| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,592.45 |
$17,106.89 |
2.6× |
| Abdomen 2 views (74019) |
$147.08 |
$700.40 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$290.22 |
$1,381.96 |
0.7× |
| Angiography extremity bilateral rs&i (75716) |
$3,181.35 |
$15,149.30 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,470.49 |
$16,526.16 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$1,454.70 |
$6,927.15 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,071.10 |
$9,862.36 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,181.35 |
$15,149.30 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,181.35 |
$15,149.30 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,626.72 |
$31,555.79 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,056.84 |
$5,032.55 |
0.3× |
| Ankle 2 views (73600) |
$109.25 |
$520.26 |
1.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$329.62 |
$1,569.60 |
0.9× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,071.10 |
$9,862.36 |
0.4× |
| Aortography abdominal serialography rs&i (75625) |
$3,181.35 |
$15,149.30 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,869.12 |
$8,900.59 |
0.6× |
| Arthrogram elbow (73085) |
$516.91 |
$1,268.92 |
1.5× |
| Arthrogram hip (73525) |
$265.88 |
$1,266.09 |
0.8× |
| Arthrogram shoulder (73040) |
$220.28 |
$1,048.98 |
0.6× |
| Arthrogram wrist (73115) |
$220.72 |
$1,051.04 |
0.6× |
| Arthrography knee lt (73580) |
$221.68 |
$1,055.61 |
0.6× |
| Basic radiation dosimetry calculation (77300) |
$371.41 |
$1,768.64 |
2.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$329.34 |
$1,568.26 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$952.80 |
$4,537.12 |
2.4× |
| Bone age studies (77072) |
$117.98 |
$288.31 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$399.03 |
$1,900.14 |
1.0× |
| Bone survey complete (77075) |
$261.48 |
$1,245.14 |
2.5× |
| Brain image w/flow 4 + views (78606) |
$692.21 |
$3,296.25 |
1.3× |
| Brain imaging < 4 static views w vascular flow (78601) |
$362.50 |
$1,726.16 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$109.25 |
$520.26 |
1.3× |
| Chest 1 view (71045) |
$143.52 |
$683.42 |
1.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$147.94 |
$704.48 |
0.8× |
| Clavicle complete (73000) |
$109.25 |
$520.26 |
1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$95.96 |
$456.98 |
0.9× |
| Continuing medical physics consltj pr wk (77336) |
$528.55 |
$2,516.91 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$860.55 |
$4,097.84 |
2.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,421.24 |
$6,767.80 |
5.9× |
| CT abdomen w contrast (74160) |
$383.32 |
$1,825.32 |
2.2× |
| CT abdomen w wo contrast (74170) |
$430.41 |
$2,049.55 |
2.4× |
| CT abdomen w/o contrast (74150) |
$251.58 |
$1,197.99 |
2.4× |
| CT angiography upper extremity lt (73206) |
$811.88 |
$3,866.10 |
4.6× |
| CT c-spine w/o contrast (72125) |
$251.58 |
$1,197.99 |
2.4× |
| CT cervical spine w&w/o contrast (72127) |
$752.22 |
$3,582.04 |
4.3× |
| CT cervical spine with contrast (72126) |
$383.32 |
$1,825.32 |
1.1× |
| CT chest w/wo contrast (71270) |
$430.41 |
$2,049.55 |
2.4× |
| CT chest with contrast (71260) |
$848.12 |
$4,038.64 |
4.8× |
| CT head/brain with contrast (70460) |
$383.32 |
$1,825.32 |
2.2× |
| CT head/brain without and with contrast (70470) |
$430.41 |
$2,049.55 |
2.4× |
| CT iac w contrast (70481) |
$383.32 |
$1,825.32 |
2.2× |
| CT lower ext w/o (73700) |
$251.58 |
$1,197.99 |
2.4× |
| CT lower extremity w wo contrast (73702) |
$375.38 |
$1,787.53 |
2.1× |
| CT lower extremity with contrast (73701) |
$383.32 |
$1,825.32 |
2.2× |
| CT lumbar spine w & w/o contrast (72133) |
$375.38 |
$1,787.53 |
2.1× |
| CT lumbar spine w/o contrast (72131) |
$251.58 |
$1,197.99 |
2.4× |
| CT lumbar spine with contrast (72132) |
$547.07 |
$2,605.09 |
1.6× |
| CT maxillofacial w contrast (70487) |
$768.49 |
$3,659.46 |
4.4× |
| CT maxillofacial w/o contrast (70486) |
$742.83 |
$3,537.28 |
7.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,528.24 |
$7,277.35 |
8.7× |
| CT neck soft tissue w contrast (70491) |
$383.32 |
$1,825.32 |
2.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$430.41 |
$2,049.55 |
2.4× |
| CT orbits w/o contrast (70480) |
$251.58 |
$1,197.99 |
2.4× |
| CT pelvis w & w/o contrast (72194) |
$430.41 |
$2,049.55 |
2.4× |
| CT pelvis w/o contrast (72192) |
$251.58 |
$1,197.99 |
2.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$430.41 |
$2,049.55 |
2.4× |
| CT soft tissue neck w/o contrast (70490) |
$251.58 |
$1,197.99 |
2.4× |
| CT thoracic spine w/contrast (72129) |
$604.04 |
$2,876.34 |
3.4× |
| CT thoracic spine w/o contrast (72128) |
$251.58 |
$1,197.99 |
2.4× |
| CT thoracic spine w/wo contrast (72130) |
$440.99 |
$2,099.94 |
2.5× |
| CT thorax w/o contrast (71250) |
$718.10 |
$3,419.49 |
6.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$430.41 |
$2,049.55 |
2.4× |
| CT upper extremity w/o contrast rt (73200) |
$251.58 |
$1,197.99 |
2.4× |
| CT upper extremity with contrast (73201) |
$383.32 |
$1,825.32 |
1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$831.82 |
$3,961.04 |
4.7× |
| Cta Abdomen (74175) |
$391.79 |
$1,865.67 |
2.2× |
| CTA abdomen pelvis (74174) |
$619.38 |
$2,949.46 |
1.8× |
| CTA chest (71275) |
$1,110.27 |
$5,287.01 |
6.3× |
| Cta Head (70496) |
$1,582.74 |
$7,536.86 |
9.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,165.75 |
$15,074.98 |
9.1× |
| CTA lwr ext w&w/o contrast (73706) |
$814.22 |
$3,877.21 |
4.6× |
| Cta Neck (70498) |
$810.07 |
$3,857.46 |
4.6× |
| Cta Pelvis (72191) |
$243.46 |
$1,159.30 |
1.4× |
| Cystography minimum 3 views rs&i (74430) |
$329.62 |
$796.15 |
0.9× |
| Diskography lumbar (72295) |
$2,247.03 |
$10,700.16 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$147.08 |
$700.40 |
1.4× |
| Echoencephalography real time imaging (76506) |
$204.46 |
$973.60 |
2.0× |
| Esophagus (74220) |
$303.96 |
$1,447.41 |
1.7× |
| Fetal biophysical profile non-stress testing (76818) |
$137.56 |
$655.06 |
1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$346.96 |
$1,652.20 |
3.3× |
| Fluoroscopy up to 1 hr (76000) |
$295.49 |
$715.72 |
1.2× |
| Foot 2 views (73620) |
$109.25 |
$520.26 |
1.3× |
| Forearm 2 views (73090) |
$142.58 |
$520.26 |
1.6× |
| Gated Heart Planar Single (78472) |
$640.45 |
$3,049.76 |
1.6× |
| Hand 2 views (73120) |
$147.08 |
$594.58 |
1.4× |
| Hand 3 views (73130) |
$109.25 |
$520.26 |
1.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,869.12 |
$8,900.59 |
0.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$566.60 |
$2,698.12 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$557.78 |
$2,656.08 |
1.4× |
| Ht muscle image spect sing (78451) |
$1,417.14 |
$6,748.27 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$109.25 |
$520.26 |
1.3× |
| Hysterosalpingogram (74740) |
$252.92 |
$1,204.39 |
1.1× |
| Intracavitary Radiation Source Applic Complex (77763) |
$685.42 |
$3,263.91 |
1.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$410.48 |
$1,954.66 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$529.61 |
$1,312.43 |
1.0× |
| Knee 3 views (73562) |
$109.25 |
$520.26 |
1.3× |
| Lymphoscintigraphy (78195) |
$483.06 |
$2,300.30 |
0.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$944.93 |
$4,499.69 |
2.5× |
| MRA head w & w/o contrast (70546) |
$882.32 |
$4,201.55 |
2.5× |
| MRA head w/o contrast (70544) |
$806.51 |
$3,840.54 |
3.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$882.44 |
$4,202.12 |
2.5× |
| MRA neck w/o contrast (70547) |
$806.54 |
$3,840.68 |
3.4× |
| MRI abdomen w contrast (74182) |
$547.07 |
$2,605.09 |
1.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,202.72 |
$5,727.28 |
3.4× |
| MRI abdomen w/o contrast (74181) |
$451.04 |
$2,147.81 |
1.9× |
| MRI any jnt lwr ext with con lt (73722) |
$547.07 |
$2,605.09 |
0.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$547.07 |
$2,605.09 |
0.7× |
| MRI breast w/o contrast bilateral (77047) |
$355.65 |
$1,693.55 |
1.5× |
| MRI c-spine with contrast (72142) |
$547.07 |
$2,605.09 |
1.6× |
| MRI cervical spine w/o contrast (72141) |
$451.04 |
$2,147.81 |
1.9× |
| MRI chest w/o & w/contrast material (71552) |
$690.71 |
$3,289.11 |
2.0× |
| MRI chest w/o contrast (71550) |
$251.57 |
$1,197.94 |
1.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$821.20 |
$3,910.52 |
2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$547.07 |
$2,605.09 |
1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$451.04 |
$2,147.81 |
1.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,150.22 |
$5,477.23 |
4.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$690.71 |
$3,289.11 |
2.0× |
| MRI orbit/face/neck w/contrast (70542) |
$547.07 |
$2,605.09 |
1.6× |
| MRI pelvis w contrast (72196) |
$547.07 |
$2,605.09 |
1.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,202.72 |
$5,727.28 |
3.4× |
| MRI pelvis w/o contrast (72195) |
$451.04 |
$2,147.81 |
1.9× |
| MRI scan of arm joint before and after contrast (73223) |
$690.71 |
$3,289.11 |
2.0× |
| MRI scan of leg joint before and after contrast (73723) |
$690.71 |
$3,289.11 |
2.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$690.71 |
$3,289.11 |
2.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$547.07 |
$2,605.09 |
1.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$690.71 |
$3,289.11 |
2.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$547.07 |
$2,605.09 |
1.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$690.71 |
$3,289.11 |
2.0× |
| MRI thoracic spine w/o contrast (72146) |
$451.04 |
$2,147.81 |
1.9× |
| MRI tmj (70336) |
$1,502.58 |
$7,155.16 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$451.04 |
$2,147.81 |
1.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$690.71 |
$3,289.11 |
2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$451.04 |
$2,147.81 |
1.9× |
| Myelogram thoracic (72255) |
$559.30 |
$2,663.32 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$2,062.61 |
$9,821.97 |
1.6× |
| Neck soft tissue (70360) |
$165.20 |
$520.26 |
1.9× |
| Nm gastric emptying study (78264) |
$315.57 |
$1,502.72 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,127.08 |
$19,652.77 |
3.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$105.43 |
$502.04 |
1.0× |
| Osseous survey infant (77076) |
$249.37 |
$1,187.48 |
2.4× |
| Osseous survey limited (77074) |
$331.02 |
$1,576.28 |
3.2× |
| Parathyroid imaging (78070) |
$478.28 |
$2,277.50 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$147.08 |
$667.65 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$3,260.71 |
$15,527.21 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,260.71 |
$15,527.21 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$690.71 |
$3,289.11 |
2.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,181.35 |
$15,149.30 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$505.75 |
$2,408.34 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,014.80 |
$4,832.40 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$418.77 |
$1,844.22 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$172.66 |
$822.21 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$174.54 |
$831.11 |
1.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$196.02 |
$933.44 |
1.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$5,551.63 |
$26,436.32 |
0.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$862.40 |
$4,106.66 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$214.41 |
$1,021 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$109.25 |
$520.26 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$147.08 |
$700.40 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$143.52 |
$683.42 |
1.6× |
| Radiologic exam colon single contrast study (74270) |
$260.51 |
$1,240.52 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$395.75 |
$1,884.52 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$109.25 |
$520.26 |
1.3× |
| Radiological examination surgical specimen (76098) |
$463.74 |
$2,208.28 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,869.12 |
$8,900.59 |
0.6× |
| Ribs bilateral 3 views (71110) |
$147.08 |
$700.40 |
1.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,260.70 |
$15,527.12 |
2.5× |
| Sacroiliac Joints < 3 Views (72200) |
$147.08 |
$700.40 |
1.4× |
| Scanogram (77073) |
$87.30 |
$415.76 |
0.8× |
| Scapula complete (73010) |
$147.08 |
$700.40 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$77.25 |
$367.84 |
3.3× |
| Small bowel series (74250) |
$414 |
$1,971.45 |
2.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$495.48 |
$2,359.44 |
1.3× |
| Special treatment procedure (77470) |
$779.33 |
$3,711.11 |
1.4× |
| Spine thoracic 3 views (72072) |
$192.18 |
$700.40 |
1.8× |
| Stereotactic body radiation delivery (77373) |
$2,557.83 |
$12,180.15 |
1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,161.86 |
$5,532.66 |
3.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,315.82 |
$6,265.80 |
3.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$587.54 |
$2,797.82 |
4.4× |
| Therapeutic Enema (74283) |
$30.03 |
$142.99 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$485.96 |
$2,314.09 |
1.2× |
| Treatment devices simple (77332) |
$310.04 |
$1,476.38 |
2.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,476.92 |
$7,032.97 |
2.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$261.70 |
$1,246.17 |
0.7× |
| Tx devices design & construction complex (77334) |
$1,141.49 |
$5,435.66 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$480.67 |
$2,288.90 |
4.6× |
| Unlisted Ultrasound Procedure (76999) |
$87.03 |
$414.45 |
1.0× |
| Urethrocystography retrograde rs&i (74450) |
$198.40 |
$944.80 |
0.8× |
| Us breast unilateral complete (76641) |
$147.08 |
$700.40 |
1.4× |
| Us breast unilateral limited (76642) |
$109.25 |
$520.26 |
1.3× |
| Us chest (76604) |
$147.08 |
$700.40 |
1.4× |
| Us compl joint r-t w/image documentation (76881) |
$370.62 |
$1,764.86 |
3.5× |
| Us infant hips dynamic (76885) |
$18.69 |
$88.98 |
0.2× |
| Us infant hips limited static (76886) |
$13.09 |
$62.31 |
0.2× |
| Us ob detailed single fetus (76811) |
$138.17 |
$657.96 |
0.6× |
| Us ob transvaginal (76817) |
$88.96 |
$423.62 |
0.8× |
| Us pelvic non ob complete (76856) |
$326.97 |
$1,557 |
3.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$154.88 |
$700.40 |
1.5× |
| Us pregnancy ltd (76815) |
$147.08 |
$700.40 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$218.54 |
$1,040.67 |
2.1× |
| Us retroperitoneal complete (76770) |
$147.08 |
$700.40 |
1.4× |
| Us retroperitoneal limited (76775) |
$147.08 |
$700.40 |
1.4× |
| Us scrotum and contents (76870) |
$147.08 |
$700.40 |
1.4× |
| Us soft tissue head/neck (76536) |
$147.08 |
$700.40 |
1.4× |
| Us spinal canal and contents (76800) |
$87 |
$414.26 |
0.8× |
| Us transrectal (76872) |
$30.92 |
$147.22 |
0.3× |
| Us transrectal prostate volume (76873) |
$268.68 |
$1,279.44 |
2.6× |
| Us xtr non-vasc lmtd (76882) |
$237.82 |
$700.40 |
2.3× |
| Venogram extremity bilateral (75822) |
$1,010.28 |
$4,810.84 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,234.26 |
$15,401.24 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$1,088.84 |
$5,184.97 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$1,028.27 |
$4,896.50 |
0.7× |
| Venography Renal Bilateral (75833) |
$1,869.12 |
$8,900.59 |
0.6× |
| Venography renal unilateral selective rs&i (75831) |
$1,869.12 |
$8,900.59 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,158.03 |
$19,800.16 |
1.3× |
| Wrist 2 views (73100) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$92.79 |
$229.48 |
1.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$296.01 |
$1,409.59 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$109.25 |
$520.26 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$129.89 |
$618.52 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$166.92 |
$794.88 |
1.9× |
| X-ray exam hip uni 4/> views (73503) |
$231.96 |
$1,104.58 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$171.55 |
$816.92 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$392.05 |
$1,866.89 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$181.47 |
$864.16 |
1.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$184.65 |
$879.28 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$109.25 |
$520.26 |
1.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,812.89 |
$8,632.81 |
0.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$185.44 |
$520.26 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$146.29 |
$696.62 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$415.33 |
$1,012.02 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$192.18 |
$915.18 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$198.93 |
$700.40 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$146.68 |
$696.62 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$217.19 |
$524.48 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$195.96 |
$933.12 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$147.08 |
$700.40 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$109.25 |
$520.26 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$109.25 |
$520.26 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$147.08 |
$700.40 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$109.25 |
$520.26 |
1.3× |
| Xr shoulder 1 view (73020) |
$138.09 |
$520.26 |
1.6× |
| Xr spine cervical 4 or 5 views (72050) |
$147.08 |
$700.40 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$109.25 |
$520.26 |
1.3× |
| Xr tmj bilateral (70330) |
$144.77 |
$689.37 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$109.25 |
$520.26 |
1.3× |