| Abdomen 2 views (74019) |
$331.24 |
$1,183 |
3.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$908.60 |
$3,245 |
2.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,125.76 |
$7,592 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,202.88 |
$4,296 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,019.76 |
$3,642 |
0.3× |
| Angiography internal mammary rs&i (75756) |
$751.52 |
$2,684 |
0.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,664.36 |
$13,087 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,200.52 |
$7,859 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,930.32 |
$6,894 |
0.6× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$999.32 |
$3,569 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,510.32 |
$5,394 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$507.36 |
$1,812 |
0.2× |
| Ankle 2 views (73600) |
$119.28 |
$426 |
1.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$88.48 |
$316 |
0.2× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,019.76 |
$3,642 |
0.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,437.96 |
$8,707 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,071.72 |
$7,399 |
0.6× |
| Arthrogram elbow (73085) |
$192.64 |
$688 |
0.5× |
| Arthrogram hip (73525) |
$309.40 |
$1,105 |
0.8× |
| Arthrogram shoulder (73040) |
$320.60 |
$1,145 |
0.9× |
| Arthrogram wrist (73115) |
$284.20 |
$1,015 |
0.8× |
| Arthrography knee lt (73580) |
$309.40 |
$1,105 |
0.8× |
| Basic radiation dosimetry calculation (77300) |
$99.96 |
$357 |
0.7× |
| Bone &/joint imaging whole body (78306) |
$1,130.36 |
$4,037 |
2.6× |
| Bone age studies (77072) |
$83.16 |
$297 |
0.7× |
| Bone Imaging 3 Phase (78315) |
$1,559.04 |
$5,568 |
3.7× |
| Bone survey complete (77075) |
$534.80 |
$1,910 |
4.8× |
| Brain image w/flow 4 + views (78606) |
$422.24 |
$1,508 |
0.7× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$156.24 |
$558 |
14.1× |
| Cardiac shunt detection (78428) |
$598.08 |
$2,136 |
1.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$375.20 |
$1,340 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$176.68 |
$631 |
1.9× |
| Chest 1 view (71045) |
$162.96 |
$582 |
1.8× |
| Chest 3 views (71047) |
$162.96 |
$582 |
1.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$286.44 |
$1,023 |
1.5× |
| Clavicle complete (73000) |
$164.08 |
$586 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$59.36 |
$212 |
0.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,721.16 |
$6,147 |
4.6× |
| CT abdomen and pelvis without contrast (74176) |
$851.20 |
$3,040 |
3.3× |
| CT abdomen w contrast (74160) |
$1,194.20 |
$4,265 |
6.4× |
| CT abdomen w wo contrast (74170) |
$1,589 |
$5,675 |
8.5× |
| CT abdomen w/o contrast (74150) |
$878.08 |
$3,136 |
7.9× |
| CT angio hrt w/3d image (75574) |
$989.24 |
$3,533 |
2.7× |
| CT angiography upper extremity lt (73206) |
$276.64 |
$988 |
1.5× |
| CT c-spine w/o contrast (72125) |
$585.20 |
$2,090 |
5.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$307.16 |
$1,097 |
1.6× |
| CT cervical spine w&w/o contrast (72127) |
$859.32 |
$3,069 |
4.6× |
| CT cervical spine with contrast (72126) |
$713.72 |
$2,549 |
1.9× |
| CT chest w/wo contrast (71270) |
$798.84 |
$2,853 |
4.3× |
| CT chest with contrast (71260) |
$651.56 |
$2,327 |
3.5× |
| CT head/brain with contrast (70460) |
$780.92 |
$2,789 |
4.2× |
| CT head/brain without and with contrast (70470) |
$834.40 |
$2,980 |
4.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$162.96 |
$582 |
0.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$57.96 |
$207 |
0.6× |
| CT hrt w/3d image congen (75573) |
$127.68 |
$456 |
0.3× |
| CT iac w contrast (70481) |
$922.04 |
$3,293 |
4.9× |
| CT limited/localized follow up study (76380) |
$352.24 |
$1,258 |
3.8× |
| CT lower ext w/o (73700) |
$794.64 |
$2,838 |
7.1× |
| CT lower extremity w wo contrast (73702) |
$1,009.68 |
$3,606 |
5.4× |
| CT lower extremity with contrast (73701) |
$868.56 |
$3,102 |
4.6× |
| CT lumbar spine w & w/o contrast (72133) |
$841.12 |
$3,004 |
4.5× |
| CT lumbar spine w/o contrast (72131) |
$560.28 |
$2,001 |
5.0× |
| CT lumbar spine with contrast (72132) |
$694.68 |
$2,481 |
1.9× |
| CT maxillofacial w contrast (70487) |
$932.96 |
$3,332 |
5.0× |
| CT maxillofacial w/o contrast (70486) |
$777.28 |
$2,776 |
7.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,134.84 |
$4,053 |
6.1× |
| CT neck soft tissue w contrast (70491) |
$656.04 |
$2,343 |
3.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,033.48 |
$3,691 |
5.5× |
| CT orbits w/o contrast (70480) |
$794.64 |
$2,838 |
7.1× |
| CT pelvis w & w/o contrast (72194) |
$962.36 |
$3,437 |
5.1× |
| CT pelvis w/o contrast (72192) |
$616.84 |
$2,203 |
5.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$787.08 |
$2,811 |
4.2× |
| CT soft tissue neck w/o contrast (70490) |
$544.60 |
$1,945 |
4.9× |
| CT thoracic spine w/contrast (72129) |
$739.48 |
$2,641 |
4.0× |
| CT thoracic spine w/o contrast (72128) |
$595.84 |
$2,128 |
5.3× |
| CT thoracic spine w/wo contrast (72130) |
$893.48 |
$3,191 |
4.8× |
| CT thorax w/o contrast (71250) |
$526.40 |
$1,880 |
4.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,009.68 |
$3,606 |
5.4× |
| CT upper extremity w/o contrast rt (73200) |
$699.72 |
$2,499 |
6.3× |
| CT upper extremity with contrast (73201) |
$804.72 |
$2,874 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$827.96 |
$2,957 |
4.4× |
| Cta Abdomen (74175) |
$519.96 |
$1,857 |
2.8× |
| CTA abdomen pelvis (74174) |
$598.36 |
$2,137 |
1.6× |
| CTA chest (71275) |
$1,230.04 |
$4,393 |
6.6× |
| Cta Head (70496) |
$519.96 |
$1,857 |
2.8× |
| CTA lwr ext w&w/o contrast (73706) |
$736.12 |
$2,629 |
3.9× |
| Cta Neck (70498) |
$519.96 |
$1,857 |
2.8× |
| Cta Pelvis (72191) |
$519.96 |
$1,857 |
2.8× |
| Cystography minimum 3 views rs&i (74430) |
$340.48 |
$1,216 |
0.9× |
| Diskogram cervical (72285) |
$1,296.68 |
$4,631 |
0.6× |
| Diskography lumbar (72295) |
$715.12 |
$2,554 |
0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$89.88 |
$321 |
0.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$89.88 |
$321 |
0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$74.48 |
$266 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$285.88 |
$1,021 |
2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$231 |
$825 |
2.5× |
| Dxa bone density study axial skeleton (77085) |
$285.88 |
$1,021 |
2.6× |
| Echo exam of fetal heart (76825) |
$106.68 |
$381 |
0.2× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$190.82 |
$681.50 |
0.7× |
| Echoencephalography real time imaging (76506) |
$320.60 |
$1,145 |
2.9× |
| Esophagus (74220) |
$257.04 |
$918 |
1.4× |
| Fetal biophysical profile non-stress testing (76818) |
$112 |
$400 |
1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$112 |
$400 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$310.24 |
$1,108 |
1.2× |
| Foot 2 views (73620) |
$97.72 |
$349 |
1.1× |
| Forearm 2 views (73090) |
$143.36 |
$512 |
1.5× |
| Gated Heart Planar Single (78472) |
$841.12 |
$3,004 |
2.0× |
| Hand 2 views (73120) |
$121.52 |
$434 |
1.1× |
| Hand 3 views (73130) |
$133.28 |
$476 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,326.08 |
$4,736 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$967.96 |
$3,457 |
2.3× |
| Ht muscle image spect sing (78451) |
$1,580.60 |
$5,645 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$183.96 |
$657 |
2.0× |
| Hysterosalpingogram (74740) |
$323.96 |
$1,157 |
1.3× |
| Interstitial radiation source applic complex (77778) |
$1,197.28 |
$4,276 |
1.6× |
| Kidney imaging morphology (78700) |
$1,034.04 |
$3,693 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,375.36 |
$4,912 |
2.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,003.52 |
$3,584 |
1.7× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,158.52 |
$7,709 |
3.7× |
| Knee 3 views (73562) |
$211.40 |
$755 |
2.3× |
| Liver & spleen imaging static only (78215) |
$892.36 |
$3,187 |
2.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$571.48 |
$2,041 |
1.3× |
| Lung perfusion differential (78597) |
$1,066.80 |
$3,810 |
2.5× |
| Lung Ventilation Imaging (78579) |
$297.92 |
$1,064 |
0.7× |
| Lymphoscintigraphy (78195) |
$885.64 |
$3,163 |
1.5× |
| Mammary ductogram or galactogram single (77053) |
$627.20 |
$2,240 |
2.5× |
| Meckels Diverticulum (78290) |
$755.72 |
$2,699 |
1.8× |
| MRA head w & w/o contrast (70546) |
$844.48 |
$3,016 |
2.3× |
| MRA head w/o contrast (70544) |
$548.52 |
$1,959 |
2.2× |
| MRA head with contrast (70545) |
$537.04 |
$1,918 |
1.4× |
| MRA neck w contrast (70548) |
$581 |
$2,075 |
1.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$844.48 |
$3,016 |
2.3× |
| MRA neck w/o contrast (70547) |
$951.44 |
$3,398 |
3.7× |
| MRI abdomen w contrast (74182) |
$1,539.72 |
$5,499 |
4.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,788.36 |
$6,387 |
4.8× |
| MRI abdomen w/o contrast (74181) |
$1,132.88 |
$4,046 |
4.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,612.24 |
$5,758 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,350.32 |
$8,394 |
2.8× |
| MRI c-spine with contrast (72142) |
$1,725.92 |
$6,164 |
4.6× |
| MRI cardiac w/o contrast (75557) |
$1,080.52 |
$3,859 |
4.2× |
| MRI cervical spine w/o contrast (72141) |
$1,358.84 |
$4,853 |
5.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,078.72 |
$7,424 |
5.6× |
| MRI chest w/o contrast (71550) |
$1,455.72 |
$5,199 |
5.7× |
| MRI chest with contrast (71551) |
$1,716.68 |
$6,131 |
2.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,341.48 |
$4,791 |
3.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,675.66 |
$5,984.50 |
4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,525.44 |
$5,448 |
6.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$951.44 |
$3,398 |
3.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,358.84 |
$4,853 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,073.52 |
$3,834 |
2.9× |
| MRI pelvis w contrast (72196) |
$1,431.08 |
$5,111 |
3.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,811.88 |
$6,471 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,286.60 |
$4,595 |
5.1× |
| MRI scan of arm joint before and after contrast (73223) |
$3,025.40 |
$10,805 |
8.1× |
| MRI scan of leg joint before and after contrast (73723) |
$1,681.26 |
$6,004.50 |
4.5× |
| MRI spectroscopy (76390) |
$1,330.28 |
$4,751 |
14.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,804.32 |
$6,444 |
4.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,832.60 |
$6,545 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,132.88 |
$4,046 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,690.64 |
$6,038 |
4.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,358.84 |
$4,853 |
3.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,510.04 |
$5,393 |
5.9× |
| MRI tmj (70336) |
$638.68 |
$2,281 |
2.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,382.08 |
$4,936 |
5.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,725.92 |
$6,164 |
4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,205.68 |
$4,306 |
4.7× |
| Myelogram Cervical (72240) |
$237.16 |
$847 |
0.3× |
| Myelogram Lumbar (72265) |
$237.16 |
$847 |
0.3× |
| Myelogram thoracic (72255) |
$237.16 |
$847 |
0.3× |
| Myelography 2 or more regions (72270) |
$237.16 |
$847 |
0.3× |
| Myocardial Spect Multiple Studies (78452) |
$2,195.20 |
$7,840 |
1.6× |
| Neck soft tissue (70360) |
$199.36 |
$712 |
2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$420 |
$1,500 |
1.0× |
| Nm cisternogram (78630) |
$375.20 |
$1,340 |
0.6× |
| Nm csf leak detection (78650) |
$594.72 |
$2,124 |
0.4× |
| Nm gastric emptying study (78264) |
$945 |
$3,375 |
2.2× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$623.84 |
$2,228 |
1.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$847.84 |
$3,028 |
2.0× |
| Nuclear Rx Oral Admin (79005) |
$1,066.52 |
$3,809 |
4.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$74.48 |
$266 |
0.7× |
| Osseous survey infant (77076) |
$550.48 |
$1,966 |
4.9× |
| Osseous survey limited (77074) |
$358.40 |
$1,280 |
3.2× |
| Parathyrd planar w/spect&CT (78072) |
$1,100.96 |
$3,932 |
1.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,100.96 |
$3,932 |
2.6× |
| Parathyroid imaging (78070) |
$803.60 |
$2,870 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$162.68 |
$581 |
1.5× |
| Pr csf ventriculography (78635) |
$594.72 |
$2,124 |
1.0× |
| Pr heart first pass single,planar (78481) |
$657.16 |
$2,347 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,827.28 |
$6,526 |
4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$999.32 |
$3,569 |
0.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$999.32 |
$3,569 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$366.80 |
$1,310 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$524.72 |
$1,874 |
0.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$113.12 |
$404 |
0.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$384.58 |
$1,373.50 |
3.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$213.64 |
$763 |
1.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$144.76 |
$517 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$28.56 |
$102 |
0.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$204.68 |
$731 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$162.96 |
$582 |
1.8× |
| Radiologic exam colon single contrast study (74270) |
$332.64 |
$1,188 |
1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$140.28 |
$501 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$290.64 |
$1,038 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$180.88 |
$646 |
1.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$162.96 |
$582 |
1.8× |
| Radiological examination surgical specimen (76098) |
$139.86 |
$499.50 |
0.2× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$1,800.96 |
$6,432 |
7.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$999.32 |
$3,569 |
0.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,228.08 |
$4,386 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$959.84 |
$3,428 |
1.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$853.72 |
$3,049 |
0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$299.88 |
$1,071 |
1.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$197.68 |
$706 |
0.8× |
| Rp Therapy Intravenous Administration (79101) |
$565.32 |
$2,019 |
2.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$152.60 |
$545 |
0.6× |
| Salivary gland function study (78232) |
$197.68 |
$706 |
0.5× |
| Scanogram (77073) |
$261.80 |
$935 |
2.3× |
| Scapula complete (73010) |
$171.64 |
$613 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$14 |
$50 |
0.6× |
| Sella turcica (70240) |
$63.84 |
$228 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$91.56 |
$327 |
0.8× |
| Small bowel series (74250) |
$298.20 |
$1,065 |
1.6× |
| Special treatment procedure (77470) |
$449.40 |
$1,605 |
0.8× |
| Spine thoracic 3 views (72072) |
$230.72 |
$824 |
2.1× |
| Splenoportograpy rs&i (75810) |
$999.32 |
$3,569 |
0.3× |
| Testicular Imaging With Vascular Flow (78761) |
$675.08 |
$2,411 |
1.6× |
| Therapeutic Enema (74283) |
$239.68 |
$856 |
1.3× |
| Thoracolumbar 2 views (72080) |
$207.76 |
$742 |
2.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$904.96 |
$3,232 |
1.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$349.44 |
$1,248 |
0.8× |
| Thyroid uptake measurement (78012) |
$70.56 |
$252 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$479.36 |
$1,712 |
1.1× |
| Tomogram (76100) |
$254.80 |
$910 |
2.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,228.08 |
$4,386 |
2.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,470.84 |
$5,253 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$381.08 |
$1,361 |
3.4× |
| Umbilical-artery Doppler (OB) (76820) |
$74.48 |
$266 |
0.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$173.46 |
$619.50 |
1.9× |
| Unlisted fluoroscopic procedure (76496) |
$112 |
$400 |
1.2× |
| Unlisted Ultrasound Procedure (76999) |
$89.88 |
$321 |
1.0× |
| Upper Extremity Infant (73092) |
$221.76 |
$792 |
2.0× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$1,332.52 |
$4,759 |
14.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$218.40 |
$780 |
0.5× |
| Urethrocystography retrograde rs&i (74450) |
$64.68 |
$231 |
0.3× |
| Urethrocystography voiding (74455) |
$355.88 |
$1,271 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$106.68 |
$381 |
0.6× |
| Us abdl aorta screen aaa (76706) |
$100.80 |
$360 |
0.9× |
| Us breast unilateral complete (76641) |
$90.44 |
$323 |
0.8× |
| Us breast unilateral limited (76642) |
$90.44 |
$323 |
1.0× |
| Us chest (76604) |
$212.80 |
$760 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$150.08 |
$536 |
1.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$165.20 |
$590 |
1.5× |
| Us guided compression repair (76936) |
$187.60 |
$670 |
0.8× |
| Us infant hips dynamic (76885) |
$251.72 |
$899 |
2.7× |
| Us kidney transplant (76776) |
$242.76 |
$867 |
2.2× |
| Us ob detailed single fetus (76811) |
$198.52 |
$709 |
0.8× |
| Us ob transvaginal (76817) |
$349.16 |
$1,247 |
3.1× |
| Us pelvic non ob complete (76856) |
$406.28 |
$1,451 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$321.16 |
$1,147 |
2.9× |
| Us pregnancy ltd (76815) |
$309.12 |
$1,104 |
2.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$234.64 |
$838 |
2.1× |
| Us retroperitoneal complete (76770) |
$386.12 |
$1,379 |
3.5× |
| Us retroperitoneal limited (76775) |
$320.60 |
$1,145 |
2.9× |
| Us scrotum and contents (76870) |
$331.52 |
$1,184 |
3.0× |
| Us soft tissue head/neck (76536) |
$331.52 |
$1,184 |
3.0× |
| Us spinal canal and contents (76800) |
$264.04 |
$943 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$51.24 |
$183 |
0.5× |
| Venogram extremity bilateral (75822) |
$991.76 |
$3,542 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$999.32 |
$3,569 |
0.3× |
| Venography caval superior serialography rs&i (75827) |
$1,019.48 |
$3,641 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$805.56 |
$2,877 |
0.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$903 |
$3,225 |
0.3× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,019.76 |
$3,642 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$58.80 |
$210 |
0.6× |
| Wrist 2 views (73100) |
$166.04 |
$593 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$399 |
$1,425 |
3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$253.96 |
$907 |
2.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$136.92 |
$489 |
1.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$458.36 |
$1,637 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$322.84 |
$1,153 |
3.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$192.64 |
$688 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$182 |
$650 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$167.72 |
$599 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$94.64 |
$338 |
0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$94.64 |
$338 |
0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$180.04 |
$643 |
1.6× |
| X-ray exam of femur 1 (73551) |
$57.12 |
$204 |
0.6× |
| X-ray eye for foreign body (70030) |
$20.72 |
$74 |
0.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$29.96 |
$107 |
0.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$21.84 |
$78 |
0.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$122.36 |
$437 |
1.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$585.76 |
$2,092 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$164.92 |
$589 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$24.08 |
$86 |
0.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$254.52 |
$909 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$404.60 |
$1,445 |
4.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$211.40 |
$755 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$231.28 |
$826 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$414.68 |
$1,481 |
3.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$74.48 |
$266 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$171.36 |
$612 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$113.68 |
$406 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$299.60 |
$1,070 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$199.36 |
$712 |
1.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$89.88 |
$321 |
0.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$197.12 |
$704 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$265.44 |
$948 |
2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$188.72 |
$674 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$157.36 |
$562 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$192.08 |
$686 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$201.60 |
$720 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$286.16 |
$1,022 |
2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$223.72 |
$799 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$174.44 |
$623 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$162.96 |
$582 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$162.96 |
$582 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$207.76 |
$742 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$127.12 |
$454 |
1.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$133.28 |
$476 |
1.4× |
| Xr arthrogram ankle (73615) |
$192.64 |
$688 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$306.32 |
$1,094 |
2.7× |
| Xr chest 4+ views (71048) |
$162.96 |
$582 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$127.12 |
$454 |
1.4× |
| Xr shoulder 1 view (73020) |
$231.98 |
$828.50 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$238.28 |
$851 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$143.08 |
$511 |
1.5× |
| Xr tmj bilateral (70330) |
$34.72 |
$124 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$254.66 |
$909.50 |
2.7× |