| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,475 |
$11,660.30 |
1.0× |
| Abdomen 1 View (74018) |
$92 |
$529.92 |
1.0× |
| Abdomen 2 views (74019) |
$111 |
$582.71 |
1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$426 |
$2,009.15 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$3,367 |
$10,759 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,367 |
$3,208.50 |
1.0× |
| Ankle 2 views (73600) |
$92 |
$440.25 |
1.0× |
| Aortography thoracic serialography rs&i (75605) |
$5,933 |
$7,171.52 |
1.0× |
| Artery X-Rays Abdomen (75726) |
$5,933 |
$7,975.71 |
1.0× |
| Artery X-Rays Pelvis (75736) |
$5,933 |
$27,028.50 |
1.0× |
| Artery X-Rays Spine (75705) |
$5,933 |
$7,975.71 |
1.0× |
| Arthrogram hip (73525) |
$372 |
$1,485.23 |
1.0× |
| Basic radiation dosimetry calculation (77300) |
$143 |
$1,395.18 |
1.0× |
| Bone age studies (77072) |
$111 |
$321.89 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$426 |
$2,716.88 |
1.0× |
| Bone Imaging Whole Body (78306) |
$426 |
$2,009.15 |
1.0× |
| Brain Flow Imaging Only (78610) |
$579 |
$846.63 |
1.0× |
| Brain Image W/Flow < 4 Views (78601) |
$426 |
$1,229.58 |
1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,524 |
$6,013.35 |
1.0× |
| Cat Scan Follow-Up Study (76380) |
$92 |
$1,015.34 |
1.0× |
| Chest 1 view (71045) |
$92 |
$529.92 |
1.0× |
| Chest 2 views (71046) |
$92 |
$582.71 |
1.0× |
| Chest 3 views (71047) |
$92 |
$642.74 |
1.0× |
| Chest 4 or more views (71048) |
$111 |
$706.91 |
1.0× |
| Clavicle complete (73000) |
$92 |
$715.19 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$111 |
$531.70 |
1.0× |
| Continuing medical physics consltj pr wk (77336) |
$143 |
$1,643.58 |
1.0× |
| Contrast Exam Abdominl Aorta (75625) |
$3,367 |
$9,442.50 |
1.0× |
| Contrast X-Ray Bladder (74430) |
$372 |
$1,767.78 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$372 |
$6,772.01 |
1.0× |
| CT abdomen and pelvis without contrast (74176) |
$254 |
$3,763.26 |
1.0× |
| CT abdomen w contrast (74160) |
$187 |
$5,451.35 |
1.0× |
| CT abdomen w wo contrast (74170) |
$187 |
$5,997.83 |
1.0× |
| CT abdomen w/o contrast (74150) |
$111 |
$3,544.88 |
1.0× |
| CT Angio Abdomen and Pelvis (74174) |
$372 |
$3,877.11 |
1.0× |
| CT Angio Chest (71275) |
$187 |
$2,907.32 |
1.0× |
| CT Angio Head (70496) |
$187 |
$2,026.53 |
1.0× |
| CT angio hrt w/3d image (75574) |
$372 |
$2,571.98 |
1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$187 |
$4,087.22 |
1.0× |
| CT Angio Neck (70498) |
$187 |
$2,411.55 |
1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$187 |
$2,151.77 |
1.0× |
| CT cervical spine w/ contrast (72126) |
$372 |
$1,896.12 |
1.0× |
| CT cervical spine w/o contrast (72125) |
$111 |
$1,728.45 |
1.0× |
| CT cervical spine w/wo cont (72127) |
$187 |
$2,787.26 |
1.0× |
| CT chest w contrast (71260) |
$187 |
$2,375.33 |
1.0× |
| CT chest w/wo contrast (71270) |
$187 |
$2,925.95 |
1.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$187 |
$1,077.44 |
1.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$111 |
$806.27 |
1.0× |
| CT head/brain with contrast (70460) |
$187 |
$4,322.16 |
1.0× |
| CT head/brain without and with contrast (70470) |
$187 |
$4,753.76 |
1.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$372 |
$1,785.65 |
1.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$92 |
$440.25 |
1.0× |
| CT hrt w/3d image congen (75573) |
$372 |
$1,785.65 |
1.0× |
| CT iac w contrast (70481) |
$187 |
$2,164.19 |
1.0× |
| CT l-spine w&w/o contrast (72133) |
$187 |
$2,260.44 |
1.0× |
| CT lower ext w/o (73700) |
$111 |
$1,689.12 |
1.0× |
| CT lower extremity w/contrast material (73701) |
$187 |
$1,781.24 |
1.0× |
| CT lumbar spine w contrast (72132) |
$372 |
$2,220.08 |
1.0× |
| CT lumbar spine w/o contrast (72131) |
$111 |
$1,461.42 |
1.0× |
| CT maxillofacial w contrast (70487) |
$187 |
$2,230.43 |
1.0× |
| CT maxillofacial wo contrast (70486) |
$111 |
$2,026.53 |
1.0× |
| CT neck tissue combo (70492) |
$187 |
$2,411.55 |
1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$187 |
$3,046.01 |
1.0× |
| CT orbits w/o contrast (70480) |
$111 |
$1,528.70 |
1.0× |
| CT pelvis w&w/o contrast (72194) |
$187 |
$2,196.27 |
1.0× |
| CT pelvis w/o contrast (72192) |
$111 |
$1,611.50 |
1.0× |
| CT scan of leg combo (73702) |
$187 |
$2,259.41 |
1.0× |
| CT scans face/jaw combo (70488) |
$187 |
$2,831.76 |
1.0× |
| CT soft tissue neck w contrast (70491) |
$187 |
$1,952.01 |
1.0× |
| CT soft tissue neck w/o contrast (70490) |
$111 |
$1,488.33 |
1.0× |
| CT thoracic spine w contrast (72129) |
$187 |
$1,669.46 |
1.0× |
| CT thoracic spine w/o contrast (72128) |
$111 |
$1,200.60 |
1.0× |
| CT thoracic spine w/wo cont (72130) |
$187 |
$1,941.66 |
1.0× |
| CT thorax w/o contrast (71250) |
$111 |
$1,759.50 |
1.0× |
| CT upper ext wo (73200) |
$111 |
$2,300.81 |
1.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$187 |
$2,780.01 |
1.0× |
| CT upper extremity with contrast (73201) |
$372 |
$2,531.61 |
1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$187 |
$1,627.02 |
1.0× |
| Cta Abdomen (74175) |
$187 |
$2,826.59 |
1.0× |
| CTA pelvis (72191) |
$187 |
$1,521.45 |
1.0× |
| Dxa Bone Density Axial (77080) |
$111 |
$1,268.91 |
1.0× |
| Dxa bone density study (77085) |
$111 |
$1,662.21 |
1.0× |
| Echo exam uterus (76831) |
$254 |
$1,208.60 |
1.0× |
| Esophagram (74220) |
$187 |
$1,103.31 |
1.0× |
| Fetal Biophys Profile W/Nst (76818) |
$111 |
$749.34 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$111 |
$681.03 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$254 |
$1,208.60 |
1.0× |
| Follow-Up Angiography (75898) |
$3,367 |
$9,442.50 |
1.0× |
| Foot 2 views (73620) |
$92 |
$601.34 |
1.0× |
| Forearm 2 views (73090) |
$92 |
$630.32 |
1.0× |
| Gastric emptying imaging study (78264) |
$426 |
$3,300.62 |
1.0× |
| Gated Heart Planar Single (78472) |
$426 |
$2,009.15 |
1.0× |
| Hand 2 views (73120) |
$111 |
$531.70 |
1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$742 |
$5,031.14 |
1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$742 |
$4,573.67 |
1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,367 |
$4,098.60 |
1.0× |
| Hepatobil Syst Image W/Drug (78227) |
$579 |
$4,105.85 |
1.0× |
| Hepatobiliary System Imaging (78226) |
$426 |
$2,009.15 |
1.0× |
| Ht Muscle Image Spect Sing (78451) |
$1,380 |
$6,527.40 |
1.0× |
| Hysterosalpingogram (74740) |
$254 |
$1,866.11 |
1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$92 |
$570.29 |
1.0× |
| Infant hip ultrasound, limited static exam (76886) |
$92 |
$468.86 |
1.0× |
| K Flow/Funct Image W/Drug (78708) |
$579 |
$2,691.35 |
1.0× |
| K Flow/Funct Image W/O Drug (78707) |
$579 |
$1,668.42 |
1.0× |
| Knee 3 Views (73562) |
$92 |
$771.08 |
1.0× |
| Liver & Spleen Imaging Static Only (78215) |
$426 |
$1,369.31 |
1.0× |
| Lung perfusion differential (78597) |
$426 |
$2,009.15 |
1.0× |
| Lung Ventilat&Perfus Imaging (78582) |
$579 |
$1,505.93 |
1.0× |
| Lymph System Imaging (78195) |
$579 |
$4,239.36 |
1.0× |
| Meckels Divert Exam (78290) |
$426 |
$1,054.67 |
1.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$399 |
$5,112.90 |
1.0× |
| Mra Head W/O & W/Contrast Material (70546) |
$372 |
$4,869.68 |
1.0× |
| MRA head w/o contrast (70544) |
$254 |
$2,088.63 |
1.0× |
| MRA neck w contrast (70548) |
$372 |
$2,818 |
1.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$372 |
$3,235.41 |
1.0× |
| MRA neck w/o contrast (70547) |
$254 |
$2,269.76 |
1.0× |
| MRI abdomen w/o contrast (74181) |
$254 |
$2,662.02 |
1.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$835 |
$6,434.60 |
1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$372 |
$6,762.69 |
1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$835 |
$6,508.08 |
1.0× |
| MRI Breast W/O Contrast Bilateral (77047) |
$254 |
$4,676.13 |
1.0× |
| MRI cervical spine w contrast (72142) |
$372 |
$3,309.93 |
1.0× |
| MRI cervical spine w/o cont (72141) |
$254 |
$3,007.71 |
1.0× |
| MRI chest w/o contrast (71550) |
$254 |
$4,853.12 |
1.0× |
| MRI chest wo w contrast (71552) |
$372 |
$7,421.99 |
1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$372 |
$6,348.69 |
1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$254 |
$5,024.93 |
1.0× |
| MRI lumbar spine w contrast (72149) |
$372 |
$3,796.38 |
1.0× |
| Mri Neck Spine W/O & W/Dye (72156) |
$372 |
$4,337.69 |
1.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$254 |
$2,572 |
1.0× |
| MRI orbit face neck w contrast (70542) |
$372 |
$3,132.95 |
1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$372 |
$3,754.98 |
1.0× |
| MRI pelvis w contrast (72196) |
$372 |
$6,371.46 |
1.0× |
| MRI pelvis w/o & w contrast (72197) |
$372 |
$7,678.67 |
1.0× |
| MRI pelvis w/o contrast (72195) |
$254 |
$4,929.71 |
1.0× |
| MRI thoracic spine w/o contrast (72146) |
$254 |
$2,772.77 |
1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$254 |
$4,751.69 |
1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$372 |
$6,308.33 |
1.0× |
| MRI, abdomen, combo (74183) |
$372 |
$5,932.62 |
1.0× |
| MRI, dorsal spine combo (72157) |
$372 |
$3,759.12 |
1.0× |
| MRI, joint upper extrem (73221) |
$254 |
$6,096.15 |
1.0× |
| MRI, joint upper extrem combo (73223) |
$372 |
$7,269.84 |
1.0× |
| MRI, lumbar spine combo (72158) |
$372 |
$4,179.33 |
1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$426 |
$1,427.27 |
1.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,380 |
$3,933 |
1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,380 |
$6,527.40 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,380 |
$8,356.59 |
1.0× |
| Neck soft tissue (70360) |
$92 |
$652.05 |
1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,475 |
$13,411.50 |
1.0× |
| Nuclear Rx Oral Admin (79005) |
$248 |
$3,085.34 |
1.0× |
| Ob us nuchal meas 1 gest (76813) |
$111 |
$804.20 |
1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$111 |
$531.70 |
1.0× |
| Parathyroid Planar Imaging (78070) |
$426 |
$3,136.05 |
1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$426 |
$3,866.76 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$111 |
$531.70 |
1.0× |
| Peritoneogram Rs&I (74190) |
$582 |
$871.47 |
1.0× |
| PET image w/CT, full body (78816) |
$1,524 |
$15,401.80 |
1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$1,524 |
$15,267.30 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$426 |
$2,009.15 |
1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$111 |
$547.52 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$582 |
$1,644.90 |
1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$92 |
$767.97 |
1.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$92 |
$537.17 |
1.0× |
| Radex elbow complete minimum 3 views (73080) |
$92 |
$818.69 |
1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$111 |
$579.60 |
1.0× |
| Radex fingr minimum 2 views (73140) |
$92 |
$586.85 |
1.0× |
| Radex foot complete minimum 3 views (73630) |
$92 |
$849.74 |
1.0× |
| Radex Hand Minimum 3 Views (73130) |
$92 |
$789.71 |
1.0× |
| Radex lower extremity infant minimum 2 views (73592) |
$92 |
$208.04 |
1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$92 |
$579.60 |
1.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$92 |
$440.25 |
1.0× |
| Radex shoulder complete minimum 2 views (73030) |
$92 |
$889.07 |
1.0× |
| Radex Sinuses Paransl < 3 Views (70210) |
$92 |
$319.82 |
1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$187 |
$997.74 |
1.0× |
| Radex Spine 1 View Specify Level (72020) |
$92 |
$440.25 |
1.0× |
| Radex Sternum Minimum 2 Views (71120) |
$92 |
$342.59 |
1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$92 |
$828 |
1.0× |
| Radex Toe Minimum 2 Views (73660) |
$92 |
$580.64 |
1.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$111 |
$695.52 |
1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$92 |
$797.99 |
1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$111 |
$1,273.05 |
1.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,854 |
$38,222.40 |
1.0× |
| Radiation treatment delivery level 1 (77402) |
$108 |
$547.50 |
1.0× |
| Radiation treatment delivery level 3 (77412) |
$589 |
$2,284.25 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$111 |
$993.60 |
1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$111 |
$531.70 |
1.0× |
| Radiologic exam colon double contrast study (74280) |
$187 |
$773.15 |
1.0× |
| Radiologic exam colon single contrast study (74270) |
$187 |
$890.10 |
1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$187 |
$735.89 |
1.0× |
| Radiologic exam knee complete 4/more views (73564) |
$111 |
$1,067.09 |
1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$111 |
$940.82 |
1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$187 |
$890.10 |
1.0× |
| Radiologic exam swallow function contrast study (74230) |
$187 |
$890.10 |
1.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$187 |
$1,367.24 |
1.0× |
| Radiologic examination femur 1 view (73551) |
$92 |
$440.25 |
1.0× |
| Radiologic examination femur minimum 2 views (73552) |
$92 |
$440.25 |
1.0× |
| Radiologic examination knee 1/2 views (73560) |
$92 |
$440.25 |
1.0× |
| Radiologic Examination Osseous Survey Limited (77074) |
$111 |
$340.52 |
1.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$92 |
$440.25 |
1.0× |
| Ribs bilateral 3 views (71110) |
$111 |
$1,116.77 |
1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$426 |
$1,145.75 |
1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$579 |
$5,926.41 |
1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$579 |
$3,277.85 |
1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$579 |
$3,916.44 |
1.0× |
| Scapula (73010) |
$111 |
$780.39 |
1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$23 |
$179.06 |
1.0× |
| Shoulder 1 view (73020) |
$92 |
$440.25 |
1.0× |
| Shoulder Arthrography (73040) |
$372 |
$2,560.59 |
1.0× |
| Skull less than 4 views (70250) |
$111 |
$531.70 |
1.0× |
| Special Physics Consult (77370) |
$143 |
$2,009.97 |
1.0× |
| Special treatment procedure (77470) |
$589 |
$5,160.51 |
1.0× |
Stereotactic Body Radiation Delivery (77373)
range across 2 matching MRF lines |
$1,906 |
$8,779.55–$10,583.90 |
1.0× |
| Sternoclavicular joints (71130) |
$92 |
$760.73 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$399 |
$3,978.54 |
1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$399 |
$3,323.39 |
1.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$143 |
$1,702.58 |
1.0× |
| Thoracic spine 2 views (72070) |
$111 |
$531.70 |
1.0× |
| Thoracic spine 3 views (72072) |
$111 |
$531.70 |
1.0× |
| Thoracolumbar 2 views (72080) |
$92 |
$440.25 |
1.0× |
| Thyroid Met Imaging Body (78018) |
$579 |
$3,569.72 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$426 |
$2,310.12 |
1.0× |
| Tx Devices Design & Construction Complex (77334) |
$399 |
$3,289.23 |
1.0× |
| Tx devices design & construction intermediate (77333) |
$143 |
$2,115.54 |
1.0× |
| Tx devices design & construction simple (77332) |
$143 |
$1,590.80 |
1.0× |
| Ultrasound Breast Limited (76642) |
$92 |
$939.78 |
1.0× |
| Ultrasound elastography first target lesion (76982) |
$111 |
$906.66 |
1.0× |
| Ultrasound Elastography Parenchyma (76981) |
$111 |
$906.66 |
1.0× |
| Ultrasound Exam Aaa Screen (76706) |
$111 |
$1,177.83 |
1.0× |
| Ultrasound, abdomen limited (76705) |
$111 |
$1,677.74 |
1.0× |
| Umbilical-artery Doppler (OB) (76820) |
$111 |
$531.70 |
1.0× |
| Upper gi w/o kub (74240) |
$187 |
$890.10 |
1.0× |
| Urethrocystogram voiding (74455) |
$254 |
$1,645.65 |
1.0× |
| Us breast unilateral complete (76641) |
$111 |
$1,033.97 |
1.0× |
| Us chest (76604) |
$111 |
$563.04 |
1.0× |
| Us complete joint (76881) |
$111 |
$1,661.18 |
1.0× |
| Us exam, pelvic, limited (76857) |
$111 |
$1,160.24 |
1.0× |
| Us head (76506) |
$111 |
$531.70 |
1.0× |
| Us kidney transplant (76776) |
$111 |
$1,251.32 |
1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$111 |
$639.63 |
1.0× |
| Us ob detailed single fetus (76811) |
$254 |
$1,208.60 |
1.0× |
| Us ob limited 1 or more fetuses (76815) |
$111 |
$1,088.82 |
1.0× |
| Us ob transvaginal (76817) |
$111 |
$1,376.55 |
1.0× |
| Us pelvic non ob complete (76856) |
$111 |
$1,986.17 |
1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$111 |
$1,387.94 |
1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$111 |
$758.66 |
1.0× |
| Us retroperitoneal complete (76770) |
$111 |
$1,722.24 |
1.0× |
| Us retroperitoneal limited (76775) |
$111 |
$1,566.99 |
1.0× |
| Us scrotum and contents (76870) |
$111 |
$1,622.88 |
1.0× |
| Us spinal canal and contents (76800) |
$111 |
$531.70 |
1.0× |
| Us thyroid (76536) |
$111 |
$1,669.46 |
1.0× |
| Us transrectal (76872) |
$111 |
$1,014.30 |
1.0× |
| Vein X-Ray Chest (75827) |
$1,678 |
$2,372.22 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$3,367 |
$9,442.50 |
1.0× |
| Venography extremity bilateral rs&i (75822) |
$1,678 |
$3,463.11 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,678 |
$4,660.32 |
1.0× |
| Venography Renal Bilateral (75833) |
$3,367 |
$4,904.87 |
1.0× |
| Vertebral fracture assessment via dxa (77086) |
$92 |
$163.53 |
1.0× |
| Wrist 2 views (73100) |
$92 |
$967.73 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$92 |
$345.69 |
1.0× |
| X-Ray Aorta Leg Arteries (75630) |
$3,367 |
$9,442.50 |
1.0× |
| X-Ray Bend Only L-S Spine (72120) |
$111 |
$531.70 |
1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$92 |
$440.25 |
1.0× |
| X-Ray Exam Breast Specimen (76098) |
$582 |
$1,644.90 |
1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$92 |
$345.69 |
1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$111 |
$902.52 |
1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$111 |
$1,060.88 |
1.0× |
| X-Ray Exam Hip Uni 1 View (73501) |
$92 |
$440.25 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$92 |
$440.25 |
1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$111 |
$701.73 |
1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$111 |
$531.70 |
1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$111 |
$531.70 |
1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$111 |
$1,130.22 |
1.0× |
| X-Ray Exam L-S Spine Bending (72114) |
$111 |
$1,354.82 |
1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$92 |
$849.74 |
1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$111 |
$1,466.60 |
1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$111 |
$531.70 |
1.0× |
| X-ray eye for foreign body (70030) |
$92 |
$232.88 |
1.0× |
| X-ray humerus (73060) |
$92 |
$440.25 |
1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$92 |
$448.16 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$92 |
$655.16 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$111 |
$531.70 |
1.0× |
| X-ray nose-rectum child f.b. (76010) |
$92 |
$486.45 |
1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$111 |
$1,506.96 |
1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$111 |
$701.73 |
1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$111 |
$497.84 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$92 |
$440.25 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$92 |
$1,061.91 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$111 |
$577.53 |
1.0× |
| X-Ray Stress View (77071) |
$92 |
$440.25 |
1.0× |
| X-ray thoracic spine 4 vw (72074) |
$111 |
$531.70 |
1.0× |
| X-Ray Tmj Unilat (70328) |
$92 |
$232.88 |
1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$372 |
$1,785.65 |
1.0× |
| X-Rays Bone Length Studies (77073) |
$111 |
$352.94 |
1.0× |
| X-Rays Bone Survey Complete (77075) |
$111 |
$921.15 |
1.0× |
| Xr c-spine 4 or 5 views (72050) |
$111 |
$1,252.35 |
1.0× |
| Xr facial bones less than 3 views (70140) |
$92 |
$155.25 |
1.0× |
| Xr orbits complete 4 views (70200) |
$111 |
$666.54 |
1.0× |