| 3-D radiotherapy plan dose-volume histograms (77295) |
$14,502 |
$14,502 |
10.4× |
| Abdomen 2 views (74019) |
$539 |
$539 |
5.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,658 |
$2,658 |
6.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,626 |
$1,626 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,582 |
$1,582 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,962 |
$1,962 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,633 |
$1,633 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,612 |
$1,612 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$2,834 |
$2,834 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,755 |
$1,755 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$910 |
$910 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,820 |
$1,820 |
0.6× |
| Ankle 2 views (73600) |
$511 |
$511 |
5.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,418 |
$2,418 |
6.9× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,532 |
$1,532 |
0.3× |
| Aortography abdominal serialography rs&i (75625) |
$1,395 |
$1,395 |
0.4× |
| Arthrogram elbow (73085) |
$1,885 |
$1,885 |
5.4× |
| Arthrogram hip (73525) |
$2,231 |
$2,231 |
6.4× |
| Arthrogram shoulder (73040) |
$2,188 |
$2,188 |
6.3× |
| Arthrogram wrist (73115) |
$2,302 |
$2,302 |
6.6× |
| Arthrography knee lt (73580) |
$2,490 |
$2,490 |
7.1× |
| Basic radiation dosimetry calculation (77300) |
$1,012 |
$1,012 |
7.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,432 |
$1,432 |
3.6× |
| Bone &/joint imaging whole body (78306) |
$2,327 |
$2,327 |
5.8× |
| Bone age studies (77072) |
$352 |
$352 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$2,638 |
$2,638 |
6.6× |
| Bone survey complete (77075) |
$1,510 |
$1,510 |
14.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,766 |
$1,766 |
3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,355 |
$7,355 |
5.1× |
| Brain Imaging Vascular Flow Only (78610) |
$1,898 |
$1,898 |
3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$7,557 |
$7,557 |
21.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,798 |
$1,798 |
3.3× |
| Cervical spine 2 or 3 views (72040) |
$597 |
$597 |
6.8× |
| Chest 1 view (71045) |
$352 |
$352 |
4.0× |
| Chest 3 views (71047) |
$611 |
$611 |
7.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,267 |
$2,267 |
12.9× |
| Cineradiography/videoradiography (76120) |
$2,029 |
$2,029 |
19.3× |
| Clavicle complete (73000) |
$503 |
$503 |
5.8× |
| Continuing medical physics consltj pr wk (77336) |
$1,134 |
$1,134 |
8.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,531 |
$9,531 |
27.2× |
| CT abdomen and pelvis without contrast (74176) |
$3,881 |
$3,881 |
16.2× |
| CT abdomen w contrast (74160) |
$6,631 |
$6,631 |
37.7× |
| CT abdomen w wo contrast (74170) |
$7,514 |
$7,514 |
42.7× |
| CT abdomen w/o contrast (74150) |
$3,102 |
$3,102 |
29.6× |
| CT angio hrt w/3d image (75574) |
$9,777 |
$9,777 |
27.9× |
| CT angiography upper extremity lt (73206) |
$8,279 |
$8,279 |
47.1× |
| CT c-spine w/o contrast (72125) |
$3,173 |
$3,173 |
30.3× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$3,473 |
$3,473 |
19.7× |
| CT cervical spine w&w/o contrast (72127) |
$5,310 |
$5,310 |
30.2× |
| CT cervical spine with contrast (72126) |
$4,282 |
$4,282 |
12.2× |
| CT chest w/wo contrast (71270) |
$5,333 |
$5,333 |
30.3× |
| CT chest with contrast (71260) |
$4,306 |
$4,306 |
24.5× |
| CT head/brain with contrast (70460) |
$3,646 |
$3,646 |
20.7× |
| CT head/brain without and with contrast (70470) |
$4,388 |
$4,388 |
24.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,524 |
$6,524 |
18.6× |
| CT hrt w/3d image congen (75573) |
$8,563 |
$8,563 |
24.5× |
| CT iac w contrast (70481) |
$4,908 |
$4,908 |
27.9× |
| CT limited/localized follow up study (76380) |
$3,339 |
$3,339 |
38.3× |
| CT lower ext w/o (73700) |
$4,724.50 |
$4,724.50 |
45.1× |
| CT lower extremity w wo contrast (73702) |
$5,261 |
$5,261 |
29.9× |
| CT lower extremity with contrast (73701) |
$4,306 |
$4,306 |
24.5× |
| CT lumbar spine w/o contrast (72131) |
$3,150 |
$3,150 |
30.0× |
| CT lumbar spine with contrast (72132) |
$4,282 |
$4,282 |
12.2× |
| CT maxillofacial w contrast (70487) |
$3,811 |
$3,811 |
21.7× |
| CT maxillofacial w/o contrast (70486) |
$3,339 |
$3,339 |
31.8× |
| CT maxillofacial w/wo contrast (70488) |
$4,849 |
$4,849 |
27.6× |
| CT neck soft tissue w contrast (70491) |
$4,624 |
$4,624 |
26.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,886 |
$5,886 |
33.5× |
| CT orbits w/o contrast (70480) |
$3,763 |
$3,763 |
35.9× |
| CT pelvis w & w/o contrast (72194) |
$7,539 |
$7,539 |
42.9× |
| CT pelvis w/o contrast (72192) |
$3,138 |
$3,138 |
29.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,663 |
$5,663 |
32.2× |
| CT soft tissue neck w/o contrast (70490) |
$3,457 |
$3,457 |
33.0× |
| CT thoracic spine w/contrast (72129) |
$4,318 |
$4,318 |
24.5× |
| CT thoracic spine w/o contrast (72128) |
$3,162 |
$3,162 |
30.2× |
| CT thorax w/o contrast (71250) |
$3,138 |
$3,138 |
29.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$7,526 |
$7,526 |
42.8× |
| CT upper extremity w/o contrast rt (73200) |
$6,707 |
$6,707 |
64.0× |
| CT upper extremity with contrast (73201) |
$8,564.50 |
$8,564.50 |
24.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$11,372 |
$11,372 |
64.6× |
| Cta Abdomen (74175) |
$8,329 |
$8,329 |
47.3× |
| CTA abdomen pelvis (74174) |
$10,522 |
$10,522 |
30.1× |
| CTA chest (71275) |
$7,408 |
$7,408 |
42.1× |
| Cta Head (70496) |
$7,314 |
$7,314 |
41.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$6,967 |
$6,967 |
19.9× |
| CTA lwr ext w&w/o contrast (73706) |
$9,070 |
$9,070 |
51.6× |
| Cta Neck (70498) |
$7,302 |
$7,302 |
41.5× |
| Cta Pelvis (72191) |
$8,352 |
$8,352 |
47.5× |
| Cystography minimum 3 views rs&i (74430) |
$539 |
$539 |
1.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,502 |
$1,502 |
14.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$737 |
$737 |
7.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$597 |
$597 |
5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$453 |
$453 |
5.2× |
| Echo exam of fetal heart (76825) |
$3,151 |
$3,151 |
5.7× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,019 |
$2,019 |
8.4× |
| Echoencephalography real time imaging (76506) |
$1,391 |
$1,391 |
13.3× |
| Esophagus (74220) |
$1,510 |
$1,510 |
8.6× |
| Fluoroscopy up to 1 hr (76000) |
$576 |
$576 |
2.4× |
| Foot 2 views (73620) |
$658 |
$658 |
7.5× |
| Forearm 2 views (73090) |
$446 |
$446 |
5.1× |
| Functional MRI brain by phys/psych (70555) |
$15,312 |
$15,312 |
64.0× |
| Functional MRI brain by tech (70554) |
$8,365 |
$8,365 |
35.0× |
| Hand 2 views (73120) |
$722.50 |
$722.50 |
6.9× |
| Hand 3 views (73130) |
$873 |
$873 |
10.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,654 |
$1,654 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,854 |
$2,854 |
5.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,056 |
$2,056 |
5.1× |
| Humerus Min 2 Views Left (73060) |
$754 |
$754 |
8.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$633 |
$633 |
6.0× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,224 |
$1,224 |
3.1× |
| Kidney imaging morphology (78700) |
$2,120 |
$2,120 |
5.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,468 |
$2,468 |
4.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,613 |
$2,613 |
4.8× |
| Knee 3 views (73562) |
$982 |
$982 |
11.2× |
| Liver & spleen imaging static only (78215) |
$1,541 |
$1,541 |
3.8× |
| Lung perf&ventilat diferentl (78598) |
$7,159 |
$7,159 |
13.1× |
| Lung perfusion differential (78597) |
$1,774 |
$1,774 |
4.4× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$4,442 |
$4,442 |
1.4× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$4,477 |
$4,477 |
7.1× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$1,410 |
$1,410 |
0.9× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$4,628 |
$4,628 |
1.5× |
| Lymphoscintigraphy (78195) |
$2,441 |
$2,441 |
4.5× |
| Meckels Diverticulum (78290) |
$1,702 |
$1,702 |
4.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,664 |
$2,664 |
7.1× |
| Mr elastography (76391) |
$4,584 |
$4,584 |
19.2× |
| Mr safety determination physician/other qhp (76016) |
$267 |
$267 |
3.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$132 |
$132 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$241 |
$241 |
8.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$55 |
$55 |
0.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$402 |
$402 |
1.7× |
| MRA head w & w/o contrast (70546) |
$7,653 |
$7,653 |
21.9× |
| MRA head w/o contrast (70544) |
$4,717 |
$4,717 |
19.7× |
| MRA head with contrast (70545) |
$5,046 |
$5,046 |
14.4× |
| MRA neck w contrast (70548) |
$5,162 |
$5,162 |
14.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$7,707 |
$7,707 |
22.0× |
| MRA neck w/o contrast (70547) |
$4,735 |
$4,735 |
19.8× |
| MRI abdomen w contrast (74182) |
$6,756 |
$6,756 |
19.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,192 |
$7,192 |
20.6× |
| MRI abdomen w/o contrast (74181) |
$3,872 |
$3,872 |
16.2× |
| MRI any jnt lwr ext with con lt (73722) |
$7,299 |
$7,299 |
9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$7,281 |
$7,281 |
9.3× |
| MRI bone marrow blood supply (77084) |
$7,423 |
$7,423 |
31.0× |
| MRI c-spine with contrast (72142) |
$5,776 |
$5,776 |
16.5× |
| MRI cardiac w/o contrast (75557) |
$5,260 |
$5,260 |
22.0× |
| MRI cervical spine w/o contrast (72141) |
$3,649 |
$3,649 |
15.2× |
| MRI chest w/o & w/contrast material (71552) |
$11,277 |
$11,277 |
32.2× |
| MRI chest w/o contrast (71550) |
$8,260 |
$8,260 |
34.5× |
| MRI chest with contrast (71551) |
$8,952 |
$8,952 |
11.4× |
| MRI fetal sngl/1st gestation (74712) |
$8,223 |
$8,223 |
34.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,815 |
$7,815 |
22.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,670 |
$5,670 |
16.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,289 |
$7,289 |
30.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,948 |
$4,948 |
20.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,237 |
$7,237 |
20.7× |
| MRI orbit/face/neck w/contrast (70542) |
$5,847 |
$5,847 |
16.7× |
| MRI pelvis w contrast (72196) |
$5,723 |
$5,723 |
16.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,175 |
$7,175 |
20.5× |
| MRI pelvis w/o contrast (72195) |
$4,903 |
$4,903 |
20.5× |
| MRI scan of arm joint before and after contrast (73223) |
$8,813 |
$8,813 |
25.2× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$8,999 |
$8,999 |
11.4× |
| MRI scan of leg joint before and after contrast (73723) |
$13,178 |
$13,178 |
37.7× |
| MRI spectroscopy (76390) |
$9,187 |
$9,187 |
105.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,462 |
$6,462 |
18.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,652 |
$5,652 |
16.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,444 |
$6,444 |
18.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,723 |
$5,723 |
16.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,480 |
$6,480 |
18.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,649 |
$3,649 |
15.2× |
| MRI tmj (70336) |
$6,007 |
$6,007 |
25.1× |
| MRI upper ext joint w/o contrast (73221) |
$6,194 |
$6,194 |
25.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$14,270.50 |
$14,270.50 |
40.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,335 |
$7,335 |
30.6× |
| Neck soft tissue (70360) |
$474 |
$474 |
5.4× |
| Nm cisternogram (78630) |
$2,561 |
$2,561 |
4.7× |
| Nm gastric emptying study (78264) |
$2,218 |
$2,218 |
5.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$16,568 |
$16,568 |
11.9× |
| Nuclear Rx Oral Admin (79005) |
$2,744 |
$2,744 |
11.7× |
| Orthopantogram (70355) |
$172 |
$172 |
2.0× |
| Osseous survey infant (77076) |
$1,526 |
$1,526 |
14.6× |
| Osseous survey limited (77074) |
$920 |
$920 |
8.8× |
| Parathyrd planar w/spect&CT (78072) |
$3,154 |
$3,154 |
5.8× |
| Parathyroid imaging (78070) |
$1,254 |
$1,254 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$403 |
$403 |
3.8× |
| PET image w/CT, skull-thigh (78815) |
$12,202 |
$12,202 |
8.5× |
| PET imaging CT for attenuation limited area (78814) |
$10,890 |
$10,890 |
7.6× |
| PET imaging for CT attenuation whole body (78816) |
$12,271 |
$12,271 |
8.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$10,841.50 |
$10,841.50 |
31.0× |
| Proton tx delivery complex (77525) |
$14,566 |
$14,566 |
11.6× |
| Proton tx delivery intermediate (77523) |
$14,566 |
$14,566 |
11.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,633 |
$1,633 |
0.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,647 |
$1,647 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$741 |
$741 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$618 |
$618 |
7.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,151 |
$1,151 |
11.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$633 |
$633 |
6.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,717 |
$2,717 |
4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$662 |
$662 |
6.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$439 |
$439 |
5.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$481 |
$481 |
5.5× |
| Radiologic exam colon single contrast study (74270) |
$2,302 |
$2,302 |
13.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,653.50 |
$2,653.50 |
15.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,828 |
$1,828 |
10.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$830 |
$830 |
9.5× |
| Review by radiologist of adrenal gland vein image (75840) |
$1,697 |
$1,697 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,640 |
$1,640 |
0.5× |
| Ribs bilateral 3 views (71110) |
$625 |
$625 |
6.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,881 |
$6,881 |
12.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,132 |
$3,132 |
5.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$18,017 |
$18,017 |
13.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$18,196 |
$18,196 |
12.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,177 |
$3,177 |
2.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,021 |
$2,021 |
8.6× |
| Rp Therapy Intravenous Administration (79101) |
$2,264 |
$2,264 |
9.7× |
| Salivary gland function study (78232) |
$906 |
$906 |
2.3× |
| Salivary gland imaging (78230) |
$1,198 |
$1,198 |
3.0× |
| Scanogram (77073) |
$669 |
$669 |
6.4× |
| Scapula complete (73010) |
$309 |
$309 |
2.9× |
| Small bowel series (74250) |
$1,828 |
$1,828 |
10.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,102 |
$2,102 |
5.6× |
| Special dosimetry (77331) |
$2,159 |
$2,159 |
16.0× |
| Special treatment procedure (77470) |
$3,922 |
$3,922 |
7.1× |
| Spine thoracic 3 views (72072) |
$590 |
$590 |
5.6× |
| Splenoportograpy rs&i (75810) |
$8,002 |
$8,002 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,383 |
$1,383 |
3.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,465 |
$3,465 |
9.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,803 |
$1,803 |
13.4× |
| Therapeutic Enema (74283) |
$3,440 |
$3,440 |
19.6× |
| Thoracolumbar 2 views (72080) |
$511 |
$511 |
5.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,823 |
$2,823 |
5.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,301 |
$1,301 |
3.2× |
| Thyroid uptake measurement (78012) |
$714 |
$714 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,395 |
$1,395 |
3.5× |
| Tx devices design & construction complex (77334) |
$2,210.50 |
$2,210.50 |
5.9× |
| Ultrasound, abdomen limited (76705) |
$1,402 |
$1,402 |
13.4× |
| Unlisted magnetic resonance procedure (76498) |
$20,673 |
$20,673 |
236.8× |
| Unlisted Ultrasound Procedure (76999) |
$810 |
$810 |
9.3× |
| Upper Extremity Infant (73092) |
$497 |
$497 |
4.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,236 |
$1,236 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,103 |
$1,103 |
4.6× |
| Urethrocystography voiding (74455) |
$1,899 |
$1,899 |
7.9× |
| Us breast unilateral complete (76641) |
$1,724 |
$1,724 |
16.4× |
| Us breast unilateral limited (76642) |
$1,319.50 |
$1,319.50 |
15.1× |
| Us chest (76604) |
$627 |
$627 |
6.0× |
| Us compl joint r-t w/image documentation (76881) |
$577 |
$577 |
5.5× |
| Us guided compression repair (76936) |
$2,832 |
$2,832 |
13.1× |
| Us infant hips dynamic (76885) |
$1,733 |
$1,733 |
19.9× |
| Us infant hips limited static (76886) |
$1,205 |
$1,205 |
13.8× |
| Us kidney transplant (76776) |
$1,920 |
$1,920 |
18.3× |
| Us pelvic non ob complete (76856) |
$1,232 |
$1,232 |
11.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$391 |
$391 |
3.7× |
| Us pregnancy ltd (76815) |
$960 |
$960 |
9.2× |
| Us retroperitoneal complete (76770) |
$1,243 |
$1,243 |
11.9× |
| Us retroperitoneal limited (76775) |
$884.50 |
$884.50 |
8.4× |
| Us scrotum and contents (76870) |
$1,193 |
$1,193 |
11.4× |
| Us soft tissue head/neck (76536) |
$1,436 |
$1,436 |
13.7× |
| Us spinal canal and contents (76800) |
$1,381 |
$1,381 |
13.2× |
| Us xtr non-vasc lmtd (76882) |
$698 |
$698 |
6.7× |
| Us, eye b-scan (76512) |
$645 |
$645 |
6.2× |
| Venogram extremity bilateral (75822) |
$1,504 |
$1,504 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$1,417 |
$1,417 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$1,526 |
$1,526 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,417 |
$1,417 |
0.9× |
| Venography Renal Bilateral (75833) |
$1,726 |
$1,726 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$1,547 |
$1,547 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,670 |
$1,670 |
0.5× |
| Wrist 2 views (73100) |
$808.50 |
$808.50 |
9.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$719 |
$719 |
6.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$403 |
$403 |
4.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$884.50 |
$884.50 |
10.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$439 |
$439 |
5.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$744.50 |
$744.50 |
8.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,295 |
$1,295 |
12.3× |
| X-ray exam hip uni 1 view (73501) |
$481 |
$481 |
5.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$748 |
$748 |
8.6× |
| X-ray exam of femur 1 (73551) |
$669 |
$669 |
7.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$727 |
$727 |
6.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$467 |
$467 |
5.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$820 |
$820 |
9.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$658 |
$658 |
7.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$618 |
$618 |
7.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$734 |
$734 |
7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$676 |
$676 |
7.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$744.50 |
$744.50 |
8.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$604 |
$604 |
5.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$992 |
$992 |
9.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$625 |
$625 |
6.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$618 |
$618 |
7.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$439 |
$439 |
5.0× |
| X-ray of voice box or throat (70370) |
$1,726 |
$1,726 |
19.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$727 |
$727 |
6.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$618 |
$618 |
5.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$539 |
$539 |
6.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$611 |
$611 |
5.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$778 |
$778 |
7.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$590 |
$590 |
5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$497 |
$497 |
5.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$787.50 |
$787.50 |
9.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$568 |
$568 |
6.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$497 |
$497 |
5.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$655 |
$655 |
6.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$561 |
$561 |
5.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$352 |
$352 |
4.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$647 |
$647 |
7.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$503 |
$503 |
5.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$474 |
$474 |
4.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$683 |
$683 |
6.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$474 |
$474 |
5.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,003 |
$1,003 |
11.5× |
| Xr c-spine 6 or more views (72052) |
$1,001 |
$1,001 |
9.5× |
| Xr chest 4+ views (71048) |
$633 |
$633 |
6.0× |
| Xr finger(s) 2+ views (73140) |
$641 |
$641 |
7.3× |
| Xr shoulder 1 view (73020) |
$442 |
$442 |
5.1× |
| Xr spine cervical 4 or 5 views (72050) |
$827 |
$827 |
7.9× |
| Xr tibia/fibula 2 views (73590) |
$744.50 |
$744.50 |
8.5× |
| Xr tmj bilateral (70330) |
$877 |
$877 |
10.0× |
| Xray knee 1 or 2 views rt (73560) |
$820 |
$820 |
9.4× |