| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,436.80 |
$4,296 |
2.6× |
| Abdomen 2 views (74019) |
$540 |
$675 |
5.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,468.80 |
$1,836 |
3.8× |
| Angiography extremity bilateral rs&i (75716) |
$6,888 |
$8,610 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$6,888 |
$8,610 |
2.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$10,367.20 |
$12,959 |
1.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,888 |
$8,610 |
2.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,888 |
$8,610 |
2.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,345.60 |
$6,682 |
1.8× |
| Ankle 2 views (73600) |
$447.20 |
$559 |
5.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$871.20 |
$1,089 |
2.6× |
| Aortogram thoracic (75605) |
$10,367.20 |
$12,959 |
1.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,888 |
$8,610 |
2.3× |
| Aortography abdominal serialography rs&i (75625) |
$6,888 |
$8,610 |
2.3× |
| Arthrogram elbow (73085) |
$725.60 |
$907 |
2.2× |
| Arthrogram hip (73525) |
$951.20 |
$1,189 |
2.8× |
| Arthrogram shoulder (73040) |
$1,803.20 |
$2,254 |
5.4× |
| Arthrogram wrist (73115) |
$704.80 |
$881 |
2.1× |
| Arthrography knee lt (73580) |
$828.80 |
$1,036 |
2.5× |
| Basic radiation dosimetry calculation (77300) |
$447.20 |
$559 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,099.20 |
$1,374 |
2.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,260 |
$1,575 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$2,665.60 |
$3,332 |
6.9× |
| Bone age studies (77072) |
$273.60 |
$342 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$2,545.60 |
$3,182 |
6.6× |
| Bone Marrow Imaging Limited Area (78102) |
$1,031.20 |
$1,289 |
2.7× |
| Bone survey complete (77075) |
$1,080.80 |
$1,351 |
10.7× |
| Brain image w/flow 4 + views (78606) |
$1,007.20 |
$1,259 |
1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,318.40 |
$1,648 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$560 |
$700 |
6.7× |
| Chest 1 view (71045) |
$486.40 |
$608 |
5.8× |
| Chest 3 views (71047) |
$467.20 |
$584 |
5.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,114.40 |
$1,393 |
6.6× |
| Clavicle complete (73000) |
$524 |
$655 |
6.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,336 |
$1,670 |
13.3× |
| Continuing medical physics consltj pr wk (77336) |
$534.40 |
$668 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,183.20 |
$8,979 |
21.4× |
| CT abdomen and pelvis without contrast (74176) |
$4,910.40 |
$6,138 |
21.4× |
| CT abdomen w contrast (74160) |
$3,392.80 |
$4,241 |
20.1× |
| CT abdomen w wo contrast (74170) |
$4,542.40 |
$5,678 |
26.9× |
| CT abdomen w/o contrast (74150) |
$3,371.20 |
$4,214 |
33.5× |
| CT angio hrt w/3d image (75574) |
$3,584 |
$4,480 |
10.7× |
| CT angiography upper extremity lt (73206) |
$2,548.80 |
$3,186 |
15.1× |
| CT c-spine w/o contrast (72125) |
$3,291.20 |
$4,114 |
32.7× |
| CT cervical spine w&w/o contrast (72127) |
$4,135.20 |
$5,169 |
24.5× |
| CT cervical spine with contrast (72126) |
$3,530.40 |
$4,413 |
10.5× |
| CT chest w/wo contrast (71270) |
$4,356.80 |
$5,446 |
25.8× |
| CT chest with contrast (71260) |
$3,214.40 |
$4,018 |
19.1× |
| CT head/brain with contrast (70460) |
$2,647.20 |
$3,309 |
15.7× |
| CT head/brain without and with contrast (70470) |
$4,084 |
$5,105 |
24.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$998.40 |
$1,248 |
3.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,092 |
$1,365 |
13.0× |
| CT iac w contrast (70481) |
$2,653.60 |
$3,317 |
15.7× |
| CT limited/localized follow up study (76380) |
$940.80 |
$1,176 |
11.2× |
| CT lower ext w/o (73700) |
$2,836.80 |
$3,546 |
28.2× |
| CT lower extremity w wo contrast (73702) |
$3,396 |
$4,245 |
20.1× |
| CT lower extremity with contrast (73701) |
$3,144.80 |
$3,931 |
18.6× |
| CT lumbar spine w & w/o contrast (72133) |
$3,966.40 |
$4,958 |
23.5× |
| CT lumbar spine w/o contrast (72131) |
$3,282.40 |
$4,103 |
32.6× |
| CT lumbar spine with contrast (72132) |
$3,825.60 |
$4,782 |
11.4× |
| CT maxillofacial w contrast (70487) |
$3,583.20 |
$4,479 |
21.2× |
| CT maxillofacial w/o contrast (70486) |
$2,776 |
$3,470 |
27.6× |
| CT maxillofacial w/wo contrast (70488) |
$4,084.80 |
$5,106 |
24.2× |
| CT neck soft tissue w contrast (70491) |
$3,179.20 |
$3,974 |
18.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,207.20 |
$4,009 |
19.0× |
| CT orbits w/o contrast (70480) |
$2,387.20 |
$2,984 |
23.7× |
| CT pelvis w & w/o contrast (72194) |
$3,607.20 |
$4,509 |
21.4× |
| CT pelvis w/o contrast (72192) |
$2,495.20 |
$3,119 |
24.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,828 |
$4,785 |
22.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,032.80 |
$2,541 |
20.2× |
| CT thoracic spine w/contrast (72129) |
$3,460 |
$4,325 |
20.5× |
| CT thoracic spine w/o contrast (72128) |
$2,914.40 |
$3,643 |
29.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,336 |
$4,170 |
19.8× |
| CT thorax w/o contrast (71250) |
$2,889.60 |
$3,612 |
28.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,942.40 |
$3,678 |
17.4× |
| CT upper extremity w/o contrast rt (73200) |
$2,583.20 |
$3,229 |
25.7× |
| CT upper extremity with contrast (73201) |
$2,759.20 |
$3,449 |
8.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,062.40 |
$5,078 |
24.1× |
| Cta Abdomen (74175) |
$3,514.40 |
$4,393 |
20.8× |
| CTA abdomen pelvis (74174) |
$4,057.60 |
$5,072 |
12.1× |
| CTA chest (71275) |
$3,772 |
$4,715 |
22.4× |
| Cta Head (70496) |
$2,840.80 |
$3,551 |
16.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,085.60 |
$1,357 |
6.4× |
| Cta Neck (70498) |
$2,764 |
$3,455 |
16.4× |
| Cta Pelvis (72191) |
$2,531.20 |
$3,164 |
15.0× |
| Cystography minimum 3 views rs&i (74430) |
$912 |
$1,140 |
2.7× |
| Diskography lumbar (72295) |
$3,643.20 |
$4,554 |
1.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$698.40 |
$873 |
6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$223.20 |
$279 |
2.7× |
| Echoencephalography real time imaging (76506) |
$442.40 |
$553 |
4.4× |
| Esophagus (74220) |
$917.60 |
$1,147 |
5.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$633.60 |
$792 |
6.3× |
| Fluoroscopy up to 1 hr (76000) |
$985.60 |
$1,232 |
4.3× |
| Foot 2 views (73620) |
$440 |
$550 |
5.3× |
| Forearm 2 views (73090) |
$524 |
$655 |
6.3× |
| Gated Heart Planar Single (78472) |
$2,423.20 |
$3,029 |
6.3× |
| Hand 2 views (73120) |
$441.60 |
$552 |
4.4× |
| Hand 3 views (73130) |
$575.20 |
$719 |
6.9× |
| Heart Infarct Image (78466) |
$856.80 |
$1,071 |
2.2× |
| Heart infarct image w ef (78468) |
$1,020 |
$1,275 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,002.40 |
$3,753 |
5.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,292.80 |
$2,866 |
6.0× |
| Ht muscle image spect sing (78451) |
$2,827.20 |
$3,534 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$541.60 |
$677 |
6.5× |
| Hysterosalpingogram (74740) |
$772.80 |
$966 |
3.4× |
| Image fusion (77399) |
$294.40 |
$368 |
2.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$247.20 |
$309 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,197.60 |
$2,747 |
4.2× |
| Knee 3 views (73562) |
$668 |
$835 |
8.0× |
| Lung perf&ventilat diferentl (78598) |
$1,556.80 |
$1,946 |
3.0× |
| Lung perfusion differential (78597) |
$2,108 |
$2,635 |
5.5× |
| Lymphoscintigraphy (78195) |
$2,120.80 |
$2,651 |
4.1× |
| Meckels Diverticulum (78290) |
$1,100.80 |
$1,376 |
2.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,136 |
$1,420 |
3.2× |
| MRA head w & w/o contrast (70546) |
$3,789.60 |
$4,737 |
11.3× |
| MRA head w/o contrast (70544) |
$2,968.80 |
$3,711 |
12.9× |
| MRA neck w contrast (70548) |
$3,232 |
$4,040 |
9.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,152.80 |
$3,941 |
9.4× |
| MRA neck w/o contrast (70547) |
$2,741.60 |
$3,427 |
11.9× |
| MRI abdomen w contrast (74182) |
$3,835.20 |
$4,794 |
11.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,296.80 |
$6,621 |
15.8× |
| MRI abdomen w/o contrast (74181) |
$3,328.80 |
$4,161 |
14.5× |
| MRI any jnt lwr ext with con lt (73722) |
$3,902.40 |
$4,878 |
5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,656 |
$4,570 |
4.8× |
| MRI cardiac w/o contrast (75557) |
$1,318.40 |
$1,648 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$3,950.40 |
$4,938 |
17.2× |
| MRI chest w/o & w/contrast material (71552) |
$3,533.60 |
$4,417 |
10.5× |
| MRI chest w/o contrast (71550) |
$2,908.80 |
$3,636 |
12.7× |
| MRI chest with contrast (71551) |
$3,136 |
$3,920 |
4.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,013.60 |
$3,767 |
9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,236.80 |
$4,046 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,296.80 |
$4,121 |
14.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,078.40 |
$3,848 |
13.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,764 |
$5,955 |
14.2× |
| MRI pelvis w contrast (72196) |
$3,336.80 |
$4,171 |
9.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,971.20 |
$6,214 |
14.8× |
| MRI pelvis w/o contrast (72195) |
$2,932 |
$3,665 |
12.8× |
| MRI scan of arm joint before and after contrast (73223) |
$4,131.20 |
$5,164 |
12.3× |
| MRI scan of leg joint before and after contrast (73723) |
$4,761.60 |
$5,952 |
14.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,170.40 |
$6,463 |
15.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,404 |
$5,505 |
13.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,604 |
$7,005 |
16.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,584.80 |
$6,981 |
16.6× |
| MRI thoracic spine w/o contrast (72146) |
$3,904 |
$4,880 |
17.0× |
| MRI tmj (70336) |
$2,125.60 |
$2,657 |
9.3× |
| MRI upper ext joint w/o contrast (73221) |
$3,773.60 |
$4,717 |
16.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,947.20 |
$4,934 |
11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,244.80 |
$4,056 |
14.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$4,325.60 |
$5,407 |
3.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,931.20 |
$6,164 |
4.0× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,940 |
$3,675 |
3.6× |
| Neck soft tissue (70360) |
$450.40 |
$563 |
5.4× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$1,260 |
$1,575 |
3.4× |
| Nm bone marrow multiple (78103) |
$904 |
$1,130 |
2.4× |
| Nm bone marrow wb (78104) |
$1,222.40 |
$1,528 |
3.2× |
| Nm cisternogram (78630) |
$2,171.20 |
$2,714 |
4.2× |
| Nm gastric emptying study (78264) |
$2,548 |
$3,185 |
6.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,488 |
$4,360 |
2.6× |
| Nuclear Rx Oral Admin (79005) |
$1,568 |
$1,960 |
7.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$592.80 |
$741 |
5.9× |
| Osseous survey infant (77076) |
$323.20 |
$404 |
3.2× |
| Osseous survey limited (77074) |
$445.60 |
$557 |
4.4× |
| Parathyrd planar w/wo subtrj (78071) |
$1,523.20 |
$1,904 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$544.80 |
$681 |
5.4× |
| Perineogram (74775) |
$664 |
$830 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$6,814.40 |
$8,518 |
5.0× |
| PET imaging for CT attenuation whole body (78816) |
$7,224 |
$9,030 |
5.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,871.20 |
$4,839 |
11.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,686.40 |
$2,108 |
4.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,924 |
$2,405 |
3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,040.80 |
$1,301 |
2.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$172 |
$215 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$564.80 |
$706 |
5.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$559.20 |
$699 |
5.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$312 |
$390 |
3.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$20,264.80 |
$25,331 |
2.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,136 |
$1,420 |
2.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$940 |
$1,175 |
9.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$804 |
$1,005 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$644.80 |
$806 |
6.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$498.40 |
$623 |
6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$599.20 |
$749 |
6.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$346.80 |
$433.50 |
4.1× |
| Radiologic exam colon single contrast study (74270) |
$1,116 |
$1,395 |
6.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,022.40 |
$1,278 |
6.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$989.60 |
$1,237 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$648 |
$810 |
7.7× |
| Radiological examination surgical specimen (76098) |
$1,164 |
$1,455 |
2.2× |
| Ribs bilateral 3 views (71110) |
$688 |
$860 |
6.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,984 |
$3,730 |
5.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,068.80 |
$3,836 |
5.9× |
| Rp Therapy Intravenous Administration (79101) |
$980 |
$1,225 |
4.4× |
| Sacroiliac Joints < 3 Views (72200) |
$319.20 |
$399 |
3.2× |
| Scanogram (77073) |
$321.60 |
$402 |
3.2× |
| Scapula complete (73010) |
$438.40 |
$548 |
4.4× |
| Screening digital breast tomosynthesis (77063) |
$181.60 |
$227 |
7.8× |
| Sella turcica (70240) |
$183.20 |
$229 |
2.2× |
| Simulation intermediate (77285) |
$1,314.40 |
$1,643 |
3.6× |
| Small bowel series (74250) |
$1,079.20 |
$1,349 |
6.4× |
| Spec medical radj physics consltj (77370) |
$562.40 |
$703 |
4.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,120 |
$2,650 |
5.9× |
| Special dosimetry (77331) |
$390.40 |
$488 |
3.0× |
| Special treatment procedure (77470) |
$1,848 |
$2,310 |
3.5× |
| Spine thoracic 3 views (72072) |
$655.20 |
$819 |
6.5× |
| Spleen imaging only (78185) |
$2,622.40 |
$3,278 |
6.8× |
| Stereotactic body radiation delivery (77373) |
$4,280 |
$5,350 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,120 |
$2,650 |
5.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,120 |
$2,650 |
5.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,629.60 |
$2,037 |
4.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$875.20 |
$1,094 |
6.8× |
| Thoracolumbar 2 views (72080) |
$445.60 |
$557 |
5.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,932 |
$2,415 |
3.7× |
| Thyroid uptake measurement (78012) |
$1,052.80 |
$1,316 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,688.80 |
$2,111 |
4.4× |
| Tmj unilateral (70328) |
$201.60 |
$252 |
2.4× |
| Tomogram (76100) |
$338.40 |
$423 |
3.4× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$1,217.60 |
$1,522 |
14.5× |
| Treatment device intermediate (77333) |
$975.20 |
$1,219 |
7.5× |
| Treatment devices simple (77332) |
$1,004 |
$1,255 |
7.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,704 |
$4,630 |
7.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,512 |
$1,890 |
3.9× |
| Tx devices design & construction complex (77334) |
$1,116.80 |
$1,396 |
3.1× |
| Ultrasound, abdomen limited (76705) |
$1,034.40 |
$1,293 |
10.3× |
| Umbilical-artery Doppler (OB) (76820) |
$296.80 |
$371 |
3.0× |
| Unlisted magnetic resonance procedure (76498) |
$1,672.80 |
$2,091 |
20.0× |
| Unlisted Ultrasound Procedure (76999) |
$420 |
$525 |
5.0× |
| Upper Extremity Infant (73092) |
$247.20 |
$309 |
2.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$904 |
$1,130 |
2.4× |
| Urethrocystography retrograde rs&i (74450) |
$789.60 |
$987 |
3.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$971.20 |
$1,214 |
5.8× |
| Us abdl aorta screen aaa (76706) |
$452.80 |
$566 |
4.5× |
| Us breast unilateral complete (76641) |
$674.40 |
$843 |
6.7× |
| Us breast unilateral limited (76642) |
$602.40 |
$753 |
7.2× |
| Us chest (76604) |
$752 |
$940 |
7.5× |
| Us compl joint r-t w/image documentation (76881) |
$820.80 |
$1,026 |
8.2× |
| Us elastography parenchyma (76981) |
$280 |
$350 |
2.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$396.80 |
$496 |
3.9× |
| Us guided compression repair (76936) |
$964 |
$1,205 |
4.6× |
| Us infant hips dynamic (76885) |
$449.60 |
$562 |
5.4× |
| Us kidney transplant (76776) |
$884.80 |
$1,106 |
8.8× |
| Us ob transvaginal (76817) |
$715.20 |
$894 |
7.1× |
| Us pelvic non ob complete (76856) |
$1,148.80 |
$1,436 |
11.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$637.60 |
$797 |
6.3× |
| Us pregnancy ltd (76815) |
$588.40 |
$735.50 |
5.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$920.80 |
$1,151 |
9.2× |
| Us retroperitoneal complete (76770) |
$674.40 |
$843 |
6.7× |
| Us retroperitoneal limited (76775) |
$651.20 |
$814 |
6.5× |
| Us scrotum and contents (76870) |
$1,129.60 |
$1,412 |
11.2× |
| Us soft tissue head/neck (76536) |
$1,075.20 |
$1,344 |
10.7× |
| Us spinal canal and contents (76800) |
$385.60 |
$482 |
3.8× |
| Us transrectal (76872) |
$309.60 |
$387 |
3.1× |
| Us xtr non-vasc lmtd (76882) |
$599.20 |
$749 |
6.0× |
| Venogram extremity bilateral (75822) |
$3,440 |
$4,300 |
2.3× |
| Venography caval inferior serialography rs&i (75825) |
$6,888 |
$8,610 |
2.3× |
| Venography caval superior serialography rs&i (75827) |
$3,158.40 |
$3,948 |
2.1× |
| Venography extremity unilateral rs&i (75820) |
$3,440 |
$4,300 |
2.3× |
| Venography renal unilateral selective rs&i (75831) |
$6,013.60 |
$7,517 |
2.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,888 |
$8,610 |
2.3× |
| Wrist 2 views (73100) |
$492.80 |
$616 |
5.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$775.20 |
$969 |
7.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$308.80 |
$386 |
3.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$610.40 |
$763 |
7.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,517.60 |
$1,897 |
9.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$508.80 |
$636 |
6.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$546.40 |
$683 |
6.5× |
| X-ray exam hip uni 1 view (73501) |
$380.80 |
$476 |
4.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$492.80 |
$616 |
5.9× |
| X-ray exam hip uni 4/> views (73503) |
$231.20 |
$289 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$231.20 |
$289 |
2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$418.40 |
$523 |
4.2× |
| X-ray exam of femur 1 (73551) |
$446.40 |
$558 |
5.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,247.20 |
$1,559 |
7.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$728 |
$910 |
7.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$360.80 |
$451 |
4.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$648.80 |
$811 |
7.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$499.20 |
$624 |
6.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,136 |
$1,420 |
6.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$428 |
$535 |
5.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$816.80 |
$1,021 |
8.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$296 |
$370 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$216.80 |
$271 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$584.80 |
$731 |
5.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$852 |
$1,065 |
8.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$445.60 |
$557 |
5.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$222.40 |
$278 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$532.80 |
$666 |
5.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$238.40 |
$298 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,316 |
$1,645 |
3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$549.60 |
$687 |
6.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$693.60 |
$867 |
6.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$860 |
$1,075 |
8.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$452 |
$565 |
4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$463.20 |
$579 |
5.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$659.20 |
$824 |
7.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$781.60 |
$977 |
9.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$312 |
$390 |
3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$671.20 |
$839 |
6.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$399.20 |
$499 |
4.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$388.80 |
$486 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$253.60 |
$317 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$405.60 |
$507 |
4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$635.20 |
$794 |
6.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$450.40 |
$563 |
5.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$574.40 |
$718 |
6.9× |
| Xr c-spine 6 or more views (72052) |
$762.40 |
$953 |
7.6× |
| Xr chest 4+ views (71048) |
$516 |
$645 |
5.1× |
| Xr Cholecystography Oral Contrast (74290) |
$459.20 |
$574 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$464.80 |
$581 |
5.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$235.20 |
$294 |
2.3× |
| Xr optic foramina (70190) |
$183.20 |
$229 |
2.2× |
| Xr shoulder 1 view (73020) |
$476 |
$595 |
5.7× |
| Xr spine cervical 4 or 5 views (72050) |
$780.80 |
$976 |
7.8× |
| Xr tibia/fibula 2 views (73590) |
$580 |
$725 |
6.9× |
| Xr tmj bilateral (70330) |
$359.20 |
$449 |
4.3× |
| Xray knee 1 or 2 views rt (73560) |
$493.60 |
$617 |
5.9× |