Imaging prices at St. Elizabeth Healthcare Edgewood Hospital

Edgewood, KY · every code in this section with a posted price and a Medicare benchmark.

376 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,494.10 $5,494.10 4.0×
Abdomen 1 View (74018) $353.56 $353.56 4.1×
Abdomen 2 views (74019) $427 $427 4.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,613.51 $1,613.51 4.1×
Angio pulmonary bilat (75743) $12,638.48 $12,638.48 4.0×
Angiography extremity bilateral rs&i (75716) $12,638.48 $12,638.48 4.0×
Angiography extremity unilateral rs&i (75710) $12,638.48 $12,638.48 4.0×
Angiography pulmonary unilateral slctv rs&i (75741) $12,638.48 $12,638.48 4.0×
Ankle 2 views (73600) $353.56 $353.56 4.1×
Aortography thoracic serialography rs&i (75605) $21,706.07 $21,706.07 3.9×
Artery X-Rays Abdomen (75726) $21,706.07 $21,706.07 3.9×
Artery X-Rays Pelvis (75736) $21,706.07 $21,706.07 3.9×
Artery X-Rays Spine (75705) $21,706.07 $21,706.07 3.9×
Arthrogram ankle (73615) $1,434.04 $1,434.04 4.1×
Arthrogram hip (73525) $1,434.04 $1,434.04 4.1×
Arthrogram Wrist (73115) $1,434.04 $1,434.04 4.1×
Basic radiation dosimetry calculation (77300) $533.12 $533.12 4.0×
Bone age studies (77072) $427 $427 4.1×
Bone Imaging 3 Phase (78315) $1,613.51 $1,613.51 4.1×
Bone Imaging Limited Area (78300) $1,613.51 $1,613.51 4.1×
Bone Imaging Whole Body (78306) $1,613.51 $1,613.51 4.1×
Bone survey infant (77076) $427 $427 4.1×
Brachytx isodose intermed (77317) $1,469.91 $1,469.91 4.0×
Brachytx Isodose Plan Simple (77316) $1,469.91 $1,469.91 4.0×
Brain Imaging Minimum 4 Static Views (78605) $2,161.38 $2,161.38 4.0×
Brain Imaging Pet Metabolic Evaluation (78608) $5,856.84 $5,856.84 4.1×
Cardiac MRI w/w/o contrast & further seq (75561) $1,434.04 $1,434.04 4.1×
Cardiac MRI w/w/o contrast w/stress (75563) $3,172.41 $3,172.41 4.1×
Cardiac Shunt Detection (78428) $1,613.51 $1,613.51 4.1×
Cat Scan Follow-Up Study (76380) $353.56 $353.56 4.1×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,161.38 $2,161.38 4.0×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $2,161.38 $2,161.38 4.0×
Cerebrospinal Fluid Scan (78630) $2,161.38 $2,161.38 4.0×
Chest 1 view (71045) $353.56 $353.56 4.1×
Chest 2 views (71046) $353.56 $353.56 4.1×
Chest 3 views (71047) $353.56 $353.56 4.1×
Chest 4 or more views (71048) $427 $427 4.1×
Cholecystography Oral Contrast (74290) $714.81 $714.81 4.1×
Cisternography Positive Contrast Rs&I (70015) $3,172.41 $3,172.41 4.1×
Clavicle complete (73000) $353.56 $353.56 4.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $427 $427 4.1×
Continuing medical physics consltj pr wk (77336) $533.12 $533.12 4.0×
Contrast Exam Abdominl Aorta (75625) $12,638.48 $12,638.48 4.0×
Contrast X-Ray Bladder (74430) $1,434.04 $1,434.04 4.1×
Contrast X-Ray Of Elbow (73085) $1,434.04 $1,434.04 4.1×
Contrast X-Ray Of Knee Joint (73580) $1,434.04 $1,434.04 4.1×
Corpora cavernosography (74445) $427 $427 4.1×
CT abdomen and pelvis without and with contrast (74178) $1,434.04 $1,434.04 4.1×
CT abdomen and pelvis without contrast (74176) $970.62 $970.62 4.1×
CT abdomen w contrast (74160) $714.81 $714.81 4.1×
CT abdomen w wo contrast (74170) $714.81 $714.81 4.1×
CT abdomen w/o contrast (74150) $427 $427 4.1×
CT Angio Abdomen and Pelvis (74174) $1,434.04 $1,434.04 4.1×
CT Angio Chest (71275) $714.81 $714.81 4.1×
CT Angio Head (70496) $714.81 $714.81 4.1×
CT angio hrt w/3d image (75574) $1,434.04 $1,434.04 4.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $714.81 $714.81 4.1×
CT Angio Neck (70498) $714.81 $714.81 4.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $714.81 $714.81 4.1×
CT bone density (77078) $353.56 $353.56 4.1×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $726.45 $726.45 4.2×
CT cervical spine w/ contrast (72126) $1,434.04 $1,434.04 4.1×
CT cervical spine w/o contrast (72125) $427 $427 4.1×
CT cervical spine w/wo cont (72127) $714.81 $714.81 4.1×
CT chest w contrast (71260) $714.81 $714.81 4.1×
CT chest w/wo contrast (71270) $714.81 $714.81 4.1×
CT colonography screening (74263) $970.62 $970.62 4.1×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $714.81 $714.81 4.1×
CT head/brain with contrast (70460) $714.81 $714.81 4.1×
CT head/brain without and with contrast (70470) $714.81 $714.81 4.1×
CT heart contrast eval cardiac structure&morph (75572) $1,434.04 $1,434.04 4.1×
CT heart no contrast quant eval coronry calcium (75571) $353.56 $353.56 4.1×
CT hrt w/3d image congen (75573) $1,434.04 $1,434.04 4.1×
CT iac w contrast (70481) $714.81 $714.81 4.1×
CT l-spine w&w/o contrast (72133) $714.81 $714.81 4.1×
CT lower ext w/o (73700) $427 $427 4.1×
CT lower extremity w/contrast material (73701) $714.81 $714.81 4.1×
CT lumbar spine w contrast (72132) $1,434.04 $1,434.04 4.1×
CT lumbar spine w/o contrast (72131) $427 $427 4.1×
CT maxillofacial w contrast (70487) $714.81 $714.81 4.1×
CT maxillofacial wo contrast (70486) $427 $427 4.1×
CT neck tissue combo (70492) $714.81 $714.81 4.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $714.81 $714.81 4.1×
CT orbits w/o contrast (70480) $427 $427 4.1×
CT pelvis w&w/o contrast (72194) $714.81 $714.81 4.1×
CT pelvis w/o contrast (72192) $427 $427 4.1×
CT scan of leg combo (73702) $714.81 $714.81 4.1×
CT scans face/jaw combo (70488) $714.81 $714.81 4.1×
CT soft tissue neck w contrast (70491) $714.81 $714.81 4.1×
CT soft tissue neck w/o contrast (70490) $427 $427 4.1×
CT thoracic spine w contrast (72129) $714.81 $714.81 4.1×
CT thoracic spine w/o contrast (72128) $427 $427 4.1×
CT thoracic spine w/wo cont (72130) $714.81 $714.81 4.1×
CT thorax w/o contrast (71250) $427 $427 4.1×
CT unlisted procedure (76497) $353.56 $353.56 4.1×
CT upper ext wo (73200) $427 $427 4.1×
CT upper extremity w/o & w/contrast material (73202) $714.81 $714.81 4.1×
CT upper extremity with contrast (73201) $1,434.04 $1,434.04 4.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $714.81 $714.81 4.1×
Cta Abdomen (74175) $714.81 $714.81 4.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,444.92 $1,444.92 4.2×
CTA pelvis (72191) $714.81 $714.81 4.1×
Dilation ureters/urethra rs&i (74485) $8,225.58 $8,225.58 4.0×
Discography Cerv/Thor Spine (72285) $7,841.17 $7,841.17 4.1×
Diskography lumbar (72295) $7,841.17 $7,841.17 4.1×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $427 $427 4.1×
Doppler Echo Fetal Spectral Display Complete (76827) $427 $427 4.1×
Doppler Fetal Mid Cerebral Artery (76821) $427 $427 4.1×
Dxa Bone Density Axial (77080) $427 $427 4.1×
Dxa bone density study (77085) $427 $427 4.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $353.56 $353.56 4.1×
Echo exam of fetal heart (76825) $2,201.63 $2,201.63 4.1×
Echo exam uterus (76831) $970.62 $970.62 4.1×
Echo Guide For Artery Repair (76936) $1,250.39 $1,250.39 5.8×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $970.62 $970.62 4.1×
Esophagram (74220) $714.81 $714.81 4.1×
Fetal Biophys Profile W/Nst (76818) $427 $427 4.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $427 $427 4.1×
Fluoroscopy up to 1 hr (76000) $970.62 $970.62 4.1×
Follow-Up Angiography (75898) $12,638.48 $12,638.48 4.0×
Foot 2 views (73620) $353.56 $353.56 4.1×
Forearm 2 views (73090) $353.56 $353.56 4.1×
Gastric emptying imaging study (78264) $1,613.51 $1,613.51 4.1×
Gated Heart Planar Single (78472) $1,613.51 $1,613.51 4.1×
Hand 2 views (73120) $427 $427 4.1×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $2,785.92 $2,785.92 4.0×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,785.92 $2,785.92 4.0×
Heart Image (Pet) Multiple (78492) $5,856.84 $5,856.84 4.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $12,638.48 $12,638.48 4.0×
Hepatobil Syst Image W/Drug (78227) $2,161.38 $2,161.38 4.0×
Hepatobiliary System Imaging (78226) $1,613.51 $1,613.51 4.1×
Ht Musc Image Planar Mult (78454) $5,242.04 $5,242.04 4.1×
Ht Muscle Image Spect Sing (78451) $5,242.04 $5,242.04 4.1×
Hysterosalpingogram (74740) $970.62 $970.62 4.1×
Image fusion (77399) $533.12 $533.12 4.0×
K Flow/Funct Image W/Drug (78708) $2,161.38 $2,161.38 4.0×
K Flow/Funct Image W/O Drug (78707) $2,161.38 $2,161.38 4.0×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,613.51 $1,613.51 4.1×
Knee 3 Views (73562) $353.56 $353.56 4.1×
Leveen/Shunt Patency Exam (78291) $1,613.51 $1,613.51 4.1×
Liver & Spleen Imaging Static Only (78215) $1,613.51 $1,613.51 4.1×
Liver imaging static only (78201) $2,161.38 $2,161.38 4.0×
Lung Perf&Ventilat Diferentl (78598) $2,161.38 $2,161.38 4.0×
Lung perfusion differential (78597) $1,613.51 $1,613.51 4.1×
Lung Ventilat&Perfus Imaging (78582) $2,161.38 $2,161.38 4.0×
Lung Ventilation Imaging (78579) $1,613.51 $1,613.51 4.1×
Lymph System Imaging (78195) $2,161.38 $2,161.38 4.0×
Magnetic Image Jaw Joint (70336) $970.62 $970.62 4.1×
Mammary ductogram or galactogram multiple (77054) $970.62 $970.62 4.1×
Meckels Divert Exam (78290) $1,613.51 $1,613.51 4.1×
Mlc imrt design & construction per imrt plan (77338) $1,469.91 $1,469.91 4.0×
Mr safety determination physician/other qhp (76016) $353.56 $353.56 4.1×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $98.35 $98.35 3.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $368.56 $368.56 3.9×
Mr safety implt pos&/immoblj (76019) $238.51 $238.51 4.1×
Mr safety med physics xm customization plng&mntr (76017) $970.62 $970.62 4.1×
Mra Head W/O & W/Contrast Material (70546) $1,434.04 $1,434.04 4.1×
MRA head w/o contrast (70544) $970.62 $970.62 4.1×
MRA head with contrast (70545) $1,434.04 $1,434.04 4.1×
MRA neck w contrast (70548) $1,434.04 $1,434.04 4.1×
Mra Neck W/O &W/Contrast Material (70549) $1,434.04 $1,434.04 4.1×
MRA neck w/o contrast (70547) $970.62 $970.62 4.1×
MRI abdomen w contrast (74182) $1,434.04 $1,434.04 4.1×
MRI abdomen w/o contrast (74181) $970.62 $970.62 4.1×
MRI any jt lower extrem w/contrast material (73722) $3,172.41 $3,172.41 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,434.04 $1,434.04 4.1×
MRI any jt upper extremity w/contrast matrl (73222) $3,172.41 $3,172.41 4.1×
MRI brain functional w/o physician admnistration (70554) $970.62 $970.62 4.1×
MRI Breast W/O Contrast Bilateral (77047) $970.62 $970.62 4.1×
MRI cardiac w/o cont stress (75559) $2,201.63 $2,201.63 4.1×
MRI cardiac w/o contrast (75557) $970.62 $970.62 4.1×
MRI cervical spine w contrast (72142) $1,434.04 $1,434.04 4.1×
MRI cervical spine w/o cont (72141) $970.62 $970.62 4.1×
MRI chest w/o contrast (71550) $970.62 $970.62 4.1×
MRI chest with contrast (71551) $3,172.41 $3,172.41 4.1×
MRI chest wo w contrast (71552) $1,434.04 $1,434.04 4.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,434.04 $1,434.04 4.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,434.04 $1,434.04 4.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $970.62 $970.62 4.1×
MRI lumbar spine w contrast (72149) $1,434.04 $1,434.04 4.1×
Mri Neck Spine W/O & W/Dye (72156) $1,434.04 $1,434.04 4.1×
MRI orbit face &/neck w/o contrast (70540) $970.62 $970.62 4.1×
MRI orbit face neck w contrast (70542) $1,434.04 $1,434.04 4.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,434.04 $1,434.04 4.1×
MRI pelvis w contrast (72196) $1,434.04 $1,434.04 4.1×
MRI pelvis w/o & w contrast (72197) $1,434.04 $1,434.04 4.1×
MRI pelvis w/o contrast (72195) $970.62 $970.62 4.1×
MRI spectroscopy (76390) $353.56 $353.56 4.1×
MRI thoracic spine w/o contrast (72146) $970.62 $970.62 4.1×
MRI upper extremity oth than jt w/contr matrl (73219) $1,434.04 $1,434.04 4.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $970.62 $970.62 4.1×
Mri Uppr Extremity W/O&W/Dye (73220) $1,434.04 $1,434.04 4.1×
MRI, abdomen, combo (74183) $1,434.04 $1,434.04 4.1×
MRI, dorsal spine combo (72157) $1,434.04 $1,434.04 4.1×
MRI, dorsal spine contrast (72147) $1,434.04 $1,434.04 4.1×
MRI, joint upper extrem (73221) $970.62 $970.62 4.1×
MRI, joint upper extrem combo (73223) $1,434.04 $1,434.04 4.1×
MRI, lumbar spine combo (72158) $1,434.04 $1,434.04 4.1×
Musculoskeletal Nuclear Exam (78399) $1,613.51 $1,613.51 4.1×
Myelography thoracic (72255) $3,172.41 $3,172.41 4.1×
Myocardial Imaging Pet Metabolic Evaluation (78459) $5,242.04 $5,242.04 4.1×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $5,242.04 $5,242.04 4.1×
Myocardial Spect Multiple Studies (78452) $5,242.04 $5,242.04 4.1×
Neck soft tissue (70360) $353.56 $353.56 4.1×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $1,055.96 $1,055.96 2.8×
Nm csf leak detection (78650) $5,242.04 $5,242.04 4.1×
Nonvascular Shunt X-Ray (75809) $427 $427 4.1×
Ntsty modul radthx pln dose-vol histos (77301) $5,494.10 $5,494.10 4.0×
Nuclear Rx Oral Admin (79005) $899.98 $899.98 3.9×
Ob us nuchal meas 1 gest (76813) $427 $427 4.1×
Optic foramina (70190) $353.56 $353.56 4.1×
Parathyroid Planar Imaging (78070) $1,613.51 $1,613.51 4.1×
Parathyroid planar imaging w/wo subtraction (78071) $1,613.51 $1,613.51 4.1×
Pelvis 1 or 2 views (72170) $427 $427 4.1×
Pet Image W/Ct Lmtd (78814) $5,856.84 $5,856.84 4.1×
PET image w/CT, full body (78816) $5,856.84 $5,856.84 4.1×
PET imaging CT attenuation skull base mid-thigh (78815) $5,856.84 $5,856.84 4.1×
Pet Myocardial Sngl Study (78491) $5,856.84 $5,856.84 4.1×
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) $5,242.04 $5,242.04 4.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $12,638.48 $12,638.48 4.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,613.51 $1,613.51 4.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $427 $427 4.1×
Radex abscess/fistula/sinus tract rs&i (76080) $2,201.63 $2,201.63 4.1×
Radex Ankle Complete Minimum 3 Views (73610) $353.56 $353.56 4.1×
Radex Calcaneus Minimum 2 Views (73650) $353.56 $353.56 4.1×
Radex elbow complete minimum 3 views (73080) $353.56 $353.56 4.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $427 $427 4.1×
Radex fingr minimum 2 views (73140) $353.56 $353.56 4.1×
Radex foot complete minimum 3 views (73630) $353.56 $353.56 4.1×
Radex Hand Minimum 3 Views (73130) $353.56 $353.56 4.1×
Radex lower extremity infant minimum 2 views (73592) $353.56 $353.56 4.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $427 $427 4.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $353.56 $353.56 4.1×
Radex Ribs Unilateral 2 Views (71100) $353.56 $353.56 4.1×
Radex shoulder complete minimum 2 views (73030) $353.56 $353.56 4.1×
Radex Sinuses Paransl < 3 Views (70210) $353.56 $353.56 4.1×
Radex Spine 1 View Specify Level (72020) $353.56 $353.56 4.1×
Radex Sternum Minimum 2 Views (71120) $353.56 $353.56 4.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $353.56 $353.56 4.1×
Radex Toe Minimum 2 Views (73660) $353.56 $353.56 4.1×
Radex upper extremity infant minimum 2 views (73092) $427 $427 4.1×
Radex Wrist Complete Minimum 3 Views (73110) $353.56 $353.56 4.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $30,695.67 $30,695.67 4.2×
Radiation treatment delivery level 1 (77402) $422.58 $422.58 4.2×
Radiation treatment delivery level 2 (77407) $1,597.45 $1,597.45 4.2×
Radiation treatment delivery level 3 (77412) $2,288.46 $2,288.46 4.2×
Radiolog exam mandible compl minimum 4 views (70110) $427 $427 4.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $427 $427 4.1×
Radiologic exam colon double contrast study (74280) $714.81 $714.81 4.1×
Radiologic exam colon single contrast study (74270) $714.81 $714.81 4.1×
Radiologic exam knee complete 4/more views (73564) $427 $427 4.1×
Radiologic exam pelvis compl minimum 3 views (72190) $427 $427 4.1×
Radiologic Exam Small Int Single Contrast Study (74250) $714.81 $714.81 4.1×
Radiologic exam swallow function contrast study (74230) $714.81 $714.81 4.1×
Radiologic exam upr gi trc double contrast study (74246) $714.81 $714.81 4.1×
Radiologic examination femur 1 view (73551) $353.56 $353.56 4.1×
Radiologic examination femur minimum 2 views (73552) $353.56 $353.56 4.1×
Radiologic examination knee 1/2 views (73560) $353.56 $353.56 4.1×
Radiologic Examination Osseous Survey Limited (77074) $427 $427 4.1×
Radiologic Examination Salivary Gland Calculus (70380) $353.56 $353.56 4.1×
Radiologic examination tibia & fibula 2 views (73590) $353.56 $353.56 4.1×
Red Cell Volume Determination Spx Mult Samplings (78121) $2,161.38 $2,161.38 4.0×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,055.96 $1,055.96 2.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,055.96 $1,055.96 2.8×
Ribs bilateral 3 views (71110) $427 $427 4.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,613.51 $1,613.51 4.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,613.51 $1,613.51 4.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,242.04 $5,242.04 9.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,242.04 $5,242.04 9.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,242.04 $5,242.04 9.7×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $5,242.04 $5,242.04 4.1×
Rp Therapy Intravenous Administration (79101) $899.98 $899.98 3.9×
Scapula (73010) $427 $427 4.1×
Screening Digital Breast Tomosynthesis Bi (77063) $61.26 $61.26 2.6×
Shoulder 1 view (73020) $353.56 $353.56 4.1×
Shoulder Arthrography (73040) $1,434.04 $1,434.04 4.1×
Sialogram (70390) $970.62 $970.62 4.1×
Skull less than 4 views (70250) $427 $427 4.1×
Special dosimetry (77331) $533.12 $533.12 4.0×
Special Physics Consult (77370) $533.12 $533.12 4.0×
Special teletherapy port plan (77321) $1,469.91 $1,469.91 4.0×
Special treatment procedure (77470) $2,322.80 $2,322.80 4.2×
Stereotactic Body Radiation Delivery (77373) $7,050.67 $7,050.67 4.0×
Sternoclavicular joints (71130) $353.56 $353.56 4.1×
Tbs technical calculation only (77091) $353.56 $353.56 4.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,469.91 $1,469.91 4.0×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,469.91 $1,469.91 4.0×
Temporomandble Jt Arthrography Rs&I (70332) $970.62 $970.62 4.1×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,469.91 $1,469.91 4.0×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,469.91 $1,469.91 4.0×
Ther rad simulaj-aided field setting simple (77280) $533.12 $533.12 4.0×
Thoracic spine 2 views (72070) $427 $427 4.1×
Thoracic spine 3 views (72072) $427 $427 4.1×
Thyroid Imaging With Vascular Flow (78013) $1,613.51 $1,613.51 4.1×
Thyroid Met Imaging Body (78018) $2,161.38 $2,161.38 4.0×
Thyroid Uptake Measurement (78012) $1,613.51 $1,613.51 4.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,613.51 $1,613.51 4.1×
Tx Devices Design & Construction Complex (77334) $1,469.91 $1,469.91 4.0×
Tx devices design & construction intermediate (77333) $533.12 $533.12 4.0×
Tx devices design & construction simple (77332) $533.12 $533.12 4.0×
Ultrasound Breast Limited (76642) $353.56 $353.56 4.1×
Ultrasound Elastography Parenchyma (76981) $427 $427 4.1×
Ultrasound Exam Aaa Screen (76706) $427 $427 4.1×
Ultrasound, abdomen limited (76705) $427 $427 4.1×
Umbilical-artery Doppler (OB) (76820) $427 $427 4.1×
Unlisted fluoroscopic procedure (76496) $360.44 $360.44 4.2×
Unlisted magnetic resonance procedure (76498) $353.56 $353.56 4.1×
Upper gi w/o kub (74240) $714.81 $714.81 4.1×
Ureteral Reflux Study (78740) $1,613.51 $1,613.51 4.1×
Urethrocystogram voiding (74455) $970.62 $970.62 4.1×
Urethrocystography retrograde (74450) $970.62 $970.62 4.1×
Us breast unilateral complete (76641) $427 $427 4.1×
Us chest (76604) $427 $427 4.1×
Us complete joint (76881) $427 $427 4.1×
Us exam, pelvic, limited (76857) $427 $427 4.1×
Us head (76506) $427 $427 4.1×
Us kidney transplant (76776) $427 $427 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $427 $427 4.1×
Us ob detailed single fetus (76811) $970.62 $970.62 4.1×
Us ob limited 1 or more fetuses (76815) $427 $427 4.1×
Us ob transvaginal (76817) $427 $427 4.1×
Us pelvic non ob complete (76856) $427 $427 4.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $427 $427 4.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $427 $427 4.1×
Us retroperitoneal complete (76770) $427 $427 4.1×
Us retroperitoneal limited (76775) $427 $427 4.1×
Us scrotum and contents (76870) $427 $427 4.1×
Us spinal canal and contents (76800) $427 $427 4.1×
Us thyroid (76536) $427 $427 4.1×
Us transrectal (76872) $427 $427 4.1×
Vein X-Ray Chest (75827) $6,237.68 $6,237.68 4.0×
Vein X-Ray Spleen/Liver (75810) $12,638.48 $12,638.48 4.0×
Venogram Sinus/Jugular (75860) $12,638.48 $12,638.48 4.0×
Venography Adrenal Unilateral (75840) $12,638.48 $12,638.48 4.0×
Venography caval inferior serialography rs&i (75825) $12,638.48 $12,638.48 4.0×
Venography extremity bilateral rs&i (75822) $6,237.68 $6,237.68 4.0×
Venography extremity unilateral rs&i (75820) $6,237.68 $6,237.68 4.0×
Venography Orbital Rs&I (75880) $2,482.55 $2,482.55 4.0×
Venography Renal Bilateral (75833) $12,638.48 $12,638.48 4.0×
Venography Renal Unilateral (75831) $12,638.48 $12,638.48 4.0×
Venous sampling by catheter (75893) $21,706.07 $21,706.07 3.9×
Wrist 2 views (73100) $353.56 $353.56 4.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $353.56 $353.56 4.1×
X-ray antegrade pyelogram tube (74425) $1,434.04 $1,434.04 4.1×
X-Ray Aorta Leg Arteries (75630) $12,638.48 $12,638.48 4.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $353.56 $353.56 4.1×
X-Ray Exam Breast Specimen (76098) $2,201.63 $2,201.63 4.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $427 $427 4.1×
X-Ray Exam Hip Uni 1 View (73501) $353.56 $353.56 4.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $353.56 $353.56 4.1×
X-Ray Exam Hips Bi 2 Views (73521) $427 $427 4.1×
X-Ray Exam L-S Spine Bending (72114) $427 $427 4.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $353.56 $353.56 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $427 $427 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $427 $427 4.1×
X-ray eye for foreign body (70030) $353.56 $353.56 4.1×
X-ray humerus (73060) $353.56 $353.56 4.1×
X-ray IV pyelogram (ivp) (74400) $714.81 $714.81 4.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $353.56 $353.56 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $353.56 $353.56 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $427 $427 4.1×
X-ray nose-rectum child f.b. (76010) $353.56 $353.56 4.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $427 $427 4.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $427 $427 4.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $427 $427 4.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $353.56 $353.56 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $353.56 $353.56 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $427 $427 4.1×
X-ray thoracic spine 4 vw (72074) $427 $427 4.1×
X-Ray Tmj Unilat (70328) $353.56 $353.56 4.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,434.04 $1,434.04 4.1×
X-Rays Bone Length Studies (77073) $427 $427 4.1×
X-Rays Bone Survey Complete (77075) $427 $427 4.1×
Xr c-spine 4 or 5 views (72050) $427 $427 4.1×
Xr facial bones less than 3 views (70140) $353.56 $353.56 4.1×
Xr orbits complete 4 views (70200) $427 $427 4.1×