |
7.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$359.16 |
$1,496.50 |
3.9× |
| Radiological examination surgical specimen (76098) |
$814.32 |
$3,393 |
1.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,540.08 |
$18,917 |
1.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$4,540.08 |
$18,917 |
1.3× |
| Ribs bilateral 3 views (71110) |
$357.60 |
$1,490 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,078.08 |
$4,492 |
2.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,622.96 |
$10,929 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,692.80 |
$11,220 |
4.6× |
| Sacroiliac Joints < 3 Views (72200) |
$141.12 |
$588 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$870.96 |
$3,629 |
3.4× |
| Scanogram (77073) |
$376.08 |
$1,567 |
3.4× |
| Scapula complete (73010) |
$408.96 |
$1,704 |
3.7× |
| Screening digital breast tomosynthesis (77063) |
$100.56 |
$419 |
4.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$80.40 |
$335 |
0.7× |
| Small bowel series (74250) |
$630.96 |
$2,629 |
3.4× |
| Spine thoracic 3 views (72072) |
$386.64 |
$1,611 |
3.5× |
| Testicular Imaging With Vascular Flow (78761) |
$1,156.32 |
$4,818 |
2.7× |
| Thoracolumbar 2 views (72080) |
$238.32 |
$993 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,915.44 |
$7,981 |
3.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$690.96 |
$2,879 |
1.6× |
| Thyroid uptake measurement (78012) |
$417.36 |
$1,739 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,028.64 |
$4,286 |
2.4× |
| Tmj unilateral (70328) |
$292.80 |
$1,220 |
3.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,722.32 |
$11,343 |
4.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,078.08 |
$4,492 |
2.5× |
| Ultrasound elastography first target lesion (76982) |
$102.96 |
$429 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$716.16 |
$2,984 |
6.4× |
| Umbilical-artery Doppler (OB) (76820) |
$131.04 |
$546 |
1.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$144 |
$600 |
1.6× |
| Upper Extremity Infant (73092) |
$294.72 |
$1,228 |
2.6× |
| Urethrocystography retrograde rs&i (74450) |
$435.84 |
$1,816 |
1.7× |
| Urethrocystography voiding (74455) |
$650.40 |
$2,710 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$805.44 |
$3,356 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$154.08 |
$642 |
1.4× |
| Us breast unilateral complete (76641) |
$513.36 |
$2,139 |
4.6× |
| Us breast unilateral limited (76642) |
$354.60 |
$1,477.50 |
3.8× |
| Us chest (76604) |
$355.44 |
$1,481 |
3.2× |
| Us compl joint r-t w/image documentation (76881) |
$617.76 |
$2,574 |
5.5× |
| Us elastography parenchyma (76981) |
$102.96 |
$429 |
0.9× |
| Us kidney transplant (76776) |
$592.80 |
$2,470 |
5.3× |
| Us ob detailed single fetus (76811) |
$582.24 |
$2,426 |
2.3× |
| Us ob transvaginal (76817) |
$582.24 |
$2,426 |
5.2× |
| Us pelvic non ob complete (76856) |
$857.76 |
$3,574 |
7.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$505.44 |
$2,106 |
4.5× |
| Us pregnancy ltd (76815) |
$597.12 |
$2,488 |
5.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$379.68 |
$1,582 |
3.4× |
| Us retroperitoneal complete (76770) |
$815.76 |
$3,399 |
7.3× |
| Us retroperitoneal limited (76775) |
$212.64 |
$886 |
1.9× |
| Us scrotum and contents (76870) |
$529.20 |
$2,205 |
4.7× |
| Us soft tissue head/neck (76536) |
$573.12 |
$2,388 |
5.1× |
| Us spinal canal and contents (76800) |
$120 |
$500 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$399.60 |
$1,665 |
3.6× |
| Venogram extremity bilateral (75822) |
$2,907.36 |
$12,114 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$4,556.64 |
$18,986 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$2,432.88 |
$10,137 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,453.68 |
$6,057 |
0.9× |
| Venography Renal Bilateral (75833) |
$4,540.08 |
$18,917 |
1.3× |
| Venography renal unilateral selective rs&i (75831) |
$4,540.08 |
$18,917 |
1.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,916.16 |
$20,484 |
0.8× |
| Vertebral fracture assessment via dxa (77086) |
$128.16 |
$534 |
1.4× |
| Wrist 2 views (73100) |
$353.40 |
$1,472.50 |
3.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$684.72 |
$2,853 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$286.56 |
$1,194 |
3.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$438.12 |
$1,825.50 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$752.16 |
$3,134 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$379.08 |
$1,579.50 |
4.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$421.32 |
$1,755.50 |
4.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,190.40 |
$4,960 |
10.7× |
| X-ray exam hip uni 1 view (73501) |
$275.76 |
$1,149 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$364.56 |
$1,519 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$541.20 |
$2,255 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$543.84 |
$2,266 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,087.44 |
$4,531 |
9.7× |
| X-ray exam of femur 1 (73551) |
$143.52 |
$598 |
1.5× |
| X-ray eye for foreign body (70030) |
$236.16 |
$984 |
2.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$440.16 |
$1,834 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$380.88 |
$1,587 |
4.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$421.08 |
$1,754.50 |
4.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,579.52 |
$10,748 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$424.80 |
$1,770 |
4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$348 |
$1,450 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$502.44 |
$2,093.50 |
4.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$201.36 |
$839 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$355.32 |
$1,480.50 |
3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$432 |
$1,800 |
3.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$647.04 |
$2,696 |
5.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$761.28 |
$3,172 |
6.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$356.16 |
$1,484 |
3.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$270.96 |
$1,129 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$391.92 |
$1,633 |
3.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$390.48 |
$1,627 |
3.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$584.40 |
$2,435 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$270.96 |
$1,129 |
2.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$416.88 |
$1,737 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$501.36 |
$2,089 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$262.80 |
$1,095 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$261.84 |
$1,091 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$460.32 |
$1,918 |
5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$384.48 |
$1,602 |
4.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$255.84 |
$1,066 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$567.60 |
$2,365 |
5.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$368.88 |
$1,537 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$268.32 |
$1,118 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$234.48 |
$977 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$322.08 |
$1,342 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$355.44 |
$1,481 |
3.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$419.52 |
$1,748 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$182.16 |
$759 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$439.92 |
$1,833 |
4.7× |
| Xr arthrogram ankle (73615) |
$734.16 |
$3,059 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$688.80 |
$2,870 |
6.2× |
| Xr chest 4+ views (71048) |
$415.44 |
$1,731 |
3.7× |
| Xr finger(s) 2+ views (73140) |
$182.16 |
$759 |
2.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$289.20 |
$1,205 |
2.6× |
| Xr shoulder 1 view (73020) |
$345.60 |
$1,440 |
3.7× |
| Xr spine cervical 4 or 5 views (72050) |
$671.76 |
$2,799 |
6.0× |
| Xr tibia/fibula 2 views (73590) |
$421.08 |
$1,754.50 |
4.5× |
| Xr tmj bilateral (70330) |
$618 |
$2,575 |
6.7× |
| Xray knee 1 or 2 views rt (73560) |
$399.96 |
$1,666.50 |
4.3× |