| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,241 |
$10,241 |
7.4× |
| Abdomen 2 views (74019) |
$743 |
$743 |
7.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,504 |
$1,504 |
3.7× |
| Angiography extremity bilateral rs&i (75716) |
$10,347 |
$10,347 |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$10,347 |
$10,347 |
3.3× |
| Angiography internal mammary rs&i (75756) |
$8,010 |
$8,010 |
2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$15,355 |
$15,355 |
2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,347 |
$10,347 |
3.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,545 |
$5,545 |
1.7× |
| Angiography Spinal Selective Rs&I (75705) |
$16,015 |
$16,015 |
2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$23,489 |
$23,489 |
4.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,413 |
$5,413 |
1.7× |
| Ankle 2 views (73600) |
$843 |
$843 |
9.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,817 |
$1,817 |
5.2× |
| Aortogram thoracic (75605) |
$8,055 |
$8,055 |
1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$10,044 |
$10,044 |
3.2× |
| Aortography abdominal serialography rs&i (75625) |
$10,044 |
$10,044 |
3.2× |
| Arthrogram hip (73525) |
$1,728 |
$1,728 |
4.9× |
| Arthrogram shoulder (73040) |
$2,158 |
$2,158 |
6.2× |
| Arthrogram wrist (73115) |
$1,602 |
$1,602 |
4.6× |
| Arthrography knee lt (73580) |
$2,354 |
$2,354 |
6.7× |
| Basic radiation dosimetry calculation (77300) |
$957 |
$957 |
7.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,020 |
$1,020 |
2.5× |
| Bone &/joint imaging whole body (78306) |
$1,614 |
$1,614 |
4.0× |
| Bone age studies (77072) |
$613 |
$613 |
5.8× |
| Bone Imaging 3 Phase (78315) |
$1,614 |
$1,614 |
4.0× |
| Bone Marrow Imaging Limited Area (78102) |
$1,006 |
$1,006 |
2.5× |
| Bone survey complete (77075) |
$1,455 |
$1,455 |
13.9× |
| Brachytx isodose intermed (77317) |
$1,942 |
$1,942 |
5.2× |
| Brain image w/flow 4 + views (78606) |
$1,329 |
$1,329 |
2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$11,603 |
$11,603 |
8.1× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$82 |
$82 |
7.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,220 |
$3,220 |
9.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,358 |
$1,358 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$843 |
$843 |
9.6× |
| Chest 1 view (71045) |
$372 |
$372 |
4.3× |
| Chest 3 views (71047) |
$657 |
$657 |
7.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,192 |
$1,192 |
6.8× |
| Clavicle complete (73000) |
$842.53 |
$842.53 |
9.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$560 |
$560 |
5.3× |
| Continuing medical physics consltj pr wk (77336) |
$1,097 |
$1,097 |
8.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,871 |
$5,871 |
16.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,405 |
$3,405 |
14.2× |
| CT abdomen w contrast (74160) |
$4,450 |
$4,450 |
25.3× |
| CT abdomen w wo contrast (74170) |
$5,515 |
$5,515 |
31.3× |
| CT abdomen w/o contrast (74150) |
$3,843 |
$3,843 |
36.6× |
| CT angio hrt w/3d image (75574) |
$3,826 |
$3,826 |
10.9× |
| CT angiography upper extremity lt (73206) |
$6,122 |
$6,122 |
34.7× |
| CT c-spine w/o contrast (72125) |
$3,794 |
$3,794 |
36.1× |
| CT cervical spine w&w/o contrast (72127) |
$5,676 |
$5,676 |
32.2× |
| CT cervical spine with contrast (72126) |
$4,545 |
$4,545 |
13.0× |
| CT chest w/wo contrast (71270) |
$5,748 |
$5,748 |
32.6× |
| CT chest with contrast (71260) |
$4,601 |
$4,601 |
26.1× |
| CT head/brain with contrast (70460) |
$4,266 |
$4,266 |
24.2× |
| CT head/brain without and with contrast (70470) |
$5,051 |
$5,051 |
28.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,640 |
$3,640 |
10.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$648 |
$648 |
7.4× |
| CT hrt w/3d image congen (75573) |
$2,409 |
$2,409 |
6.9× |
| CT iac w contrast (70481) |
$4,266 |
$4,266 |
24.2× |
| CT limited/localized follow up study (76380) |
$1,260 |
$1,260 |
14.4× |
| CT lower ext w/o (73700) |
$3,329 |
$3,329 |
31.7× |
| CT lower extremity w wo contrast (73702) |
$4,919 |
$4,919 |
27.9× |
| CT lower extremity with contrast (73701) |
$4,393 |
$4,393 |
24.9× |
| CT lumbar spine w & w/o contrast (72133) |
$5,748 |
$5,748 |
32.6× |
| CT lumbar spine w/o contrast (72131) |
$3,843 |
$3,843 |
36.6× |
| CT lumbar spine with contrast (72132) |
$4,601 |
$4,601 |
13.1× |
| CT maxillofacial w contrast (70487) |
$4,266 |
$4,266 |
24.2× |
| CT maxillofacial w/o contrast (70486) |
$3,232 |
$3,232 |
30.8× |
| CT maxillofacial w/wo contrast (70488) |
$5,051 |
$5,051 |
28.7× |
| CT neck soft tissue w contrast (70491) |
$4,266 |
$4,266 |
24.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,051 |
$5,051 |
28.7× |
| CT orbits w/o contrast (70480) |
$3,232 |
$3,232 |
30.8× |
| CT pelvis w & w/o contrast (72194) |
$5,515 |
$5,515 |
31.3× |
| CT pelvis w/o contrast (72192) |
$3,843 |
$3,843 |
36.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,907 |
$3,907 |
22.2× |
| CT soft tissue neck w/o contrast (70490) |
$3,232 |
$3,232 |
30.8× |
| CT thoracic spine w/contrast (72129) |
$4,601 |
$4,601 |
26.1× |
| CT thoracic spine w/o contrast (72128) |
$3,843 |
$3,843 |
36.6× |
| CT thoracic spine w/wo contrast (72130) |
$3,536 |
$3,536 |
20.1× |
| CT thorax w/o contrast (71250) |
$3,843 |
$3,843 |
36.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,205 |
$5,205 |
29.5× |
| CT upper extremity w/o contrast rt (73200) |
$3,329 |
$3,329 |
31.7× |
| CT upper extremity with contrast (73201) |
$4,393 |
$4,393 |
12.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,777 |
$7,777 |
44.1× |
| Cta Abdomen (74175) |
$7,461 |
$7,461 |
42.3× |
| CTA abdomen pelvis (74174) |
$11,942 |
$11,942 |
34.1× |
| CTA chest (71275) |
$7,831 |
$7,831 |
44.4× |
| Cta Head (70496) |
$6,604 |
$6,604 |
37.5× |
| CTA lwr ext w&w/o contrast (73706) |
$6,334 |
$6,334 |
35.9× |
| Cta Neck (70498) |
$5,730 |
$5,730 |
32.5× |
| Cta Pelvis (72191) |
$5,800 |
$5,800 |
32.9× |
| Cystography minimum 3 views rs&i (74430) |
$2,046 |
$2,046 |
5.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$687 |
$687 |
6.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$530 |
$530 |
5.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,030 |
$1,030 |
9.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$407 |
$407 |
4.7× |
| Echo exam of fetal heart (76825) |
$1,192 |
$1,192 |
2.2× |
| Echoencephalography real time imaging (76506) |
$996 |
$996 |
9.5× |
| Esophagus (74220) |
$1,209 |
$1,209 |
6.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$850 |
$850 |
8.1× |
| Fluoroscopy up to 1 hr (76000) |
$653 |
$653 |
2.7× |
| Foot 2 views (73620) |
$843 |
$843 |
9.6× |
| Forearm 2 views (73090) |
$843 |
$843 |
9.6× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$1,102 |
$1,102 |
4.6× |
| Functional MRI brain by phys/psych (70555) |
$1,434 |
$1,434 |
6.0× |
| Gated Heart Planar Single (78472) |
$1,697 |
$1,697 |
4.2× |
| Hand 2 views (73120) |
$843 |
$843 |
8.0× |
| Hand 3 views (73130) |
$843 |
$843 |
9.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,808 |
$5,808 |
8.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$5,958 |
$5,958 |
8.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,866 |
$4,866 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,610 |
$1,610 |
3.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,243 |
$1,243 |
3.1× |
| Ht muscle image spect sing (78451) |
$1,760 |
$1,760 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$843 |
$843 |
9.6× |
| Hysterosalpingogram (74740) |
$2,496 |
$2,496 |
10.4× |
| Kidney funcj study non-img radioisotopic study (78725) |
$596 |
$596 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,630 |
$1,630 |
3.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,539 |
$1,539 |
2.8× |
| Knee 3 views (73562) |
$843 |
$843 |
9.6× |
| Liver & spleen imaging static only (78215) |
$1,752 |
$1,752 |
4.4× |
| Liver imaging static only (78201) |
$1,995 |
$1,995 |
3.7× |
| Lung perf&ventilat diferentl (78598) |
$1,020 |
$1,020 |
1.9× |
| Lung Ventilation Imaging (78579) |
$1,144 |
$1,144 |
2.8× |
| Lymphoscintigraphy (78195) |
$1,607 |
$1,607 |
2.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$508 |
$508 |
5.8× |
| Meckels Diverticulum (78290) |
$1,504 |
$1,504 |
3.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,052 |
$2,052 |
5.5× |
| MRA head w & w/o contrast (70546) |
$7,446 |
$7,446 |
21.2× |
| MRA head w/o contrast (70544) |
$2,915 |
$2,915 |
12.2× |
| MRA head with contrast (70545) |
$5,099 |
$5,099 |
14.5× |
| MRA neck w contrast (70548) |
$5,190 |
$5,190 |
14.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,243 |
$8,243 |
23.5× |
| MRA neck w/o contrast (70547) |
$4,983 |
$4,983 |
20.8× |
| MRI abdomen w contrast (74182) |
$4,899 |
$4,899 |
14.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,053 |
$9,053 |
25.8× |
| MRI abdomen w/o contrast (74181) |
$3,553 |
$3,553 |
14.8× |
| MRI any jnt lwr ext with con lt (73722) |
$4,260 |
$4,260 |
5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,878 |
$4,878 |
6.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,730 |
$1,730 |
7.2× |
| MRI c-spine with contrast (72142) |
$5,270 |
$5,270 |
15.0× |
| MRI cardiac w/o contrast (75557) |
$2,492 |
$2,492 |
10.4× |
| MRI cervical spine w/o contrast (72141) |
$4,877 |
$4,877 |
20.3× |
| MRI chest w/o & w/contrast material (71552) |
$7,752 |
$7,752 |
22.1× |
| MRI chest w/o contrast (71550) |
$2,841 |
$2,841 |
11.9× |
| MRI fetal sngl/1st gestation (74712) |
$7,448 |
$7,448 |
31.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,065 |
$4,065 |
17.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,984 |
$4,984 |
20.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$8,355 |
$8,355 |
23.8× |
| MRI pelvis w contrast (72196) |
$4,304 |
$4,304 |
12.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,906 |
$8,906 |
25.4× |
| MRI pelvis w/o contrast (72195) |
$4,094 |
$4,094 |
17.1× |
| MRI scan of arm joint before and after contrast (73223) |
$9,016 |
$9,016 |
25.7× |
| MRI scan of leg joint before and after contrast (73723) |
$8,281 |
$8,281 |
23.6× |
| MRI spectroscopy (76390) |
$3,155 |
$3,155 |
36.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$9,758 |
$9,758 |
27.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,261 |
$4,261 |
12.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,894 |
$7,894 |
22.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,261 |
$4,261 |
12.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,894 |
$7,894 |
22.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,944 |
$3,944 |
16.5× |
| MRI tmj (70336) |
$2,184 |
$2,184 |
9.1× |
| MRI upper ext joint w/o contrast (73221) |
$3,553 |
$3,553 |
14.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,255 |
$6,255 |
17.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,618 |
$4,618 |
19.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,171 |
$4,171 |
3.2× |
| Neck soft tissue (70360) |
$592 |
$592 |
6.8× |
| Nm cisternogram (78630) |
$1,302 |
$1,302 |
2.4× |
| Nm gastric emptying study (78264) |
$1,504 |
$1,504 |
3.7× |
| Nm gastroesophageal reflux study (78262) |
$1,115 |
$1,115 |
2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$11,262 |
$11,262 |
8.1× |
| Nuclear Rx Oral Admin (79005) |
$1,034 |
$1,034 |
4.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$957 |
$957 |
9.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$673 |
$673 |
5.0× |
| Orthopantogram (70355) |
$647 |
$647 |
7.4× |
| Osseous survey infant (77076) |
$843 |
$843 |
8.0× |
| Osseous survey limited (77074) |
$812 |
$812 |
7.7× |
| Parathyrd planar w/spect&CT (78072) |
$1,222 |
$1,222 |
2.2× |
| Parathyroid imaging (78070) |
$1,119 |
$1,119 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$843 |
$843 |
8.0× |
| PET image w/CT, skull-thigh (78815) |
$10,013 |
$10,013 |
7.0× |
| PET imaging for CT attenuation whole body (78816) |
$10,013 |
$10,013 |
7.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,391 |
$5,391 |
15.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,602 |
$6,602 |
2.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,424 |
$3,424 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,309 |
$1,309 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,112 |
$1,112 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,196 |
$2,196 |
4.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$282 |
$282 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$780 |
$780 |
7.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$780 |
$780 |
7.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,489 |
$1,489 |
14.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$35,177 |
$35,177 |
4.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,119 |
$2,119 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$843 |
$843 |
8.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$592 |
$592 |
6.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$917 |
$917 |
8.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$657 |
$657 |
7.5× |
| Radiologic exam colon single contrast study (74270) |
$1,209 |
$1,209 |
6.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,334 |
$1,334 |
7.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,522 |
$2,522 |
14.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,514 |
$1,514 |
8.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$780 |
$780 |
8.9× |
| Radiological examination surgical specimen (76098) |
$2,722 |
$2,722 |
5.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$6,112 |
$6,112 |
1.9× |
| Ribs bilateral 3 views (71110) |
$840 |
$840 |
8.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,251 |
$2,251 |
5.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,355 |
$2,355 |
4.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,072 |
$3,072 |
5.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,997 |
$3,997 |
2.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,524 |
$3,524 |
2.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$657 |
$657 |
2.8× |
| Rp Therapy Intravenous Administration (79101) |
$882 |
$882 |
3.8× |
| Scanogram (77073) |
$688 |
$688 |
6.6× |
| Scapula complete (73010) |
$843 |
$843 |
8.0× |
| Screening digital breast tomosynthesis (77063) |
$295 |
$295 |
12.6× |
| Small bowel series (74250) |
$1,192 |
$1,192 |
6.8× |
| Spec medical radj physics consltj (77370) |
$1,282 |
$1,282 |
9.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,404 |
$2,404 |
6.4× |
| Special treatment procedure (77470) |
$3,982 |
$3,982 |
7.2× |
| Spine thoracic 3 views (72072) |
$843 |
$843 |
8.0× |
| Stereotactic body radiation delivery (77373) |
$14,354 |
$14,354 |
8.0× |
| Superior sagittal sinus venogram (75870) |
$3,375 |
$3,375 |
1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,411 |
$2,411 |
6.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,669 |
$3,669 |
9.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,273 |
$1,273 |
9.4× |
| Therapeutic Enema (74283) |
$605 |
$605 |
3.4× |
| Thoracolumbar 2 views (72080) |
$647 |
$647 |
7.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,644 |
$1,644 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$585 |
$585 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$809 |
$809 |
2.0× |
| Treatment device intermediate (77333) |
$1,067 |
$1,067 |
7.9× |
| Treatment devices simple (77332) |
$1,015 |
$1,015 |
7.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,444 |
$2,444 |
4.5× |
| Tx devices design & construction complex (77334) |
$1,792 |
$1,792 |
4.8× |
| Ultrasound, abdomen limited (76705) |
$1,556 |
$1,556 |
14.8× |
| Umbilical-artery Doppler (OB) (76820) |
$530 |
$530 |
5.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$216 |
$216 |
2.5× |
| Unlisted magnetic resonance procedure (76498) |
$5,054 |
$5,054 |
57.8× |
| Unlisted Ultrasound Procedure (76999) |
$439 |
$439 |
5.0× |
| Upper Extremity Infant (73092) |
$843 |
$843 |
8.0× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$379 |
$379 |
4.0× |
| Urethrocystography retrograde rs&i (74450) |
$2,046 |
$2,046 |
8.5× |
| Urethrocystography voiding (74455) |
$2,046 |
$2,046 |
8.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,441 |
$1,441 |
8.2× |
| Us abdl aorta screen aaa (76706) |
$609 |
$609 |
5.8× |
| Us breast unilateral complete (76641) |
$695.84 |
$695.84 |
6.6× |
| Us breast unilateral limited (76642) |
$675.34 |
$675.34 |
7.7× |
| Us chest (76604) |
$996 |
$996 |
9.5× |
| Us compl joint r-t w/image documentation (76881) |
$1,384 |
$1,384 |
13.2× |
| Us elastography parenchyma (76981) |
$645 |
$645 |
6.1× |
| Us infant hips dynamic (76885) |
$991 |
$991 |
11.3× |
| Us infant hips limited static (76886) |
$991 |
$991 |
11.3× |
| Us kidney transplant (76776) |
$1,567 |
$1,567 |
14.9× |
| Us ob detailed single fetus (76811) |
$1,064 |
$1,064 |
4.4× |
| Us ob transvaginal (76817) |
$957 |
$957 |
9.1× |
| Us pelvic non ob complete (76856) |
$1,500 |
$1,500 |
14.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$591 |
$591 |
5.6× |
| Us pregnancy ltd (76815) |
$554 |
$554 |
5.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,446 |
$1,446 |
13.8× |
| Us retroperitoneal complete (76770) |
$1,556 |
$1,556 |
14.8× |
| Us retroperitoneal limited (76775) |
$777 |
$777 |
7.4× |
| Us scrotum and contents (76870) |
$1,040 |
$1,040 |
9.9× |
| Us soft tissue head/neck (76536) |
$1,556 |
$1,556 |
14.8× |
| Us spinal canal and contents (76800) |
$1,556 |
$1,556 |
14.8× |
| Us xtr non-vasc lmtd (76882) |
$1,455 |
$1,455 |
13.9× |
| Us, eye b-scan (76512) |
$499 |
$499 |
4.8× |
| Venogram extremity bilateral (75822) |
$3,660 |
$3,660 |
2.3× |
| Venography caval inferior serialography rs&i (75825) |
$10,347 |
$10,347 |
3.3× |
| Venography caval superior serialography rs&i (75827) |
$3,441 |
$3,441 |
2.2× |
| Venography extremity unilateral rs&i (75820) |
$3,660 |
$3,660 |
2.3× |
| Venography renal unilateral selective rs&i (75831) |
$10,717 |
$10,717 |
3.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$13,017 |
$13,017 |
2.3× |
| Wrist 2 views (73100) |
$843 |
$843 |
9.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,020 |
$1,020 |
9.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$843 |
$843 |
9.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$843 |
$843 |
9.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,849 |
$1,849 |
10.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$843 |
$843 |
9.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$843 |
$843 |
9.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,489 |
$1,489 |
14.2× |
| X-ray exam hip uni 1 view (73501) |
$472 |
$472 |
5.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$472 |
$472 |
5.4× |
| X-ray exam hip uni 4/> views (73503) |
$780 |
$780 |
7.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$780 |
$780 |
7.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,489 |
$1,489 |
14.2× |
| X-ray exam of femur 1 (73551) |
$506 |
$506 |
5.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$843 |
$843 |
8.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$843 |
$843 |
9.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$843 |
$843 |
9.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$843 |
$843 |
9.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,441 |
$1,441 |
8.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$345 |
$345 |
3.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$843 |
$843 |
8.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$662 |
$662 |
7.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$546 |
$546 |
6.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$843 |
$843 |
8.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,455 |
$1,455 |
13.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,057 |
$1,057 |
10.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$763 |
$763 |
8.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$843 |
$843 |
8.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$843 |
$843 |
8.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$486 |
$486 |
5.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$843 |
$843 |
8.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,455 |
$1,455 |
13.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$733 |
$733 |
7.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$843 |
$843 |
9.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$843 |
$843 |
9.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$843 |
$843 |
9.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$843 |
$843 |
9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,424 |
$1,424 |
13.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$843 |
$843 |
8.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$843 |
$843 |
9.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$747 |
$747 |
8.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$843 |
$843 |
8.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$843 |
$843 |
9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$843 |
$843 |
9.6× |
| Xr arthrogram ankle (73615) |
$2,788 |
$2,788 |
8.0× |
| Xr c-spine 6 or more views (72052) |
$1,455 |
$1,455 |
13.9× |
| Xr chest 4+ views (71048) |
$1,149 |
$1,149 |
10.9× |
| Xr finger(s) 2+ views (73140) |
$843 |
$843 |
9.6× |
| Xr shoulder 1 view (73020) |
$843 |
$843 |
9.6× |
| Xr spine cervical 4 or 5 views (72050) |
$1,455 |
$1,455 |
13.9× |
| Xr tibia/fibula 2 views (73590) |
$843 |
$843 |
9.6× |
| Xr tmj bilateral (70330) |
$531 |
$531 |
6.1× |
| Xray knee 1 or 2 views rt (73560) |
$843 |
$843 |
9.6× |