| Acute gi blood loss imaging (78278) |
$1,306.26 |
$3,265.64 |
3.1× |
| Ankle 2 views (73600) |
$370.41 |
$926.01 |
4.0× |
| Clavicle complete (73000) |
$392.86 |
$982.13 |
4.3× |
| Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if… (74174) |
$6,443.52 |
$16,108.80 |
17.5× |
| Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and… (74175) |
$3,154.76 |
$7,886.88 |
17.0× |
| Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast… (75635) |
$3,372.01 |
$8,430.01 |
18.2× |
| Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if… (71275) |
$3,300.19 |
$8,250.47 |
17.8× |
| Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if… (73706) |
$4,694.56 |
$11,736.39 |
25.4× |
| Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and… (70498) |
$3,472.98 |
$8,682.44 |
18.8× |
| Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and… (72191) |
$3,288.78 |
$8,221.93 |
17.8× |
| Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if… (73206) |
$2,153.80 |
$5,384.48 |
11.6× |
| Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections… (72127) |
$2,667.05 |
$6,667.62 |
14.4× |
| Computed tomography, lower extremity; without contrast material Age Under 21 (73700) |
$2,438.76 |
$6,096.90 |
22.1× |
| Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections… (73702) |
$3,652.30 |
$9,130.74 |
19.7× |
| Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age… (72133) |
$2,541.47 |
$6,353.67 |
13.7× |
| Computed tomography, maxillofacial area; with contrast material(s) Age Under 21 (70487) |
$2,682.22 |
$6,705.53 |
14.5× |
| Computed tomography, maxillofacial area; without contrast material Age Under 21 (70486) |
$2,051.57 |
$5,128.92 |
18.6× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$2,506.38 |
$6,265.95 |
13.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age… (70480) |
$2,369.10 |
$5,922.74 |
21.5× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,… (70482) |
$2,968.84 |
$7,422.10 |
16.0× |
| Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections… (70492) |
$3,335.39 |
$8,338.46 |
18.0× |
| Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections… (72130) |
$2,935.70 |
$7,339.23 |
15.9× |
| Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further… (71270) |
$3,006.70 |
$7,516.74 |
16.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,173.94 |
$15,434.85 |
16.8× |
| CT abdomen and pelvis without contrast (74176) |
$4,112.56 |
$10,281.38 |
16.3× |
| CT abdomen w & w/o contrast (74170) |
$3,233.96 |
$8,084.90 |
17.5× |
| CT abdomen w/contrast (74160) |
$2,823.41 |
$7,058.51 |
15.3× |
| CT abdomen w/o contrast (74150) |
$2,162.89 |
$5,407.21 |
19.6× |
| CT cervical spine w/contrast (72126) |
$2,575.72 |
$6,439.29 |
7.0× |
| CT cervical spine w/o contrast (72125) |
$2,302.40 |
$5,756 |
20.9× |
| CT chest w/contrast (71260) |
$2,951.48 |
$7,378.69 |
16.0× |
| CT extremity upper w & w/o contrast (73202) |
$3,049.48 |
$7,623.70 |
16.5× |
| CT extremity upper w/o contrast (73200) |
$2,634.67 |
$6,586.66 |
23.9× |
| CT head/brain with contrast (70460) |
$2,599.28 |
$6,498.20 |
14.0× |
| CT head/brain without and with contrast (70470) |
$3,099.12 |
$7,747.79 |
16.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$2,039.17 |
$5,097.91 |
22.2× |
| CT l-spine w/contrast (72132) |
$2,514.54 |
$6,286.35 |
6.8× |
| CT limited/localized follow up study (76380) |
$1,197.82 |
$2,994.54 |
13.0× |
| CT lower extremity w/dye (73701) |
$3,804.48 |
$9,511.20 |
20.6× |
| CT lumbar spine w/o contrast (72131) |
$2,297.77 |
$5,744.42 |
20.8× |
| CT maxillofacial w/wo contrast (70488) |
$3,218.65 |
$8,046.62 |
17.4× |
| CT neck w/contrast (70491) |
$2,972.56 |
$7,431.39 |
16.1× |
| CT neck w/o contrast (70490) |
$2,220.11 |
$5,550.26 |
20.1× |
| CT pelvis w & w/o contrast (72194) |
$2,939.99 |
$7,349.97 |
15.9× |
| CT pelvis w/o contrast (72192) |
$1,949.69 |
$4,874.21 |
17.7× |
| CT thoracic spine w/contrast (72129) |
$2,446.41 |
$6,116.02 |
13.2× |
| CT thoracic spine w/o contrast (72128) |
$2,349.89 |
$5,874.72 |
21.3× |
| CT thorax lung cancer scr c- (71271) |
$378.75 |
$946.87 |
3.4× |
| CT thorax w/o contrast (71250) |
$2,094.93 |
$5,237.31 |
19.0× |
| CT upper extremity w/dye (73201) |
$3,133.21 |
$7,833.02 |
8.5× |
| CTA head w contrast (70496) |
$3,276.90 |
$8,192.25 |
17.7× |
| Cystography, minimum of 3 views, radiological supervision and interpretation Age Under 21 (74430) |
$745.79 |
$1,864.47 |
2.0× |
| Doppler fetal mid cerebral artery (76821) |
$449.14 |
$1,122.85 |
4.1× |
| Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)… (77080) |
$390.32 |
$975.78 |
3.5× |
| Dxa bone density study axial skeleton (77085) |
$549.47 |
$1,373.67 |
5.0× |
| Dxa bone density/peripheral (77081) |
$461.51 |
$1,153.77 |
5.0× |
| Fetal biophys profile w/o nst (76819) |
$680.35 |
$1,700.86 |
6.2× |
| Fetal biophysical profile non-stress testing (76818) |
$816.42 |
$2,041.04 |
7.4× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$613.11 |
$1,532.76 |
2.4× |
| Gated heart planar single (78472) |
$1,966.28 |
$4,915.68 |
4.7× |
| Heart infarct image (78466) |
$1,184.10 |
$2,960.24 |
2.8× |
| Hepatobil syst imag inc gb w/pharma intervenj (78227) |
$2,137.75 |
$5,344.37 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,983.36 |
$4,958.38 |
4.7× |
| Ht muscle image spect sing (78451) |
$4,375.49 |
$10,938.72 |
3.2× |
| Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age Under 21 (78290) |
$1,194.83 |
$2,987.06 |
2.8× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$1,463.66 |
$3,659.15 |
2.6× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$1,903.17 |
$4,757.91 |
3.3× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$2,834.15 |
$7,085.36 |
4.9× |
| Liver and spleen imaging (78215) |
$1,157 |
$2,892.49 |
2.7× |
| Lung perfusion imaging (78580) |
$1,360.58 |
$3,401.44 |
3.2× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$3,135.29 |
$7,838.22 |
8.5× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21 (73719) |
$2,863.36 |
$7,158.40 |
7.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21 (73718) |
$2,366.44 |
$5,916.10 |
9.4× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$3,360.29 |
$8,400.71 |
9.1× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21 (70540) |
$2,726.83 |
$6,817.07 |
10.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age Under 21 (73219) |
$2,693.42 |
$6,733.55 |
7.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$3,232.10 |
$8,080.23 |
8.8× |
| Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further… (70546) |
$3,623.74 |
$9,059.33 |
9.8× |
| Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further… (70549) |
$3,200.04 |
$8,000.09 |
8.7× |
| Mandible min 4v (70110) |
$602.90 |
$1,507.23 |
5.5× |
| Mr safety determination physician/other qhp (76016) |
$551.20 |
$1,378 |
6.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$551.20 |
$1,378 |
8.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$551.20 |
$1,378 |
18.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$551.20 |
$1,378 |
5.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$551.20 |
$1,378 |
2.2× |
| MRA head w/o contrast (70544) |
$2,367.94 |
$5,919.83 |
9.4× |
| MRA neck w/ contrast (70548) |
$2,826.97 |
$7,067.42 |
7.7× |
| MRA neck w/o contrast (70547) |
$2,453.92 |
$6,134.79 |
9.7× |
| MRI abdomen w/o contrast (74181) |
$2,516 |
$6,290 |
10.0× |
| MRI abdomen w/wo contrast (74183) |
$3,151.77 |
$7,879.41 |
8.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,612.74 |
$6,531.85 |
3.2× |
| MRI c-spine w&w/o cont (72156) |
$3,090.77 |
$7,726.92 |
8.4× |
| MRI cervical spine w/contrast (72142) |
$2,797.52 |
$6,993.80 |
7.6× |
| MRI chest w/o contrast (71550) |
$2,126.88 |
$5,317.18 |
8.5× |
| MRI chest w/wo contrast (71552) |
$3,323.23 |
$8,308.06 |
9.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$3,103.16 |
$7,757.90 |
8.4× |
| MRI joint upr extrem w/dye (73222) |
$2,815.10 |
$7,037.75 |
3.4× |
| MRI joint upr extrem w/o dye (73221) |
$2,359.65 |
$5,899.12 |
9.4× |
| MRI lumbar spine w/contrast (72149) |
$3,072.90 |
$7,682.24 |
8.3× |
| MRI lumbar spine w/wo contrast (72158) |
$3,468.35 |
$8,670.87 |
9.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,512.73 |
$8,781.82 |
9.5× |
| MRI pelvis w & w/o contrast (72197) |
$3,126.39 |
$7,815.97 |
8.5× |
| MRI pelvis w/contrast (72196) |
$2,287.50 |
$5,718.73 |
6.2× |
| MRI pelvis w/o contrast (72195) |
$1,448.58 |
$3,621.45 |
5.8× |
| MRI spine cervical w/o contrast (72141) |
$2,557.34 |
$6,393.35 |
10.2× |
| MRI t-spine w&w/o cont (72157) |
$3,261.52 |
$8,153.80 |
8.9× |
| MRI thoracic spine w/contrast (72147) |
$2,730.36 |
$6,825.88 |
7.4× |
| MRI thoracic spine w/o contrst (72146) |
$2,441.29 |
$6,103.21 |
9.7× |
| MRI tmj (70336) |
$2,397.09 |
$5,992.71 |
9.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,338.28 |
$5,845.70 |
9.3× |
| Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical),… (72270) |
$1,306.79 |
$3,266.96 |
1.6× |
| Myocardial spect multiple studies (78452) |
$5,311 |
$13,277.50 |
3.9× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$6,745.74 |
$16,864.34 |
7.4× |
| Nm adrenal imaging (78075) |
$1,950.59 |
$4,876.47 |
1.4× |
| Nm bone 3 phase (78315) |
$2,056.37 |
$5,140.91 |
4.9× |
| Nm bone imaging whole body (78306) |
$2,438.52 |
$6,096.30 |
5.8× |
| Nm bone marrow wb (78104) |
$1,675.27 |
$4,188.16 |
4.0× |
| Nm csf cisternogram (78630) |
$2,425.79 |
$6,064.46 |
4.2× |
| Nm gastric emptying (78264) |
$1,665.11 |
$4,162.77 |
3.9× |
| Nm lung ventilation imaging (78579) |
$1,634.26 |
$4,085.65 |
3.9× |
| Nm lymph system (78195) |
$1,711.56 |
$4,278.90 |
3.0× |
| Nuclear medicine study of bone and/or joint limited area (78300) |
$1,516.24 |
$3,790.59 |
3.6× |
| Nuclear medicine study of bone and/or joint multiple areas (78305) |
$1,819.49 |
$4,548.72 |
4.3× |
| Ob us limited fetus(s) (76815) |
$576.02 |
$1,440.03 |
5.2× |
| Parathyroid planar imaging (78070) |
$1,838.38 |
$4,595.94 |
4.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,803.81 |
$7,009.51 |
6.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,101.24 |
$12,753.09 |
3.4× |
| PET imaging CT for attenuation limited area (78814) |
$4,869.65 |
$12,174.12 |
3.2× |
| PET imaging for CT attenuation whole body (78816) |
$5,345.28 |
$13,363.20 |
3.5× |
| Pulmonary ventilation & perfusion imaging (78582) |
$2,477.65 |
$6,194.11 |
4.3× |
| Quant differential pulm perfusion w/wo imaging (78597) |
$1,731.93 |
$4,329.82 |
4.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$514.68 |
$1,286.68 |
4.7× |
| Radex hip unilateral with pelvis 1 view (73501) |
$530.51 |
$1,326.27 |
5.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$636.61 |
$1,591.51 |
6.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$827.60 |
$2,068.98 |
7.5× |
| Radex spine cervical 2 or 3 views (72040) |
$455.20 |
$1,138 |
5.0× |
| Radex spine cervical 4 or 5 views (72050) |
$692.87 |
$1,732.16 |
6.3× |
| Radex spine cervical 6 or more views (72052) |
$848.68 |
$2,121.68 |
7.7× |
| Radex spine thoracolumbar junction min 2 views (72080) |
$518.07 |
$1,295.17 |
5.6× |
| Radiologic exam abdomen 3+ views (74021) |
$420.17 |
$1,050.41 |
3.8× |
| Radiologic exam colon double contrast study (74280) |
$1,098.10 |
$2,745.23 |
5.9× |
| Radiologic exam colon single contrast study (74270) |
$996.51 |
$2,491.27 |
5.4× |
| Radiologic exam esophagus single contrast study (74220) |
$108.13 |
$270.32 |
0.6× |
| Radiologic exam small int single contrast study (74250) |
$682.35 |
$1,705.87 |
3.7× |
| Radiologic exam swallow function contrast study (74230) |
$724.21 |
$1,810.52 |
3.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$333.24 |
$833.10 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$699.78 |
$1,749.45 |
3.8× |
| Radiologic examination femur 1 view (73551) |
$78.98 |
$197.42 |
0.9× |
| Radiologic examination femur minimum 2 views (73552) |
$111.85 |
$279.61 |
1.2× |
| Radiologic examination from nose to rectum for foreign body, single view, child Age Under 21 (76010) |
$337.70 |
$844.25 |
3.7× |
| Radiologic examination, ankle; complete, minimum of 3 views Age Under 21 (73610) |
$554.44 |
$1,386.08 |
6.0× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$506.65 |
$1,266.61 |
4.6× |
| Radiologic examination, elbow; 2 views Age Under 21 (73070) |
$335.29 |
$838.21 |
3.7× |
| Radiologic examination, elbow; complete, minimum of 3 views Age Under 21 (73080) |
$471.75 |
$1,179.38 |
5.1× |
| Radiologic examination, facial bones; less than 3 views Age Under 21 (70140) |
$380.56 |
$951.39 |
4.1× |
| Radiologic examination, foot; complete, minimum of 3 views Age Under 21 (73630) |
$502.82 |
$1,257.06 |
5.5× |
| Radiologic examination, hand; minimum of 3 views Age Under 21 (73130) |
$464.12 |
$1,160.28 |
5.1× |
| Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21 (73565) |
$482.56 |
$1,206.38 |
5.3× |
| Radiologic examination, knee; complete, 4 or more views Age Under 21 (73564) |
$726.58 |
$1,816.44 |
6.6× |
| Radiologic examination, mandible; partial, less than 4 views Age Under 21 (70100) |
$538.75 |
$1,346.86 |
5.9× |
| Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 (70160) |
$445.50 |
$1,113.73 |
4.9× |
| Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21 (71111) |
$942.57 |
$2,356.42 |
8.5× |
| Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21 (71101) |
$811.84 |
$2,029.58 |
7.4× |
| Radiologic examination, sacroiliac joints; less than 3 views Age Under 21 (72200) |
$445.61 |
$1,114.01 |
4.0× |
| Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21 (73040) |
$621.84 |
$1,554.60 |
1.7× |
| Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21 (73030) |
$569.74 |
$1,424.34 |
6.2× |
| Radiologic examination, skull; less than 4 views Age Under 21 (70250) |
$428.50 |
$1,071.25 |
3.9× |
| Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 (72100) |
$599.99 |
$1,499.97 |
5.4× |
| Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21 (72114) |
$1,127.18 |
$2,817.94 |
10.2× |
| Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21 (72074) |
$470.15 |
$1,175.36 |
4.3× |
| Radiologic examination, wrist; complete, minimum of 3 views Age Under 21 (73110) |
$391.17 |
$977.91 |
4.3× |
| Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21 (73050) |
$756.89 |
$1,892.22 |
8.2× |
| Radiologic examination; humerus, minimum of 2 views Age Under 21 (73060) |
$394.27 |
$985.67 |
4.3× |
| Radiologic examination; lower extremity, infant, minimum of 2 views Age Under 21 (73592) |
$404.59 |
$1,011.46 |
4.4× |
| Radiologic examination; orbits, complete, minimum of 4 views Age Under 21 (70200) |
$668.52 |
$1,671.30 |
6.1× |
| Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age Under 21 (71130) |
$448.14 |
$1,120.35 |
4.9× |
| Radiologic examination; toe(s), minimum of 2 views Age Under 21 (73660) |
$318.46 |
$796.15 |
3.5× |
| Radiologic examination; upper extremity, infant, minimum of 2 views Age Under 21 (73092) |
$540.24 |
$1,350.60 |
4.9× |
| Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s)… (78803) |
$2,944.09 |
$7,360.21 |
5.1× |
| Radiopharmaceutical therapy, by oral administration Age Under 21 (79005) |
$2,052.27 |
$5,130.66 |
8.3× |
| Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (74455) |
$899.40 |
$2,248.50 |
3.6× |
| Scapula complete (73010) |
$401.08 |
$1,002.69 |
3.6× |
| Screening digital breast tomosynthesis bi (77063) |
$16 |
$40 |
— |
| Testicular imaging with vascular flow Age Under 21 (78761) |
$847.39 |
$2,118.47 |
2.0× |
| Thyroid met imaging body (78018) |
$2,527.89 |
$6,319.72 |
4.4× |
| Thyroid uptake single/multiple quant measurement (78012) |
$480.33 |
$1,200.81 |
1.1× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,655.31 |
$4,138.27 |
3.9× |
| Ultrasound breast limited (76642) |
$345.61 |
$864.01 |
3.8× |
| Ultrasound, abdomen limited (76705) |
$616.34 |
$1,540.84 |
5.6× |
| Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space,… (76882) |
$345.61 |
$864.01 |
3.1× |
| Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 (76856) |
$691.22 |
$1,728.05 |
6.3× |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14… (76801) |
$576.02 |
$1,440.03 |
5.2× |
| Umbilical-artery Doppler (OB) (76820) |
$559.84 |
$1,399.60 |
5.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21 (74400) |
$216.95 |
$542.37 |
1.2× |
| Urography antegrade rs&i (74425) |
$1,013.03 |
$2,532.57 |
2.8× |
| Us abdominal aorta real time screen study aaa (76706) |
$576.02 |
$1,440.03 |
5.2× |
| Us breast uni real time with image complete (76641) |
$576.02 |
$1,440.03 |
5.2× |
| Us chest (76604) |
$662.42 |
$1,656.03 |
6.0× |
| Us compl joint r-t w/image documentation (76881) |
$662.42 |
$1,656.03 |
6.0× |
| Us encephalogram (76506) |
$576.02 |
$1,440.03 |
5.2× |
| Us exam, pelvic, limited (76857) |
$616.34 |
$1,540.84 |
5.6× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$345.61 |
$864.01 |
3.8× |
| US OB Follow-Up/Repeat (76816) |
$576.02 |
$1,440.03 |
5.2× |
| Us ob transvaginal (76817) |
$576.02 |
$1,440.03 |
5.2× |
| Us retroperitoneal complete (76770) |
$852.08 |
$2,130.20 |
7.7× |
| Us retroperitoneal ltd (76775) |
$681.67 |
$1,704.16 |
6.2× |
| Us scrotum (76870) |
$662.42 |
$1,656.03 |
6.0× |
| Us soft tissue head/neck (76536) |
$576.02 |
$1,440.03 |
5.2× |
| Us spinal canal (76800) |
$345.61 |
$864.01 |
3.1× |
| Us transrectal (76872) |
$576.02 |
$1,440.03 |
5.2× |
| Venography deep dorsal vein penis radiolgicl supervision interpretation (76499) |
$461.51 |
$1,153.77 |
5.0× |
| Vertebral fracture assessment via dxa (77086) |
$63.95 |
$159.87 |
0.7× |
| X-ray exam of finger(s) (73140) |
$343.13 |
$857.82 |
3.7× |
| X-ray exam of knee 1 or 2 (73560) |
$394.08 |
$985.20 |
4.3× |
| X-ray exam ribs uni 2 views (71100) |
$563.47 |
$1,408.66 |
6.1× |
| X-ray heel (73650) |
$349.50 |
$873.74 |
3.8× |
| X-ray of joint between lower spine and hip bone 3 or more views|PROFESSIONAL COMPONENT (72202) |
$514.81 |
$1,287.01 |
4.7× |
| X-ray retrograde pyelogram (74420) |
$605.38 |
$1,513.44 |
1.6× |
| Xr abdomen 1 view (74018) |
$283.86 |
$709.64 |
3.1× |
| Xr abdomen 2 views (74019) |
$413.14 |
$1,032.84 |
3.7× |
| Xr arthrogram ankle (73615) |
$389.18 |
$972.94 |
1.1× |
| Xr arthrogram elbow (73085) |
$679.97 |
$1,699.92 |
1.8× |
| Xr arthrogram hip (73525) |
$485.47 |
$1,213.67 |
1.3× |
| Xr arthrogram knee (73580) |
$618.52 |
$1,546.29 |
1.7× |
| Xr arthrogram wrist (73115) |
$714.94 |
$1,787.33 |
1.9× |
| Xr bone age studies (77072) |
$261.53 |
$653.82 |
2.4× |
| Xr bone length study (77073) |
$104.96 |
$262.40 |
1.0× |
| Xr bone survey infant (77076) |
$403.40 |
$1,008.48 |
3.7× |
| Xr bone survey ltd (77074) |
$303.14 |
$757.83 |
2.7× |
| Xr chest 1 view (71045) |
$350.49 |
$876.21 |
3.8× |
| Xr chest 2 views (71046) |
$391.61 |
$979.02 |
4.3× |
| Xr eye foreign body (70030) |
$540.18 |
$1,350.44 |
5.9× |
| Xr facial bones 3+ views (70150) |
$577.78 |
$1,444.44 |
5.2× |
| Xr foot arthritis pa only bilateral - report(ortho pro) (73620) |
$338.24 |
$845.59 |
3.7× |
| Xr forearm 2 views (73090) |
$434.85 |
$1,087.12 |
4.7× |
| Xr hand 2v (73120) |
$347.30 |
$868.23 |
3.1× |
| Xr hysterosalpingogram (74740) |
$749.36 |
$1,873.38 |
3.0× |
| Xr myelogram c-spine (72240) |
$1,149.18 |
$2,872.95 |
1.4× |
| Xr myelogram l-spine (72265) |
$1,127.59 |
$2,818.97 |
1.4× |
| Xr myelogram t-spine (72255) |
$884.24 |
$2,210.59 |
1.1× |
| Xr neck soft tissue (70360) |
$360.77 |
$901.91 |
3.9× |
| Xr o knee w/ merchant view bilat - report(ortho pro) (73562) |
$517.58 |
$1,293.93 |
5.6× |
| Xr osseous survey complete (77075) |
$816.28 |
$2,040.69 |
7.4× |
| Xr pelvis 1-2 views (72170) |
$339.82 |
$849.55 |
3.1× |
| Xr pelvis min 3 view (72190) |
$394.39 |
$985.97 |
3.6× |
| Xr sacrum/coccyx 2+ views (72220) |
$442.45 |
$1,106.12 |
4.8× |
| Xr shoulder 1 view (73020) |
$306.02 |
$765.04 |
3.3× |
| Xr sinuses 3+ views (70220) |
$592.47 |
$1,481.16 |
6.5× |
| Xr spine thoracic 3v (72072) |
$564.18 |
$1,410.45 |
5.1× |
| Xr sternum 2+ views (71120) |
$446.83 |
$1,117.07 |
4.9× |
| Xr surgical specimen (76098) |
$347.95 |
$869.86 |
0.6× |
| Xr t-spine 2 views (72070) |
$470.16 |
$1,175.39 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$476.86 |
$1,192.16 |
5.2× |
| Xr wrist 2 views (73100) |
$334.39 |
$835.97 |
3.6× |