| Abdomen 2 views (74019) |
$17.87 |
$89.35 |
0.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$105.57 |
$527.83 |
0.3× |
| Acute venous thrombus image (78456) |
$187.05 |
$935.27 |
0.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$533.75 |
$2,668.76 |
0.2× |
| Angiography extremity bilateral rs&i (75716) |
$893.07 |
$4,465.34 |
0.3× |
| Angiography extremity unilateral rs&i (75710) |
$587.13 |
$2,935.64 |
0.2× |
| Angiography internal mammary rs&i (75756) |
$382.83 |
$1,914.15 |
0.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$533.75 |
$2,668.76 |
0.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$810.29 |
$4,051.46 |
0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$437.44 |
$2,187.22 |
0.1× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$437.44 |
$2,187.22 |
0.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$587.13 |
$2,935.64 |
0.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$134.78 |
$673.90 |
0.0× |
| Ankle 2 views (73600) |
$22.15 |
$110.75 |
0.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$105.13 |
$525.63 |
0.3× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$437.44 |
$2,187.22 |
0.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$625.60 |
$3,127.98 |
0.2× |
| Aortography abdominal serialography rs&i (75625) |
$573.42 |
$2,867.12 |
0.2× |
| Artery X-Rays Adrenal Gland (75731) |
$498.83 |
$2,494.17 |
0.2× |
| Arthrogram elbow (73085) |
$71.89 |
$359.45 |
0.2× |
| Arthrogram hip (73525) |
$66.07 |
$330.37 |
0.2× |
| Arthrogram shoulder (73040) |
$55.06 |
$275.31 |
0.2× |
| Arthrogram wrist (73115) |
$71.89 |
$359.45 |
0.2× |
| Arthrography knee lt (73580) |
$67.63 |
$338.17 |
0.2× |
| Basic radiation dosimetry calculation (77300) |
$114.15 |
$570.77 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$235.38 |
$1,176.90 |
0.6× |
| Bone &/joint imaging whole body (78306) |
$540.25 |
$2,701.26 |
1.3× |
| Bone age studies (77072) |
$19.26 |
$96.30 |
0.2× |
| Bone Imaging 3 Phase (78315) |
$444.29 |
$2,221.46 |
1.1× |
| Bone Marrow Imaging Limited Area (78102) |
$185.91 |
$929.56 |
0.5× |
| Bone survey complete (77075) |
$111.82 |
$559.08 |
1.1× |
| Brain image w/flow 4 + views (78606) |
$235.36 |
$1,176.79 |
0.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$256.27 |
$1,281.34 |
0.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$330.92 |
$1,654.59 |
0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$390.12 |
$1,950.61 |
1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$65.34 |
$326.68 |
0.1× |
| Cervical spine 2 or 3 views (72040) |
$19.26 |
$96.30 |
0.2× |
| Chest 1 view (71045) |
$17.47 |
$87.37 |
0.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$81.28 |
$406.41 |
0.5× |
| Clavicle complete (73000) |
$19.05 |
$95.23 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$103.89 |
$519.45 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$344.20 |
$1,720.98 |
1.0× |
| CT abdomen and pelvis without contrast (74176) |
$201.04 |
$1,005.20 |
0.8× |
| CT abdomen w contrast (74160) |
$153.23 |
$766.17 |
0.9× |
| CT abdomen w wo contrast (74170) |
$171.84 |
$859.20 |
1.0× |
| CT abdomen w/o contrast (74150) |
$100.78 |
$503.90 |
1.0× |
| CT angio hrt w/3d image (75574) |
$411.42 |
$2,057.08 |
1.2× |
| CT angiography upper extremity lt (73206) |
$472.51 |
$2,362.56 |
2.7× |
| CT c-spine w/o contrast (72125) |
$571.92 |
$2,859.58 |
5.4× |
| CT cervical spine w&w/o contrast (72127) |
$553.03 |
$2,765.15 |
3.1× |
| CT cervical spine with contrast (72126) |
$711.66 |
$3,558.29 |
2.0× |
| CT chest w/wo contrast (71270) |
$166.15 |
$830.77 |
0.9× |
| CT chest with contrast (71260) |
$153.25 |
$766.24 |
0.9× |
| CT head/brain with contrast (70460) |
$153.49 |
$767.47 |
0.9× |
| CT head/brain without and with contrast (70470) |
$172.36 |
$861.78 |
1.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$397.40 |
$1,986.99 |
1.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$49.76 |
$248.78 |
0.6× |
| CT hrt w/3d image congen (75573) |
$57.10 |
$285.48 |
0.2× |
| CT iac w contrast (70481) |
$593.10 |
$2,965.51 |
3.4× |
| CT limited/localized follow up study (76380) |
$223.96 |
$1,119.81 |
2.6× |
| CT lower ext w/o (73700) |
$474.86 |
$2,374.30 |
4.5× |
| CT lower extremity with contrast (73701) |
$146.40 |
$732.02 |
0.8× |
| CT lumbar spine w & w/o contrast (72133) |
$650.50 |
$3,252.52 |
3.7× |
| CT lumbar spine w/o contrast (72131) |
$584.09 |
$2,920.46 |
5.6× |
| CT lumbar spine with contrast (72132) |
$153.49 |
$767.47 |
0.4× |
| CT maxillofacial w contrast (70487) |
$151.26 |
$756.32 |
0.9× |
| CT maxillofacial w/o contrast (70486) |
$100.26 |
$501.31 |
1.0× |
| CT maxillofacial w/wo contrast (70488) |
$719.63 |
$3,598.16 |
4.1× |
| CT neck soft tissue w contrast (70491) |
$132.82 |
$664.11 |
0.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$146.16 |
$730.81 |
0.8× |
| CT orbits w/o contrast (70480) |
$100.26 |
$501.31 |
1.0× |
| CT pelvis w & w/o contrast (72194) |
$305.91 |
$1,529.57 |
1.7× |
| CT pelvis w/o contrast (72192) |
$96.53 |
$482.67 |
0.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$149.36 |
$746.80 |
0.8× |
| CT soft tissue neck w/o contrast (70490) |
$87.34 |
$436.71 |
0.8× |
| CT thoracic spine w/contrast (72129) |
$457.96 |
$2,289.80 |
2.6× |
| CT thoracic spine w/o contrast (72128) |
$84.03 |
$420.16 |
0.8× |
| CT thoracic spine w/wo contrast (72130) |
$645.05 |
$3,225.26 |
3.7× |
| CT thorax w/o contrast (71250) |
$97.16 |
$485.80 |
0.9× |
| CT unlisted procedure (76497) |
$96.10 |
$480.50 |
1.1× |
| CT upper extremity w/o contrast rt (73200) |
$105.90 |
$529.48 |
1.0× |
| CT upper extremity with contrast (73201) |
$153.49 |
$767.47 |
0.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$452.27 |
$2,261.37 |
2.6× |
| Cta Abdomen (74175) |
$171.82 |
$859.09 |
1.0× |
| CTA abdomen pelvis (74174) |
$899.90 |
$4,499.49 |
2.6× |
| CTA chest (71275) |
$169.51 |
$847.57 |
1.0× |
| Cta Head (70496) |
$157.80 |
$788.98 |
0.9× |
| CTA lwr ext w&w/o contrast (73706) |
$467.69 |
$2,338.44 |
2.7× |
| Cta Neck (70498) |
$152.46 |
$762.30 |
0.9× |
| Cta Pelvis (72191) |
$532.11 |
$2,660.56 |
3.0× |
| Cystography minimum 3 views rs&i (74430) |
$89.68 |
$448.42 |
0.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$87.04 |
$435.18 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$101.01 |
$505.04 |
1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$48.26 |
$241.29 |
0.6× |
| Dxa bone density study axial skeleton (77085) |
$41.20 |
$205.98 |
0.4× |
| Echo exam of eye (76529) |
$64.85 |
$324.24 |
0.7× |
| Echo exam of fetal heart (76825) |
$67.86 |
$339.31 |
0.1× |
| Echoencephalography real time imaging (76506) |
$50.29 |
$251.45 |
0.5× |
| Esophagus (74220) |
$37.93 |
$189.67 |
0.2× |
| Fetal biophysical profile non-stress testing (76818) |
$124.27 |
$621.36 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$112.36 |
$561.82 |
1.1× |
| Fluoroscopy up to 1 hr (76000) |
$17.22 |
$86.10 |
0.1× |
| Foot 2 views (73620) |
$19.26 |
$96.30 |
0.2× |
| Forearm 2 views (73090) |
$19.26 |
$96.30 |
0.2× |
| Functional MRI brain by phys/psych (70555) |
$319.82 |
$1,599.12 |
1.3× |
| Functional MRI brain by tech (70554) |
$311.54 |
$1,557.68 |
1.3× |
| Hand 2 views (73120) |
$19.26 |
$96.30 |
0.2× |
| Hand 3 views (73130) |
$19.26 |
$96.30 |
0.2× |
| Heart Infarct Image (78466) |
$90.10 |
$450.50 |
0.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$533.75 |
$2,668.76 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$331.24 |
$1,656.19 |
0.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$299.41 |
$1,497.03 |
0.7× |
| Ht muscle image spect sing (78451) |
$503.62 |
$2,518.10 |
0.4× |
| Humerus Min 2 Views Left (73060) |
$17.33 |
$86.67 |
0.2× |
| Hysterosalpingogram (74740) |
$89.44 |
$447.20 |
0.4× |
| Interstitial radiation source applic complex (77778) |
$584.76 |
$2,923.81 |
0.8× |
| Kidney imaging morphology (78700) |
$155.86 |
$779.29 |
0.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$257.12 |
$1,285.60 |
0.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$211.06 |
$1,055.32 |
0.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$189.02 |
$945.10 |
0.3× |
| Knee 3 views (73562) |
$21.64 |
$108.20 |
0.2× |
| Liver & spleen imaging static only (78215) |
$238.87 |
$1,194.34 |
0.6× |
| Liver imaging static only (78201) |
$234.06 |
$1,170.29 |
0.4× |
| Lung perf&ventilat diferentl (78598) |
$418.08 |
$2,090.42 |
0.8× |
| Lung perfusion differential (78597) |
$509.71 |
$2,548.55 |
1.3× |
| Lung Ventilation Imaging (78579) |
$219.09 |
$1,095.45 |
0.5× |
| Lymphoscintigraphy (78195) |
$119.30 |
$596.50 |
0.2× |
| Mammary ductogram or galactogram multiple (77054) |
$62.03 |
$310.15 |
0.3× |
| Mammary ductogram or galactogram single (77053) |
$61.31 |
$306.54 |
0.3× |
| Meckels Diverticulum (78290) |
$152.35 |
$761.73 |
0.4× |
| MRA head w & w/o contrast (70546) |
$195.92 |
$979.59 |
0.6× |
| MRA head w/o contrast (70544) |
$227.70 |
$1,138.48 |
0.9× |
| MRA head with contrast (70545) |
$155.15 |
$775.75 |
0.4× |
| MRA neck w contrast (70548) |
$189.07 |
$945.35 |
0.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$195.92 |
$979.59 |
0.6× |
| MRA neck w/o contrast (70547) |
$127.87 |
$639.33 |
0.5× |
| MRI abdomen w contrast (74182) |
$443.73 |
$2,218.65 |
1.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$496.37 |
$2,481.87 |
1.4× |
| MRI abdomen w/o contrast (74181) |
$364.87 |
$1,824.35 |
1.5× |
| MRI any jnt lwr ext with con lt (73722) |
$563.46 |
$2,817.31 |
0.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$290.29 |
$1,451.46 |
0.4× |
| MRI breast w/o contrast bilateral (77047) |
$148.58 |
$742.92 |
0.6× |
| MRI breast w/o contrast unilat (77046) |
$88.17 |
$440.84 |
0.4× |
| MRI c-spine with contrast (72142) |
$872.37 |
$4,361.86 |
2.5× |
| MRI cardiac w/o contrast (75557) |
$307.46 |
$1,537.32 |
1.3× |
| MRI cervical spine w/o contrast (72141) |
$486.64 |
$2,433.18 |
2.0× |
| MRI chest w/o & w/contrast material (71552) |
$370.01 |
$1,850.03 |
1.1× |
| MRI chest w/o contrast (71550) |
$271.78 |
$1,358.90 |
1.1× |
| MRI chest with contrast (71551) |
$186.93 |
$934.65 |
0.2× |
| MRI fetal sngl/1st gestation (74712) |
$390.25 |
$1,951.26 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$337.26 |
$1,686.32 |
1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$138.24 |
$691.22 |
0.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$572.24 |
$2,861.18 |
2.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$435.49 |
$2,177.45 |
1.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$534.89 |
$2,674.47 |
1.5× |
| MRI orbit/face/neck w/contrast (70542) |
$435.49 |
$2,177.45 |
1.2× |
| MRI pelvis w contrast (72196) |
$164.46 |
$822.30 |
0.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$207.90 |
$1,039.51 |
0.6× |
| MRI pelvis w/o contrast (72195) |
$135.57 |
$677.85 |
0.6× |
| MRI scan of arm joint before and after contrast (73223) |
$337.26 |
$1,686.32 |
1.0× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$208.97 |
$1,044.86 |
0.3× |
| MRI scan of leg joint before and after contrast (73723) |
$663.83 |
$3,319.14 |
1.9× |
| MRI spectroscopy (76390) |
$331.49 |
$1,657.43 |
3.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,011.04 |
$5,055.22 |
2.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$506.97 |
$2,534.83 |
1.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$719.15 |
$3,595.74 |
2.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$726.85 |
$3,634.26 |
2.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,058.87 |
$5,294.36 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$624.77 |
$3,123.87 |
2.6× |
| MRI tmj (70336) |
$189.07 |
$945.35 |
0.8× |
| MRI upper ext joint w/o contrast (73221) |
$247.71 |
$1,238.53 |
1.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$396.33 |
$1,981.64 |
1.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$290.29 |
$1,451.46 |
1.2× |
| Myelogram Cervical (72240) |
$113.14 |
$565.69 |
0.1× |
| Myelogram Lumbar (72265) |
$113.57 |
$567.86 |
0.1× |
| Myelogram thoracic (72255) |
$134.34 |
$671.70 |
0.2× |
| Myelography 2 or more regions (72270) |
$118.14 |
$590.72 |
0.2× |
| Myocardial infarct spect (78469) |
$90.41 |
$452.03 |
0.2× |
| Myocardial Spect Multiple Studies (78452) |
$876.75 |
$4,383.73 |
0.7× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$186.07 |
$930.34 |
0.2× |
| Neck soft tissue (70360) |
$17.33 |
$86.67 |
0.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$190.47 |
$952.33 |
0.5× |
| Nm adrenal scan (78075) |
$200.48 |
$1,002.41 |
0.2× |
| Nm bone marrow multiple (78103) |
$167.94 |
$839.70 |
0.4× |
| Nm bone marrow wb (78104) |
$368.94 |
$1,844.70 |
0.9× |
| Nm cisternogram (78630) |
$105.89 |
$529.45 |
0.2× |
| Nm csf leak detection (78650) |
$131.64 |
$658.18 |
0.1× |
| Nm gastric emptying study (78264) |
$175.27 |
$876.36 |
0.4× |
| Nm gastroesophageal reflux study (78262) |
$123.58 |
$617.90 |
0.3× |
| Nm red cell sequestration (78140) |
$196.73 |
$983.65 |
0.5× |
| Nuclear medicine of heart pumping function (78473) |
$208.82 |
$1,044.11 |
0.5× |
| Nuclear medicine study of digestive tracts (78299) |
$251.06 |
$1,255.31 |
0.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$121.24 |
$606.18 |
0.3× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$85.83 |
$429.17 |
0.2× |
| Nuclear Rx Oral Admin (79005) |
$99.57 |
$497.84 |
0.4× |
| Nuclr Rx Interstit Colloid (79300) |
$101.46 |
$507.31 |
0.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$72.54 |
$362.70 |
0.7× |
| Orthopantogram (70355) |
$64.86 |
$324.32 |
0.7× |
| Osseous survey infant (77076) |
$76.93 |
$384.67 |
0.7× |
| Osseous survey limited (77074) |
$32.10 |
$160.50 |
0.3× |
| Parathyrd planar w/wo subtrj (78071) |
$155.80 |
$778.99 |
0.4× |
| Parathyroid imaging (78070) |
$66.36 |
$331.79 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$22.15 |
$110.75 |
0.2× |
| Peritoneogram rs&i (74190) |
$153.87 |
$769.37 |
0.3× |
| Pr csf ventriculography (78635) |
$89.16 |
$445.80 |
0.2× |
| Pr gi endoscopic ultrasound (76975) |
$51.51 |
$257.56 |
0.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$176.55 |
$882.75 |
0.5× |
| Pr red cell survival study (78130) |
$183.33 |
$916.64 |
0.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$533.75 |
$2,668.76 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$47.46 |
$237.30 |
0.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$202.25 |
$1,011.26 |
0.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$164.69 |
$823.47 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$17.66 |
$88.28 |
0.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$28.68 |
$143.38 |
0.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$74.44 |
$372.19 |
0.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$17.33 |
$86.67 |
0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$18.72 |
$93.59 |
0.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$20.31 |
$101.57 |
0.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$17.47 |
$87.37 |
0.2× |
| Radiologic exam colon single contrast study (74270) |
$51.82 |
$259.11 |
0.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$123.91 |
$619.56 |
0.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$129.51 |
$647.54 |
0.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$22.83 |
$114.13 |
0.3× |
| Radiological examination surgical specimen (76098) |
$111.23 |
$556.15 |
0.2× |
| Radiopharm Dacryocystography (78660) |
$79.16 |
$395.80 |
0.2× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$105.26 |
$526.30 |
0.4× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$152.43 |
$762.16 |
0.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$533.75 |
$2,668.76 |
0.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$124.48 |
$622.41 |
0.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$102.07 |
$510.35 |
0.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$748.18 |
$3,740.92 |
1.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$124.94 |
$624.70 |
0.5× |
| Rp Therapy Intravenous Administration (79101) |
$218.01 |
$1,090.05 |
0.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$65.91 |
$329.56 |
0.3× |
| Salivary gland function study (78232) |
$86.85 |
$434.27 |
0.2× |
| Scanogram (77073) |
$19.26 |
$96.30 |
0.2× |
| Scapula complete (73010) |
$63.13 |
$315.65 |
0.6× |
| Screening digital breast tomosynthesis (77063) |
$25.75 |
$128.74 |
1.1× |
| Sella turcica (70240) |
$15.62 |
$78.11 |
0.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$38.95 |
$194.74 |
0.4× |
| Sialogram (70390) |
$61.31 |
$306.54 |
0.3× |
| Small bowel series (74250) |
$45.96 |
$229.80 |
0.3× |
| Superior sagittal sinus venogram (75870) |
$265.82 |
$1,329.08 |
0.1× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$71.89 |
$359.45 |
0.3× |
| Testicular Imaging With Vascular Flow (78761) |
$96.77 |
$483.86 |
0.2× |
| Therapeutic Enema (74283) |
$70.45 |
$352.23 |
0.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$111.23 |
$556.15 |
0.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$74.23 |
$371.16 |
0.2× |
| Thyroid uptake measurement (78012) |
$38.71 |
$193.53 |
0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$94.38 |
$471.92 |
0.2× |
| Tmj unilateral (70328) |
$17.79 |
$88.96 |
0.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$637.69 |
$3,188.44 |
1.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$177.41 |
$887.03 |
0.4× |
| Ultrasound elastography first target lesion (76982) |
$99.15 |
$495.77 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$163.17 |
$815.85 |
1.6× |
| Umbilical-artery Doppler (OB) (76820) |
$60.54 |
$302.70 |
0.6× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$94.25 |
$471.24 |
0.2× |
| Unlisted Ultrasound Procedure (76999) |
$62.86 |
$314.30 |
0.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$169.94 |
$849.69 |
0.4× |
| Urethrocystography retrograde rs&i (74450) |
$134.39 |
$671.93 |
0.6× |
| Urethrocystography voiding (74455) |
$175.39 |
$876.97 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$75.90 |
$379.51 |
0.4× |
| Us abdl aorta screen aaa (76706) |
$100.59 |
$502.96 |
1.0× |
| Us breast unilateral complete (76641) |
$66.75 |
$333.74 |
0.6× |
| Us breast unilateral limited (76642) |
$66.13 |
$330.63 |
0.8× |
| Us chest (76604) |
$24.93 |
$124.66 |
0.2× |
| Us compl joint r-t w/image documentation (76881) |
$46.21 |
$231.04 |
0.4× |
| Us elastography parenchyma (76981) |
$85.47 |
$427.37 |
0.8× |
| Us guided compression repair (76936) |
$42.96 |
$214.80 |
0.2× |
| Us infant hips limited static (76886) |
$94.80 |
$474.01 |
1.1× |
| Us kidney transplant (76776) |
$94.03 |
$470.16 |
0.9× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$33.81 |
$169.06 |
0.3× |
| Us ob detailed single fetus (76811) |
$72.99 |
$364.97 |
0.3× |
| Us ob transvaginal (76817) |
$28.01 |
$140.05 |
0.3× |
| Us pelvic non ob complete (76856) |
$70.86 |
$354.28 |
0.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$56.02 |
$280.10 |
0.5× |
| Us pregnancy ltd (76815) |
$37.93 |
$189.67 |
0.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$44.36 |
$221.80 |
0.4× |
| Us retroperitoneal complete (76770) |
$42.96 |
$214.80 |
0.4× |
| Us retroperitoneal limited (76775) |
$45.67 |
$228.35 |
0.4× |
| Us scrotum and contents (76870) |
$48.33 |
$241.63 |
0.5× |
| Us soft tissue head/neck (76536) |
$33.08 |
$165.42 |
0.3× |
| Us spinal canal and contents (76800) |
$48.47 |
$242.36 |
0.5× |
| Us transrectal (76872) |
$38.79 |
$193.94 |
0.4× |
| Us xtr non-vasc lmtd (76882) |
$34.19 |
$170.93 |
0.3× |
| Us, eye b-scan (76512) |
$33.81 |
$169.06 |
0.3× |
| Vascular flow imaging (78445) |
$106.87 |
$534.36 |
0.3× |
| Venogram extremity bilateral (75822) |
$266.15 |
$1,330.77 |
0.2× |
| Venogram orbital (75880) |
$172.15 |
$860.74 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$408.83 |
$2,044.13 |
0.1× |
| Venography caval superior serialography rs&i (75827) |
$562.18 |
$2,810.88 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$291.72 |
$1,458.61 |
0.2× |
| Venography renal unilateral selective rs&i (75831) |
$370.78 |
$1,853.92 |
0.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$218.72 |
$1,093.60 |
0.1× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$500.14 |
$2,500.72 |
0.1× |
| Vertebral fracture assessment via dxa (77086) |
$41.20 |
$205.98 |
0.5× |
| Wrist 2 views (73100) |
$19.05 |
$95.23 |
0.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$47.24 |
$236.20 |
0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$34.35 |
$171.74 |
0.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$22.15 |
$110.75 |
0.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$48.43 |
$242.16 |
0.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$22.15 |
$110.75 |
0.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$19.26 |
$96.30 |
0.2× |
| X-ray exam hip uni 1 view (73501) |
$26.54 |
$132.69 |
0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$17.87 |
$89.35 |
0.2× |
| X-ray exam hip uni 4/> views (73503) |
$95.77 |
$478.83 |
0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$74.44 |
$372.20 |
0.7× |
| X-ray exam of femur 1 (73551) |
$87.31 |
$436.56 |
1.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$36.65 |
$183.25 |
0.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$19.93 |
$99.67 |
0.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$17.33 |
$86.67 |
0.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$17.33 |
$86.67 |
0.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$101.82 |
$509.11 |
0.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$16.26 |
$81.32 |
0.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$19.44 |
$97.21 |
0.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$83.03 |
$415.16 |
0.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$12.98 |
$64.92 |
0.1× |
| X-ray of voice box or throat (70370) |
$98.88 |
$494.38 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$39.59 |
$197.95 |
0.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$157.08 |
$785.42 |
0.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$17.33 |
$86.67 |
0.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$17.33 |
$86.67 |
0.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$28.89 |
$144.45 |
0.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$19.69 |
$98.44 |
0.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$17.55 |
$87.74 |
0.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$64.63 |
$323.14 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$32.10 |
$160.50 |
0.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$46.12 |
$230.59 |
0.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$19.26 |
$96.30 |
0.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$17.33 |
$86.67 |
0.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$19.93 |
$99.67 |
0.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$22.15 |
$110.75 |
0.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$21.64 |
$108.20 |
0.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$17.33 |
$86.67 |
0.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$19.05 |
$95.23 |
0.2× |
| Xr arthrogram ankle (73615) |
$71.89 |
$359.45 |
0.2× |
| Xr chest 4+ views (71048) |
$37.57 |
$187.83 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$19.26 |
$96.30 |
0.2× |
| Xr optic foramina (70190) |
$13.94 |
$69.72 |
0.2× |
| Xr shoulder 1 view (73020) |
$63.50 |
$317.49 |
0.7× |
| Xr spine cervical 4 or 5 views (72050) |
$32.10 |
$160.50 |
0.3× |
| Xr tibia/fibula 2 views (73590) |
$21.90 |
$109.48 |
0.3× |
| Xr tmj bilateral (70330) |
$17.12 |
$85.60 |
0.2× |
| Xray knee 1 or 2 views rt (73560) |
$20.45 |
$102.25 |
0.2× |