| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,502.76 |
$10,734 |
1.2× |
| Abdomen 2 views (74019) |
$204.96 |
$1,464 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$178.08 |
$1,272 |
0.5× |
| Angiography extremity bilateral rs&i (75716) |
$1,204.70 |
$8,605 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,217.93 |
$8,699.50 |
0.4× |
| Angiography internal mammary rs&i (75756) |
$1,393.84 |
$9,956 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,128.68 |
$8,062 |
0.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$976.50 |
$6,975 |
0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$829.92 |
$5,928 |
0.3× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,361.80 |
$16,870 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,204.70 |
$8,605 |
0.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,393.84 |
$9,956 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,267.14 |
$9,051 |
0.4× |
| Ankle 2 views (73600) |
$104.86 |
$749 |
1.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$167.86 |
$1,199 |
0.5× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,389.94 |
$17,071 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,393.84 |
$9,956 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,204.70 |
$8,605 |
0.4× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,291.50 |
$9,225 |
0.4× |
| Artery X-Rays Adrenal Gland (75731) |
$1,267.14 |
$9,051 |
0.4× |
| Arthrogram elbow (73085) |
$221.48 |
$1,582 |
0.7× |
| Arthrogram hip (73525) |
$162.54 |
$1,161 |
0.5× |
| Arthrogram shoulder (73040) |
$143.78 |
$1,027 |
0.4× |
| Arthrogram wrist (73115) |
$177.24 |
$1,266 |
0.5× |
| Arthrography knee lt (73580) |
$184.38 |
$1,317 |
0.6× |
| Basic radiation dosimetry calculation (77300) |
$95.76 |
$684 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$265.72 |
$1,898 |
0.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$304.50 |
$2,175 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$349.72 |
$2,498 |
0.9× |
| Bone age studies (77072) |
$85.54 |
$611 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$349.02 |
$2,493 |
0.9× |
| Bone Marrow Imaging Limited Area (78102) |
$252.98 |
$1,807 |
0.7× |
| Bone survey complete (77075) |
$187.46 |
$1,339 |
1.9× |
| Brachytx isodose complex (77318) |
$316.54 |
$2,261 |
0.9× |
| Brachytx isodose intermed (77317) |
$316.54 |
$2,261 |
0.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$125.30 |
$895 |
0.4× |
| Brain image w/flow 4 + views (78606) |
$265.72 |
$1,898 |
0.5× |
| Brain imaging < 4 static views (78600) |
$238.56 |
$1,704 |
0.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$241.92 |
$1,728 |
0.6× |
| Brain Imaging Minimum 4 Static Views (78605) |
$230.72 |
$1,648 |
0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$823.62 |
$5,883 |
0.6× |
| Brain Imaging Vascular Flow Only (78610) |
$310.38 |
$2,217 |
0.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$259.42 |
$1,853 |
0.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$255.78 |
$1,827 |
0.8× |
| Cardiac shunt detection (78428) |
$279.16 |
$1,994 |
0.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$217.70 |
$1,555 |
0.4× |
| Cervical spine 2 or 3 views (72040) |
$152.18 |
$1,087 |
1.9× |
| Chest 1 view (71045) |
$74.76 |
$534 |
0.9× |
| Chest 3 views (71047) |
$84.98 |
$607 |
1.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$203.84 |
$1,456 |
1.2× |
| Cineradiography/videoradiography (76120) |
$103.18 |
$737 |
1.1× |
| Cisternography Positive Contrast Rs&I (70015) |
$348.32 |
$2,488 |
0.5× |
| Clavicle complete (73000) |
$100.52 |
$718 |
1.2× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$10,802.96 |
$77,164 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$39.48 |
$282 |
0.4× |
| Continuing medical physics consltj pr wk (77336) |
$169.68 |
$1,212 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$997.22 |
$7,123 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$740.18 |
$5,287 |
3.3× |
| CT abdomen w contrast (74160) |
$818.58 |
$5,847 |
5.0× |
| CT abdomen w wo contrast (74170) |
$997.22 |
$7,123 |
6.1× |
| CT abdomen w/o contrast (74150) |
$740.18 |
$5,287 |
7.5× |
| CT angio hrt w/3d image (75574) |
$371.56 |
$2,654 |
1.1× |
| CT angiography upper extremity lt (73206) |
$473.34 |
$3,381 |
2.9× |
| CT c-spine w/o contrast (72125) |
$763.56 |
$5,454 |
7.8× |
| CT cervical spine w&w/o contrast (72127) |
$141.82 |
$1,013 |
0.9× |
| CT cervical spine with contrast (72126) |
$796.74 |
$5,691 |
2.4× |
| CT chest w/wo contrast (71270) |
$234.92 |
$1,678 |
1.4× |
| CT chest with contrast (71260) |
$258.44 |
$1,846 |
1.6× |
| CT colonography screening (74263) |
$81.48 |
$582 |
0.4× |
| CT colonography w/o cntrst (74261) |
$58.38 |
$417 |
0.6× |
| CT head/brain with contrast (70460) |
$432.88 |
$3,092 |
2.6× |
| CT head/brain without and with contrast (70470) |
$716.52 |
$5,118 |
4.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$162.82 |
$1,163 |
0.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$27.58 |
$197 |
0.3× |
| CT hrt w/3d image congen (75573) |
$186.76 |
$1,334 |
0.6× |
| CT iac w contrast (70481) |
$141.82 |
$1,013 |
0.9× |
| CT limited/localized follow up study (76380) |
$35 |
$250 |
0.4× |
| CT lower ext w/o (73700) |
$283.50 |
$2,025 |
2.9× |
| CT lower extremity w wo contrast (73702) |
$414.82 |
$2,963 |
2.5× |
| CT lower extremity with contrast (73701) |
$347.90 |
$2,485 |
2.1× |
| CT lumbar spine w & w/o contrast (72133) |
$141.82 |
$1,013 |
0.9× |
| CT lumbar spine w/o contrast (72131) |
$763.56 |
$5,454 |
7.8× |
| CT lumbar spine with contrast (72132) |
$766.64 |
$5,476 |
2.3× |
| CT maxillofacial w contrast (70487) |
$457.80 |
$3,270 |
2.8× |
| CT maxillofacial w/o contrast (70486) |
$386.96 |
$2,764 |
3.9× |
| CT maxillofacial w/wo contrast (70488) |
$141.82 |
$1,013 |
0.9× |
| CT neck soft tissue w contrast (70491) |
$317.52 |
$2,268 |
1.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$141.82 |
$1,013 |
0.9× |
| CT orbits w/o contrast (70480) |
$527.52 |
$3,768 |
5.4× |
| CT pelvis w & w/o contrast (72194) |
$141.82 |
$1,013 |
0.9× |
| CT pelvis w/o contrast (72192) |
$691.04 |
$4,936 |
7.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$66.78 |
$477 |
0.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$400.40 |
$2,860 |
2.4× |
| CT soft tissue neck w/o contrast (70490) |
$294.42 |
$2,103 |
3.0× |
| CT thoracic spine w/contrast (72129) |
$796.74 |
$5,691 |
4.8× |
| CT thoracic spine w/o contrast (72128) |
$750.96 |
$5,364 |
7.7× |
| CT thoracic spine w/wo contrast (72130) |
$141.82 |
$1,013 |
0.9× |
| CT thorax w/o contrast (71250) |
$135.80 |
$970 |
1.4× |
| CT unlisted procedure (76497) |
$70.56 |
$504 |
0.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$239.54 |
$1,711 |
1.5× |
| CT upper extremity w/o contrast rt (73200) |
$262.08 |
$1,872 |
2.7× |
| CT upper extremity with contrast (73201) |
$327.88 |
$2,342 |
1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$408.38 |
$2,917 |
2.5× |
| Cta Abdomen (74175) |
$521.08 |
$3,722 |
3.2× |
| CTA abdomen pelvis (74174) |
$572.60 |
$4,090 |
1.7× |
| CTA chest (71275) |
$473.34 |
$3,381 |
2.9× |
| Cta Head (70496) |
$473.34 |
$3,381 |
2.9× |
| CTA lwr ext w&w/o contrast (73706) |
$432.88 |
$3,092 |
2.6× |
| Cta Neck (70498) |
$424.76 |
$3,034 |
2.6× |
| Cta Pelvis (72191) |
$473.34 |
$3,381 |
2.9× |
| Cystography minimum 3 views rs&i (74430) |
$114.24 |
$816 |
0.3× |
| Dacryocystography (70170) |
$230.86 |
$1,649 |
1.0× |
| Diskogram cervical (72285) |
$1,278.20 |
$9,130 |
0.7× |
| Diskography lumbar (72295) |
$1,015 |
$7,250 |
0.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$157.22 |
$1,123 |
1.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$94.08 |
$672 |
1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$152.46 |
$1,089 |
1.6× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$97.02 |
$693 |
1.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$117.18 |
$837 |
1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$31.92 |
$228 |
0.4× |
| Dxa bone density study axial skeleton (77085) |
$80.64 |
$576 |
0.8× |
| Echo exam of fetal heart (76825) |
$228.34 |
$1,631 |
0.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$251.16 |
$1,794 |
1.1× |
| Echoencephalography real time imaging (76506) |
$107.66 |
$769 |
1.1× |
| Esophageal motility (78258) |
$312.76 |
$2,234 |
0.8× |
| Esophagus (74220) |
$82.60 |
$590 |
0.5× |
| Fetal biophysical profile non-stress testing (76818) |
$100.66 |
$719 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$145.74 |
$1,041 |
1.5× |
| Fluoroscopy up to 1 hr (76000) |
$254.10 |
$1,815 |
1.1× |
| Foot 2 views (73620) |
$110.18 |
$787 |
1.3× |
| Forearm 2 views (73090) |
$101.78 |
$727 |
1.2× |
| Functional MRI brain by phys/psych (70555) |
$118.44 |
$846 |
0.5× |
| Functional MRI brain by tech (70554) |
$305.76 |
$2,184 |
1.4× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$253.96 |
$1,814 |
0.5× |
| Gastric mucosa imaging (78261) |
$211.54 |
$1,511 |
0.6× |
| Gastrointestinal Protein Loss (78282) |
$231.84 |
$1,656 |
0.6× |
| Gated Heart Planar Single (78472) |
$398.86 |
$2,849 |
1.1× |
| Hand 2 views (73120) |
$108.22 |
$773 |
1.1× |
| Hand 3 views (73130) |
$144.20 |
$1,030 |
1.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$905.66 |
$6,469 |
1.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$865.48 |
$6,182 |
1.3× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$909.44 |
$6,496 |
1.4× |
| Heart Infarct Image (78466) |
$177.52 |
$1,268 |
0.5× |
| Heart infarct image w ef (78468) |
$279.16 |
$1,994 |
0.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,291.50 |
$9,225 |
0.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$259.56 |
$1,854 |
0.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$292.32 |
$2,088 |
0.8× |
| Ht muscle image spect sing (78451) |
$1,017.52 |
$7,268 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$104.16 |
$744 |
1.3× |
| Hyperthermia ntrstl prb 5/< (77610) |
$354.34 |
$2,531 |
0.7× |
| Hysterosalpingogram (74740) |
$141.40 |
$1,010 |
0.6× |
| Interstitial radiation source applic complex (77778) |
$552.44 |
$3,946 |
0.8× |
| Intracavitary Radiation Source Applic Complex (77763) |
$660.94 |
$4,721 |
1.0× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$363.86 |
$2,599 |
0.7× |
| Intracavitary radiation source applic simple (77761) |
$363.86 |
$2,599 |
0.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$41.58 |
$297 |
0.4× |
| Kidney funcj study non-img radioisotopic study (78725) |
$501.62 |
$3,583 |
1.3× |
| Kidney imaging morphology (78700) |
$102.90 |
$735 |
0.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$240.24 |
$1,716 |
0.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$318.92 |
$2,278 |
0.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$464.38 |
$3,317 |
0.9× |
| Knee 3 views (73562) |
$152.18 |
$1,087 |
1.9× |
| Liver & spleen imaging static only (78215) |
$300.16 |
$2,144 |
0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$259 |
$1,850 |
0.7× |
| Liver imaging static only (78201) |
$688.94 |
$4,921 |
1.4× |
| Lung perf&ventilat diferentl (78598) |
$303.80 |
$2,170 |
0.6× |
| Lung perfusion differential (78597) |
$363.58 |
$2,597 |
1.0× |
| Lung Ventilation Imaging (78579) |
$199.64 |
$1,426 |
0.5× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$290.92 |
$2,078 |
0.5× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$831.04 |
$5,936 |
0.6× |
| Lymphoscintigraphy (78195) |
$253.96 |
$1,814 |
0.5× |
| Mammary ductogram or galactogram multiple (77054) |
$116.62 |
$833 |
0.5× |
| Mammary ductogram or galactogram single (77053) |
$121.38 |
$867 |
0.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$41.58 |
$297 |
0.5× |
| Meckels Diverticulum (78290) |
$273 |
$1,950 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$304.92 |
$2,178 |
0.9× |
| Mr elastography (76391) |
$231.56 |
$1,654 |
1.0× |
| Mr safety determination physician/other qhp (76016) |
$33.88 |
$242 |
0.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$22.82 |
$163 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$9.38 |
$67 |
0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$35.28 |
$252 |
0.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$93.10 |
$665 |
0.4× |
| MRA head w & w/o contrast (70546) |
$783.30 |
$5,595 |
2.4× |
| MRA head w/o contrast (70544) |
$642.04 |
$4,586 |
2.9× |
| MRA head with contrast (70545) |
$141.82 |
$1,013 |
0.4× |
| MRA neck w contrast (70548) |
$756 |
$5,400 |
2.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$857.64 |
$6,126 |
2.6× |
| MRA neck w/o contrast (70547) |
$549.92 |
$3,928 |
2.5× |
| MRI abdomen w contrast (74182) |
$603.26 |
$4,309 |
1.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$912.52 |
$6,518 |
2.8× |
| MRI abdomen w/o contrast (74181) |
$613.76 |
$4,384 |
2.7× |
| MRI any jnt lwr ext with con lt (73722) |
$596.12 |
$4,258 |
0.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$262.22 |
$1,873 |
0.4× |
| MRI breast w/o contrast bilateral (77047) |
$129.50 |
$925 |
0.6× |
| MRI c-spine with contrast (72142) |
$650.86 |
$4,649 |
2.0× |
| MRI cardiac w/o contrast (75557) |
$336.28 |
$2,402 |
1.5× |
| MRI cervical spine w/o contrast (72141) |
$749.56 |
$5,354 |
3.3× |
| MRI chest w/o & w/contrast material (71552) |
$894.18 |
$6,387 |
2.7× |
| MRI chest w/o contrast (71550) |
$130.34 |
$931 |
0.6× |
| MRI chest with contrast (71551) |
$777.84 |
$5,556 |
1.1× |
| MRI fetal sngl/1st gestation (74712) |
$176.96 |
$1,264 |
0.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$756.70 |
$5,405 |
2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$128.94 |
$921 |
0.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$904.26 |
$6,459 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$130.34 |
$931 |
0.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,111.88 |
$7,942 |
3.4× |
| MRI orbit/face/neck w/contrast (70542) |
$798.28 |
$5,702 |
2.4× |
| MRI pelvis w contrast (72196) |
$595.84 |
$4,256 |
1.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$926.66 |
$6,619 |
2.8× |
| MRI pelvis w/o contrast (72195) |
$430.92 |
$3,078 |
1.9× |
| MRI scan of arm joint before and after contrast (73223) |
$425.04 |
$3,036 |
1.3× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$546 |
$3,900 |
0.7× |
| MRI scan of leg joint before and after contrast (73723) |
$668.50 |
$4,775 |
2.0× |
| MRI spectroscopy (76390) |
$482.02 |
$3,443 |
5.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,145.20 |
$8,180 |
3.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$754.74 |
$5,391 |
2.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,145.20 |
$8,180 |
3.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$770.98 |
$5,507 |
2.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,145.20 |
$8,180 |
3.5× |
| MRI thoracic spine w/o contrast (72146) |
$749.56 |
$5,354 |
3.3× |
| MRI tmj (70336) |
$130.34 |
$931 |
0.6× |
| MRI upper ext joint w/o contrast (73221) |
$277.76 |
$1,984 |
1.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$839.58 |
$5,997 |
2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$130.34 |
$931 |
0.6× |
| Myelogram Cervical (72240) |
$224.28 |
$1,602 |
0.3× |
| Myelogram Lumbar (72265) |
$307.72 |
$2,198 |
0.4× |
| Myelogram thoracic (72255) |
$177.38 |
$1,267 |
0.2× |
| Myelography 2 or more regions (72270) |
$413.28 |
$2,952 |
0.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$953.82 |
$6,813 |
0.8× |
| Myocardial infarct spect (78469) |
$279.16 |
$1,994 |
0.5× |
| Myocardial Spect Multiple Studies (78452) |
$1,249.22 |
$8,923 |
1.0× |
| Neck soft tissue (70360) |
$128.94 |
$921 |
1.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$162.12 |
$1,158 |
0.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$177.52 |
$1,268 |
0.5× |
| Nm adrenal scan (78075) |
$673.40 |
$4,810 |
0.6× |
| Nm bone marrow multiple (78103) |
$252.98 |
$1,807 |
0.7× |
| Nm bone marrow wb (78104) |
$434.70 |
$3,105 |
1.2× |
| Nm cisternogram (78630) |
$246.82 |
$1,763 |
0.5× |
| Nm gastric emptying study (78264) |
$380.94 |
$2,721 |
1.0× |
| Nm gastroesophageal reflux study (78262) |
$167.16 |
$1,194 |
0.4× |
| Nm peritoneal-venous shunt patency (78291) |
$179.20 |
$1,280 |
0.5× |
| Nm red cell sequestration (78140) |
$393.54 |
$2,811 |
1.0× |
| Nm whole blood volume (78122) |
$393.54 |
$2,811 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,278.62 |
$9,133 |
1.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$953.82 |
$6,813 |
0.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$882.98 |
$6,307 |
0.7× |
| Nuclear medicine of heart pumping function (78473) |
$292.04 |
$2,086 |
0.8× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$279.16 |
$1,994 |
0.5× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$2,051 |
$14,650 |
1.5× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$953.82 |
$6,813 |
0.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$613.76 |
$4,384 |
0.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$121.66 |
$869 |
0.3× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$223.02 |
$1,593 |
0.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$312.20 |
$2,230 |
0.8× |
| Nuclear Rx Oral Admin (79005) |
$219.66 |
$1,569 |
1.0× |
| Nuclr Rx Interstit Colloid (79300) |
$213.64 |
$1,526 |
1.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$124.04 |
$886 |
1.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$130.90 |
$935 |
1.0× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$58.24 |
$416 |
0.6× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$89.32 |
$638 |
0.9× |
| Orthopantogram (70355) |
$32.48 |
$232 |
0.4× |
| Osseous survey infant (77076) |
$83.02 |
$593 |
0.8× |
| Osseous survey limited (77074) |
$162.54 |
$1,161 |
1.7× |
| Parathyrd planar w/spect&CT (78072) |
$290.92 |
$2,078 |
0.6× |
| Parathyrd planar w/wo subtrj (78071) |
$265.30 |
$1,895 |
0.7× |
| Parathyroid imaging (78070) |
$263.20 |
$1,880 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$155.68 |
$1,112 |
1.6× |
| Perineogram (74775) |
$189.14 |
$1,351 |
0.8× |
| Peritoneogram rs&i (74190) |
$430.22 |
$3,073 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$1,093.54 |
$7,811 |
0.8× |
| PET imaging CT for attenuation limited area (78814) |
$785.54 |
$5,611 |
0.6× |
| PET imaging for CT attenuation whole body (78816) |
$916.02 |
$6,543 |
0.7× |
| PET imaging limited area chest head/neck (78811) |
$1,508.08 |
$10,772 |
1.2× |
| PET whole body (78813) |
$1,928.08 |
$13,772 |
1.4× |
| Platelet survival study (78191) |
$177.52 |
$1,268 |
0.5× |
| Pr csf ventriculography (78635) |
$413.98 |
$2,957 |
0.8× |
| Pr heart first pass single,planar (78481) |
$291.48 |
$2,082 |
0.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,053.78 |
$7,527 |
3.2× |
| Pr non-imaging heart function (78414) |
$279.16 |
$1,994 |
0.5× |
| Pr red cell survival study (78130) |
$393.54 |
$2,811 |
1.0× |
| Pr sono bone density measure,peripheral (76977) |
$108.78 |
$777 |
1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,291.50 |
$9,225 |
0.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,393.84 |
$9,956 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$204.40 |
$1,460 |
0.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$315.70 |
$2,255 |
0.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$270.06 |
$1,929 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$36.40 |
$260 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$60.20 |
$430 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$168.28 |
$1,202 |
1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$114.24 |
$816 |
1.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,131.46 |
$50,939 |
1.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$151.48 |
$1,082 |
0.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$58.66 |
$419 |
0.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$58.66 |
$419 |
0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$112.14 |
$801 |
1.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$102.62 |
$733 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$307.30 |
$2,195 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$114.24 |
$816 |
1.4× |
| Radiologic exam colon single contrast study (74270) |
$254.24 |
$1,816 |
1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$102.48 |
$732 |
0.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$252.56 |
$1,804 |
1.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$243.04 |
$1,736 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$109.34 |
$781 |
1.3× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$41.58 |
$297 |
0.5× |
| Radiological examination surgical specimen (76098) |
$272.72 |
$1,948 |
0.5× |
| Radiopharm Dacryocystography (78660) |
$238.56 |
$1,704 |
0.6× |
| Radiopharmaceutical therapy, by intra-articular administration Age Under 21 (79440) |
$271.74 |
$1,941 |
1.2× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$271.74 |
$1,941 |
1.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) |
$393.54 |
$2,811 |
1.0× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$393.54 |
$2,811 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,291.50 |
$9,225 |
0.4× |
| Ribs bilateral 3 views (71110) |
$194.32 |
$1,388 |
2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$178.08 |
$1,272 |
0.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$367.08 |
$2,622 |
0.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$390.46 |
$2,789 |
0.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$278.04 |
$1,986 |
1.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$150.78 |
$1,077 |
0.7× |
| Rp Therapy Intravenous Administration (79101) |
$153.58 |
$1,097 |
0.7× |
| Sacroiliac Joints < 3 Views (72200) |
$45.78 |
$327 |
0.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$77.42 |
$553 |
0.3× |
| Salivary gland function study (78232) |
$231.84 |
$1,656 |
0.6× |
| Salivary gland imaging (78230) |
$201.04 |
$1,436 |
0.5× |
| Salivary gland imaging serial images (78231) |
$231.84 |
$1,656 |
0.6× |
| Scanogram (77073) |
$167.58 |
$1,197 |
1.7× |
| Scapula complete (73010) |
$78.82 |
$563 |
0.8× |
| Screening digital breast tomosynthesis (77063) |
$21.98 |
$157 |
0.9× |
| Sella turcica (70240) |
$49.98 |
$357 |
0.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$53.20 |
$380 |
0.5× |
| Sialogram (70390) |
$98.84 |
$706 |
0.4× |
| Simulation intermediate (77285) |
$191.66 |
$1,369 |
0.5× |
| Small bowel series (74250) |
$252.56 |
$1,804 |
1.5× |
| Spec medical radj physics consltj (77370) |
$837.76 |
$5,984 |
6.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$244.44 |
$1,746 |
0.7× |
| Special dosimetry (77331) |
$97.44 |
$696 |
0.8× |
| Special treatment procedure (77470) |
$469.42 |
$3,353 |
0.9× |
| Speech evaluation complex (70371) |
$113.54 |
$811 |
0.5× |
| Spine thoracic 3 views (72072) |
$155.96 |
$1,114 |
1.6× |
| Spleen imaging only (78185) |
$239.40 |
$1,710 |
0.6× |
| Splenoportograpy rs&i (75810) |
$1,267.14 |
$9,051 |
0.4× |
| Stereotactic body radiation delivery (77373) |
$1,219.68 |
$8,712 |
0.7× |
| Superior sagittal sinus venogram (75870) |
$1,267.14 |
$9,051 |
0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$233.66 |
$1,669 |
0.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$164.22 |
$1,173 |
0.5× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$269.78 |
$1,927 |
1.2× |
| Testicular Imaging With Vascular Flow (78761) |
$236.04 |
$1,686 |
0.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$376.18 |
$2,687 |
1.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$204.68 |
$1,462 |
1.6× |
| Thoracolumbar 2 views (72080) |
$134.96 |
$964 |
1.7× |
| Thyroid carcinoma metastases img addl study (78016) |
$271.18 |
$1,937 |
0.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$461.30 |
$3,295 |
0.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$167.16 |
$1,194 |
0.4× |
| Thyroid uptake measurement (78012) |
$180.32 |
$1,288 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$166.46 |
$1,189 |
0.4× |
| Tmj unilateral (70328) |
$77.14 |
$551 |
0.9× |
| Treatment device intermediate (77333) |
$133.28 |
$952 |
1.1× |
| Treatment devices simple (77332) |
$100.52 |
$718 |
0.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$743.82 |
$5,313 |
1.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$444.78 |
$3,177 |
1.2× |
| Tx devices design & construction complex (77334) |
$202.16 |
$1,444 |
0.6× |
| Ultrasound elastography first target lesion (76982) |
$57.26 |
$409 |
0.6× |
| Ultrasound scan of cornea to determine thickness (76514) |
$9.24 |
$66 |
0.3× |
| Ultrasound scan to determine eye length and lens power (76519) |
$89.32 |
$638 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$96.88 |
$692 |
1.0× |
| Umbilical-artery Doppler (OB) (76820) |
$135.80 |
$970 |
1.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$31.92 |
$228 |
0.4× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$208.18 |
$1,487 |
0.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$303.66 |
$2,169 |
3.2× |
| Upper Extremity Infant (73092) |
$44.80 |
$320 |
0.5× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$51.94 |
$371 |
0.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$274.12 |
$1,958 |
0.7× |
| Urethrocystography retrograde rs&i (74450) |
$213.64 |
$1,526 |
1.0× |
| Urethrocystography voiding (74455) |
$134.82 |
$963 |
0.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$235.06 |
$1,679 |
1.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$250.74 |
$1,791 |
1.5× |
| Us abdl aorta screen aaa (76706) |
$189 |
$1,350 |
1.9× |
| Us breast unilateral complete (76641) |
$110.60 |
$790 |
1.1× |
| Us breast unilateral limited (76642) |
$62.86 |
$449 |
0.8× |
| Us chest (76604) |
$96.60 |
$690 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$92.54 |
$661 |
0.9× |
| Us elastography parenchyma (76981) |
$63 |
$450 |
0.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$64.12 |
$458 |
0.7× |
| Us guided compression repair (76936) |
$98 |
$700 |
0.5× |
| Us infant hips dynamic (76885) |
$109.20 |
$780 |
1.3× |
| Us infant hips limited static (76886) |
$58.38 |
$417 |
0.7× |
| Us kidney transplant (76776) |
$89.74 |
$641 |
0.9× |
| Us ob detailed single fetus (76811) |
$168.28 |
$1,202 |
0.8× |
| Us ob transvaginal (76817) |
$163.10 |
$1,165 |
1.7× |
| Us pelvic non ob complete (76856) |
$181.86 |
$1,299 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$88.90 |
$635 |
0.9× |
| Us pregnancy ltd (76815) |
$81.20 |
$580 |
0.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$161.56 |
$1,154 |
1.6× |
| Us retroperitoneal complete (76770) |
$288.12 |
$2,058 |
2.9× |
| Us retroperitoneal limited (76775) |
$188.02 |
$1,343 |
1.9× |
| Us scrotum and contents (76870) |
$240.52 |
$1,718 |
2.5× |
| Us soft tissue head/neck (76536) |
$237.72 |
$1,698 |
2.4× |
| Us spinal canal and contents (76800) |
$60.06 |
$429 |
0.6× |
| Us transrectal (76872) |
$198.66 |
$1,419 |
2.0× |
| Us transrectal prostate volume (76873) |
$139.72 |
$998 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$53.20 |
$380 |
0.5× |
| Us, eye b-scan (76512) |
$121.66 |
$869 |
1.2× |
| Use of body cavity probe generated heat to increase temperature of cancer cell (77620) |
$354.34 |
$2,531 |
0.7× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm (77605) |
$354.34 |
$2,531 |
0.5× |
| Use of interstitial probe generated heat to increase temperature of cancer cell, more than 5 probes (77615) |
$354.34 |
$2,531 |
0.7× |
| Vasogram (74440) |
$189.14 |
$1,351 |
0.8× |
| Venogram extremity bilateral (75822) |
$574.56 |
$4,104 |
0.4× |
| Venogram orbital (75880) |
$646.80 |
$4,620 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$1,393.84 |
$9,956 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$394.94 |
$2,821 |
0.3× |
| Venography epidural rs&i (75872) |
$646.80 |
$4,620 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$523.32 |
$3,738 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,041.46 |
$7,439 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$1,393.84 |
$9,956 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,269.94 |
$9,071 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,499.12 |
$10,708 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$54.60 |
$390 |
0.7× |
| Wrist 2 views (73100) |
$99.54 |
$711 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$149.10 |
$1,065 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$114.24 |
$816 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$109.62 |
$783 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$275.52 |
$1,968 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$103.18 |
$737 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$110.32 |
$788 |
1.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$114.24 |
$816 |
1.2× |
| X-ray exam hip uni 1 view (73501) |
$110.60 |
$790 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$128.94 |
$921 |
1.6× |
| X-ray exam hip uni 4/> views (73503) |
$140.56 |
$1,004 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$168.28 |
$1,202 |
1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$179.90 |
$1,285 |
1.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$64.26 |
$459 |
0.4× |
| X-ray eye for foreign body (70030) |
$38.50 |
$275 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$106.12 |
$758 |
1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$112 |
$800 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$122.50 |
$875 |
1.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$793.94 |
$5,671 |
0.4× |
| X-ray head for orthodontia (70350) |
$41.58 |
$297 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$105.14 |
$751 |
1.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$189.14 |
$1,351 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$77.84 |
$556 |
1.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$172.48 |
$1,232 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$57.96 |
$414 |
0.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$37.52 |
$268 |
0.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$152.18 |
$1,087 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$258.16 |
$1,844 |
2.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$121.38 |
$867 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$105.98 |
$757 |
1.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$35 |
$250 |
0.4× |
| X-ray of voice box or throat (70370) |
$100.66 |
$719 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$109.48 |
$782 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$114.80 |
$820 |
1.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$230.86 |
$1,649 |
0.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$251.02 |
$1,793 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$141.26 |
$1,009 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$136.64 |
$976 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$182.70 |
$1,305 |
1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$159.18 |
$1,137 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$137.20 |
$980 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$132.44 |
$946 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$168.28 |
$1,202 |
2.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$79.10 |
$565 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$132.16 |
$944 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$110.60 |
$790 |
1.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$85.12 |
$608 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$103.04 |
$736 |
1.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$102.48 |
$732 |
1.3× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$32.48 |
$232 |
0.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$149.10 |
$1,065 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$184.52 |
$1,318 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$101.36 |
$724 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$108.64 |
$776 |
1.3× |
| Xr arthrogram ankle (73615) |
$269.78 |
$1,927 |
0.8× |
| Xr c-spine 6 or more views (72052) |
$249.06 |
$1,779 |
2.5× |
| Xr chest 4+ views (71048) |
$121.38 |
$867 |
1.2× |
| Xr Cholecystography Oral Contrast (74290) |
$165.62 |
$1,183 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$71.26 |
$509 |
0.9× |
| XR Mastoids < 3 Views Bilateral (70120) |
$64.26 |
$459 |
0.7× |
| Xr myelogram posterior fossa (70010) |
$458.36 |
$3,274 |
1.4× |
| Xr optic foramina (70190) |
$41.58 |
$297 |
0.5× |
| Xr shoulder 1 view (73020) |
$65.24 |
$466 |
0.8× |
| Xr spine cervical 4 or 5 views (72050) |
$194.32 |
$1,388 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$115.78 |
$827 |
1.4× |
| Xr tmj bilateral (70330) |
$36.68 |
$262 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$82.88 |
$592 |
1.0× |