| 3-D radiotherapy plan dose-volume histograms (77295) |
$12,690 |
$12,690 |
9.2× |
| Abdomen 2 views (74019) |
$672 |
$672 |
6.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,632 |
$1,632 |
4.1× |
| Angiography extremity bilateral rs&i (75716) |
$6,702.50 |
$6,702.50 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$6,262 |
$6,262 |
2.0× |
| Angiography internal mammary rs&i (75756) |
$5,802 |
$5,802 |
1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$9,927 |
$9,927 |
1.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,782 |
$6,782 |
2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,060.50 |
$6,060.50 |
1.9× |
| Angiography Spinal Selective Rs&I (75705) |
$9,928 |
$9,928 |
1.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,723.50 |
$10,723.50 |
1.9× |
| Ankle 2 views (73600) |
$436 |
$436 |
5.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$584 |
$584 |
1.7× |
| Aortogram thoracic (75605) |
$9,927.50 |
$9,927.50 |
1.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,032 |
$6,032 |
1.9× |
| Aortography abdominal serialography rs&i (75625) |
$6,241 |
$6,241 |
2.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$7,302 |
$7,302 |
2.3× |
| Arthrogram shoulder (73040) |
$1,433 |
$1,433 |
4.1× |
| Arthrogram wrist (73115) |
$1,217 |
$1,217 |
3.5× |
| Arthrography knee lt (73580) |
$1,217 |
$1,217 |
3.5× |
| Basic radiation dosimetry calculation (77300) |
$1,175 |
$1,175 |
8.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,220 |
$1,220 |
3.0× |
| Bone &/joint imaging whole body (78306) |
$2,406 |
$2,406 |
6.0× |
| Bone age studies (77072) |
$786 |
$786 |
7.5× |
| Bone Imaging 3 Phase (78315) |
$2,271 |
$2,271 |
5.7× |
| Bone survey complete (77075) |
$1,377 |
$1,377 |
13.2× |
| Brain Imaging Vascular Flow Only (78610) |
$1,440 |
$1,440 |
2.6× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$506 |
$506 |
45.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$845 |
$845 |
2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,056 |
$1,056 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$527 |
$527 |
6.0× |
| Chest 1 view (71045) |
$484 |
$484 |
5.6× |
| Chest 3 views (71047) |
$759 |
$759 |
8.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$699 |
$699 |
4.0× |
| Clavicle complete (73000) |
$419 |
$419 |
4.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$296 |
$296 |
2.8× |
| Continuing medical physics consltj pr wk (77336) |
$1,506 |
$1,506 |
11.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,135 |
$2,135 |
6.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,944 |
$1,944 |
8.1× |
| CT abdomen w contrast (74160) |
$1,750 |
$1,750 |
10.0× |
| CT abdomen w wo contrast (74170) |
$1,939 |
$1,939 |
11.0× |
| CT abdomen w/o contrast (74150) |
$1,762 |
$1,762 |
16.8× |
| CT angio hrt w/3d image (75574) |
$3,860 |
$3,860 |
11.0× |
| CT angiography upper extremity lt (73206) |
$2,104 |
$2,104 |
12.0× |
| CT c-spine w/o contrast (72125) |
$2,364 |
$2,364 |
22.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,638 |
$2,638 |
15.0× |
| CT cervical spine with contrast (72126) |
$2,315 |
$2,315 |
6.6× |
| CT chest w/wo contrast (71270) |
$4,264 |
$4,264 |
24.3× |
| CT chest with contrast (71260) |
$3,632 |
$3,632 |
20.7× |
| CT head/brain with contrast (70460) |
$2,069 |
$2,069 |
11.8× |
| CT head/brain without and with contrast (70470) |
$2,320 |
$2,320 |
13.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,293 |
$3,293 |
9.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$576.50 |
$576.50 |
6.6× |
| CT hrt w/3d image congen (75573) |
$3,293 |
$3,293 |
9.4× |
| CT iac w contrast (70481) |
$1,537 |
$1,537 |
8.7× |
| CT lower ext w/o (73700) |
$3,190 |
$3,190 |
30.5× |
| CT lower extremity w wo contrast (73702) |
$3,461 |
$3,461 |
19.7× |
| CT lower extremity with contrast (73701) |
$2,193 |
$2,193 |
12.5× |
| CT lumbar spine w & w/o contrast (72133) |
$3,840 |
$3,840 |
21.9× |
| CT lumbar spine w/o contrast (72131) |
$3,324 |
$3,324 |
31.7× |
| CT lumbar spine with contrast (72132) |
$3,546 |
$3,546 |
10.1× |
| CT maxillofacial w contrast (70487) |
$2,279 |
$2,279 |
13.0× |
| CT maxillofacial w/o contrast (70486) |
$1,597 |
$1,597 |
15.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,942 |
$2,942 |
16.7× |
| CT neck soft tissue w contrast (70491) |
$2,836 |
$2,836 |
16.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,724 |
$1,724 |
9.8× |
| CT orbits w/o contrast (70480) |
$1,822 |
$1,822 |
17.4× |
| CT pelvis w & w/o contrast (72194) |
$1,944 |
$1,944 |
11.1× |
| CT pelvis w/o contrast (72192) |
$1,759 |
$1,759 |
16.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,021 |
$2,021 |
11.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,753 |
$2,753 |
26.3× |
| CT thoracic spine w/contrast (72129) |
$3,304 |
$3,304 |
18.8× |
| CT thoracic spine w/o contrast (72128) |
$3,414 |
$3,414 |
32.6× |
| CT thoracic spine w/wo contrast (72130) |
$3,778 |
$3,778 |
21.5× |
| CT thorax w/o contrast (71250) |
$3,634 |
$3,634 |
34.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,459 |
$2,459 |
14.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,559 |
$1,559 |
14.9× |
| CT upper extremity with contrast (73201) |
$2,193 |
$2,193 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,197 |
$2,197 |
12.5× |
| Cta Abdomen (74175) |
$2,121 |
$2,121 |
12.1× |
| CTA abdomen pelvis (74174) |
$2,207 |
$2,207 |
6.3× |
| CTA chest (71275) |
$5,217 |
$5,217 |
29.7× |
| Cta Head (70496) |
$2,525 |
$2,525 |
14.4× |
| CTA lwr ext w&w/o contrast (73706) |
$4,556 |
$4,556 |
25.9× |
| Cta Neck (70498) |
$3,309 |
$3,309 |
18.8× |
| Cta Pelvis (72191) |
$4,291 |
$4,291 |
24.4× |
| Cystography minimum 3 views rs&i (74430) |
$755 |
$755 |
2.2× |
| Diskography lumbar (72295) |
$2,488 |
$2,488 |
1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$282 |
$282 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$660 |
$660 |
6.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$162 |
$162 |
1.9× |
| Echoencephalography real time imaging (76506) |
$789 |
$789 |
7.5× |
| Esophagus (74220) |
$682 |
$682 |
3.9× |
| Fetal biophysical profile non-stress testing (76818) |
$432 |
$432 |
4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$315 |
$315 |
3.0× |
| Fluoroscopy up to 1 hr (76000) |
$818 |
$818 |
3.4× |
| Foot 2 views (73620) |
$161 |
$161 |
1.8× |
| Forearm 2 views (73090) |
$377 |
$377 |
4.3× |
| Gated Heart Planar Single (78472) |
$2,189 |
$2,189 |
5.5× |
| Hand 2 views (73120) |
$315 |
$315 |
3.0× |
| Hand 3 views (73130) |
$463 |
$463 |
5.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,434 |
$2,434 |
4.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,225 |
$1,225 |
3.1× |
| Ht muscle image spect sing (78451) |
$1,745 |
$1,745 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$387 |
$387 |
4.4× |
| Hysterosalpingogram (74740) |
$875 |
$875 |
3.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,089 |
$1,089 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,636 |
$3,636 |
6.7× |
| Knee 3 views (73562) |
$491 |
$491 |
5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,414 |
$1,414 |
3.5× |
| Liver imaging static only (78201) |
$2,889 |
$2,889 |
5.3× |
| Liver imaging w/vascular flow (78202) |
$2,889 |
$2,889 |
5.3× |
| Lung perf&ventilat diferentl (78598) |
$3,210 |
$3,210 |
5.9× |
| Lung perfusion differential (78597) |
$2,572 |
$2,572 |
6.4× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$9,443 |
$9,443 |
3.0× |
| Lymphoscintigraphy (78195) |
$2,011 |
$2,011 |
3.7× |
| Meckels Diverticulum (78290) |
$1,287 |
$1,287 |
3.2× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$548 |
$548 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$7,885 |
$7,885 |
21.0× |
| MRA head w & w/o contrast (70546) |
$3,989 |
$3,989 |
11.4× |
| MRA head w/o contrast (70544) |
$3,167 |
$3,167 |
13.3× |
| MRA neck w contrast (70548) |
$3,020 |
$3,020 |
8.6× |
| MRA neck w/o contrast (70547) |
$3,020 |
$3,020 |
12.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,339 |
$5,339 |
15.3× |
| MRI abdomen w/o contrast (74181) |
$3,906 |
$3,906 |
16.3× |
| MRI any jnt lwr ext with con lt (73722) |
$3,724 |
$3,724 |
4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,799 |
$3,799 |
4.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,910 |
$2,910 |
12.2× |
| MRI breast w/o contrast unilat (77046) |
$1,499 |
$1,499 |
6.3× |
| MRI cardiac w/o cont stress (75559) |
$1,387 |
$1,387 |
2.5× |
| MRI cardiac w/o contrast (75557) |
$3,391 |
$3,391 |
14.2× |
| MRI cervical spine w/o contrast (72141) |
$3,493 |
$3,493 |
14.6× |
| MRI chest w/o & w/contrast material (71552) |
$4,827 |
$4,827 |
13.8× |
| MRI chest w/o contrast (71550) |
$2,553 |
$2,553 |
10.7× |
| MRI chest with contrast (71551) |
$4,434 |
$4,434 |
5.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,724 |
$3,724 |
10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,724 |
$3,724 |
10.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,724 |
$3,724 |
15.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,980 |
$3,980 |
16.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,897 |
$4,897 |
14.0× |
| MRI orbit/face/neck w/contrast (70542) |
$4,905 |
$4,905 |
14.0× |
| MRI pelvis w contrast (72196) |
$3,391 |
$3,391 |
9.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,737 |
$4,737 |
13.6× |
| MRI pelvis w/o contrast (72195) |
$3,691 |
$3,691 |
15.4× |
| MRI scan of arm joint before and after contrast (73223) |
$4,625 |
$4,625 |
13.2× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,051 |
$2,051 |
2.6× |
| MRI scan of leg joint before and after contrast (73723) |
$4,380 |
$4,380 |
12.5× |
| MRI spectroscopy (76390) |
$2,626 |
$2,626 |
30.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,637 |
$4,637 |
13.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,256 |
$3,256 |
9.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,401 |
$4,401 |
12.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,509 |
$4,509 |
12.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,137 |
$3,137 |
13.1× |
| MRI tmj (70336) |
$3,391 |
$3,391 |
14.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,758 |
$3,758 |
15.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,590 |
$4,590 |
13.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,804 |
$3,804 |
15.9× |
| Myelogram Cervical (72240) |
$2,152 |
$2,152 |
2.7× |
| Myelogram Lumbar (72265) |
$2,124 |
$2,124 |
2.7× |
| Myelogram thoracic (72255) |
$2,079 |
$2,079 |
2.6× |
| Myelography 2 or more regions (72270) |
$2,860 |
$2,860 |
3.6× |
| Myocardial infarct spect (78469) |
$1,322 |
$1,322 |
2.4× |
| Myocardial Spect Multiple Studies (78452) |
$6,527 |
$6,527 |
5.0× |
| Neck soft tissue (70360) |
$375 |
$375 |
4.3× |
| Nm adrenal scan (78075) |
$2,889 |
$2,889 |
2.2× |
| Nm cisternogram (78630) |
$1,940 |
$1,940 |
3.6× |
| Nm gastric emptying study (78264) |
$1,897 |
$1,897 |
4.7× |
| Nm gastroesophageal reflux study (78262) |
$845 |
$845 |
2.1× |
| Nm whole blood volume (78122) |
$1,099 |
$1,099 |
2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$12,202 |
$12,202 |
8.8× |
| Nuclear medicine study of digestive tracts (78299) |
$845 |
$845 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$2,165 |
$2,165 |
9.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$401 |
$401 |
3.8× |
| Osseous survey infant (77076) |
$665 |
$665 |
6.4× |
| Parathyrd planar w/wo subtrj (78071) |
$1,050 |
$1,050 |
2.6× |
| Parathyroid imaging (78070) |
$848 |
$848 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$396 |
$396 |
3.8× |
| Peritoneogram rs&i (74190) |
$1,260 |
$1,260 |
2.3× |
| PET image w/CT, skull-thigh (78815) |
$9,542 |
$9,542 |
6.7× |
| PET imaging for CT attenuation whole body (78816) |
$9,561 |
$9,561 |
6.7× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Age Under 21 (78110) |
$2,889 |
$2,889 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,380 |
$4,380 |
12.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,030 |
$6,030 |
1.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$9,443 |
$9,443 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,325 |
$1,325 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,597 |
$2,597 |
4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,173 |
$1,173 |
2.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$157 |
$157 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$593 |
$593 |
5.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$706 |
$706 |
6.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$814 |
$814 |
7.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$35,424 |
$35,424 |
4.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,085 |
$2,085 |
3.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$754 |
$754 |
7.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$958 |
$958 |
2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$755 |
$755 |
7.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$401 |
$401 |
4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$469 |
$469 |
4.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$324 |
$324 |
3.7× |
| Radiologic exam colon single contrast study (74270) |
$1,035 |
$1,035 |
5.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$852 |
$852 |
4.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,572 |
$1,572 |
8.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$416 |
$416 |
4.8× |
| Radiological examination surgical specimen (76098) |
$1,679 |
$1,679 |
3.1× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$845 |
$845 |
2.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$6,953 |
$6,953 |
2.2× |
| Ribs bilateral 3 views (71110) |
$892 |
$892 |
8.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,075 |
$3,075 |
5.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,075 |
$3,075 |
5.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$719 |
$719 |
3.1× |
| Rp Therapy Intravenous Administration (79101) |
$784 |
$784 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$321 |
$321 |
3.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$809 |
$809 |
3.4× |
| Salivary gland imaging (78230) |
$845 |
$845 |
2.1× |
| Scanogram (77073) |
$348 |
$348 |
3.3× |
| Scapula complete (73010) |
$512 |
$512 |
4.9× |
| Screening digital breast tomosynthesis (77063) |
$77 |
$77 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$371 |
$371 |
3.5× |
| Sialogram (70390) |
$735 |
$735 |
3.1× |
| Simulation intermediate (77285) |
$1,870 |
$1,870 |
5.0× |
| Small bowel series (74250) |
$1,160 |
$1,160 |
6.6× |
| Spec medical radj physics consltj (77370) |
$1,306 |
$1,306 |
9.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,384 |
$1,384 |
3.7× |
| Special dosimetry (77331) |
$825.50 |
$825.50 |
6.1× |
| Special treatment procedure (77470) |
$7,230 |
$7,230 |
13.1× |
| Stereotactic body radiation delivery (77373) |
$28,541 |
$28,541 |
15.9× |
| Tbs Technical Calculation Only (77091) |
$265 |
$265 |
3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,275 |
$1,275 |
3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,262 |
$1,262 |
3.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$4,352 |
$4,352 |
11.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,269 |
$2,269 |
16.9× |
| Thoracolumbar 2 views (72080) |
$544 |
$544 |
6.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,766 |
$1,766 |
3.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$845 |
$845 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,542 |
$1,542 |
3.9× |
| Tomogram (76100) |
$1,154 |
$1,154 |
11.0× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$265 |
$265 |
3.0× |
| Treatment device intermediate (77333) |
$2,150 |
$2,150 |
16.0× |
| Treatment devices simple (77332) |
$1,441 |
$1,441 |
10.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,526 |
$1,526 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,554.50 |
$2,554.50 |
6.4× |
| Tx devices design & construction complex (77334) |
$2,862 |
$2,862 |
7.6× |
| Ultrasound, abdomen limited (76705) |
$1,023 |
$1,023 |
9.8× |
| Umbilical-artery Doppler (OB) (76820) |
$306 |
$306 |
2.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$207 |
$207 |
2.4× |
| Unlisted magnetic resonance procedure (76498) |
$1,326 |
$1,326 |
15.2× |
| Unlisted Ultrasound Procedure (76999) |
$281 |
$281 |
3.2× |
| Upper Extremity Infant (73092) |
$494 |
$494 |
4.7× |
| Urethrocystography retrograde rs&i (74450) |
$758 |
$758 |
3.2× |
| Urethrocystography voiding (74455) |
$708 |
$708 |
3.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,407 |
$1,407 |
8.0× |
| Us abdl aorta screen aaa (76706) |
$338 |
$338 |
3.2× |
| Us breast unilateral complete (76641) |
$387 |
$387 |
3.7× |
| Us breast unilateral limited (76642) |
$272 |
$272 |
3.1× |
| Us chest (76604) |
$526.50 |
$526.50 |
5.0× |
| Us compl joint r-t w/image documentation (76881) |
$730 |
$730 |
7.0× |
| Us elastography parenchyma (76981) |
$355 |
$355 |
3.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$348 |
$348 |
3.3× |
| Us infant hips dynamic (76885) |
$654 |
$654 |
7.5× |
| Us infant hips limited static (76886) |
$175 |
$175 |
2.0× |
| Us kidney transplant (76776) |
$1,023 |
$1,023 |
9.8× |
| Us ob detailed single fetus (76811) |
$1,114.50 |
$1,114.50 |
4.7× |
| Us ob transvaginal (76817) |
$463 |
$463 |
4.4× |
| Us pelvic non ob complete (76856) |
$1,114 |
$1,114 |
10.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$469 |
$469 |
4.5× |
| Us pregnancy ltd (76815) |
$846 |
$846 |
8.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$463 |
$463 |
4.4× |
| Us retroperitoneal complete (76770) |
$1,404 |
$1,404 |
13.4× |
| Us retroperitoneal limited (76775) |
$372 |
$372 |
3.6× |
| Us scrotum and contents (76870) |
$1,271 |
$1,271 |
12.1× |
| Us soft tissue head/neck (76536) |
$1,065 |
$1,065 |
10.2× |
| Us spinal canal and contents (76800) |
$597 |
$597 |
5.7× |
| Us xtr non-vasc lmtd (76882) |
$620 |
$620 |
5.9× |
| Us, eye b-scan (76512) |
$356 |
$356 |
3.4× |
| Venogram extremity bilateral (75822) |
$2,319 |
$2,319 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$7,770 |
$7,770 |
2.5× |
| Venography caval superior serialography rs&i (75827) |
$2,099 |
$2,099 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$6,261 |
$6,261 |
4.0× |
| Venography Renal Bilateral (75833) |
$7,302 |
$7,302 |
2.3× |
| Venography renal unilateral selective rs&i (75831) |
$6,552 |
$6,552 |
2.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,748 |
$5,748 |
1.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$9,554 |
$9,554 |
1.7× |
| Vertebral fracture assessment via dxa (77086) |
$165 |
$165 |
1.9× |
| Wrist 2 views (73100) |
$258 |
$258 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$738 |
$738 |
7.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$572 |
$572 |
6.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$439 |
$439 |
5.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,508 |
$1,508 |
8.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$412 |
$412 |
4.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$387 |
$387 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$344 |
$344 |
3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$405 |
$405 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$706 |
$706 |
6.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$812 |
$812 |
7.8× |
| X-ray eye for foreign body (70030) |
$348 |
$348 |
4.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$611 |
$611 |
5.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$443 |
$443 |
5.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$6,146 |
$6,146 |
2.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$351 |
$351 |
4.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$952 |
$952 |
5.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$377 |
$377 |
4.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$509 |
$509 |
4.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$420 |
$420 |
4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$457 |
$457 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$938 |
$938 |
9.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$321 |
$321 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$493 |
$493 |
5.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$572 |
$572 |
5.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$450 |
$450 |
4.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$952 |
$952 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$594 |
$594 |
6.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$315 |
$315 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$547 |
$547 |
5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$496 |
$496 |
4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$444 |
$444 |
5.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$523 |
$523 |
6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$572 |
$572 |
6.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$401 |
$401 |
4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$590 |
$590 |
5.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$461 |
$461 |
4.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$404 |
$404 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$348 |
$348 |
4.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$454 |
$454 |
5.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$545 |
$545 |
5.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$344 |
$344 |
3.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$422 |
$422 |
4.8× |
| Xr chest 4+ views (71048) |
$779 |
$779 |
7.4× |
| Xr finger(s) 2+ views (73140) |
$371 |
$371 |
4.3× |
| Xr optic foramina (70190) |
$436 |
$436 |
5.0× |
| Xr shoulder 1 view (73020) |
$345 |
$345 |
4.0× |
| Xr spine cervical 4 or 5 views (72050) |
$627 |
$627 |
6.0× |
| Xr tibia/fibula 2 views (73590) |
$439 |
$439 |
5.0× |
| Xr tmj bilateral (70330) |
$465 |
$465 |
5.3× |
| Xray knee 1 or 2 views rt (73560) |
$488 |
$488 |
5.6× |