| Abdomen 2 views (74019) |
$96.39 |
$357 |
1.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$275.13 |
$1,019 |
0.7× |
| Angiography extremity bilateral rs&i (75716) |
$535.41 |
$1,983 |
0.2× |
| Angiography extremity unilateral rs&i (75710) |
$622.35 |
$2,305 |
0.2× |
| Angiography internal mammary rs&i (75756) |
$227.88 |
$844 |
0.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$535.41 |
$1,983 |
0.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$535.41 |
$1,983 |
0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$535.41 |
$1,983 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$535.41 |
$1,983 |
0.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$46.17 |
$171 |
0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$535.41 |
$1,983 |
0.2× |
| Ankle 2 views (73600) |
$84.24 |
$312 |
1.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$133.92 |
$496 |
0.4× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$622.08 |
$2,304 |
0.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$686.88 |
$2,544 |
0.2× |
| Aortography abdominal serialography rs&i (75625) |
$622.35 |
$2,305 |
0.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$558.09 |
$2,067 |
0.2× |
| Artery X-Rays Adrenal Gland (75731) |
$535.41 |
$1,983 |
0.2× |
| Arthrogram hip (73525) |
$201.96 |
$748 |
0.6× |
| Arthrogram shoulder (73040) |
$249.48 |
$924 |
0.8× |
| Arthrogram wrist (73115) |
$111.51 |
$413 |
0.3× |
| Arthrography knee lt (73580) |
$224.37 |
$831 |
0.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$160.11 |
$593 |
0.4× |
| Bone &/joint imaging whole body (78306) |
$288.36 |
$1,068 |
0.8× |
| Bone age studies (77072) |
$33.48 |
$124 |
0.3× |
| Bone Imaging 3 Phase (78315) |
$349.11 |
$1,293 |
0.9× |
| Bone survey complete (77075) |
$91.26 |
$338 |
0.9× |
| Brain image w/flow 4 + views (78606) |
$269.19 |
$997 |
0.5× |
| Brain imaging < 4 static views (78600) |
$199.26 |
$738 |
0.5× |
| Cervical spine 2 or 3 views (72040) |
$69.66 |
$258 |
0.9× |
| Chest 1 view (71045) |
$49.68 |
$184 |
0.6× |
| Chest 3 views (71047) |
$49.68 |
$184 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$86.94 |
$322 |
0.5× |
| Cisternography Positive Contrast Rs&I (70015) |
$239.76 |
$888 |
0.3× |
| Clavicle complete (73000) |
$90.32 |
$334.50 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$66.69 |
$247 |
0.7× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$107.73 |
$399 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$614.25 |
$2,275 |
1.9× |
| CT abdomen and pelvis without contrast (74176) |
$422.28 |
$1,564 |
1.9× |
| CT abdomen w contrast (74160) |
$445.77 |
$1,651 |
2.7× |
| CT abdomen w wo contrast (74170) |
$614.25 |
$2,275 |
3.7× |
| CT abdomen w/o contrast (74150) |
$427.41 |
$1,583 |
4.4× |
| CT angiography upper extremity lt (73206) |
$450.36 |
$1,668 |
2.7× |
| CT c-spine w/o contrast (72125) |
$480.87 |
$1,781 |
4.9× |
| CT cervical spine w&w/o contrast (72127) |
$562.95 |
$2,085 |
3.4× |
| CT cervical spine with contrast (72126) |
$517.05 |
$1,915 |
1.6× |
| CT chest w/wo contrast (71270) |
$547.02 |
$2,026 |
3.3× |
| CT chest with contrast (71260) |
$472.23 |
$1,749 |
2.9× |
| CT head/brain with contrast (70460) |
$450.90 |
$1,670 |
2.7× |
| CT head/brain without and with contrast (70470) |
$508.95 |
$1,885 |
3.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48.60 |
$180 |
0.6× |
| CT iac w contrast (70481) |
$464.94 |
$1,722 |
2.8× |
| CT limited/localized follow up study (76380) |
$66.96 |
$248 |
0.8× |
| CT lower ext w/o (73700) |
$638.68 |
$2,365.50 |
6.5× |
| CT lower extremity w wo contrast (73702) |
$812.43 |
$3,009 |
4.9× |
| CT lower extremity with contrast (73701) |
$632.20 |
$2,341.50 |
3.8× |
| CT lumbar spine w & w/o contrast (72133) |
$640.71 |
$2,373 |
3.9× |
| CT lumbar spine w/o contrast (72131) |
$443.07 |
$1,641 |
4.5× |
| CT lumbar spine with contrast (72132) |
$592.38 |
$2,194 |
1.8× |
| CT maxillofacial w contrast (70487) |
$541.62 |
$2,006 |
3.3× |
| CT maxillofacial w/o contrast (70486) |
$563.22 |
$2,086 |
5.7× |
| CT maxillofacial w/wo contrast (70488) |
$522.45 |
$1,935 |
3.2× |
| CT neck soft tissue w contrast (70491) |
$472.77 |
$1,751 |
2.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$435.24 |
$1,612 |
2.6× |
| CT orbits w/o contrast (70480) |
$409.86 |
$1,518 |
4.2× |
| CT pelvis w & w/o contrast (72194) |
$500.31 |
$1,853 |
3.0× |
| CT pelvis w/o contrast (72192) |
$440.37 |
$1,631 |
4.5× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$144.45 |
$535 |
1.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$510.84 |
$1,892 |
3.1× |
| CT soft tissue neck w/o contrast (70490) |
$397.71 |
$1,473 |
4.1× |
| CT thoracic spine w/contrast (72129) |
$541.62 |
$2,006 |
3.3× |
| CT thoracic spine w/o contrast (72128) |
$530.82 |
$1,966 |
5.4× |
| CT thoracic spine w/wo contrast (72130) |
$611.55 |
$2,265 |
3.7× |
| CT thorax w/o contrast (71250) |
$443.07 |
$1,641 |
4.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$779.22 |
$2,886 |
4.7× |
| CT upper extremity w/o contrast rt (73200) |
$650.02 |
$2,407.50 |
6.6× |
| CT upper extremity with contrast (73201) |
$779.22 |
$2,886 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$645.57 |
$2,391 |
3.9× |
| Cta Abdomen (74175) |
$492.75 |
$1,825 |
3.0× |
| CTA abdomen pelvis (74174) |
$916.65 |
$3,395 |
2.8× |
| CTA chest (71275) |
$668.25 |
$2,475 |
4.1× |
| Cta Head (70496) |
$642.06 |
$2,378 |
3.9× |
| CTA lwr ext w&w/o contrast (73706) |
$675.54 |
$2,502 |
4.1× |
| Cta Neck (70498) |
$597.78 |
$2,214 |
3.6× |
| Cta Pelvis (72191) |
$492.75 |
$1,825 |
3.0× |
| Cystography minimum 3 views rs&i (74430) |
$113.40 |
$420 |
0.3× |
| Diskogram cervical (72285) |
$438.21 |
$1,623 |
0.2× |
| Diskography lumbar (72295) |
$394.47 |
$1,461 |
0.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$90.72 |
$336 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$45.36 |
$168 |
0.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$25.92 |
$96 |
0.3× |
| Dxa bone density study axial skeleton (77085) |
$92.61 |
$343 |
0.9× |
| Esophagus (74220) |
$97.74 |
$362 |
0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$88.29 |
$327 |
0.9× |
| Fluoroscopy up to 1 hr (76000) |
$67.77 |
$251 |
0.3× |
| Foot 2 views (73620) |
$124.34 |
$460.50 |
1.5× |
| Forearm 2 views (73090) |
$83.43 |
$309 |
1.0× |
| Gated Heart Planar Single (78472) |
$663.93 |
$2,459 |
1.8× |
| Hand 2 views (73120) |
$76.14 |
$282 |
0.8× |
| Hand 3 views (73130) |
$87.48 |
$324 |
1.1× |
| Heart Infarct Image (78466) |
$314.28 |
$1,164 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$213.57 |
$791 |
0.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$260.82 |
$966 |
0.7× |
| Ht muscle image spect sing (78451) |
$377.19 |
$1,397 |
0.3× |
| Humerus Min 2 Views Left (73060) |
$53.46 |
$198 |
0.7× |
| Hysterosalpingogram (74740) |
$58.86 |
$218 |
0.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$69.93 |
$259 |
0.7× |
| Kidney imaging morphology (78700) |
$222.48 |
$824 |
0.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$355.59 |
$1,317 |
0.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$315.36 |
$1,168 |
0.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$201.96 |
$748 |
0.4× |
| Knee 3 views (73562) |
$103.28 |
$382.50 |
1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$340.20 |
$1,260 |
0.9× |
| Liver imaging static only (78201) |
$204.66 |
$758 |
0.4× |
| Lymphoscintigraphy (78195) |
$399.06 |
$1,478 |
0.8× |
| Mammary ductogram or galactogram multiple (77054) |
$222.75 |
$825 |
1.0× |
| Mammary ductogram or galactogram single (77053) |
$222.75 |
$825 |
1.0× |
| Meckels Diverticulum (78290) |
$289.17 |
$1,071 |
0.8× |
| Mr elastography (76391) |
$186.84 |
$692 |
0.8× |
| MRA head w & w/o contrast (70546) |
$1,065.96 |
$3,948 |
3.3× |
| MRA head w/o contrast (70544) |
$564.30 |
$2,090 |
2.5× |
| MRA head with contrast (70545) |
$564.03 |
$2,089 |
1.7× |
| MRA neck w contrast (70548) |
$645.03 |
$2,389 |
2.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,065.42 |
$3,946 |
3.3× |
| MRA neck w/o contrast (70547) |
$616.95 |
$2,285 |
2.8× |
| MRI abdomen w contrast (74182) |
$490.59 |
$1,817 |
1.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$779.76 |
$2,888 |
2.4× |
| MRI abdomen w/o contrast (74181) |
$618.84 |
$2,292 |
2.8× |
| MRI any jnt lwr ext with con lt (73722) |
$812.43 |
$3,009 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,064.74 |
$3,943.50 |
1.4× |
| MRI c-spine with contrast (72142) |
$707.40 |
$2,620 |
2.2× |
| MRI cervical spine w/o contrast (72141) |
$602.91 |
$2,233 |
2.7× |
| MRI chest w/o & w/contrast material (71552) |
$858.06 |
$3,178 |
2.6× |
| MRI chest w/o contrast (71550) |
$625.32 |
$2,316 |
2.8× |
| MRI chest with contrast (71551) |
$600.21 |
$2,223 |
0.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$957.82 |
$3,547.50 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$908.42 |
$3,364.50 |
2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$876.82 |
$3,247.50 |
3.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$650.16 |
$2,408 |
2.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$824.85 |
$3,055 |
2.5× |
| MRI orbit/face/neck w/contrast (70542) |
$622.62 |
$2,306 |
1.9× |
| MRI pelvis w contrast (72196) |
$685.53 |
$2,539 |
2.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$782.19 |
$2,897 |
2.4× |
| MRI pelvis w/o contrast (72195) |
$685.53 |
$2,539 |
3.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,168.83 |
$4,329 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,674.68 |
$6,202.50 |
5.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,247.94 |
$4,622 |
3.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$750.06 |
$2,778 |
2.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,234.98 |
$4,574 |
3.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$652.05 |
$2,415 |
2.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,247.94 |
$4,622 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$657.72 |
$2,436 |
2.9× |
| MRI tmj (70336) |
$601.83 |
$2,229 |
2.7× |
| MRI upper ext joint w/o contrast (73221) |
$564.03 |
$2,089 |
2.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,200.42 |
$4,446 |
3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$895.86 |
$3,318 |
4.0× |
| Myelogram Cervical (72240) |
$252.72 |
$936 |
0.3× |
| Myelogram Lumbar (72265) |
$287.55 |
$1,065 |
0.4× |
| Myelogram thoracic (72255) |
$234.90 |
$870 |
0.3× |
| Myelography 2 or more regions (72270) |
$333.99 |
$1,237 |
0.5× |
| Myocardial Spect Multiple Studies (78452) |
$756.81 |
$2,803 |
0.6× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$1,168.83 |
$4,329 |
0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,168.83 |
$4,329 |
0.9× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,823.04 |
$6,752 |
0.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$2,228.04 |
$8,252 |
1.1× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$2,228.04 |
$8,252 |
1.6× |
| Neck soft tissue (70360) |
$55.89 |
$207 |
0.7× |
| Nm gastric emptying study (78264) |
$236.25 |
$875 |
0.6× |
| Nuclear medicine of heart pumping function (78473) |
$269.46 |
$998 |
0.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$256.23 |
$949 |
0.7× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$269.46 |
$998 |
0.7× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$316.71 |
$1,173 |
0.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$247.59 |
$917 |
0.5× |
| Osseous survey limited (77074) |
$96.39 |
$357 |
1.0× |
| Parathyrd planar w/wo subtrj (78071) |
$269.73 |
$999 |
0.7× |
| Parathyroid imaging (78070) |
$185.22 |
$686 |
0.5× |
| Pelvis 1 or 2 views (72170) |
$55.62 |
$206 |
0.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,200.15 |
$4,445 |
3.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$535.41 |
$1,983 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$253.80 |
$940 |
0.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$489.51 |
$1,813 |
1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$231.39 |
$857 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$49.14 |
$182 |
0.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$81.54 |
$302 |
0.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$81.54 |
$302 |
0.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$100.71 |
$373 |
1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$183.06 |
$678 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$85.86 |
$318 |
0.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$49.68 |
$184 |
0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$96.39 |
$357 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$49.68 |
$184 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$127.44 |
$472 |
0.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$147.69 |
$547 |
0.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$147.69 |
$547 |
0.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$81.54 |
$302 |
0.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$73.71 |
$273 |
0.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$73.71 |
$273 |
0.9× |
| Radiological examination surgical specimen (76098) |
$29.16 |
$108 |
0.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,244.78 |
$8,314 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$535.41 |
$1,983 |
0.2× |
| Ribs bilateral 3 views (71110) |
$81.27 |
$301 |
0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$741.96 |
$2,748 |
2.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,095.93 |
$4,059 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$263.52 |
$976 |
0.5× |
| Sacroiliac Joints < 3 Views (72200) |
$54.81 |
$203 |
0.6× |
| Scanogram (77073) |
$62.37 |
$231 |
0.6× |
| Scapula complete (73010) |
$97.60 |
$361.50 |
1.0× |
| Screening digital breast tomosynthesis (77063) |
$13.50 |
$50 |
0.6× |
| Sella turcica (70240) |
$58.32 |
$216 |
0.7× |
| Small bowel series (74250) |
$112.05 |
$415 |
0.7× |
| Speech evaluation complex (70371) |
$123.12 |
$456 |
0.5× |
| Spine thoracic 3 views (72072) |
$88.02 |
$326 |
0.9× |
| Spleen imaging only (78185) |
$289.17 |
$1,071 |
0.8× |
| Tbs Technical Calculation Only (77091) |
$40.77 |
$151 |
0.5× |
| Testicular Imaging With Vascular Flow (78761) |
$196.02 |
$726 |
0.5× |
| Thoracolumbar 2 views (72080) |
$89.10 |
$330 |
1.1× |
| Thyroid uptake measurement (78012) |
$105.30 |
$390 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$144.18 |
$534 |
0.4× |
| Tmj unilateral (70328) |
$58.59 |
$217 |
0.7× |
| Tomogram (76100) |
$96.39 |
$357 |
1.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$407.97 |
$1,511 |
0.8× |
| Ultrasound elastography first target lesion (76982) |
$91.26 |
$338 |
0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$163.62 |
$606 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$109.89 |
$407 |
1.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$19.98 |
$74 |
0.2× |
| Unlisted Ultrasound Procedure (76999) |
$74.52 |
$276 |
0.9× |
| Upper Extremity Infant (73092) |
$78.98 |
$292.50 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$169.02 |
$626 |
0.8× |
| Urethrocystography voiding (74455) |
$169.02 |
$626 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$170.10 |
$630 |
1.0× |
| Us abdl aorta screen aaa (76706) |
$91.26 |
$338 |
0.9× |
| Us breast unilateral complete (76641) |
$119.88 |
$444 |
1.2× |
| Us breast unilateral limited (76642) |
$106.52 |
$394.50 |
1.3× |
| Us chest (76604) |
$92.07 |
$341 |
0.9× |
| Us compl joint r-t w/image documentation (76881) |
$99.63 |
$369 |
1.0× |
| Us elastography parenchyma (76981) |
$91.26 |
$338 |
0.9× |
| Us kidney transplant (76776) |
$249.21 |
$923 |
2.5× |
| Us ob transvaginal (76817) |
$113.40 |
$420 |
1.2× |
| Us pelvic non ob complete (76856) |
$109.89 |
$407 |
1.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$86.13 |
$319 |
0.9× |
| Us pregnancy ltd (76815) |
$103.95 |
$385 |
1.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$112.05 |
$415 |
1.1× |
| Us retroperitoneal complete (76770) |
$132.57 |
$491 |
1.4× |
| Us retroperitoneal limited (76775) |
$86.13 |
$319 |
0.9× |
| Us scrotum and contents (76870) |
$107.46 |
$398 |
1.1× |
| Us soft tissue head/neck (76536) |
$97.47 |
$361 |
1.0× |
| Us spinal canal and contents (76800) |
$90.72 |
$336 |
0.9× |
| Us transrectal (76872) |
$113.40 |
$420 |
1.2× |
| Us transrectal prostate volume (76873) |
$227.34 |
$842 |
2.3× |
| Us xtr non-vasc lmtd (76882) |
$47.52 |
$176 |
0.5× |
| Venogram extremity bilateral (75822) |
$240.57 |
$891 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$535.41 |
$1,983 |
0.2× |
| Venography caval superior serialography rs&i (75827) |
$536.49 |
$1,987 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$95.85 |
$355 |
0.1× |
| Venography Renal Bilateral (75833) |
$535.41 |
$1,983 |
0.2× |
| Venography renal unilateral selective rs&i (75831) |
$535.41 |
$1,983 |
0.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$622.35 |
$2,305 |
0.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$535.41 |
$1,983 |
0.1× |
| Vertebral fracture assessment via dxa (77086) |
$25.92 |
$96 |
0.3× |
| Wrist 2 views (73100) |
$77.36 |
$286.50 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$95.04 |
$352 |
1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$76.95 |
$285 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$93.56 |
$346.50 |
1.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$197.64 |
$732 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$89.10 |
$330 |
1.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$85.86 |
$318 |
1.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$92.61 |
$343 |
0.9× |
| X-ray exam hip uni 1 view (73501) |
$49.14 |
$182 |
0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$49.14 |
$182 |
0.6× |
| X-ray exam hip uni 4/> views (73503) |
$91.26 |
$338 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$81.54 |
$302 |
0.8× |
| X-ray eye for foreign body (70030) |
$75.33 |
$279 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$86.40 |
$320 |
0.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$56.43 |
$209 |
0.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$135.27 |
$501 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$70.88 |
$262.50 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$155.52 |
$576 |
0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$31.86 |
$118 |
0.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$107.73 |
$399 |
1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$40.77 |
$151 |
0.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$104.08 |
$385.50 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$76.68 |
$284 |
0.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$106.65 |
$395 |
1.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$65.88 |
$244 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$56.16 |
$208 |
0.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$88.02 |
$326 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$89.37 |
$331 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$62.10 |
$230 |
0.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$259.20 |
$960 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$56.16 |
$208 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$31.59 |
$117 |
0.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$131.76 |
$488 |
1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$67.50 |
$250 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$58.32 |
$216 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$92.34 |
$342 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$75.87 |
$281 |
0.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$55.89 |
$207 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$107.46 |
$398 |
1.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$72.36 |
$268 |
0.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$40.23 |
$149 |
0.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$59.40 |
$220 |
0.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$73.71 |
$273 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$65.07 |
$241 |
0.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$42.12 |
$156 |
0.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$39.42 |
$146 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$93.56 |
$346.50 |
1.1× |
| Xr arthrogram ankle (73615) |
$131.49 |
$487 |
0.4× |
| Xr c-spine 6 or more views (72052) |
$105.03 |
$389 |
1.1× |
| Xr chest 4+ views (71048) |
$96.39 |
$357 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$42.12 |
$156 |
0.5× |
| Xr internal auditory meati complete (70134) |
$34.02 |
$126 |
0.1× |
| XR Mastoids < 3 Views Bilateral (70120) |
$53.19 |
$197 |
0.5× |
| Xr shoulder 1 view (73020) |
$85.86 |
$318 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$92.34 |
$342 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$92.34 |
$342 |
1.1× |
| Xr tmj bilateral (70330) |
$95.04 |
$352 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$91.53 |
$339 |
1.1× |