| Abdomen 2 views (74019) |
$1,227 |
$1,636 |
11.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$7,213.50 |
$9,618 |
18.0× |
| Angiography extremity bilateral rs&i (75716) |
$11,733.75 |
$15,645 |
3.7× |
| Angiography extremity unilateral rs&i (75710) |
$8,565 |
$11,420 |
2.7× |
| Angiography internal mammary rs&i (75756) |
$4,317.75 |
$5,757 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,137.50 |
$10,850 |
1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$8,217.38 |
$10,956.50 |
2.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,061.62 |
$5,415.50 |
1.3× |
| Angiography Spinal Selective Rs&I (75705) |
$27,371.25 |
$36,495 |
4.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$27,371.25 |
$36,495 |
4.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$7,907.25 |
$10,543 |
2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,858.75 |
$5,145 |
1.2× |
| Ankle 2 views (73600) |
$1,120.50 |
$1,494 |
12.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$3,738.75 |
$4,985 |
10.7× |
| Aortogram thoracic (75605) |
$6,834 |
$9,112 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,397.88 |
$8,530.50 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$15,203.25 |
$20,271 |
4.8× |
| Arthrogram elbow (73085) |
$3,203.25 |
$4,271 |
9.1× |
| Arthrogram hip (73525) |
$2,044.50 |
$2,726 |
5.8× |
| Arthrogram shoulder (73040) |
$2,785.50 |
$3,714 |
7.9× |
| Arthrogram wrist (73115) |
$1,922.25 |
$2,563 |
5.5× |
| Arthrography knee lt (73580) |
$1,398 |
$1,864 |
4.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,240.75 |
$4,321 |
8.1× |
| Bone &/joint imaging whole body (78306) |
$5,192.25 |
$6,923 |
12.9× |
| Bone age studies (77072) |
$1,151.25 |
$1,535 |
11.0× |
| Bone Imaging 3 Phase (78315) |
$2,972.25 |
$3,963 |
7.4× |
| Bone survey complete (77075) |
$1,932 |
$2,576 |
18.4× |
| Brain image w/flow 4 + views (78606) |
$2,552.25 |
$3,403 |
4.7× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$4,162.50 |
$5,550 |
376.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,450.25 |
$7,267 |
15.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,494.50 |
$3,326 |
4.6× |
| Cervical spine 2 or 3 views (72040) |
$1,843.12 |
$2,457.50 |
21.1× |
| Chest 1 view (71045) |
$1,013.25 |
$1,351 |
11.6× |
| Chest 3 views (71047) |
$646.50 |
$862 |
7.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,067 |
$2,756 |
11.7× |
| Clavicle complete (73000) |
$1,413.75 |
$1,885 |
16.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$397.50 |
$530 |
3.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$18,547.50 |
$24,730 |
52.9× |
| CT abdomen and pelvis without contrast (74176) |
$14,775.75 |
$19,701 |
61.6× |
| CT abdomen w contrast (74160) |
$9,223.50 |
$12,298 |
52.3× |
| CT abdomen w wo contrast (74170) |
$10,476.75 |
$13,969 |
59.5× |
| CT abdomen w/o contrast (74150) |
$6,728.25 |
$8,971 |
64.1× |
| CT angio hrt w/3d image (75574) |
$1,886.25 |
$2,515 |
5.4× |
| CT angiography upper extremity lt (73206) |
$4,167 |
$5,556 |
23.6× |
| CT c-spine w/o contrast (72125) |
$8,562 |
$11,416 |
81.5× |
| CT cervical spine w&w/o contrast (72127) |
$10,233.75 |
$13,645 |
58.1× |
| CT cervical spine with contrast (72126) |
$8,559.75 |
$11,413 |
24.4× |
| CT chest w/wo contrast (71270) |
$4,290.75 |
$5,721 |
24.4× |
| CT chest with contrast (71260) |
$4,330.50 |
$5,774 |
24.6× |
| CT colonography screening (74263) |
$932.25 |
$1,243 |
3.9× |
| CT head/brain with contrast (70460) |
$6,772.50 |
$9,030 |
38.4× |
| CT head/brain without and with contrast (70470) |
$8,196.75 |
$10,929 |
46.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,780.75 |
$5,041 |
10.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$324 |
$432 |
3.7× |
| CT hrt w/3d image congen (75573) |
$3,780.75 |
$5,041 |
10.8× |
| CT iac w contrast (70481) |
$5,988 |
$7,984 |
34.0× |
| CT limited/localized follow up study (76380) |
$4,487.25 |
$5,983 |
51.3× |
| CT lower ext w/o (73700) |
$3,806.25 |
$5,075 |
36.2× |
| CT lower extremity w wo contrast (73702) |
$3,155.25 |
$4,207 |
17.9× |
| CT lower extremity with contrast (73701) |
$3,223.50 |
$4,298 |
18.3× |
| CT lumbar spine w & w/o contrast (72133) |
$9,736.50 |
$12,982 |
55.3× |
| CT lumbar spine w/o contrast (72131) |
$6,110.25 |
$8,147 |
58.2× |
| CT lumbar spine with contrast (72132) |
$6,418.50 |
$8,558 |
18.3× |
| CT maxillofacial w contrast (70487) |
$6,687 |
$8,916 |
38.0× |
| CT maxillofacial w/o contrast (70486) |
$6,987.75 |
$9,317 |
66.5× |
| CT maxillofacial w/wo contrast (70488) |
$7,391.25 |
$9,855 |
41.9× |
| CT neck soft tissue w contrast (70491) |
$3,586.50 |
$4,782 |
20.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$7,338 |
$9,784 |
41.6× |
| CT orbits w/o contrast (70480) |
$5,626.50 |
$7,502 |
53.6× |
| CT pelvis w & w/o contrast (72194) |
$8,119.50 |
$10,826 |
46.1× |
| CT pelvis w/o contrast (72192) |
$6,767.25 |
$9,023 |
64.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,475.50 |
$4,634 |
19.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,605.50 |
$3,474 |
24.8× |
| CT thoracic spine w/contrast (72129) |
$4,579.50 |
$6,106 |
26.0× |
| CT thoracic spine w/o contrast (72128) |
$4,116 |
$5,488 |
39.2× |
| CT thoracic spine w/wo contrast (72130) |
$5,163 |
$6,884 |
29.3× |
| CT thorax w/o contrast (71250) |
$3,459 |
$4,612 |
32.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,132 |
$4,176 |
17.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,429.25 |
$3,239 |
23.1× |
| CT upper extremity with contrast (73201) |
$2,571.75 |
$3,429 |
7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$11,280.75 |
$15,041 |
64.0× |
| Cta Abdomen (74175) |
$6,857.62 |
$9,143.50 |
38.9× |
| CTA abdomen pelvis (74174) |
$5,458.12 |
$7,277.50 |
15.6× |
| CTA chest (71275) |
$4,118.25 |
$5,491 |
23.4× |
| Cta Head (70496) |
$7,510.12 |
$10,013.50 |
42.6× |
| CTA lwr ext w&w/o contrast (73706) |
$4,350.38 |
$5,800.50 |
24.7× |
| Cta Neck (70498) |
$5,055 |
$6,740 |
28.7× |
| Cta Pelvis (72191) |
$6,769.88 |
$9,026.50 |
38.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,862.25 |
$2,483 |
5.3× |
| Dacryocystography (70170) |
$1,698 |
$2,264 |
7.1× |
| Diskogram cervical (72285) |
$5,447.25 |
$7,263 |
2.8× |
| Diskography lumbar (72295) |
$5,113.50 |
$6,818 |
2.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$703.50 |
$938 |
6.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$631.50 |
$842 |
6.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$827.62 |
$1,103.50 |
7.9× |
| Echo exam of fetal heart (76825) |
$1,373.25 |
$1,831 |
2.5× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,821.75 |
$2,429 |
7.6× |
| Echoencephalography real time imaging (76506) |
$3,261.75 |
$4,349 |
31.1× |
| Esophagus (74220) |
$1,392.75 |
$1,857 |
7.9× |
| Fetal biophysical profile non-stress testing (76818) |
$1,837.50 |
$2,450 |
17.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,080 |
$1,440 |
10.3× |
| Fluoroscopy up to 1 hr (76000) |
$1,381.50 |
$1,842 |
5.8× |
| Foot 2 views (73620) |
$1,004.25 |
$1,339 |
11.5× |
| Forearm 2 views (73090) |
$1,372.50 |
$1,830 |
15.7× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,924.25 |
$3,899 |
5.4× |
| Gated Heart Planar Single (78472) |
$3,753.75 |
$5,005 |
9.3× |
| Hand 2 views (73120) |
$1,034.25 |
$1,379 |
9.8× |
| Hand 3 views (73130) |
$1,229.25 |
$1,639 |
14.1× |
| Heart Infarct Image (78466) |
$2,156.25 |
$2,875 |
5.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$14,202.75 |
$18,937 |
4.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,050.75 |
$5,401 |
7.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,389.75 |
$5,853 |
10.9× |
| Ht muscle image spect sing (78451) |
$3,611.25 |
$4,815 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$1,206.75 |
$1,609 |
13.8× |
| Hysterosalpingogram (74740) |
$3,000 |
$4,000 |
12.5× |
| Interstitial radiation source applic complex (77778) |
$8,068.50 |
$10,758 |
11.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$891.75 |
$1,189 |
8.5× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,909.50 |
$2,546 |
4.8× |
| Kidney imaging morphology (78700) |
$3,231 |
$4,308 |
8.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,717 |
$4,956 |
6.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,114.50 |
$5,486 |
7.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,298.75 |
$7,065 |
9.7× |
| Knee 3 views (73562) |
$1,487.25 |
$1,983 |
17.0× |
| Liver & spleen imaging static only (78215) |
$3,635.25 |
$4,847 |
9.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,868.25 |
$2,491 |
4.7× |
| Liver imaging static only (78201) |
$2,144.25 |
$2,859 |
3.9× |
| Liver imaging w/vascular flow (78202) |
$2,817 |
$3,756 |
5.2× |
| Lung perfusion differential (78597) |
$2,552.25 |
$3,403 |
6.4× |
| Lung Ventilation Imaging (78579) |
$2,398.50 |
$3,198 |
6.0× |
| Lymphoscintigraphy (78195) |
$3,487.50 |
$4,650 |
6.4× |
| Mammary ductogram or galactogram multiple (77054) |
$3,266.25 |
$4,355 |
13.6× |
| Mammary ductogram or galactogram single (77053) |
$2,251.50 |
$3,002 |
9.4× |
| Meckels Diverticulum (78290) |
$6,278.25 |
$8,371 |
15.6× |
| 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) |
$2,537.25 |
$3,383 |
7.2× |
| MRA head w/o contrast (70544) |
$2,126.25 |
$2,835 |
8.9× |
| MRA head with contrast (70545) |
$4,744.50 |
$6,326 |
13.5× |
| MRA neck w contrast (70548) |
$2,964.75 |
$3,953 |
8.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,369.75 |
$4,493 |
9.6× |
| MRA neck w/o contrast (70547) |
$2,606.25 |
$3,475 |
10.9× |
| MRI abdomen w contrast (74182) |
$5,558.25 |
$7,411 |
15.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,340.25 |
$9,787 |
20.9× |
| MRI abdomen w/o contrast (74181) |
$5,242.50 |
$6,990 |
21.9× |
| MRI any jnt lwr ext with con lt (73722) |
$6,437.25 |
$8,583 |
8.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,782.50 |
$7,710 |
7.3× |
| MRI breast w/o contrast bilateral (77047) |
$1,851.75 |
$2,469 |
7.7× |
| MRI breast w/o contrast unilat (77046) |
$1,943.25 |
$2,591 |
8.1× |
| MRI c-spine with contrast (72142) |
$13,218 |
$17,624 |
37.7× |
| MRI cardiac w/o contrast (75557) |
$3,693 |
$4,924 |
15.4× |
| MRI cervical spine w/o contrast (72141) |
$11,690.25 |
$15,587 |
48.8× |
| MRI chest w/o & w/contrast material (71552) |
$4,799.25 |
$6,399 |
13.7× |
| MRI chest w/o contrast (71550) |
$3,447.75 |
$4,597 |
14.4× |
| MRI chest with contrast (71551) |
$3,711.75 |
$4,949 |
4.7× |
| MRI fetal sngl/1st gestation (74712) |
$1,812.75 |
$2,417 |
7.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,903.50 |
$6,538 |
14.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,968.25 |
$9,291 |
19.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$6,376.50 |
$8,502 |
26.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,659.50 |
$3,546 |
11.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,862.50 |
$5,150 |
11.0× |
| MRI orbit/face/neck w/contrast (70542) |
$3,125.25 |
$4,167 |
8.9× |
| MRI pelvis w contrast (72196) |
$4,560.75 |
$6,081 |
13.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,021 |
$8,028 |
17.2× |
| MRI pelvis w/o contrast (72195) |
$3,805.50 |
$5,074 |
15.9× |
| MRI scan of arm joint before and after contrast (73223) |
$6,591.75 |
$8,789 |
18.8× |
| MRI scan of leg joint before and after contrast (73723) |
$9,579.75 |
$12,773 |
27.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$16,664.25 |
$22,219 |
47.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,156.25 |
$6,875 |
14.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,825 |
$9,100 |
19.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,339 |
$8,452 |
18.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,560.75 |
$10,081 |
21.6× |
| MRI thoracic spine w/o contrast (72146) |
$6,257.25 |
$8,343 |
26.1× |
| MRI tmj (70336) |
$6,039.75 |
$8,053 |
25.2× |
| MRI upper ext joint w/o contrast (73221) |
$4,444.50 |
$5,926 |
18.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,654.75 |
$8,873 |
19.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,966 |
$5,288 |
16.5× |
| Myocardial Spect Multiple Studies (78452) |
$9,359.25 |
$12,479 |
7.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$4,848.75 |
$6,465 |
5.6× |
| Neck soft tissue (70360) |
$1,383 |
$1,844 |
15.8× |
| Nm cisternogram (78630) |
$2,079 |
$2,772 |
3.8× |
| Nm gastric emptying study (78264) |
$3,544.50 |
$4,726 |
8.8× |
| Nm gastroesophageal reflux study (78262) |
$2,336.25 |
$3,115 |
5.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$22,973.25 |
$30,631 |
17.7× |
| Nuclear medicine of heart pumping function (78473) |
$4,577.25 |
$6,103 |
11.4× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$8,024.25 |
$10,699 |
14.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,142 |
$2,856 |
5.3× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$2,204.25 |
$2,939 |
5.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,733.25 |
$2,311 |
4.3× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$7,719 |
$10,292 |
14.2× |
| Nuclear Rx Oral Admin (79005) |
$2,572.50 |
$3,430 |
11.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$860.62 |
$1,147.50 |
8.2× |
| Osseous survey infant (77076) |
$2,988.75 |
$3,985 |
28.5× |
| Osseous survey limited (77074) |
$1,100.25 |
$1,467 |
10.5× |
| Parathyrd planar w/wo subtrj (78071) |
$4,132.50 |
$5,510 |
10.3× |
| Parathyroid imaging (78070) |
$3,634.50 |
$4,846 |
9.1× |
| Pelvis 1 or 2 views (72170) |
$1,593.75 |
$2,125 |
15.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$9,579.75 |
$12,773 |
27.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$17,159.25 |
$22,879 |
5.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$15,558 |
$20,744 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,796.25 |
$2,395 |
4.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,877.75 |
$7,837 |
10.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,555.25 |
$3,407 |
4.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$368.25 |
$491 |
4.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$600 |
$800 |
5.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$996 |
$1,328 |
9.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$462.75 |
$617 |
4.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,212 |
$1,616 |
11.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,813.50 |
$2,418 |
17.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$948 |
$1,264 |
10.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,329 |
$1,772 |
12.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,160.25 |
$1,547 |
13.3× |
| Radiologic exam colon single contrast study (74270) |
$2,121.75 |
$2,829 |
12.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$2,866.50 |
$3,822 |
16.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,866.50 |
$3,822 |
16.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,209.50 |
$2,946 |
12.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,215 |
$1,620 |
13.9× |
| Radiological examination surgical specimen (76098) |
$819.75 |
$1,093 |
1.5× |
| Review by radiologist of adrenal gland vein image (75840) |
$15,652.50 |
$20,870 |
4.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$14,202.75 |
$18,937 |
4.5× |
| Ribs bilateral 3 views (71110) |
$1,688.25 |
$2,251 |
16.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,585.25 |
$3,447 |
6.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,806.25 |
$5,075 |
7.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,909.25 |
$7,879 |
10.8× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,920 |
$2,560 |
8.2× |
| Rp Therapy Intravenous Administration (79101) |
$2,051.25 |
$2,735 |
8.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,320.75 |
$1,761 |
5.5× |
| Salivary gland function study (78232) |
$2,097.75 |
$2,797 |
5.2× |
| Salivary gland imaging (78230) |
$1,050 |
$1,400 |
2.6× |
| Scanogram (77073) |
$592.50 |
$790 |
5.6× |
| Scapula complete (73010) |
$1,290.75 |
$1,721 |
12.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,238.25 |
$1,651 |
11.8× |
| Sialogram (70390) |
$1,183.50 |
$1,578 |
4.9× |
| Small bowel series (74250) |
$2,088 |
$2,784 |
11.9× |
| Spine thoracic 3 views (72072) |
$3,099.75 |
$4,133 |
29.5× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$686.25 |
$915 |
2.9× |
| Thoracolumbar 2 views (72080) |
$1,095.75 |
$1,461 |
12.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,685.50 |
$8,914 |
12.3× |
| Thyroid uptake measurement (78012) |
$2,610.75 |
$3,481 |
6.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,373.50 |
$4,498 |
8.4× |
| Tomogram (76100) |
$3,099.75 |
$4,133 |
29.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,502.50 |
$8,670 |
11.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,532 |
$3,376 |
6.3× |
| Ultrasound elastography first target lesion (76982) |
$462.75 |
$617 |
4.4× |
| Ultrasound, abdomen limited (76705) |
$2,149.88 |
$2,866.50 |
20.5× |
| Umbilical-artery Doppler (OB) (76820) |
$664.88 |
$886.50 |
6.3× |
| Upper Extremity Infant (73092) |
$597 |
$796 |
5.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,814.75 |
$3,753 |
7.0× |
| Urethrocystography retrograde rs&i (74450) |
$1,002 |
$1,336 |
4.2× |
| Urethrocystography voiding (74455) |
$2,396.25 |
$3,195 |
10.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,651.25 |
$3,535 |
15.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$3,318 |
$4,424 |
18.8× |
| Us abdl aorta screen aaa (76706) |
$664.50 |
$886 |
6.3× |
| Us breast unilateral complete (76641) |
$917.25 |
$1,223 |
8.7× |
| Us breast unilateral limited (76642) |
$591.75 |
$789 |
6.8× |
| Us chest (76604) |
$1,045.50 |
$1,394 |
10.0× |
| Us compl joint r-t w/image documentation (76881) |
$963 |
$1,284 |
9.2× |
| Us elastography parenchyma (76981) |
$462.75 |
$617 |
4.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,009.50 |
$1,346 |
9.6× |
| Us guided compression repair (76936) |
$1,911 |
$2,548 |
8.8× |
| Us infant hips dynamic (76885) |
$274.50 |
$366 |
3.1× |
| Us infant hips limited static (76886) |
$582.75 |
$777 |
6.7× |
| Us kidney transplant (76776) |
$1,381.50 |
$1,842 |
13.2× |
| Us ob detailed single fetus (76811) |
$1,546.12 |
$2,061.50 |
6.5× |
| Us ob transvaginal (76817) |
$1,880.62 |
$2,507.50 |
17.9× |
| Us pelvic non ob complete (76856) |
$2,393.62 |
$3,191.50 |
22.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,620 |
$2,160 |
15.4× |
| Us pregnancy ltd (76815) |
$914.25 |
$1,219 |
8.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,054.75 |
$4,073 |
29.1× |
| Us retroperitoneal complete (76770) |
$2,265 |
$3,020 |
21.6× |
| Us retroperitoneal limited (76775) |
$1,903.12 |
$2,537.50 |
18.1× |
| Us scrotum and contents (76870) |
$2,067 |
$2,756 |
19.7× |
| Us soft tissue head/neck (76536) |
$1,251 |
$1,668 |
11.9× |
| Us spinal canal and contents (76800) |
$1,092 |
$1,456 |
10.4× |
| Us transrectal (76872) |
$1,986 |
$2,648 |
18.9× |
| Us xtr non-vasc lmtd (76882) |
$557.25 |
$743 |
5.3× |
| Vascular flow imaging (78445) |
$1,574.25 |
$2,099 |
3.9× |
| Venogram extremity bilateral (75822) |
$3,267.75 |
$4,357 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$10,378.12 |
$13,837.50 |
3.3× |
| Venography caval superior serialography rs&i (75827) |
$5,848.50 |
$7,798 |
3.7× |
| Venography extremity unilateral rs&i (75820) |
$1,917 |
$2,556 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$17,028.75 |
$22,705 |
5.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,708.75 |
$4,945 |
1.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$25,935 |
$34,580 |
4.6× |
| Wrist 2 views (73100) |
$1,118.25 |
$1,491 |
12.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,016 |
$2,688 |
19.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$892.50 |
$1,190 |
10.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,237.50 |
$1,650 |
14.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,432.25 |
$3,243 |
13.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,034.25 |
$1,379 |
11.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,182.75 |
$1,577 |
13.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,272 |
$1,696 |
12.1× |
| X-ray exam hip uni 1 view (73501) |
$783 |
$1,044 |
9.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$604.12 |
$805.50 |
6.9× |
| X-ray exam hip uni 4/> views (73503) |
$654 |
$872 |
6.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$654 |
$872 |
6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,272 |
$1,696 |
12.1× |
| X-ray exam of femur 1 (73551) |
$368.25 |
$491 |
4.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,184 |
$2,912 |
20.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,600.50 |
$2,134 |
18.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,236 |
$1,648 |
14.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,372.50 |
$1,830 |
15.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,334.25 |
$1,779 |
15.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,641 |
$2,188 |
15.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,092 |
$1,456 |
12.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$514.50 |
$686 |
5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,603.88 |
$2,138.50 |
15.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,659.25 |
$4,879 |
34.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,690.50 |
$2,254 |
16.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,243.50 |
$1,658 |
14.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,453.50 |
$1,938 |
16.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,396.25 |
$3,195 |
22.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,440.50 |
$3,254 |
23.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,331.75 |
$3,109 |
4.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,701.50 |
$3,602 |
7.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,602 |
$2,136 |
18.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,737 |
$2,316 |
16.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,591.50 |
$2,122 |
15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$978 |
$1,304 |
9.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,506 |
$2,008 |
17.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,504.50 |
$2,006 |
17.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,181 |
$2,908 |
24.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$839.25 |
$1,119 |
9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,072.25 |
$2,763 |
19.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,302.75 |
$1,737 |
12.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,035.75 |
$1,381 |
11.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$588.75 |
$785 |
6.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,405.50 |
$1,874 |
16.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,596.75 |
$2,129 |
15.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,215 |
$1,620 |
13.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,342.50 |
$1,790 |
15.4× |
| Xr arthrogram ankle (73615) |
$1,564.50 |
$2,086 |
4.5× |
| Xr c-spine 6 or more views (72052) |
$1,338.75 |
$1,785 |
12.7× |
| Xr chest 4+ views (71048) |
$1,167.75 |
$1,557 |
11.1× |
| Xr finger(s) 2+ views (73140) |
$1,215 |
$1,620 |
13.9× |
| XR Mastoids < 3 Views Bilateral (70120) |
$462.75 |
$617 |
4.4× |
| Xr shoulder 1 view (73020) |
$951 |
$1,268 |
10.9× |
| Xr spine cervical 4 or 5 views (72050) |
$2,476.50 |
$3,302 |
23.6× |
| Xr tibia/fibula 2 views (73590) |
$1,275 |
$1,700 |
14.6× |
| Xr tmj bilateral (70330) |
$1,082.25 |
$1,443 |
12.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,129.50 |
$1,506 |
12.9× |