| Abdomen 2 views (74019) |
$568.72 |
$1,624.90 |
5.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$768.25 |
$2,195 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,162.03 |
$9,034.37 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$2,909.20 |
$8,312 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$1,020.60 |
$2,916 |
0.3× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,608.71 |
$4,596.30 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,612.17 |
$4,606.20 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,173.69 |
$3,353.40 |
0.4× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$1,910.48 |
$5,458.50 |
0.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$2,816.08 |
$8,045.94 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$334.85 |
$956.70 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,064.35 |
$3,041 |
0.3× |
| Ankle 2 views (73600) |
$368.90 |
$1,054 |
4.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,772.40 |
$5,064 |
5.1× |
| Aortogram thoracic (75605) |
$5,244.26 |
$14,983.58 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,921.05 |
$11,203 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$3,162.03 |
$9,034.37 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,415.93 |
$4,045.50 |
0.4× |
| Arthrogram elbow (73085) |
$261.10 |
$746 |
0.7× |
| Arthrogram shoulder (73040) |
$737.86 |
$2,108.16 |
2.1× |
| Arthrogram wrist (73115) |
$275.31 |
$786.60 |
0.8× |
| Arthrography knee lt (73580) |
$643.86 |
$1,839.60 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,523.90 |
$4,354 |
3.8× |
| Bone &/joint imaging whole body (78306) |
$1,978.99 |
$5,654.25 |
4.9× |
| Bone age studies (77072) |
$163.49 |
$467.10 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$2,335.55 |
$6,673 |
5.8× |
| Bone survey complete (77075) |
$519.75 |
$1,485 |
4.9× |
| Brain image w/flow 4 + views (78606) |
$1,242.05 |
$3,548.70 |
2.3× |
| Brain Imaging Minimum 4 Static Views (78605) |
$952.88 |
$2,722.50 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$513.10 |
$1,466 |
5.9× |
| Chest 1 view (71045) |
$442.05 |
$1,263 |
5.1× |
| Chest 3 views (71047) |
$232.05 |
$663 |
2.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$986.30 |
$2,818 |
5.6× |
| Clavicle complete (73000) |
$397.26 |
$1,135.04 |
4.5× |
| Corpora cavernosography (74445) |
$115.92 |
$331.20 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,050.85 |
$14,431 |
14.4× |
| CT abdomen and pelvis without contrast (74176) |
$4,700.85 |
$13,431 |
19.6× |
| CT abdomen w contrast (74160) |
$4,032.40 |
$11,521.12 |
22.9× |
| CT abdomen w wo contrast (74170) |
$4,556.65 |
$13,019 |
25.9× |
| CT abdomen w/o contrast (74150) |
$2,339.05 |
$6,683 |
22.3× |
| CT angio hrt w/3d image (75574) |
$1,619.80 |
$4,628 |
4.6× |
| CT angiography upper extremity lt (73206) |
$3,546.82 |
$10,133.75 |
20.1× |
| CT c-spine w/o contrast (72125) |
$3,200.40 |
$9,144 |
30.5× |
| CT cervical spine w&w/o contrast (72127) |
$4,864.65 |
$13,899 |
27.6× |
| CT cervical spine with contrast (72126) |
$4,160.45 |
$11,887 |
11.9× |
| CT chest w/wo contrast (71270) |
$4,399.50 |
$12,570 |
25.0× |
| CT chest with contrast (71260) |
$3,760.40 |
$10,744 |
21.3× |
| CT head/brain with contrast (70460) |
$3,462.20 |
$9,892 |
19.6× |
| CT head/brain without and with contrast (70470) |
$4,055.45 |
$11,587 |
23.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$291.90 |
$834 |
3.3× |
| CT hrt w/3d image congen (75573) |
$923.30 |
$2,638 |
2.6× |
| CT iac w contrast (70481) |
$1,533.70 |
$4,382 |
8.7× |
| CT lower ext w/o (73700) |
$1,890.70 |
$5,402 |
18.0× |
| CT lower extremity w wo contrast (73702) |
$2,855.30 |
$8,158 |
16.2× |
| CT lower extremity with contrast (73701) |
$2,439.15 |
$6,969 |
13.8× |
| CT lumbar spine w & w/o contrast (72133) |
$5,881.05 |
$16,803 |
33.4× |
| CT lumbar spine w/o contrast (72131) |
$3,818.85 |
$10,911 |
36.4× |
| CT lumbar spine with contrast (72132) |
$5,002.90 |
$14,294 |
14.3× |
| CT maxillofacial w contrast (70487) |
$2,685.55 |
$7,673 |
15.2× |
| CT maxillofacial w/o contrast (70486) |
$2,256.63 |
$6,447.50 |
21.5× |
| CT maxillofacial w/wo contrast (70488) |
$3,249.75 |
$9,285 |
18.4× |
| CT neck soft tissue w contrast (70491) |
$2,452.79 |
$7,007.97 |
13.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,789.20 |
$5,112 |
10.2× |
| CT orbits w/o contrast (70480) |
$1,345.05 |
$3,843 |
12.8× |
| CT pelvis w & w/o contrast (72194) |
$5,436.55 |
$15,533 |
30.9× |
| CT pelvis w/o contrast (72192) |
$2,846.25 |
$8,132.12 |
27.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,943.50 |
$8,410 |
16.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,986.95 |
$5,677 |
18.9× |
| CT thoracic spine w/contrast (72129) |
$4,767.35 |
$13,621 |
27.1× |
| CT thoracic spine w/o contrast (72128) |
$3,639.30 |
$10,398 |
34.7× |
| CT thoracic spine w/wo contrast (72130) |
$5,604.55 |
$16,013 |
31.8× |
| CT thorax w/o contrast (71250) |
$2,970.80 |
$8,488 |
28.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,132.20 |
$6,092 |
12.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,375.55 |
$3,930.12 |
13.1× |
| CT upper extremity with contrast (73201) |
$1,719.55 |
$4,913 |
4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,346.12 |
$6,703.20 |
13.3× |
| Cta Abdomen (74175) |
$3,294.90 |
$9,414 |
18.7× |
| CTA abdomen pelvis (74174) |
$4,118.80 |
$11,768 |
11.8× |
| CTA chest (71275) |
$2,754.15 |
$7,869 |
15.6× |
| Cta Head (70496) |
$3,731.08 |
$10,660.22 |
21.2× |
| CTA lwr ext w&w/o contrast (73706) |
$3,286.16 |
$9,389.01 |
18.7× |
| Cta Neck (70498) |
$3,731.08 |
$10,660.22 |
21.2× |
| Cta Pelvis (72191) |
$727.97 |
$2,079.90 |
4.1× |
| Cystography minimum 3 views rs&i (74430) |
$354.13 |
$1,011.80 |
1.0× |
| Diskogram cervical (72285) |
$969.89 |
$2,771.10 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$405.30 |
$1,158 |
3.9× |
| Dxa bone density study axial skeleton (77085) |
$182.35 |
$521 |
1.7× |
| Esophagus (74220) |
$887.95 |
$2,537 |
5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$362.25 |
$1,035 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$484.74 |
$1,384.95 |
2.0× |
| Foot 2 views (73620) |
$515.55 |
$1,473 |
5.9× |
| Forearm 2 views (73090) |
$473.52 |
$1,352.92 |
5.4× |
| Gated Heart Planar Single (78472) |
$523.53 |
$1,495.80 |
1.3× |
| Hand 2 views (73120) |
$347.90 |
$994 |
3.3× |
| Hand 3 views (73130) |
$535.15 |
$1,529 |
6.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,064.35 |
$3,041 |
0.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,864.45 |
$5,327 |
3.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,752.80 |
$5,008 |
4.4× |
| Ht muscle image spect sing (78451) |
$4,421.90 |
$12,634 |
3.4× |
| Humerus Min 2 Views Left (73060) |
$445.58 |
$1,273.07 |
5.1× |
| Hysterosalpingogram (74740) |
$501.20 |
$1,432 |
2.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,595.65 |
$4,559 |
2.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,286.62 |
$3,676.05 |
2.4× |
| Knee 3 views (73562) |
$595.35 |
$1,701 |
6.8× |
| Liver & spleen imaging static only (78215) |
$445.22 |
$1,272.03 |
1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$957.60 |
$2,736 |
2.4× |
| Lung perf&ventilat diferentl (78598) |
$779.63 |
$2,227.50 |
1.4× |
| Lung perfusion differential (78597) |
$721.98 |
$2,062.80 |
1.8× |
| Lung Ventilation Imaging (78579) |
$569.45 |
$1,627 |
1.4× |
| Lymphoscintigraphy (78195) |
$1,315.65 |
$3,759 |
2.4× |
| Mammary ductogram or galactogram multiple (77054) |
$669.06 |
$1,911.60 |
2.8× |
| Mammary ductogram or galactogram single (77053) |
$319.10 |
$911.70 |
1.3× |
| Meckels Diverticulum (78290) |
$586.85 |
$1,676.70 |
1.5× |
| Mr safety determination physician/other qhp (76016) |
$92.40 |
$264 |
1.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$62.30 |
$178 |
1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$25.55 |
$73 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$96.25 |
$275 |
1.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$218.75 |
$625 |
0.9× |
| MRA head w & w/o contrast (70546) |
$2,331 |
$6,660 |
6.7× |
| MRA head w/o contrast (70544) |
$1,523.48 |
$4,352.78 |
6.4× |
| MRA head with contrast (70545) |
$1,599.85 |
$4,571 |
4.6× |
| MRA neck w contrast (70548) |
$3,743.60 |
$10,696 |
10.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,254.20 |
$15,012 |
15.0× |
| MRA neck w/o contrast (70547) |
$3,283.70 |
$9,381.98 |
13.7× |
| MRI abdomen w contrast (74182) |
$4,442.55 |
$12,693 |
12.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,935.96 |
$14,102.75 |
14.1× |
| MRI abdomen w/o contrast (74181) |
$2,863 |
$8,180 |
11.9× |
| MRI any jnt lwr ext with con lt (73722) |
$5,275.90 |
$15,074 |
6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,163.55 |
$14,753 |
6.6× |
| MRI bone marrow blood supply (77084) |
$995.40 |
$2,844 |
4.2× |
| MRI c-spine with contrast (72142) |
$4,857.65 |
$13,879 |
13.9× |
| MRI cervical spine w/o contrast (72141) |
$3,492.65 |
$9,979 |
14.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,904.49 |
$5,441.40 |
5.4× |
| MRI chest w/o contrast (71550) |
$1,717.07 |
$4,905.90 |
7.2× |
| MRI chest with contrast (71551) |
$1,337.81 |
$3,822.30 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,532.72 |
$10,093.50 |
10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,064.72 |
$11,613.50 |
11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,513.35 |
$7,181 |
10.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,463.42 |
$4,181.19 |
6.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,321.94 |
$6,634.12 |
6.6× |
| MRI orbit/face/neck w/contrast (70542) |
$908.15 |
$2,594.70 |
2.6× |
| MRI pelvis w contrast (72196) |
$3,948.70 |
$11,282 |
11.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,935.96 |
$14,102.75 |
14.1× |
| MRI pelvis w/o contrast (72195) |
$3,356.50 |
$9,590 |
14.0× |
| MRI scan of arm joint before and after contrast (73223) |
$6,378.75 |
$18,225 |
18.2× |
| MRI scan of leg joint before and after contrast (73723) |
$5,673.15 |
$16,209 |
16.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,597.90 |
$15,994 |
16.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,100.25 |
$11,715 |
11.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,822.30 |
$13,778 |
13.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,443.65 |
$9,839 |
9.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,041.45 |
$11,547 |
11.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,391.20 |
$6,832 |
10.0× |
| MRI tmj (70336) |
$714.06 |
$2,040.15 |
3.0× |
| MRI upper ext joint w/o contrast (73221) |
$4,105.50 |
$11,730 |
17.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,355.50 |
$6,730 |
6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,925.12 |
$8,357.50 |
12.2× |
| Myelogram Cervical (72240) |
$985.32 |
$2,815.20 |
1.3× |
| Myelogram Lumbar (72265) |
$1,036.67 |
$2,961.90 |
1.3× |
| Myelogram thoracic (72255) |
$518.18 |
$1,480.50 |
0.7× |
| Myelography 2 or more regions (72270) |
$1,209.29 |
$3,455.10 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$5,327.35 |
$15,221 |
4.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,381.44 |
$3,946.95 |
1.6× |
| Neck soft tissue (70360) |
$347.55 |
$993 |
4.0× |
| Nm bone marrow wb (78104) |
$761.36 |
$2,175.30 |
1.9× |
| Nm cisternogram (78630) |
$773.01 |
$2,208.60 |
1.4× |
| Nm gastric emptying study (78264) |
$1,699.25 |
$4,855 |
4.2× |
| Nm peritoneal-venous shunt patency (78291) |
$641.66 |
$1,833.30 |
1.6× |
| Nm red cell sequestration (78140) |
$288.54 |
$824.40 |
0.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$5,327.35 |
$15,221 |
4.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,421.90 |
$12,634 |
3.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,531.25 |
$4,375 |
3.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$841.37 |
$2,403.90 |
2.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,361.75 |
$3,890.70 |
3.4× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$699.30 |
$1,998 |
1.3× |
| Parathyrd planar w/spect&CT (78072) |
$1,261.58 |
$3,604.50 |
2.3× |
| Parathyrd planar w/wo subtrj (78071) |
$889.93 |
$2,542.65 |
2.2× |
| Parathyroid imaging (78070) |
$547 |
$1,562.85 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$457.46 |
$1,307.01 |
4.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,795.05 |
$10,843 |
10.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$720.67 |
$2,059.05 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,009.05 |
$2,883 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$345.17 |
$986.20 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$482.30 |
$1,378 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$586.50 |
$1,675.69 |
5.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$471.28 |
$1,346.50 |
5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$470.92 |
$1,345.50 |
4.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$532.35 |
$1,521 |
6.1× |
| Radiologic exam colon single contrast study (74270) |
$872.55 |
$2,493 |
5.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,054.20 |
$3,012 |
6.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$446.42 |
$1,275.48 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$479.81 |
$1,370.88 |
5.5× |
| Radiological examination surgical specimen (76098) |
$580.30 |
$1,658 |
1.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$316.58 |
$904.50 |
0.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,239.53 |
$3,541.50 |
0.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$769.86 |
$2,199.60 |
1.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,279.53 |
$3,655.80 |
2.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,697.22 |
$4,849.20 |
3.1× |
| Rp Therapy Intravenous Administration (79101) |
$1,040.13 |
$2,971.80 |
4.4× |
| Sacroiliac Joints < 3 Views (72200) |
$420.35 |
$1,201 |
4.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,240.75 |
$3,545 |
5.2× |
| Salivary gland imaging (78230) |
$641.66 |
$1,833.30 |
1.6× |
| Scapula complete (73010) |
$222.66 |
$636.15 |
2.1× |
| Sella turcica (70240) |
$63.32 |
$180.90 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$138.66 |
$396.15 |
1.3× |
| Sialogram (70390) |
$349.34 |
$998.10 |
1.5× |
| Small bowel series (74250) |
$770.70 |
$2,202 |
4.4× |
| Spine thoracic 3 views (72072) |
$744.86 |
$2,128.17 |
7.1× |
| Spleen imaging only (78185) |
$541.17 |
$1,546.20 |
1.3× |
| Splenoportograpy rs&i (75810) |
$1,340.33 |
$3,829.50 |
0.4× |
| Superior sagittal sinus venogram (75870) |
$1,064.35 |
$3,041 |
0.3× |
| Testicular Imaging With Vascular Flow (78761) |
$916.65 |
$2,619 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$568.40 |
$1,624 |
1.4× |
| Thyroid uptake measurement (78012) |
$308.07 |
$880.20 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,159.61 |
$3,313.15 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,622.57 |
$4,635.90 |
3.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$465.26 |
$1,329.30 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$926.45 |
$2,647 |
8.8× |
| Unlisted fluoroscopic procedure (76496) |
$185.54 |
$530.10 |
2.1× |
| Unlisted Ultrasound Procedure (76999) |
$105 |
$300 |
1.2× |
| Upper Extremity Infant (73092) |
$41.27 |
$117.90 |
0.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$826.25 |
$2,360.70 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$567.88 |
$1,622.50 |
2.4× |
| Urethrocystography voiding (74455) |
$467.78 |
$1,336.50 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$850.85 |
$2,431 |
4.8× |
| Us abdl aorta screen aaa (76706) |
$274.37 |
$783.90 |
2.6× |
| Us breast unilateral complete (76641) |
$1,157.10 |
$3,306 |
11.0× |
| Us breast unilateral limited (76642) |
$917.52 |
$2,621.50 |
10.5× |
| Us chest (76604) |
$530.67 |
$1,516.20 |
5.1× |
| Us ob transvaginal (76817) |
$668.50 |
$1,910 |
6.4× |
| Us pelvic non ob complete (76856) |
$1,041.43 |
$2,975.50 |
9.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$489.65 |
$1,399 |
4.7× |
| Us pregnancy ltd (76815) |
$581.70 |
$1,662 |
5.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$938.28 |
$2,680.80 |
8.9× |
| Us retroperitoneal complete (76770) |
$1,183.26 |
$3,380.75 |
11.3× |
| Us retroperitoneal limited (76775) |
$473.55 |
$1,353 |
4.5× |
| Us scrotum and contents (76870) |
$908.17 |
$2,594.75 |
8.6× |
| Us soft tissue head/neck (76536) |
$1,026.16 |
$2,931.89 |
9.8× |
| Us transrectal (76872) |
$1,034.15 |
$2,954.70 |
9.8× |
| Us xtr non-vasc lmtd (76882) |
$980.54 |
$2,801.52 |
9.3× |
| Vascular flow imaging (78445) |
$630 |
$1,800 |
1.6× |
| Venogram extremity bilateral (75822) |
$899.50 |
$2,570 |
0.6× |
| Venogram orbital (75880) |
$316.58 |
$904.50 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$3,491.33 |
$9,975.21 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$1,115.73 |
$3,187.80 |
0.7× |
| Venography epidural rs&i (75872) |
$430.29 |
$1,229.40 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$719.42 |
$2,055.46 |
0.5× |
| Venography Renal Bilateral (75833) |
$1,411.83 |
$4,033.80 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$2,034.59 |
$5,813.10 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,064.35 |
$3,041 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$109.31 |
$312.30 |
1.3× |
| Wrist 2 views (73100) |
$442.05 |
$1,263 |
5.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$568.75 |
$1,625 |
5.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$249.17 |
$711.90 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$614.95 |
$1,757 |
7.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,710.45 |
$4,887 |
9.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$471.80 |
$1,348 |
5.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$535.99 |
$1,531.38 |
6.1× |
| X-ray exam hip uni 1 view (73501) |
$387.10 |
$1,106 |
4.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$560.70 |
$1,602 |
6.4× |
| X-ray exam hip uni 4/> views (73503) |
$706.65 |
$2,019 |
6.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$633.85 |
$1,811 |
6.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$729.05 |
$2,083 |
6.9× |
| X-ray exam of femur 1 (73551) |
$393.75 |
$1,125 |
4.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,303.70 |
$6,582 |
13.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$488.10 |
$1,394.56 |
4.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$136.40 |
$389.70 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$620.90 |
$1,774 |
7.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$589.37 |
$1,683.90 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$356.46 |
$1,018.44 |
4.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$684.95 |
$1,957 |
6.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$583.45 |
$1,667 |
6.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$167.58 |
$478.80 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$714 |
$2,040 |
6.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,093.75 |
$3,125 |
10.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$169.16 |
$483.30 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$95.45 |
$272.70 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$148.68 |
$424.80 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$690.90 |
$1,974 |
6.6× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$563.24 |
$1,609.25 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,772.09 |
$5,063.10 |
5.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$566.30 |
$1,618 |
5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$889 |
$2,540 |
8.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$494.55 |
$1,413 |
4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$411.95 |
$1,177 |
4.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$634.90 |
$1,814 |
7.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$783.22 |
$2,237.75 |
9.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$66.73 |
$190.65 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$458.15 |
$1,309 |
4.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$234.43 |
$669.80 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$314.65 |
$899 |
3.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$142.89 |
$408.25 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$221.26 |
$632.15 |
2.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$424.90 |
$1,214 |
4.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$278.25 |
$795 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$539 |
$1,540 |
6.2× |
| Xr arthrogram ankle (73615) |
$372.65 |
$1,064.70 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$811.30 |
$2,318 |
7.7× |
| Xr chest 4+ views (71048) |
$747.95 |
$2,137 |
7.1× |
| Xr finger(s) 2+ views (73140) |
$388.50 |
$1,110 |
4.4× |
| Xr shoulder 1 view (73020) |
$355.60 |
$1,016 |
4.1× |
| Xr spine cervical 4 or 5 views (72050) |
$693.35 |
$1,981 |
6.6× |
| Xr tibia/fibula 2 views (73590) |
$583.96 |
$1,668.45 |
6.7× |
| Xr tmj bilateral (70330) |
$493.15 |
$1,409 |
5.6× |
| Xray knee 1 or 2 views rt (73560) |
$494.20 |
$1,412 |
5.7× |