| Abdomen 2 views (74019) |
$487 |
$487 |
3.9× |
| Acute gi blood loss imaging (78278) |
$1,215 |
$1,215 |
2.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) |
$3,456 |
$3,456 |
2.2× |
| Angio Adrenal Bilat Select (75733) |
$10,800 |
$10,800 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$10,800 |
$10,800 |
2.9× |
| Angiography extremity unilateral rs&i (75710) |
$10,800 |
$10,800 |
2.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$10,985 |
$10,985 |
1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,800 |
$10,800 |
2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,800 |
$10,800 |
2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,912 |
$16,912 |
2.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,101 |
$3,101 |
0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$10,800 |
$10,800 |
2.9× |
| Ankle 2 views (73600) |
$487 |
$487 |
4.7× |
| Aortogram thoracic (75605) |
$10,985 |
$10,985 |
1.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,800 |
$10,800 |
2.9× |
| Aortography abdominal serialography rs&i (75625) |
$10,800 |
$10,800 |
2.9× |
| Artery X-Rays Adrenal Gland (75731) |
$10,800 |
$10,800 |
2.9× |
| Arthrogram ankle (73615) |
$1,274 |
$1,274 |
3.0× |
| Arthrogram elbow (73085) |
$1,274 |
$1,274 |
3.0× |
| Arthrogram hip (73525) |
$1,274 |
$1,274 |
3.0× |
| Arthrogram knee (73580) |
$1,274 |
$1,274 |
3.0× |
| Arthrogram shoulder (73040) |
$1,274 |
$1,274 |
3.0× |
| Arthrogram wrist (73115) |
$1,274 |
$1,274 |
3.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,211 |
$1,211 |
2.5× |
| Bone &/joint imaging whole body (78306) |
$1,413 |
$1,413 |
2.9× |
| Bone age studies (77072) |
$319 |
$319 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$1,580 |
$1,580 |
3.3× |
| Bone survey complete (77075) |
$343 |
$343 |
2.7× |
| Bowel imaging (78290) |
$1,215 |
$1,215 |
2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,000 |
$2,000 |
3.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,109 |
$5,109 |
3.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$1,495 |
$1,495 |
3.1× |
| Cardiac shunt detection (78428) |
$1,439 |
$1,439 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$476 |
$476 |
4.6× |
| Chest 1 view (71045) |
$476 |
$476 |
4.6× |
| Chest xray 3 views (71047) |
$498 |
$498 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$469 |
$469 |
2.2× |
| Clavicle complete (73000) |
$505 |
$505 |
4.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,954 |
$1,954 |
15.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,872 |
$2,872 |
6.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,709 |
$2,709 |
9.5× |
| CT abdomen w contrast (74160) |
$1,927 |
$1,927 |
9.2× |
| CT abdomen w wo contrast (74170) |
$2,073 |
$2,073 |
9.9× |
| CT abdomen w/o contrast (74150) |
$1,927 |
$1,927 |
15.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$1,927 |
$1,927 |
9.2× |
| CT angiography upper extremity lt (73206) |
$1,927 |
$1,927 |
9.2× |
| CT c-spine w/contrast (72126) |
$1,954 |
$1,954 |
4.7× |
| CT c-spine w/o contrast (72125) |
$1,927 |
$1,927 |
15.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,236 |
$2,236 |
10.6× |
| CT chest w contrast (71260) |
$2,008 |
$2,008 |
9.6× |
| CT chest w/wo contrast (71270) |
$2,236 |
$2,236 |
10.6× |
| CT head/brain with contrast (70460) |
$1,954 |
$1,954 |
9.3× |
| CT head/brain without and with contrast (70470) |
$2,008 |
$2,008 |
9.6× |
| CT iac w contrast (70481) |
$1,954 |
$1,954 |
9.3× |
| CT lower ext w/o (73700) |
$1,927 |
$1,927 |
15.4× |
| CT lower extremity w wo contrast (73702) |
$2,008 |
$2,008 |
9.6× |
| CT lower extremity w/contrast material (73701) |
$1,954 |
$1,954 |
9.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,236 |
$2,236 |
10.6× |
| CT lumbar spine w/contrast (72132) |
$1,954 |
$1,954 |
4.7× |
| CT lumbar spine w/o contrast (72131) |
$1,927 |
$1,927 |
15.4× |
| CT maxillofacial w contrast (70487) |
$1,954 |
$1,954 |
9.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,008 |
$2,008 |
9.6× |
| CT maxillofacial wo contrast (70486) |
$1,927 |
$1,927 |
15.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,008 |
$2,008 |
9.6× |
| CT orbits w/o contrast (70480) |
$1,927 |
$1,927 |
15.4× |
| CT pelvis w/o contrast (72192) |
$1,927 |
$1,927 |
15.4× |
| CT scan of arm combo (73202) |
$2,008 |
$2,008 |
9.6× |
| CT soft tissue neck w contrast (70491) |
$1,954 |
$1,954 |
9.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,841 |
$1,841 |
8.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,927 |
$1,927 |
15.4× |
| CT thoracic spine w/contrast (72129) |
$1,954 |
$1,954 |
9.3× |
| CT thoracic spine w/o contrast (72128) |
$1,927 |
$1,927 |
15.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,236 |
$2,236 |
10.6× |
| CT thorax w/o contrast (71250) |
$1,954 |
$1,954 |
15.6× |
| CT upper ext wo (73200) |
$1,927 |
$1,927 |
15.4× |
| CT upper extremity with contrast (73201) |
$1,954 |
$1,954 |
4.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$1,464 |
$1,464 |
7.0× |
| Cta Abdomen (74175) |
$1,927 |
$1,927 |
9.2× |
| CTA abdomen pelvis (74174) |
$2,379 |
$2,379 |
5.7× |
| CTA chest (71275) |
$1,954 |
$1,954 |
9.3× |
| Cta Head (70496) |
$1,927 |
$1,927 |
9.2× |
| Cta Neck (70498) |
$1,927 |
$1,927 |
9.2× |
| Cta Pelvis (72191) |
$1,927 |
$1,927 |
9.2× |
| Cystography minimum 3 views rs&i (74430) |
$969 |
$969 |
2.3× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) |
$1,194 |
$1,194 |
4.2× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$4,784 |
$4,784 |
1.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$340 |
$340 |
2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$378 |
$378 |
3.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$584 |
$584 |
4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$259 |
$259 |
2.5× |
| Echo exam of eye (76529) |
$648 |
$648 |
6.2× |
| Esophagus (74220) |
$445 |
$445 |
2.1× |
| Facial bones min 3 views (70150) |
$476 |
$476 |
3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$608 |
$608 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$590 |
$590 |
2.1× |
| Foot 2 views (73620) |
$487 |
$487 |
4.7× |
| Forearm 2 views (73090) |
$505 |
$505 |
4.8× |
| Hand 2 views (73120) |
$487 |
$487 |
3.9× |
| Heart Infarct Image (78466) |
$3,456 |
$3,456 |
7.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$9,655 |
$9,655 |
2.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,525 |
$1,525 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,184 |
$1,184 |
2.5× |
| Hysterosalpingogram (74740) |
$1,194 |
$1,194 |
4.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$293 |
$293 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,629 |
$1,629 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,564 |
$1,564 |
2.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,744 |
$1,744 |
2.7× |
| Knee 3 views (73562) |
$498 |
$498 |
4.8× |
| Liver & spleen imaging static only (78215) |
$1,399 |
$1,399 |
2.9× |
| Lung perf&ventilat diferentl (78598) |
$1,617 |
$1,617 |
2.5× |
| Lung perfusion differential (78597) |
$1,149 |
$1,149 |
2.4× |
| Lung ventilation imaging (78579) |
$1,757 |
$1,757 |
3.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$4,920 |
$4,920 |
1.3× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$3,366 |
$3,366 |
1.8× |
| Lymphoscintigraphy (78195) |
$1,299 |
$1,299 |
2.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$2,848 |
$2,848 |
3.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$2,629 |
$2,629 |
6.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,784 |
$2,784 |
6.7× |
| Mammary ductogram or galactogram multiple (77054) |
$1,620 |
$1,620 |
5.7× |
| Mammary ductogram or galactogram single (77053) |
$1,194 |
$1,194 |
4.2× |
| MRA head w & w/o contrast (70546) |
$3,351 |
$3,351 |
8.0× |
| MRA head w/o contrast (70544) |
$2,385 |
$2,385 |
8.3× |
| MRA head with contrast (70545) |
$1,605 |
$1,605 |
3.8× |
| MRA neck w contrast (70548) |
$1,605 |
$1,605 |
3.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,169.50 |
$4,169.50 |
10.0× |
| MRA neck w/o contrast (70547) |
$2,412 |
$2,412 |
8.4× |
| MRI abdomen w contrast (74182) |
$2,607 |
$2,607 |
6.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,734 |
$4,734 |
11.3× |
| MRI abdomen w/o contrast (74181) |
$2,703 |
$2,703 |
9.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,848 |
$2,848 |
3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,807 |
$4,807 |
11.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,498 |
$2,498 |
8.7× |
| MRI breast wo contrast unilateral (77046) |
$1,998 |
$1,998 |
7.0× |
| MRI c-spine with contrast (72142) |
$3,249 |
$3,249 |
7.8× |
| MRI cervical spine w/o contrast (72141) |
$2,703 |
$2,703 |
9.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,413 |
$3,413 |
8.2× |
| MRI chest w/o contrast (71550) |
$2,730 |
$2,730 |
9.5× |
| MRI chest with contrast (71551) |
$2,902 |
$2,902 |
3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,629 |
$2,629 |
6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,784 |
$2,784 |
6.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,385 |
$2,385 |
8.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,703 |
$2,703 |
9.5× |
| MRI orbit face neck w contrast (70542) |
$2,629 |
$2,629 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,807 |
$4,807 |
11.5× |
| MRI pelvis w/contrast (72196) |
$2,730 |
$2,730 |
6.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,815 |
$4,815 |
11.5× |
| MRI pelvis w/o contrast (72195) |
$2,385 |
$2,385 |
8.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,303 |
$3,303 |
7.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,249 |
$3,249 |
7.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,303 |
$3,303 |
7.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,249 |
$3,249 |
7.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,303 |
$3,303 |
7.9× |
| MRI temporomandibular joint (70336) |
$2,754 |
$2,754 |
9.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,988 |
$2,988 |
10.4× |
| MRI up ext w/o contrast (73218) |
$2,385 |
$2,385 |
8.3× |
| MRI upper ext joint w/o contrast (73221) |
$2,703 |
$2,703 |
9.5× |
| MRI, joint upper extrem combo (73223) |
$4,807 |
$4,807 |
11.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$4,498 |
$4,498 |
2.9× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$5,508 |
$5,508 |
3.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,496 |
$4,496 |
2.9× |
| Myocardial spect single study at rest or stress (78451) |
$4,498 |
$4,498 |
2.9× |
| Neck soft tissue (70360) |
$476 |
$476 |
4.6× |
| Nm cisternogram (78630) |
$2,000 |
$2,000 |
3.1× |
| Nm csf leak detection (78650) |
$3,399 |
$3,399 |
2.2× |
| Nm gastric emptying study (78264) |
$1,215 |
$1,215 |
2.5× |
| Ob us nuchal meas 1 gest (76813) |
$1,047 |
$1,047 |
8.4× |
| Parathyroid Planar Imaging (78070) |
$1,077 |
$1,077 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$487 |
$487 |
3.9× |
| PET image w/CT, skull-thigh (78815) |
$6,275 |
$6,275 |
3.7× |
| PET imaging for CT attenuation whole body (78816) |
$7,857 |
$7,857 |
4.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,511 |
$3,511 |
0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,148 |
$1,148 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,616 |
$1,616 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,194 |
$1,194 |
1.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$505 |
$505 |
4.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$503 |
$503 |
4.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$505 |
$505 |
4.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$476 |
$476 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$487 |
$487 |
3.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$473 |
$473 |
3.8× |
| Radex fingr minimum 2 views (73140) |
$498 |
$498 |
4.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$505 |
$505 |
4.8× |
| Radex Hand Minimum 3 Views (73130) |
$505 |
$505 |
4.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$476 |
$476 |
4.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$487 |
$487 |
3.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$729 |
$729 |
5.8× |
| Radex Humerus Minimum 2 Views (73060) |
$505 |
$505 |
4.8× |
| Radex Kne 1/2 Views (73560) |
$487 |
$487 |
4.7× |
| Radex Kne Compl 4/More Views (73564) |
$530 |
$530 |
4.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$476 |
$476 |
3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$476 |
$476 |
4.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$498 |
$498 |
4.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$505 |
$505 |
4.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$487 |
$487 |
4.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$476 |
$476 |
3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$487 |
$487 |
4.7× |
| Radex Toe Minimum 2 Views (73660) |
$498 |
$498 |
4.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$487 |
$487 |
3.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$509 |
$509 |
4.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$476 |
$476 |
4.6× |
| Radiologic exam chest 2 views (71046) |
$487 |
$487 |
4.7× |
| Radiologic exam colon single contrast study (74270) |
$570 |
$570 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,031 |
$1,031 |
4.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$570 |
$570 |
2.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$505 |
$505 |
4.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$512 |
$512 |
4.1× |
| Radiological examination surgical specimen (76098) |
$1,194 |
$1,194 |
1.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,748 |
$2,748 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,633 |
$3,633 |
5.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$756 |
$756 |
2.6× |
| Scapula (73010) |
$505 |
$505 |
4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$123 |
$123 |
5.3× |
| Sella turcica (70240) |
$758 |
$758 |
7.3× |
| Sialogram (70390) |
$1,194 |
$1,194 |
4.2× |
| Small bowel series (74250) |
$469 |
$469 |
2.2× |
| Spine thoracic 3 views (72072) |
$487 |
$487 |
3.9× |
| Splenoportograpy rs&i (75810) |
$10,800 |
$10,800 |
2.9× |
| Testicular Imaging With Vascular Flow (78761) |
$3,348 |
$3,348 |
7.0× |
| Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) |
$1,437 |
$1,437 |
3.0× |
| Thyroid imaging w/blood flow (78013) |
$942 |
$942 |
2.0× |
| Thyroid uptake measurement (78012) |
$852 |
$852 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,077 |
$1,077 |
2.2× |
| Ultrasound breast complete (76641) |
$730 |
$730 |
5.8× |
| Ultrasound Exam Aaa Screen (76706) |
$395 |
$395 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$692 |
$692 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$368 |
$368 |
2.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$545 |
$545 |
5.2× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$810 |
$810 |
1.7× |
| Unlisted ultrasound procedure (76999) |
$259 |
$259 |
2.5× |
| Urethrocystogram voiding (74455) |
$969 |
$969 |
3.4× |
| Urethrocystography retrograde rs&i (74450) |
$969 |
$969 |
3.4× |
| Us breast unilateral limited (76642) |
$365 |
$365 |
3.5× |
| Us chest (76604) |
$692 |
$692 |
5.5× |
| Us compl joint r-t w/image documentation (76881) |
$508 |
$508 |
4.1× |
| Us encephalogram (76506) |
$508 |
$508 |
4.1× |
| Us hips infant static (76886) |
$432 |
$432 |
4.1× |
| Us infant hips w manipulation (76885) |
$662 |
$662 |
6.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$692 |
$692 |
5.5× |
| Us ob detailed single fetus (76811) |
$1,047 |
$1,047 |
3.7× |
| Us ob limited (76815) |
$785 |
$785 |
6.3× |
| Us ob transvaginal (76817) |
$508 |
$508 |
4.1× |
| Us pelvic non ob complete (76856) |
$1,074 |
$1,074 |
8.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$692 |
$692 |
5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,047 |
$1,047 |
8.4× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$785 |
$785 |
6.3× |
| Us retroperitoneal complete (76770) |
$540 |
$540 |
4.3× |
| Us retroperitoneal limited (76775) |
$810 |
$810 |
6.5× |
| Us scrotum and contents (76870) |
$745 |
$745 |
5.9× |
| Us soft tissue head/neck (76536) |
$692 |
$692 |
5.5× |
| Us spinal canal and contents (76800) |
$340 |
$340 |
2.7× |
| Us transrectal (76872) |
$508 |
$508 |
4.1× |
| Us transrectal prostate volume (76873) |
$718 |
$718 |
5.7× |
| Us, eye b-scan (76512) |
$592 |
$592 |
4.7× |
| Venogram extremity bilateral (75822) |
$4,225 |
$4,225 |
2.2× |
| Venogram Extremity Unilateral (75820) |
$3,402 |
$3,402 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$7,083 |
$7,083 |
1.9× |
| Venography caval superior serialography rs&i (75827) |
$3,366 |
$3,366 |
1.8× |
| Venography Renal Bilateral (75833) |
$9,655 |
$9,655 |
2.6× |
| Wrist 2 views (73100) |
$356.50 |
$356.50 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$540 |
$540 |
4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$476 |
$476 |
4.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$723 |
$723 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$487 |
$487 |
4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$487 |
$487 |
4.7× |
| X-ray exam of femur 2/> (73552) |
$505 |
$505 |
4.8× |
| X-ray eye for foreign body (70030) |
$476 |
$476 |
4.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$487 |
$487 |
4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$487 |
$487 |
4.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$487 |
$487 |
4.7× |
| X-ray leg, infant (73592) |
$487 |
$487 |
4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$487 |
$487 |
3.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$818 |
$818 |
6.5× |
| X-ray nose-rectum child f.b. (76010) |
$235 |
$235 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$476 |
$476 |
3.8× |
| X-ray retrograde pyelogram (74420) |
$1,103 |
$1,103 |
2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$482 |
$482 |
4.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$476 |
$476 |
3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$613 |
$613 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$476 |
$476 |
3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$476 |
$476 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$487 |
$487 |
4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$543 |
$543 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$487 |
$487 |
3.9× |
| X-Ray Small Bowel Enteroclysis (74251) |
$572 |
$572 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$476 |
$476 |
4.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$563 |
$563 |
5.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$476 |
$476 |
4.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$476 |
$476 |
3.8× |
| Xr bone length studies (77073) |
$469 |
$469 |
3.7× |
| Xr c-spine 4 or 5 views (72050) |
$509 |
$509 |
4.1× |
| Xr c-spine 6 or more views (72052) |
$818 |
$818 |
6.5× |
| Xr chest 4+ views (71048) |
$509 |
$509 |
4.1× |
| Xr myelogram posterior fossa (70010) |
$2,241 |
$2,241 |
5.4× |
| Xr urogram antegrade (74425) |
$1,013 |
$1,013 |
2.4× |