| 3-D radiotherapy plan dose-volume histograms (77295) |
$383.10 |
$3,831 |
0.3× |
| Abdomen 2 views (74019) |
$33.50 |
$335 |
0.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$205.70 |
$2,057 |
0.5× |
| Ankle 2 views (73600) |
$42.10 |
$421 |
0.5× |
| Arthrogram shoulder (73040) |
$137.30 |
$1,373 |
0.4× |
| Arthrography knee lt (73580) |
$139.60 |
$1,396 |
0.4× |
| Basic radiation dosimetry calculation (77300) |
$36.60 |
$366 |
0.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$129 |
$1,290 |
0.3× |
| Bone &/joint imaging whole body (78306) |
$251.50 |
$2,515 |
0.6× |
| Bone age studies (77072) |
$47 |
$470 |
0.4× |
| Bone Imaging 3 Phase (78315) |
$349.40 |
$3,494 |
0.9× |
| Bone Marrow Imaging Limited Area (78102) |
$143.50 |
$1,435 |
0.4× |
| Bone survey complete (77075) |
$138.20 |
$1,382 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$33.50 |
$335 |
0.4× |
| Chest 1 view (71045) |
$57.20 |
$572 |
0.7× |
| Chest 3 views (71047) |
$37.70 |
$377 |
0.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$91.70 |
$917 |
0.5× |
| Clavicle complete (73000) |
$54.30 |
$543 |
0.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$46.60 |
$466 |
0.4× |
| Continuing medical physics consltj pr wk (77336) |
$51.60 |
$516 |
0.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$441.50 |
$4,415 |
1.3× |
| CT abdomen and pelvis without contrast (74176) |
$295.50 |
$2,955 |
1.2× |
| CT abdomen w contrast (74160) |
$423.60 |
$4,236 |
2.4× |
| CT abdomen w wo contrast (74170) |
$477.10 |
$4,771 |
2.7× |
| CT abdomen w/o contrast (74150) |
$341.20 |
$3,412 |
3.2× |
| CT angio hrt w/3d image (75574) |
$139.50 |
$1,395 |
0.4× |
| CT angiography upper extremity lt (73206) |
$76.50 |
$765 |
0.4× |
| CT c-spine w/o contrast (72125) |
$368.80 |
$3,688 |
3.5× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$57 |
$570 |
0.3× |
| CT cervical spine w&w/o contrast (72127) |
$418.20 |
$4,182 |
2.4× |
| CT cervical spine with contrast (72126) |
$387.10 |
$3,871 |
1.1× |
| CT chest w/wo contrast (71270) |
$512.70 |
$5,127 |
2.9× |
| CT chest with contrast (71260) |
$420.10 |
$4,201 |
2.4× |
| CT head/brain with contrast (70460) |
$363.10 |
$3,631 |
2.1× |
| CT head/brain without and with contrast (70470) |
$418.60 |
$4,186 |
2.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$34.80 |
$348 |
0.4× |
| CT iac w contrast (70481) |
$271 |
$2,710 |
1.5× |
| CT limited/localized follow up study (76380) |
$139.50 |
$1,395 |
1.6× |
| CT lower ext w/o (73700) |
$298.60 |
$2,986 |
2.8× |
| CT lower extremity w wo contrast (73702) |
$400.40 |
$4,004 |
2.3× |
| CT lower extremity with contrast (73701) |
$414.62 |
$4,146.25 |
2.4× |
| CT lumbar spine w & w/o contrast (72133) |
$446.90 |
$4,469 |
2.5× |
| CT lumbar spine w/o contrast (72131) |
$377.50 |
$3,775 |
3.6× |
| CT lumbar spine with contrast (72132) |
$402.60 |
$4,026 |
1.1× |
| CT maxillofacial w contrast (70487) |
$366.80 |
$3,668 |
2.1× |
| CT maxillofacial w/o contrast (70486) |
$281.20 |
$2,812 |
2.7× |
| CT maxillofacial w/wo contrast (70488) |
$387.10 |
$3,871 |
2.2× |
| CT neck soft tissue w contrast (70491) |
$368.10 |
$3,681 |
2.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$412.90 |
$4,129 |
2.3× |
| CT orbits w/o contrast (70480) |
$262.50 |
$2,625 |
2.5× |
| CT pelvis w & w/o contrast (72194) |
$448.80 |
$4,488 |
2.5× |
| CT pelvis w/o contrast (72192) |
$358.10 |
$3,581 |
3.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$424.20 |
$4,242 |
2.4× |
| CT soft tissue neck w/o contrast (70490) |
$321.10 |
$3,211 |
3.1× |
| CT thoracic spine w/contrast (72129) |
$356.30 |
$3,563 |
2.0× |
| CT thoracic spine w/o contrast (72128) |
$338.20 |
$3,382 |
3.2× |
| CT thorax w/o contrast (71250) |
$359.60 |
$3,596 |
3.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$371.70 |
$3,717 |
2.1× |
| CT upper extremity w/o contrast rt (73200) |
$299.20 |
$2,992 |
2.8× |
| CT upper extremity with contrast (73201) |
$335.90 |
$3,359 |
1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$437.80 |
$4,378 |
2.5× |
| Cta Abdomen (74175) |
$139.50 |
$1,395 |
0.8× |
| CTA abdomen pelvis (74174) |
$407.10 |
$4,071 |
1.2× |
| CTA chest (71275) |
$454.10 |
$4,541 |
2.6× |
| Cta Head (70496) |
$328.50 |
$3,285 |
1.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$676.30 |
$6,763 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$547.25 |
$5,472.50 |
3.1× |
| Cta Neck (70498) |
$347.80 |
$3,478 |
2.0× |
| Cystography minimum 3 views rs&i (74430) |
$92.10 |
$921 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$78.40 |
$784 |
0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$39.20 |
$392 |
0.4× |
| Dxa bone density study axial skeleton (77085) |
$50.40 |
$504 |
0.5× |
| Echoencephalography real time imaging (76506) |
$59.70 |
$597 |
0.6× |
| Esophagus (74220) |
$72.10 |
$721 |
0.4× |
| Fluoroscopy up to 1 hr (76000) |
$66.10 |
$661 |
0.3× |
| Foot 2 views (73620) |
$31.70 |
$317 |
0.4× |
| Forearm 2 views (73090) |
$31.70 |
$317 |
0.4× |
| Gated Heart Planar Single (78472) |
$245.90 |
$2,459 |
0.6× |
| Hand 2 views (73120) |
$40.50 |
$405 |
0.4× |
| Hand 3 views (73130) |
$46.38 |
$463.75 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$213.50 |
$2,135 |
0.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$109.20 |
$1,092 |
0.3× |
| Ht muscle image spect sing (78451) |
$369.60 |
$3,696 |
0.3× |
| Humerus Min 2 Views Left (73060) |
$54 |
$540 |
0.6× |
| Hysterosalpingogram (74740) |
$110 |
$1,100 |
0.5× |
| Image fusion (77399) |
$43.70 |
$437 |
0.3× |
| Kidney imaging morphology (78700) |
$164.70 |
$1,647 |
0.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$221.60 |
$2,216 |
0.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$259.60 |
$2,596 |
0.5× |
| Knee 3 views (73562) |
$41.88 |
$418.75 |
0.5× |
| Liver & spleen imaging static only (78215) |
$204.90 |
$2,049 |
0.5× |
| Lung perf&ventilat diferentl (78598) |
$230.20 |
$2,302 |
0.4× |
| Lung Ventilation Imaging (78579) |
$147.30 |
$1,473 |
0.4× |
| Mammary ductogram or galactogram multiple (77054) |
$103.20 |
$1,032 |
0.4× |
| Mammary ductogram or galactogram single (77053) |
$131.40 |
$1,314 |
0.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$284.90 |
$2,849 |
0.8× |
| MRA head w & w/o contrast (70546) |
$109.20 |
$1,092 |
0.3× |
| MRA head w/o contrast (70544) |
$277.50 |
$2,775 |
1.2× |
| MRA head with contrast (70545) |
$118.90 |
$1,189 |
0.3× |
| MRA neck w contrast (70548) |
$294.40 |
$2,944 |
0.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$500.40 |
$5,004 |
1.4× |
| MRA neck w/o contrast (70547) |
$291.70 |
$2,917 |
1.2× |
| MRI abdomen w contrast (74182) |
$375.20 |
$3,752 |
1.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$456.90 |
$4,569 |
1.3× |
| MRI abdomen w/o contrast (74181) |
$348 |
$3,480 |
1.5× |
| MRI any jnt lwr ext with con lt (73722) |
$375.20 |
$3,752 |
0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$346.20 |
$3,462 |
0.4× |
| MRI breast w/o contrast bilateral (77047) |
$71.60 |
$716 |
0.3× |
| MRI breast w/o contrast unilat (77046) |
$71.60 |
$716 |
0.3× |
| MRI c-spine with contrast (72142) |
$356.70 |
$3,567 |
1.0× |
| MRI cervical spine w/o contrast (72141) |
$333.70 |
$3,337 |
1.4× |
| MRI chest w/o & w/contrast material (71552) |
$532.40 |
$5,324 |
1.5× |
| MRI chest w/o contrast (71550) |
$327 |
$3,270 |
1.4× |
| MRI chest with contrast (71551) |
$375.20 |
$3,752 |
0.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$114.40 |
$1,144 |
0.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$114.40 |
$1,144 |
0.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$409.50 |
$4,095 |
1.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$381.60 |
$3,816 |
1.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$401.80 |
$4,018 |
1.1× |
| MRI orbit/face/neck w/contrast (70542) |
$391.40 |
$3,914 |
1.1× |
| MRI pelvis w contrast (72196) |
$343.10 |
$3,431 |
1.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$475.30 |
$4,753 |
1.4× |
| MRI pelvis w/o contrast (72195) |
$313.20 |
$3,132 |
1.3× |
| MRI scan of arm joint before and after contrast (73223) |
$417.10 |
$4,171 |
1.2× |
| MRI scan of leg joint before and after contrast (73723) |
$446.40 |
$4,464 |
1.3× |
| MRI spectroscopy (76390) |
$177.20 |
$1,772 |
2.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$471.70 |
$4,717 |
1.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$414.10 |
$4,141 |
1.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$516.10 |
$5,161 |
1.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$340.50 |
$3,405 |
1.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$545.20 |
$5,452 |
1.6× |
| MRI thoracic spine w/o contrast (72146) |
$347.70 |
$3,477 |
1.5× |
| MRI upper ext joint w/o contrast (73221) |
$385.75 |
$3,857.50 |
1.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$386.90 |
$3,869 |
1.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$284.90 |
$2,849 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$623.20 |
$6,232 |
0.5× |
| Neck soft tissue (70360) |
$48.30 |
$483 |
0.6× |
| Nm gastric emptying study (78264) |
$205.40 |
$2,054 |
0.5× |
| Nm gastroesophageal reflux study (78262) |
$127.50 |
$1,275 |
0.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$302.60 |
$3,026 |
0.2× |
| Nuclear Rx Oral Admin (79005) |
$563.90 |
$5,639 |
2.4× |
| Osseous survey infant (77076) |
$77.70 |
$777 |
0.7× |
| Parathyrd planar w/spect&CT (78072) |
$144.90 |
$1,449 |
0.3× |
| Parathyrd planar w/wo subtrj (78071) |
$150.30 |
$1,503 |
0.4× |
| Parathyroid imaging (78070) |
$156.10 |
$1,561 |
0.4× |
| Pelvis 1 or 2 views (72170) |
$33.50 |
$335 |
0.3× |
| PET image w/CT, skull-thigh (78815) |
$686.40 |
$6,864 |
0.5× |
| PET imaging CT for attenuation limited area (78814) |
$959.30 |
$9,593 |
0.7× |
| PET imaging for CT attenuation whole body (78816) |
$686.40 |
$6,864 |
0.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$417.10 |
$4,171 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$205 |
$2,050 |
0.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$237.70 |
$2,377 |
0.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$81.90 |
$819 |
0.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$25.30 |
$253 |
0.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$35.40 |
$354 |
0.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$42 |
$420 |
0.4× |
Radiation Delivery Stereotactic Cranial Linear (77372)
unusually low: confirm this is the full procedure |
$2,501.10 |
$25,011 |
0.3× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$222 |
$2,220 |
0.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$127.20 |
$1,272 |
1.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$148.10 |
$1,481 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$59.40 |
$594 |
0.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$31.70 |
$317 |
0.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$46.40 |
$464 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$50.10 |
$501 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$115.80 |
$1,158 |
0.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$121.20 |
$1,212 |
0.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$42 |
$420 |
0.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$57.30 |
$573 |
0.7× |
| Radiological examination surgical specimen (76098) |
$211.80 |
$2,118 |
0.4× |
| Ribs bilateral 3 views (71110) |
$33.50 |
$335 |
0.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$368.60 |
$3,686 |
0.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$368.60 |
$3,686 |
0.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$368.60 |
$3,686 |
0.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$105.70 |
$1,057 |
0.5× |
| Rp Therapy Intravenous Administration (79101) |
$590.20 |
$5,902 |
2.5× |
| Sacroiliac Joints < 3 Views (72200) |
$25 |
$250 |
0.2× |
| Scanogram (77073) |
$25 |
$250 |
0.2× |
| Scapula complete (73010) |
$47 |
$470 |
0.4× |
| Screening digital breast tomosynthesis (77063) |
$12.70 |
$127 |
0.5× |
| Small bowel series (74250) |
$94.40 |
$944 |
0.5× |
| Spec medical radj physics consltj (77370) |
$59 |
$590 |
0.4× |
| Special treatment procedure (77470) |
$148.10 |
$1,481 |
0.3× |
| Speech evaluation complex (70371) |
$107.20 |
$1,072 |
0.4× |
| Spine thoracic 3 views (72072) |
$75 |
$750 |
0.7× |
| Stereotactic body radiation delivery (77373) |
$554.30 |
$5,543 |
0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$78.10 |
$781 |
0.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$100.50 |
$1,005 |
0.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$164 |
$1,640 |
0.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$33.10 |
$331 |
0.2× |
| Thoracolumbar 2 views (72080) |
$38.50 |
$385 |
0.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$237.10 |
$2,371 |
0.4× |
| Thyroid uptake measurement (78012) |
$86.40 |
$864 |
0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$286 |
$2,860 |
0.7× |
| Tmj unilateral (70328) |
$29.30 |
$293 |
0.3× |
| Treatment device intermediate (77333) |
$83.80 |
$838 |
0.6× |
| Treatment devices simple (77332) |
$63 |
$630 |
0.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$583.60 |
$5,836 |
1.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$147 |
$1,470 |
0.4× |
| Tx devices design & construction complex (77334) |
$104.70 |
$1,047 |
0.3× |
| Ultrasound, abdomen limited (76705) |
$162.40 |
$1,624 |
1.5× |
| Upper Extremity Infant (73092) |
$32.50 |
$325 |
0.3× |
| Urethrocystography retrograde rs&i (74450) |
$104.60 |
$1,046 |
0.4× |
| Urethrocystography voiding (74455) |
$97.50 |
$975 |
0.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$139.60 |
$1,396 |
0.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$80.10 |
$801 |
0.5× |
| Us abdl aorta screen aaa (76706) |
$66.10 |
$661 |
0.6× |
| Us breast unilateral complete (76641) |
$135.62 |
$1,356.25 |
1.3× |
| Us breast unilateral limited (76642) |
$135.62 |
$1,356.25 |
1.6× |
| Us chest (76604) |
$119.80 |
$1,198 |
1.1× |
| Us compl joint r-t w/image documentation (76881) |
$36 |
$360 |
0.3× |
| Us elastography parenchyma (76981) |
$40 |
$400 |
0.4× |
| Us guided compression repair (76936) |
$142.30 |
$1,423 |
0.7× |
| Us infant hips dynamic (76885) |
$34.20 |
$342 |
0.4× |
| Us infant hips limited static (76886) |
$89.80 |
$898 |
1.0× |
| Us kidney transplant (76776) |
$152.20 |
$1,522 |
1.4× |
| Us ob transvaginal (76817) |
$213.10 |
$2,131 |
2.0× |
| Us pelvic non ob complete (76856) |
$177.20 |
$1,772 |
1.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$39.10 |
$391 |
0.4× |
| Us pregnancy ltd (76815) |
$50.50 |
$505 |
0.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$162.90 |
$1,629 |
1.6× |
| Us retroperitoneal complete (76770) |
$168.40 |
$1,684 |
1.6× |
| Us retroperitoneal limited (76775) |
$145.40 |
$1,454 |
1.4× |
| Us scrotum and contents (76870) |
$142 |
$1,420 |
1.4× |
| Us soft tissue head/neck (76536) |
$123.20 |
$1,232 |
1.2× |
| Us spinal canal and contents (76800) |
$58.90 |
$589 |
0.6× |
| Us transrectal (76872) |
$143.20 |
$1,432 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$61.50 |
$615 |
0.6× |
| Venogram extremity bilateral (75822) |
$295.50 |
$2,955 |
0.2× |
| Venography caval inferior serialography rs&i (75825) |
$897.30 |
$8,973 |
0.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,225.80 |
$12,258 |
0.4× |
| Wrist 2 views (73100) |
$28.30 |
$283 |
0.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$68.60 |
$686 |
0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$67.10 |
$671 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$41.88 |
$418.75 |
0.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$132.90 |
$1,329 |
0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$25 |
$250 |
0.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$31.70 |
$317 |
0.4× |
| X-ray exam hip uni 1 view (73501) |
$29.30 |
$293 |
0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$31.70 |
$317 |
0.4× |
| X-ray exam hip uni 4/> views (73503) |
$42 |
$420 |
0.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$42 |
$420 |
0.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$79.80 |
$798 |
0.8× |
| X-ray exam of femur 1 (73551) |
$31.70 |
$317 |
0.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$65.40 |
$654 |
0.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$55.10 |
$551 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$58 |
$580 |
0.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$319.40 |
$3,194 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$57.62 |
$576.25 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$34.80 |
$348 |
0.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$40.90 |
$409 |
0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$31.70 |
$317 |
0.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$36.50 |
$365 |
0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$36 |
$360 |
0.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$93.30 |
$933 |
0.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$49.10 |
$491 |
0.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$56.10 |
$561 |
0.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$44.10 |
$441 |
0.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$69.90 |
$699 |
0.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$145.80 |
$1,458 |
0.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$63.30 |
$633 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$74.40 |
$744 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$63 |
$630 |
0.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$58.60 |
$586 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$51.90 |
$519 |
0.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$41.88 |
$418.75 |
0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$33.50 |
$335 |
0.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$31.70 |
$317 |
0.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$70.80 |
$708 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$33.50 |
$335 |
0.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$38.90 |
$389 |
0.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$33.20 |
$332 |
0.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$49.10 |
$491 |
0.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$33.50 |
$335 |
0.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$89.50 |
$895 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$47.20 |
$472 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$58 |
$580 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$53.40 |
$534 |
0.5× |
| Xr chest 4+ views (71048) |
$49 |
$490 |
0.5× |
| Xr finger(s) 2+ views (73140) |
$39.62 |
$396.25 |
0.5× |
| Xr shoulder 1 view (73020) |
$46.50 |
$465 |
0.5× |
| Xr spine cervical 4 or 5 views (72050) |
$53.40 |
$534 |
0.5× |
| Xr tibia/fibula 2 views (73590) |
$50.90 |
$509 |
0.6× |
| Xr tmj bilateral (70330) |
$31.20 |
$312 |
0.4× |
| Xray knee 1 or 2 views rt (73560) |
$39.62 |
$396.25 |
0.5× |