| Abdomen 2 views (74019) |
$2,228 |
$2,228 |
19.5× |
| Acute gi blood loss imaging (78278) |
$9,175 |
$9,175 |
21.0× |
| Angiography extremity bilateral rs&i (75716) |
$11,098.50 |
$11,098.50 |
3.2× |
| Angiography extremity unilateral rs&i (75710) |
$10,128.50 |
$10,128.50 |
2.9× |
| Angiography internal mammary rs&i (75756) |
$6,422 |
$6,422 |
1.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$12,730 |
$12,730 |
2.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,776 |
$6,776 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$12,633 |
$12,633 |
3.7× |
| Angiography Spinal Selective Rs&I (75705) |
$6,776 |
$6,776 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,396 |
$16,396 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,696 |
$4,696 |
1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$12,730 |
$12,730 |
3.7× |
| Ankle 2 views (73600) |
$1,875 |
$1,875 |
19.7× |
| Aortogram thoracic (75605) |
$13,671.50 |
$13,671.50 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,753 |
$9,753 |
2.8× |
| Aortography abdominal serialography rs&i (75625) |
$9,753 |
$9,753 |
2.8× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$6,776 |
$6,776 |
2.0× |
| Arthrogram elbow (73085) |
$5,381 |
$5,381 |
14.1× |
| Arthrogram hip (73525) |
$5,602 |
$5,602 |
14.7× |
| Arthrogram knee (73580) |
$5,381 |
$5,381 |
14.1× |
| Arthrogram shoulder (73040) |
$5,602 |
$5,602 |
14.7× |
| Arthrogram wrist (73115) |
$5,813 |
$5,813 |
15.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$6,864 |
$6,864 |
15.7× |
| Bone &/joint imaging whole body (78306) |
$8,974 |
$8,974 |
20.5× |
| Bone age studies (77072) |
$960 |
$960 |
8.4× |
| Bone Imaging 3 Phase (78315) |
$3,984 |
$3,984 |
9.1× |
| Bone Marrow Imaging Limited Area (78102) |
$5,381 |
$5,381 |
12.3× |
| Bone survey complete (77075) |
$4,267 |
$4,267 |
37.3× |
| Bowel imaging (78290) |
$7,468 |
$7,468 |
17.1× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,817 |
$2,817 |
6.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$28,925 |
$28,925 |
18.5× |
| Brain Imaging Vascular Flow Only (78610) |
$6,651 |
$6,651 |
11.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,838 |
$5,838 |
15.3× |
| Cardiac shunt detection (78428) |
$3,667 |
$3,667 |
8.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$9,260 |
$9,260 |
15.6× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) |
$9,260 |
$9,260 |
15.6× |
| Cervical spine 2 or 3 views (72040) |
$2,483 |
$2,483 |
26.1× |
| Chest 1 view (71045) |
$1,477 |
$1,477 |
15.5× |
| Chest xray 3 views (71047) |
$2,298 |
$2,298 |
24.2× |
| Cholecystography, oral contrast Non-Facility (74290) |
$2,031 |
$2,031 |
10.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,070 |
$2,070 |
10.8× |
| Clavicle complete (73000) |
$687 |
$687 |
7.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$384 |
$384 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$25,312 |
$25,312 |
66.4× |
| CT abdomen and pelvis without contrast (74176) |
$18,842 |
$18,842 |
72.2× |
| CT abdomen w contrast (74160) |
$10,742 |
$10,742 |
56.0× |
| CT abdomen w wo contrast (74170) |
$14,496 |
$14,496 |
75.6× |
| CT abdomen w/o contrast (74150) |
$9,806 |
$9,806 |
85.8× |
| CT angio hrt w/3d image (75574) |
$14,496 |
$14,496 |
38.0× |
| CT angio lwr extr w/o&w/dye (73706) |
$13,646 |
$13,646 |
71.2× |
| CT angiography upper extremity lt (73206) |
$13,456 |
$13,456 |
70.2× |
| CT c-spine w/contrast (72126) |
$11,159 |
$11,159 |
29.3× |
| CT c-spine w/o contrast (72125) |
$8,724 |
$8,724 |
76.3× |
| CT cervical spine w&w/o contrast (72127) |
$14,226 |
$14,226 |
74.2× |
| CT chest w contrast (71260) |
$11,203 |
$11,203 |
58.4× |
| CT chest w/wo contrast (71270) |
$13,456 |
$13,456 |
70.2× |
| CT head/brain with contrast (70460) |
$10,146 |
$10,146 |
52.9× |
| CT head/brain without and with contrast (70470) |
$11,845 |
$11,845 |
61.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$13,456 |
$13,456 |
35.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$11,203 |
$11,203 |
117.8× |
| CT iac w contrast (70481) |
$9,317 |
$9,317 |
48.6× |
| CT limited/localized follow up study (76380) |
$3,658 |
$3,658 |
38.5× |
| CT lower ext w/o (73700) |
$9,753 |
$9,753 |
85.3× |
| CT lower extremity w wo contrast (73702) |
$13,646 |
$13,646 |
71.2× |
| CT lower extremity w/contrast material (73701) |
$11,108 |
$11,108 |
57.9× |
| CT lumbar spine w & w/o contrast (72133) |
$19,072 |
$19,072 |
99.5× |
| CT lumbar spine w/contrast (72132) |
$13,003 |
$13,003 |
34.1× |
| CT lumbar spine w/o contrast (72131) |
$9,490 |
$9,490 |
83.0× |
| CT maxillofacial w contrast (70487) |
$11,581 |
$11,581 |
60.4× |
| CT maxillofacial w/wo contrast (70488) |
$13,767 |
$13,767 |
71.8× |
| CT maxillofacial wo contrast (70486) |
$8,909 |
$8,909 |
78.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$11,845 |
$11,845 |
61.8× |
| CT orbits w/o contrast (70480) |
$8,158 |
$8,158 |
71.4× |
| CT pelvis w/o contrast (72192) |
$9,043 |
$9,043 |
79.1× |
| CT pelvis w/wo contrast (72194) |
$10,821 |
$10,821 |
56.4× |
| CT scan of arm combo (73202) |
$13,456 |
$13,456 |
70.2× |
| CT soft tissue neck w contrast (70491) |
$11,278 |
$11,278 |
58.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$12,434 |
$12,434 |
64.9× |
| CT soft tissue neck w/o contrast (70490) |
$10,175 |
$10,175 |
89.0× |
| CT thoracic spine w/contrast (72129) |
$12,302 |
$12,302 |
64.2× |
| CT thoracic spine w/o contrast (72128) |
$11,094 |
$11,094 |
97.1× |
| CT thoracic spine w/wo contrast (72130) |
$13,456 |
$13,456 |
70.2× |
| CT thorax w/o contrast (71250) |
$10,717 |
$10,717 |
93.8× |
| CT unlisted procedure (76497) |
$13,456 |
$13,456 |
141.5× |
| CT upper ext wo (73200) |
$10,492 |
$10,492 |
91.8× |
| CT upper extremity with contrast (73201) |
$11,904 |
$11,904 |
31.2× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$14,496 |
$14,496 |
75.6× |
| Cta Abdomen (74175) |
$14,496 |
$14,496 |
75.6× |
| CTA abdomen pelvis (74174) |
$28,473 |
$28,473 |
74.7× |
| CTA chest (71275) |
$13,456 |
$13,456 |
70.2× |
| Cta Head (70496) |
$11,845 |
$11,845 |
61.8× |
| Cta Neck (70498) |
$12,434 |
$12,434 |
64.9× |
| Cta Pelvis (72191) |
$10,821 |
$10,821 |
56.4× |
| Cystography minimum 3 views rs&i (74430) |
$3,552 |
$3,552 |
9.3× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$21,251 |
$21,251 |
9.3× |
| Diskogram cervical (72285) |
$5,934 |
$5,934 |
2.8× |
| Diskography lumbar (72295) |
$6,141 |
$6,141 |
2.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$667 |
$667 |
5.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,034 |
$1,034 |
9.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$2,252 |
$2,252 |
19.7× |
| Dxa bone density study axial skeleton (77085) |
$2,252 |
$2,252 |
19.7× |
| Esophageal motility (78258) |
$3,589 |
$3,589 |
8.2× |
| Esophagus (74220) |
$2,564 |
$2,564 |
13.4× |
| Facial bones min 3 views (70150) |
$1,030 |
$1,030 |
9.0× |
| Fetal biophysical profile non-stress testing (76818) |
$1,215 |
$1,215 |
10.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,186 |
$1,186 |
10.4× |
| Fluoroscopy up to 1 hr (76000) |
$2,329.50 |
$2,329.50 |
8.9× |
| Foot 2 views (73620) |
$1,679 |
$1,679 |
17.7× |
| Forearm 2 views (73090) |
$1,494 |
$1,494 |
15.7× |
| Functional MRI brain by phys/psych (70555) |
$9,045 |
$9,045 |
34.7× |
| Functional MRI brain by tech (70554) |
$9,045 |
$9,045 |
34.7× |
| Gastric mucosa imaging (78261) |
$5,308 |
$5,308 |
12.1× |
| Hand 2 views (73120) |
$1,439 |
$1,439 |
12.6× |
| Heart Infarct Image (78466) |
$9,417 |
$9,417 |
21.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$15,862 |
$15,862 |
4.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$11,274 |
$11,274 |
19.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$11,274 |
$11,274 |
25.8× |
| Hysterosalpingogram (74740) |
$5,712 |
$5,712 |
21.9× |
| Interstitial radiation source applic complex (77778) |
$21,494 |
$21,494 |
28.2× |
| Intracavitary Radiation Source Applic Simple (77761) |
$17,186 |
$17,186 |
28.5× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$3,724 |
$3,724 |
8.5× |
| Kidney imaging morphology (78700) |
$6,494 |
$6,494 |
14.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,962 |
$1,962 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,937 |
$2,937 |
4.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$3,919 |
$3,919 |
6.6× |
| Knee 3 views (73562) |
$1,960 |
$1,960 |
20.6× |
| Liver & spleen imaging static only (78215) |
$9,925 |
$9,925 |
22.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$11,987 |
$11,987 |
27.4× |
| Liver imaging w/vascular flow (78202) |
$2,891 |
$2,891 |
4.9× |
| Lung perf&ventilat diferentl (78598) |
$2,817 |
$2,817 |
4.7× |
| Lung perfusion differential (78597) |
$2,817 |
$2,817 |
6.4× |
| Lung ventilation imaging (78579) |
$2,108 |
$2,108 |
4.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$7,492 |
$7,492 |
2.2× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$4,995 |
$4,995 |
1.4× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$7,492 |
$7,492 |
4.4× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$4,995 |
$4,995 |
7.3× |
| Lymphoscintigraphy (78195) |
$11,556.50 |
$11,556.50 |
19.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$15,362.50 |
$15,362.50 |
17.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial… (70558) |
$16,064 |
$16,064 |
83.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial… (70557) |
$15,293 |
$15,293 |
25.6× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial… (70559) |
$18,208 |
$18,208 |
95.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$14,250.50 |
$14,250.50 |
37.4× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$11,578 |
$11,578 |
30.4× |
| Mammary ductogram or galactogram multiple (77054) |
$3,745 |
$3,745 |
14.4× |
| Mammary ductogram or galactogram single (77053) |
$2,501 |
$2,501 |
9.6× |
| MRA head w & w/o contrast (70546) |
$11,969 |
$11,969 |
31.4× |
| MRA head w/o contrast (70544) |
$9,822 |
$9,822 |
37.7× |
| MRA head with contrast (70545) |
$10,258 |
$10,258 |
26.9× |
| MRA neck w contrast (70548) |
$10,258 |
$10,258 |
26.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$11,969 |
$11,969 |
31.4× |
| MRA neck w/o contrast (70547) |
$9,822 |
$9,822 |
37.7× |
| MRI abdomen w contrast (74182) |
$10,245 |
$10,245 |
26.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$11,969 |
$11,969 |
31.4× |
| MRI abdomen w/o contrast (74181) |
$8,967 |
$8,967 |
34.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$15,362.50 |
$15,362.50 |
17.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$17,366 |
$17,366 |
45.5× |
| MRI breast w/o contrast bilateral (77047) |
$10,258 |
$10,258 |
39.3× |
| MRI breast wo contrast unilateral (77046) |
$8,949 |
$8,949 |
34.3× |
| MRI c-spine with contrast (72142) |
$10,077 |
$10,077 |
26.4× |
| MRI cardiac w/o contrast (75557) |
$3,818 |
$3,818 |
14.6× |
| MRI cervical spine w/o contrast (72141) |
$8,148 |
$8,148 |
31.2× |
| MRI chest w/o & w/contrast material (71552) |
$11,969 |
$11,969 |
31.4× |
| MRI chest w/o contrast (71550) |
$8,967 |
$8,967 |
34.4× |
| MRI chest with contrast (71551) |
$10,258 |
$10,258 |
12.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$14,250.50 |
$14,250.50 |
37.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$14,491.50 |
$14,491.50 |
38.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$13,447.50 |
$13,447.50 |
51.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$9,367 |
$9,367 |
35.9× |
| MRI orbit face neck w contrast (70542) |
$10,258 |
$10,258 |
26.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$11,969 |
$11,969 |
31.4× |
| MRI pelvis w/contrast (72196) |
$10,245 |
$10,245 |
26.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,969 |
$11,969 |
31.4× |
| MRI pelvis w/o contrast (72195) |
$8,967 |
$8,967 |
34.4× |
| MRI spectroscopy (76390) |
$9,045 |
$9,045 |
95.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$11,578 |
$11,578 |
30.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,245 |
$10,245 |
26.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,578 |
$11,578 |
30.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$9,667 |
$9,667 |
25.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$11,578 |
$11,578 |
30.4× |
| MRI temporomandibular joint (70336) |
$9,502 |
$9,502 |
36.4× |
| MRI thoracic spine w/o contrast (72146) |
$8,580 |
$8,580 |
32.9× |
| MRI up ext w/o contrast (73218) |
$13,447.50 |
$13,447.50 |
51.6× |
| MRI upper ext joint w/o contrast (73221) |
$9,502 |
$9,502 |
36.4× |
| MRI, joint upper extrem combo (73223) |
$17,366 |
$17,366 |
45.5× |
| Myelogram Cervical (72240) |
$9,080.50 |
$9,080.50 |
10.6× |
| Myelogram Lumbar (72265) |
$8,778 |
$8,778 |
10.2× |
| Myelogram thoracic (72255) |
$9,231 |
$9,231 |
10.8× |
| Myelography 2 or more regions (72270) |
$9,562 |
$9,562 |
11.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$28,925 |
$28,925 |
20.4× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78491) |
$28,925 |
$28,925 |
18.5× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$28,925 |
$28,925 |
18.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$13,994 |
$13,994 |
9.9× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$7,733 |
$7,733 |
5.5× |
| Myocardial Spect Multiple Studies (78452) |
$33,602 |
$33,602 |
23.7× |
| Myocardial spect single study at rest or stress (78451) |
$7,733 |
$7,733 |
5.5× |
| Neck soft tissue (70360) |
$2,427 |
$2,427 |
25.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,698 |
$1,698 |
3.9× |
| Nm bone marrow wb (78104) |
$11,425 |
$11,425 |
26.1× |
| Nm cardiac blood pool multiple (78473) |
$4,597 |
$4,597 |
10.5× |
| Nm cisternogram (78630) |
$8,227.50 |
$8,227.50 |
13.9× |
| Nm csf leak detection (78650) |
$13,317 |
$13,317 |
9.4× |
| Nm gastric emptying study (78264) |
$9,502 |
$9,502 |
21.7× |
| Nm gastroesophageal reflux study (78262) |
$6,159 |
$6,159 |
14.1× |
| Nm peritoneal-venous shunt patency (78291) |
$4,758 |
$4,758 |
10.9× |
| Noncardiac Vascular Flow Imaging (78445) |
$2,358 |
$2,358 |
5.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$10,021 |
$10,021 |
22.9× |
| Nuclear Rx Oral Admin (79005) |
$11,833 |
$11,833 |
46.4× |
| Orthopantogram (70355) |
$1,575 |
$1,575 |
16.6× |
| Parathyroid Planar Imaging (78070) |
$3,269 |
$3,269 |
7.5× |
| Pelvis 1 or 2 views (72170) |
$1,565 |
$1,565 |
13.7× |
| Peritoneogram after injection (74190) |
$6,532 |
$6,532 |
10.9× |
| PET image w/CT, skull-thigh (78815) |
$28,925 |
$28,925 |
18.5× |
| PET imaging CT for attenuation limited area (78814) |
$28,925 |
$28,925 |
18.5× |
| PET imaging for CT attenuation whole body (78816) |
$28,925 |
$28,925 |
18.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$8,418 |
$8,418 |
2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$10,021 |
$10,021 |
22.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,108 |
$2,108 |
3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$4,406.50 |
$4,406.50 |
7.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$2,129 |
$2,129 |
22.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,030 |
$1,030 |
10.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,935 |
$1,935 |
20.3× |
| Radex fingr minimum 2 views (73140) |
$1,178 |
$1,178 |
12.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,898 |
$1,898 |
20.0× |
| Radex Hand Minimum 3 Views (73130) |
$1,677 |
$1,677 |
17.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$1,727 |
$1,727 |
18.2× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$4,422 |
$4,422 |
38.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$2,337 |
$2,337 |
20.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$7,075 |
$7,075 |
61.9× |
| Radex Humerus Minimum 2 Views (73060) |
$1,594 |
$1,594 |
16.8× |
| Radex Kne 1/2 Views (73560) |
$1,704 |
$1,704 |
17.9× |
| Radex Kne Compl 4/More Views (73564) |
$3,269.50 |
$3,269.50 |
28.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$2,832 |
$2,832 |
24.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$891 |
$891 |
9.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$1,565 |
$1,565 |
13.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,882 |
$1,882 |
19.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$910 |
$910 |
9.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,368 |
$2,368 |
24.9× |
| Radex Toe Minimum 2 Views (73660) |
$1,155 |
$1,155 |
12.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,947 |
$1,947 |
20.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,753 |
$1,753 |
18.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,699 |
$2,699 |
23.6× |
| Radiologic exam chest 2 views (71046) |
$1,861 |
$1,861 |
19.6× |
| Radiologic exam colon single contrast study (74270) |
$3,434 |
$3,434 |
17.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$4,301 |
$4,301 |
22.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,836 |
$1,836 |
9.6× |
| Radiologic examination femur 1 view (73551) |
$2,524 |
$2,524 |
26.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,549 |
$1,549 |
16.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$1,790 |
$1,790 |
15.7× |
| Radiologic examination, teeth; complete, full mouth Non-Facility (70320) |
$1,575 |
$1,575 |
6.0× |
| Radiologic examination, teeth; partial examination, less than full mouth Non-Facility (70310) |
$1,312 |
$1,312 |
5.0× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$1,045 |
$1,045 |
11.0× |
| Radiological examination surgical specimen (76098) |
$1,155 |
$1,155 |
1.9× |
| Radiopharm Dacryocystography (78660) |
$1,962 |
$1,962 |
4.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$9,049 |
$9,049 |
20.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$9,813 |
$9,813 |
22.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$15,187.50 |
$15,187.50 |
25.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$10,017 |
$10,017 |
16.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,625 |
$5,625 |
9.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$11,386 |
$11,386 |
8.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$3,396 |
$3,396 |
13.3× |
| Rp Therapy Intravenous Administration (79101) |
$8,081 |
$8,081 |
31.7× |
| Salivary gland function study (78232) |
$2,729 |
$2,729 |
6.2× |
| Salivary gland imaging; with serial images Non-Facility (78231) |
$11,425 |
$11,425 |
26.1× |
| Scapula (73010) |
$2,430 |
$2,430 |
21.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$123 |
$123 |
5.3× |
| Shoulder 1 view (73020) |
$1,439 |
$1,439 |
15.1× |
| Sialogram (70390) |
$3,925 |
$3,925 |
15.0× |
| Small bowel series (74250) |
$2,254 |
$2,254 |
11.8× |
| Spine thoracic 3 views (72072) |
$1,980 |
$1,980 |
17.3× |
| Spleen imaging only (78185) |
$2,692 |
$2,692 |
6.2× |
| Splenoportograpy rs&i (75810) |
$7,344 |
$7,344 |
2.1× |
| Superior sagittal sinus venogram (75870) |
$7,492 |
$7,492 |
2.2× |
| Testicular Imaging With Vascular Flow (78761) |
$7,873 |
$7,873 |
18.0× |
| Thoracolumbar 2 views (72080) |
$2,338 |
$2,338 |
24.6× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) |
$5,381 |
$5,381 |
12.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,003 |
$6,003 |
10.1× |
| Thyroid imaging w/blood flow (78013) |
$2,652 |
$2,652 |
6.1× |
| Thyroid uptake measurement (78012) |
$2,652 |
$2,652 |
6.1× |
| Tomogram (76100) |
$3,893 |
$3,893 |
34.1× |
| Ultrasound breast complete (76641) |
$1,360 |
$1,360 |
11.9× |
| Ultrasound Exam Aaa Screen (76706) |
$1,177 |
$1,177 |
10.3× |
| Ultrasound, abdomen limited (76705) |
$2,463 |
$2,463 |
21.6× |
| Ureteral reflux study (78740) |
$3,667 |
$3,667 |
8.4× |
| Urethrocystogram voiding (74455) |
$4,517 |
$4,517 |
17.3× |
| Urethrocystography retrograde rs&i (74450) |
$3,322 |
$3,322 |
12.7× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$1,795 |
$1,795 |
9.4× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$3,959 |
$3,959 |
20.6× |
| Us breast unilateral limited (76642) |
$1,360 |
$1,360 |
14.3× |
| Us chest (76604) |
$2,004.50 |
$2,004.50 |
17.5× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$6,848 |
$6,848 |
29.0× |
| Us compl joint r-t w/image documentation (76881) |
$1,367 |
$1,367 |
12.0× |
| Us elastography parenchyma (76981) |
$206 |
$206 |
1.8× |
| Us encephalogram (76506) |
$1,152 |
$1,152 |
10.1× |
| Us infant hips w manipulation (76885) |
$1,345 |
$1,345 |
14.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,367 |
$1,367 |
12.0× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$1,367 |
$1,367 |
12.0× |
| Us ob limited (76815) |
$1,211 |
$1,211 |
10.6× |
| Us ob transvaginal (76817) |
$484 |
$484 |
4.2× |
| Us pelvic non ob complete (76856) |
$2,535 |
$2,535 |
22.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$610.50 |
$610.50 |
5.3× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,276 |
$1,276 |
11.2× |
| Us retroperitoneal complete (76770) |
$4,445 |
$4,445 |
38.9× |
| Us retroperitoneal limited (76775) |
$2,895 |
$2,895 |
25.3× |
| Us scrotum and contents (76870) |
$4,784 |
$4,784 |
41.9× |
| Us soft tissue head/neck (76536) |
$1,333 |
$1,333 |
11.7× |
| Us spinal canal and contents (76800) |
$3,633 |
$3,633 |
31.8× |
| Us transrectal (76872) |
$8,323.50 |
$8,323.50 |
72.8× |
| Us,transplanted kidney, real time/ doppler (76776) |
$1,166 |
$1,166 |
10.2× |
| Venogram extremity bilateral (75822) |
$6,241.50 |
$6,241.50 |
3.6× |
| Venogram Extremity Unilateral (75820) |
$5,708.50 |
$5,708.50 |
3.3× |
| Venography caval inferior serialography rs&i (75825) |
$7,455.50 |
$7,455.50 |
2.2× |
| Venography caval superior serialography rs&i (75827) |
$6,740 |
$6,740 |
3.9× |
| Venography renal unilateral selective rs&i (75831) |
$6,875 |
$6,875 |
2.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,991 |
$4,991 |
1.4× |
| Venous sampling by catheter (75893) |
$6,776 |
$6,776 |
1.1× |
| Venous thrombosis imaging, venogram; unilateral Non-Facility (78457) |
$5,732 |
$5,732 |
9.7× |
| Wrist 2 views (73100) |
$1,724 |
$1,724 |
18.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$3,309.50 |
$3,309.50 |
29.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,021 |
$2,021 |
21.2× |
| X-ray b.e. reductn intuss (74283) |
$3,434 |
$3,434 |
17.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,301 |
$4,301 |
22.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$2,068 |
$2,068 |
21.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$2,765 |
$2,765 |
29.1× |
| X-ray exam of femur 2/> (73552) |
$5,041 |
$5,041 |
53.0× |
| X-ray eye for foreign body (70030) |
$1,082 |
$1,082 |
11.4× |
| X-ray IV pyelogram (ivp) (74400) |
$4,332 |
$4,332 |
22.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,598 |
$2,598 |
22.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$5,485 |
$5,485 |
48.0× |
| X-ray optic foramen (70190) |
$2,201 |
$2,201 |
23.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$3,124 |
$3,124 |
27.3× |
| X-ray retrograde pyelogram (74420) |
$5,395 |
$5,395 |
14.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,402 |
$2,402 |
21.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,240 |
$2,240 |
19.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,790 |
$1,790 |
15.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,604 |
$2,604 |
27.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,960 |
$1,960 |
20.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$3,362 |
$3,362 |
29.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,151 |
$2,151 |
18.8× |
| X-Ray Small Bowel Enteroclysis (74251) |
$3,837 |
$3,837 |
20.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,679 |
$1,679 |
17.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$951 |
$951 |
10.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,172 |
$2,172 |
22.8× |
| Xr bone length studies (77073) |
$4,117 |
$4,117 |
36.0× |
| Xr c-spine 4 or 5 views (72050) |
$2,694 |
$2,694 |
23.6× |
| Xr c-spine 6 or more views (72052) |
$2,891.50 |
$2,891.50 |
25.3× |
| Xr chest 4+ views (71048) |
$2,793 |
$2,793 |
24.4× |
| Xr urogram antegrade (74425) |
$4,457.50 |
$4,457.50 |
11.7× |