| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,934.96 |
$4,837.41 |
1.5× |
| Abdomen 2 views (74019) |
$256.50 |
$641.26 |
2.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,332.30 |
$3,330.76 |
3.5× |
| Angiography extremity bilateral rs&i (75716) |
$5,369.34 |
$13,423.37 |
1.8× |
| Angiography extremity unilateral rs&i (75710) |
$4,622.37 |
$11,555.92 |
1.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,530.90 |
$6,327.26 |
0.5× |
| Ankle 2 views (73600) |
$286.33 |
$715.82 |
3.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$609.34 |
$1,523.35 |
1.8× |
| Aortogram thoracic (75605) |
$11,898.58 |
$29,746.45 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,705.10 |
$16,762.76 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$11,898.58 |
$29,746.45 |
3.9× |
| Arthrogram elbow (73085) |
$633.50 |
$1,583.74 |
1.9× |
| Arthrogram hip (73525) |
$633.50 |
$1,583.74 |
1.9× |
| Arthrogram shoulder (73040) |
$633.50 |
$1,583.74 |
1.9× |
| Arthrogram wrist (73115) |
$633.50 |
$1,583.74 |
1.9× |
| Arthrography knee lt (73580) |
$633.50 |
$1,583.74 |
1.9× |
| Basic radiation dosimetry calculation (77300) |
$214.02 |
$535.07 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,333.20 |
$3,333 |
3.5× |
| Bone &/joint imaging whole body (78306) |
$1,333.20 |
$3,333 |
3.5× |
| Bone age studies (77072) |
$286.33 |
$715.82 |
2.9× |
| Bone Imaging 3 Phase (78315) |
$1,333.20 |
$3,333 |
3.5× |
| Bone Marrow Imaging Limited Area (78102) |
$1,425.36 |
$3,563.40 |
3.7× |
| Bone survey complete (77075) |
$483.24 |
$1,208.10 |
4.8× |
| Brain Imaging Vascular Flow Only (78610) |
$2,193.97 |
$5,484.92 |
4.2× |
| Cardiac shunt detection (78428) |
$1,576.58 |
$3,941.44 |
4.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,193.97 |
$5,484.92 |
4.2× |
| Cervical spine 2 or 3 views (72040) |
$286.33 |
$715.82 |
3.4× |
| Chest 1 view (71045) |
$309.72 |
$774.30 |
3.7× |
| Chest 3 views (71047) |
$309.72 |
$774.30 |
3.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$417.86 |
$1,044.64 |
2.5× |
| Clavicle complete (73000) |
$286.33 |
$715.82 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$154.58 |
$386.47 |
1.5× |
| Continuing medical physics consltj pr wk (77336) |
$204.81 |
$512.03 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,593.23 |
$11,483.08 |
13.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,654.68 |
$9,136.68 |
16.0× |
| CT abdomen w contrast (74160) |
$2,206.88 |
$5,517.22 |
13.2× |
| CT abdomen w wo contrast (74170) |
$2,755.56 |
$6,888.91 |
16.4× |
| CT abdomen w/o contrast (74150) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT angio hrt w/3d image (75574) |
$2,040.59 |
$5,101.47 |
6.1× |
| CT angiography upper extremity lt (73206) |
$2,312.08 |
$5,780.19 |
13.8× |
| CT c-spine w/o contrast (72125) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,755.56 |
$6,888.91 |
16.4× |
| CT cervical spine with contrast (72126) |
$2,206.88 |
$5,517.22 |
6.6× |
| CT chest w/wo contrast (71270) |
$2,755.56 |
$6,888.91 |
16.4× |
| CT chest with contrast (71260) |
$2,206.88 |
$5,517.22 |
13.2× |
| CT head/brain with contrast (70460) |
$1,875.86 |
$4,689.64 |
11.2× |
| CT head/brain without and with contrast (70470) |
$2,342.24 |
$5,855.58 |
14.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$249.64 |
$624.10 |
3.0× |
| CT iac w contrast (70481) |
$1,795.08 |
$4,487.69 |
10.7× |
| CT limited/localized follow up study (76380) |
$875.62 |
$2,189.06 |
10.5× |
| CT lower ext w/o (73700) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT lower extremity w wo contrast (73702) |
$2,737.36 |
$6,843.40 |
16.3× |
| CT lower extremity with contrast (73701) |
$2,206.88 |
$5,517.22 |
13.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,624.35 |
$6,560.88 |
15.7× |
| CT lumbar spine w/o contrast (72131) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT lumbar spine with contrast (72132) |
$2,206.88 |
$5,517.22 |
6.6× |
| CT maxillofacial w contrast (70487) |
$1,863.47 |
$4,658.67 |
11.1× |
| CT maxillofacial w/o contrast (70486) |
$1,487.76 |
$3,719.38 |
14.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,230.70 |
$5,576.76 |
13.3× |
| CT neck soft tissue w contrast (70491) |
$1,875.86 |
$4,689.64 |
11.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,241.37 |
$5,603.43 |
13.4× |
| CT orbits w/o contrast (70480) |
$1,423.69 |
$3,559.22 |
14.2× |
| CT pelvis w & w/o contrast (72194) |
$2,624.35 |
$6,560.88 |
15.7× |
| CT pelvis w/o contrast (72192) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,230.70 |
$5,576.76 |
13.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,487.76 |
$3,719.38 |
14.9× |
| CT thoracic spine w/contrast (72129) |
$2,206.88 |
$5,517.22 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,624.35 |
$6,560.88 |
15.7× |
| CT thorax w/o contrast (71250) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,624.35 |
$6,560.88 |
15.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,750.30 |
$4,375.76 |
17.5× |
| CT upper extremity with contrast (73201) |
$2,192.30 |
$5,480.76 |
6.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,427.68 |
$6,069.20 |
14.5× |
| Cta Abdomen (74175) |
$2,427.68 |
$6,069.20 |
14.5× |
| CTA abdomen pelvis (74174) |
$2,573.03 |
$6,432.57 |
7.7× |
| CTA chest (71275) |
$2,427.68 |
$6,069.20 |
14.5× |
| Cta Head (70496) |
$2,063.53 |
$5,158.82 |
12.3× |
| CTA lwr ext w&w/o contrast (73706) |
$2,312.08 |
$5,780.19 |
13.8× |
| Cta Neck (70498) |
$2,063.53 |
$5,158.82 |
12.3× |
| Cta Pelvis (72191) |
$2,312.08 |
$5,780.19 |
13.8× |
| Cystography minimum 3 views rs&i (74430) |
$609.34 |
$1,523.35 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$349.85 |
$874.62 |
3.5× |
| Echo exam of fetal heart (76825) |
$548.45 |
$1,371.12 |
1.1× |
| Esophageal motility (78258) |
$1,332.30 |
$3,330.76 |
3.5× |
| Esophagus (74220) |
$417.86 |
$1,044.64 |
2.5× |
| Fetal biophysical profile non-stress testing (76818) |
$1,075.93 |
$2,689.82 |
10.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$702.03 |
$1,755.06 |
7.0× |
| Fluoroscopy up to 1 hr (76000) |
$391.92 |
$979.79 |
1.7× |
| Foot 2 views (73620) |
$286.33 |
$715.82 |
3.4× |
| Forearm 2 views (73090) |
$286.33 |
$715.82 |
3.4× |
| Gated Heart Planar Single (78472) |
$1,576.58 |
$3,941.44 |
4.1× |
| Hand 2 views (73120) |
$286.33 |
$715.82 |
2.9× |
| Hand 3 views (73130) |
$286.33 |
$715.82 |
3.4× |
| Heart Infarct Image (78466) |
$1,576.58 |
$3,941.44 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,533.64 |
$3,834.08 |
3.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,533.64 |
$3,834.08 |
4.0× |
| Ht muscle image spect sing (78451) |
$4,747.62 |
$11,869.04 |
3.8× |
| Humerus Min 2 Views Left (73060) |
$286.33 |
$715.82 |
3.4× |
| Hysterosalpingogram (74740) |
$466.18 |
$1,165.44 |
2.0× |
| Kidney imaging morphology (78700) |
$1,716.17 |
$4,290.42 |
4.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,716.17 |
$4,290.42 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,716.17 |
$4,290.42 |
3.3× |
| Knee 3 views (73562) |
$515.47 |
$1,288.67 |
6.2× |
| Liver & spleen imaging static only (78215) |
$1,533.64 |
$3,834.08 |
4.0× |
| Lung Ventilation Imaging (78579) |
$1,258.94 |
$3,147.35 |
3.3× |
| Lymphoscintigraphy (78195) |
$1,425.36 |
$3,563.40 |
2.7× |
| Meckels Diverticulum (78290) |
$1,332.30 |
$3,330.76 |
3.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$581.38 |
$1,453.43 |
1.6× |
| MRA head w & w/o contrast (70546) |
$1,498.32 |
$3,745.80 |
4.5× |
| MRA head w/o contrast (70544) |
$1,961.46 |
$4,903.64 |
8.6× |
| MRA neck w contrast (70548) |
$2,085.44 |
$5,213.58 |
6.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,563.07 |
$6,407.67 |
7.7× |
| MRA neck w/o contrast (70547) |
$1,961.46 |
$4,903.64 |
8.6× |
| MRI abdomen w contrast (74182) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI abdomen w/o contrast (74181) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,524.58 |
$6,311.46 |
3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,524.58 |
$6,311.46 |
3.4× |
| MRI breast w/o contrast bilateral (77047) |
$2,396.94 |
$5,992.34 |
10.5× |
| MRI c-spine with contrast (72142) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI cervical spine w/o contrast (72141) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,969.18 |
$7,422.94 |
8.9× |
| MRI chest w/o contrast (71550) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI chest with contrast (71551) |
$2,524.58 |
$6,311.46 |
3.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,476.76 |
$6,191.90 |
10.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,631.01 |
$4,077.52 |
7.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,452.70 |
$6,131.74 |
7.4× |
| MRI orbit/face/neck w/contrast (70542) |
$2,085.44 |
$5,213.58 |
6.3× |
| MRI pelvis w contrast (72196) |
$2,201.34 |
$5,503.34 |
6.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI pelvis w/o contrast (72195) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI scan of arm joint before and after contrast (73223) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI scan of leg joint before and after contrast (73723) |
$3,236.40 |
$8,091 |
9.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,524.58 |
$6,311.46 |
7.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI thoracic spine w/o contrast (72146) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI tmj (70336) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,374.51 |
$5,936.27 |
10.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,102.79 |
$7,756.97 |
9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,374.51 |
$5,936.27 |
10.4× |
| Myelogram Cervical (72240) |
$2,759.46 |
$6,898.64 |
3.7× |
| Myelogram Lumbar (72265) |
$1,309.94 |
$3,274.84 |
1.7× |
| Myelogram thoracic (72255) |
$1,309.94 |
$3,274.84 |
1.7× |
| Myocardial infarct spect (78469) |
$1,576.58 |
$3,941.44 |
3.0× |
| Myocardial Spect Multiple Studies (78452) |
$4,747.62 |
$11,869.04 |
3.8× |
| Neck soft tissue (70360) |
$269.32 |
$673.30 |
3.2× |
| Nm bone marrow multiple (78103) |
$1,425.36 |
$3,563.40 |
3.7× |
| Nm bone marrow wb (78104) |
$1,425.36 |
$3,563.40 |
3.7× |
| Nm cisternogram (78630) |
$2,193.97 |
$5,484.92 |
4.2× |
| Nm csf leak detection (78650) |
$2,193.97 |
$5,484.92 |
1.8× |
| Nm gastric emptying study (78264) |
$1,332.30 |
$3,330.76 |
3.5× |
| Nm gastroesophageal reflux study (78262) |
$1,332.30 |
$3,330.76 |
3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,934.96 |
$4,837.41 |
1.5× |
| Nuclear medicine of heart pumping function (78473) |
$1,576.58 |
$3,941.44 |
4.1× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,575.69 |
$3,939.23 |
4.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,308.14 |
$3,270.35 |
3.4× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,308.14 |
$3,270.35 |
2.5× |
| Nuclear Rx Oral Admin (79005) |
$895.16 |
$2,237.91 |
4.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$395.12 |
$987.80 |
4.0× |
| Osseous survey infant (77076) |
$483.24 |
$1,208.10 |
4.8× |
| Parathyroid imaging (78070) |
$1,181.09 |
$2,952.72 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$286.33 |
$715.82 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$3,535.53 |
$8,838.82 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$3,535.53 |
$8,838.82 |
2.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,535.53 |
$8,838.82 |
2.6× |
| Pr heart first pass single,planar (78481) |
$1,576.58 |
$3,941.44 |
3.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,102.79 |
$7,756.97 |
9.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,258.94 |
$3,147.35 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,773.43 |
$4,433.58 |
3.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$513.02 |
$1,282.54 |
5.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$286.33 |
$715.82 |
2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$286.33 |
$715.82 |
2.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$343.90 |
$859.74 |
0.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$186.46 |
$466.14 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$483.24 |
$1,208.10 |
4.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$269.32 |
$673.30 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$432.89 |
$1,082.22 |
4.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$296.38 |
$740.96 |
3.6× |
| Radiologic exam colon single contrast study (74270) |
$592.34 |
$1,480.86 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$592.34 |
$1,480.86 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$592.34 |
$1,480.86 |
3.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$286.33 |
$715.82 |
3.4× |
| Radiological examination surgical specimen (76098) |
$417.78 |
$1,044.44 |
0.8× |
| Radiopharm Dacryocystography (78660) |
$669.29 |
$1,673.22 |
1.8× |
| Ribs bilateral 3 views (71110) |
$483.24 |
$1,208.10 |
4.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,575.69 |
$3,939.23 |
4.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,703.98 |
$6,759.95 |
5.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,790.07 |
$4,475.18 |
3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,703.98 |
$6,759.95 |
2.2× |
| Scanogram (77073) |
$677.27 |
$1,693.18 |
6.8× |
| Scapula complete (73010) |
$286.33 |
$715.82 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$55.22 |
$138.04 |
2.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$156.48 |
$391.18 |
1.6× |
| Small bowel series (74250) |
$417.86 |
$1,044.64 |
2.5× |
| Spec medical radj physics consltj (77370) |
$204.81 |
$512.03 |
1.6× |
| Special dosimetry (77331) |
$214.02 |
$535.07 |
1.7× |
| Special treatment procedure (77470) |
$771.44 |
$1,928.59 |
1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$581.38 |
$1,453.43 |
1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$214.02 |
$535.07 |
0.6× |
| Testicular Imaging With Vascular Flow (78761) |
$1,716.17 |
$4,290.42 |
4.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$581.38 |
$1,453.43 |
1.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$214.02 |
$535.07 |
1.7× |
| Therapeutic Enema (74283) |
$592.34 |
$1,480.86 |
3.5× |
| Thoracolumbar 2 views (72080) |
$286.33 |
$715.82 |
3.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,575.69 |
$3,939.23 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$755.18 |
$1,887.95 |
2.0× |
| Thyroid uptake measurement (78012) |
$578.02 |
$1,445.04 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,181.09 |
$2,952.72 |
3.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,587.54 |
$6,468.85 |
6.8× |
| Tx devices design & construction complex (77334) |
$398.50 |
$996.24 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$658.54 |
$1,646.36 |
6.6× |
| Unlisted Ultrasound Procedure (76999) |
$395.12 |
$987.80 |
4.8× |
| Urethrocystography retrograde rs&i (74450) |
$609.34 |
$1,523.35 |
2.7× |
| Urethrocystography voiding (74455) |
$609.34 |
$1,523.35 |
2.7× |
| Us abdl aorta screen aaa (76706) |
$395.12 |
$987.80 |
4.0× |
| Us breast unilateral complete (76641) |
$514.50 |
$1,286.24 |
5.1× |
| Us breast unilateral limited (76642) |
$395.12 |
$987.80 |
4.8× |
| Us chest (76604) |
$658.54 |
$1,646.36 |
6.6× |
| Us compl joint r-t w/image documentation (76881) |
$658.54 |
$1,646.36 |
6.6× |
| Us elastography parenchyma (76981) |
$226.02 |
$565.04 |
2.3× |
| Us guided compression repair (76936) |
$294.40 |
$735.98 |
1.4× |
| Us ob transvaginal (76817) |
$630.18 |
$1,575.46 |
6.3× |
| Us pelvic non ob complete (76856) |
$658.54 |
$1,646.36 |
6.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$395.12 |
$987.80 |
4.0× |
| Us pregnancy ltd (76815) |
$658.54 |
$1,646.36 |
6.6× |
| Us retroperitoneal complete (76770) |
$658.54 |
$1,646.36 |
6.6× |
| Us retroperitoneal limited (76775) |
$658.54 |
$1,646.36 |
6.6× |
| Us scrotum and contents (76870) |
$658.54 |
$1,646.36 |
6.6× |
| Us soft tissue head/neck (76536) |
$658.54 |
$1,646.36 |
6.6× |
| Us spinal canal and contents (76800) |
$658.54 |
$1,646.34 |
6.6× |
| Us transrectal (76872) |
$3,977.70 |
$9,944.25 |
39.8× |
| Us xtr non-vasc lmtd (76882) |
$395.12 |
$987.80 |
4.0× |
| Venogram extremity bilateral (75822) |
$918.04 |
$2,295.09 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$11,898.58 |
$29,746.45 |
3.9× |
| Venography caval superior serialography rs&i (75827) |
$3,818.86 |
$9,547.15 |
2.5× |
| Venography extremity unilateral rs&i (75820) |
$768.61 |
$1,921.52 |
0.5× |
| Wrist 2 views (73100) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$454.54 |
$1,136.36 |
4.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$592.34 |
$1,480.86 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$298.66 |
$746.64 |
3.6× |
| X-ray exam hip uni 1 view (73501) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$483.24 |
$1,208.10 |
4.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$592.34 |
$1,480.86 |
3.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$483.24 |
$1,208.10 |
4.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$286.33 |
$715.82 |
3.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$609.34 |
$1,523.35 |
3.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$513.02 |
$1,282.54 |
6.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$203 |
$507.50 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$483.24 |
$1,208.10 |
4.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$286.33 |
$715.82 |
3.4× |
| X-ray of voice box or throat (70370) |
$391.92 |
$979.79 |
4.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$609.34 |
$1,523.35 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$483.24 |
$1,208.10 |
4.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$483.24 |
$1,208.10 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$483.24 |
$1,208.10 |
4.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$286.33 |
$715.82 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$286.33 |
$715.82 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$298.66 |
$746.64 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$286.33 |
$715.82 |
3.4× |
| Xr arthrogram ankle (73615) |
$633.50 |
$1,583.74 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$483.24 |
$1,208.10 |
4.8× |
| Xr chest 4+ views (71048) |
$294.97 |
$737.42 |
3.0× |
| Xr finger(s) 2+ views (73140) |
$298.66 |
$746.64 |
3.6× |
| Xr shoulder 1 view (73020) |
$286.33 |
$715.82 |
3.4× |
| Xr spine cervical 4 or 5 views (72050) |
$483.24 |
$1,208.10 |
4.8× |
| Xr tibia/fibula 2 views (73590) |
$286.33 |
$715.82 |
3.4× |
| Xr tmj bilateral (70330) |
$286.33 |
$715.82 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$286.33 |
$715.82 |
3.4× |