| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,066.05 |
$9,211 |
3.6× |
| Abdomen 1 View (74018) |
$460.90 |
$838 |
5.3× |
| Abdomen 2 views (74019) |
$583 |
$1,060 |
5.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,557.60 |
$2,832 |
3.9× |
| Angiography extremity bilateral rs&i (75716) |
$6,519.70 |
$11,854 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,259.85 |
$5,927 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,372.15 |
$4,313 |
0.7× |
Ankle 2 views (73600)
range across 2 matching MRF lines |
$106.70–$325.05 |
$194–$591 |
varies |
| Aortography thoracic serialography rs&i (75605) |
$4,230.60 |
$7,692 |
0.8× |
| Artery X-Rays Spine (75705) |
$4,668.95 |
$8,489 |
0.8× |
| Arthrogram ankle (73615) |
$506 |
$920 |
1.4× |
| Arthrogram hip (73525) |
$964.70 |
$1,754 |
2.7× |
| Arthrogram Wrist (73115) |
$543.40 |
$988 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$476.30 |
$866 |
3.5× |
| Bone age studies (77072) |
$276.10 |
$502 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$1,929.40 |
$3,508 |
4.8× |
| Bone Imaging Limited Area (78300) |
$1,313.95 |
$2,389 |
3.3× |
| Bone Imaging Whole Body (78306) |
$1,628.55 |
$2,961 |
4.0× |
| Bone survey infant (77076) |
$624.80 |
$1,136 |
5.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,147.30 |
$2,086 |
2.1× |
| Cat Scan Follow-Up Study (76380) |
$900.90 |
$1,638 |
10.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$987.80 |
$1,796 |
1.8× |
| Cerebrospinal Fluid Scan (78630) |
$980.10 |
$1,782 |
1.8× |
| Chest 1 view (71045) |
$340.45 |
$619 |
3.9× |
| Chest 2 views (71046) |
$367.40 |
$668 |
4.2× |
| Chest 3 views (71047) |
$402.05 |
$731 |
4.6× |
| Chest 4 or more views (71048) |
$466.40 |
$848 |
4.4× |
| Clavicle complete (73000) |
$271.70 |
$494 |
3.1× |
| Continuing medical physics consltj pr wk (77336) |
$542.85 |
$987 |
4.0× |
| Contrast Exam Abdominl Aorta (75625) |
$3,592.60 |
$6,532 |
1.1× |
| Contrast X-Ray Bladder (74430) |
$822.80 |
$1,496 |
2.3× |
| Contrast X-Ray Of Elbow (73085) |
$964.70 |
$1,754 |
2.7× |
| Contrast X-Ray Of Knee Joint (73580) |
$543.40 |
$988 |
1.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,091.45 |
$7,439 |
11.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,408.90 |
$6,198 |
14.2× |
| CT abdomen w contrast (74160) |
$2,032.25 |
$3,695 |
11.5× |
| CT abdomen w wo contrast (74170) |
$2,131.25 |
$3,875 |
12.1× |
| CT abdomen w/o contrast (74150) |
$1,755.60 |
$3,192 |
16.7× |
| CT Angio Abdomen and Pelvis (74174) |
$4,110.70 |
$7,474 |
11.7× |
| CT Angio Chest (71275) |
$3,125.65 |
$5,683 |
17.7× |
| CT Angio Head (70496) |
$2,478.85 |
$4,507 |
14.0× |
| CT angio hrt w/3d image (75574) |
$1,654.40 |
$3,008 |
4.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,228.60 |
$4,052 |
12.6× |
| CT Angio Neck (70498) |
$2,148.85 |
$3,907 |
12.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,231.90 |
$4,058 |
12.6× |
| CT cervical spine w/ contrast (72126) |
$1,667.60 |
$3,032 |
4.7× |
| CT cervical spine w/o contrast (72125) |
$1,587.85 |
$2,887 |
15.1× |
| CT cervical spine w/wo cont (72127) |
$1,768.80 |
$3,216 |
10.0× |
| CT chest w contrast (71260) |
$1,848 |
$3,360 |
10.5× |
| CT chest w/wo contrast (71270) |
$2,021.80 |
$3,676 |
11.4× |
| CT head/brain with contrast (70460) |
$1,574.10 |
$2,862 |
8.9× |
| CT head/brain without and with contrast (70470) |
$1,684.65 |
$3,063 |
9.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$145.75 |
$265 |
1.7× |
| CT iac w contrast (70481) |
$1,320 |
$2,400 |
7.5× |
| CT l-spine w&w/o contrast (72133) |
$2,349.05 |
$4,271 |
13.3× |
| CT lower ext w/o (73700) |
$1,271.05 |
$2,311 |
12.1× |
| CT lower extremity w/contrast material (73701) |
$1,398.65 |
$2,543 |
7.9× |
| CT lumbar spine w contrast (72132) |
$2,152.15 |
$3,913 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$1,956.90 |
$3,558 |
18.6× |
| CT maxillofacial w contrast (70487) |
$1,454.20 |
$2,644 |
8.2× |
| CT maxillofacial wo contrast (70486) |
$1,044.45 |
$1,899 |
9.9× |
| CT neck tissue combo (70492) |
$1,395.90 |
$2,538 |
7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,349.15 |
$2,453 |
7.6× |
| CT orbits w/o contrast (70480) |
$1,202.30 |
$2,186 |
11.4× |
| CT pelvis w&w/o contrast (72194) |
$2,069.65 |
$3,763 |
11.7× |
| CT pelvis w/o contrast (72192) |
$1,689.05 |
$3,071 |
16.0× |
| CT scan of leg combo (73702) |
$1,525.70 |
$2,774 |
8.6× |
| CT scans face/jaw combo (70488) |
$1,707.20 |
$3,104 |
9.7× |
| CT soft tissue neck w contrast (70491) |
$1,309.55 |
$2,381 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$970.75 |
$1,765 |
9.2× |
| CT thoracic spine w contrast (72129) |
$2,254.45 |
$4,099 |
12.8× |
| CT thoracic spine w/o contrast (72128) |
$2,049.85 |
$3,727 |
19.5× |
| CT thoracic spine w/wo cont (72130) |
$2,459.60 |
$4,472 |
13.9× |
| CT thorax w/o contrast (71250) |
$1,335.95 |
$2,429 |
12.7× |
| CT upper ext wo (73200) |
$1,333.75 |
$2,425 |
12.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,315.50 |
$4,210 |
13.1× |
| CT upper extremity with contrast (73201) |
$1,706.10 |
$3,102 |
4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,211.45 |
$5,839 |
18.2× |
| Cta Abdomen (74175) |
$3,183.40 |
$5,788 |
18.0× |
| CTA pelvis (72191) |
$3,183.40 |
$5,788 |
18.0× |
| Discography Cerv/Thor Spine (72285) |
$1,023 |
$1,860 |
0.5× |
| Diskography lumbar (72295) |
$1,109.35 |
$2,017 |
0.6× |
| Echo exam of fetal heart (76825) |
$1,470.70 |
$2,674 |
2.7× |
| Echo exam uterus (76831) |
$994.95 |
$1,809 |
4.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,099.45 |
$1,999 |
4.6× |
| Esophagram (74220) |
$494.45 |
$899 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,197.35 |
$2,177 |
11.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) |
$1,380.50 |
$2,510 |
5.7× |
| Fluoroscopy up to 1 hr (76000) |
$503.80 |
$916 |
2.1× |
| Foot 2 views (73620) |
$325.05 |
$591 |
3.7× |
| Forearm 2 views (73090) |
$330.55 |
$601 |
3.8× |
| Gastric emptying imaging study (78264) |
$1,133 |
$2,060 |
2.8× |
| Gated Heart Planar Single (78472) |
$2,180.75 |
$3,965 |
5.4× |
| Hand 2 views (73120) |
$331.65 |
$603 |
3.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$4,846.60 |
$8,812 |
1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$4,846.60 |
$8,812 |
1.5× |
| Hepatobil Syst Image W/Drug (78227) |
$1,645.60 |
$2,992 |
3.0× |
| Hepatobiliary System Imaging (78226) |
$889.35 |
$1,617 |
2.2× |
| Ht Muscle Image Spect Sing (78451) |
$1,891.45 |
$3,439 |
1.5× |
| Hysterosalpingogram (74740) |
$767.25 |
$1,395 |
3.2× |
| Image fusion (77399) |
$512.05 |
$931 |
3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$1,290.30 |
$2,346 |
14.7× |
| Infant hip ultrasound, limited static exam (76886) |
$1,012.55 |
$1,841 |
11.6× |
| K Flow/Funct Image Multiple (78709) |
$1,636.80 |
$2,976 |
3.0× |
| K Flow/Funct Image W/Drug (78708) |
$1,042.25 |
$1,895 |
1.9× |
| K Flow/Funct Image W/O Drug (78707) |
$965.80 |
$1,756 |
1.8× |
| Kidney Imaging Morphol (78700) |
$459.80 |
$836 |
1.1× |
| Knee 3 Views (73562) |
$316.25 |
$575 |
3.6× |
| Leveen/Shunt Patency Exam (78291) |
$851.40 |
$1,548 |
2.1× |
| Liver & Spleen Imaging Static Only (78215) |
$1,363.45 |
$2,479 |
3.4× |
| Liver imaging static only (78201) |
$843.70 |
$1,534 |
1.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,945.25 |
$5,355 |
5.4× |
| Lung Ventilation Imaging (78579) |
$975.70 |
$1,774 |
2.4× |
| Lymph System Imaging (78195) |
$1,178.10 |
$2,142 |
2.2× |
| Magnetic Image Jaw Joint (70336) |
$2,586.10 |
$4,702 |
10.8× |
| Mammary ductogram or galactogram multiple (77054) |
$697.95 |
$1,269 |
2.9× |
| Mammary ductogram or galactogram single (77053) |
$510.40 |
$928 |
2.1× |
| Meckels Divert Exam (78290) |
$1,184.15 |
$2,153 |
2.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,532.20 |
$4,604 |
6.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,289.10 |
$4,162 |
6.5× |
| MRA head w/o contrast (70544) |
$1,907.40 |
$3,468 |
7.9× |
| MRA head with contrast (70545) |
$2,160.95 |
$3,929 |
6.1× |
| MRA neck w contrast (70548) |
$2,138.95 |
$3,889 |
6.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,333.65 |
$4,243 |
6.6× |
| MRA neck w/o contrast (70547) |
$1,944.80 |
$3,536 |
8.1× |
| MRI abdomen w contrast (74182) |
$2,268.20 |
$4,124 |
6.5× |
| MRI abdomen w/o contrast (74181) |
$2,061.95 |
$3,749 |
8.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,729.65 |
$4,963 |
7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,456.30 |
$4,466 |
3.1× |
| MRI brain functional w/o physician admnistration (70554) |
$1,267.20 |
$2,304 |
5.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$608.30 |
$1,106 |
2.5× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$304.15 |
$553 |
1.3× |
| MRI cervical spine w contrast (72142) |
$2,251.70 |
$4,094 |
6.4× |
| MRI cervical spine w/o cont (72141) |
$2,047.10 |
$3,722 |
8.5× |
| MRI chest w/o contrast (71550) |
$2,586.10 |
$4,702 |
10.8× |
| MRI chest wo w contrast (71552) |
$2,729.65 |
$4,963 |
7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,702.15 |
$4,913 |
7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,947.45 |
$5,359 |
8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,456.30 |
$4,466 |
10.2× |
| MRI lumbar spine w contrast (72149) |
$2,844.60 |
$5,172 |
8.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,456.30 |
$4,466 |
7.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,305.70 |
$2,374 |
5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,048.75 |
$3,725 |
5.8× |
| MRI pelvis w/o & w contrast (72197) |
$2,729.65 |
$4,963 |
7.8× |
| MRI pelvis w/o contrast (72195) |
$2,456.30 |
$4,466 |
10.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,586.10 |
$4,702 |
10.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,275.90 |
$4,138 |
9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,530 |
$4,600 |
7.2× |
| MRI, abdomen, combo (74183) |
$2,474.45 |
$4,499 |
7.0× |
| MRI, dorsal spine combo (72157) |
$3,102.55 |
$5,641 |
8.8× |
| MRI, dorsal spine contrast (72147) |
$2,844.60 |
$5,172 |
8.1× |
| MRI, joint upper extrem (73221) |
$2,356.75 |
$4,285 |
9.8× |
| MRI, joint upper extrem combo (73223) |
$2,873.75 |
$5,225 |
8.2× |
| MRI, lumbar spine combo (72158) |
$3,102.55 |
$5,641 |
8.8× |
| Myelogram cervical (72240) |
$2,620.75 |
$4,765 |
3.3× |
| Myelogram Lumbar (72265) |
$3,520 |
$6,400 |
4.5× |
| Myelography thoracic (72255) |
$1,603.80 |
$2,916 |
2.0× |
| Myelograpy 2/more regions rs&i (72270) |
$2,962.85 |
$5,387 |
3.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$493.35 |
$897 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,477.20 |
$4,504 |
1.9× |
| Neck soft tissue (70360) |
$351.45 |
$639 |
4.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$273.35 |
$497 |
0.7× |
| Nm csf leak detection (78650) |
$1,097.25 |
$1,995 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,672.15 |
$10,313 |
4.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$288.75 |
$525 |
2.7× |
| Parathyroid Planar Imaging (78070) |
$1,191.85 |
$2,167 |
3.0× |
| Pelvis 1 or 2 views (72170) |
$390.50 |
$710 |
3.7× |
| Peritoneogram Rs&I (74190) |
$702.35 |
$1,277 |
1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,850.65 |
$5,183 |
0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,581.80 |
$2,876 |
3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$728.20 |
$1,324 |
6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$429 |
$780 |
0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$387.75 |
$705 |
4.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$264 |
$480 |
3.0× |
| Radex elbow complete minimum 3 views (73080) |
$364.65 |
$663 |
4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$421.85 |
$767 |
4.0× |
| Radex fingr minimum 2 views (73140) |
$333.30 |
$606 |
3.8× |
| Radex foot complete minimum 3 views (73630) |
$395.45 |
$719 |
4.5× |
| Radex Hand Minimum 3 Views (73130) |
$387.75 |
$705 |
4.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$224.95 |
$409 |
2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$370.15 |
$673 |
4.2× |
| Radex Ribs Unilateral 2 Views (71100) |
$449.35 |
$817 |
5.1× |
| Radex shoulder complete minimum 2 views (73030) |
$339.90 |
$618 |
3.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$152.90 |
$278 |
1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$1,223.20 |
$2,224 |
6.9× |
| Radex Spine 1 View Specify Level (72020) |
$237.05 |
$431 |
2.7× |
| Radex Sternum Minimum 2 Views (71120) |
$356.95 |
$649 |
4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$727.10 |
$1,322 |
8.3× |
| Radex Toe Minimum 2 Views (73660) |
$201.85 |
$367 |
2.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$272.80 |
$496 |
2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$396 |
$720 |
4.5× |
| Radiation treatment delivery level 1 (77402) |
$464.20 |
$844 |
4.5× |
| Radiation treatment delivery level 2 (77407) |
$618.20 |
$1,124 |
1.6× |
| Radiation treatment delivery level 3 (77412) |
$848.65 |
$1,543 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$462 |
$840 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$591.80 |
$1,076 |
5.6× |
| Radiologic exam colon double contrast study (74280) |
$1,247.95 |
$2,269 |
7.1× |
| Radiologic exam colon single contrast study (74270) |
$831.60 |
$1,512 |
4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$544.50 |
$990 |
3.1× |
| Radiologic exam knee complete 4/more views (73564) |
$436.15 |
$793 |
4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$416.35 |
$757 |
4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$833.25 |
$1,515 |
4.7× |
| Radiologic exam swallow function contrast study (74230) |
$633.05 |
$1,151 |
3.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,000.45 |
$1,819 |
5.7× |
| Radiologic examination femur 1 view (73551) |
$256.85 |
$467 |
2.9× |
| Radiologic examination femur minimum 2 views (73552) |
$388.85 |
$707 |
4.4× |
| Radiologic examination knee 1/2 views (73560) |
$304.15 |
$553 |
3.5× |
| Radiologic Examination Osseous Survey Limited (77074) |
$356.40 |
$648 |
3.4× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$376.75 |
$685 |
4.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$370.70 |
$674 |
4.2× |
| Ribs bilateral 3 views (71110) |
$586.85 |
$1,067 |
5.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,570.25 |
$2,855 |
2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,412.95 |
$2,569 |
2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,727 |
$3,140 |
3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,040.50 |
$3,710 |
1.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,198.35 |
$3,997 |
1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$1,883.75 |
$3,425 |
1.4× |
| Salivary Gland Imaging Serial Images (78231) |
$1,206.70 |
$2,194 |
3.0× |
| Scapula (73010) |
$413.05 |
$751 |
3.9× |
| Shoulder 1 view (73020) |
$186.45 |
$339 |
2.1× |
| Shoulder Arthrography (73040) |
$964.70 |
$1,754 |
2.7× |
| Skull less than 4 views (70250) |
$331.65 |
$603 |
3.1× |
| Special dosimetry (77331) |
$480.70 |
$874 |
3.6× |
| Special Physics Consult (77370) |
$915.75 |
$1,665 |
6.8× |
| Special teletherapy port plan (77321) |
$1,105.50 |
$2,010 |
2.9× |
| Special treatment procedure (77470) |
$2,145 |
$3,900 |
3.9× |
| Stereotactic Body Radiation Delivery (77373) |
$7,264.40 |
$13,208 |
4.0× |
| Sternoclavicular joints (71130) |
$322.30 |
$586 |
3.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$585.75 |
$1,065 |
1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$319.55 |
$581 |
0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,659.25 |
$4,835 |
7.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,397.55 |
$2,541 |
3.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$875.60 |
$1,592 |
6.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$1,331 |
$2,420 |
7.5× |
| Thoracic spine 2 views (72070) |
$354.75 |
$645 |
3.4× |
| Thoracic spine 3 views (72072) |
$403.15 |
$733 |
3.8× |
| Thoracolumbar 2 views (72080) |
$361.35 |
$657 |
4.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$587.40 |
$1,068 |
1.5× |
| Tx Devices Design & Construction Complex (77334) |
$1,103.85 |
$2,007 |
2.9× |
| Tx devices design & construction intermediate (77333) |
$734.25 |
$1,335 |
5.4× |
| Tx devices design & construction simple (77332) |
$550.55 |
$1,001 |
4.1× |
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines |
$575.30–$1,150.60 |
$1,046–$2,092 |
varies |
| Ultrasound Exam Aaa Screen (76706) |
$703.45 |
$1,279 |
6.7× |
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines |
$968–$1,113.20 |
$1,760–$2,024 |
varies |
| Umbilical-artery Doppler (OB) (76820) |
$680.35 |
$1,237 |
6.5× |
| Unlisted magnetic resonance procedure (76498) |
$1,811.15 |
$3,293 |
20.7× |
| Upper gi w/o kub (74240) |
$800.25 |
$1,455 |
4.5× |
| Ureteral Reflux Study (78740) |
$851.40 |
$1,548 |
2.1× |
| Urethrocystogram voiding (74455) |
$1,331 |
$2,420 |
5.5× |
| Us breast unilateral complete (76641) |
$933.90 |
$1,698 |
8.9× |
| Us chest (76604) |
$884.40 |
$1,608 |
8.4× |
| Us complete joint (76881) |
$906.40 |
$1,648 |
8.6× |
| Us exam, pelvic, limited (76857) |
$413.05 |
$751 |
3.9× |
| Us head (76506) |
$645.70 |
$1,174 |
6.1× |
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines |
$562.10–$656.70 |
$1,022–$1,194 |
varies |
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines |
$796.95–$916.30 |
$1,449–$1,666 |
varies |
| Us ob transvaginal (76817) |
$956.45 |
$1,739 |
9.1× |
| Us pelvic non ob complete (76856) |
$1,224.85 |
$2,227 |
11.6× |
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines |
$796.95–$916.30 |
$1,449–$1,666 |
varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$755.70 |
$1,374 |
7.2× |
| Us retroperitoneal complete (76770) |
$1,190.75 |
$2,165 |
11.3× |
| Us retroperitoneal limited (76775) |
$462 |
$840 |
4.4× |
| Us scrotum and contents (76870) |
$923.45 |
$1,679 |
8.8× |
| Us spinal canal and contents (76800) |
$489.50 |
$890 |
4.6× |
| Us thyroid (76536) |
$1,120.90 |
$2,038 |
10.6× |
| Us transrectal (76872) |
$794.75 |
$1,445 |
7.5× |
| Vascular Flow Imaging (78445) |
$1,248.50 |
$2,270 |
3.1× |
| Vein X-Ray Chest (75827) |
$2,913.35 |
$5,297 |
1.8× |
| Venogram Sinus/Jugular (75860) |
$2,680.15 |
$4,873 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$4,178.90 |
$7,598 |
1.3× |
| Venography extremity bilateral rs&i (75822) |
$2,719.75 |
$4,945 |
1.7× |
| Venography extremity unilateral rs&i (75820) |
$1,359.60 |
$2,472 |
0.9× |
| Venography Renal Bilateral (75833) |
$4,396.15 |
$7,993 |
1.4× |
| Venography Renal Unilateral (75831) |
$2,197.80 |
$3,996 |
0.7× |
| Venous sampling by catheter (75893) |
$3,760.90 |
$6,838 |
0.7× |
| Wrist 2 views (73100) |
$325.05 |
$591 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$472.45 |
$859 |
5.4× |
| X-ray antegrade pyelogram tube (74425) |
$517 |
$940 |
1.5× |
| X-Ray Aorta Leg Arteries (75630) |
$5,639.70 |
$10,254 |
1.8× |
| X-Ray Bend Only L-S Spine (72120) |
$248.60 |
$452 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$267.30 |
$486 |
3.0× |
| X-Ray Exam Breast Specimen (76098) |
$123.75 |
$225 |
0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$699.05 |
$1,271 |
8.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$986.15 |
$1,793 |
9.4× |
| X-Ray Exam Hip Uni 1 View (73501) |
$122.10 |
$222 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$392.70 |
$714 |
4.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$392.70 |
$714 |
3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$427.35 |
$777 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$647.35 |
$1,177 |
6.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$647.35 |
$1,177 |
6.1× |
| X-Ray Exam L-S Spine Bending (72114) |
$840.40 |
$1,528 |
8.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$422.40 |
$768 |
4.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$889.35 |
$1,617 |
8.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$524.15 |
$953 |
5.0× |
| X-ray eye for foreign body (70030) |
$202.40 |
$368 |
2.3× |
| X-ray humerus (73060) |
$255.75 |
$465 |
2.9× |
| X-ray IV pyelogram+tomography (74415) |
$1,537.80 |
$2,796 |
8.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$389.40 |
$708 |
4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$348.70 |
$634 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$445.50 |
$810 |
4.2× |
| X-ray nose-rectum child f.b. (76010) |
$361.35 |
$657 |
4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$792.55 |
$1,441 |
7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$369.05 |
$671 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$367.40 |
$668 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$547.25 |
$995 |
6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$630.30 |
$1,146 |
6.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$765.60 |
$1,392 |
2.2× |
| X-Rays Bone Length Studies (77073) |
$520.30 |
$946 |
4.9× |
| X-Rays Bone Survey Complete (77075) |
$827.75 |
$1,505 |
7.9× |
| Xr c-spine 4 or 5 views (72050) |
$487.85 |
$887 |
4.6× |
| Xr facial bones less than 3 views (70140) |
$248.60 |
$452 |
2.8× |