| Abdomen 2 views (74019) |
$81.58 |
$411.88 |
0.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$642.68 |
$3,244.46 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$2,247.93 |
$11,469.04 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,247.93 |
$11,469.04 |
0.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,096.13 |
$20,678.54 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,374.09 |
$11,985.14 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,374.09 |
$11,985.14 |
0.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,096.13 |
$20,678.54 |
0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,374.09 |
$11,985.14 |
0.8× |
| Ankle 2 views (73600) |
$122.04 |
$610.19 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$134.10 |
$677.25 |
0.4× |
| Aortogram thoracic (75605) |
$4,096.13 |
$20,678.54 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,247.93 |
$11,469.04 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,247.93 |
$11,469.04 |
0.8× |
| Arthrogram elbow (73085) |
$156.68 |
$791.34 |
0.5× |
| Arthrogram hip (73525) |
$173.66 |
$877.04 |
0.5× |
| Arthrogram shoulder (73040) |
$319.71 |
$1,614.02 |
1.0× |
| Arthrogram wrist (73115) |
$156.68 |
$791.34 |
0.5× |
| Arthrography knee lt (73580) |
$328.13 |
$1,656.10 |
1.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$839.46 |
$4,237.86 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$875.57 |
$4,420.14 |
2.4× |
| Bone age studies (77072) |
$209.87 |
$1,059.24 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$497.43 |
$2,511.18 |
1.4× |
| Bone survey complete (77075) |
$453.90 |
$2,290.84 |
4.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$202.08 |
$1,020.62 |
0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,364.30 |
$6,960.70 |
1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$794.38 |
$4,012.05 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$130.72 |
$662.22 |
1.7× |
| Chest 1 view (71045) |
$53.90 |
$272.11 |
0.7× |
| Chest 3 views (71047) |
$81.58 |
$411.88 |
1.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$311.60 |
$1,573.07 |
2.0× |
| Clavicle complete (73000) |
$113.78 |
$576.43 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$58.68 |
$296.14 |
0.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,181.95 |
$16,059.84 |
10.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,366.20 |
$11,942.62 |
10.9× |
| CT abdomen w contrast (74160) |
$1,403.35 |
$7,082.93 |
8.8× |
| CT abdomen w wo contrast (74170) |
$1,727.07 |
$8,716.82 |
10.9× |
| CT abdomen w/o contrast (74150) |
$1,143.63 |
$5,772.08 |
12.1× |
| CT angio hrt w/3d image (75574) |
$1,805.62 |
$9,113.24 |
5.7× |
| CT angiography upper extremity lt (73206) |
$1,465.69 |
$7,397.57 |
9.2× |
| CT c-spine w/o contrast (72125) |
$1,260.61 |
$6,363.96 |
13.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,297.54 |
$6,550.36 |
8.2× |
| CT cervical spine with contrast (72126) |
$1,260.61 |
$6,363.96 |
4.0× |
| CT chest w/wo contrast (71270) |
$1,537.58 |
$7,760.42 |
9.7× |
| CT chest with contrast (71260) |
$1,398.36 |
$7,057.78 |
8.8× |
| CT head/brain with contrast (70460) |
$1,063.43 |
$5,368.51 |
6.7× |
| CT head/brain without and with contrast (70470) |
$1,480.52 |
$7,474.14 |
9.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$561.42 |
$2,833.59 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$37.62 |
$188.12 |
0.5× |
| CT hrt w/3d image congen (75573) |
$561.42 |
$2,833.59 |
1.8× |
| CT iac w contrast (70481) |
$962.40 |
$4,649.27 |
6.0× |
| CT limited/localized follow up study (76380) |
$568.90 |
$2,871.34 |
7.2× |
| CT lower ext w/o (73700) |
$949 |
$4,744.96 |
10.0× |
| CT lower extremity w wo contrast (73702) |
$1,408.34 |
$7,108.12 |
8.8× |
| CT lower extremity with contrast (73701) |
$1,131 |
$5,705.61 |
7.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,235.46 |
$6,235.60 |
7.8× |
| CT lumbar spine w/o contrast (72131) |
$1,383.40 |
$6,982.27 |
14.6× |
| CT lumbar spine with contrast (72132) |
$1,460.70 |
$7,372.40 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,062.22 |
$5,362.38 |
6.7× |
| CT maxillofacial w/o contrast (70486) |
$1,020.83 |
$5,153.47 |
10.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,122.26 |
$5,665.51 |
7.1× |
| CT neck soft tissue w contrast (70491) |
$1,087.36 |
$5,489.34 |
6.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,374.62 |
$6,939.52 |
8.6× |
| CT orbits w/o contrast (70480) |
$946.98 |
$4,780.66 |
10.0× |
| CT pelvis w & w/o contrast (72194) |
$1,454.46 |
$7,340.92 |
9.1× |
| CT pelvis w/o contrast (72192) |
$1,223 |
$6,172.66 |
12.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,565.32 |
$7,902.20 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,087.36 |
$5,489.34 |
11.5× |
| CT thoracic spine w/contrast (72129) |
$1,497.68 |
$7,559.06 |
9.4× |
| CT thoracic spine w/o contrast (72128) |
$1,216.34 |
$6,139.11 |
12.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,564.18 |
$7,894.64 |
9.8× |
| CT thorax w/o contrast (71250) |
$1,178.94 |
$5,950.32 |
12.4× |
| CT unlisted procedure (76497) |
$33.43 |
$168.80 |
0.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,004.41 |
$5,069.42 |
6.3× |
| CT upper extremity w/o contrast rt (73200) |
$839.85 |
$4,238.87 |
8.9× |
| CT upper extremity with contrast (73201) |
$881.82 |
$4,450.69 |
2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,916.56 |
$9,673.24 |
12.0× |
| Cta Abdomen (74175) |
$1,877.50 |
$9,476.09 |
11.8× |
| CTA abdomen pelvis (74174) |
$841.10 |
$4,245.15 |
2.7× |
| CTA chest (71275) |
$1,538.41 |
$7,764.60 |
9.7× |
| Cta Head (70496) |
$1,360.42 |
$6,867.84 |
8.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,465.69 |
$7,397.57 |
9.2× |
| Cta Neck (70498) |
$1,360.42 |
$6,867.84 |
8.5× |
| Cta Pelvis (72191) |
$1,421.22 |
$7,173.12 |
8.9× |
| Cystography minimum 3 views rs&i (74430) |
$349.74 |
$1,765.62 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$257.40 |
$1,313.25 |
2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$286.50 |
$1,445.96 |
3.6× |
| Esophagus (74220) |
$269.41 |
$1,360.07 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$324.58 |
$1,638.61 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$262.11 |
$1,323.20 |
1.2× |
| Foot 2 views (73620) |
$110.22 |
$558.37 |
1.4× |
| Forearm 2 views (73090) |
$118.84 |
$602.02 |
1.5× |
| Gated Heart Planar Single (78472) |
$955.10 |
$4,821.61 |
2.6× |
| Hand 2 views (73120) |
$101.60 |
$514.72 |
1.1× |
| Hand 3 views (73130) |
$112.30 |
$568.90 |
1.4× |
| Heart Infarct Image (78466) |
$665 |
$3,357.12 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$415.06 |
$2,095.39 |
0.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$415.06 |
$2,095.39 |
1.1× |
| Ht muscle image spect sing (78451) |
$1,229.78 |
$6,208.30 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$126.86 |
$642.65 |
1.6× |
| Hysterosalpingogram (74740) |
$105.50 |
$532.56 |
0.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$682.44 |
$3,445.18 |
1.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$671.90 |
$3,391.94 |
1.4× |
| Knee 3 views (73562) |
$144.09 |
$729.96 |
1.8× |
| Liver & spleen imaging static only (78215) |
$566.81 |
$2,861.43 |
1.6× |
| Liver imaging static only (78201) |
$451.34 |
$2,278.48 |
0.9× |
| Lung perf&ventilat diferentl (78598) |
$229.32 |
$1,158.15 |
0.5× |
| Lung perfusion differential (78597) |
$286.45 |
$1,446.09 |
0.8× |
| Lung Ventilation Imaging (78579) |
$272.80 |
$1,377.22 |
0.8× |
| Lymphoscintigraphy (78195) |
$428.46 |
$2,163 |
0.9× |
| Mammary ductogram or galactogram multiple (77054) |
$192.60 |
$972.76 |
0.9× |
| Mammary ductogram or galactogram single (77053) |
$192.60 |
$972.76 |
0.9× |
| Meckels Diverticulum (78290) |
$372.06 |
$1,878.25 |
1.0× |
| MRA head w & w/o contrast (70546) |
$842.04 |
$4,252.77 |
2.7× |
| MRA head w/o contrast (70544) |
$1,269.14 |
$6,406.98 |
5.9× |
| MRA head with contrast (70545) |
$1,467.92 |
$7,489.41 |
4.6× |
| MRA neck w contrast (70548) |
$1,305.66 |
$6,591.34 |
4.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,550.30 |
$7,826.44 |
4.9× |
| MRA neck w/o contrast (70547) |
$1,269.14 |
$6,406.98 |
5.9× |
| MRI abdomen w contrast (74182) |
$1,613.80 |
$8,146.92 |
5.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,653.37 |
$8,346.71 |
5.2× |
| MRI abdomen w/o contrast (74181) |
$1,585.60 |
$8,004.62 |
7.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,550.30 |
$7,826.44 |
2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,459.82 |
$7,369.66 |
2.1× |
| MRI breast w/o contrast bilateral (77047) |
$895.73 |
$4,521.94 |
4.1× |
| MRI c-spine with contrast (72142) |
$1,689.88 |
$8,531.04 |
5.3× |
| MRI cardiac w/o contrast (75557) |
$794.38 |
$4,012.05 |
3.7× |
| MRI cervical spine w/o contrast (72141) |
$1,635.11 |
$8,254.52 |
7.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,305.66 |
$6,591.34 |
4.1× |
| MRI chest w/o contrast (71550) |
$1,269.14 |
$6,406.98 |
5.9× |
| MRI chest with contrast (71551) |
$1,269.14 |
$6,406.98 |
1.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,403.84 |
$7,087.02 |
6.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,269.14 |
$6,406.98 |
5.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,467.92 |
$7,489.41 |
4.6× |
| MRI orbit/face/neck w/contrast (70542) |
$1,266.62 |
$6,462.34 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,585.60 |
$8,004.62 |
5.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,653.37 |
$8,346.71 |
5.2× |
| MRI pelvis w/o contrast (72195) |
$1,585.60 |
$8,004.62 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,490.66 |
$7,525.34 |
4.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,490.66 |
$7,525.34 |
4.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,738.16 |
$8,774.75 |
5.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,635.11 |
$8,254.52 |
5.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,331.35 |
$11,769.36 |
7.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,689.88 |
$8,531.04 |
5.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,041.65 |
$10,306.88 |
6.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,635.11 |
$8,254.52 |
7.6× |
| MRI tmj (70336) |
$1,337.70 |
$6,753.14 |
6.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,550.30 |
$7,826.44 |
7.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,824.18 |
$9,209.01 |
5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,403.84 |
$7,087.02 |
6.5× |
| Myelogram Lumbar (72265) |
$454.02 |
$2,292.03 |
0.6× |
| Myelography 2 or more regions (72270) |
$927.10 |
$4,680.28 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$2,293.20 |
$11,576.80 |
2.0× |
| Neck soft tissue (70360) |
$156.36 |
$797.74 |
2.0× |
| Nm gastric emptying study (78264) |
$646.34 |
$3,262.88 |
1.8× |
| Nm gastroesophageal reflux study (78262) |
$419.94 |
$2,119.98 |
1.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,245.56 |
$6,290.68 |
1.1× |
| Nuclear medicine of heart pumping function (78473) |
$321.08 |
$1,621.64 |
0.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$682.44 |
$3,445.18 |
1.9× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$217.07 |
$1,096.31 |
0.6× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$630.92 |
$3,185.10 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$65.67 |
$331.67 |
0.7× |
| Osseous survey infant (77076) |
$163.65 |
$825.96 |
1.7× |
| Parathyroid imaging (78070) |
$619.15 |
$3,125.67 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$115.57 |
$585.46 |
1.2× |
| PET image w/CT, skull-thigh (78815) |
$2,402.62 |
$12,258.26 |
1.9× |
| PET imaging CT for attenuation limited area (78814) |
$1,300.20 |
$6,566.70 |
1.0× |
| PET imaging for CT attenuation whole body (78816) |
$2,402.62 |
$12,258.26 |
1.9× |
| PET imaging limited area chest head/neck (78811) |
$1,300.20 |
$6,566.70 |
1.1× |
| PET whole body (78813) |
$1,300.20 |
$6,566.70 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,550.30 |
$7,826.44 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$606.16 |
$3,060.12 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$229.32 |
$1,158.15 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$373.28 |
$1,884.40 |
0.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$256.51 |
$1,294.62 |
2.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$48.96 |
$247.10 |
0.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$115.64 |
$589.99 |
1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$207.42 |
$1,046.86 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$217.82 |
$1,111.35 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$69.44 |
$350.54 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$103.06 |
$520.26 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$69.44 |
$350.54 |
0.9× |
| Radiologic exam colon single contrast study (74270) |
$393.56 |
$1,986.82 |
2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$143.44 |
$724.11 |
0.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$398.67 |
$1,993.33 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$142.48 |
$720.63 |
1.8× |
| Radiological examination surgical specimen (76098) |
$170.12 |
$858.81 |
0.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$946.17 |
$4,776.58 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$542.46 |
$2,738.52 |
1.1× |
| Sacroiliac Joints < 3 Views (72200) |
$141.23 |
$720.58 |
1.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$425.44 |
$2,147.74 |
2.0× |
| Salivary gland imaging (78230) |
$419.52 |
$2,117.88 |
1.2× |
| Scanogram (77073) |
$182.80 |
$922.62 |
1.9× |
| Scapula complete (73010) |
$151.36 |
$772.26 |
1.6× |
| Screening digital breast tomosynthesis (77063) |
$36.24 |
$184.90 |
1.6× |
| Sella turcica (70240) |
$116.60 |
$588.47 |
1.5× |
| Sialogram (70390) |
$174.98 |
$883.72 |
0.8× |
| Small bowel series (74250) |
$253.58 |
$1,280.18 |
1.6× |
| Speech evaluation complex (70371) |
$164.45 |
$830.55 |
0.8× |
| Spine thoracic 3 views (72072) |
$221.94 |
$1,120.18 |
2.3× |
| Tbs Technical Calculation Only (77091) |
$42.42 |
$216.45 |
0.5× |
| Testicular Imaging With Vascular Flow (78761) |
$431.29 |
$2,177.30 |
1.2× |
| Thoracolumbar 2 views (72080) |
$164.42 |
$838.90 |
2.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,136.05 |
$5,735.15 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$212.60 |
$1,073.30 |
0.6× |
| Thyroid uptake measurement (78012) |
$449.55 |
$2,269.47 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$899.11 |
$4,538.98 |
2.5× |
| Tomogram (76100) |
$327.30 |
$1,652.29 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$476.74 |
$2,406.73 |
5.0× |
| Unlisted fluoroscopic procedure (76496) |
$69.24 |
$349.54 |
0.9× |
| Upper Extremity Infant (73092) |
$116.60 |
$588.47 |
1.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$277.12 |
$1,398.98 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$91.06 |
$459.90 |
0.4× |
| Urethrocystography voiding (74455) |
$419.12 |
$2,115.88 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$487.70 |
$2,462.04 |
3.1× |
| Us abdl aorta screen aaa (76706) |
$93.52 |
$472.13 |
1.0× |
| Us breast unilateral complete (76641) |
$247.79 |
$1,264.24 |
2.6× |
| Us breast unilateral limited (76642) |
$207.24 |
$1,036.22 |
2.6× |
| Us chest (76604) |
$277.12 |
$1,398.98 |
2.9× |
| Us compl joint r-t w/image documentation (76881) |
$322.96 |
$1,630.43 |
3.4× |
| Us elastography parenchyma (76981) |
$71.56 |
$361.24 |
0.8× |
| Us ob detailed single fetus (76811) |
$410.61 |
$2,072.87 |
1.9× |
| Us ob transvaginal (76817) |
$277.12 |
$1,398.98 |
2.9× |
| Us pelvic non ob complete (76856) |
$222.34 |
$1,122.44 |
2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$237.36 |
$1,198.25 |
2.5× |
| Us pregnancy ltd (76815) |
$309.17 |
$1,560.79 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$410.61 |
$2,072.87 |
4.3× |
| Us retroperitoneal complete (76770) |
$391.05 |
$1,974.15 |
4.1× |
| Us retroperitoneal limited (76775) |
$361.11 |
$1,822.98 |
3.8× |
| Us scrotum and contents (76870) |
$393.96 |
$1,988.88 |
4.2× |
| Us soft tissue head/neck (76536) |
$369.62 |
$1,865.96 |
3.9× |
| Us transrectal (76872) |
$355.42 |
$1,794.28 |
3.7× |
| Us, eye b-scan (76512) |
$237.36 |
$1,198.25 |
2.5× |
| Venogram extremity bilateral (75822) |
$1,122.73 |
$5,728.23 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,374.09 |
$11,985.14 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,185.74 |
$5,986 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,122.73 |
$5,728.23 |
0.8× |
| Venography Renal Bilateral (75833) |
$2,374.09 |
$11,985.14 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,374.09 |
$11,985.14 |
0.8× |
| Vertebral fracture assessment via dxa (77086) |
$286.45 |
$1,446.09 |
3.6× |
| Wrist 2 views (73100) |
$79.38 |
$396.90 |
1.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$291.59 |
$1,487.71 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$149.45 |
$762.48 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$125.38 |
$635.14 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$432.52 |
$2,183.46 |
2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$139.53 |
$697.67 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$129.82 |
$657.70 |
1.6× |
| X-ray exam hip uni 1 view (73501) |
$138.66 |
$699.86 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$249.33 |
$1,272.08 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$48.96 |
$247.10 |
0.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$182.82 |
$922.72 |
1.9× |
| X-ray exam of femur 1 (73551) |
$137.83 |
$695.64 |
1.7× |
| X-ray eye for foreign body (70030) |
$91.30 |
$460.90 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$212.45 |
$1,083.92 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$178.64 |
$901.62 |
2.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$117.94 |
$597.50 |
1.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$133.68 |
$675.15 |
0.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$110.22 |
$558.37 |
1.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$242.22 |
$1,222.80 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$156.96 |
$800.83 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$156.56 |
$793.14 |
1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$147.14 |
$750.71 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$122.94 |
$627.23 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$208.22 |
$1,062.36 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$264.31 |
$1,348.52 |
2.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$254.33 |
$1,297.58 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$152.52 |
$778.14 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$94.54 |
$477.27 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$210.14 |
$1,072.15 |
2.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$159.39 |
$813.19 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$218.29 |
$1,101.98 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$200.92 |
$1,025.12 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$220.90 |
$1,127.06 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$246.25 |
$1,256.40 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$194 |
$989.82 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$148.29 |
$756.59 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$122.10 |
$618.58 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$210.91 |
$1,076.08 |
2.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$191.32 |
$976.10 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$232.42 |
$1,185.84 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$171.73 |
$876.17 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$93.74 |
$478.26 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$132.15 |
$674.26 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$246.25 |
$1,256.40 |
3.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$226.28 |
$1,154.49 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$217.82 |
$1,111.35 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$90.91 |
$460.54 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$158.28 |
$807.55 |
2.0× |
| Xr arthrogram ankle (73615) |
$156.68 |
$791.34 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$230.89 |
$1,178 |
2.4× |
| Xr chest 4+ views (71048) |
$103.06 |
$520.26 |
1.1× |
| Xr Cholecystography Oral Contrast (74290) |
$250.74 |
$1,265.81 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$80.81 |
$409.38 |
1.0× |
| Xr internal auditory meati complete (70134) |
$212.80 |
$1,073.98 |
0.4× |
| Xr optic foramina (70190) |
$145.74 |
$735.60 |
1.8× |
| Xr shoulder 1 view (73020) |
$95.96 |
$486.14 |
1.2× |
| Xr spine cervical 4 or 5 views (72050) |
$195.93 |
$999.65 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$130.42 |
$660.70 |
1.7× |
| Xr tmj bilateral (70330) |
$291.08 |
$1,469.06 |
3.7× |
| Xray knee 1 or 2 views rt (73560) |
$116.76 |
$591.48 |
1.5× |