| Acute gi blood loss imaging (78278) |
$1,561.50 |
$1,735 |
3.8× |
| Ankle 2 views (73600) |
$284.40 |
$316 |
3.2× |
| Brain imaging, minimum 4 static views; with vascular flow Age Under 21 (78606) |
$2,006.10 |
$2,229 |
3.6× |
| Brain imaging, positron emission tomography (PET); metabolic evaluation Age Under 21 (78608) |
$6,864.30 |
$7,627 |
4.7× |
| Clavicle complete (73000) |
$278.10 |
$309 |
3.1× |
| Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Age Under… (74261) |
$2,302.20 |
$2,558 |
21.6× |
| Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if… (74174) |
$3,951 |
$4,390 |
11.1× |
| Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and… (74175) |
$2,073.60 |
$2,304 |
11.6× |
| Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast… (75635) |
$2,844.90 |
$3,161 |
15.9× |
| Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if… (71275) |
$2,819.70 |
$3,133 |
15.7× |
| Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if… (73706) |
$2,626.65 |
$2,918.50 |
14.7× |
| Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and… (70498) |
$2,682.90 |
$2,981 |
15.0× |
| Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and… (72191) |
$1,980 |
$2,200 |
11.0× |
| Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if… (73206) |
$2,233.80 |
$2,482 |
12.5× |
| Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections… (72127) |
$2,790 |
$3,100 |
15.6× |
| Computed tomography, lower extremity; without contrast material Age Under 21 (73700) |
$1,687.50 |
$1,875 |
15.8× |
| Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections… (73702) |
$2,348.10 |
$2,609 |
13.1× |
| Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age… (72133) |
$2,520 |
$2,800 |
14.1× |
| Computed tomography, maxillofacial area; with contrast material(s) Age Under 21 (70487) |
$2,906.10 |
$3,229 |
16.2× |
| Computed tomography, maxillofacial area; without contrast material Age Under 21 (70486) |
$1,717.20 |
$1,908 |
16.1× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$3,084.30 |
$3,427 |
17.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age… (70480) |
$1,728 |
$1,920 |
16.2× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,… (70482) |
$1,632.60 |
$1,814 |
9.1× |
| Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections… (70492) |
$2,160 |
$2,400 |
12.1× |
| Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections… (72130) |
$3,060 |
$3,400 |
17.1× |
| Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further… (71270) |
$2,700 |
$3,000 |
15.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,393.80 |
$4,882 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,123.90 |
$3,471 |
12.8× |
| CT abdomen w & w/o contrast (74170) |
$2,529 |
$2,810 |
14.1× |
| CT abdomen w/contrast (74160) |
$1,951.20 |
$2,168 |
10.9× |
| CT abdomen w/o contrast (74150) |
$1,494 |
$1,660 |
14.0× |
| CT cervical spine w/contrast (72126) |
$2,265.30 |
$2,517 |
6.4× |
| CT cervical spine w/o contrast (72125) |
$2,070.90 |
$2,301 |
19.4× |
| CT chest w/contrast (71260) |
$2,452.50 |
$2,725 |
13.7× |
| CT extremity upper w & w/o contrast (73202) |
$1,957.50 |
$2,175 |
10.9× |
| CT extremity upper w/o contrast (73200) |
$1,368 |
$1,520 |
12.8× |
| CT head/brain with contrast (70460) |
$1,909.80 |
$2,122 |
10.7× |
| CT head/brain without and with contrast (70470) |
$2,174.40 |
$2,416 |
12.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,151.10 |
$1,279 |
12.9× |
| CT l-spine w/contrast (72132) |
$2,236.50 |
$2,485 |
6.3× |
| CT limited/localized follow up study (76380) |
$505.80 |
$562 |
5.7× |
| CT lower extremity w/dye (73701) |
$1,883.25 |
$2,092.50 |
10.5× |
| CT lumbar spine w/o contrast (72131) |
$2,025 |
$2,250 |
19.0× |
| CT maxillofacial w/wo contrast (70488) |
$3,410.10 |
$3,789 |
19.0× |
| CT neck w/contrast (70491) |
$1,927.80 |
$2,142 |
10.8× |
| CT neck w/o contrast (70490) |
$1,629.90 |
$1,811 |
15.3× |
| CT pelvis w & w/o contrast (72194) |
$2,340 |
$2,600 |
13.1× |
| CT pelvis w/o contrast (72192) |
$1,652.40 |
$1,836 |
15.5× |
| CT thoracic spine w/contrast (72129) |
$2,313.90 |
$2,571 |
12.9× |
| CT thoracic spine w/o contrast (72128) |
$2,122.20 |
$2,358 |
19.9× |
| CT thorax lung cancer scr c- (71271) |
$774 |
$860 |
7.2× |
| CT thorax w/o contrast (71250) |
$1,661.40 |
$1,846 |
15.6× |
| CT upper extremity w/dye (73201) |
$1,665 |
$1,850 |
4.7× |
| CTA head w contrast (70496) |
$2,461.50 |
$2,735 |
13.7× |
| Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)… (77080) |
$503.10 |
$559 |
4.7× |
| Dxa bone density/peripheral (77081) |
$275.40 |
$306 |
3.1× |
| Fetal biophys profile w/o nst (76819) |
$665.10 |
$739 |
6.2× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$673.20 |
$748 |
2.8× |
| Gated heart planar single (78472) |
$3,410.10 |
$3,789 |
8.3× |
| Heart infarct image (78466) |
$2,011.50 |
$2,235 |
4.9× |
| Hepatobil syst imag inc gb w/pharma intervenj (78227) |
$2,137.50 |
$2,375 |
3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,607.40 |
$1,786 |
3.9× |
| Ht muscle image spect sing (78451) |
$4,108.50 |
$4,565 |
3.1× |
| Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age Under 21 (78290) |
$1,665.90 |
$1,851 |
4.1× |
| Kidney imaging morphol - nm kidney cortex (78700) |
$1,849.50 |
$2,055 |
4.5× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$1,745.10 |
$1,939 |
3.1× |
| Liver and spleen imaging (78215) |
$2,150.10 |
$2,389 |
5.3× |
| Lung perfusion imaging (78580) |
$1,204.20 |
$1,338 |
2.9× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$3,994.20 |
$4,438 |
11.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21 (73719) |
$3,510 |
$3,900 |
9.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21 (73718) |
$2,475 |
$2,750 |
10.2× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$3,912.30 |
$4,347 |
11.0× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21 (70542) |
$2,342.70 |
$2,603 |
6.6× |
| Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21 (70540) |
$1,854 |
$2,060 |
7.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age Under 21 (73219) |
$3,780 |
$4,200 |
10.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$4,530.60 |
$5,034 |
12.7× |
| Magnetic resonance angiography, head; with contrast material(s) Age Under 21 (70545) |
$2,430 |
$2,700 |
6.8× |
| Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further… (70546) |
$3,150 |
$3,500 |
8.8× |
| Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further… (70549) |
$3,285.90 |
$3,651 |
9.2× |
| Mandible min 4v (70110) |
$329.40 |
$366 |
3.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$134.10 |
$149 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$45 |
$50 |
1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$206.10 |
$229 |
2.1× |
| MRA head w/o contrast (70544) |
$2,126.70 |
$2,363 |
8.7× |
| MRA neck w/ contrast (70548) |
$2,700 |
$3,000 |
7.6× |
| MRA neck w/o contrast (70547) |
$2,457.90 |
$2,731 |
10.1× |
| MRI abdomen w/contrast (74182) |
$4,096.80 |
$4,552 |
11.5× |
| MRI abdomen w/o contrast (74181) |
$3,510 |
$3,900 |
14.4× |
| MRI abdomen w/wo contrast (74183) |
$5,294.70 |
$5,883 |
14.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,080.60 |
$4,534 |
5.1× |
| MRI c-spine w&w/o cont (72156) |
$3,818.70 |
$4,243 |
10.7× |
| MRI cervical spine w/contrast (72142) |
$3,225.60 |
$3,584 |
9.0× |
| MRI chest w/contrast (71551) |
$2,835 |
$3,150 |
3.5× |
| MRI chest w/o contrast (71550) |
$2,025 |
$2,250 |
8.3× |
| MRI chest w/wo contrast (71552) |
$3,537 |
$3,930 |
9.9× |
| MRI joint upr extr w/o&w/dye (73223) |
$4,091.40 |
$4,546 |
11.5× |
| MRI joint upr extrem w/dye (73222) |
$3,510 |
$3,900 |
4.4× |
| MRI joint upr extrem w/o dye (73221) |
$2,775.15 |
$3,083.50 |
11.4× |
| MRI lumbar spine w/contrast (72149) |
$3,499.20 |
$3,888 |
9.8× |
| MRI lumbar spine w/wo contrast (72158) |
$3,654.90 |
$4,061 |
10.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,969.10 |
$3,299 |
8.3× |
| MRI pelvis w & w/o contrast (72197) |
$3,537 |
$3,930 |
9.9× |
| MRI pelvis w/contrast (72196) |
$2,880 |
$3,200 |
8.1× |
| MRI pelvis w/o contrast (72195) |
$2,528.10 |
$2,809 |
10.4× |
| MRI spine cervical w/o contrast (72141) |
$2,574.90 |
$2,861 |
10.6× |
| MRI t-spine w&w/o cont (72157) |
$3,644.10 |
$4,049 |
10.2× |
| MRI thoracic spine w/contrast (72147) |
$3,486.60 |
$3,874 |
9.8× |
| MRI thoracic spine w/o contrst (72146) |
$2,436.30 |
$2,707 |
10.0× |
| MRI tmj (70336) |
$1,618.20 |
$1,798 |
6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,591.55 |
$2,879.50 |
10.6× |
| Myocardial spect multiple studies (78452) |
$4,194.90 |
$4,661 |
3.2× |
| Nm bone 3 phase (78315) |
$1,929.60 |
$2,144 |
4.7× |
| Nm bone imaging whole body (78306) |
$1,765.80 |
$1,962 |
4.3× |
| Nm gastric emptying (78264) |
$1,548 |
$1,720 |
3.8× |
| Nm lung ventilation imaging (78579) |
$847.80 |
$942 |
2.1× |
| Nm lymph system (78195) |
$1,491.30 |
$1,657 |
2.7× |
| Nuclear medicine study of bone and/or joint limited area (78300) |
$1,300.50 |
$1,445 |
3.2× |
| Ob us limited fetus(s) (76815) |
$441.90 |
$491 |
4.1× |
| Parathyroid planar imaging (78070) |
$1,472.40 |
$1,636 |
3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$6,131.70 |
$6,813 |
4.2× |
| PET imaging for CT attenuation whole body (78816) |
$6,124.50 |
$6,805 |
4.2× |
| Pulmonary ventilation & perfusion imaging (78582) |
$1,817.10 |
$2,019 |
3.3× |
| Radex entir thrc lmbr crv sac spi w/skull 1 vw (72081) |
$281.70 |
$313 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$441.90 |
$491 |
4.1× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$540 |
$600 |
5.1× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$787.50 |
$875 |
7.4× |
| Radex hip unilateral with pelvis 1 view (73501) |
$288 |
$320 |
3.2× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$347.40 |
$386 |
3.9× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$432.90 |
$481 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$500.40 |
$556 |
4.7× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$540 |
$600 |
5.1× |
| Radex spine cervical 2 or 3 views (72040) |
$333.90 |
$371 |
3.8× |
| Radex spine cervical 4 or 5 views (72050) |
$497.70 |
$553 |
4.7× |
| Radex spine cervical 6 or more views (72052) |
$684.90 |
$761 |
6.4× |
| Radex spine thoracolumbar junction min 2 views (72080) |
$414 |
$460 |
4.7× |
| Radiologic exam abdomen 3+ views (74021) |
$382.50 |
$425 |
3.6× |
| Radiologic exam chest 3 views (71047) |
$368.10 |
$409 |
4.1× |
| Radiologic exam chest 4+ views (71048) |
$378 |
$420 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$873.90 |
$971 |
4.9× |
| Radiologic examination femur 1 view (73551) |
$265.50 |
$295 |
3.0× |
| Radiologic examination femur minimum 2 views (73552) |
$283.50 |
$315 |
3.2× |
| Radiologic examination from nose to rectum for foreign body, single view, child Age Under 21 (76010) |
$279 |
$310 |
3.1× |
| Radiologic examination, ankle; complete, minimum of 3 views Age Under 21 (73610) |
$431.10 |
$479 |
4.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$473.40 |
$526 |
4.4× |
| Radiologic examination, elbow; 2 views Age Under 21 (73070) |
$282.60 |
$314 |
3.2× |
| Radiologic examination, elbow; complete, minimum of 3 views Age Under 21 (73080) |
$378.90 |
$421 |
4.3× |
| Radiologic examination, facial bones; less than 3 views Age Under 21 (70140) |
$195.30 |
$217 |
2.2× |
| Radiologic examination, foot; complete, minimum of 3 views Age Under 21 (73630) |
$419.40 |
$466 |
4.7× |
| Radiologic examination, hand; minimum of 3 views Age Under 21 (73130) |
$426.60 |
$474 |
4.8× |
| Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21 (73565) |
$176.40 |
$196 |
2.0× |
| Radiologic examination, knee; complete, 4 or more views Age Under 21 (73564) |
$400.50 |
$445 |
3.7× |
| Radiologic examination, mandible; partial, less than 4 views Age Under 21 (70100) |
$380.25 |
$422.50 |
4.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Age Under 21 (70130) |
$740.70 |
$823 |
6.9× |
| Radiologic examination, mastoids; less than 3 views per side Age Under 21 (70120) |
$565.20 |
$628 |
5.3× |
| Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 (70160) |
$387.90 |
$431 |
4.4× |
| Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and… (74470) |
$2,079 |
$2,310 |
3.7× |
| Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21 (71111) |
$612 |
$680 |
5.7× |
| Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21 (71101) |
$423.90 |
$471 |
4.0× |
| Radiologic examination, sacroiliac joints; less than 3 views Age Under 21 (72200) |
$315 |
$350 |
2.9× |
| Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21 (73040) |
$883.80 |
$982 |
2.5× |
| Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21 (73030) |
$405.90 |
$451 |
4.6× |
| Radiologic examination, sinuses, paranasal, less than 3 views Age Under 21 (70210) |
$168.30 |
$187 |
1.9× |
| Radiologic examination, skull; less than 4 views Age Under 21 (70250) |
$359.10 |
$399 |
3.4× |
| Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 (72100) |
$401.40 |
$446 |
3.8× |
| Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age Under 21 (72120) |
$377.10 |
$419 |
3.5× |
| Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21 (72114) |
$665.10 |
$739 |
6.2× |
| Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21 (72074) |
$641.70 |
$713 |
6.0× |
| Radiologic examination, wrist; complete, minimum of 3 views Age Under 21 (73110) |
$441.45 |
$490.50 |
5.0× |
| Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21 (73050) |
$623.70 |
$693 |
7.0× |
| Radiologic examination; humerus, minimum of 2 views Age Under 21 (73060) |
$320.40 |
$356 |
3.6× |
| Radiologic examination; lower extremity, infant, minimum of 2 views Age Under 21 (73592) |
$247.50 |
$275 |
2.8× |
| Radiologic examination; orbits, complete, minimum of 4 views Age Under 21 (70200) |
$427.50 |
$475 |
4.0× |
| Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age Under 21 (71130) |
$271.80 |
$302 |
3.1× |
| Radiologic examination; toe(s), minimum of 2 views Age Under 21 (73660) |
$230.40 |
$256 |
2.6× |
| Radiologic examination; upper extremity, infant, minimum of 2 views Age Under 21 (73092) |
$478.35 |
$531.50 |
4.5× |
| Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s)… (78803) |
$2,281.50 |
$2,535 |
4.1× |
| Radiopharmaceutical therapy, by oral administration Age Under 21 (79005) |
$1,827.90 |
$2,031 |
7.7× |
| Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (74455) |
$772.20 |
$858 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,479.50 |
$2,755 |
6.1× |
| Saline infusion sonohysterography (SIS), including color flow Doppler, when performed Age Under 21 (76831) |
$1,015.20 |
$1,128 |
4.2× |
| Scapula complete (73010) |
$336.60 |
$374 |
3.2× |
| Screening digital breast tomosynthesis bi (77063) |
$71.55 |
$79.50 |
— |
| Spleen imaging only, with or without vascular flow Age Under 21 (78185) |
$904.50 |
$1,005 |
2.2× |
| Thyroid imaging with vascular flow (78013) |
$559.80 |
$622 |
1.4× |
| Thyroid met imaging body (78018) |
$1,676.70 |
$1,863 |
3.0× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,628.10 |
$1,809 |
4.0× |
| Ultrasound breast limited (76642) |
$535.50 |
$595 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$668.70 |
$743 |
6.3× |
| Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space,… (76882) |
$581.40 |
$646 |
5.4× |
| Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 (76856) |
$756 |
$840 |
7.1× |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal… (76811) |
$994.50 |
$1,105 |
4.1× |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14… (76801) |
$492.30 |
$547 |
4.6× |
| Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation Age Under 21 (76776) |
$630 |
$700 |
5.9× |
| Umbilical-artery Doppler (OB) (76820) |
$345.60 |
$384 |
3.2× |
| Unlisted CT procedure (76497) |
$1,545.30 |
$1,717 |
17.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21 (74400) |
$838.80 |
$932 |
4.7× |
| Us abdominal aorta real time screen study aaa (76706) |
$524.70 |
$583 |
4.9× |
| Us breast uni real time with image complete (76641) |
$621.90 |
$691 |
5.8× |
| Us chest (76604) |
$472.50 |
$525 |
4.4× |
| Us compl joint r-t w/image documentation (76881) |
$457.20 |
$508 |
4.3× |
| Us exam, pelvic, limited (76857) |
$725.40 |
$806 |
6.8× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$198 |
$220 |
2.2× |
| US OB Follow-Up/Repeat (76816) |
$316.80 |
$352 |
3.0× |
| Us ob transvaginal (76817) |
$554.40 |
$616 |
5.2× |
| Us retroperitoneal complete (76770) |
$810 |
$900 |
7.6× |
| Us retroperitoneal ltd (76775) |
$706.50 |
$785 |
6.6× |
| Us scrotum (76870) |
$589.50 |
$655 |
5.5× |
| Us soft tissue head/neck (76536) |
$660.60 |
$734 |
6.2× |
| Us transrectal (76872) |
$350.10 |
$389 |
3.3× |
| X-ray exam hips bi 3-4 views (73522) |
$524.70 |
$583 |
4.9× |
| X-ray exam of finger(s) (73140) |
$264.60 |
$294 |
3.0× |
| X-ray exam of knee 1 or 2 (73560) |
$381.15 |
$423.50 |
4.3× |
| X-ray exam ribs bil 3 views (71110) |
$561.60 |
$624 |
5.3× |
| X-ray exam ribs uni 2 views (71100) |
$281.70 |
$313 |
3.2× |
| X-ray heel (73650) |
$278.10 |
$309 |
3.1× |
| X-ray of joint between lower spine and hip bone 3 or more views|PROFESSIONAL COMPONENT (72202) |
$344.70 |
$383 |
3.2× |
| X-ray retrograde pyelogram (74420) |
$1,195.20 |
$1,328 |
3.4× |
| Xr abdomen 1 view (74018) |
$268.20 |
$298 |
3.0× |
| Xr abdomen 2 views (74019) |
$334.80 |
$372 |
3.1× |
| Xr arthrogram hip (73525) |
$972 |
$1,080 |
2.7× |
| Xr arthrogram knee (73580) |
$1,143 |
$1,270 |
3.2× |
| Xr arthrogram wrist (73115) |
$765 |
$850 |
2.1× |
| Xr bone age studies (77072) |
$477 |
$530 |
4.5× |
| Xr bone length study (77073) |
$479.70 |
$533 |
4.5× |
| Xr bone survey infant (77076) |
$239.40 |
$266 |
2.2× |
| Xr bone survey ltd (77074) |
$565.20 |
$628 |
5.3× |
| Xr chest 1 view (71045) |
$274.50 |
$305 |
3.1× |
| Xr chest 2 views (71046) |
$336.60 |
$374 |
3.8× |
| Xr eye foreign body (70030) |
$168.30 |
$187 |
1.9× |
| Xr facial bones 3+ views (70150) |
$351 |
$390 |
3.3× |
| Xr foot arthritis pa only bilateral - report(ortho pro) (73620) |
$260.10 |
$289 |
2.9× |
| Xr forearm 2 views (73090) |
$325.80 |
$362 |
3.7× |
| Xr hand 2v (73120) |
$268.20 |
$298 |
2.5× |
| Xr neck soft tissue (70360) |
$322.20 |
$358 |
3.6× |
| Xr o knee w/ merchant view bilat - report(ortho pro) (73562) |
$455.85 |
$506.50 |
5.1× |
| Xr osseous survey complete (77075) |
$990 |
$1,100 |
9.3× |
| Xr pelvis 1-2 views (72170) |
$313.20 |
$348 |
2.9× |
| Xr pelvis min 3 view (72190) |
$375.30 |
$417 |
3.5× |
| Xr sacrum/coccyx 2+ views (72220) |
$387 |
$430 |
4.4× |
| Xr sella turcica (70240) |
$199.80 |
$222 |
2.2× |
| Xr shoulder 1 view (73020) |
$231.30 |
$257 |
2.6× |
| Xr sinuses 3+ views (70220) |
$477.90 |
$531 |
5.4× |
| Xr skull min 4 view (70260) |
$447.30 |
$497 |
4.2× |
| Xr spine 1 view (72020) |
$241.20 |
$268 |
2.7× |
| Xr spine thoracic 3v (72072) |
$432 |
$480 |
4.0× |
| Xr sternum 2+ views (71120) |
$372.60 |
$414 |
4.2× |
| Xr surgical specimen (76098) |
$710.10 |
$789 |
1.3× |
| Xr t-spine 2 views (72070) |
$392.40 |
$436 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$342 |
$380 |
3.8× |
| Xr tmj bilateral (70330) |
$407.70 |
$453 |
4.6× |
| Xr tmj unilateral (70328) |
$315.90 |
$351 |
3.6× |
| Xr wrist 2 views (73100) |
$294.30 |
$327 |
3.3× |