| 3-D radiotherapy plan dose-volume histograms (77295) |
$20,636.08 |
$20,636.08 |
16.2× |
| Abdomen 2 views (74019) |
$1,136.88 |
$1,136.88 |
11.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,631.17 |
$1,631.17 |
4.4× |
| Angiography extremity bilateral rs&i (75716) |
$7,364.19 |
$7,364.19 |
2.5× |
| Angiography extremity unilateral rs&i (75710) |
$7,364.19 |
$7,364.19 |
2.5× |
| Angiography internal mammary rs&i (75756) |
$11,604.97 |
$11,604.97 |
4.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,364.19 |
$7,364.19 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,364.19 |
$7,364.19 |
2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$9,021.92 |
$9,021.92 |
3.1× |
| Angiography Spinal Selective Rs&I (75705) |
$18,351.36 |
$18,351.36 |
3.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,364.19 |
$7,364.19 |
1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,070.89 |
$3,070.89 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$10,881.10 |
$10,881.10 |
3.7× |
| Ankle 2 views (73600) |
$812.27 |
$812.27 |
10.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,339.33 |
$1,339.33 |
4.2× |
| Aortogram thoracic (75605) |
$11,901.99 |
$11,901.99 |
2.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,364.19 |
$7,364.19 |
2.5× |
| Aortography abdominal serialography rs&i (75625) |
$7,364.19 |
$7,364.19 |
2.5× |
| Arthrogram hip (73525) |
$889.49 |
$889.49 |
2.8× |
| Arthrogram shoulder (73040) |
$885.71 |
$885.71 |
2.8× |
| Arthrogram wrist (73115) |
$792.68 |
$792.68 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$1,343.80 |
$1,343.80 |
10.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,925 |
$1,925 |
5.2× |
| Bone &/joint imaging whole body (78306) |
$4,747.30 |
$4,747.30 |
12.9× |
| Bone age studies (77072) |
$574.24 |
$574.24 |
6.0× |
| Bone Imaging 3 Phase (78315) |
$5,783.56 |
$5,783.56 |
15.7× |
| Bone survey complete (77075) |
$6,040.09 |
$6,040.09 |
62.6× |
| Brain image w/flow 4 + views (78606) |
$1,856.74 |
$1,856.74 |
3.7× |
| Brain Imaging Vascular Flow Only (78610) |
$1,743.50 |
$1,743.50 |
3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,459.32 |
$4,459.32 |
13.9× |
| Cervical spine 2 or 3 views (72040) |
$1,031.90 |
$1,031.90 |
12.9× |
| Chest 1 view (71045) |
$791.16 |
$791.16 |
9.9× |
| Chest 3 views (71047) |
$1,221.29 |
$1,221.29 |
15.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,516.80 |
$1,516.80 |
9.4× |
| Clavicle complete (73000) |
$949.40 |
$949.40 |
11.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$908.44 |
$908.44 |
9.4× |
| Continuing medical physics consltj pr wk (77336) |
$1,779.96 |
$1,779.96 |
14.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$11,825.24 |
$11,825.24 |
36.7× |
| CT abdomen and pelvis without contrast (74176) |
$8,952.59 |
$8,952.59 |
40.7× |
| CT abdomen w contrast (74160) |
$5,672.72 |
$5,672.72 |
35.1× |
| CT abdomen w wo contrast (74170) |
$6,774.62 |
$6,774.62 |
41.9× |
| CT abdomen w/o contrast (74150) |
$4,477.32 |
$4,477.32 |
46.4× |
| CT angio hrt w/3d image (75574) |
$4,211.35 |
$4,211.35 |
13.1× |
| CT angiography upper extremity lt (73206) |
$7,072.60 |
$7,072.60 |
43.7× |
| CT c-spine w/o contrast (72125) |
$4,942.88 |
$4,942.88 |
51.2× |
| CT cervical spine with contrast (72126) |
$2,358.76 |
$2,358.76 |
7.3× |
| CT chest w/wo contrast (71270) |
$5,746.06 |
$5,746.06 |
35.5× |
| CT chest with contrast (71260) |
$5,089.40 |
$5,089.40 |
31.4× |
| CT head/brain with contrast (70460) |
$5,237.58 |
$5,237.58 |
32.4× |
| CT head/brain without and with contrast (70470) |
$5,913.64 |
$5,913.64 |
36.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,561.63 |
$2,561.63 |
8.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$2,561.63 |
$2,561.63 |
31.9× |
| CT iac w contrast (70481) |
$5,124.48 |
$5,124.48 |
31.7× |
| CT limited/localized follow up study (76380) |
$1,959.37 |
$1,959.37 |
24.4× |
| CT lower ext w/o (73700) |
$4,294.49 |
$4,294.49 |
44.5× |
| CT lower extremity w wo contrast (73702) |
$5,495.53 |
$5,495.53 |
34.0× |
| CT lower extremity with contrast (73701) |
$4,966 |
$4,966 |
30.7× |
| CT lumbar spine w & w/o contrast (72133) |
$6,622.98 |
$6,622.98 |
40.9× |
| CT lumbar spine w/o contrast (72131) |
$5,445.58 |
$5,445.58 |
56.5× |
| CT lumbar spine with contrast (72132) |
$5,594.18 |
$5,594.18 |
17.4× |
| CT maxillofacial w contrast (70487) |
$4,477.32 |
$4,477.32 |
27.7× |
| CT maxillofacial w/o contrast (70486) |
$4,477.32 |
$4,477.32 |
46.4× |
| CT maxillofacial w/wo contrast (70488) |
$4,168.97 |
$4,168.97 |
25.8× |
| CT neck soft tissue w contrast (70491) |
$5,707.26 |
$5,707.26 |
35.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,988.12 |
$4,988.12 |
30.8× |
| CT orbits w/o contrast (70480) |
$4,942.88 |
$4,942.88 |
51.2× |
| CT pelvis w & w/o contrast (72194) |
$6,248.37 |
$6,248.37 |
38.6× |
| CT pelvis w/o contrast (72192) |
$4,477.32 |
$4,477.32 |
46.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,913.64 |
$5,913.64 |
36.5× |
| CT soft tissue neck w/o contrast (70490) |
$5,241.71 |
$5,241.71 |
54.3× |
| CT thoracic spine w/contrast (72129) |
$5,079.92 |
$5,079.92 |
31.4× |
| CT thoracic spine w/o contrast (72128) |
$4,942.88 |
$4,942.88 |
51.2× |
| CT thoracic spine w/wo contrast (72130) |
$5,277.53 |
$5,277.53 |
32.6× |
| CT thorax w/o contrast (71250) |
$4,419.11 |
$4,419.11 |
45.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,736.57 |
$5,736.57 |
35.4× |
| CT upper extremity w/o contrast rt (73200) |
$4,419.11 |
$4,419.11 |
45.8× |
| CT upper extremity with contrast (73201) |
$4,945.36 |
$4,945.36 |
15.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$12,147.18 |
$12,147.18 |
75.1× |
| Cta Abdomen (74175) |
$10,204 |
$10,204 |
63.0× |
| CTA abdomen pelvis (74174) |
$11,500 |
$11,500 |
35.7× |
| CTA chest (71275) |
$8,397.88 |
$8,397.88 |
51.9× |
| Cta Head (70496) |
$8,397.88 |
$8,397.88 |
51.9× |
| CTA lwr ext w&w/o contrast (73706) |
$9,389.27 |
$9,389.27 |
58.0× |
| Cta Neck (70498) |
$8,397.88 |
$8,397.88 |
51.9× |
| Cta Pelvis (72191) |
$6,075.68 |
$6,075.68 |
37.5× |
| Cystography minimum 3 views rs&i (74430) |
$1,163.78 |
$1,163.78 |
3.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$923.10 |
$923.10 |
9.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,928.19 |
$1,928.19 |
20.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,596.63 |
$1,596.63 |
19.9× |
| Dxa bone density study axial skeleton (77085) |
$1,596.63 |
$1,596.63 |
16.6× |
| Esophagus (74220) |
$1,263.60 |
$1,263.60 |
7.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,003.84 |
$1,003.84 |
4.6× |
| Foot 2 views (73620) |
$812.27 |
$812.27 |
10.1× |
| Forearm 2 views (73090) |
$1,005.52 |
$1,005.52 |
12.5× |
| Gastric mucosa imaging (78261) |
$2,235.45 |
$2,235.45 |
6.1× |
| Hand 2 views (73120) |
$483.35 |
$483.35 |
5.0× |
| Hand 3 views (73130) |
$1,031.90 |
$1,031.90 |
12.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,025.63 |
$4,025.63 |
8.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,025.63 |
$4,025.63 |
10.9× |
| Ht muscle image spect sing (78451) |
$9,705.76 |
$9,705.76 |
8.1× |
| Humerus Min 2 Views Left (73060) |
$949.40 |
$949.40 |
11.8× |
| Hysterosalpingogram (74740) |
$1,288.47 |
$1,288.47 |
5.9× |
| Image fusion (77399) |
$757.86 |
$757.86 |
6.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,296.84 |
$2,296.84 |
4.6× |
| Knee 3 views (73562) |
$1,112.91 |
$1,112.91 |
13.9× |
| Liver & spleen imaging static only (78215) |
$4,058.29 |
$4,058.29 |
11.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,885.16 |
$1,885.16 |
5.1× |
| Lymphoscintigraphy (78195) |
$2,091.53 |
$2,091.53 |
4.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$10,471.13 |
$10,471.13 |
30.3× |
| Mr safety determination physician/other qhp (76016) |
$122.45 |
$122.45 |
1.5× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$122.45 |
$122.45 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$122.45 |
$122.45 |
4.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$122.45 |
$122.45 |
1.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$122.45 |
$122.45 |
0.6× |
| MRA head w & w/o contrast (70546) |
$8,207.22 |
$8,207.22 |
25.5× |
| MRA head w/o contrast (70544) |
$7,325.60 |
$7,325.60 |
33.3× |
| MRA head with contrast (70545) |
$7,824.21 |
$7,824.21 |
24.3× |
| MRA neck w contrast (70548) |
$7,824.21 |
$7,824.21 |
24.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,207.22 |
$8,207.22 |
25.5× |
| MRA neck w/o contrast (70547) |
$7,325.60 |
$7,325.60 |
33.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$11,808 |
$11,808 |
36.7× |
| MRI abdomen w/o contrast (74181) |
$10,890.27 |
$10,890.27 |
49.5× |
| MRI any jnt lwr ext with con lt (73722) |
$8,660.85 |
$8,660.85 |
12.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$8,660.85 |
$8,660.85 |
12.0× |
| MRI breast w/o contrast bilateral (77047) |
$10,173.50 |
$10,173.50 |
46.2× |
| MRI breast w/o contrast unilat (77046) |
$10,173.50 |
$10,173.50 |
46.2× |
| MRI c-spine with contrast (72142) |
$10,890.27 |
$10,890.27 |
33.8× |
| MRI cardiac w/o contrast (75557) |
$4,459.32 |
$4,459.32 |
20.3× |
| MRI cervical spine w/o contrast (72141) |
$10,890.27 |
$10,890.27 |
49.5× |
| MRI chest w/o & w/contrast material (71552) |
$10,542.86 |
$10,542.86 |
32.8× |
| MRI chest w/o contrast (71550) |
$8,382.29 |
$8,382.29 |
38.1× |
| MRI chest with contrast (71551) |
$6,745.01 |
$6,745.01 |
9.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$6,666.29 |
$6,666.29 |
20.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,666.29 |
$6,666.29 |
20.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$8,089.48 |
$8,089.48 |
36.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$8,089.48 |
$8,089.48 |
36.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$9,154.26 |
$9,154.26 |
28.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,312.54 |
$11,312.54 |
35.1× |
| MRI pelvis w/o contrast (72195) |
$9,988.76 |
$9,988.76 |
45.4× |
| MRI scan of arm joint before and after contrast (73223) |
$8,663.85 |
$8,663.85 |
26.9× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$4,459.32 |
$4,459.32 |
6.2× |
| MRI scan of leg joint before and after contrast (73723) |
$9,154.26 |
$9,154.26 |
28.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$13,707.30 |
$13,707.30 |
42.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,890.27 |
$10,890.27 |
33.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$13,707.30 |
$13,707.30 |
42.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$10,890.27 |
$10,890.27 |
33.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$13,707.30 |
$13,707.30 |
42.6× |
| MRI thoracic spine w/o contrast (72146) |
$10,890.27 |
$10,890.27 |
49.5× |
| MRI upper ext joint w/o contrast (73221) |
$8,089.48 |
$8,089.48 |
36.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$9,154.26 |
$9,154.26 |
28.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$8,089.48 |
$8,089.48 |
36.7× |
| Myocardial Spect Multiple Studies (78452) |
$18,423.13 |
$18,423.13 |
15.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$4,307.99 |
$4,307.99 |
5.4× |
| Neck soft tissue (70360) |
$741.81 |
$741.81 |
9.2× |
| Nm gastric emptying study (78264) |
$4,063.73 |
$4,063.73 |
11.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$17,574.45 |
$17,574.45 |
13.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$12,456.01 |
$12,456.01 |
10.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$7,943.38 |
$7,943.38 |
6.6× |
| Nuclear Rx Oral Admin (79005) |
$2,657.69 |
$2,657.69 |
12.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$836 |
$836 |
8.7× |
| Parathyrd planar w/wo subtrj (78071) |
$1,785.36 |
$1,785.36 |
4.8× |
| Parathyroid imaging (78070) |
$2,815.56 |
$2,815.56 |
7.6× |
| Pelvis 1 or 2 views (72170) |
$864.62 |
$864.62 |
9.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,154.26 |
$9,154.26 |
28.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$11,009.52 |
$11,009.52 |
3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,471.91 |
$3,471.91 |
9.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,960 |
$4,960 |
9.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,210.79 |
$2,210.79 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,661.08 |
$1,661.08 |
17.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,306.76 |
$1,306.76 |
13.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$482.01 |
$482.01 |
5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$36,867.10 |
$36,867.10 |
5.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,307.34 |
$1,307.34 |
2.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$539.85 |
$539.85 |
5.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,420.09 |
$1,420.09 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,174.32 |
$1,174.32 |
12.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$864.62 |
$864.62 |
10.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,031.89 |
$1,031.89 |
12.9× |
| Radiologic exam colon single contrast study (74270) |
$2,026.53 |
$2,026.53 |
12.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,513.56 |
$1,513.56 |
9.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,794.84 |
$1,794.84 |
11.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,302.70 |
$2,302.70 |
14.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,375.82 |
$2,375.82 |
29.6× |
| Radiological examination surgical specimen (76098) |
$885.71 |
$885.71 |
1.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$6,988.76 |
$6,988.76 |
2.4× |
| Ribs bilateral 3 views (71110) |
$1,344.61 |
$1,344.61 |
13.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,326.71 |
$5,326.71 |
10.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,627.65 |
$4,627.65 |
9.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$5,183.36 |
$5,183.36 |
4.3× |
| Rp Therapy Intravenous Administration (79101) |
$2,314.75 |
$2,314.75 |
10.8× |
| Scanogram (77073) |
$791.16 |
$791.16 |
8.2× |
| Scapula complete (73010) |
$1,174.32 |
$1,174.32 |
12.2× |
| Screening digital breast tomosynthesis (77063) |
$1,058.19 |
$1,058.19 |
45.3× |
| Small bowel series (74250) |
$1,495.69 |
$1,495.69 |
9.2× |
| Spec medical radj physics consltj (77370) |
$3,225.20 |
$3,225.20 |
26.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,371.12 |
$1,371.12 |
4.0× |
| Special treatment procedure (77470) |
$4,325.37 |
$4,325.37 |
8.5× |
| Spine thoracic 3 views (72072) |
$1,303.92 |
$1,303.92 |
13.5× |
| Stereotactic body radiation delivery (77373) |
$16,996.13 |
$16,996.13 |
10.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$5,375.20 |
$5,375.20 |
15.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,927.90 |
$1,927.90 |
5.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$5,001.62 |
$5,001.62 |
14.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,552.49 |
$2,552.49 |
20.6× |
| Thoracolumbar 2 views (72080) |
$794.56 |
$794.56 |
9.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,185.72 |
$3,185.72 |
8.6× |
| Treatment devices simple (77332) |
$1,343.80 |
$1,343.80 |
10.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$10,986.60 |
$10,986.60 |
21.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,069 |
$2,069 |
5.6× |
| Tx devices design & construction complex (77334) |
$3,449.03 |
$3,449.03 |
10.0× |
| Ultrasound elastography first target lesion (76982) |
$566.30 |
$566.30 |
5.9× |
| Ultrasound, abdomen limited (76705) |
$2,221.47 |
$2,221.47 |
23.0× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$3,171 |
$3,171 |
8.6× |
| Unlisted Ultrasound Procedure (76999) |
$611.48 |
$611.48 |
7.6× |
| Upper Extremity Infant (73092) |
$483.35 |
$483.35 |
5.0× |
| Urethrocystography retrograde rs&i (74450) |
$1,344.61 |
$1,344.61 |
6.1× |
| Urethrocystography voiding (74455) |
$1,690.86 |
$1,690.86 |
7.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,703.29 |
$1,703.29 |
10.5× |
| Us abdl aorta screen aaa (76706) |
$1,139.08 |
$1,139.08 |
11.8× |
| Us breast unilateral complete (76641) |
$2,042.54 |
$2,042.54 |
21.2× |
| Us breast unilateral limited (76642) |
$1,021.27 |
$1,021.27 |
12.7× |
| Us chest (76604) |
$2,331.48 |
$2,331.48 |
24.2× |
| Us compl joint r-t w/image documentation (76881) |
$1,798.32 |
$1,798.32 |
18.6× |
| Us elastography parenchyma (76981) |
$566.30 |
$566.30 |
5.9× |
| Us ob transvaginal (76817) |
$596.61 |
$596.61 |
6.2× |
| Us pelvic non ob complete (76856) |
$2,575.51 |
$2,575.51 |
26.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$800.54 |
$800.54 |
8.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$596.61 |
$596.61 |
6.2× |
| Us retroperitoneal complete (76770) |
$2,281.88 |
$2,281.88 |
23.7× |
| Us retroperitoneal limited (76775) |
$1,007.98 |
$1,007.98 |
10.4× |
| Us scrotum and contents (76870) |
$1,887.06 |
$1,887.06 |
19.6× |
| Us soft tissue head/neck (76536) |
$2,248.45 |
$2,248.45 |
23.3× |
| Us transrectal (76872) |
$2,655.33 |
$2,655.33 |
27.5× |
| Us xtr non-vasc lmtd (76882) |
$1,007.98 |
$1,007.98 |
10.4× |
| Venogram extremity bilateral (75822) |
$2,531.39 |
$2,531.39 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$7,204.26 |
$7,204.26 |
2.5× |
| Venography caval superior serialography rs&i (75827) |
$7,697.04 |
$7,697.04 |
5.3× |
| Venography extremity unilateral rs&i (75820) |
$2,610.31 |
$2,610.31 |
1.8× |
| Venography renal unilateral selective rs&i (75831) |
$7,204.26 |
$7,204.26 |
2.5× |
| Vertebral fracture assessment via dxa (77086) |
$1,596.63 |
$1,596.63 |
19.9× |
| Wrist 2 views (73100) |
$483.35 |
$483.35 |
6.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,572.92 |
$1,572.92 |
16.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,031.90 |
$1,031.90 |
12.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,460.92 |
$2,460.92 |
15.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$864.62 |
$864.62 |
10.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,112.91 |
$1,112.91 |
13.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,509.27 |
$2,509.27 |
26.0× |
| X-ray exam hip uni 1 view (73501) |
$1,070.54 |
$1,070.54 |
13.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,188.65 |
$1,188.65 |
14.8× |
| X-ray exam hip uni 4/> views (73503) |
$1,188.65 |
$1,188.65 |
12.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,306.76 |
$1,306.76 |
13.5× |
| X-ray exam of femur 1 (73551) |
$2,375.82 |
$2,375.82 |
29.6× |
| X-ray eye for foreign body (70030) |
$778.73 |
$778.73 |
9.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,174.32 |
$1,174.32 |
12.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$952.42 |
$952.42 |
11.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,031.90 |
$1,031.90 |
12.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$813.78 |
$813.78 |
10.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$574.91 |
$574.91 |
7.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,094.82 |
$1,094.82 |
11.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$242.59 |
$242.59 |
3.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$483.35 |
$483.35 |
6.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$952.42 |
$952.42 |
9.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$743.31 |
$743.31 |
7.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$743.31 |
$743.31 |
7.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,191.65 |
$1,191.65 |
14.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$712.05 |
$712.05 |
8.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,174.32 |
$1,174.32 |
12.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,177.71 |
$1,177.71 |
12.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,028.14 |
$1,028.14 |
3.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,190.14 |
$1,190.14 |
14.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,655.80 |
$1,655.80 |
17.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,372.86 |
$1,372.86 |
14.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$905.32 |
$905.32 |
9.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,016.09 |
$1,016.09 |
12.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,031.90 |
$1,031.90 |
12.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,207.47 |
$1,207.47 |
15.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$747.08 |
$747.08 |
9.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,207.47 |
$1,207.47 |
12.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$608.41 |
$608.41 |
6.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$554.18 |
$554.18 |
6.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$697.72 |
$697.72 |
8.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$843.91 |
$843.91 |
10.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$794.56 |
$794.56 |
8.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$940.35 |
$940.35 |
9.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$720.73 |
$720.73 |
9.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,031.90 |
$1,031.90 |
12.9× |
| Xr c-spine 6 or more views (72052) |
$1,534.50 |
$1,534.50 |
15.9× |
| Xr chest 4+ views (71048) |
$1,567.08 |
$1,567.08 |
16.2× |
| Xr finger(s) 2+ views (73140) |
$727.49 |
$727.49 |
9.1× |
| Xr shoulder 1 view (73020) |
$878.94 |
$878.94 |
10.9× |
| Xr spine cervical 4 or 5 views (72050) |
$1,357.04 |
$1,357.04 |
14.1× |
| Xr tibia/fibula 2 views (73590) |
$949.40 |
$949.40 |
11.8× |
| Xr tmj bilateral (70330) |
$602.68 |
$602.68 |
7.5× |
| Xray knee 1 or 2 views rt (73560) |
$657.42 |
$657.42 |
8.2× |