| Abdomen 2 views (74019) |
$126.45 |
$281 |
1.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$590.85 |
$1,313 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$2,979.90 |
$6,622 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,232.35 |
$7,183 |
1.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,657.25 |
$5,905 |
0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,313.55 |
$2,919 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,587.95 |
$5,751 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$483.75 |
$1,075 |
0.2× |
| Ankle 2 views (73600) |
$174.15 |
$387 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$544.95 |
$1,211 |
1.6× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,614.60 |
$3,588 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,831.95 |
$4,071 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,555.65 |
$3,457 |
0.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,971.80 |
$6,604 |
1.0× |
| Arthrogram elbow (73085) |
$382.05 |
$849 |
1.1× |
| Arthrogram hip (73525) |
$669.15 |
$1,487 |
2.0× |
| Arthrogram shoulder (73040) |
$692.55 |
$1,539 |
2.1× |
| Arthrogram wrist (73115) |
$665.10 |
$1,478 |
2.0× |
| Arthrography knee lt (73580) |
$691.65 |
$1,537 |
2.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$908.55 |
$2,019 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,111.05 |
$2,469 |
2.9× |
| Bone age studies (77072) |
$175.95 |
$391 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$2,198.25 |
$4,885 |
5.7× |
| Bone Marrow Imaging Limited Area (78102) |
$507.60 |
$1,128 |
1.3× |
| Bone survey complete (77075) |
$692.10 |
$1,538 |
6.9× |
| Brain image w/flow 4 + views (78606) |
$804.60 |
$1,788 |
1.5× |
| Brain imaging < 4 static views (78600) |
$394.65 |
$877 |
1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,172.05 |
$7,049 |
2.3× |
| Brain Imaging Vascular Flow Only (78610) |
$1,608.30 |
$3,574 |
3.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$506.70 |
$1,126 |
1.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$291.15 |
$647 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$550.80 |
$1,224 |
6.6× |
| Chest 1 view (71045) |
$202.50 |
$450 |
2.4× |
| Chest 3 views (71047) |
$192.60 |
$428 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$591.30 |
$1,314 |
3.5× |
| Clavicle complete (73000) |
$251.55 |
$559 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$528.30 |
$1,174 |
5.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$235.35 |
$523 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,990.80 |
$4,424 |
5.9× |
| CT abdomen and pelvis without contrast (74176) |
$965.70 |
$2,146 |
4.2× |
| CT abdomen w contrast (74160) |
$670.05 |
$1,489 |
4.0× |
| CT abdomen w wo contrast (74170) |
$853.20 |
$1,896 |
5.1× |
| CT abdomen w/o contrast (74150) |
$495 |
$1,100 |
4.9× |
| CT angio hrt w/3d image (75574) |
$747.45 |
$1,661 |
2.2× |
| CT angiography upper extremity lt (73206) |
$923.40 |
$2,052 |
5.5× |
| CT c-spine w/o contrast (72125) |
$956.25 |
$2,125 |
9.5× |
| CT cervical spine w&w/o contrast (72127) |
$1,355.85 |
$3,013 |
8.0× |
| CT cervical spine with contrast (72126) |
$998.10 |
$2,218 |
3.0× |
| CT chest w/wo contrast (71270) |
$1,057.50 |
$2,350 |
6.3× |
| CT chest with contrast (71260) |
$990 |
$2,200 |
5.9× |
| CT colonography screening (74263) |
$915.30 |
$2,034 |
4.0× |
| CT colonography w/dye (74262) |
$166.50 |
$370 |
1.0× |
| CT colonography w/o cntrst (74261) |
$915.30 |
$2,034 |
9.1× |
| CT head/brain with contrast (70460) |
$835.65 |
$1,857 |
5.0× |
| CT head/brain without and with contrast (70470) |
$1,031.85 |
$2,293 |
6.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$151.20 |
$336 |
1.8× |
| CT hrt w/3d image congen (75573) |
$2,481.72 |
$5,514.94 |
7.4× |
| CT iac w contrast (70481) |
$966.15 |
$2,147 |
5.7× |
| CT limited/localized follow up study (76380) |
$672.30 |
$1,494 |
8.0× |
| CT lower ext w/o (73700) |
$845.10 |
$1,878 |
8.4× |
| CT lower extremity w wo contrast (73702) |
$1,689.30 |
$3,754 |
10.0× |
| CT lower extremity with contrast (73701) |
$1,021.50 |
$2,270 |
6.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,814.40 |
$4,032 |
10.8× |
| CT lumbar spine w/o contrast (72131) |
$916.20 |
$2,036 |
9.1× |
| CT lumbar spine with contrast (72132) |
$998.10 |
$2,218 |
3.0× |
| CT maxillofacial w contrast (70487) |
$885.60 |
$1,968 |
5.3× |
| CT maxillofacial w/o contrast (70486) |
$801.45 |
$1,781 |
8.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,246.95 |
$2,771 |
7.4× |
| CT neck soft tissue w contrast (70491) |
$1,105.65 |
$2,457 |
6.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$975.60 |
$2,168 |
5.8× |
| CT orbits w/o contrast (70480) |
$899.10 |
$1,998 |
8.9× |
| CT pelvis w & w/o contrast (72194) |
$1,337.40 |
$2,972 |
7.9× |
| CT pelvis w/o contrast (72192) |
$629.10 |
$1,398 |
6.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,651.95 |
$3,671 |
9.8× |
| CT soft tissue neck w/o contrast (70490) |
$818.10 |
$1,818 |
8.1× |
| CT thoracic spine w/contrast (72129) |
$1,276.65 |
$2,837 |
7.6× |
| CT thoracic spine w/o contrast (72128) |
$1,060.65 |
$2,357 |
10.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,753.65 |
$3,897 |
10.4× |
| CT thorax w/o contrast (71250) |
$692.10 |
$1,538 |
6.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$858.15 |
$1,907 |
5.1× |
| CT upper extremity w/o contrast rt (73200) |
$858.15 |
$1,907 |
8.5× |
| CT upper extremity with contrast (73201) |
$1,057.50 |
$2,350 |
3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,834.65 |
$4,077 |
10.9× |
| Cta Abdomen (74175) |
$1,401.75 |
$3,115 |
8.3× |
| CTA abdomen pelvis (74174) |
$1,476.90 |
$3,282 |
4.4× |
| CTA chest (71275) |
$1,150.65 |
$2,557 |
6.8× |
| Cta Head (70496) |
$1,196.10 |
$2,658 |
7.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,597.50 |
$3,550 |
9.5× |
| Cta Neck (70498) |
$1,168.20 |
$2,596 |
6.9× |
| Cta Pelvis (72191) |
$1,604.25 |
$3,565 |
9.5× |
| Cystography minimum 3 views rs&i (74430) |
$547.65 |
$1,217 |
1.6× |
| Diskogram cervical (72285) |
$1,913.85 |
$4,253 |
1.0× |
| Diskography lumbar (72295) |
$1,625.40 |
$3,612 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$238.50 |
$530 |
2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$182.25 |
$405 |
2.2× |
| Echoencephalography real time imaging (76506) |
$301.95 |
$671 |
3.0× |
| Esophagus (74220) |
$410.40 |
$912 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$265.50 |
$590 |
1.2× |
| Foot 2 views (73620) |
$181.35 |
$403 |
2.2× |
| Forearm 2 views (73090) |
$165.60 |
$368 |
2.0× |
| Functional MRI brain by phys/psych (70555) |
$1,399.95 |
$3,111 |
6.1× |
| Functional MRI brain by tech (70554) |
$1,293.75 |
$2,875 |
5.6× |
| Gated Heart Planar Single (78472) |
$871.20 |
$1,936 |
2.3× |
| Hand 2 views (73120) |
$247.95 |
$551 |
2.5× |
| Hand 3 views (73130) |
$230.40 |
$512 |
2.8× |
| Heart Infarct Image (78466) |
$886.50 |
$1,970 |
2.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,336.85 |
$5,193 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,190.70 |
$2,646 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$727.65 |
$1,617 |
1.9× |
| Ht muscle image spect sing (78451) |
$2,149.65 |
$4,777 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$173.70 |
$386 |
2.1× |
| Hysterosalpingogram (74740) |
$590.62 |
$1,312.50 |
2.6× |
| Interstitial radiation source applic complex (77778) |
$2,321.10 |
$5,158 |
3.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$143.10 |
$318 |
1.4× |
| Kidney imaging morphology (78700) |
$684 |
$1,520 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$807.30 |
$1,794 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$777.60 |
$1,728 |
1.5× |
| Knee 3 views (73562) |
$435.15 |
$967 |
5.2× |
| Liver & spleen imaging static only (78215) |
$585.45 |
$1,301 |
1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$654.30 |
$1,454 |
1.7× |
| Liver imaging static only (78201) |
$1,096.65 |
$2,437 |
2.1× |
| Lung perf&ventilat diferentl (78598) |
$589.05 |
$1,309 |
1.1× |
| Lung perfusion differential (78597) |
$832.05 |
$1,849 |
2.2× |
| Lung Ventilation Imaging (78579) |
$839.25 |
$1,865 |
2.2× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,171.35 |
$2,603 |
0.4× |
| Lymphoscintigraphy (78195) |
$637.20 |
$1,416 |
1.2× |
| Mammary ductogram or galactogram multiple (77054) |
$238.50 |
$530 |
1.0× |
| Mammary ductogram or galactogram single (77053) |
$439.65 |
$977 |
1.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$77.40 |
$172 |
0.9× |
| Meckels Diverticulum (78290) |
$374.85 |
$833 |
1.0× |
| Mr safety determination physician/other qhp (76016) |
$166.95 |
$371 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$46.35 |
$103 |
1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$174.15 |
$387 |
1.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$459 |
$1,020 |
2.0× |
| MRA head w & w/o contrast (70546) |
$1,716.75 |
$3,815 |
5.1× |
| MRA head w/o contrast (70544) |
$1,682.78 |
$3,739.50 |
7.3× |
| MRA head with contrast (70545) |
$2,430 |
$5,400 |
7.2× |
| MRA neck w contrast (70548) |
$1,319.40 |
$2,932 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,422.90 |
$3,162 |
4.2× |
| MRA neck w/o contrast (70547) |
$836.10 |
$1,858 |
3.6× |
| MRI abdomen w contrast (74182) |
$1,485.45 |
$3,301 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,688.40 |
$3,752 |
5.0× |
| MRI abdomen w/o contrast (74181) |
$1,247.85 |
$2,773 |
5.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,695.15 |
$3,767 |
2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,627.65 |
$3,617 |
2.2× |
| MRI breast w/o contrast unilat (77046) |
$1,413.22 |
$3,140.50 |
6.2× |
| MRI c-spine with contrast (72142) |
$1,530 |
$3,400 |
4.6× |
| MRI cardiac w/o cont stress (75559) |
$2,308.76 |
$5,130.58 |
4.4× |
| MRI cardiac w/o contrast (75557) |
$1,143.90 |
$2,542 |
5.0× |
| MRI cervical spine w/o contrast (72141) |
$1,485.45 |
$3,301 |
6.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,006.55 |
$4,459 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,479.60 |
$3,288 |
6.4× |
| MRI chest with contrast (71551) |
$1,692.90 |
$3,762 |
2.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,773.45 |
$3,941 |
5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,137.60 |
$2,528 |
3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,542.60 |
$3,428 |
6.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,716.30 |
$3,814 |
7.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,759.50 |
$3,910 |
5.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,615.85 |
$5,813 |
7.8× |
| MRI pelvis w contrast (72196) |
$2,303.10 |
$5,118 |
6.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,044.45 |
$2,321 |
3.1× |
| MRI pelvis w/o contrast (72195) |
$2,109.26 |
$4,687.24 |
9.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,981.35 |
$4,403 |
5.9× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,517.74 |
$3,372.75 |
2.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,981.35 |
$4,403 |
5.9× |
| MRI spectroscopy (76390) |
$1,696.50 |
$3,770 |
20.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,019.15 |
$4,487 |
6.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,530 |
$3,400 |
4.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,019.15 |
$4,487 |
6.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,530 |
$3,400 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,019.15 |
$4,487 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,485.45 |
$3,301 |
6.5× |
| MRI tmj (70336) |
$488.89 |
$1,086.42 |
2.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,542.60 |
$3,428 |
6.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,981.35 |
$4,403 |
5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,542.60 |
$3,428 |
6.7× |
| Myocardial Spect Multiple Studies (78452) |
$2,561.85 |
$5,693 |
2.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,030.05 |
$2,289 |
1.2× |
| Neck soft tissue (70360) |
$276.30 |
$614 |
3.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$440.55 |
$979 |
1.1× |
| Nm cisternogram (78630) |
$1,007.55 |
$2,239 |
1.9× |
| Nm csf leak detection (78650) |
$1,392.92 |
$3,095.37 |
1.1× |
| Nm gastric emptying study (78264) |
$1,257.30 |
$2,794 |
3.3× |
| Nm peritoneal-venous shunt patency (78291) |
$346.05 |
$769 |
0.9× |
| Nuclear medicine study of kidney and blood flow (78701) |
$607.50 |
$1,350 |
1.6× |
| Nuclear Rx Oral Admin (79005) |
$1,288.80 |
$2,864 |
5.7× |
| Osseous survey limited (77074) |
$406.80 |
$904 |
4.0× |
| Parathyrd planar w/spect&CT (78072) |
$619.20 |
$1,376 |
1.2× |
| Parathyroid imaging (78070) |
$681.30 |
$1,514 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$179.10 |
$398 |
1.8× |
| Perineogram (74775) |
$348.75 |
$775 |
1.5× |
| PET image w/CT, skull-thigh (78815) |
$4,190.85 |
$9,313 |
3.0× |
| PET imaging CT for attenuation limited area (78814) |
$3,345.30 |
$7,434 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$4,190.85 |
$9,313 |
3.0× |
| Pr csf ventriculography (78635) |
$729.45 |
$1,621 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,981.35 |
$4,403 |
5.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,162.25 |
$4,805 |
0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,178.90 |
$4,842 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$905.40 |
$2,012 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$769.05 |
$1,709 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$660.60 |
$1,468 |
1.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$323.55 |
$719 |
3.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$248.40 |
$552 |
2.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$269.55 |
$599 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$163.80 |
$364 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$472.50 |
$1,050 |
4.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$300.60 |
$668 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$227.25 |
$505 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$567.45 |
$1,261 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$411.30 |
$914 |
2.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,023.08 |
$2,273.50 |
6.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$494.55 |
$1,099 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$196.20 |
$436 |
2.3× |
| Radiological examination surgical specimen (76098) |
$306.45 |
$681 |
0.6× |
| Radiopharmaceutical therapy, unlisted procedure UNSCHEDULED (79999) |
$6,562.54 |
$14,583.42 |
29.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,443.95 |
$5,431 |
0.8× |
| Ribs bilateral 3 views (71110) |
$359.10 |
$798 |
3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$723.60 |
$1,608 |
1.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,559.25 |
$3,465 |
3.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,472.40 |
$3,272 |
2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,189.12 |
$2,642.50 |
1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,514.70 |
$3,366 |
1.1× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,335.15 |
$2,967 |
1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$947.70 |
$2,106 |
4.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$888.75 |
$1,975 |
4.0× |
| Rp Therapy Intravenous Administration (79101) |
$784.35 |
$1,743 |
3.5× |
| Sacroiliac Joints < 3 Views (72200) |
$295.65 |
$657 |
2.9× |
| Scanogram (77073) |
$213.08 |
$473.50 |
2.1× |
| Scapula complete (73010) |
$314.10 |
$698 |
3.1× |
| Sella turcica (70240) |
$53.55 |
$119 |
0.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$370.80 |
$824 |
3.7× |
| Sialogram (70390) |
$210.15 |
$467 |
0.9× |
| Small bowel series (74250) |
$640.35 |
$1,423 |
3.8× |
| Speech evaluation complex (70371) |
$132.30 |
$294 |
0.6× |
| Spine thoracic 3 views (72072) |
$279 |
$620 |
2.8× |
| Splenoportograpy rs&i (75810) |
$1,712.25 |
$3,805 |
0.6× |
| Therapeutic Enema (74283) |
$158.40 |
$352 |
0.9× |
| Thoracolumbar 2 views (72080) |
$301.05 |
$669 |
3.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,730.70 |
$3,846 |
3.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$548.55 |
$1,219 |
1.4× |
| Thyroid uptake measurement (78012) |
$292.50 |
$650 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$948.15 |
$2,107 |
2.5× |
| Tmj unilateral (70328) |
$120.15 |
$267 |
1.4× |
| Tomogram (76100) |
$359.55 |
$799 |
3.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,569.50 |
$5,710 |
4.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$721.35 |
$1,603 |
1.9× |
| Ultrasound elastography first target lesion (76982) |
$312.30 |
$694 |
3.1× |
| Ultrasound, abdomen limited (76705) |
$525.15 |
$1,167 |
5.2× |
| Unlisted fluoroscopic procedure (76496) |
$135.45 |
$301 |
1.6× |
| Unlisted magnetic resonance procedure (76498) |
$1,809.68 |
$4,021.50 |
21.6× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$360 |
$800 |
0.9× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$3,312.73 |
$7,361.62 |
8.6× |
| Unlisted Ultrasound Procedure (76999) |
$297.45 |
$661 |
3.6× |
| Urethrocystography retrograde rs&i (74450) |
$324 |
$720 |
1.4× |
| Urethrocystography voiding (74455) |
$416.70 |
$926 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$449.55 |
$999 |
2.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$339.75 |
$755 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$326.25 |
$725 |
3.2× |
| Us breast unilateral complete (76641) |
$404.10 |
$898 |
4.0× |
| Us breast unilateral limited (76642) |
$304.20 |
$676 |
3.6× |
| Us chest (76604) |
$533.92 |
$1,186.50 |
5.3× |
| Us compl joint r-t w/image documentation (76881) |
$460.35 |
$1,023 |
4.6× |
| Us elastography parenchyma (76981) |
$312.30 |
$694 |
3.1× |
| Us guided compression repair (76936) |
$301.05 |
$669 |
1.5× |
| Us infant hips dynamic (76885) |
$181.80 |
$404 |
2.2× |
| Us infant hips limited static (76886) |
$122.85 |
$273 |
1.5× |
| Us kidney transplant (76776) |
$428.85 |
$953 |
4.3× |
| Us ob transvaginal (76817) |
$421.20 |
$936 |
4.2× |
| Us pelvic non ob complete (76856) |
$566.10 |
$1,258 |
5.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$352.35 |
$783 |
3.5× |
| Us pregnancy ltd (76815) |
$360 |
$800 |
3.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$482.40 |
$1,072 |
4.8× |
| Us retroperitoneal complete (76770) |
$557.55 |
$1,239 |
5.5× |
| Us retroperitoneal limited (76775) |
$449.10 |
$998 |
4.5× |
| Us scrotum and contents (76870) |
$530.55 |
$1,179 |
5.3× |
| Us soft tissue head/neck (76536) |
$487.35 |
$1,083 |
4.8× |
| Us spinal canal and contents (76800) |
$658.80 |
$1,464 |
6.6× |
| Us transrectal (76872) |
$1,485 |
$3,300 |
14.8× |
| Us xtr non-vasc lmtd (76882) |
$324 |
$720 |
3.2× |
| Us, eye b-scan (76512) |
$247.05 |
$549 |
2.5× |
| Venogram extremity bilateral (75822) |
$2,020.50 |
$4,490 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$2,821.95 |
$6,271 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$2,218.50 |
$4,930 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$1,665 |
$3,700 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,453.05 |
$3,229 |
0.5× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,599.65 |
$5,777 |
0.5× |
| Wrist 2 views (73100) |
$146.70 |
$326 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$176.40 |
$392 |
1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$306 |
$680 |
3.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$466.65 |
$1,037 |
5.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$943.20 |
$2,096 |
5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$191.25 |
$425 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$327.15 |
$727 |
3.9× |
| X-ray exam hip uni 1 view (73501) |
$144.45 |
$321 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$185.85 |
$413 |
2.2× |
| X-ray exam hip uni 4/> views (73503) |
$153.90 |
$342 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$352.80 |
$784 |
3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$244.35 |
$543 |
2.4× |
| X-ray exam of femur 1 (73551) |
$186.75 |
$415 |
2.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$976.50 |
$2,170 |
5.8× |
| X-ray eye for foreign body (70030) |
$136.35 |
$303 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$435.60 |
$968 |
4.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$236.70 |
$526 |
2.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$473.85 |
$1,053 |
5.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$152.55 |
$339 |
1.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$354.60 |
$788 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$220.05 |
$489 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$351 |
$780 |
3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$189.90 |
$422 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$185.40 |
$412 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$697.50 |
$1,550 |
6.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$137.25 |
$305 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$357.75 |
$795 |
4.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$295.65 |
$657 |
2.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$164.25 |
$365 |
1.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$466.20 |
$1,036 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$158.85 |
$353 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$236.25 |
$525 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$498.60 |
$1,108 |
5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$276.30 |
$614 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$287.55 |
$639 |
3.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$146.70 |
$326 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$414 |
$920 |
4.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$197.55 |
$439 |
2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$495.45 |
$1,101 |
4.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$265.95 |
$591 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$196.20 |
$436 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$230.40 |
$512 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$191.25 |
$425 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$153 |
$340 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$372.60 |
$828 |
3.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$202.05 |
$449 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$239.40 |
$532 |
2.9× |
| Xr arthrogram ankle (73615) |
$973.35 |
$2,163 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$544.95 |
$1,211 |
5.4× |
| Xr chest 4+ views (71048) |
$133.65 |
$297 |
1.3× |
| Xr Cholecystography Oral Contrast (74290) |
$254.70 |
$566 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$137.70 |
$306 |
1.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$227.70 |
$506 |
2.3× |
| Xr myelogram posterior fossa (70010) |
$1,457.55 |
$3,239 |
4.3× |
| Xr shoulder 1 view (73020) |
$144 |
$320 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$576.45 |
$1,281 |
5.7× |
| Xr tibia/fibula 2 views (73590) |
$181.80 |
$404 |
2.2× |
| Xr tmj bilateral (70330) |
$182.70 |
$406 |
2.2× |
| Xray knee 1 or 2 views rt (73560) |
$506.25 |
$1,125 |
6.1× |