| Abdomen 2 views (74019) |
$106.78 |
$281 |
1.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$810.54 |
$2,133 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$3,867.64 |
$10,178 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$2,729.54 |
$7,183 |
0.9× |
| Ankle 2 views (73600) |
$147.06 |
$387 |
1.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$562.78 |
$1,481 |
1.7× |
| Arthrogram hip (73525) |
$565.06 |
$1,487 |
1.7× |
| Arthrogram shoulder (73040) |
$584.82 |
$1,539 |
1.7× |
| Arthrography knee lt (73580) |
$584.06 |
$1,537 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$852.34 |
$2,243 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$1,041.58 |
$2,741 |
2.7× |
| Bone age studies (77072) |
$190.76 |
$502 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,106.94 |
$2,913 |
2.9× |
| Bone Marrow Imaging Limited Area (78102) |
$428.64 |
$1,128 |
1.1× |
| Bone survey complete (77075) |
$206.34 |
$543 |
2.0× |
| Brain image w/flow 4 + views (78606) |
$849.68 |
$2,236 |
1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,678.62 |
$7,049 |
1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,512.40 |
$3,980 |
4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$245.86 |
$647 |
0.5× |
| Cervical spine 2 or 3 views (72040) |
$267.52 |
$704 |
3.2× |
| Chest 1 view (71045) |
$137.56 |
$362 |
1.6× |
| Chest 3 views (71047) |
$164.92 |
$434 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$478.04 |
$1,258 |
2.8× |
| Clavicle complete (73000) |
$238.26 |
$627 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$446.12 |
$1,174 |
4.4× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$198.74 |
$523 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,248.30 |
$3,285 |
3.7× |
| CT abdomen and pelvis without contrast (74176) |
$976.98 |
$2,571 |
4.2× |
| CT abdomen w contrast (74160) |
$473.86 |
$1,247 |
2.8× |
| CT abdomen w wo contrast (74170) |
$612.56 |
$1,612 |
3.6× |
| CT abdomen w/o contrast (74150) |
$418 |
$1,100 |
4.1× |
| CT angio hrt w/3d image (75574) |
$2,095.68 |
$5,514.94 |
6.2× |
| CT angiography upper extremity lt (73206) |
$1,124.80 |
$2,960 |
6.6× |
| CT c-spine w/o contrast (72125) |
$807.50 |
$2,125 |
8.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,144.94 |
$3,013 |
6.7× |
| CT cervical spine with contrast (72126) |
$842.84 |
$2,218 |
2.5× |
| CT chest w/wo contrast (71270) |
$1,102 |
$2,900 |
6.5× |
| CT chest with contrast (71260) |
$763.80 |
$2,010 |
4.5× |
| CT colonography w/dye (74262) |
$1,972.58 |
$5,191 |
11.6× |
| CT colonography w/o cntrst (74261) |
$772.92 |
$2,034 |
7.6× |
| CT head/brain with contrast (70460) |
$705.66 |
$1,857 |
4.2× |
| CT head/brain without and with contrast (70470) |
$971.28 |
$2,556 |
5.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$127.68 |
$336 |
1.5× |
| CT hrt w/3d image congen (75573) |
$2,095.68 |
$5,514.94 |
6.2× |
| CT iac w contrast (70481) |
$815.86 |
$2,147 |
4.8× |
| CT limited/localized follow up study (76380) |
$567.72 |
$1,494 |
6.7× |
| CT lower ext w/o (73700) |
$713.83 |
$1,878.49 |
7.1× |
| CT lower extremity w wo contrast (73702) |
$1,426.52 |
$3,754 |
8.4× |
| CT lower extremity with contrast (73701) |
$862.60 |
$2,270 |
5.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,532.16 |
$4,032 |
9.0× |
| CT lumbar spine w/o contrast (72131) |
$773.68 |
$2,036 |
7.6× |
| CT lumbar spine with contrast (72132) |
$842.84 |
$2,218 |
2.5× |
| CT maxillofacial w contrast (70487) |
$747.84 |
$1,968 |
4.4× |
| CT maxillofacial w/o contrast (70486) |
$676.78 |
$1,781 |
6.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,052.81 |
$2,770.55 |
6.2× |
| CT neck soft tissue w contrast (70491) |
$933.66 |
$2,457 |
5.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,696.32 |
$4,464 |
10.0× |
| CT orbits w/o contrast (70480) |
$759.24 |
$1,998 |
7.5× |
| CT pelvis w & w/o contrast (72194) |
$1,122.90 |
$2,955 |
6.6× |
| CT pelvis w/o contrast (72192) |
$620.92 |
$1,634 |
6.1× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$240.66 |
$633.31 |
2.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$968.62 |
$2,549 |
5.7× |
| CT soft tissue neck w/o contrast (70490) |
$690.84 |
$1,818 |
6.8× |
| CT thoracic spine w/contrast (72129) |
$1,078.06 |
$2,837 |
6.3× |
| CT thoracic spine w/o contrast (72128) |
$895.66 |
$2,357 |
8.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,411.70 |
$3,715 |
8.3× |
| CT thorax w/o contrast (71250) |
$554.04 |
$1,458 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$669.04 |
$1,760.65 |
6.6× |
| CT upper extremity with contrast (73201) |
$893 |
$2,350 |
2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,549.26 |
$4,077 |
9.1× |
| Cta Abdomen (74175) |
$1,046.90 |
$2,755 |
6.2× |
| CTA abdomen pelvis (74174) |
$1,993.86 |
$5,247 |
5.9× |
| CTA chest (71275) |
$1,047.28 |
$2,756 |
6.2× |
| Cta Head (70496) |
$1,058.30 |
$2,785 |
6.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,349 |
$3,550 |
7.9× |
| Cta Neck (70498) |
$918.08 |
$2,416 |
5.4× |
| Cta Pelvis (72191) |
$1,354.70 |
$3,565 |
8.0× |
| Cystography minimum 3 views rs&i (74430) |
$462.46 |
$1,217 |
1.4× |
| Diskogram cervical (72285) |
$1,616.14 |
$4,253 |
0.9× |
| Diskography lumbar (72295) |
$1,372.56 |
$3,612 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$201.40 |
$530 |
2.0× |
| Echoencephalography real time imaging (76506) |
$254.98 |
$671 |
2.5× |
| Esophagus (74220) |
$346.56 |
$912 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$198.74 |
$523 |
0.9× |
| Foot 2 views (73620) |
$153.14 |
$403 |
1.8× |
| Forearm 2 views (73090) |
$181.26 |
$477 |
2.2× |
| Functional MRI brain by phys/psych (70555) |
$1,182.18 |
$3,111 |
5.1× |
| Functional MRI brain by tech (70554) |
$1,092.50 |
$2,875 |
4.7× |
| Gated Heart Planar Single (78472) |
$735.68 |
$1,936 |
1.9× |
| Hand 2 views (73120) |
$172.52 |
$454 |
1.7× |
| Hand 3 views (73130) |
$202.16 |
$532 |
2.4× |
| Heart Infarct Image (78466) |
$748.60 |
$1,970 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,117.20 |
$2,940 |
2.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$539.22 |
$1,419 |
1.4× |
| Ht muscle image spect sing (78451) |
$1,815.26 |
$4,777 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$162.64 |
$428 |
1.9× |
| Hysterosalpingogram (74740) |
$290.89 |
$765.50 |
1.3× |
| Interstitial radiation source applic complex (77778) |
$1,960.04 |
$5,158 |
2.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$175.56 |
$462 |
1.7× |
| Kidney imaging morphology (78700) |
$577.60 |
$1,520 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$681.72 |
$1,794 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$605.34 |
$1,593 |
1.2× |
| Knee 3 views (73562) |
$379.62 |
$999 |
4.5× |
| Liver & spleen imaging static only (78215) |
$430.16 |
$1,132 |
1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$552.52 |
$1,454 |
1.4× |
| Liver imaging static only (78201) |
$926.06 |
$2,437 |
1.8× |
| Lung perf&ventilat diferentl (78598) |
$497.42 |
$1,309 |
0.9× |
| Lung perfusion differential (78597) |
$349.98 |
$921 |
0.9× |
| Lung Ventilation Imaging (78579) |
$708.70 |
$1,865 |
1.8× |
| Lymphoscintigraphy (78195) |
$702.62 |
$1,849 |
1.3× |
| Mammary ductogram or galactogram multiple (77054) |
$201.40 |
$530 |
0.9× |
| Mammary ductogram or galactogram single (77053) |
$371.26 |
$977 |
1.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$65.36 |
$172 |
0.8× |
| Meckels Diverticulum (78290) |
$496.66 |
$1,307 |
1.3× |
| Mr safety determination physician/other qhp (76016) |
$140.98 |
$371 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$39.14 |
$103 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$147.06 |
$387 |
1.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$387.60 |
$1,020 |
1.7× |
| MRA head w & w/o contrast (70546) |
$2,160.68 |
$5,686 |
6.4× |
| MRA head w/o contrast (70544) |
$1,563.70 |
$4,115 |
6.8× |
| MRA head with contrast (70545) |
$2,052 |
$5,400 |
6.1× |
| MRA neck w contrast (70548) |
$1,421.20 |
$3,740 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,425 |
$3,750 |
4.2× |
| MRA neck w/o contrast (70547) |
$1,420.82 |
$3,739 |
6.2× |
| MRI abdomen w contrast (74182) |
$2,208.94 |
$5,813 |
6.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,440.20 |
$3,790 |
4.3× |
| MRI abdomen w/o contrast (74181) |
$1,106.18 |
$2,911 |
4.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,035.50 |
$2,725 |
1.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,101.24 |
$2,898 |
1.5× |
| MRI breast w/o contrast unilat (77046) |
$1,193.39 |
$3,140.50 |
5.2× |
| MRI c-spine with contrast (72142) |
$1,597.52 |
$4,204 |
4.7× |
| MRI cardiac w/o cont stress (75559) |
$1,949.62 |
$5,130.58 |
3.7× |
| MRI cardiac w/o contrast (75557) |
$965.96 |
$2,542 |
4.2× |
| MRI cervical spine w/o contrast (72141) |
$1,336.84 |
$3,518 |
5.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,694.42 |
$4,459 |
5.0× |
| MRI chest w/o contrast (71550) |
$1,322.40 |
$3,480 |
5.7× |
| MRI chest with contrast (71551) |
$1,429.56 |
$3,762 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,616.52 |
$4,254 |
4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$960.64 |
$2,528 |
2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,161.28 |
$3,056 |
5.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,449.32 |
$3,814 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,223.98 |
$3,221 |
3.6× |
| MRI orbit/face/neck w/contrast (70542) |
$2,208.94 |
$5,813 |
6.5× |
| MRI pelvis w contrast (72196) |
$1,944.84 |
$5,118 |
5.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,253.62 |
$3,299 |
3.7× |
| MRI pelvis w/o contrast (72195) |
$1,683.30 |
$4,429.74 |
7.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,359.26 |
$3,577 |
4.0× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,281.64 |
$3,372.75 |
1.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,355.46 |
$3,567 |
4.0× |
| MRI spectroscopy (76390) |
$1,432.60 |
$3,770 |
17.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,425 |
$3,750 |
4.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,597.52 |
$4,204 |
4.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,336.84 |
$3,518 |
4.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,292 |
$3,400 |
3.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,425 |
$3,750 |
4.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,336.84 |
$3,518 |
5.8× |
| MRI tmj (70336) |
$1,944.84 |
$5,118 |
8.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,032.84 |
$2,718 |
4.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,506.51 |
$3,964.50 |
4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$820.80 |
$2,160 |
3.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,226.20 |
$8,490 |
2.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$869.82 |
$2,289 |
1.0× |
| Neck soft tissue (70360) |
$203.68 |
$536 |
2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$372.02 |
$979 |
1.0× |
| Nm cisternogram (78630) |
$850.82 |
$2,239 |
1.6× |
| Nm csf leak detection (78650) |
$1,176.24 |
$3,095.37 |
0.9× |
| Nm gastric emptying study (78264) |
$1,061.72 |
$2,794 |
2.7× |
| Nm peritoneal-venous shunt patency (78291) |
$490.58 |
$1,291 |
1.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$513 |
$1,350 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$1,088.32 |
$2,864 |
4.8× |
| Osseous survey infant (77076) |
$314.26 |
$827 |
3.1× |
| Osseous survey limited (77074) |
$343.52 |
$904 |
3.4× |
| Parathyrd planar w/spect&CT (78072) |
$522.88 |
$1,376 |
1.0× |
| Parathyroid imaging (78070) |
$433.96 |
$1,142 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$175.94 |
$463 |
1.7× |
| Perineogram (74775) |
$294.50 |
$775 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$3,538.94 |
$9,313 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$2,824.92 |
$7,434 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$3,538.94 |
$9,313 |
2.6× |
| Pr csf ventriculography (78635) |
$615.98 |
$1,621 |
1.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,237.28 |
$3,256 |
3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$764.56 |
$2,012 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$649.42 |
$1,709 |
1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$557.84 |
$1,468 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$436.24 |
$1,148 |
4.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$199.50 |
$525 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$227.62 |
$599 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$129.96 |
$342 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$391.40 |
$1,030 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$102.98 |
$271 |
1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$106.78 |
$281 |
1.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$164.54 |
$433 |
2.0× |
| Radiologic exam colon single contrast study (74270) |
$479.18 |
$1,261 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$774.06 |
$2,037 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$417.62 |
$1,099 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$145.16 |
$382 |
1.7× |
| Radiological examination surgical specimen (76098) |
$258.78 |
$681 |
0.5× |
| Ribs bilateral 3 views (71110) |
$330.22 |
$869 |
3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$882.36 |
$2,321.99 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,316.70 |
$3,465 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,243.36 |
$3,272 |
2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,004.15 |
$2,642.50 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,279.08 |
$3,366 |
0.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,127.46 |
$2,967 |
0.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$800.28 |
$2,106 |
3.5× |
| Rp Therapy Intravenous Administration (79101) |
$662.34 |
$1,743 |
2.9× |
| Sacroiliac Joints < 3 Views (72200) |
$166.44 |
$438 |
1.6× |
| Scanogram (77073) |
$179.93 |
$473.50 |
1.8× |
| Scapula complete (73010) |
$265.24 |
$698 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$55.48 |
$146 |
2.4× |
| Sella turcica (70240) |
$45.22 |
$119 |
0.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$313.12 |
$824 |
3.1× |
| Sialogram (70390) |
$177.46 |
$467 |
0.8× |
| Small bowel series (74250) |
$566.96 |
$1,492 |
3.3× |
| Speech evaluation complex (70371) |
$111.72 |
$294 |
0.5× |
| Spine thoracic 3 views (72072) |
$235.60 |
$620 |
2.3× |
| Therapeutic Enema (74283) |
$133.76 |
$352 |
0.8× |
| Thoracolumbar 2 views (72080) |
$307.80 |
$810 |
3.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,005.48 |
$2,646 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$463.22 |
$1,219 |
1.2× |
| Thyroid uptake measurement (78012) |
$247 |
$650 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$741.76 |
$1,952 |
1.9× |
| Tmj unilateral (70328) |
$101.46 |
$267 |
1.2× |
| Tomogram (76100) |
$303.62 |
$799 |
3.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,248.08 |
$5,916 |
4.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$609.14 |
$1,603 |
1.6× |
| Ultrasound elastography first target lesion (76982) |
$263.72 |
$694 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$443.46 |
$1,167 |
4.4× |
| Unlisted fluoroscopic procedure (76496) |
$114.38 |
$301 |
1.4× |
| Unlisted magnetic resonance procedure (76498) |
$1,528.17 |
$4,021.50 |
18.1× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$304 |
$800 |
0.8× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$2,797.42 |
$7,361.62 |
7.2× |
| Upper Extremity Infant (73092) |
$95.38 |
$251 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$273.60 |
$720 |
1.2× |
| Urethrocystography voiding (74455) |
$351.88 |
$926 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$150.10 |
$395 |
0.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$286.90 |
$755 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$275.50 |
$725 |
2.7× |
| Us breast unilateral complete (76641) |
$341.24 |
$898 |
3.4× |
| Us breast unilateral limited (76642) |
$256.88 |
$676 |
3.0× |
| Us chest (76604) |
$432.44 |
$1,138 |
4.3× |
| Us compl joint r-t w/image documentation (76881) |
$388.74 |
$1,023 |
3.8× |
| Us elastography parenchyma (76981) |
$263.72 |
$694 |
2.6× |
| Us guided compression repair (76936) |
$334.78 |
$881 |
1.6× |
| Us infant hips dynamic (76885) |
$153.52 |
$404 |
1.8× |
| Us kidney transplant (76776) |
$362.14 |
$953 |
3.6× |
| Us ob transvaginal (76817) |
$355.68 |
$936 |
3.5× |
| Us pelvic non ob complete (76856) |
$660.82 |
$1,739 |
6.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$297.54 |
$783 |
2.9× |
| Us pregnancy ltd (76815) |
$304 |
$800 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$407.36 |
$1,072 |
4.0× |
| Us retroperitoneal complete (76770) |
$470.82 |
$1,239 |
4.7× |
| Us retroperitoneal limited (76775) |
$379.24 |
$998 |
3.7× |
| Us scrotum and contents (76870) |
$448.02 |
$1,179 |
4.4× |
| Us soft tissue head/neck (76536) |
$411.54 |
$1,083 |
4.1× |
| Us spinal canal and contents (76800) |
$556.32 |
$1,464 |
5.5× |
| Us transrectal (76872) |
$1,254 |
$3,300 |
12.4× |
| Us xtr non-vasc lmtd (76882) |
$273.60 |
$720 |
2.7× |
| Venogram extremity bilateral (75822) |
$1,706.20 |
$4,490 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,406 |
$3,700 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$65.74 |
$173 |
0.8× |
| Wrist 2 views (73100) |
$123.88 |
$326 |
1.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$156.56 |
$412 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$180.50 |
$475 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$394.06 |
$1,037 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$525.16 |
$1,382 |
3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$161.50 |
$425 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$285.76 |
$752 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$121.98 |
$321 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$193.42 |
$509 |
2.3× |
| X-ray exam hip uni 4/> views (73503) |
$129.96 |
$342 |
1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$248.71 |
$654.50 |
2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$206.34 |
$543 |
2.0× |
| X-ray exam of femur 1 (73551) |
$155.04 |
$408 |
1.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$570.38 |
$1,501 |
3.4× |
| X-ray eye for foreign body (70030) |
$104.88 |
$276 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$326.42 |
$859 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$199.88 |
$526 |
2.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$314.64 |
$828 |
3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$123.88 |
$326 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$185.82 |
$489 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$296.40 |
$780 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$160.36 |
$422 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$149.72 |
$394 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$279.68 |
$736 |
2.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$569.24 |
$1,498 |
5.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$367.08 |
$966 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$238.26 |
$627 |
2.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$185.44 |
$488 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$239.40 |
$630 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$380 |
$1,000 |
3.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$393.68 |
$1,036 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$115.90 |
$305 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$256.88 |
$676 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$435.86 |
$1,147 |
4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$233.32 |
$614 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$193.80 |
$510 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$202.16 |
$532 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$178.22 |
$469 |
2.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$166.82 |
$439 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$438.90 |
$1,155 |
4.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$224.58 |
$591 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$165.68 |
$436 |
2.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$194.56 |
$512 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$75.24 |
$198 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$115.90 |
$305 |
1.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$148.20 |
$390 |
1.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$170.62 |
$449 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$202.16 |
$532 |
2.4× |
| Xr c-spine 6 or more views (72052) |
$460.18 |
$1,211 |
4.5× |
| Xr chest 4+ views (71048) |
$112.86 |
$297 |
1.1× |
| Xr Cholecystography Oral Contrast (74290) |
$177.08 |
$466 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$116.28 |
$306 |
1.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$192.28 |
$506 |
1.9× |
| Xr myelogram posterior fossa (70010) |
$1,230.82 |
$3,239 |
3.6× |
| Xr shoulder 1 view (73020) |
$107.16 |
$282 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$388.74 |
$1,023 |
3.8× |
| Xr tibia/fibula 2 views (73590) |
$141.36 |
$372 |
1.7× |
| Xr tmj bilateral (70330) |
$102.60 |
$270 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$201.40 |
$530 |
2.4× |