| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,532.80 |
$17,664 |
2.7× |
| Abdomen 2 views (74019) |
$183 |
$915 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$414 |
$2,070 |
1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,180 |
$15,900 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$2,775 |
$13,875 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$1,493.40 |
$7,467 |
0.5× |
| Angiography internal mammary rs&i (75756) |
$1,106.60 |
$5,533 |
0.4× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,270.20 |
$6,351 |
0.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,180 |
$15,900 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,106.60 |
$5,533 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,481.40 |
$7,407 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$379.40 |
$1,897 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,106.60 |
$5,533 |
0.4× |
| Ankle 2 views (73600) |
$142.20 |
$711 |
1.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$517.80 |
$2,589 |
1.6× |
| Aortogram thoracic (75605) |
$3,180 |
$15,900 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,493.40 |
$7,467 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,485 |
$7,425 |
0.5× |
| Arthrogram hip (73525) |
$529.20 |
$2,646 |
1.6× |
| Arthrogram shoulder (73040) |
$181.80 |
$909 |
0.5× |
| Arthrogram wrist (73115) |
$165.60 |
$828 |
0.5× |
| Arthrography knee lt (73580) |
$165.60 |
$828 |
0.5× |
| Basic radiation dosimetry calculation (77300) |
$272.40 |
$1,362 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$762.60 |
$3,813 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$765 |
$3,825 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$775.80 |
$3,879 |
2.0× |
| Bone age studies (77072) |
$139.20 |
$696 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$775.80 |
$3,879 |
2.0× |
| Bone survey complete (77075) |
$301.80 |
$1,509 |
3.0× |
| Brain image w/flow 4 + views (78606) |
$540 |
$2,700 |
1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,443 |
$7,215 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$142.80 |
$714 |
1.7× |
| Chest 1 view (71045) |
$11.40 |
$57 |
0.1× |
| Chest 3 views (71047) |
$225 |
$1,125 |
2.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$208.80 |
$1,044 |
1.2× |
| Clavicle complete (73000) |
$162 |
$810 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$714.60 |
$3,573 |
7.2× |
| Continuing medical physics consltj pr wk (77336) |
$382.20 |
$1,911 |
3.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,548.20 |
$12,741 |
7.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,762.20 |
$8,811 |
7.7× |
| CT abdomen w contrast (74160) |
$1,081.20 |
$5,406 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,294.20 |
$6,471 |
7.7× |
| CT abdomen w/o contrast (74150) |
$1,170 |
$5,850 |
11.7× |
| CT angio hrt w/3d image (75574) |
$887.40 |
$4,437 |
2.7× |
| CT angiography upper extremity lt (73206) |
$1,177.80 |
$5,889 |
7.0× |
| CT c-spine w/o contrast (72125) |
$930.60 |
$4,653 |
9.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,224 |
$6,120 |
7.3× |
| CT cervical spine with contrast (72126) |
$1,120.80 |
$5,604 |
3.4× |
| CT chest w/wo contrast (71270) |
$1,111.80 |
$5,559 |
6.6× |
| CT chest with contrast (71260) |
$925.80 |
$4,629 |
5.5× |
| CT head/brain with contrast (70460) |
$681.60 |
$3,408 |
4.1× |
| CT head/brain without and with contrast (70470) |
$768.60 |
$3,843 |
4.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$600.60 |
$3,003 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$99 |
$495 |
1.2× |
| CT iac w contrast (70481) |
$558 |
$2,790 |
3.3× |
| CT limited/localized follow up study (76380) |
$729.60 |
$3,648 |
8.8× |
| CT lower ext w/o (73700) |
$810 |
$4,050 |
8.1× |
| CT lower extremity w wo contrast (73702) |
$1,216.20 |
$6,081 |
7.3× |
| CT lower extremity with contrast (73701) |
$765 |
$3,825 |
4.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,500 |
$7,500 |
8.9× |
| CT lumbar spine w/o contrast (72131) |
$1,198.80 |
$5,994 |
12.0× |
| CT lumbar spine with contrast (72132) |
$1,072.20 |
$5,361 |
3.2× |
| CT maxillofacial w contrast (70487) |
$608.40 |
$3,042 |
3.6× |
| CT maxillofacial w/o contrast (70486) |
$647.40 |
$3,237 |
6.5× |
| CT maxillofacial w/wo contrast (70488) |
$720 |
$3,600 |
4.3× |
| CT neck soft tissue w contrast (70491) |
$678.60 |
$3,393 |
4.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$721.80 |
$3,609 |
4.3× |
| CT orbits w/o contrast (70480) |
$617.40 |
$3,087 |
6.2× |
| CT pelvis w & w/o contrast (72194) |
$1,254.60 |
$6,273 |
7.5× |
| CT pelvis w/o contrast (72192) |
$684.60 |
$3,423 |
6.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$986.40 |
$4,932 |
5.9× |
| CT soft tissue neck w/o contrast (70490) |
$522 |
$2,610 |
5.2× |
| CT thoracic spine w/contrast (72129) |
$969.60 |
$4,848 |
5.8× |
| CT thoracic spine w/o contrast (72128) |
$1,112.40 |
$5,562 |
11.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,200 |
$6,000 |
7.2× |
| CT thorax w/o contrast (71250) |
$714.60 |
$3,573 |
7.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,216.20 |
$6,081 |
7.3× |
| CT upper extremity w/o contrast rt (73200) |
$772.20 |
$3,861 |
7.7× |
| CT upper extremity with contrast (73201) |
$1,035 |
$5,175 |
3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,691.40 |
$8,457 |
10.1× |
| Cta Abdomen (74175) |
$1,705.20 |
$8,526 |
10.2× |
| CTA abdomen pelvis (74174) |
$2,869.80 |
$14,349 |
8.6× |
| CTA chest (71275) |
$1,779 |
$8,895 |
10.6× |
| Cta Head (70496) |
$1,303.80 |
$6,519 |
7.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,695 |
$8,475 |
5.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,234.20 |
$6,171 |
7.4× |
| Cta Neck (70498) |
$1,023.60 |
$5,118 |
6.1× |
| Cta Pelvis (72191) |
$1,359.60 |
$6,798 |
8.1× |
| Cystography minimum 3 views rs&i (74430) |
$242.40 |
$1,212 |
0.7× |
| Diskography lumbar (72295) |
$1,484.40 |
$7,422 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$243 |
$1,215 |
2.4× |
| Echoencephalography real time imaging (76506) |
$406.20 |
$2,031 |
4.1× |
| Esophagus (74220) |
$177.60 |
$888 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$339 |
$1,695 |
3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$445.20 |
$2,226 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$225.60 |
$1,128 |
1.0× |
| Foot 2 views (73620) |
$132 |
$660 |
1.6× |
| Forearm 2 views (73090) |
$130.20 |
$651 |
1.6× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$225 |
$1,125 |
1.0× |
| Gated Heart Planar Single (78472) |
$687 |
$3,435 |
1.8× |
| Hand 2 views (73120) |
$126 |
$630 |
1.3× |
| Hand 3 views (73130) |
$130.20 |
$651 |
1.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,134.80 |
$10,674 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$709.20 |
$3,546 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$709.20 |
$3,546 |
1.9× |
| Ht muscle image spect sing (78451) |
$1,200.60 |
$6,003 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$131.40 |
$657 |
1.6× |
| Hysterosalpingogram (74740) |
$275.40 |
$1,377 |
1.2× |
| Interstitial radiation source applic complex (77778) |
$900 |
$4,500 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$595.70 |
$2,978.52 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$466.20 |
$2,331 |
0.9× |
| Knee 3 views (73562) |
$72 |
$360 |
0.9× |
| Liver & spleen imaging static only (78215) |
$546.60 |
$2,733 |
1.4× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$3,000 |
$15,000 |
1.0× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$750 |
$3,750 |
1.3× |
| Lymphoscintigraphy (78195) |
$703.80 |
$3,519 |
1.4× |
| Mammary ductogram or galactogram single (77053) |
$295.80 |
$1,479 |
1.3× |
| Meckels Diverticulum (78290) |
$519 |
$2,595 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$360 |
$1,800 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,939.80 |
$9,699 |
5.8× |
| MRA head w/o contrast (70544) |
$1,458 |
$7,290 |
6.4× |
| MRA neck w contrast (70548) |
$1,165.20 |
$5,826 |
3.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,939.80 |
$9,699 |
5.8× |
| MRA neck w/o contrast (70547) |
$1,179.60 |
$5,898 |
5.2× |
| MRI abdomen w contrast (74182) |
$1,464.60 |
$7,323 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,645.80 |
$8,229 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,332.60 |
$6,663 |
5.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,230.60 |
$6,153 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,210.80 |
$6,054 |
1.6× |
| MRI breast w/o contrast bilateral (77047) |
$966 |
$4,830 |
4.2× |
| MRI c-spine with contrast (72142) |
$1,471.20 |
$7,356 |
4.4× |
| MRI cervical spine w/o contrast (72141) |
$1,428.60 |
$7,143 |
6.3× |
| MRI chest w/o & w/contrast material (71552) |
$1,650 |
$8,250 |
4.9× |
| MRI chest w/o contrast (71550) |
$1,073.40 |
$5,367 |
4.7× |
| MRI chest with contrast (71551) |
$1,353.60 |
$6,768 |
1.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,302 |
$6,510 |
3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,297.20 |
$6,486 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,637.40 |
$8,187 |
7.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,350.60 |
$6,753 |
5.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,482 |
$7,410 |
4.4× |
| MRI orbit/face/neck w/contrast (70542) |
$1,216.20 |
$6,081 |
3.6× |
| MRI pelvis w contrast (72196) |
$1,155 |
$5,775 |
3.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,619.40 |
$8,097 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,389.60 |
$6,948 |
6.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,401.60 |
$7,008 |
4.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,359 |
$6,795 |
4.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,792.80 |
$8,964 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,588.80 |
$7,944 |
4.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,024.40 |
$10,122 |
6.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,626.60 |
$8,133 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,026.80 |
$10,134 |
6.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,588.20 |
$7,941 |
7.0× |
| MRI tmj (70336) |
$1,290 |
$6,450 |
5.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,362.60 |
$6,813 |
6.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,605.60 |
$8,028 |
4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,350 |
$6,750 |
5.9× |
| Myelogram Cervical (72240) |
$691.80 |
$3,459 |
0.9× |
| Myelogram Lumbar (72265) |
$691.80 |
$3,459 |
0.9× |
| Myelogram thoracic (72255) |
$691.80 |
$3,459 |
0.9× |
| Myelography 2 or more regions (72270) |
$835.80 |
$4,179 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,977 |
$9,885 |
1.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$932.40 |
$4,662 |
1.1× |
| Neck soft tissue (70360) |
$123 |
$615 |
1.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$300 |
$1,500 |
0.8× |
| Nm gastric emptying study (78264) |
$607.20 |
$3,036 |
1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,323.60 |
$21,618 |
3.3× |
| Nuclear Rx Oral Admin (79005) |
$509.40 |
$2,547 |
2.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$526.80 |
$2,634 |
5.3× |
| Osseous survey infant (77076) |
$414.60 |
$2,073 |
4.1× |
| Parathyrd planar w/wo subtrj (78071) |
$450 |
$2,250 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$169.80 |
$849 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$2,177.40 |
$10,887 |
1.6× |
| PET imaging CT for attenuation limited area (78814) |
$2,177.40 |
$10,887 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$2,177.40 |
$10,887 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,650 |
$8,250 |
4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,180 |
$15,900 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,032 |
$5,160 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$628.80 |
$3,144 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$929.40 |
$4,647 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$225.60 |
$1,128 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$122.40 |
$612 |
1.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$228.60 |
$1,143 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$194.40 |
$972 |
1.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$438 |
$2,190 |
0.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$283.20 |
$1,416 |
2.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$300 |
$1,500 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$294 |
$1,470 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$114.60 |
$573 |
1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$206.40 |
$1,032 |
2.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$17.40 |
$87 |
0.2× |
| Radiologic exam colon single contrast study (74270) |
$281.40 |
$1,407 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$212.40 |
$1,062 |
1.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$227.10 |
$1,135.50 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$182.40 |
$912 |
2.2× |
| Radiological examination surgical specimen (76098) |
$526.80 |
$2,634 |
1.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$3,180 |
$15,900 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,180 |
$15,900 |
1.1× |
| Ribs bilateral 3 views (71110) |
$334.20 |
$1,671 |
3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$420 |
$2,100 |
1.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$406.20 |
$2,031 |
0.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,334.40 |
$6,672 |
1.1× |
| Sacroiliac Joints < 3 Views (72200) |
$187.20 |
$936 |
1.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$493.80 |
$2,469 |
2.2× |
| Scanogram (77073) |
$120.90 |
$604.50 |
1.2× |
| Scapula complete (73010) |
$202.20 |
$1,011 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$180 |
$900 |
7.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$371.40 |
$1,857 |
3.7× |
| Simulation intermediate (77285) |
$514.80 |
$2,574 |
1.4× |
| Small bowel series (74250) |
$196.80 |
$984 |
1.2× |
| Spec medical radj physics consltj (77370) |
$396.60 |
$1,983 |
3.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$454.80 |
$2,274 |
1.3× |
| Special dosimetry (77331) |
$174.60 |
$873 |
1.4× |
| Special treatment procedure (77470) |
$1,542.60 |
$7,713 |
2.9× |
| Spine thoracic 3 views (72072) |
$228.60 |
$1,143 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$565.80 |
$2,829 |
1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$234.60 |
$1,173 |
0.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$777.60 |
$3,888 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$410.40 |
$2,052 |
3.2× |
| Therapeutic Enema (74283) |
$234.60 |
$1,173 |
1.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$777.20 |
$3,886 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$520.20 |
$2,601 |
1.4× |
| Thyroid uptake measurement (78012) |
$339 |
$1,695 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$388.20 |
$1,941 |
1.0× |
| Treatment device intermediate (77333) |
$354.60 |
$1,773 |
2.8× |
| Treatment devices simple (77332) |
$334.20 |
$1,671 |
2.6× |
| Tx devices design & construction complex (77334) |
$544.20 |
$2,721 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$340.80 |
$1,704 |
3.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$148.20 |
$741 |
1.8× |
| Unlisted fluoroscopic procedure (76496) |
$151.20 |
$756 |
1.8× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$382.80 |
$1,914 |
1.0× |
| Unlisted Ultrasound Procedure (76999) |
$232.20 |
$1,161 |
2.8× |
| Upper Extremity Infant (73092) |
$56.90 |
$284.49 |
0.6× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$190.20 |
$951 |
2.0× |
| Urethrocystography voiding (74455) |
$243 |
$1,215 |
1.1× |
| Us abdl aorta screen aaa (76706) |
$334.20 |
$1,671 |
3.3× |
| Us breast unilateral complete (76641) |
$381.60 |
$1,908 |
3.8× |
| Us breast unilateral limited (76642) |
$414.60 |
$2,073 |
5.0× |
| Us chest (76604) |
$340.80 |
$1,704 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$377.40 |
$1,887 |
3.8× |
| Us elastography parenchyma (76981) |
$120 |
$600 |
1.2× |
| Us guided compression repair (76936) |
$340.80 |
$1,704 |
1.7× |
| Us ob transvaginal (76817) |
$504 |
$2,520 |
5.0× |
| Us pelvic non ob complete (76856) |
$524.40 |
$2,622 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$159 |
$795 |
1.6× |
| Us pregnancy ltd (76815) |
$550.20 |
$2,751 |
5.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$480.60 |
$2,403 |
4.8× |
| Us retroperitoneal complete (76770) |
$391.20 |
$1,956 |
3.9× |
| Us retroperitoneal limited (76775) |
$348.60 |
$1,743 |
3.5× |
| Us scrotum and contents (76870) |
$398.40 |
$1,992 |
4.0× |
| Us soft tissue head/neck (76536) |
$282.60 |
$1,413 |
2.8× |
| Us xtr non-vasc lmtd (76882) |
$113.40 |
$567 |
1.1× |
| Venogram extremity bilateral (75822) |
$552.60 |
$2,763 |
0.4× |
| Venogram orbital (75880) |
$1,203.60 |
$6,018 |
2.0× |
| Venography caval inferior serialography rs&i (75825) |
$3,180 |
$15,900 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$841.80 |
$4,209 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$810 |
$4,050 |
0.5× |
| Venography Renal Bilateral (75833) |
$3,180 |
$15,900 |
1.1× |
| Venography renal unilateral selective rs&i (75831) |
$770.80 |
$3,854 |
0.3× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,134.80 |
$10,674 |
0.4× |
| Wrist 2 views (73100) |
$120 |
$600 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$218.40 |
$1,092 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$160.80 |
$804 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$232.80 |
$1,164 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$366.60 |
$1,833 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$126 |
$630 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$130.20 |
$651 |
1.6× |
| X-ray exam hip uni 1 view (73501) |
$194.40 |
$972 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$177.60 |
$888 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$120 |
$600 |
1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$249 |
$1,245 |
2.5× |
| X-ray eye for foreign body (70030) |
$94.80 |
$474 |
1.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$231 |
$1,155 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$176.40 |
$882 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$132 |
$660 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$130.20 |
$651 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$190.20 |
$951 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$150.60 |
$753 |
1.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$91.40 |
$457 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$192.60 |
$963 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$346.20 |
$1,731 |
3.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$179.40 |
$897 |
1.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$150.60 |
$753 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$142.80 |
$714 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$231 |
$1,155 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$180.60 |
$903 |
1.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$546.60 |
$2,733 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$334.20 |
$1,671 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$217.20 |
$1,086 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$306.60 |
$1,533 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$192.60 |
$963 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$183 |
$915 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$271.80 |
$1,359 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$235.20 |
$1,176 |
2.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$127.20 |
$636 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$229.80 |
$1,149 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$177.60 |
$888 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$141.60 |
$708 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$119.80 |
$599 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$178.80 |
$894 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$190.20 |
$951 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$134.40 |
$672 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$130.20 |
$651 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$343.80 |
$1,719 |
3.4× |
| Xr chest 4+ views (71048) |
$262.80 |
$1,314 |
2.6× |
| Xr finger(s) 2+ views (73140) |
$122.40 |
$612 |
1.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$294 |
$1,470 |
2.9× |
| Xr shoulder 1 view (73020) |
$144 |
$720 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$262.80 |
$1,314 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$172.80 |
$864 |
2.1× |
| Xr tmj bilateral (70330) |
$213 |
$1,065 |
2.6× |
| Xray knee 1 or 2 views rt (73560) |
$129 |
$645 |
1.6× |