| Abdomen 2 views (74019) |
$316.40 |
$791 |
3.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,666.60 |
$4,166.50 |
4.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,280.40 |
$8,201 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$4,467.80 |
$11,169.50 |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$3,052.20 |
$7,630.50 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$2,235.20 |
$5,588 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,292.80 |
$8,232 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,260.40 |
$5,651 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,848.40 |
$4,621 |
0.6× |
| Angiography Spinal Selective Rs&I (75705) |
$5,080 |
$12,700 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,114.80 |
$12,787 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,191.80 |
$2,979.50 |
0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,954.40 |
$4,886 |
0.6× |
| Ankle 2 views (73600) |
$403.20 |
$1,008 |
4.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$738.80 |
$1,847 |
2.1× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,705.60 |
$6,764 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,622 |
$9,055 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,286 |
$8,215 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,961.20 |
$7,403 |
0.9× |
| Artery X-Rays Adrenal Gland (75731) |
$2,532.40 |
$6,331 |
0.8× |
| Arthrogram elbow (73085) |
$1,054.80 |
$2,637 |
3.0× |
| Arthrogram hip (73525) |
$858 |
$2,145 |
2.4× |
| Arthrogram shoulder (73040) |
$1,129.60 |
$2,824 |
3.2× |
| Arthrogram wrist (73115) |
$742.60 |
$1,856.50 |
2.1× |
| Arthrography knee lt (73580) |
$1,073.20 |
$2,683 |
3.1× |
| Basic radiation dosimetry calculation (77300) |
$146.80 |
$367 |
1.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,206 |
$3,015 |
3.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,566 |
$3,915 |
3.9× |
| Bone &/joint imaging whole body (78306) |
$2,948.80 |
$7,372 |
7.3× |
| Bone age studies (77072) |
$491.80 |
$1,229.50 |
4.7× |
| Bone Imaging 3 Phase (78315) |
$3,035.20 |
$7,588 |
7.6× |
| Bone Marrow Imaging Limited Area (78102) |
$795.20 |
$1,988 |
2.0× |
| Bone survey complete (77075) |
$1,367.60 |
$3,419 |
13.0× |
| Brain image w/flow 4 + views (78606) |
$2,429.20 |
$6,073 |
4.5× |
| Brain Imaging Minimum 4 Static Views (78605) |
$799.60 |
$1,999 |
1.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,415.60 |
$3,539 |
2.6× |
| Cervical spine 2 or 3 views (72040) |
$399.60 |
$999 |
4.6× |
| Chest 1 view (71045) |
$453.20 |
$1,133 |
5.2× |
| Chest 3 views (71047) |
$899.60 |
$2,249 |
10.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$544.40 |
$1,361 |
3.1× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,000.40 |
$2,501 |
1.3× |
| Clavicle complete (73000) |
$246.40 |
$616 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$218 |
$545 |
2.1× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$507.60 |
$1,269 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$10,158 |
$25,395 |
29.0× |
| CT abdomen and pelvis without contrast (74176) |
$6,366.60 |
$15,916.50 |
26.6× |
| CT abdomen w contrast (74160) |
$2,867.20 |
$7,168 |
16.3× |
| CT abdomen w wo contrast (74170) |
$3,586.60 |
$8,966.50 |
20.4× |
| CT abdomen w/o contrast (74150) |
$2,798.40 |
$6,996 |
26.6× |
| CT angio hrt w/3d image (75574) |
$6,750.80 |
$16,877 |
19.3× |
| CT angiography upper extremity lt (73206) |
$5,050 |
$12,625 |
28.7× |
| CT c-spine w/o contrast (72125) |
$2,723.80 |
$6,809.50 |
25.9× |
| CT cervical spine w&w/o contrast (72127) |
$4,508 |
$11,270 |
25.6× |
| CT cervical spine with contrast (72126) |
$4,274.80 |
$10,687 |
12.2× |
| CT chest w/wo contrast (71270) |
$4,348 |
$10,870 |
24.7× |
| CT chest with contrast (71260) |
$3,153.20 |
$7,883 |
17.9× |
| CT head/brain with contrast (70460) |
$3,786.80 |
$9,467 |
21.5× |
| CT head/brain without and with contrast (70470) |
$3,756.60 |
$9,391.50 |
21.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,250.40 |
$15,626 |
17.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$3,200.40 |
$8,001 |
36.6× |
| CT hrt w/3d image congen (75573) |
$6,500.40 |
$16,251 |
18.5× |
| CT iac w contrast (70481) |
$2,835.20 |
$7,088 |
16.1× |
| CT limited/localized follow up study (76380) |
$1,527.60 |
$3,819 |
17.5× |
| CT lower ext w/o (73700) |
$2,812.40 |
$7,031 |
26.8× |
| CT lower extremity w wo contrast (73702) |
$3,880 |
$9,700 |
22.0× |
| CT lower extremity with contrast (73701) |
$3,093.60 |
$7,734 |
17.6× |
| CT lumbar spine w & w/o contrast (72133) |
$7,284 |
$18,210 |
41.3× |
| CT lumbar spine w/o contrast (72131) |
$2,615.60 |
$6,539 |
24.9× |
| CT lumbar spine with contrast (72132) |
$4,206.80 |
$10,517 |
12.0× |
| CT maxillofacial w contrast (70487) |
$2,943.60 |
$7,359 |
16.7× |
| CT maxillofacial w/o contrast (70486) |
$2,443.40 |
$6,108.50 |
23.3× |
| CT maxillofacial w/wo contrast (70488) |
$4,308.80 |
$10,772 |
24.5× |
| CT neck soft tissue w contrast (70491) |
$2,480.80 |
$6,202 |
14.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,079.20 |
$15,198 |
34.5× |
| CT orbits w/o contrast (70480) |
$3,280.40 |
$8,201 |
31.2× |
| CT pelvis w & w/o contrast (72194) |
$5,164.40 |
$12,911 |
29.3× |
| CT pelvis w/o contrast (72192) |
$2,670.20 |
$6,675.50 |
25.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,629.20 |
$9,073 |
20.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,575 |
$3,937.50 |
15.0× |
| CT thoracic spine w/contrast (72129) |
$4,292.40 |
$10,731 |
24.4× |
| CT thoracic spine w/o contrast (72128) |
$2,803.80 |
$7,009.50 |
26.7× |
| CT thoracic spine w/wo contrast (72130) |
$5,980.40 |
$14,951 |
33.9× |
| CT thorax w/o contrast (71250) |
$3,406.40 |
$8,516 |
32.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,264 |
$13,160 |
29.9× |
| CT upper extremity w/o contrast rt (73200) |
$3,312 |
$8,280 |
31.5× |
| CT upper extremity with contrast (73201) |
$3,331.20 |
$8,328 |
9.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,570.80 |
$11,427 |
25.9× |
| Cta Abdomen (74175) |
$6,409.60 |
$16,024 |
36.4× |
| CTA abdomen pelvis (74174) |
$10,697.20 |
$26,743 |
30.5× |
| CTA chest (71275) |
$5,322 |
$13,305 |
30.2× |
| Cta Head (70496) |
$2,517 |
$6,292.50 |
14.3× |
| CTA lwr ext w&w/o contrast (73706) |
$5,063.20 |
$12,658 |
28.7× |
| Cta Neck (70498) |
$4,276.40 |
$10,691 |
24.3× |
| Cta Pelvis (72191) |
$6,450 |
$16,125 |
36.6× |
| Cystography minimum 3 views rs&i (74430) |
$661.20 |
$1,653 |
1.9× |
| Diskogram cervical (72285) |
$2,858.40 |
$7,146 |
1.5× |
| Diskography lumbar (72295) |
$1,048.20 |
$2,620.50 |
0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$333.20 |
$833 |
3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$250.40 |
$626 |
2.4× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$170 |
$425 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$598.40 |
$1,496 |
5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$259.60 |
$649 |
3.0× |
| Echo exam of fetal heart (76825) |
$2,874.40 |
$7,186 |
5.2× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$884 |
$2,210 |
3.7× |
| Echoencephalography real time imaging (76506) |
$805.20 |
$2,013 |
7.7× |
| Esophagus (74220) |
$598.60 |
$1,496.50 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$957 |
$2,392.50 |
9.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,049 |
$2,622.50 |
10.0× |
| Fluoroscopy up to 1 hr (76000) |
$920.80 |
$2,302 |
3.8× |
| Foot 2 views (73620) |
$261.60 |
$654 |
3.0× |
| Forearm 2 views (73090) |
$171.20 |
$428 |
2.0× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$352 |
$880 |
1.5× |
| Gated Heart Planar Single (78472) |
$1,816.40 |
$4,541 |
4.5× |
| Hand 2 views (73120) |
$410.40 |
$1,026 |
3.9× |
| Hand 3 views (73130) |
$179.20 |
$448 |
2.0× |
| Heart Infarct Image (78466) |
$2,009.20 |
$5,023 |
5.0× |
| Heart infarct image w ef (78468) |
$1,682 |
$4,205 |
3.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,095 |
$5,237.50 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,528.40 |
$6,321 |
4.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,528.40 |
$6,321 |
6.3× |
| Ht muscle image spect sing (78451) |
$3,626 |
$9,065 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$242.80 |
$607 |
2.8× |
| Hysterosalpingogram (74740) |
$1,014 |
$2,535 |
4.2× |
| Intracavitary radiation source applic simple (77761) |
$752 |
$1,880 |
1.4× |
| Kidney imaging morphology (78700) |
$1,700 |
$4,250 |
4.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,347.60 |
$5,869 |
4.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,056.80 |
$7,642 |
5.6× |
| Knee 3 views (73562) |
$197.20 |
$493 |
2.3× |
| Liver & spleen imaging static only (78215) |
$2,254 |
$5,635 |
5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,029.60 |
$5,074 |
5.1× |
| Liver imaging static only (78201) |
$900.80 |
$2,252 |
1.7× |
| Liver imaging w/vascular flow (78202) |
$1,693.20 |
$4,233 |
3.1× |
| Lung perf&ventilat diferentl (78598) |
$3,043.20 |
$7,608 |
5.6× |
| Lung perfusion differential (78597) |
$4,047.60 |
$10,119 |
10.1× |
| Lung Ventilation Imaging (78579) |
$1,971.60 |
$4,929 |
4.9× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$3,047.60 |
$7,619 |
1.0× |
| Lymphoscintigraphy (78195) |
$2,312.40 |
$5,781 |
4.2× |
| Mammary ductogram or galactogram multiple (77054) |
$745.20 |
$1,863 |
3.1× |
| Mammary ductogram or galactogram single (77053) |
$428.40 |
$1,071 |
1.8× |
| Meckels Diverticulum (78290) |
$2,592.80 |
$6,482 |
6.5× |
| MRA head w & w/o contrast (70546) |
$4,541.20 |
$11,353 |
13.0× |
| MRA head w/o contrast (70544) |
$2,817.20 |
$7,043 |
11.8× |
| MRA head with contrast (70545) |
$2,758 |
$6,895 |
7.9× |
| MRA neck w contrast (70548) |
$2,767 |
$6,917.50 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,930.40 |
$14,826 |
16.9× |
| MRA neck w/o contrast (70547) |
$2,277.40 |
$5,693.50 |
9.5× |
| MRI abdomen w contrast (74182) |
$3,568.40 |
$8,921 |
10.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,313.20 |
$13,283 |
15.2× |
| MRI abdomen w/o contrast (74181) |
$3,785.20 |
$9,463 |
15.8× |
| MRI any jnt lwr ext with con lt (73722) |
$3,778.40 |
$9,446 |
4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,244 |
$8,110 |
4.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,571.20 |
$3,928 |
6.6× |
| MRI c-spine with contrast (72142) |
$4,913.80 |
$12,284.50 |
14.0× |
| MRI cervical spine w/o contrast (72141) |
$4,242 |
$10,605 |
17.7× |
| MRI chest w/o & w/contrast material (71552) |
$6,694 |
$16,735 |
19.1× |
| MRI chest w/o contrast (71550) |
$3,627 |
$9,067.50 |
15.1× |
| MRI chest with contrast (71551) |
$3,868.80 |
$9,672 |
4.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,656 |
$9,140 |
10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,223.60 |
$10,559 |
12.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,008.40 |
$10,021 |
16.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,715.40 |
$6,788.50 |
11.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,036.80 |
$7,592 |
8.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,213.60 |
$5,534 |
6.3× |
| MRI pelvis w contrast (72196) |
$4,434.20 |
$11,085.50 |
12.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,067.40 |
$10,168.50 |
11.6× |
| MRI pelvis w/o contrast (72195) |
$3,027 |
$7,567.50 |
12.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,176.80 |
$7,942 |
9.1× |
| MRI scan of leg joint before and after contrast (73723) |
$3,885.20 |
$9,713 |
11.1× |
| MRI spectroscopy (76390) |
$2,862.40 |
$7,156 |
32.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,012 |
$17,530 |
20.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,446.40 |
$11,116 |
12.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,098.60 |
$12,746.50 |
14.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,059.60 |
$12,649 |
14.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,094.20 |
$15,235.50 |
17.4× |
| MRI thoracic spine w/o contrast (72146) |
$4,484.80 |
$11,212 |
18.7× |
| MRI tmj (70336) |
$2,240.40 |
$5,601 |
9.3× |
| MRI upper ext joint w/o contrast (73221) |
$3,156 |
$7,890 |
13.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,680 |
$11,700 |
13.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,156 |
$7,890 |
13.2× |
| Myelogram Cervical (72240) |
$2,084.80 |
$5,212 |
2.6× |
| Myelogram Lumbar (72265) |
$2,343.20 |
$5,858 |
3.0× |
| Myelogram thoracic (72255) |
$2,314 |
$5,785 |
2.9× |
| Myelography 2 or more regions (72270) |
$2,594.80 |
$6,487 |
3.3× |
| Myocardial infarct spect (78469) |
$4,429.60 |
$11,074 |
8.1× |
| Myocardial Spect Multiple Studies (78452) |
$3,904 |
$9,760 |
3.0× |
| Neck soft tissue (70360) |
$316.60 |
$791.50 |
3.6× |
| Nm adrenal scan (78075) |
$1,153.60 |
$2,884 |
0.9× |
| Nm bone marrow wb (78104) |
$1,353.60 |
$3,384 |
3.4× |
| Nm cisternogram (78630) |
$3,280.80 |
$8,202 |
6.0× |
| Nm csf leak detection (78650) |
$1,160 |
$2,900 |
0.9× |
| Nm gastric emptying study (78264) |
$2,101.60 |
$5,254 |
5.2× |
| Nm gastroesophageal reflux study (78262) |
$1,237.20 |
$3,093 |
3.1× |
| Nm peritoneal-venous shunt patency (78291) |
$991.60 |
$2,479 |
2.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$3,252 |
$8,130 |
2.5× |
| Nuclear medicine of heart pumping function (78473) |
$3,432.80 |
$8,582 |
8.5× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,038.80 |
$5,097 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,990.80 |
$4,977 |
5.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,034.80 |
$2,587 |
2.6× |
| Nuclear Rx Oral Admin (79005) |
$1,435.60 |
$3,589 |
6.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$636.80 |
$1,592 |
6.1× |
| Orthopantogram (70355) |
$522.80 |
$1,307 |
6.0× |
| Osseous survey infant (77076) |
$1,113.60 |
$2,784 |
10.6× |
| Osseous survey limited (77074) |
$1,082 |
$2,705 |
10.3× |
| Parathyrd planar w/wo subtrj (78071) |
$2,816 |
$7,040 |
7.0× |
| Parathyroid imaging (78070) |
$2,236 |
$5,590 |
5.6× |
| Pelvis 1 or 2 views (72170) |
$504.80 |
$1,262 |
4.8× |
| Peritoneogram rs&i (74190) |
$790.80 |
$1,977 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$6,409.20 |
$16,023 |
18.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,009.60 |
$7,524 |
0.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,581.20 |
$6,453 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,404.20 |
$3,510.50 |
3.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,940.80 |
$9,852 |
7.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$960 |
$2,400 |
1.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$501.60 |
$1,254 |
4.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$371 |
$927.50 |
3.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$344.80 |
$862 |
3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$751.60 |
$1,879 |
7.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$508.80 |
$1,272 |
4.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$385.20 |
$963 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$613.40 |
$1,533.50 |
5.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$801.60 |
$2,004 |
9.2× |
| Radiologic exam colon single contrast study (74270) |
$1,054.60 |
$2,636.50 |
6.0× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$250.40 |
$626 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$865.60 |
$2,164 |
4.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,040.80 |
$2,602 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$116 |
$290 |
1.3× |
| Radiological examination surgical specimen (76098) |
$846 |
$2,115 |
1.5× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$859.20 |
$2,148 |
3.7× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,828 |
$7,070 |
0.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,313 |
$5,782.50 |
0.7× |
| Ribs bilateral 3 views (71110) |
$286 |
$715 |
2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,610 |
$4,025 |
4.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,550 |
$3,875 |
2.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,474.80 |
$8,687 |
6.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,355.20 |
$3,388 |
1.0× |
| Sacroiliac Joints < 3 Views (72200) |
$516.40 |
$1,291 |
4.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,105.20 |
$2,763 |
4.6× |
| Salivary gland imaging (78230) |
$748.80 |
$1,872 |
1.9× |
| Scanogram (77073) |
$536 |
$1,340 |
5.1× |
| Scapula complete (73010) |
$741.60 |
$1,854 |
7.1× |
| Screening digital breast tomosynthesis (77063) |
$127.60 |
$319 |
5.5× |
| Sella turcica (70240) |
$186.40 |
$466 |
2.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,363.60 |
$3,409 |
13.0× |
| Sialogram (70390) |
$708.40 |
$1,771 |
3.0× |
| Simulation intermediate (77285) |
$599.60 |
$1,499 |
1.6× |
| Small bowel series (74250) |
$691.40 |
$1,728.50 |
3.9× |
| Special treatment procedure (77470) |
$896.40 |
$2,241 |
1.6× |
| Speech evaluation complex (70371) |
$374 |
$935 |
1.6× |
| Spine thoracic 3 views (72072) |
$645.20 |
$1,613 |
6.1× |
| Splenoportograpy rs&i (75810) |
$1,382.20 |
$3,455.50 |
0.4× |
| Testicular Imaging With Vascular Flow (78761) |
$1,196.80 |
$2,992 |
3.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$696.40 |
$1,741 |
1.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$507.20 |
$1,268 |
3.8× |
| Therapeutic Enema (74283) |
$1,423.60 |
$3,559 |
8.1× |
| Thoracolumbar 2 views (72080) |
$564.80 |
$1,412 |
6.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,886 |
$7,215 |
5.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,293.60 |
$3,234 |
3.2× |
| Thyroid uptake measurement (78012) |
$553.40 |
$1,383.50 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,434.60 |
$3,586.50 |
3.6× |
| Tmj unilateral (70328) |
$364.80 |
$912 |
4.2× |
| Tomogram (76100) |
$608.80 |
$1,522 |
5.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,180.40 |
$10,451 |
7.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,450.40 |
$3,626 |
3.6× |
| Ultrasound elastography first target lesion (76982) |
$180 |
$450 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$844.80 |
$2,112 |
8.0× |
| Umbilical-artery Doppler (OB) (76820) |
$333.20 |
$833 |
3.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$122 |
$305 |
1.4× |
| Unlisted fluoroscopic procedure (76496) |
$583.80 |
$1,459.50 |
6.7× |
| Unlisted magnetic resonance procedure (76498) |
$2,940 |
$7,350 |
33.6× |
| Unlisted Ultrasound Procedure (76999) |
$508.80 |
$1,272 |
5.8× |
| Upper Extremity Infant (73092) |
$288 |
$720 |
2.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$994.80 |
$2,487 |
2.5× |
| Urethrocystography retrograde rs&i (74450) |
$756.20 |
$1,890.50 |
3.2× |
| Urethrocystography voiding (74455) |
$864.80 |
$2,162 |
3.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,158.40 |
$2,896 |
6.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$674.20 |
$1,685.50 |
3.8× |
| Us breast unilateral complete (76641) |
$156.40 |
$391 |
1.5× |
| Us breast unilateral limited (76642) |
$498.40 |
$1,246 |
5.7× |
| Us chest (76604) |
$362.40 |
$906 |
3.5× |
| Us compl joint r-t w/image documentation (76881) |
$775.40 |
$1,938.50 |
7.4× |
| Us elastography parenchyma (76981) |
$409.60 |
$1,024 |
3.9× |
| Us fetal nuchal translucency 1st gestation (76813) |
$232.40 |
$581 |
2.2× |
| Us guided compression repair (76936) |
$670.40 |
$1,676 |
3.1× |
| Us infant hips dynamic (76885) |
$644 |
$1,610 |
7.4× |
| Us infant hips limited static (76886) |
$766 |
$1,915 |
8.8× |
| Us kidney transplant (76776) |
$825.60 |
$2,064 |
7.9× |
| Us ob detailed single fetus (76811) |
$706.80 |
$1,767 |
2.9× |
| Us ob transvaginal (76817) |
$426.80 |
$1,067 |
4.1× |
| Us pelvic non ob complete (76856) |
$1,105.20 |
$2,763 |
10.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$924.40 |
$2,311 |
8.8× |
| Us pregnancy ltd (76815) |
$677.60 |
$1,694 |
6.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$736.80 |
$1,842 |
7.0× |
| Us retroperitoneal complete (76770) |
$559.80 |
$1,399.50 |
5.3× |
| Us retroperitoneal limited (76775) |
$1,010.20 |
$2,525.50 |
9.6× |
| Us scrotum and contents (76870) |
$528.40 |
$1,321 |
5.0× |
| Us soft tissue head/neck (76536) |
$865.40 |
$2,163.50 |
8.2× |
| Us spinal canal and contents (76800) |
$464.40 |
$1,161 |
4.4× |
| Us transrectal (76872) |
$391.60 |
$979 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$630 |
$1,575 |
6.0× |
| Us, eye b-scan (76512) |
$317.40 |
$793.50 |
3.0× |
| Venogram extremity bilateral (75822) |
$2,358.60 |
$5,896.50 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,161.60 |
$5,404 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$2,161.60 |
$5,404 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,654.20 |
$4,135.50 |
1.0× |
| Venography Renal Bilateral (75833) |
$3,392 |
$8,480 |
1.1× |
| Venography renal unilateral selective rs&i (75831) |
$2,828 |
$7,070 |
0.9× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$6,117.20 |
$15,293 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$212.40 |
$531 |
2.4× |
| Wrist 2 views (73100) |
$335.60 |
$839 |
3.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$814.40 |
$2,036 |
7.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$415.60 |
$1,039 |
4.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$352.40 |
$881 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,245 |
$3,112.50 |
7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$410.40 |
$1,026 |
4.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$207.20 |
$518 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$358.80 |
$897 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$278.40 |
$696 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$348.80 |
$872 |
3.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,106.80 |
$5,267 |
12.0× |
| X-ray eye for foreign body (70030) |
$179.20 |
$448 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$554.80 |
$1,387 |
5.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$554 |
$1,385 |
6.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$150 |
$375 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$116.80 |
$292 |
1.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$934.20 |
$2,335.50 |
5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$614 |
$1,535 |
7.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$712.80 |
$1,782 |
6.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$377.20 |
$943 |
4.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$159 |
$397.50 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$163.60 |
$409 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$710.40 |
$1,776 |
6.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$490 |
$1,225 |
4.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$445.60 |
$1,114 |
5.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$292 |
$730 |
3.3× |
| X-ray of voice box or throat (70370) |
$170 |
$425 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$564.80 |
$1,412 |
5.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$671.20 |
$1,678 |
6.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$797.60 |
$1,994 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$145.60 |
$364 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$696.40 |
$1,741 |
6.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$726.80 |
$1,817 |
6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$464.40 |
$1,161 |
4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$518.20 |
$1,295.50 |
5.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$168.40 |
$421 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$696.60 |
$1,741.50 |
8.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$292.40 |
$731 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$163.60 |
$409 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$664 |
$1,660 |
6.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$656 |
$1,640 |
7.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$268 |
$670 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$527.40 |
$1,318.50 |
6.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$598 |
$1,495 |
5.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$651.40 |
$1,628.50 |
6.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$204 |
$510 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$315.40 |
$788.50 |
3.6× |
| Xr arthrogram ankle (73615) |
$764.80 |
$1,912 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$537.20 |
$1,343 |
5.1× |
| Xr chest 4+ views (71048) |
$817.60 |
$2,044 |
7.8× |
| Xr finger(s) 2+ views (73140) |
$140.40 |
$351 |
1.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$302 |
$755 |
2.9× |
| Xr shoulder 1 view (73020) |
$461.60 |
$1,154 |
5.3× |
| Xr spine cervical 4 or 5 views (72050) |
$782 |
$1,955 |
7.4× |
| Xr tibia/fibula 2 views (73590) |
$181.60 |
$454 |
2.1× |
| Xr tmj bilateral (70330) |
$315.40 |
$788.50 |
3.6× |
| Xray knee 1 or 2 views rt (73560) |
$510.80 |
$1,277 |
5.8× |