| Abdomen 1 View (74018) |
$284.90 |
$407 |
2.7× |
| Abdomen 2 views (74019) |
$361.20 |
$516 |
2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$728 |
$1,040 |
1.5× |
| Angio internal mammary (75756) |
$4,146.10 |
$5,923 |
1.1× |
| Angio pulmonary bilat (75743) |
$4,146.10 |
$5,923 |
1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$4,146.10 |
$5,923 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$4,652.90 |
$6,647 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$5,814.20 |
$8,306 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,146.10 |
$5,923 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,797.60 |
$2,568 |
0.5× |
| Ankle 2 views (73600) |
$218.40 |
$312 |
2.1× |
| Aortography thoracic serialography rs&i (75605) |
$7,094.50 |
$10,135 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,146.10 |
$5,923 |
1.1× |
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines |
$5,063.10–$5,677.70 |
$7,233–$8,111 |
varies |
| Artery X-Rays Adrenal Gland (75731) |
$1,019.20 |
$1,456 |
0.3× |
| Artery X-Rays Pelvis (75736) |
$5,063.10 |
$7,233 |
0.8× |
| Artery X-Rays Spine (75705) |
$7,094.50 |
$10,135 |
1.1× |
| Bone age studies (77072) |
$291.90 |
$417 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$1,598.80 |
$2,284 |
3.3× |
| Bone Imaging Whole Body (78306) |
$1,400.70 |
$2,001 |
2.9× |
| Bone marrow imaging limited area (78102) |
$2,200.10 |
$3,143 |
4.6× |
| Bone marrow imaging; multiple areas (78103) |
$2,200.10 |
$3,143 |
4.6× |
| Bone survey infant (77076) |
$407.40 |
$582 |
3.3× |
| Brain Image W/Flow < 4 Views (78601) |
$1,138.20 |
$1,626 |
2.4× |
| Cat Scan Follow-Up Study (76380) |
$105 |
$150 |
1.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$928.90 |
$1,327 |
1.4× |
| Cerebrospinal Fluid Scan (78630) |
$1,022.70 |
$1,461 |
1.6× |
| Chest 1 view (71045) |
$256.90 |
$367 |
2.5× |
| Chest 2 views (71046) |
$280 |
$400 |
2.7× |
| Chest 3 views (71047) |
$397.60 |
$568 |
3.8× |
| Chest 4 or more views (71048) |
$415.80 |
$594 |
3.3× |
| Clavicle complete (73000) |
$312.20 |
$446 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$118.30 |
$169 |
0.9× |
| Contrast Exam Abdominl Aorta (75625) |
$5,880.70 |
$8,401 |
1.6× |
| Contrast X-Ray Bladder (74430) |
$728 |
$1,040 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,847.50 |
$6,925 |
11.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,699.90 |
$3,857 |
9.4× |
| CT abdomen w contrast (74160) |
$2,178.40 |
$3,112 |
10.4× |
| CT abdomen w wo contrast (74170) |
$2,600.50 |
$3,715 |
12.4× |
| CT abdomen w/o contrast (74150) |
$1,477 |
$2,110 |
11.8× |
| CT Angio Abdomen and Pelvis (74174) |
$1,862 |
$2,660 |
4.5× |
| CT Angio Chest (71275) |
$2,587.90 |
$3,697 |
12.3× |
| CT Angio Head (70496) |
$1,570.10 |
$2,243 |
7.5× |
| CT angio hrt w/3d image (75574) |
$709.10 |
$1,013 |
1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$3,182.20 |
$4,546 |
15.1× |
| CT Angio Neck (70498) |
$2,440.90 |
$3,487 |
11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$3,045 |
$4,350 |
14.5× |
| CT bone density (77078) |
$273.70 |
$391 |
2.6× |
| CT cervical spine w/ contrast (72126) |
$1,920.80 |
$2,744 |
4.6× |
| CT cervical spine w/o contrast (72125) |
$1,674.40 |
$2,392 |
13.4× |
| CT cervical spine w/wo cont (72127) |
$2,170.70 |
$3,101 |
10.3× |
| CT chest w contrast (71260) |
$2,475.20 |
$3,536 |
11.8× |
| CT chest w/wo contrast (71270) |
$2,691.50 |
$3,845 |
12.8× |
| CT head/brain with contrast (70460) |
$1,759.80 |
$2,514 |
8.4× |
| CT head/brain without and with contrast (70470) |
$2,097.90 |
$2,997 |
10.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$96.60 |
$138 |
0.9× |
| CT iac w contrast (70481) |
$1,530.90 |
$2,187 |
7.3× |
| CT l-spine w&w/o contrast (72133) |
$2,284.10 |
$3,263 |
10.9× |
| CT lower ext w/o (73700) |
$1,943.20 |
$2,776 |
15.5× |
| CT lower extremity w/contrast material (73701) |
$2,062.20 |
$2,946 |
9.8× |
| CT lumbar spine w contrast (72132) |
$2,022.30 |
$2,889 |
4.8× |
| CT lumbar spine w/o contrast (72131) |
$1,694.70 |
$2,421 |
13.5× |
| CT maxillofacial w contrast (70487) |
$1,530.90 |
$2,187 |
7.3× |
| CT maxillofacial wo contrast (70486) |
$1,353.80 |
$1,934 |
10.8× |
| CT neck tissue combo (70492) |
$2,362.50 |
$3,375 |
11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,680.70 |
$2,401 |
8.0× |
| CT orbits w/o contrast (70480) |
$1,353.80 |
$1,934 |
10.8× |
| CT pelvis w&w/o contrast (72194) |
$2,620.80 |
$3,744 |
12.5× |
| CT pelvis w/o contrast (72192) |
$1,540.70 |
$2,201 |
12.3× |
| CT scan of leg combo (73702) |
$2,594.20 |
$3,706 |
12.3× |
| CT scans face/jaw combo (70488) |
$1,680.70 |
$2,401 |
8.0× |
| CT soft tissue neck w contrast (70491) |
$1,974.70 |
$2,821 |
9.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,353.80 |
$1,934 |
10.8× |
| CT thoracic spine w contrast (72129) |
$2,022.30 |
$2,889 |
9.6× |
| CT thoracic spine w/o contrast (72128) |
$1,694.70 |
$2,421 |
13.5× |
| CT thoracic spine w/wo cont (72130) |
$2,284.10 |
$3,263 |
10.9× |
| CT thorax w/o contrast (71250) |
$1,535.10 |
$2,193 |
12.3× |
| CT unlisted procedure (76497) |
$190.40 |
$272 |
1.8× |
| CT upper ext wo (73200) |
$1,766.10 |
$2,523 |
14.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,594.20 |
$3,706 |
12.3× |
| CT upper extremity with contrast (73201) |
$1,874.60 |
$2,678 |
4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,324.40 |
$1,892 |
6.3× |
| Cta Abdomen (74175) |
$1,919.40 |
$2,742 |
9.1× |
| CTA pelvis (72191) |
$3,045 |
$4,350 |
14.5× |
| Dilation ureters/urethra rs&i (74485) |
$518.70 |
$741 |
0.2× |
| Diskography lumbar (72295) |
$4,098.50 |
$5,855 |
1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$340.20 |
$486 |
2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$419.30 |
$599 |
3.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$236.60 |
$338 |
1.9× |
| Dxa Bone Density Axial (77080) |
$455.70 |
$651 |
3.6× |
| Dxa bone density study (77085) |
$485.80 |
$694 |
3.9× |
| Echo exam of fetal heart (76825) |
$702.80 |
$1,004 |
1.1× |
| Echo exam uterus (76831) |
$914.90 |
$1,307 |
3.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$646.80 |
$924 |
2.3× |
| Esophagram (74220) |
$485.10 |
$693 |
2.3× |
| Fetal Biophys Profile W/Nst (76818) |
$740.60 |
$1,058 |
5.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$616.70 |
$881 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$455 |
$650 |
1.6× |
| Follow-Up Angiography (75898) |
$1,797.60 |
$2,568 |
0.5× |
| Foot 2 views (73620) |
$227.50 |
$325 |
2.2× |
| Forearm 2 views (73090) |
$293.30 |
$419 |
2.8× |
| Gastric emptying imaging study (78264) |
$1,244.60 |
$1,778 |
2.6× |
| Gated Heart, Multiple (78473) |
$1,043.70 |
$1,491 |
2.2× |
| Hand 2 views (73120) |
$203 |
$290 |
1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$4,146.10 |
$5,923 |
1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$4,146.10 |
$5,923 |
1.1× |
| Hepatobil Syst Image W/Drug (78227) |
$1,122.80 |
$1,604 |
1.7× |
| Hepatobiliary System Imaging (78226) |
$1,092 |
$1,560 |
2.3× |
| Ht Muscle Image Spect Sing (78451) |
$2,412.20 |
$3,446 |
1.6× |
| Hysterosalpingogram (74740) |
$1,171.80 |
$1,674 |
4.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$396.90 |
$567 |
3.8× |
| Infant hip ultrasound, limited static exam (76886) |
$225.40 |
$322 |
2.2× |
| Interstitial radiation source applic complex (77778) |
$2,664.20 |
$3,806 |
3.2× |
| K Flow/Funct Image Multiple (78709) |
$2,481.50 |
$3,545 |
3.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,564.50 |
$2,235 |
2.4× |
| K Flow/Funct Image W/O Drug (78707) |
$1,401.40 |
$2,002 |
2.2× |
| Knee 3 Views (73562) |
$320.60 |
$458 |
3.1× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) |
$1,045.80 |
$1,494 |
2.2× |
| Leveen/Shunt Patency Exam (78291) |
$943.60 |
$1,348 |
2.0× |
| Liver & Spleen Imaging Static Only (78215) |
$916.30 |
$1,309 |
1.9× |
| Liver imaging static only (78201) |
$1,495.90 |
$2,137 |
2.3× |
| Lung Perf&Ventilat Diferentl (78598) |
$1,432.20 |
$2,046 |
2.2× |
| Lung perfusion differential (78597) |
$818.30 |
$1,169 |
1.7× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,143.80 |
$1,634 |
1.8× |
| Lung Ventilation Imaging (78579) |
$669.90 |
$957 |
1.4× |
| Lymph System Imaging (78195) |
$1,234.80 |
$1,764 |
1.9× |
| Magnetic Image Jaw Joint (70336) |
$2,177.70 |
$3,111 |
7.6× |
| Mammary ductogram or galactogram multiple (77054) |
$967.40 |
$1,382 |
3.4× |
| Mammary ductogram or galactogram single (77053) |
$570.50 |
$815 |
2.0× |
| Meckels Divert Exam (78290) |
$728 |
$1,040 |
1.5× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$887.60 |
$1,268 |
2.0× |
| Mr safety determination physician/other qhp (76016) |
$197.40 |
$282 |
1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$55.30 |
$79 |
1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$205.80 |
$294 |
1.8× |
| Mr safety implt pos&/immoblj (76019) |
$133.70 |
$191 |
1.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$539.70 |
$771 |
1.9× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,371.50 |
$6,245 |
10.5× |
| MRA head w/o contrast (70544) |
$1,975.40 |
$2,822 |
6.9× |
| MRA head with contrast (70545) |
$2,254 |
$3,220 |
5.4× |
| MRA neck w contrast (70548) |
$2,010.40 |
$2,872 |
4.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,254 |
$3,220 |
5.4× |
| MRA neck w/o contrast (70547) |
$1,880.90 |
$2,687 |
6.6× |
| MRI abdomen w contrast (74182) |
$2,254 |
$3,220 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,953 |
$2,790 |
6.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,478.70 |
$3,541 |
2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,163.60 |
$5,948 |
10.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,254 |
$3,220 |
2.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,556 |
$5,080 |
12.4× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$1,980.30 |
$2,829 |
6.9× |
| MRI cervical spine w contrast (72142) |
$2,478.70 |
$3,541 |
5.9× |
| MRI cervical spine w/o cont (72141) |
$2,041.90 |
$2,917 |
7.1× |
| MRI chest w/o contrast (71550) |
$1,880.90 |
$2,687 |
6.6× |
| MRI chest with contrast (71551) |
$2,140.60 |
$3,058 |
2.3× |
| MRI chest wo w contrast (71552) |
$4,163.60 |
$5,948 |
10.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,254 |
$3,220 |
5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,121 |
$3,030 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,880.90 |
$2,687 |
6.6× |
| MRI lumbar spine w contrast (72149) |
$2,691.50 |
$3,845 |
6.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,009.60 |
$5,728 |
9.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,975.40 |
$2,822 |
6.9× |
| MRI orbit face neck w contrast (70542) |
$931 |
$1,330 |
2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$4,371.50 |
$6,245 |
10.5× |
| MRI pelvis w contrast (72196) |
$2,254 |
$3,220 |
5.4× |
| MRI pelvis w/o & w contrast (72197) |
$4,163.60 |
$5,948 |
10.0× |
| MRI pelvis w/o contrast (72195) |
$1,880.90 |
$2,687 |
6.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,198.70 |
$3,141 |
7.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,028.60 |
$2,898 |
4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,880.90 |
$2,687 |
6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,121 |
$3,030 |
5.1× |
| MRI, abdomen, combo (74183) |
$4,163.60 |
$5,948 |
10.0× |
| MRI, dorsal spine combo (72157) |
$4,738.30 |
$6,769 |
11.3× |
| MRI, dorsal spine contrast (72147) |
$2,373 |
$3,390 |
5.7× |
| MRI, joint upper extrem (73221) |
$1,880.90 |
$2,687 |
6.6× |
| MRI, joint upper extrem combo (73223) |
$4,163.60 |
$5,948 |
10.0× |
| MRI, lumbar spine combo (72158) |
$4,371.50 |
$6,245 |
10.5× |
| Myelogram cervical (72240) |
$1,522.50 |
$2,175 |
1.6× |
| Myelogram Lumbar (72265) |
$1,726.20 |
$2,466 |
1.8× |
| Myelography thoracic (72255) |
$1,232 |
$1,760 |
1.3× |
| Myelograpy 2/more regions rs&i (72270) |
$1,522.50 |
$2,175 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,111.10 |
$5,873 |
2.6× |
| Neck soft tissue (70360) |
$300.30 |
$429 |
2.9× |
| Nonvascular Shunt X-Ray (75809) |
$461.30 |
$659 |
3.7× |
| Nuclear Rx Intra-Arterial (79445) |
$397.60 |
$568 |
1.4× |
| Nuclear Rx Oral Admin (79005) |
$746.20 |
$1,066 |
2.7× |
| Ob us nuchal meas 1 gest (76813) |
$725.90 |
$1,037 |
5.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) |
$303.10 |
$433 |
2.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$385 |
$550 |
3.1× |
| Parathyroid Planar Imaging (78070) |
$1,209.60 |
$1,728 |
2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,623.30 |
$2,319 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$263.20 |
$376 |
2.1× |
| Peritoneogram Rs&I (74190) |
$809.90 |
$1,157 |
1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,146.10 |
$5,923 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,264.90 |
$1,807 |
2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$912.10 |
$1,303 |
1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$257.60 |
$368 |
2.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$241.50 |
$345 |
2.3× |
| Radex elbow complete minimum 3 views (73080) |
$255.50 |
$365 |
2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$361.20 |
$516 |
2.9× |
| Radex fingr minimum 2 views (73140) |
$218.40 |
$312 |
2.1× |
| Radex foot complete minimum 3 views (73630) |
$263.20 |
$376 |
2.5× |
| Radex Hand Minimum 3 Views (73130) |
$263.20 |
$376 |
2.5× |
| Radex lower extremity infant minimum 2 views (73592) |
$284.20 |
$406 |
2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$326.90 |
$467 |
3.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$169.40 |
$242 |
1.6× |
| Radex shoulder complete minimum 2 views (73030) |
$218.40 |
$312 |
2.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$359.80 |
$514 |
3.4× |
| Radex Spine 1 View Specify Level (72020) |
$218.40 |
$312 |
2.1× |
| Radex Sternum Minimum 2 Views (71120) |
$263.20 |
$376 |
2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$361.20 |
$516 |
3.5× |
| Radex Toe Minimum 2 Views (73660) |
$218.40 |
$312 |
2.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$284.20 |
$406 |
2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$254.10 |
$363 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$501.20 |
$716 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$361.20 |
$516 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$445.90 |
$637 |
3.6× |
| Radiologic exam colon double contrast study (74280) |
$884.80 |
$1,264 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$884.80 |
$1,264 |
4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$251.30 |
$359 |
1.2× |
| Radiologic exam knee complete 4/more views (73564) |
$345.80 |
$494 |
2.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$247.80 |
$354 |
2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$602.70 |
$861 |
2.9× |
| Radiologic exam swallow function contrast study (74230) |
$485.10 |
$693 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$755.30 |
$1,079 |
3.6× |
| Radiologic examination femur 1 view (73551) |
$182.70 |
$261 |
1.8× |
| Radiologic examination femur minimum 2 views (73552) |
$202.30 |
$289 |
1.9× |
| Radiologic examination knee 1/2 views (73560) |
$227.50 |
$325 |
2.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$293.30 |
$419 |
2.8× |
| Ribs bilateral 3 views (71110) |
$448.70 |
$641 |
3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$549.50 |
$785 |
1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,902.60 |
$2,718 |
2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,943.90 |
$2,777 |
3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,465.80 |
$2,094 |
2.3× |
| Scapula (73010) |
$284.20 |
$406 |
2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$87.50 |
$125 |
3.7× |
| Shoulder 1 view (73020) |
$177.80 |
$254 |
1.7× |
| Shoulder Arthrography (73040) |
$1,128.40 |
$1,612 |
2.7× |
| Skull less than 4 views (70250) |
$366.10 |
$523 |
2.9× |
| Sternoclavicular joints (71130) |
$315.70 |
$451 |
3.0× |
| Superior sagittal sinus venogram (75870) |
$1,019.20 |
$1,456 |
0.3× |
| Thoracic spine 2 views (72070) |
$379.40 |
$542 |
3.0× |
| Thoracic spine 3 views (72072) |
$433.30 |
$619 |
3.5× |
| Thyroid Met Imaging Body (78018) |
$1,008 |
$1,440 |
1.5× |
| Thyroid Uptake Measurement (78012) |
$429.80 |
$614 |
0.9× |
| Tx devices design & construction simple (77332) |
$661.50 |
$945 |
4.1× |
| Ultrasound Breast Limited (76642) |
$507.50 |
$725 |
4.9× |
| Ultrasound elastography first target lesion (76982) |
$467.60 |
$668 |
3.7× |
| Ultrasound Elastography Parenchyma (76981) |
$467.60 |
$668 |
3.7× |
| Ultrasound Exam Aaa Screen (76706) |
$419.30 |
$599 |
3.3× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$299.60 |
$428 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$537.60 |
$768 |
4.3× |
| Umbilical-artery Doppler (OB) (76820) |
$284.90 |
$407 |
2.3× |
| Unlisted fluoroscopic procedure (76496) |
$105 |
$150 |
1.0× |
| Unlisted magnetic resonance procedure (76498) |
$484.40 |
$692 |
4.6× |
| Upper gi w/o kub (74240) |
$639.10 |
$913 |
3.0× |
| Urethrocystogram voiding (74455) |
$725.90 |
$1,037 |
2.5× |
| Us breast unilateral complete (76641) |
$170.10 |
$243 |
1.4× |
| Us chest (76604) |
$242.90 |
$347 |
1.9× |
| Us complete joint (76881) |
$582.40 |
$832 |
4.6× |
| Us exam, pelvic, limited (76857) |
$315 |
$450 |
2.5× |
| Us head (76506) |
$402.50 |
$575 |
3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$252 |
$360 |
2.0× |
| Us ob detailed single fetus (76811) |
$1,113 |
$1,590 |
3.9× |
| Us ob limited 1 or more fetuses (76815) |
$521.50 |
$745 |
4.2× |
| Us ob transvaginal (76817) |
$521.50 |
$745 |
4.2× |
| Us pelvic non ob complete (76856) |
$672.70 |
$961 |
5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$693.70 |
$991 |
5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$673.40 |
$962 |
5.4× |
| Us retroperitoneal complete (76770) |
$287.70 |
$411 |
2.3× |
| Us retroperitoneal limited (76775) |
$709.80 |
$1,014 |
5.7× |
| Us scrotum and contents (76870) |
$725.90 |
$1,037 |
5.8× |
| Us spinal canal and contents (76800) |
$387.80 |
$554 |
3.1× |
| Us thyroid (76536) |
$488.60 |
$698 |
3.9× |
| Vascular Flow Imaging (78445) |
$634.20 |
$906 |
1.3× |
| Vein X-Ray Chest (75827) |
$1,893.50 |
$2,705 |
1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$1,635.90 |
$2,337 |
0.4× |
| Vein X-Ray Skull Epidural (75872) |
$1,019.20 |
$1,456 |
1.4× |
| Vein X-Ray Spleen/Liver (75810) |
$1,797.60 |
$2,568 |
0.5× |
| Venogram Sinus/Jugular (75860) |
$4,146.10 |
$5,923 |
1.1× |
| Venography Adrenal Unilateral (75840) |
$4,146.10 |
$5,923 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$3,291.40 |
$4,702 |
0.9× |
| Venography extremity bilateral rs&i (75822) |
$1,797.60 |
$2,568 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,643.60 |
$2,348 |
0.9× |
| Venography Orbital Rs&I (75880) |
$1,019.20 |
$1,456 |
1.4× |
| Venography Renal Bilateral (75833) |
$4,146.10 |
$5,923 |
1.1× |
| Venography Renal Unilateral (75831) |
$4,146.10 |
$5,923 |
1.1× |
| Venous sampling by catheter (75893) |
$7,094.50 |
$10,135 |
1.1× |
| Wrist 2 views (73100) |
$233.10 |
$333 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$488.60 |
$698 |
4.7× |
| X-ray antegrade pyelogram tube (74425) |
$494.90 |
$707 |
1.2× |
| X-Ray Aorta Leg Arteries (75630) |
$3,513.30 |
$5,019 |
0.9× |
| X-Ray Bend Only L-S Spine (72120) |
$233.80 |
$334 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$227.50 |
$325 |
2.2× |
| X-Ray Exam Breast Specimen (76098) |
$669.90 |
$957 |
1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$143.50 |
$205 |
1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$234.50 |
$335 |
1.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$417.90 |
$597 |
3.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$152.60 |
$218 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$169.40 |
$242 |
1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$191.80 |
$274 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$230.30 |
$329 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$282.80 |
$404 |
2.3× |
| X-Ray Exam L-S Spine Bending (72114) |
$634.20 |
$906 |
5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$263.20 |
$376 |
2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$519.40 |
$742 |
4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$361.20 |
$516 |
2.9× |
| X-ray eye for foreign body (70030) |
$326.90 |
$467 |
3.1× |
| X-ray humerus (73060) |
$291.20 |
$416 |
2.8× |
| X-ray IV pyelogram (ivp) (74400) |
$1,015 |
$1,450 |
4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$303.10 |
$433 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$401.10 |
$573 |
3.2× |
| X-ray nose-rectum child f.b. (76010) |
$306.60 |
$438 |
2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$470.40 |
$672 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$341.60 |
$488 |
2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$169.40 |
$242 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$333.20 |
$476 |
3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$433.30 |
$619 |
4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$433.30 |
$619 |
3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$470.40 |
$672 |
1.1× |
| X-Rays Bone Length Studies (77073) |
$407.40 |
$582 |
3.3× |
| X-Rays Bone Survey Complete (77075) |
$639.10 |
$913 |
5.1× |
| Xr c-spine 4 or 5 views (72050) |
$413 |
$590 |
3.3× |
| Xr facial bones less than 3 views (70140) |
$246.40 |
$352 |
2.4× |
| Xr orbits complete 4 views (70200) |
$488.60 |
$698 |
3.9× |