| Acute gi blood loss imaging (78278) |
$3,526.15 |
$3,526.15 |
8.4× |
| Angio adrenal unilat select (75731) |
$9,169.07 |
$9,169.07 |
2.8× |
| Angio extremity unilateral (75710) |
$8,825.73 |
$8,825.73 |
2.7× |
| Angio pulmonary unilateral (75741) |
$9,169.07 |
$9,169.07 |
2.8× |
| Angiogram extremity bilateral (75716) |
$12,260.32 |
$12,260.32 |
3.7× |
| Angiogram pelvic (75736) |
$14,247.39 |
$14,247.39 |
2.5× |
| Angiography internal mammary rs&i (75756) |
$9,008.74 |
$9,008.74 |
2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$12,444.53 |
$12,444.53 |
3.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$14,247.39 |
$14,247.39 |
2.5× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$3,308.15 |
$3,308.15 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$9,169.07 |
$9,169.07 |
2.8× |
| Ankle 2 views (73600) |
$1,227.34 |
$1,227.34 |
13.5× |
| Arthrography knee lt (73580) |
$1,179.49 |
$1,179.49 |
3.2× |
| Arthrography wrist lt (73115) |
$1,179.49 |
$1,179.49 |
3.2× |
| Barium enema (74270) |
$1,385.39 |
$1,385.39 |
7.6× |
| Bilat selctv renal venogram (75833) |
$9,169.07 |
$9,169.07 |
2.8× |
| Bone age studies (77072) |
$1,241.51 |
$1,241.51 |
11.4× |
| Bone survey complete (77075) |
$1,580.50 |
$1,580.50 |
14.5× |
| Bowel imaging (78290) |
$1,207.40 |
$1,207.40 |
2.9× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) |
$1,207.40 |
$1,207.40 |
2.9× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$1,179.49 |
$1,179.49 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,436.62 |
$1,436.62 |
7.8× |
| Cisternogram (78630) |
$1,706.94 |
$1,706.94 |
3.0× |
| Clavicle complete (73000) |
$922.14 |
$922.14 |
10.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$8,873.37 |
$8,873.37 |
48.4× |
| Contrast exam abdominl aorta (75625) |
$6,783.06 |
$6,783.06 |
2.1× |
| Contrast exam thoracic aorta (75605) |
$14,348.76 |
$14,348.76 |
2.5× |
| CT - st neck w&wo contr (70492) |
$9,896.91 |
$9,896.91 |
54.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$18,223.07 |
$18,223.07 |
50.0× |
| CT abdomen and pelvis without contrast (74176) |
$16,191.81 |
$16,191.81 |
65.0× |
| CT abdomen w wo contrast (74170) |
$11,461.62 |
$11,461.62 |
62.6× |
| CT abdomen w/contrast (74160) |
$8,534.33 |
$8,534.33 |
46.6× |
| CT abdomen w/o contrast (74150) |
$6,851.03 |
$6,851.03 |
62.8× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$5,820.45 |
$5,820.45 |
16.0× |
| CT angio abdom w/o & w/dye (74175) |
$7,861.85 |
$7,861.85 |
42.9× |
| CT angio abdominal arteries (75635) |
$7,807.14 |
$7,807.14 |
42.6× |
| CT angio hrt w/3d image (75574) |
$4,620.51 |
$4,620.51 |
12.7× |
| CT angiograph pelv w/o&w/dye (72191) |
$9,550.80 |
$9,550.80 |
52.1× |
| CT cervical spine w/contrast (72126) |
$7,667.06 |
$7,667.06 |
21.0× |
| CT cervical spine w/o contrast (72125) |
$8,908.59 |
$8,908.59 |
81.6× |
| CT chest w/contrast (71260) |
$9,061.58 |
$9,061.58 |
49.5× |
| CT extremity upper w & w/o contrast (73202) |
$10,740.86 |
$10,740.86 |
58.6× |
| CT head/brain with contrast (70460) |
$9,374 |
$9,374 |
51.2× |
| CT head/brain without and with contrast (70470) |
$11,690.56 |
$11,690.56 |
63.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,226.44 |
$1,226.44 |
13.5× |
| CT lower ext w/wo contrast (73702) |
$858.20 |
$858.20 |
4.7× |
| CT lower extremity w contrast (73701) |
$5,126.27 |
$5,126.27 |
28.0× |
| CT lower extremity w/o contrast unilateral (73700) |
$6,382.67 |
$6,382.67 |
58.5× |
| CT lumbar spine w/contrast (72132) |
$6,777.88 |
$6,777.88 |
18.6× |
| CT lumbar spine w/o contrast (72131) |
$8,125.30 |
$8,125.30 |
74.4× |
| CT lumbar spine w/o then w/ con (72133) |
$11,222.64 |
$11,222.64 |
61.3× |
| CT maxillofacial area w/o contrast (70486) |
$8,200.16 |
$8,200.16 |
75.1× |
| CT maxillofacial w/contrast (70487) |
$8,274.33 |
$8,274.33 |
45.2× |
| CT maxillofacial w/o then w/ con (70488) |
$13,672.96 |
$13,672.96 |
74.6× |
| CT orbit sella ear w/o con (70480) |
$8,605.15 |
$8,605.15 |
78.8× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$14,227.40 |
$14,227.40 |
77.7× |
| CT pelvis w & w/o contrast (72194) |
$17,023.62 |
$17,023.62 |
92.9× |
| CT pelvis w/o contrast (72192) |
$7,633.43 |
$7,633.43 |
69.9× |
| CT soft tissue neck w/contrast (70491) |
$9,277.18 |
$9,277.18 |
50.6× |
| CT soft tissue neck w/o contrast (70490) |
$8,103.70 |
$8,103.70 |
74.2× |
| CT spine cervical w/wo contrast (72127) |
$572.13 |
$572.13 |
3.1× |
| CT thoracic spine w/contrast (72129) |
$10,751.76 |
$10,751.76 |
58.7× |
| CT thoracic spine w/o contrast (72128) |
$7,432.08 |
$7,432.08 |
68.1× |
| CT thoracic spine w/o then w/ con (72130) |
$13,154.12 |
$13,154.12 |
71.8× |
| CT thorax w/o contrast (71250) |
$6,306.61 |
$6,306.61 |
57.8× |
| CT thorax w/o then w/ contrast (71270) |
$7,768.43 |
$7,768.43 |
42.4× |
| CT upper extremity w/dye (73201) |
$5,439.25 |
$5,439.25 |
14.9× |
| CT upper extremity w/o contrast rt (73200) |
$3,431.87 |
$3,431.87 |
31.4× |
| CTA chest w/wo contrast (71275) |
$8,828 |
$8,828 |
48.2× |
| CTA head w contrast (70496) |
$6,118.78 |
$6,118.78 |
33.4× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$5,295.22 |
$5,295.22 |
28.9× |
| Cta Neck (70498) |
$6,782.25 |
$6,782.25 |
37.0× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$6,864.12 |
$6,864.12 |
37.5× |
| Dilation ureters/urethra rs&i (74485) |
$2,974.61 |
$2,974.61 |
1.4× |
| Esophogram (74220) |
$1,478.04 |
$1,478.04 |
8.1× |
| Fetal biophysical profile non-stress testing (76818) |
$1,985.98 |
$1,985.98 |
18.2× |
| Fetal biophysical profile w/o nst (76819) |
$1,294.92 |
$1,294.92 |
11.9× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$737 |
$737 |
3.0× |
| Gastric emptying study (78264) |
$2,515.72 |
$2,515.72 |
6.0× |
| Gastroesophageal reflux study (78262) |
$1,207.40 |
$1,207.40 |
2.9× |
| Gated heart planar single (78472) |
$3,044.37 |
$3,044.37 |
7.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$9,169.07 |
$9,169.07 |
2.8× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$9,169.07 |
$9,169.07 |
2.8× |
| Hepatobil syst image w/drug (78227) |
$2,423.07 |
$2,423.07 |
4.3× |
| Hepatobiliary system imaging (78226) |
$2,760.97 |
$2,760.97 |
6.6× |
| Humerus min 2 views (73060) |
$1,931.48 |
$1,931.48 |
21.3× |
| Hysterosalpingography (74740) |
$3,303.79 |
$3,303.79 |
13.3× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$5,109.92 |
$5,109.92 |
9.0× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$3,467.29 |
$3,467.29 |
6.1× |
| Kidney w vascular flow (78701) |
$1,207.40 |
$1,207.40 |
2.9× |
| Liver & spleen; static only (78215) |
$2,472.12 |
$2,472.12 |
5.9× |
| Liver & spleen; w vasc flow (78216) |
$1,207.40 |
$1,207.40 |
2.9× |
| Lung ventilat&perfus imaging (78582) |
$3,577.38 |
$3,577.38 |
6.3× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$10,841.14 |
$10,841.14 |
29.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$10,947.96 |
$10,947.96 |
30.1× |
| Mammary ductogram multiple ducts (77054) |
$737 |
$737 |
3.0× |
| Mammary ductogram single (77053) |
$1,863.90 |
$1,863.90 |
7.5× |
| MRA head w & w/o contrast (70546) |
$5,739.94 |
$5,739.94 |
15.8× |
| MRA head w/contrast (70545) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRA head w/o contrast (70544) |
$4,274.98 |
$4,274.98 |
17.2× |
| MRA neck w/contrast (70548) |
$6,874.63 |
$6,874.63 |
18.9× |
| MRA neck w/o contrast (70547) |
$6,732.93 |
$6,732.93 |
27.0× |
| MRA neck w/wo contrast (70549) |
$6,215.18 |
$6,215.18 |
17.1× |
| MRI abdomen w/contrast (74182) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,070.68 |
$5,070.68 |
13.9× |
| MRI abdomen w/o contrast (74181) |
$7,309.54 |
$7,309.54 |
29.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,291.52 |
$2,291.52 |
2.8× |
| MRI breast without contrast bilateral (77047) |
$1,105.51 |
$1,105.51 |
4.4× |
| MRI breast without contrast material unilateral (77046) |
$737 |
$737 |
3.0× |
| MRI cardiac w/o contrast (75557) |
$737 |
$737 |
3.0× |
| MRI cervical spine w/o contrast (72141) |
$11,484.24 |
$11,484.24 |
46.1× |
| MRI cervical spine with contrast (72142) |
$9,481.91 |
$9,481.91 |
26.0× |
| MRI chest w & w/o contrast (71552) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRI chest w/contrast (71551) |
$2,291.52 |
$2,291.52 |
2.8× |
| MRI chest w/o contrast (71550) |
$737 |
$737 |
3.0× |
| MRI joint upper ext w/contrast (73222) |
$7,056.66 |
$7,056.66 |
8.6× |
| MRI joint upr extr w/o&w/dye (73223) |
$7,056.66 |
$7,056.66 |
19.4× |
| MRI joint upr extrem w/o dye (73221) |
$9,229.03 |
$9,229.03 |
37.0× |
| Mri Lower Extremity W/O Dye (73718) |
$8,240.40 |
$8,240.40 |
33.1× |
| MRI lumbar spine with contrast (72149) |
$12,059.76 |
$12,059.76 |
33.1× |
| MRI lumbar w/wo contrast (72158) |
$15,575.01 |
$15,575.01 |
42.8× |
| MRI lwr ext w/o jnts with con rt (73719) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$5,972.11 |
$5,972.11 |
16.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$7,622.37 |
$7,622.37 |
30.6× |
| MRI pelvis w/ contrast (72196) |
$1,179.49 |
$1,179.49 |
3.2× |
| MRI pelvis w/o contrast (72195) |
$7,866.53 |
$7,866.53 |
31.6× |
| MRI pelvis w/wo contrast (72197) |
$8,621.90 |
$8,621.90 |
23.7× |
| MRI spectroscopy (76390) |
$5,319.20 |
$5,319.20 |
58.5× |
| MRI spine cervical wo/w contrast (72156) |
$20,258.74 |
$20,258.74 |
55.6× |
| MRI spine thoracic w/contrast (72147) |
$5,945.95 |
$5,945.95 |
16.3× |
| MRI thoracic spine w wo contrast (72157) |
$9,581.10 |
$9,581.10 |
26.3× |
| MRI thoracic spine w/o contrast (72146) |
$9,013.21 |
$9,013.21 |
36.2× |
| MRI tmj (70336) |
$8,304.71 |
$8,304.71 |
33.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$6,560.71 |
$6,560.71 |
26.3× |
| Mri Upper Extremity W/Dye (73219) |
$9,229.03 |
$9,229.03 |
25.3× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$9,229.03 |
$9,229.03 |
25.3× |
| Myocardial spect single study at rest or stress (78451) |
$4,185.62 |
$4,185.62 |
3.1× |
| Nm bone 3 phase (78315) |
$2,515.72 |
$2,515.72 |
6.0× |
| Nm bone imaging whole body (78306) |
$4,987.84 |
$4,987.84 |
11.9× |
| Nm heart perfusion spect stress rest (78452) |
$12,064.12 |
$12,064.12 |
8.9× |
| Nm kidney imaging morphology (78700) |
$1,207.40 |
$1,207.40 |
2.9× |
| Nm liver image static only (78201) |
$1,567.41 |
$1,567.41 |
2.8× |
| Nm lymph system (78195) |
$1,741.82 |
$1,741.82 |
3.1× |
| Nm thyroid imaging only (78013) |
$1,207.40 |
$1,207.40 |
2.9× |
| Nose to rectum for fb child (76010) |
$259.08 |
$259.08 |
2.9× |
| Nuclear medicine study of brain, 4 static views or more (78605) |
$1,567.41 |
$1,567.41 |
2.8× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,207.40 |
$1,207.40 |
2.9× |
| Ob us < 14 wks single fetus (76801) |
$2,227.96 |
$2,227.96 |
20.4× |
| Oral radiopharm rx (79005) |
$3,974.14 |
$3,974.14 |
16.3× |
| Parathyroid imaging (78070) |
$2,418.71 |
$2,418.71 |
5.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$15,443.12 |
$15,443.12 |
37.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,740.54 |
$4,740.54 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$4,740.54 |
$4,740.54 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,740.54 |
$4,740.54 |
3.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$9,169.07 |
$9,169.07 |
2.8× |
| Pulmonary perfusion imaging particulate (78580) |
$2,949.54 |
$2,949.54 |
7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,547.65 |
$1,547.65 |
2.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$259.08 |
$259.08 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$348.71 |
$348.71 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$348.71 |
$348.71 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$348.71 |
$348.71 |
3.2× |
| Radex hip unilateral with pelvis 1 view (73501) |
$638.74 |
$638.74 |
7.0× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$1,948.92 |
$1,948.92 |
21.4× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$348.71 |
$348.71 |
3.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,047.02 |
$2,047.02 |
18.8× |
| Radex spine cervical 2 or 3 views (72040) |
$2,087.35 |
$2,087.35 |
23.0× |
| Radex spine cervical 4 or 5 views (72050) |
$2,684.67 |
$2,684.67 |
24.6× |
| Radex spine cervical 6 or more views (72052) |
$2,074.27 |
$2,074.27 |
19.0× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$568.98 |
$568.98 |
6.3× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$2,751.16 |
$2,751.16 |
25.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,526.15 |
$3,526.15 |
19.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,778.88 |
$1,778.88 |
9.7× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$259.08 |
$259.08 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,917.31 |
$1,917.31 |
21.1× |
| Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) |
$348.71 |
$348.71 |
3.2× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$348.71 |
$348.71 |
3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,653.06 |
$2,653.06 |
6.4× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$5,827.14 |
$5,827.14 |
10.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,185.62 |
$4,185.62 |
7.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,048.11 |
$2,048.11 |
8.4× |
| Saline infused sonohysterogram (76831) |
$737 |
$737 |
3.0× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$138.43 |
$138.43 |
5.9× |
| Selective spinal angiogram (75705) |
$7,064.29 |
$7,064.29 |
1.2× |
| Shoulder arthrogram (73040) |
$1,179.49 |
$1,179.49 |
3.2× |
| Small bowel series (74250) |
$2,067.73 |
$2,067.73 |
11.3× |
| Splenoportography (75810) |
$7,996.24 |
$7,996.24 |
2.4× |
| Superior sagittal sinus venogram (75870) |
$9,169.07 |
$9,169.07 |
2.8× |
| Testicular imaging w/flow (78761) |
$1,207.40 |
$1,207.40 |
2.9× |
| Thyroid met imaging body (78018) |
$4,826.52 |
$4,826.52 |
8.5× |
| Thyroid uptake single/multiple quant measurement (78012) |
$2,798.03 |
$2,798.03 |
6.7× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,207.40 |
$1,207.40 |
2.9× |
| Ultrasound breast limited (76642) |
$839.30 |
$839.30 |
9.2× |
| Ultrasound, abdomen limited (76705) |
$3,110.86 |
$3,110.86 |
28.5× |
| Ultrasound, elastography; first target lesion (76982) |
$686.70 |
$686.70 |
6.3× |
| Umbilical-artery Doppler (OB) (76820) |
$348.71 |
$348.71 |
3.2× |
| Unlisted CT procedure (76497) |
$259.08 |
$259.08 |
2.9× |
| Unlisted diagnostic radiographic procedure (76499) |
$248.91 |
$248.91 |
2.7× |
| Urethrocystography retrograde rs&i (74450) |
$737 |
$737 |
3.0× |
| Urethrocystography voiding (74455) |
$2,140.76 |
$2,140.76 |
8.6× |
| Urography antegrade (74425) |
$2,057.92 |
$2,057.92 |
5.6× |
| Urography retrograde w/wo kub (74420) |
$1,179.49 |
$1,179.49 |
3.2× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$572.13 |
$572.13 |
3.1× |
| Us abdominal aorta real time screen study aaa (76706) |
$858.92 |
$858.92 |
7.9× |
| Us breast uni real time with image complete (76641) |
$2,294.45 |
$2,294.45 |
21.0× |
| Us chest (76604) |
$1,850.82 |
$1,850.82 |
17.0× |
| Us compl joint r-t w/image documentation (76881) |
$1,451.88 |
$1,451.88 |
13.3× |
| Us elastography parenchyma (76981) |
$348.71 |
$348.71 |
3.2× |
| Us encephalogram (76506) |
$1,486.76 |
$1,486.76 |
13.6× |
| Us guided compression repair (76936) |
$847.68 |
$847.68 |
3.8× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$1,189.19 |
$1,189.19 |
13.1× |
| Us kidney transplanted (76776) |
$348.71 |
$348.71 |
3.2× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,421.36 |
$1,421.36 |
13.0× |
| Us ob detailed single fetus (76811) |
$737 |
$737 |
3.0× |
| Us ob followup per fetus (76816) |
$1,346.15 |
$1,346.15 |
12.3× |
| Us ob limited 1 or more fetuses (76815) |
$1,051.85 |
$1,051.85 |
9.6× |
| Us obstetric transvaginal (76817) |
$1,024.60 |
$1,024.60 |
9.4× |
| Us pelvic limited or f/u non-ob (76857) |
$348.71 |
$348.71 |
3.2× |
| Us pelvis complete (76856) |
$3,337.58 |
$3,337.58 |
30.6× |
| Us retroperitoneal complete (76770) |
$1,182.65 |
$1,182.65 |
10.8× |
| Us retroperitoneal limited (76775) |
$2,203.98 |
$2,203.98 |
20.2× |
| Us scrotum (76870) |
$2,574.58 |
$2,574.58 |
23.6× |
| Us soft tissue head/neck (76536) |
$2,087.35 |
$2,087.35 |
19.1× |
| Us spinal canal (76800) |
$907.97 |
$907.97 |
8.3× |
| Us transrectal (76872) |
$1,543.44 |
$1,543.44 |
14.1× |
| Us transrectal prostate volume (76873) |
$348.71 |
$348.71 |
3.2× |
| Vascular flow imaging (78445) |
$1,207.40 |
$1,207.40 |
2.9× |
| Vein X-ray liver w/hemodynam (75885) |
$9,169.07 |
$9,169.07 |
2.8× |
| Venogram extremity bilateral (75822) |
$4,751.31 |
$4,751.31 |
2.9× |
| Venogram ivc w serialography (75825) |
$3,154.46 |
$3,154.46 |
1.0× |
| Venogram svc w serialography (75827) |
$3,238.39 |
$3,238.39 |
2.0× |
| Venography adrenal unilateral selective rs&i (75840) |
$9,169.07 |
$9,169.07 |
2.8× |
| Venography ext unilateral (75820) |
$3,087.97 |
$3,087.97 |
1.9× |
| Venography renal unilateral selective rs&i (75831) |
$9,169.07 |
$9,169.07 |
2.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,758.32 |
$3,758.32 |
1.1× |
| Venography, orbital, radiological supervision and interpretation Other Diagnostic Radiology FS (75880) |
$1,657.40 |
$1,657.40 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,502.02 |
$1,502.02 |
16.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,981.62 |
$1,981.62 |
21.8× |
| X-ray aorta leg arteries (75630) |
$10,584.44 |
$10,584.44 |
3.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$572.13 |
$572.13 |
3.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,965.27 |
$1,965.27 |
21.6× |
| X-ray exam hips bi 3-4 views (73522) |
$1,678.60 |
$1,678.60 |
15.4× |
| X-ray exam of finger(s) (73140) |
$1,584.86 |
$1,584.86 |
17.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$668.17 |
$668.17 |
3.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$681.25 |
$681.25 |
7.5× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,324.35 |
$1,324.35 |
14.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,019.77 |
$2,019.77 |
22.2× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$893.80 |
$893.80 |
8.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$2,012.14 |
$2,012.14 |
22.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,111.80 |
$1,111.80 |
12.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$259.08 |
$259.08 |
2.9× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$2,081.90 |
$2,081.90 |
22.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,782.15 |
$1,782.15 |
16.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$810.96 |
$810.96 |
8.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,375.11 |
$2,375.11 |
21.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$348.71 |
$348.71 |
3.2× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$348.71 |
$348.71 |
3.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,759.88 |
$2,759.88 |
30.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,718.46 |
$2,718.46 |
24.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$802.24 |
$802.24 |
7.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$348.71 |
$348.71 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,611.02 |
$1,611.02 |
17.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,101.52 |
$2,101.52 |
23.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,893.33 |
$1,893.33 |
20.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,056.83 |
$2,056.83 |
18.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,093.27 |
$1,093.27 |
10.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$259.08 |
$259.08 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$966.83 |
$966.83 |
10.6× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,500.93 |
$1,500.93 |
16.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,084.08 |
$2,084.08 |
22.9× |
| Xr abdomen 1 view (74018) |
$948.30 |
$948.30 |
10.4× |
| Xr abdomen 2 views (74019) |
$815.32 |
$815.32 |
7.5× |
| Xr abdomen 3 views (74021) |
$348.71 |
$348.71 |
3.2× |
| Xr arthrogram ankle (73615) |
$1,179.49 |
$1,179.49 |
3.2× |
| Xr arthrogram elbow (73085) |
$1,179.49 |
$1,179.49 |
3.2× |
| Xr arthrogram hip (73525) |
$1,179.49 |
$1,179.49 |
3.2× |
| Xr bone density axial (77080) |
$1,914.04 |
$1,914.04 |
17.5× |
| Xr bone length study (77073) |
$348.71 |
$348.71 |
3.2× |
| Xr bone survey infant (77076) |
$348.71 |
$348.71 |
3.2× |
| Xr bone survey limited (77074) |
$456.71 |
$456.71 |
4.2× |
| Xr chest 1 view (71045) |
$1,243.69 |
$1,243.69 |
13.7× |
| Xr chest 2 views (71046) |
$1,337.80 |
$1,337.80 |
14.7× |
| Xr chest 3 views (71047) |
$259.08 |
$259.08 |
2.9× |
| Xr cystogram 3+ views (74430) |
$1,641.54 |
$1,641.54 |
4.5× |
| Xr facial bones 3 views (70150) |
$1,072.56 |
$1,072.56 |
9.8× |
| Xr lower extremity 2 views infant (73592) |
$259.08 |
$259.08 |
2.9× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$348.71 |
$348.71 |
3.2× |
| Xr mandible 4 views (70110) |
$1,006.07 |
$1,006.07 |
9.2× |
| Xr myelogram c-spine (72240) |
$4,811.26 |
$4,811.26 |
5.9× |
| Xr nasal bones (70160) |
$1,486.76 |
$1,486.76 |
16.4× |
| Xr pelvis 3 views (72190) |
$1,582.68 |
$1,582.68 |
14.5× |
| Xr sella turcica (70240) |
$259.08 |
$259.08 |
2.9× |
| Xr sialogram (70390) |
$737 |
$737 |
3.0× |
| Xr spine 1 view (72020) |
$1,341.79 |
$1,341.79 |
14.8× |
| Xr sternum 2 views (71120) |
$1,423.54 |
$1,423.54 |
15.7× |
| Xr surgical specimen (76098) |
$1,117.25 |
$1,117.25 |
2.0× |
| Xray elbow 2 views (73070) |
$1,654.62 |
$1,654.62 |
18.2× |
| Xray forearm 2 views (73090) |
$1,822.48 |
$1,822.48 |
20.1× |
| Xray knee 1 or 2 views rt (73560) |
$1,254.59 |
$1,254.59 |
13.8× |
| Xray neck soft tissue (70360) |
$1,106.35 |
$1,106.35 |
12.2× |
| Xray orbits complete min 4 views (70200) |
$348.71 |
$348.71 |
3.2× |
| Xray pelvis 1 or 2 views (72170) |
$1,290.56 |
$1,290.56 |
11.8× |
| Xray ribs bilateral 3 views (71110) |
$2,463.40 |
$2,463.40 |
22.6× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$1,469.32 |
$1,469.32 |
13.5× |
| Xray scapula complete (73010) |
$1,900.96 |
$1,900.96 |
17.4× |
| Xray shoulder 1 view (73020) |
$1,963.09 |
$1,963.09 |
21.6× |
| Xray sinuses paranasal <3 views (70210) |
$259.08 |
$259.08 |
2.9× |
| Xray spine thoracic 2 views (72070) |
$1,600.12 |
$1,600.12 |
14.7× |
| Xray spine thoracic 3 views (72072) |
$1,738.55 |
$1,738.55 |
15.9× |
| Xray tibia-fibula 2 views bil (73590) |
$1,413.73 |
$1,413.73 |
15.6× |
| Xray tmj open - closed unilat (70328) |
$259.08 |
$259.08 |
2.9× |
| Xray tmj's bilateral open-clsc (70330) |
$259.08 |
$259.08 |
2.9× |