| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,422.48 |
$10,309 |
5.0× |
| Abdomen 1 View (74018) |
$424.08 |
$589 |
4.5× |
| Abdomen 2 views (74019) |
$527.04 |
$732 |
4.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,540.08 |
$2,139 |
3.6× |
| Angiography extremity bilateral rs&i (75716) |
$6,798.24 |
$9,442 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$6,292.80 |
$8,740 |
1.9× |
| Ankle 2 views (73600) |
$488.16 |
$678 |
5.2× |
| Aortography thoracic serialography rs&i (75605) |
$11,676.24 |
$16,217 |
2.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,798.24 |
$9,442 |
2.0× |
| Artery X-Rays Abdomen (75726) |
$11,676.24 |
$16,217 |
2.0× |
| Artery X-Rays Pelvis (75736) |
$11,676.24 |
$16,217 |
2.0× |
| Arthrogram ankle (73615) |
$996.48 |
$1,384 |
2.7× |
| Arthrogram hip (73525) |
$1,303.92 |
$1,811 |
3.5× |
| Arthrogram Wrist (73115) |
$1,530 |
$2,125 |
4.1× |
| Basic radiation dosimetry calculation (77300) |
$740.16 |
$1,028 |
5.1× |
| Bone age studies (77072) |
$781.20 |
$1,085 |
7.0× |
| Bone Imaging 3 Phase (78315) |
$1,746.72 |
$2,426 |
4.1× |
| Bone Imaging Limited Area (78300) |
$976.32 |
$1,356 |
2.3× |
| Bone Imaging Multiple Areas (78305) |
$1,116 |
$1,550 |
2.6× |
| Bone Imaging Whole Body (78306) |
$1,654.56 |
$2,298 |
3.9× |
| Bone marrow imaging; whole body (78104) |
$1,187.28 |
$1,649 |
2.8× |
| Bone survey infant (77076) |
$710.64 |
$987 |
6.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,838.16 |
$2,553 |
3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,219.84 |
$4,472 |
2.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,436.40 |
$1,995 |
3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,065.60 |
$1,480 |
1.8× |
| Cerebrospinal Fluid Scan (78630) |
$1,832.40 |
$2,545 |
3.1× |
| Chest 1 view (71045) |
$431.28 |
$599 |
4.6× |
| Chest 2 views (71046) |
$503.28 |
$699 |
5.4× |
| Chest 3 views (71047) |
$524.16 |
$728 |
5.6× |
| Chest 4 or more views (71048) |
$629.28 |
$874 |
5.6× |
| Clavicle complete (73000) |
$466.56 |
$648 |
5.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$199.44 |
$277 |
1.8× |
| Continuing medical physics consltj pr wk (77336) |
$726.48 |
$1,009 |
5.0× |
| Contrast Exam Abdominl Aorta (75625) |
$6,356.88 |
$8,829 |
1.9× |
| Contrast X-Ray Bladder (74430) |
$1,153.44 |
$1,602 |
3.1× |
| Contrast X-Ray Of Elbow (73085) |
$781.20 |
$1,085 |
2.1× |
| Contrast X-Ray Of Knee Joint (73580) |
$1,530 |
$2,125 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,182.72 |
$9,976 |
19.2× |
| CT abdomen and pelvis without contrast (74176) |
$4,957.92 |
$6,886 |
19.4× |
| CT abdomen w contrast (74160) |
$3,484.80 |
$4,840 |
18.5× |
| CT abdomen w wo contrast (74170) |
$3,874.32 |
$5,381 |
20.6× |
| CT abdomen w/o contrast (74150) |
$2,831.04 |
$3,932 |
25.3× |
| CT Angio Abdomen and Pelvis (74174) |
$7,108.56 |
$9,873 |
19.0× |
| CT Angio Chest (71275) |
$3,940.56 |
$5,473 |
21.0× |
| CT Angio Head (70496) |
$3,876.48 |
$5,384 |
20.6× |
| CT angio hrt w/3d image (75574) |
$3,279.60 |
$4,555 |
8.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,648.88 |
$3,679 |
14.1× |
| CT Angio Neck (70498) |
$3,100.32 |
$4,306 |
16.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,518.56 |
$3,498 |
13.4× |
| CT cervical spine w/ contrast (72126) |
$4,158.72 |
$5,776 |
11.1× |
| CT cervical spine w/o contrast (72125) |
$3,345.84 |
$4,647 |
29.9× |
| CT cervical spine w/wo cont (72127) |
$5,198.40 |
$7,220 |
27.7× |
| CT chest w contrast (71260) |
$3,209.76 |
$4,458 |
17.1× |
| CT chest w/wo contrast (71270) |
$3,525.84 |
$4,897 |
18.8× |
| CT head/brain with contrast (70460) |
$2,407.68 |
$3,344 |
12.8× |
| CT head/brain without and with contrast (70470) |
$3,117.60 |
$4,330 |
16.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,322 |
$3,225 |
6.2× |
| CT iac w contrast (70481) |
$2,594.16 |
$3,603 |
13.8× |
| CT l-spine w&w/o contrast (72133) |
$5,317.92 |
$7,386 |
28.3× |
| CT lower ext w/o (73700) |
$2,728.08 |
$3,789 |
24.4× |
| CT lower extremity w/contrast material (73701) |
$3,409.92 |
$4,736 |
18.1× |
| CT lumbar spine w contrast (72132) |
$4,254.48 |
$5,909 |
11.4× |
| CT lumbar spine w/o contrast (72131) |
$3,403.44 |
$4,727 |
30.4× |
| CT maxillofacial w contrast (70487) |
$2,783.52 |
$3,866 |
14.8× |
| CT maxillofacial wo contrast (70486) |
$2,476.08 |
$3,439 |
22.1× |
| CT neck tissue combo (70492) |
$2,530.08 |
$3,514 |
13.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,981.52 |
$4,141 |
15.9× |
| CT orbits w/o contrast (70480) |
$2,587.68 |
$3,594 |
23.1× |
| CT pelvis w&w/o contrast (72194) |
$3,420 |
$4,750 |
18.2× |
| CT pelvis w/o contrast (72192) |
$2,728.08 |
$3,789 |
24.4× |
| CT scan of leg combo (73702) |
$4,262.40 |
$5,920 |
22.7× |
| CT scans face/jaw combo (70488) |
$3,470.40 |
$4,820 |
18.5× |
| CT soft tissue neck w contrast (70491) |
$2,317.68 |
$3,219 |
12.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,221.20 |
$3,085 |
19.8× |
| CT thoracic spine w contrast (72129) |
$4,157.28 |
$5,774 |
22.1× |
| CT thoracic spine w/o contrast (72128) |
$3,325.68 |
$4,619 |
29.7× |
| CT thoracic spine w/wo cont (72130) |
$5,196.96 |
$7,218 |
27.6× |
| CT thorax w/o contrast (71250) |
$2,765.52 |
$3,841 |
24.7× |
| CT upper ext wo (73200) |
$2,728.08 |
$3,789 |
24.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,262.40 |
$5,920 |
22.7× |
| CT upper extremity with contrast (73201) |
$3,409.92 |
$4,736 |
9.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,264.48 |
$4,534 |
17.4× |
| Cta Abdomen (74175) |
$4,507.20 |
$6,260 |
24.0× |
| CTA pelvis (72191) |
$3,107.52 |
$4,316 |
16.5× |
| Discography Cerv/Thor Spine (72285) |
$4,217.76 |
$5,858 |
2.0× |
| Diskography lumbar (72295) |
$4,217.76 |
$5,858 |
2.0× |
| Dxa Bone Density Axial (77080) |
$636.48 |
$884 |
5.7× |
| Echo exam of fetal heart (76825) |
$1,783.44 |
$2,477 |
3.0× |
| Echo exam uterus (76831) |
$908.64 |
$1,262 |
3.6× |
| Esophagram (74220) |
$940.32 |
$1,306 |
5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$865.44 |
$1,202 |
7.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) |
$522 |
$725 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$668.88 |
$929 |
2.6× |
| Follow-Up Angiography (75898) |
$6,798.24 |
$9,442 |
2.0× |
| Foot 2 views (73620) |
$514.80 |
$715 |
5.5× |
| Forearm 2 views (73090) |
$497.52 |
$691 |
5.3× |
| Gastric emptying imaging study (78264) |
$2,036.88 |
$2,829 |
4.8× |
| Gastroesophageal Reflux Exam (78262) |
$988.56 |
$1,373 |
2.3× |
| Gated Heart Planar Single (78472) |
$1,652.40 |
$2,295 |
3.9× |
| Hand 2 views (73120) |
$466.56 |
$648 |
4.2× |
| Hepatobil Syst Image W/Drug (78227) |
$1,789.92 |
$2,486 |
3.1× |
| Hepatobiliary System Imaging (78226) |
$1,169.28 |
$1,624 |
2.7× |
| Ht Muscle Image Spect Sing (78451) |
$3,090.24 |
$4,292 |
2.2× |
| Hysterosalpingogram (74740) |
$1,673.28 |
$2,324 |
6.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$221.04 |
$307 |
2.4× |
| Infant hip ultrasound, limited static exam (76886) |
$221.04 |
$307 |
2.4× |
| Infusion Ivp (74410) |
$1,442.16 |
$2,003 |
7.7× |
| K Flow/Funct Image W/Drug (78708) |
$1,512 |
$2,100 |
2.6× |
| K Flow/Funct Image W/O Drug (78707) |
$1,512 |
$2,100 |
2.6× |
| Knee 3 Views (73562) |
$618.48 |
$859 |
6.6× |
| Liver & Spleen Imaging Static Only (78215) |
$1,278.72 |
$1,776 |
3.0× |
| Lung perfusion differential (78597) |
$1,595.52 |
$2,216 |
3.7× |
| Lymph System Imaging (78195) |
$1,645.20 |
$2,285 |
2.8× |
| Magnetic Image Jaw Joint (70336) |
$5,060.88 |
$7,029 |
19.8× |
| Mammary ductogram or galactogram multiple (77054) |
$924.48 |
$1,284 |
3.6× |
| Mammary ductogram or galactogram single (77053) |
$913.68 |
$1,269 |
3.6× |
| Meckels Divert Exam (78290) |
$1,240.56 |
$1,723 |
2.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,810.08 |
$2,514 |
4.5× |
| Mr safety determination physician/other qhp (76016) |
$190.08 |
$264 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$52.56 |
$73 |
1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$198 |
$275 |
1.9× |
| Mr safety implt pos&/immoblj (76019) |
$128.16 |
$178 |
2.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$522 |
$725 |
2.0× |
| Mra Head W/O & W/Contrast Material (70546) |
$6,034.32 |
$8,381 |
16.1× |
| MRA head w/o contrast (70544) |
$3,862.08 |
$5,364 |
15.1× |
| MRA head with contrast (70545) |
$4,827.60 |
$6,705 |
12.9× |
| MRA neck w contrast (70548) |
$4,827.60 |
$6,705 |
12.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$6,034.32 |
$8,381 |
16.1× |
| MRA neck w/o contrast (70547) |
$3,862.08 |
$5,364 |
15.1× |
| MRI abdomen w contrast (74182) |
$4,037.04 |
$5,607 |
10.8× |
| MRI abdomen w/o contrast (74181) |
$3,751.20 |
$5,210 |
14.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,858.48 |
$5,359 |
4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,202 |
$7,225 |
13.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,539.60 |
$6,305 |
5.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,877.20 |
$5,385 |
15.2× |
| MRI cervical spine w contrast (72142) |
$4,255.20 |
$5,910 |
11.4× |
| MRI cervical spine w/o cont (72141) |
$3,898.80 |
$5,415 |
15.2× |
| MRI chest w/o contrast (71550) |
$3,751.20 |
$5,210 |
14.7× |
| MRI chest with contrast (71551) |
$4,043.52 |
$5,616 |
4.8× |
| MRI chest wo w contrast (71552) |
$5,253.12 |
$7,296 |
14.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,127.04 |
$5,732 |
11.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,253.12 |
$7,296 |
14.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,928.32 |
$5,456 |
15.4× |
| MRI lumbar spine w contrast (72149) |
$4,544.64 |
$6,312 |
12.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$6,391.44 |
$8,877 |
17.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,696.48 |
$5,134 |
14.5× |
| MRI orbit face neck w contrast (70542) |
$3,862.08 |
$5,364 |
10.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$5,178.24 |
$7,192 |
13.9× |
| MRI pelvis w contrast (72196) |
$3,911.76 |
$5,433 |
10.5× |
| MRI pelvis w/o & w contrast (72197) |
$5,647.68 |
$7,844 |
15.1× |
| MRI pelvis w/o contrast (72195) |
$3,842.64 |
$5,337 |
15.0× |
| MRI thoracic spine w/o contrast (72146) |
$4,047.84 |
$5,622 |
15.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$4,133.52 |
$5,741 |
11.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,757.68 |
$5,219 |
14.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$5,592.96 |
$7,768 |
15.0× |
| MRI, abdomen, combo (74183) |
$5,299.92 |
$7,361 |
14.2× |
| MRI, dorsal spine combo (72157) |
$6,492.96 |
$9,018 |
17.4× |
| MRI, dorsal spine contrast (72147) |
$4,287.60 |
$5,955 |
11.5× |
| MRI, joint upper extrem (73221) |
$3,751.20 |
$5,210 |
14.7× |
| MRI, joint upper extrem combo (73223) |
$5,253.12 |
$7,296 |
14.1× |
| MRI, lumbar spine combo (72158) |
$6,309.36 |
$8,763 |
16.9× |
| Myocardial Spect Multiple Studies (78452) |
$5,095.44 |
$7,077 |
3.7× |
| N-invas est c ffr sw aly CTA (75580) |
$4,030.56 |
$5,598 |
4.4× |
| Neck soft tissue (70360) |
$370.80 |
$515 |
4.0× |
| Nm csf leak detection (78650) |
$2,819.52 |
$3,916 |
2.0× |
| Nonvascular Shunt X-Ray (75809) |
$1,682.64 |
$2,337 |
15.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,810.48 |
$9,459 |
4.6× |
| Nuclear Rx Oral Admin (79005) |
$3,352.32 |
$4,656 |
13.4× |
| Parathyroid Planar Imaging (78070) |
$1,247.04 |
$1,732 |
2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,676.88 |
$2,329 |
3.9× |
| Pelvis 1 or 2 views (72170) |
$565.20 |
$785 |
5.0× |
| Peritoneogram Rs&I (74190) |
$1,184.40 |
$1,645 |
2.0× |
| Pet Image W/Ct Lmtd (78814) |
$5,434.56 |
$7,548 |
3.5× |
| PET image w/CT, full body (78816) |
$6,604.56 |
$9,173 |
4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$5,556.24 |
$7,717 |
3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,061.28 |
$1,474 |
2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$658.80 |
$915 |
5.9× |
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines |
$1,184.40–$1,275.84 |
$1,645–$1,772 |
varies |
| Radex Ankle Complete Minimum 3 Views (73610) |
$593.28 |
$824 |
6.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$488.88 |
$679 |
5.2× |
| Radex elbow complete minimum 3 views (73080) |
$514.80 |
$715 |
5.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$747.36 |
$1,038 |
6.7× |
| Radex fingr minimum 2 views (73140) |
$466.56 |
$648 |
5.0× |
| Radex foot complete minimum 3 views (73630) |
$558.72 |
$776 |
6.0× |
| Radex Hand Minimum 3 Views (73130) |
$565.20 |
$785 |
6.1× |
| Radex lower extremity infant minimum 2 views (73592) |
$785.52 |
$1,091 |
8.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$252.72 |
$351 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$528.48 |
$734 |
5.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$518.40 |
$720 |
5.6× |
| Radex shoulder complete minimum 2 views (73030) |
$589.68 |
$819 |
6.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$466.56 |
$648 |
5.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$892.80 |
$1,240 |
4.7× |
| Radex Spine 1 View Specify Level (72020) |
$473.04 |
$657 |
5.1× |
| Radex Sternum Minimum 2 Views (71120) |
$556.56 |
$773 |
6.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$192.96 |
$268 |
2.1× |
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines |
$466.56–$648 |
$648 |
varies |
| Radex upper extremity infant minimum 2 views (73092) |
$529.92 |
$736 |
4.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$578.16 |
$803 |
6.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$229.68 |
$319 |
2.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$18,288.72 |
$25,401 |
2.3× |
| Radiation treatment delivery level 3 (77412) |
$1,010.16 |
$1,403 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$529.92 |
$736 |
4.7× |
| Radiologic exam colon double contrast study (74280) |
$1,390.32 |
$1,931 |
7.4× |
| Radiologic exam colon single contrast study (74270) |
$958.32 |
$1,331 |
5.1× |
| Radiologic exam knee complete 4/more views (73564) |
$634.32 |
$881 |
5.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$587.52 |
$816 |
5.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$784.08 |
$1,089 |
4.2× |
| Radiologic exam swallow function contrast study (74230) |
$606.96 |
$843 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$917.28 |
$1,274 |
4.9× |
| Radiologic examination femur 1 view (73551) |
$460.08 |
$639 |
4.9× |
| Radiologic examination femur minimum 2 views (73552) |
$567.36 |
$788 |
6.1× |
| Radiologic examination knee 1/2 views (73560) |
$558.72 |
$776 |
6.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$569.52 |
$791 |
6.1× |
| Ribs bilateral 3 views (71110) |
$574.56 |
$798 |
5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,828.08 |
$2,539 |
4.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,267.28 |
$3,149 |
5.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$2,894.40 |
$4,020 |
5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,894.40 |
$4,020 |
5.0× |
| Rp Therapy Intravenous Administration (79101) |
$1,307.52 |
$1,816 |
5.2× |
| Scapula (73010) |
$561.60 |
$780 |
5.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$142.56 |
$198 |
6.1× |
| Shoulder 1 view (73020) |
$466.56 |
$648 |
5.0× |
| Shoulder Arthrography (73040) |
$1,440 |
$2,000 |
3.9× |
| Skull less than 4 views (70250) |
$529.92 |
$736 |
4.7× |
| Special Physics Consult (77370) |
$876.24 |
$1,217 |
6.1× |
| Special treatment procedure (77470) |
$2,427.84 |
$3,372 |
4.1× |
| Stereotactic Body Radiation Delivery (77373) |
$6,750.72 |
$9,376 |
3.5× |
| Sternoclavicular joints (71130) |
$466.56 |
$648 |
5.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,846.08 |
$2,564 |
4.6× |
| Testicular Imaging W/Flow (78761) |
$948.24 |
$1,317 |
2.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,004.48 |
$2,784 |
5.0× |
| Thoracic spine 2 views (72070) |
$540.72 |
$751 |
4.8× |
| Thoracic spine 3 views (72072) |
$725.76 |
$1,008 |
6.5× |
| Thoracolumbar 2 views (72080) |
$198 |
$275 |
2.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$867.60 |
$1,205 |
2.0× |
| Thyroid Uptake Measurement (78012) |
$867.60 |
$1,205 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,029.60 |
$1,430 |
2.4× |
| Tx Devices Design & Construction Complex (77334) |
$1,833.12 |
$2,546 |
4.6× |
| Ultrasound Breast Limited (76642) |
$660.24 |
$917 |
7.1× |
| Ultrasound Elastography Parenchyma (76981) |
$229.68 |
$319 |
2.1× |
| Ultrasound Exam Aaa Screen (76706) |
$676.80 |
$940 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$1,051.20 |
$1,460 |
9.4× |
| Umbilical-artery Doppler (OB) (76820) |
$405.36 |
$563 |
3.6× |
| Upper gi w/o kub (74240) |
$953.28 |
$1,324 |
5.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) |
$388.80 |
$540 |
35.2× |
| Urethrocystogram voiding (74455) |
$1,094.40 |
$1,520 |
4.3× |
| Urethrocystography retrograde (74450) |
$1,442.16 |
$2,003 |
5.6× |
| Us breast unilateral complete (76641) |
$897.84 |
$1,247 |
8.0× |
| Us chest (76604) |
$619.20 |
$860 |
5.5× |
| Us complete joint (76881) |
$979.20 |
$1,360 |
8.7× |
| Us exam, pelvic, limited (76857) |
$407.52 |
$566 |
3.6× |
| Us head (76506) |
$385.20 |
$535 |
3.4× |
| Us kidney transplant (76776) |
$1,146.24 |
$1,592 |
10.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$682.56 |
$948 |
6.1× |
| Us ob detailed single fetus (76811) |
$1,157.04 |
$1,607 |
4.5× |
| Us ob limited 1 or more fetuses (76815) |
$698.40 |
$970 |
6.2× |
| Us ob transvaginal (76817) |
$532.80 |
$740 |
4.8× |
| Us pelvic non ob complete (76856) |
$1,140.48 |
$1,584 |
10.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$843.12 |
$1,171 |
7.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$1,110.24 |
$1,542 |
9.9× |
| Us retroperitoneal complete (76770) |
$1,203.12 |
$1,671 |
10.7× |
| Us retroperitoneal limited (76775) |
$1,102.32 |
$1,531 |
9.8× |
| Us scrotum and contents (76870) |
$966.24 |
$1,342 |
8.6× |
| Us spinal canal and contents (76800) |
$851.76 |
$1,183 |
7.6× |
| Us thyroid (76536) |
$894.96 |
$1,243 |
8.0× |
| Vein X-Ray Chest (75827) |
$3,355.20 |
$4,660 |
2.0× |
| Venogram Sinus/Jugular (75860) |
$6,798.24 |
$9,442 |
2.0× |
| Venography caval inferior serialography rs&i (75825) |
$6,372.72 |
$8,851 |
1.9× |
| Venography extremity bilateral rs&i (75822) |
$3,142.08 |
$4,364 |
1.9× |
| Venography extremity unilateral rs&i (75820) |
$3,074.40 |
$4,270 |
1.8× |
| Venography Renal Bilateral (75833) |
$6,798.24 |
$9,442 |
2.0× |
| Venography Renal Unilateral (75831) |
$6,798.24 |
$9,442 |
2.0× |
| Venous thrombosis imaging (78457) |
$1,162.80 |
$1,615 |
2.0× |
| Wrist 2 views (73100) |
$483.12 |
$671 |
5.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$632.88 |
$879 |
6.8× |
| X-ray antegrade pyelogram tube (74425) |
$771.12 |
$1,071 |
2.1× |
| X-Ray Aorta Leg Arteries (75630) |
$6,798.24 |
$9,442 |
2.0× |
| X-Ray Bend Only L-S Spine (72120) |
$810.72 |
$1,126 |
7.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$490.32 |
$681 |
5.3× |
| X-Ray Exam Breast Specimen (76098) |
$1,029.60 |
$1,430 |
1.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$601.92 |
$836 |
6.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$923.76 |
$1,283 |
8.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$993.60 |
$1,380 |
8.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$352.80 |
$490 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$478.80 |
$665 |
5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$478.80 |
$665 |
4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$601.20 |
$835 |
5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$864 |
$1,200 |
7.7× |
| X-Ray Exam L-S Spine Bending (72114) |
$974.88 |
$1,354 |
8.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$582.48 |
$809 |
6.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$967.68 |
$1,344 |
8.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$568.08 |
$789 |
5.1× |
| X-ray eye for foreign body (70030) |
$310.32 |
$431 |
3.3× |
| X-ray humerus (73060) |
$565.20 |
$785 |
6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$529.92 |
$736 |
5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$515.52 |
$716 |
5.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$601.92 |
$836 |
5.4× |
| X-ray nose-rectum child f.b. (76010) |
$403.20 |
$560 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$678.24 |
$942 |
6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$565.20 |
$785 |
5.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$519.12 |
$721 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$563.04 |
$782 |
6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$714.24 |
$992 |
7.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$822.24 |
$1,142 |
7.3× |
| X-Ray Stress View (77071) |
$810.72 |
$1,126 |
8.7× |
| X-ray thoracic spine 4 vw (72074) |
$810.72 |
$1,126 |
7.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,094.40 |
$1,520 |
2.9× |
| X-Rays Bone Length Studies (77073) |
$352.80 |
$490 |
3.1× |
| X-Rays Bone Survey Complete (77075) |
$974.88 |
$1,354 |
8.7× |
| Xr c-spine 4 or 5 views (72050) |
$897.12 |
$1,246 |
8.0× |
| Xr facial bones less than 3 views (70140) |
$480.24 |
$667 |
5.1× |
| Xr orbits complete 4 views (70200) |
$609.12 |
$846 |
5.4× |