| Abdomen 2 views (74019) |
$1,164 |
$1,552 |
11.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,745 |
$3,660 |
6.8× |
| Angiography extremity bilateral rs&i (75716) |
$7,341.75 |
$9,789 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$9,775.50 |
$13,034 |
3.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,520 |
$7,360 |
1.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$13,859.25 |
$18,479 |
4.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$12,473.25 |
$16,631 |
3.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$15,248.25 |
$20,331 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,818.75 |
$6,425 |
1.5× |
| Ankle 2 views (73600) |
$997.50 |
$1,330 |
11.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$896.25 |
$1,195 |
2.6× |
| Aortogram thoracic (75605) |
$16,725 |
$22,300 |
3.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,775.50 |
$13,034 |
3.1× |
| Aortography abdominal serialography rs&i (75625) |
$9,775.50 |
$13,034 |
3.1× |
| Arthrogram elbow (73085) |
$2,018.25 |
$2,691 |
5.8× |
| Arthrogram hip (73525) |
$1,806.75 |
$2,409 |
5.2× |
| Arthrogram shoulder (73040) |
$2,220.75 |
$2,961 |
6.3× |
| Arthrogram wrist (73115) |
$1,940.25 |
$2,587 |
5.5× |
| Arthrography knee lt (73580) |
$2,340 |
$3,120 |
6.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,984.50 |
$2,646 |
4.9× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,292 |
$3,056 |
5.7× |
| Bone &/joint imaging whole body (78306) |
$4,556.25 |
$6,075 |
11.3× |
| Bone age studies (77072) |
$1,279.50 |
$1,706 |
12.2× |
| Bone Imaging 3 Phase (78315) |
$4,226.25 |
$5,635 |
10.5× |
| Bone Marrow Imaging Limited Area (78102) |
$1,968.75 |
$2,625 |
4.9× |
| Bone survey complete (77075) |
$2,202 |
$2,936 |
21.0× |
| Brain image w/flow 4 + views (78606) |
$3,004.50 |
$4,006 |
5.5× |
| Brain imaging < 4 static views w vascular flow (78601) |
$2,256 |
$3,008 |
5.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,691.25 |
$14,255 |
7.4× |
| Brain Imaging Vascular Flow Only (78610) |
$3,509.25 |
$4,679 |
6.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,075.62 |
$6,767.50 |
14.5× |
| Cardiac shunt detection (78428) |
$3,210 |
$4,280 |
8.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$3,210 |
$4,280 |
5.9× |
| Cervical spine 2 or 3 views (72040) |
$1,671 |
$2,228 |
19.1× |
| Chest 1 view (71045) |
$802.50 |
$1,070 |
9.2× |
| Chest 3 views (71047) |
$1,139.25 |
$1,519 |
13.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,427.25 |
$1,903 |
8.1× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,107.50 |
$2,810 |
2.7× |
| Clavicle complete (73000) |
$897 |
$1,196 |
10.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,079.62 |
$1,439.50 |
10.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$16,098.75 |
$21,465 |
45.9× |
| CT abdomen and pelvis without contrast (74176) |
$9,637.50 |
$12,850 |
40.2× |
| CT abdomen w contrast (74160) |
$8,187.75 |
$10,917 |
46.5× |
| CT abdomen w wo contrast (74170) |
$8,988.75 |
$11,985 |
51.0× |
| CT abdomen w/o contrast (74150) |
$4,815 |
$6,420 |
45.8× |
| CT angio hrt w/3d image (75574) |
$6,845.25 |
$9,127 |
19.5× |
| CT angiography upper extremity lt (73206) |
$5,430.75 |
$7,241 |
30.8× |
| CT c-spine w/o contrast (72125) |
$7,935 |
$10,580 |
75.6× |
| CT cervical spine w&w/o contrast (72127) |
$10,948.50 |
$14,598 |
62.1× |
| CT cervical spine with contrast (72126) |
$8,457.75 |
$11,277 |
24.1× |
| CT chest w/wo contrast (71270) |
$8,094 |
$10,792 |
45.9× |
| CT chest with contrast (71260) |
$7,580.25 |
$10,107 |
43.0× |
| CT head/brain with contrast (70460) |
$7,284.75 |
$9,713 |
41.3× |
| CT head/brain without and with contrast (70470) |
$8,228.25 |
$10,971 |
46.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$722.62 |
$963.50 |
8.3× |
| CT iac w contrast (70481) |
$5,912.25 |
$7,883 |
33.6× |
| CT limited/localized follow up study (76380) |
$199.50 |
$266 |
2.3× |
| CT lower ext w/o (73700) |
$7,254 |
$9,672 |
69.1× |
| CT lower extremity w wo contrast (73702) |
$6,997.88 |
$9,330.50 |
39.7× |
| CT lower extremity with contrast (73701) |
$6,554.25 |
$8,739 |
37.2× |
| CT lumbar spine w & w/o contrast (72133) |
$8,967.75 |
$11,957 |
50.9× |
| CT lumbar spine w/o contrast (72131) |
$7,818 |
$10,424 |
74.4× |
| CT lumbar spine with contrast (72132) |
$8,252.25 |
$11,003 |
23.5× |
| CT maxillofacial w contrast (70487) |
$6,427.50 |
$8,570 |
36.5× |
| CT maxillofacial w/o contrast (70486) |
$5,139.75 |
$6,853 |
48.9× |
| CT maxillofacial w/wo contrast (70488) |
$7,544.25 |
$10,059 |
42.8× |
| CT neck soft tissue w contrast (70491) |
$6,554.25 |
$8,739 |
37.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,084 |
$8,112 |
34.5× |
| CT orbits w/o contrast (70480) |
$5,056.50 |
$6,742 |
48.1× |
| CT pelvis w & w/o contrast (72194) |
$8,172 |
$10,896 |
46.4× |
| CT pelvis w/o contrast (72192) |
$4,708.50 |
$6,278 |
44.8× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$1,068.75 |
$1,425 |
12.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$7,941.75 |
$10,589 |
45.1× |
| CT soft tissue neck w/o contrast (70490) |
$5,163 |
$6,884 |
49.2× |
| CT thoracic spine w/contrast (72129) |
$7,667.25 |
$10,223 |
43.5× |
| CT thoracic spine w/o contrast (72128) |
$6,362.25 |
$8,483 |
60.6× |
| CT thoracic spine w/wo contrast (72130) |
$9,435.75 |
$12,581 |
53.6× |
| CT thorax w/o contrast (71250) |
$6,206.25 |
$8,275 |
59.1× |
| CT unlisted procedure (76497) |
$2,007.38 |
$2,676.50 |
23.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$9,452.25 |
$12,603 |
53.6× |
| CT upper extremity w/o contrast rt (73200) |
$5,487 |
$7,316 |
52.2× |
| CT upper extremity with contrast (73201) |
$5,763.75 |
$7,685 |
16.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,432.50 |
$9,910 |
42.2× |
| Cta Abdomen (74175) |
$6,845.25 |
$9,127 |
38.8× |
| CTA abdomen pelvis (74174) |
$12,256.50 |
$16,342 |
35.0× |
| CTA chest (71275) |
$6,580.50 |
$8,774 |
37.3× |
| Cta Head (70496) |
$5,525.25 |
$7,367 |
31.4× |
| CTA lwr ext w&w/o contrast (73706) |
$4,259.25 |
$5,679 |
24.2× |
| Cta Neck (70498) |
$6,012.75 |
$8,017 |
34.1× |
| Cta Pelvis (72191) |
$4,603.50 |
$6,138 |
26.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,674 |
$2,232 |
4.8× |
| Diskogram cervical (72285) |
$10,452.75 |
$13,937 |
5.3× |
| Diskography lumbar (72295) |
$10,452.75 |
$13,937 |
5.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$675.75 |
$901 |
6.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$456.75 |
$609 |
5.2× |
| Echoencephalography real time imaging (76506) |
$1,305 |
$1,740 |
12.4× |
| Esophagus (74220) |
$1,470.75 |
$1,961 |
8.3× |
| Fetal biophysical profile non-stress testing (76818) |
$873.75 |
$1,165 |
8.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$966.75 |
$1,289 |
9.2× |
| Fluoroscopy up to 1 hr (76000) |
$912.75 |
$1,217 |
3.8× |
| Foot 2 views (73620) |
$894 |
$1,192 |
10.2× |
| Forearm 2 views (73090) |
$826.50 |
$1,102 |
9.5× |
| Gated Heart Planar Single (78472) |
$5,788.50 |
$7,718 |
14.4× |
| Hand 2 views (73120) |
$997.50 |
$1,330 |
9.5× |
| Hand 3 views (73130) |
$1,035.75 |
$1,381 |
11.8× |
| Heart Infarct Image (78466) |
$2,562 |
$3,416 |
6.4× |
| Heart infarct image w ef (78468) |
$2,562 |
$3,416 |
4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,625 |
$7,500 |
10.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,684.50 |
$6,246 |
11.7× |
| Ht muscle image spect sing (78451) |
$7,349.25 |
$9,799 |
5.7× |
| Humerus Min 2 Views Left (73060) |
$900 |
$1,200 |
10.3× |
| Hysterosalpingogram (74740) |
$2,702.62 |
$3,603.50 |
11.3× |
| Kidney imaging morphology (78700) |
$2,466 |
$3,288 |
6.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,736 |
$3,648 |
5.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,201 |
$4,268 |
5.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,999.25 |
$3,999 |
5.5× |
| Knee 3 views (73562) |
$888 |
$1,184 |
10.2× |
| Liver & spleen imaging static only (78215) |
$4,716.75 |
$6,289 |
11.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$4,080 |
$5,440 |
10.2× |
| Liver imaging static only (78201) |
$2,061 |
$2,748 |
3.8× |
| Liver imaging w/vascular flow (78202) |
$2,061 |
$2,748 |
3.8× |
| Lung perf&ventilat diferentl (78598) |
$7,058.25 |
$9,411 |
12.9× |
| Lung perfusion differential (78597) |
$4,116 |
$5,488 |
10.2× |
| Lung Ventilation Imaging (78579) |
$2,680.50 |
$3,574 |
6.7× |
| Lymphoscintigraphy (78195) |
$3,938.25 |
$5,251 |
7.2× |
| Mammary ductogram or galactogram single (77053) |
$1,495.50 |
$1,994 |
6.2× |
| Meckels Diverticulum (78290) |
$4,812 |
$6,416 |
12.0× |
| MRA head w & w/o contrast (70546) |
$11,211.75 |
$14,949 |
32.0× |
| MRA head w/o contrast (70544) |
$6,255 |
$8,340 |
26.1× |
| MRA head with contrast (70545) |
$6,992.62 |
$9,323.50 |
20.0× |
| MRA neck w contrast (70548) |
$5,787 |
$7,716 |
16.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$9,336 |
$12,448 |
26.6× |
| MRA neck w/o contrast (70547) |
$6,160.50 |
$8,214 |
25.7× |
| MRI abdomen w contrast (74182) |
$7,586.25 |
$10,115 |
21.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,147 |
$12,196 |
26.1× |
| MRI abdomen w/o contrast (74181) |
$7,689 |
$10,252 |
32.1× |
| MRI any jnt lwr ext with con lt (73722) |
$9,945 |
$13,260 |
12.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$11,170.50 |
$14,894 |
14.2× |
| MRI breast w/o contrast bilateral (77047) |
$6,849.75 |
$9,133 |
28.6× |
| MRI breast w/o contrast unilat (77046) |
$5,091.75 |
$6,789 |
21.2× |
| MRI c-spine with contrast (72142) |
$10,382.62 |
$13,843.50 |
29.6× |
| MRI cardiac w/o contrast (75557) |
$4,443.38 |
$5,924.50 |
18.5× |
| MRI cervical spine w/o contrast (72141) |
$8,964 |
$11,952 |
37.4× |
| MRI chest w/o & w/contrast material (71552) |
$10,304.62 |
$13,739.50 |
29.4× |
| MRI chest w/o contrast (71550) |
$7,542.38 |
$10,056.50 |
31.5× |
| MRI chest with contrast (71551) |
$7,220.25 |
$9,627 |
9.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$6,830.25 |
$9,107 |
19.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,500.25 |
$8,667 |
18.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,812.75 |
$10,417 |
32.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$8,633.25 |
$11,511 |
36.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$9,785.25 |
$13,047 |
27.9× |
| MRI orbit/face/neck w/contrast (70542) |
$8,650.12 |
$11,533.50 |
24.7× |
| MRI pelvis w contrast (72196) |
$4,761.75 |
$6,349 |
13.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,037 |
$10,716 |
22.9× |
| MRI pelvis w/o contrast (72195) |
$2,972.25 |
$3,963 |
12.4× |
| MRI scan of arm joint before and after contrast (73223) |
$9,750 |
$13,000 |
27.8× |
| MRI scan of leg joint before and after contrast (73723) |
$10,301.25 |
$13,735 |
29.4× |
| MRI spectroscopy (76390) |
$7,290 |
$9,720 |
83.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$11,450.25 |
$15,267 |
32.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,589.25 |
$14,119 |
30.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,344.50 |
$15,126 |
32.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$9,808.12 |
$13,077.50 |
28.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,738.50 |
$14,318 |
30.6× |
| MRI thoracic spine w/o contrast (72146) |
$8,907.75 |
$11,877 |
37.2× |
| MRI tmj (70336) |
$4,414.50 |
$5,886 |
18.4× |
| MRI upper ext joint w/o contrast (73221) |
$7,883.25 |
$10,511 |
32.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$8,594.25 |
$11,459 |
24.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,596.75 |
$10,129 |
31.7× |
| Myelogram Cervical (72240) |
$3,426.38 |
$4,568.50 |
4.4× |
| Myelogram Lumbar (72265) |
$4,620 |
$6,160 |
5.9× |
| Myelogram thoracic (72255) |
$4,692.75 |
$6,257 |
6.0× |
| Myelography 2 or more regions (72270) |
$5,389.12 |
$7,185.50 |
6.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$17,697 |
$23,596 |
13.6× |
| Myocardial infarct spect (78469) |
$4,446.75 |
$5,929 |
8.2× |
| Myocardial Spect Multiple Studies (78452) |
$8,125.88 |
$10,834.50 |
6.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,334.75 |
$3,113 |
2.7× |
| Neck soft tissue (70360) |
$826.50 |
$1,102 |
9.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$860.25 |
$1,147 |
2.1× |
| Nm adrenal scan (78075) |
$5,116.50 |
$6,822 |
3.9× |
| Nm cisternogram (78630) |
$4,450.50 |
$5,934 |
8.2× |
| Nm gastric emptying study (78264) |
$3,836.25 |
$5,115 |
9.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$10,396.12 |
$13,861.50 |
7.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$4,693.50 |
$6,258 |
11.7× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,695 |
$2,260 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$5,384.25 |
$7,179 |
23.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$795 |
$1,060 |
7.6× |
| Osseous survey infant (77076) |
$651.75 |
$869 |
6.2× |
| Osseous survey limited (77074) |
$1,045.88 |
$1,394.50 |
10.0× |
| Parathyrd planar w/spect&CT (78072) |
$4,788 |
$6,384 |
8.8× |
| Parathyrd planar w/wo subtrj (78071) |
$6,907.50 |
$9,210 |
17.2× |
| Parathyroid imaging (78070) |
$4,419.75 |
$5,893 |
11.0× |
| Pelvis 1 or 2 views (72170) |
$822 |
$1,096 |
7.8× |
| Peritoneogram rs&i (74190) |
$1,738.50 |
$2,318 |
3.2× |
| PET image w/CT, skull-thigh (78815) |
$16,928.25 |
$22,571 |
11.8× |
| PET imaging CT for attenuation limited area (78814) |
$11,877 |
$15,836 |
8.3× |
| PET imaging for CT attenuation whole body (78816) |
$17,733 |
$23,644 |
12.3× |
| PET imaging limited area chest head/neck (78811) |
$9,315.75 |
$12,421 |
7.2× |
| PET whole body (78813) |
$23,742.38 |
$31,656.50 |
16.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,442.50 |
$12,590 |
26.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$6,981.75 |
$9,309 |
2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,195 |
$4,260 |
8.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,879.50 |
$6,506 |
8.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,495.50 |
$1,994 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,105.88 |
$1,474.50 |
10.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$498.75 |
$665 |
4.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,248 |
$1,664 |
11.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,843.50 |
$2,458 |
17.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,071.75 |
$1,429 |
10.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$950.25 |
$1,267 |
10.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,419 |
$1,892 |
13.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,230.75 |
$1,641 |
14.1× |
| Radiologic exam colon single contrast study (74270) |
$2,502 |
$3,336 |
14.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$5,031 |
$6,708 |
28.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$4,560.75 |
$6,081 |
25.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,236 |
$1,648 |
14.1× |
| Radiological examination surgical specimen (76098) |
$1,582.88 |
$2,110.50 |
2.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$12,948 |
$17,264 |
4.1× |
| Ribs bilateral 3 views (71110) |
$1,542 |
$2,056 |
14.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,195 |
$4,260 |
8.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,736.25 |
$6,315 |
8.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,058.50 |
$4,078 |
5.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,546.75 |
$4,729 |
2.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$638.25 |
$851 |
2.7× |
| Rp Therapy Intravenous Administration (79101) |
$7,422 |
$9,896 |
31.7× |
| Sacroiliac Joints < 3 Views (72200) |
$1,038.75 |
$1,385 |
9.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,275.50 |
$3,034 |
9.5× |
| Scanogram (77073) |
$1,017 |
$1,356 |
9.7× |
| Scapula complete (73010) |
$1,092 |
$1,456 |
10.4× |
| Screening digital breast tomosynthesis (77063) |
$145.12 |
$193.50 |
6.2× |
| Sella turcica (70240) |
$454.50 |
$606 |
5.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,812.75 |
$2,417 |
17.3× |
| Sialogram (70390) |
$1,495.50 |
$1,994 |
6.2× |
| Small bowel series (74250) |
$1,810.50 |
$2,414 |
10.3× |
| Spine thoracic 3 views (72072) |
$796.50 |
$1,062 |
7.6× |
| Splenoportograpy rs&i (75810) |
$5,694.38 |
$7,592.50 |
1.8× |
| Testicular Imaging With Vascular Flow (78761) |
$2,466 |
$3,288 |
6.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$660.19 |
$880.25 |
1.8× |
| Therapeutic Enema (74283) |
$1,753.12 |
$2,337.50 |
9.9× |
| Thoracolumbar 2 views (72080) |
$938.25 |
$1,251 |
10.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,788 |
$6,384 |
8.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,434.50 |
$3,246 |
6.1× |
| Thyroid uptake measurement (78012) |
$1,073.25 |
$1,431 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,138.75 |
$4,185 |
7.8× |
| Tmj unilateral (70328) |
$831.75 |
$1,109 |
9.5× |
| Tomogram (76100) |
$1,374.75 |
$1,833 |
13.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,195 |
$4,260 |
8.0× |
| Ultrasound, abdomen limited (76705) |
$1,949.25 |
$2,599 |
18.6× |
| Umbilical-artery Doppler (OB) (76820) |
$708.75 |
$945 |
6.7× |
| Unlisted magnetic resonance procedure (76498) |
$3,916.50 |
$5,222 |
44.8× |
| Upper Extremity Infant (73092) |
$566.25 |
$755 |
5.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,466 |
$3,288 |
6.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,395.75 |
$1,861 |
5.8× |
| Urethrocystography voiding (74455) |
$1,883.62 |
$2,511.50 |
7.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,988 |
$3,984 |
17.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$3,678 |
$4,904 |
20.9× |
| Us abdl aorta screen aaa (76706) |
$1,586.25 |
$2,115 |
15.1× |
| Us breast unilateral complete (76641) |
$1,440.75 |
$1,921 |
13.7× |
| Us breast unilateral limited (76642) |
$1,250.25 |
$1,667 |
14.3× |
| Us chest (76604) |
$559.50 |
$746 |
5.3× |
| Us compl joint r-t w/image documentation (76881) |
$1,550.25 |
$2,067 |
14.8× |
| Us guided compression repair (76936) |
$2,860.12 |
$3,813.50 |
13.2× |
| Us infant hips dynamic (76885) |
$1,681.50 |
$2,242 |
19.2× |
| Us infant hips limited static (76886) |
$1,446 |
$1,928 |
16.5× |
| Us kidney transplant (76776) |
$1,669.50 |
$2,226 |
15.9× |
| Us ob detailed single fetus (76811) |
$2,421.75 |
$3,229 |
10.1× |
| Us ob transvaginal (76817) |
$1,402.88 |
$1,870.50 |
13.4× |
| Us pelvic non ob complete (76856) |
$1,721.25 |
$2,295 |
16.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,166.25 |
$1,555 |
11.1× |
| Us pregnancy ltd (76815) |
$2,496 |
$3,328 |
23.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,648.50 |
$2,198 |
15.7× |
| Us retroperitoneal complete (76770) |
$1,731.75 |
$2,309 |
16.5× |
| Us retroperitoneal limited (76775) |
$2,289 |
$3,052 |
21.8× |
| Us scrotum and contents (76870) |
$1,464 |
$1,952 |
13.9× |
| Us soft tissue head/neck (76536) |
$1,586.25 |
$2,115 |
15.1× |
| Us spinal canal and contents (76800) |
$1,863.75 |
$2,485 |
17.7× |
| Us transrectal (76872) |
$1,079.62 |
$1,439.50 |
10.3× |
| Us xtr non-vasc lmtd (76882) |
$1,482 |
$1,976 |
14.1× |
| Venogram extremity bilateral (75822) |
$4,967.62 |
$6,623.50 |
3.1× |
| Venography caval inferior serialography rs&i (75825) |
$13,859.25 |
$18,479 |
4.4× |
| Venography caval superior serialography rs&i (75827) |
$4,791.38 |
$6,388.50 |
3.0× |
| Venography extremity unilateral rs&i (75820) |
$3,759.38 |
$5,012.50 |
2.4× |
| Venography Renal Bilateral (75833) |
$13,859.25 |
$18,479 |
4.4× |
| Venography renal unilateral selective rs&i (75831) |
$11,700.38 |
$15,600.50 |
3.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$7,611 |
$10,148 |
2.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$10,452.75 |
$13,937 |
1.9× |
| Vertebral fracture assessment via dxa (77086) |
$98.25 |
$131 |
1.1× |
| Wrist 2 views (73100) |
$851.25 |
$1,135 |
9.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,329.75 |
$1,773 |
12.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,006.12 |
$1,341.50 |
11.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,096.50 |
$1,462 |
12.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,619.75 |
$3,493 |
14.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$789.75 |
$1,053 |
9.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,105.50 |
$1,474 |
12.6× |
| X-ray exam hip uni 1 view (73501) |
$547.88 |
$730.50 |
6.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$859.50 |
$1,146 |
9.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,070.38 |
$2,760.50 |
19.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,633.50 |
$2,178 |
15.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$804.75 |
$1,073 |
9.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$903 |
$1,204 |
10.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$685.50 |
$914 |
7.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$945.75 |
$1,261 |
10.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$857.25 |
$1,143 |
8.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$633.75 |
$845 |
7.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$449.25 |
$599 |
5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,050 |
$1,400 |
10.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,089.50 |
$2,786 |
19.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,867.50 |
$2,490 |
17.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,016.25 |
$1,355 |
11.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,142.25 |
$1,523 |
13.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,633.50 |
$2,178 |
15.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,929.75 |
$2,573 |
18.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,925.38 |
$3,900.50 |
5.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,138.25 |
$2,851 |
6.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$969 |
$1,292 |
11.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,343.25 |
$1,791 |
12.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,671 |
$2,228 |
15.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,432.50 |
$1,910 |
13.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$927.75 |
$1,237 |
10.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,020 |
$1,360 |
11.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,546.50 |
$2,062 |
17.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$407.25 |
$543 |
4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,321.25 |
$3,095 |
22.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$817.50 |
$1,090 |
7.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$927 |
$1,236 |
10.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$557.25 |
$743 |
6.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$708.75 |
$945 |
8.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$992.25 |
$1,323 |
9.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$907.50 |
$1,210 |
8.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$794.25 |
$1,059 |
9.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$997.50 |
$1,330 |
11.4× |
| Xr arthrogram ankle (73615) |
$1,806.75 |
$2,409 |
5.2× |
| Xr c-spine 6 or more views (72052) |
$1,671 |
$2,228 |
15.9× |
| Xr chest 4+ views (71048) |
$1,400.62 |
$1,867.50 |
13.3× |
| Xr finger(s) 2+ views (73140) |
$927 |
$1,236 |
10.6× |
| Xr shoulder 1 view (73020) |
$809.25 |
$1,079 |
9.3× |
| Xr spine cervical 4 or 5 views (72050) |
$1,444.50 |
$1,926 |
13.8× |
| Xr tibia/fibula 2 views (73590) |
$948.75 |
$1,265 |
10.9× |
| Xr tmj bilateral (70330) |
$1,805.62 |
$2,407.50 |
20.7× |
| Xray knee 1 or 2 views rt (73560) |
$807 |
$1,076 |
9.2× |