| Abdomen 2 views (74019) |
$845.62 |
$1,127.50 |
8.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,143.75 |
$5,525 |
10.3× |
| Angiography extremity bilateral rs&i (75716) |
$8,358.38 |
$11,144.50 |
2.6× |
| Angiography extremity unilateral rs&i (75710) |
$8,507.25 |
$11,343 |
2.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,342.75 |
$8,457 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,676.75 |
$7,569 |
1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,402 |
$8,536 |
2.0× |
| Angiography Spinal Selective Rs&I (75705) |
$23,622.75 |
$31,497 |
4.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,905 |
$14,540 |
2.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,316.25 |
$5,755 |
1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,457.50 |
$4,610 |
1.1× |
| Ankle 2 views (73600) |
$1,041 |
$1,388 |
11.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,305.75 |
$1,741 |
3.7× |
| Aortogram thoracic (75605) |
$7,161 |
$9,548 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$7,237.50 |
$9,650 |
2.3× |
| Aortography thoracic w/o serialography rs&i (75600) |
$7,302 |
$9,736 |
2.3× |
| Artery X-Rays Adrenal Gland (75731) |
$6,342.75 |
$8,457 |
2.0× |
| Arthrogram hip (73525) |
$1,933.50 |
$2,578 |
5.5× |
| Arthrogram shoulder (73040) |
$1,183.50 |
$1,578 |
3.4× |
| Arthrography knee lt (73580) |
$1,892.25 |
$2,523 |
5.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,762 |
$5,016 |
9.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,121.25 |
$5,495 |
10.3× |
| Bone &/joint imaging whole body (78306) |
$3,858 |
$5,144 |
9.6× |
| Bone age studies (77072) |
$1,132.88 |
$1,510.50 |
10.8× |
| Bone Imaging 3 Phase (78315) |
$3,502.50 |
$4,670 |
8.7× |
| Bone survey complete (77075) |
$2,383.88 |
$3,178.50 |
22.7× |
| Brain image w/flow 4 + views (78606) |
$3,725.25 |
$4,967 |
6.8× |
| Brain Imaging Vascular Flow Only (78610) |
$3,388.50 |
$4,518 |
6.2× |
| Cervical spine 2 or 3 views (72040) |
$1,143 |
$1,524 |
13.1× |
| Chest 1 view (71045) |
$1,562.25 |
$2,083 |
17.9× |
| Chest 3 views (71047) |
$345.75 |
$461 |
4.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,278 |
$1,704 |
7.3× |
| Clavicle complete (73000) |
$1,002.38 |
$1,336.50 |
11.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$15,613.50 |
$20,818 |
44.6× |
| CT abdomen and pelvis without contrast (74176) |
$12,480.75 |
$16,641 |
52.1× |
| CT abdomen w contrast (74160) |
$5,946 |
$7,928 |
33.7× |
| CT abdomen w wo contrast (74170) |
$8,108.62 |
$10,811.50 |
46.0× |
| CT abdomen w/o contrast (74150) |
$5,625.75 |
$7,501 |
53.6× |
| CT angiography upper extremity lt (73206) |
$6,702 |
$8,936 |
38.0× |
| CT c-spine w/o contrast (72125) |
$9,776.62 |
$13,035.50 |
93.1× |
| CT cervical spine w&w/o contrast (72127) |
$11,235.38 |
$14,980.50 |
63.8× |
| CT cervical spine with contrast (72126) |
$9,664.50 |
$12,886 |
27.6× |
| CT chest w/wo contrast (71270) |
$9,676.88 |
$12,902.50 |
54.9× |
| CT chest with contrast (71260) |
$8,556.75 |
$11,409 |
48.6× |
| CT head/brain with contrast (70460) |
$5,892 |
$7,856 |
33.4× |
| CT head/brain without and with contrast (70470) |
$8,164.88 |
$10,886.50 |
46.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,479.25 |
$4,639 |
9.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$681 |
$908 |
7.8× |
| CT iac w contrast (70481) |
$5,892 |
$7,856 |
33.4× |
| CT limited/localized follow up study (76380) |
$2,381.25 |
$3,175 |
27.2× |
| CT lower ext w/o (73700) |
$4,900.88 |
$6,534.50 |
46.7× |
| CT lower extremity w wo contrast (73702) |
$7,077 |
$9,436 |
40.2× |
| CT lower extremity with contrast (73701) |
$4,630.50 |
$6,174 |
26.3× |
| CT lumbar spine w & w/o contrast (72133) |
$11,416.50 |
$15,222 |
64.8× |
| CT lumbar spine w/o contrast (72131) |
$8,436.75 |
$11,249 |
80.3× |
| CT lumbar spine with contrast (72132) |
$7,869 |
$10,492 |
22.5× |
| CT maxillofacial w contrast (70487) |
$6,605.25 |
$8,807 |
37.5× |
| CT maxillofacial w/o contrast (70486) |
$6,070.50 |
$8,094 |
57.8× |
| CT maxillofacial w/wo contrast (70488) |
$9,048.75 |
$12,065 |
51.4× |
| CT neck soft tissue w contrast (70491) |
$9,758.62 |
$13,011.50 |
55.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$8,471.62 |
$11,295.50 |
48.1× |
| CT orbits w/o contrast (70480) |
$4,870.50 |
$6,494 |
46.4× |
| CT pelvis w & w/o contrast (72194) |
$7,634.25 |
$10,179 |
43.3× |
| CT pelvis w/o contrast (72192) |
$6,261.38 |
$8,348.50 |
59.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$7,014 |
$9,352 |
39.8× |
| CT soft tissue neck w/o contrast (70490) |
$6,759.38 |
$9,012.50 |
64.4× |
| CT thoracic spine w/contrast (72129) |
$9,199.50 |
$12,266 |
52.2× |
| CT thoracic spine w/o contrast (72128) |
$9,912.75 |
$13,217 |
94.4× |
| CT thoracic spine w/wo contrast (72130) |
$12,897.38 |
$17,196.50 |
73.2× |
| CT thorax w/o contrast (71250) |
$5,854.50 |
$7,806 |
55.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$8,502 |
$11,336 |
48.3× |
| CT upper extremity w/o contrast rt (73200) |
$4,777.50 |
$6,370 |
45.5× |
| CT upper extremity with contrast (73201) |
$5,892 |
$7,856 |
16.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,878.75 |
$10,505 |
44.7× |
| Cta Abdomen (74175) |
$6,674.25 |
$8,899 |
37.9× |
| CTA abdomen pelvis (74174) |
$12,754.50 |
$17,006 |
36.4× |
| CTA chest (71275) |
$12,364.50 |
$16,486 |
70.2× |
| Cta Head (70496) |
$8,493 |
$11,324 |
48.2× |
| CTA lwr ext w&w/o contrast (73706) |
$7,348.88 |
$9,798.50 |
41.7× |
| Cta Neck (70498) |
$8,493 |
$11,324 |
48.2× |
| Cta Pelvis (72191) |
$12,044.25 |
$16,059 |
68.4× |
| Cystography minimum 3 views rs&i (74430) |
$3,040.50 |
$4,054 |
8.7× |
| Diskography lumbar (72295) |
$11,210.25 |
$14,947 |
5.7× |
| Echoencephalography real time imaging (76506) |
$1,256.25 |
$1,675 |
12.0× |
| Esophagus (74220) |
$1,539 |
$2,052 |
8.7× |
| Fetal biophysical profile non-stress testing (76818) |
$2,100.75 |
$2,801 |
20.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,139.25 |
$1,519 |
10.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,292.25 |
$1,723 |
5.4× |
| Foot 2 views (73620) |
$1,136.25 |
$1,515 |
13.0× |
| Forearm 2 views (73090) |
$1,522.12 |
$2,029.50 |
17.4× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$234.75 |
$313 |
1.0× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$1,838.25 |
$2,451 |
3.4× |
| Gated Heart Planar Single (78472) |
$3,531.75 |
$4,709 |
8.8× |
| Hand 2 views (73120) |
$1,393.88 |
$1,858.50 |
13.3× |
| Hand 3 views (73130) |
$1,325.25 |
$1,767 |
15.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,402 |
$8,536 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,885.75 |
$5,181 |
7.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,501 |
$4,668 |
8.7× |
| Ht muscle image spect sing (78451) |
$3,279 |
$4,372 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$1,237.12 |
$1,649.50 |
14.2× |
| Hysterosalpingogram (74740) |
$1,882.50 |
$2,510 |
7.9× |
| Kidney imaging morphology (78700) |
$4,917.75 |
$6,557 |
12.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,840.75 |
$5,121 |
7.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,880 |
$7,840 |
10.8× |
| Knee 3 views (73562) |
$1,343.62 |
$1,791.50 |
15.4× |
| Liver & spleen imaging static only (78215) |
$6,414 |
$8,552 |
16.0× |
| Lung perf&ventilat diferentl (78598) |
$5,484 |
$7,312 |
10.1× |
| Lung Ventilation Imaging (78579) |
$2,853.75 |
$3,805 |
7.1× |
| Lymphoscintigraphy (78195) |
$1,470 |
$1,960 |
2.7× |
| Mammary ductogram or galactogram single (77053) |
$1,604.25 |
$2,139 |
6.7× |
| Meckels Diverticulum (78290) |
$4,923 |
$6,564 |
12.3× |
| Mr safety determination physician/other qhp (76016) |
$338.25 |
$451 |
3.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$228 |
$304 |
3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$93.75 |
$125 |
3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$352.50 |
$470 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$927.75 |
$1,237 |
3.9× |
| MRA head w & w/o contrast (70546) |
$9,874.50 |
$13,166 |
28.2× |
| MRA head w/o contrast (70544) |
$6,438.38 |
$8,584.50 |
26.9× |
| MRA head with contrast (70545) |
$8,220 |
$10,960 |
23.5× |
| MRA neck w contrast (70548) |
$6,455.25 |
$8,607 |
18.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$10,012.88 |
$13,350.50 |
28.6× |
| MRA neck w/o contrast (70547) |
$5,980.50 |
$7,974 |
25.0× |
| MRI abdomen w contrast (74182) |
$5,937 |
$7,916 |
16.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,607.88 |
$12,810.50 |
27.4× |
| MRI abdomen w/o contrast (74181) |
$6,039 |
$8,052 |
25.2× |
| MRI any jnt lwr ext with con lt (73722) |
$8,800.50 |
$11,734 |
11.2× |
| MRI c-spine with contrast (72142) |
$12,292.50 |
$16,390 |
35.1× |
| MRI cervical spine w/o contrast (72141) |
$8,583.75 |
$11,445 |
35.8× |
| MRI chest w/o & w/contrast material (71552) |
$9,270.75 |
$12,361 |
26.5× |
| MRI chest w/o contrast (71550) |
$5,534.25 |
$7,379 |
23.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$8,669.25 |
$11,559 |
24.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$6,513 |
$8,684 |
27.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,182.25 |
$8,243 |
25.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$9,590.62 |
$12,787.50 |
27.4× |
| MRI orbit/face/neck w/contrast (70542) |
$8,809.50 |
$11,746 |
25.1× |
| MRI pelvis w contrast (72196) |
$7,613.25 |
$10,151 |
21.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,724 |
$11,632 |
24.9× |
| MRI pelvis w/o contrast (72195) |
$5,520 |
$7,360 |
23.0× |
| MRI scan of arm joint before and after contrast (73223) |
$9,669.75 |
$12,893 |
27.6× |
| MRI scan of leg joint before and after contrast (73723) |
$8,663.25 |
$11,551 |
24.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$12,350.25 |
$16,467 |
35.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$8,822.25 |
$11,763 |
25.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,486.25 |
$15,315 |
32.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$9,102.38 |
$12,136.50 |
26.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,932 |
$14,576 |
31.2× |
| MRI thoracic spine w/o contrast (72146) |
$6,600.75 |
$8,801 |
27.5× |
| MRI tmj (70336) |
$4,740.75 |
$6,321 |
19.8× |
| MRI upper ext joint w/o contrast (73221) |
$6,843 |
$9,124 |
28.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$12,459.38 |
$16,612.50 |
35.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$6,610.12 |
$8,813.50 |
27.6× |
| Myelogram Cervical (72240) |
$3,099 |
$4,132 |
3.9× |
| Myelogram Lumbar (72265) |
$2,938.50 |
$3,918 |
3.7× |
| Myelogram thoracic (72255) |
$3,118.12 |
$4,157.50 |
4.0× |
| Myelography 2 or more regions (72270) |
$2,794.50 |
$3,726 |
3.5× |
| Myocardial Spect Multiple Studies (78452) |
$6,969.75 |
$9,293 |
5.4× |
| Neck soft tissue (70360) |
$973.50 |
$1,298 |
11.1× |
| Nm cisternogram (78630) |
$4,036.50 |
$5,382 |
7.4× |
| Nm csf leak detection (78650) |
$1,994.25 |
$2,659 |
1.5× |
| Nm gastric emptying study (78264) |
$4,143.75 |
$5,525 |
10.3× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$17,718 |
$23,624 |
32.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,585.50 |
$2,114 |
3.9× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,386.75 |
$1,849 |
3.5× |
| Nuclear Rx Oral Admin (79005) |
$6,507 |
$8,676 |
27.8× |
| Osseous survey infant (77076) |
$1,219.50 |
$1,626 |
11.6× |
| Osseous survey limited (77074) |
$2,560.12 |
$3,413.50 |
24.4× |
| Parathyroid imaging (78070) |
$2,271 |
$3,028 |
5.7× |
| Pelvis 1 or 2 views (72170) |
$1,021.88 |
$1,362.50 |
9.7× |
| Pr heart first pass single,planar (78481) |
$1,914.75 |
$2,553 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$8,663.25 |
$11,551 |
24.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$8,448 |
$11,264 |
2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,453.25 |
$3,271 |
6.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,017 |
$5,356 |
7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,115 |
$2,820 |
3.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$254.25 |
$339 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$418.50 |
$558 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,787.25 |
$2,383 |
17.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$2,016 |
$2,688 |
19.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,011 |
$1,348 |
9.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$846.38 |
$1,128.50 |
9.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$825.75 |
$1,101 |
7.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,852.50 |
$2,470 |
21.2× |
| Radiologic exam colon single contrast study (74270) |
$1,413.75 |
$1,885 |
8.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,539 |
$2,052 |
8.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$410.25 |
$547 |
2.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,159.50 |
$1,546 |
6.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$842.25 |
$1,123 |
9.6× |
| Radiological examination surgical specimen (76098) |
$558 |
$744 |
1.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$8,448 |
$11,264 |
2.7× |
| Ribs bilateral 3 views (71110) |
$1,212 |
$1,616 |
11.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$5,604 |
$7,472 |
14.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,942 |
$5,256 |
7.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,677.75 |
$6,237 |
8.6× |
| Sacroiliac Joints < 3 Views (72200) |
$735 |
$980 |
7.0× |
| Scanogram (77073) |
$1,749.75 |
$2,333 |
16.7× |
| Scapula complete (73010) |
$1,872.38 |
$2,496.50 |
17.8× |
| Screening digital breast tomosynthesis (77063) |
$293.25 |
$391 |
12.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$593.25 |
$791 |
5.6× |
| Sialogram (70390) |
$1,478.25 |
$1,971 |
6.2× |
| Small bowel series (74250) |
$1,846.50 |
$2,462 |
10.5× |
| Speech evaluation complex (70371) |
$1,420.50 |
$1,894 |
5.9× |
| Spine thoracic 3 views (72072) |
$1,385.25 |
$1,847 |
13.2× |
| Thoracolumbar 2 views (72080) |
$457.50 |
$610 |
5.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,501 |
$4,668 |
6.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$905.25 |
$1,207 |
2.3× |
| Thyroid uptake measurement (78012) |
$3,388.50 |
$4,518 |
8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,711.75 |
$4,949 |
9.2× |
| Tmj unilateral (70328) |
$339 |
$452 |
3.9× |
| Tomogram (76100) |
$1,397.25 |
$1,863 |
13.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,614.75 |
$6,153 |
8.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,418.50 |
$4,558 |
8.5× |
| Ultrasound elastography first target lesion (76982) |
$511.50 |
$682 |
4.9× |
| Ultrasound, abdomen limited (76705) |
$4,255.12 |
$5,673.50 |
40.5× |
| Umbilical-artery Doppler (OB) (76820) |
$1,265.25 |
$1,687 |
12.0× |
| Upper Extremity Infant (73092) |
$941.25 |
$1,255 |
9.0× |
| Urethrocystography retrograde rs&i (74450) |
$2,664 |
$3,552 |
11.1× |
| Urethrocystography voiding (74455) |
$2,681.25 |
$3,575 |
11.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$3,040.50 |
$4,054 |
17.3× |
| Us breast unilateral complete (76641) |
$1,784.25 |
$2,379 |
17.0× |
| Us breast unilateral limited (76642) |
$534.75 |
$713 |
6.1× |
| Us chest (76604) |
$1,131.75 |
$1,509 |
10.8× |
| Us compl joint r-t w/image documentation (76881) |
$2,016 |
$2,688 |
19.2× |
| Us elastography parenchyma (76981) |
$552 |
$736 |
5.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$2,861.25 |
$3,815 |
27.2× |
| Us infant hips dynamic (76885) |
$1,254 |
$1,672 |
14.3× |
| Us infant hips limited static (76886) |
$606.75 |
$809 |
6.9× |
| Us kidney transplant (76776) |
$3,404.25 |
$4,539 |
32.4× |
| Us ob detailed single fetus (76811) |
$3,441.75 |
$4,589 |
14.4× |
| Us ob transvaginal (76817) |
$1,677.75 |
$2,237 |
16.0× |
| Us pelvic non ob complete (76856) |
$3,307.50 |
$4,410 |
31.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,244 |
$2,992 |
21.4× |
| Us pregnancy ltd (76815) |
$1,864.12 |
$2,485.50 |
17.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,703.75 |
$3,605 |
25.7× |
| Us retroperitoneal complete (76770) |
$3,094.12 |
$4,125.50 |
29.5× |
| Us retroperitoneal limited (76775) |
$3,177.75 |
$4,237 |
30.3× |
| Us scrotum and contents (76870) |
$3,107.25 |
$4,143 |
29.6× |
| Us soft tissue head/neck (76536) |
$2,435.25 |
$3,247 |
23.2× |
| Us spinal canal and contents (76800) |
$1,547.25 |
$2,063 |
14.7× |
| Us xtr non-vasc lmtd (76882) |
$1,490.25 |
$1,987 |
14.2× |
| Venogram extremity bilateral (75822) |
$4,726.50 |
$6,302 |
3.0× |
| Venography caval inferior serialography rs&i (75825) |
$5,868 |
$7,824 |
1.9× |
| Venography caval superior serialography rs&i (75827) |
$4,539.75 |
$6,053 |
2.9× |
| Venography extremity unilateral rs&i (75820) |
$2,913.75 |
$3,885 |
1.8× |
| Venography renal unilateral selective rs&i (75831) |
$5,873.25 |
$7,831 |
1.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,600.25 |
$7,467 |
1.8× |
| Wrist 2 views (73100) |
$900.75 |
$1,201 |
10.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$975.75 |
$1,301 |
11.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,218 |
$1,624 |
13.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,567.25 |
$3,423 |
14.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,112.62 |
$1,483.50 |
12.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,299 |
$1,732 |
14.9× |
| X-ray exam hip uni 1 view (73501) |
$1,415.25 |
$1,887 |
16.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,306.88 |
$1,742.50 |
14.9× |
| X-ray exam hip uni 4/> views (73503) |
$397.50 |
$530 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,180.88 |
$1,574.50 |
11.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$677.25 |
$903 |
6.4× |
| X-ray exam of femur 1 (73551) |
$173.25 |
$231 |
2.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$724.50 |
$966 |
4.1× |
| X-ray eye for foreign body (70030) |
$880.50 |
$1,174 |
10.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,350.75 |
$1,801 |
12.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,366.88 |
$1,822.50 |
15.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$832.12 |
$1,109.50 |
9.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,739.50 |
$4,986 |
1.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$747.75 |
$997 |
8.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,330.88 |
$1,774.50 |
15.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,531.50 |
$2,042 |
14.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$975.75 |
$1,301 |
11.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,033.50 |
$1,378 |
11.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,562.25 |
$2,083 |
14.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,268 |
$3,024 |
21.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,909.12 |
$2,545.50 |
18.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$709.88 |
$946.50 |
8.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$859.50 |
$1,146 |
8.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$365.25 |
$487 |
3.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$3,695.25 |
$4,927 |
6.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$3,524.25 |
$4,699 |
10.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,342.88 |
$1,790.50 |
15.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,416 |
$1,888 |
13.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,831.50 |
$2,442 |
17.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$834 |
$1,112 |
7.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,165.12 |
$1,553.50 |
13.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,856.25 |
$2,475 |
21.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,390.50 |
$1,854 |
15.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,317.75 |
$1,757 |
15.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,275.38 |
$1,700.50 |
12.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$926.62 |
$1,235.50 |
8.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,014 |
$1,352 |
11.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$681.75 |
$909 |
7.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$859.50 |
$1,146 |
9.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,208.62 |
$1,611.50 |
11.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,391.25 |
$1,855 |
13.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,159.88 |
$1,546.50 |
13.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$903.75 |
$1,205 |
10.3× |
| Xr arthrogram ankle (73615) |
$1,933.50 |
$2,578 |
5.5× |
| Xr c-spine 6 or more views (72052) |
$1,874.25 |
$2,499 |
17.8× |
| Xr finger(s) 2+ views (73140) |
$927.38 |
$1,236.50 |
10.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$1,320.75 |
$1,761 |
12.6× |
| Xr shoulder 1 view (73020) |
$2,030.62 |
$2,707.50 |
23.2× |
| Xr spine cervical 4 or 5 views (72050) |
$2,362.50 |
$3,150 |
22.5× |
| Xr tibia/fibula 2 views (73590) |
$1,311.75 |
$1,749 |
15.0× |
| Xr tmj bilateral (70330) |
$1,508.25 |
$2,011 |
17.3× |
| Xray knee 1 or 2 views rt (73560) |
$1,171.50 |
$1,562 |
13.4× |