| Abdomen 2 views (74019) |
$1,241.25 |
$1,655 |
11.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$6,877.50 |
$9,170 |
17.1× |
| Angiography extremity bilateral rs&i (75716) |
$12,002.62 |
$16,003.50 |
3.8× |
| Angiography extremity unilateral rs&i (75710) |
$7,549.88 |
$10,066.50 |
2.4× |
| Angiography internal mammary rs&i (75756) |
$4,258.50 |
$5,678 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$22,491.75 |
$29,989 |
4.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,356.75 |
$9,809 |
2.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,109.25 |
$5,479 |
1.3× |
| Angiography Spinal Selective Rs&I (75705) |
$24,324 |
$32,432 |
4.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$15,081.75 |
$20,109 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$10,963.88 |
$14,618.50 |
3.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,894 |
$5,192 |
1.2× |
| Ankle 2 views (73600) |
$1,068.75 |
$1,425 |
12.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,681.50 |
$2,242 |
4.8× |
| Aortogram thoracic (75605) |
$8,941.12 |
$11,921.50 |
1.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,278.62 |
$8,371.50 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$10,310.62 |
$13,747.50 |
3.3× |
| Arthrogram elbow (73085) |
$3,207.75 |
$4,277 |
9.2× |
| Arthrogram hip (73525) |
$1,991.25 |
$2,655 |
5.7× |
| Arthrogram shoulder (73040) |
$2,798.25 |
$3,731 |
8.0× |
| Arthrogram wrist (73115) |
$1,774.50 |
$2,366 |
5.1× |
| Arthrography knee lt (73580) |
$1,227.75 |
$1,637 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,847 |
$3,796 |
7.1× |
| Bone &/joint imaging whole body (78306) |
$4,951.50 |
$6,602 |
12.3× |
| Bone age studies (77072) |
$1,130.25 |
$1,507 |
10.8× |
| Bone Imaging 3 Phase (78315) |
$2,824.50 |
$3,766 |
7.0× |
| Bone survey complete (77075) |
$1,997.25 |
$2,663 |
19.0× |
| Brain image w/flow 4 + views (78606) |
$2,297.25 |
$3,063 |
4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,901.25 |
$10,535 |
5.5× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$4,170 |
$5,560 |
377.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,070.75 |
$2,761 |
3.8× |
| Cervical spine 2 or 3 views (72040) |
$1,773 |
$2,364 |
20.3× |
| Chest 1 view (71045) |
$1,074 |
$1,432 |
12.3× |
| Chest 3 views (71047) |
$372 |
$496 |
4.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,971.75 |
$2,629 |
11.2× |
| Clavicle complete (73000) |
$1,347 |
$1,796 |
15.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$418.50 |
$558 |
4.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$18,750 |
$25,000 |
53.5× |
| CT abdomen and pelvis without contrast (74176) |
$14,796.75 |
$19,729 |
61.7× |
| CT abdomen w contrast (74160) |
$9,084 |
$12,112 |
51.6× |
| CT abdomen w wo contrast (74170) |
$9,992.25 |
$13,323 |
56.7× |
| CT abdomen w/o contrast (74150) |
$6,950.25 |
$9,267 |
66.2× |
| CT angio hrt w/3d image (75574) |
$1,888.50 |
$2,518 |
5.4× |
| CT angiography upper extremity lt (73206) |
$3,927 |
$5,236 |
22.3× |
| CT c-spine w/o contrast (72125) |
$9,087 |
$12,116 |
86.5× |
| CT cervical spine w&w/o contrast (72127) |
$9,207 |
$12,276 |
52.3× |
| CT cervical spine with contrast (72126) |
$7,527.75 |
$10,037 |
21.5× |
| CT chest w/wo contrast (71270) |
$3,651.75 |
$4,869 |
20.7× |
| CT chest with contrast (71260) |
$3,800.25 |
$5,067 |
21.6× |
| CT head/brain with contrast (70460) |
$6,837.75 |
$9,117 |
38.8× |
| CT head/brain without and with contrast (70470) |
$8,465.25 |
$11,287 |
48.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$308.25 |
$411 |
3.5× |
| CT iac w contrast (70481) |
$6,558 |
$8,744 |
37.2× |
| CT limited/localized follow up study (76380) |
$4,493.25 |
$5,991 |
51.4× |
| CT lower ext w/o (73700) |
$3,828 |
$5,104 |
36.5× |
| CT lower extremity w wo contrast (73702) |
$3,366 |
$4,488 |
19.1× |
| CT lower extremity with contrast (73701) |
$3,072.75 |
$4,097 |
17.4× |
| CT lumbar spine w & w/o contrast (72133) |
$8,077.50 |
$10,770 |
45.8× |
| CT lumbar spine w/o contrast (72131) |
$6,302.25 |
$8,403 |
60.0× |
| CT lumbar spine with contrast (72132) |
$6,122.25 |
$8,163 |
17.5× |
| CT maxillofacial w contrast (70487) |
$6,166.50 |
$8,222 |
35.0× |
| CT maxillofacial w/o contrast (70486) |
$6,609 |
$8,812 |
62.9× |
| CT maxillofacial w/wo contrast (70488) |
$6,500.25 |
$8,667 |
36.9× |
| CT neck soft tissue w contrast (70491) |
$3,420.75 |
$4,561 |
19.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,593.25 |
$8,791 |
37.4× |
| CT orbits w/o contrast (70480) |
$5,812.50 |
$7,750 |
55.3× |
| CT pelvis w & w/o contrast (72194) |
$8,387.25 |
$11,183 |
47.6× |
| CT pelvis w/o contrast (72192) |
$7,338 |
$9,784 |
69.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,778.50 |
$5,038 |
21.4× |
| CT soft tissue neck w/o contrast (70490) |
$2,483.25 |
$3,311 |
23.6× |
| CT thoracic spine w/contrast (72129) |
$3,798 |
$5,064 |
21.6× |
| CT thoracic spine w/o contrast (72128) |
$4,043.25 |
$5,391 |
38.5× |
| CT thoracic spine w/wo contrast (72130) |
$4,647 |
$6,196 |
26.4× |
| CT thorax w/o contrast (71250) |
$3,236.25 |
$4,315 |
30.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,054.75 |
$4,073 |
17.3× |
| CT upper extremity w/o contrast rt (73200) |
$2,591.25 |
$3,455 |
24.7× |
| CT upper extremity with contrast (73201) |
$3,063 |
$4,084 |
8.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$9,223.88 |
$12,298.50 |
52.3× |
| Cta Abdomen (74175) |
$8,913 |
$11,884 |
50.6× |
| CTA abdomen pelvis (74174) |
$9,801.75 |
$13,069 |
28.0× |
| CTA chest (71275) |
$3,964.50 |
$5,286 |
22.5× |
| Cta Head (70496) |
$11,612.25 |
$15,483 |
65.9× |
| CTA lwr ext w&w/o contrast (73706) |
$5,582.25 |
$7,443 |
31.7× |
| Cta Neck (70498) |
$6,594 |
$8,792 |
37.4× |
| Cta Pelvis (72191) |
$9,202.50 |
$12,270 |
52.2× |
| Cystography minimum 3 views rs&i (74430) |
$1,833 |
$2,444 |
5.2× |
| Diskogram cervical (72285) |
$5,121.75 |
$6,829 |
2.6× |
| Diskography lumbar (72295) |
$4,999.12 |
$6,665.50 |
2.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$613.50 |
$818 |
5.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$630.38 |
$840.50 |
6.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$784.50 |
$1,046 |
7.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,146 |
$1,528 |
10.9× |
| Dxa bone density study axial skeleton (77085) |
$799.50 |
$1,066 |
7.6× |
| Echo exam of fetal heart (76825) |
$1,839 |
$2,452 |
3.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,428.50 |
$3,238 |
10.1× |
| Echoencephalography real time imaging (76506) |
$2,705.25 |
$3,607 |
25.8× |
| Esophagus (74220) |
$1,437.75 |
$1,917 |
8.2× |
| Fetal biophysical profile non-stress testing (76818) |
$1,372.50 |
$1,830 |
13.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,129.50 |
$1,506 |
10.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,200.75 |
$1,601 |
5.0× |
| Foot 2 views (73620) |
$957.75 |
$1,277 |
11.0× |
| Forearm 2 views (73090) |
$1,300.50 |
$1,734 |
14.9× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,928 |
$3,904 |
5.4× |
| Gated Heart Planar Single (78472) |
$4,108.50 |
$5,478 |
10.2× |
| Hand 2 views (73120) |
$952.50 |
$1,270 |
9.1× |
| Hand 3 views (73130) |
$1,305.75 |
$1,741 |
14.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,095 |
$5,460 |
7.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,986.25 |
$5,315 |
9.9× |
| Ht muscle image spect sing (78451) |
$4,299 |
$5,732 |
3.3× |
| Humerus Min 2 Views Left (73060) |
$1,175.25 |
$1,567 |
13.4× |
| Hysterosalpingogram (74740) |
$3,003 |
$4,004 |
12.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$892.50 |
$1,190 |
8.5× |
| Kidney imaging morphology (78700) |
$3,236.25 |
$4,315 |
8.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,540.75 |
$4,721 |
6.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,211.25 |
$5,615 |
7.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,625 |
$7,500 |
10.3× |
| Knee 3 views (73562) |
$1,419 |
$1,892 |
16.2× |
| Liver & spleen imaging static only (78215) |
$3,463.50 |
$4,618 |
8.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,871.25 |
$2,495 |
4.7× |
| Liver imaging w/vascular flow (78202) |
$2,990.25 |
$3,987 |
5.5× |
| Lymphoscintigraphy (78195) |
$3,408.75 |
$4,545 |
6.2× |
| Mammary ductogram or galactogram multiple (77054) |
$3,114.75 |
$4,153 |
13.0× |
| Mammary ductogram or galactogram single (77053) |
$2,145.75 |
$2,861 |
9.0× |
| Meckels Diverticulum (78290) |
$5,986.50 |
$7,982 |
14.9× |
| Mr safety determination physician/other qhp (76016) |
$338.25 |
$451 |
3.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$228 |
$304 |
3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$93.75 |
$125 |
3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$352.50 |
$470 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$927.75 |
$1,237 |
3.9× |
| MRA head w & w/o contrast (70546) |
$2,551.50 |
$3,402 |
7.3× |
| MRA head w/o contrast (70544) |
$2,007 |
$2,676 |
8.4× |
| MRA head with contrast (70545) |
$3,435.75 |
$4,581 |
9.8× |
| MRA neck w contrast (70548) |
$2,999.25 |
$3,999 |
8.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,303 |
$4,404 |
9.4× |
| MRA neck w/o contrast (70547) |
$2,436 |
$3,248 |
10.2× |
| MRI abdomen w contrast (74182) |
$5,242.50 |
$6,990 |
15.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$8,105.25 |
$10,807 |
23.1× |
| MRI abdomen w/o contrast (74181) |
$6,002.25 |
$8,003 |
25.0× |
| MRI any jnt lwr ext with con lt (73722) |
$7,398 |
$9,864 |
9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,911.75 |
$6,549 |
6.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,824.75 |
$2,433 |
7.6× |
| MRI c-spine with contrast (72142) |
$12,486 |
$16,648 |
35.6× |
| MRI cervical spine w/o contrast (72141) |
$11,148 |
$14,864 |
46.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,981 |
$5,308 |
11.4× |
| MRI chest w/o contrast (71550) |
$3,031.50 |
$4,042 |
12.6× |
| MRI chest with contrast (71551) |
$2,781.94 |
$3,709.25 |
3.5× |
| MRI fetal sngl/1st gestation (74712) |
$1,816.50 |
$2,422 |
7.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,911.75 |
$6,549 |
14.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,978.75 |
$9,305 |
19.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,878.50 |
$7,838 |
24.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,338.50 |
$3,118 |
9.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,684 |
$4,912 |
10.5× |
| MRI orbit/face/neck w/contrast (70542) |
$3,131.25 |
$4,175 |
8.9× |
| MRI pelvis w contrast (72196) |
$4,946.25 |
$6,595 |
14.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,742 |
$7,656 |
16.4× |
| MRI pelvis w/o contrast (72195) |
$3,624 |
$4,832 |
15.1× |
| MRI scan of arm joint before and after contrast (73223) |
$6,145.50 |
$8,194 |
17.5× |
| MRI scan of leg joint before and after contrast (73723) |
$8,589.75 |
$11,453 |
24.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$15,367.50 |
$20,490 |
43.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,490.25 |
$5,987 |
12.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,294 |
$8,392 |
18.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,177 |
$8,236 |
17.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,181.25 |
$9,575 |
20.5× |
| MRI thoracic spine w/o contrast (72146) |
$4,776 |
$6,368 |
19.9× |
| MRI tmj (70336) |
$6,046.50 |
$8,062 |
25.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,779.25 |
$5,039 |
15.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,145.50 |
$8,194 |
17.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,778.50 |
$5,038 |
15.8× |
| Myocardial Spect Multiple Studies (78452) |
$10,074 |
$13,432 |
7.7× |
| Neck soft tissue (70360) |
$1,351.50 |
$1,802 |
15.5× |
| Nm cisternogram (78630) |
$1,724.25 |
$2,299 |
3.2× |
| Nm gastric emptying study (78264) |
$3,483 |
$4,644 |
8.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$21,910.50 |
$29,214 |
16.8× |
| Nuclear medicine of heart pumping function (78473) |
$4,118.25 |
$5,491 |
10.3× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$8,037.75 |
$10,717 |
14.7× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$8,364.75 |
$11,153 |
5.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,023.50 |
$2,698 |
5.0× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$2,208 |
$2,944 |
5.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$919.50 |
$1,226 |
8.8× |
| Osseous survey infant (77076) |
$2,685.75 |
$3,581 |
25.6× |
| Osseous survey limited (77074) |
$842.25 |
$1,123 |
8.0× |
| Parathyrd planar w/wo subtrj (78071) |
$4,179 |
$5,572 |
10.4× |
| Parathyroid imaging (78070) |
$3,754.50 |
$5,006 |
9.3× |
| Pelvis 1 or 2 views (72170) |
$1,623.75 |
$2,165 |
15.5× |
| PET image w/CT, skull-thigh (78815) |
$7,901.25 |
$10,535 |
5.5× |
| PET imaging for CT attenuation whole body (78816) |
$7,901.25 |
$10,535 |
5.5× |
| PET whole body (78813) |
$8,364.75 |
$11,153 |
5.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,561 |
$12,748 |
27.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$16,364.25 |
$21,819 |
5.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,749 |
$2,332 |
4.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,421 |
$7,228 |
9.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,835 |
$3,780 |
5.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$410.25 |
$547 |
4.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$581.62 |
$775.50 |
5.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$950.25 |
$1,267 |
9.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,155.75 |
$1,541 |
11.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,986 |
$2,648 |
18.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$930 |
$1,240 |
10.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$657 |
$876 |
6.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,161 |
$1,548 |
13.3× |
| Radiologic exam colon single contrast study (74270) |
$1,938 |
$2,584 |
11.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,730 |
$3,640 |
15.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,280.75 |
$3,041 |
12.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,121.25 |
$1,495 |
12.8× |
| Radiological examination surgical specimen (76098) |
$960.75 |
$1,281 |
1.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$14,181.75 |
$18,909 |
4.5× |
| Ribs bilateral 3 views (71110) |
$1,398.75 |
$1,865 |
13.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,511.50 |
$4,682 |
6.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,915.25 |
$7,887 |
10.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,445.25 |
$1,927 |
6.0× |
| Salivary gland function study (78232) |
$1,983 |
$2,644 |
4.9× |
| Scanogram (77073) |
$763.50 |
$1,018 |
7.3× |
| Scapula complete (73010) |
$1,159.50 |
$1,546 |
11.0× |
| Screening digital breast tomosynthesis (77063) |
$175.50 |
$234 |
7.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,138.50 |
$1,518 |
10.8× |
| Small bowel series (74250) |
$2,090.25 |
$2,787 |
11.9× |
| Spine thoracic 3 views (72072) |
$3,105.75 |
$4,141 |
29.6× |
| Testicular Imaging With Vascular Flow (78761) |
$2,208 |
$2,944 |
5.5× |
| Thoracolumbar 2 views (72080) |
$1,200.75 |
$1,601 |
13.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,695.25 |
$8,927 |
12.3× |
| Thyroid uptake measurement (78012) |
$2,583.75 |
$3,445 |
6.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,583.75 |
$3,445 |
6.4× |
| Tomogram (76100) |
$3,105.75 |
$4,141 |
29.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$7,920 |
$10,560 |
14.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,538 |
$3,384 |
6.3× |
| Ultrasound, abdomen limited (76705) |
$2,049.75 |
$2,733 |
19.5× |
| Umbilical-artery Doppler (OB) (76820) |
$701.25 |
$935 |
6.7× |
| Upper Extremity Infant (73092) |
$569.25 |
$759 |
5.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,599.50 |
$3,466 |
6.5× |
| Urethrocystography retrograde rs&i (74450) |
$882 |
$1,176 |
3.7× |
| Urethrocystography voiding (74455) |
$1,988.25 |
$2,651 |
8.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,657.25 |
$3,543 |
15.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$3,321.75 |
$4,429 |
18.9× |
| Us abdl aorta screen aaa (76706) |
$793.12 |
$1,057.50 |
7.6× |
| Us breast unilateral complete (76641) |
$925.12 |
$1,233.50 |
8.8× |
| Us breast unilateral limited (76642) |
$559.50 |
$746 |
6.4× |
| Us chest (76604) |
$1,245 |
$1,660 |
11.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,584 |
$2,112 |
15.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$970.50 |
$1,294 |
9.2× |
| Us infant hips dynamic (76885) |
$368.25 |
$491 |
4.2× |
| Us infant hips limited static (76886) |
$514.50 |
$686 |
5.9× |
| Us kidney transplant (76776) |
$1,316.25 |
$1,755 |
12.5× |
| Us ob detailed single fetus (76811) |
$1,570.50 |
$2,094 |
6.6× |
| Us ob transvaginal (76817) |
$1,218 |
$1,624 |
11.6× |
| Us pelvic non ob complete (76856) |
$2,282.25 |
$3,043 |
21.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,531.88 |
$2,042.50 |
14.6× |
| Us pregnancy ltd (76815) |
$909 |
$1,212 |
8.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,019.50 |
$4,026 |
28.8× |
| Us retroperitoneal complete (76770) |
$1,975.50 |
$2,634 |
18.8× |
| Us retroperitoneal limited (76775) |
$1,986 |
$2,648 |
18.9× |
| Us scrotum and contents (76870) |
$2,053.88 |
$2,738.50 |
19.6× |
| Us soft tissue head/neck (76536) |
$1,132.50 |
$1,510 |
10.8× |
| Us spinal canal and contents (76800) |
$981.75 |
$1,309 |
9.3× |
| Us transrectal (76872) |
$1,812.38 |
$2,416.50 |
17.3× |
| Us xtr non-vasc lmtd (76882) |
$836.25 |
$1,115 |
8.0× |
| Vascular flow imaging (78445) |
$1,575 |
$2,100 |
3.9× |
| Venogram extremity bilateral (75822) |
$3,033.75 |
$4,045 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$5,621.62 |
$7,495.50 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$6,022.88 |
$8,030.50 |
3.8× |
| Venography extremity unilateral rs&i (75820) |
$2,074.50 |
$2,766 |
1.3× |
| Venography Renal Bilateral (75833) |
$13,939.50 |
$18,586 |
4.4× |
| Venography renal unilateral selective rs&i (75831) |
$12,729.38 |
$16,972.50 |
4.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$14,202.75 |
$18,937 |
4.5× |
| Wrist 2 views (73100) |
$1,147.50 |
$1,530 |
13.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,018.25 |
$2,691 |
19.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$966 |
$1,288 |
11.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,251 |
$1,668 |
14.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,315.25 |
$3,087 |
13.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,069.50 |
$1,426 |
12.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,167.75 |
$1,557 |
13.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,214.25 |
$1,619 |
11.6× |
| X-ray exam hip uni 1 view (73501) |
$747 |
$996 |
8.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$615.38 |
$820.50 |
7.0× |
| X-ray exam hip uni 4/> views (73503) |
$669.75 |
$893 |
6.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$636 |
$848 |
6.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,145.25 |
$1,527 |
10.9× |
| X-ray exam of femur 1 (73551) |
$410.25 |
$547 |
4.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,394 |
$3,192 |
22.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,707 |
$2,276 |
19.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,248 |
$1,664 |
14.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,300.50 |
$1,734 |
14.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,267.88 |
$1,690.50 |
14.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,564.50 |
$2,086 |
14.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$982.50 |
$1,310 |
11.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$528.75 |
$705 |
6.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,566 |
$2,088 |
14.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,697.50 |
$4,930 |
35.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,350 |
$1,800 |
15.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,205.25 |
$1,607 |
13.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,283 |
$3,044 |
21.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,324.25 |
$3,099 |
22.1× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,333.25 |
$3,111 |
4.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,790.75 |
$3,721 |
8.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,620 |
$2,160 |
18.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,740 |
$2,320 |
16.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,607.25 |
$2,143 |
15.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,044 |
$1,392 |
9.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,422.75 |
$1,897 |
16.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,457.25 |
$1,943 |
16.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,204.25 |
$2,939 |
25.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$867 |
$1,156 |
9.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,093.25 |
$2,791 |
19.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,423.12 |
$1,897.50 |
13.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$909.75 |
$1,213 |
10.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$393.75 |
$525 |
4.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,450.50 |
$1,934 |
16.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,599 |
$2,132 |
15.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,121.25 |
$1,495 |
12.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,344 |
$1,792 |
15.4× |
| Xr arthrogram ankle (73615) |
$1,566 |
$2,088 |
4.5× |
| Xr c-spine 6 or more views (72052) |
$1,419.75 |
$1,893 |
13.5× |
| Xr chest 4+ views (71048) |
$1,179.75 |
$1,573 |
11.2× |
| Xr finger(s) 2+ views (73140) |
$1,209.75 |
$1,613 |
13.8× |
| Xr shoulder 1 view (73020) |
$972 |
$1,296 |
11.1× |
| Xr spine cervical 4 or 5 views (72050) |
$2,503.50 |
$3,338 |
23.8× |
| Xr tibia/fibula 2 views (73590) |
$1,287.75 |
$1,717 |
14.7× |
| Xr tmj bilateral (70330) |
$972.75 |
$1,297 |
11.1× |
| Xray knee 1 or 2 views rt (73560) |
$982.50 |
$1,310 |
11.2× |