| Abdomen 2 views (74019) |
$1,279.50 |
$1,706 |
12.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$5,483.25 |
$7,311 |
13.7× |
| Angiography extremity bilateral rs&i (75716) |
$9,699.38 |
$12,932.50 |
3.1× |
| Angiography extremity unilateral rs&i (75710) |
$9,067.50 |
$12,090 |
2.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,046 |
$10,728 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,482.38 |
$13,976.50 |
3.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,057.88 |
$13,410.50 |
3.2× |
| Angiography Spinal Selective Rs&I (75705) |
$21,720.75 |
$28,961 |
3.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,549.38 |
$12,732.50 |
1.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,536.75 |
$6,049 |
1.4× |
| Ankle 2 views (73600) |
$1,218.75 |
$1,625 |
13.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,808.75 |
$3,745 |
8.0× |
| Aortogram thoracic (75605) |
$8,263.88 |
$11,018.50 |
1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,285.75 |
$12,381 |
2.9× |
| Aortography abdominal serialography rs&i (75625) |
$8,374.50 |
$11,166 |
2.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$9,559.50 |
$12,746 |
3.0× |
| Arthrogram elbow (73085) |
$4,464 |
$5,952 |
12.7× |
| Arthrogram hip (73525) |
$2,883 |
$3,844 |
8.2× |
| Arthrogram shoulder (73040) |
$4,464 |
$5,952 |
12.7× |
| Arthrography knee lt (73580) |
$4,688.25 |
$6,251 |
13.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$6,134.25 |
$8,179 |
15.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$11,727.75 |
$15,637 |
29.2× |
| Bone &/joint imaging whole body (78306) |
$5,874 |
$7,832 |
14.6× |
| Bone age studies (77072) |
$1,274.62 |
$1,699.50 |
12.1× |
| Bone Imaging 3 Phase (78315) |
$4,087.50 |
$5,450 |
10.2× |
| Bone survey complete (77075) |
$2,100.75 |
$2,801 |
20.0× |
| Brain image w/flow 4 + views (78606) |
$9,300.75 |
$12,401 |
17.1× |
| Brain Imaging Vascular Flow Only (78610) |
$3,812.25 |
$5,083 |
7.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,910.25 |
$6,547 |
14.0× |
| Cervical spine 2 or 3 views (72040) |
$1,398.38 |
$1,864.50 |
16.0× |
| Chest 1 view (71045) |
$1,285.50 |
$1,714 |
14.7× |
| Chest 3 views (71047) |
$1,298.25 |
$1,731 |
14.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,839 |
$2,452 |
10.4× |
| Clavicle complete (73000) |
$1,274.62 |
$1,699.50 |
14.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$19,441.12 |
$25,921.50 |
55.5× |
| CT abdomen and pelvis without contrast (74176) |
$13,500.38 |
$18,000.50 |
56.3× |
| CT abdomen w contrast (74160) |
$8,592.75 |
$11,457 |
48.8× |
| CT abdomen w wo contrast (74170) |
$11,979.75 |
$15,973 |
68.0× |
| CT abdomen w/o contrast (74150) |
$6,511.88 |
$8,682.50 |
62.0× |
| CT angio hrt w/3d image (75574) |
$3,162.75 |
$4,217 |
9.0× |
| CT angiography upper extremity lt (73206) |
$4,965 |
$6,620 |
28.2× |
| CT c-spine w/o contrast (72125) |
$7,378.88 |
$9,838.50 |
70.3× |
| CT cervical spine w&w/o contrast (72127) |
$8,892 |
$11,856 |
50.5× |
| CT cervical spine with contrast (72126) |
$8,375.25 |
$11,167 |
23.9× |
| CT chest w/wo contrast (71270) |
$10,164.75 |
$13,553 |
57.7× |
| CT chest with contrast (71260) |
$9,753 |
$13,004 |
55.4× |
| CT head/brain with contrast (70460) |
$5,464.50 |
$7,286 |
31.0× |
| CT head/brain without and with contrast (70470) |
$10,056.75 |
$13,409 |
57.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$4,746.75 |
$6,329 |
13.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$861.75 |
$1,149 |
9.9× |
| CT iac w contrast (70481) |
$10,317 |
$13,756 |
58.6× |
| CT limited/localized follow up study (76380) |
$2,561.25 |
$3,415 |
29.3× |
| CT lower ext w/o (73700) |
$8,170.50 |
$10,894 |
77.8× |
| CT lower extremity w wo contrast (73702) |
$9,894 |
$13,192 |
56.2× |
| CT lower extremity with contrast (73701) |
$10,514.25 |
$14,019 |
59.7× |
| CT lumbar spine w & w/o contrast (72133) |
$13,237.50 |
$17,650 |
75.1× |
| CT lumbar spine w/o contrast (72131) |
$10,680.75 |
$14,241 |
101.7× |
| CT lumbar spine with contrast (72132) |
$11,407.50 |
$15,210 |
32.6× |
| CT maxillofacial w contrast (70487) |
$10,922.25 |
$14,563 |
62.0× |
| CT maxillofacial w/o contrast (70486) |
$9,513 |
$12,684 |
90.6× |
| CT maxillofacial w/wo contrast (70488) |
$12,261 |
$16,348 |
69.6× |
| CT neck soft tissue w contrast (70491) |
$11,317.50 |
$15,090 |
64.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$12,888.38 |
$17,184.50 |
73.1× |
| CT orbits w/o contrast (70480) |
$6,934.50 |
$9,246 |
66.0× |
| CT pelvis w & w/o contrast (72194) |
$8,892 |
$11,856 |
50.5× |
| CT pelvis w/o contrast (72192) |
$6,349.50 |
$8,466 |
60.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$11,490 |
$15,320 |
65.2× |
| CT soft tissue neck w/o contrast (70490) |
$7,258.50 |
$9,678 |
69.1× |
| CT thoracic spine w/contrast (72129) |
$9,219.75 |
$12,293 |
52.3× |
| CT thoracic spine w/o contrast (72128) |
$7,226.62 |
$9,635.50 |
68.8× |
| CT thoracic spine w/wo contrast (72130) |
$9,693.38 |
$12,924.50 |
55.0× |
| CT thorax w/o contrast (71250) |
$6,762 |
$9,016 |
64.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$14,748.75 |
$19,665 |
83.7× |
| CT upper extremity w/o contrast rt (73200) |
$10,524.75 |
$14,033 |
100.2× |
| CT upper extremity with contrast (73201) |
$12,160.50 |
$16,214 |
34.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$8,663.25 |
$11,551 |
49.2× |
| Cta Abdomen (74175) |
$8,663.25 |
$11,551 |
49.2× |
| CTA abdomen pelvis (74174) |
$17,784.75 |
$23,713 |
50.7× |
| CTA chest (71275) |
$11,273.25 |
$15,031 |
64.0× |
| Cta Head (70496) |
$3,561 |
$4,748 |
20.2× |
| CTA lwr ext w&w/o contrast (73706) |
$4,501.12 |
$6,001.50 |
25.5× |
| Cta Neck (70498) |
$15,098.25 |
$20,131 |
85.7× |
| Cta Pelvis (72191) |
$11,916.75 |
$15,889 |
67.6× |
| Cystography minimum 3 views rs&i (74430) |
$2,808.75 |
$3,745 |
8.0× |
| Diskography lumbar (72295) |
$9,507 |
$12,676 |
4.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,383.38 |
$1,844.50 |
13.2× |
| Echo exam of fetal heart (76825) |
$2,952 |
$3,936 |
5.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,578.50 |
$3,438 |
10.8× |
| Echoencephalography real time imaging (76506) |
$1,827 |
$2,436 |
17.4× |
| Esophagus (74220) |
$2,133.75 |
$2,845 |
12.1× |
| Fetal biophysical profile non-stress testing (76818) |
$4,591.12 |
$6,121.50 |
43.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$846.75 |
$1,129 |
8.1× |
| Fluoroscopy up to 1 hr (76000) |
$1,787.62 |
$2,383.50 |
7.5× |
| Foot 2 views (73620) |
$1,133.25 |
$1,511 |
13.0× |
| Forearm 2 views (73090) |
$1,499.25 |
$1,999 |
17.1× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$317.25 |
$423 |
1.3× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,480.25 |
$3,307 |
4.5× |
| Gated Heart Planar Single (78472) |
$3,395.25 |
$4,527 |
8.5× |
| Hand 2 views (73120) |
$1,542 |
$2,056 |
14.7× |
| Hand 3 views (73130) |
$1,599.75 |
$2,133 |
18.3× |
| Heart Infarct Image (78466) |
$4,384.50 |
$5,846 |
10.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$10,225.50 |
$13,634 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,104.25 |
$8,139 |
11.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,695.50 |
$7,594 |
14.2× |
| Ht muscle image spect sing (78451) |
$9,876 |
$13,168 |
7.6× |
| Humerus Min 2 Views Left (73060) |
$1,846.50 |
$2,462 |
21.1× |
| Hysterosalpingogram (74740) |
$5,201.25 |
$6,935 |
21.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$5,119.50 |
$6,826 |
9.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,119.50 |
$6,826 |
9.4× |
| Knee 3 views (73562) |
$1,417.50 |
$1,890 |
16.2× |
| Liver & spleen imaging static only (78215) |
$7,592.25 |
$10,123 |
18.9× |
| Liver imaging static only (78201) |
$3,040.50 |
$4,054 |
5.6× |
| Lung perf&ventilat diferentl (78598) |
$5,412.75 |
$7,217 |
9.9× |
| Lung Ventilation Imaging (78579) |
$3,207 |
$4,276 |
8.0× |
| Lymphoscintigraphy (78195) |
$7,167.75 |
$9,557 |
13.1× |
| Meckels Diverticulum (78290) |
$6,177.75 |
$8,237 |
15.4× |
| MRA head w & w/o contrast (70546) |
$12,687 |
$16,916 |
36.2× |
| MRA head w/o contrast (70544) |
$8,851.12 |
$11,801.50 |
36.9× |
| MRA head with contrast (70545) |
$12,059.25 |
$16,079 |
34.4× |
| MRA neck w contrast (70548) |
$10,949.25 |
$14,599 |
31.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$16,093.88 |
$21,458.50 |
45.9× |
| MRA neck w/o contrast (70547) |
$8,851.12 |
$11,801.50 |
36.9× |
| MRI abdomen w contrast (74182) |
$8,330.25 |
$11,107 |
23.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$10,190.25 |
$13,587 |
29.1× |
| MRI abdomen w/o contrast (74181) |
$6,674.25 |
$8,899 |
27.8× |
| MRI breast w/o contrast bilateral (77047) |
$20,734.50 |
$27,646 |
86.5× |
| MRI breast w/o contrast unilat (77046) |
$15,553.50 |
$20,738 |
64.9× |
| MRI c-spine with contrast (72142) |
$14,790 |
$19,720 |
42.2× |
| MRI cardiac w/o cont stress (75559) |
$3,890.25 |
$5,187 |
7.1× |
| MRI cardiac w/o contrast (75557) |
$3,867 |
$5,156 |
16.1× |
| MRI cervical spine w/o contrast (72141) |
$11,959.50 |
$15,946 |
49.9× |
| MRI chest w/o & w/contrast material (71552) |
$15,799.50 |
$21,066 |
45.1× |
| MRI chest w/o contrast (71550) |
$9,137.25 |
$12,183 |
38.1× |
| MRI fetal sngl/1st gestation (74712) |
$1,537.50 |
$2,050 |
6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$9,110.25 |
$12,147 |
38.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$8,269.88 |
$11,026.50 |
34.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$14,856.75 |
$19,809 |
42.4× |
| MRI orbit/face/neck w/contrast (70542) |
$10,875 |
$14,500 |
31.0× |
| MRI pelvis w contrast (72196) |
$9,998.25 |
$13,331 |
28.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$13,016.25 |
$17,355 |
37.1× |
| MRI pelvis w/o contrast (72195) |
$9,110.25 |
$12,147 |
38.0× |
| MRI scan of arm joint before and after contrast (73223) |
$13,587.75 |
$18,117 |
38.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$5,379 |
$7,172 |
6.8× |
| MRI scan of leg joint before and after contrast (73723) |
$15,313.88 |
$20,418.50 |
43.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$21,619.50 |
$28,826 |
61.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$13,998 |
$18,664 |
39.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$19,695.75 |
$26,261 |
56.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$11,850.75 |
$15,801 |
33.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$14,198.62 |
$18,931.50 |
40.5× |
| MRI thoracic spine w/o contrast (72146) |
$8,506.12 |
$11,341.50 |
35.5× |
| MRI tmj (70336) |
$7,537.50 |
$10,050 |
31.4× |
| MRI upper ext joint w/o contrast (73221) |
$9,110.25 |
$12,147 |
38.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$15,155.62 |
$20,207.50 |
43.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$9,110.25 |
$12,147 |
38.0× |
| Myelogram Cervical (72240) |
$7,384.50 |
$9,846 |
9.4× |
| Myelogram Lumbar (72265) |
$7,384.50 |
$9,846 |
9.4× |
| Myocardial Spect Multiple Studies (78452) |
$14,091 |
$18,788 |
10.8× |
| Neck soft tissue (70360) |
$1,214.25 |
$1,619 |
13.9× |
| Nm cisternogram (78630) |
$7,249.50 |
$9,666 |
13.3× |
| Nm csf leak detection (78650) |
$9,300.75 |
$12,401 |
7.2× |
| Nm gastric emptying study (78264) |
$5,483.25 |
$7,311 |
13.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$7,998.75 |
$10,665 |
6.2× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$6,552.75 |
$8,737 |
12.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$3,585 |
$4,780 |
2.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$2,623.50 |
$3,498 |
6.5× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,869.75 |
$2,493 |
4.7× |
| Nuclear Rx Oral Admin (79005) |
$4,887.75 |
$6,517 |
20.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,086 |
$1,448 |
10.3× |
| Orthopantogram (70355) |
$925.50 |
$1,234 |
10.6× |
| Osseous survey infant (77076) |
$2,100.75 |
$2,801 |
20.0× |
| Osseous survey limited (77074) |
$2,550.75 |
$3,401 |
24.3× |
| Parathyroid imaging (78070) |
$3,675.75 |
$4,901 |
9.2× |
| Pelvis 1 or 2 views (72170) |
$926.62 |
$1,235.50 |
8.8× |
| Pr csf ventriculography (78635) |
$12,400.50 |
$16,534 |
22.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$15,552.38 |
$20,736.50 |
44.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,963.75 |
$9,285 |
2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,207 |
$4,276 |
8.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$7,347 |
$9,796 |
13.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$7,120.12 |
$9,493.50 |
13.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$414.75 |
$553 |
4.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$432 |
$576 |
4.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,371.12 |
$3,161.50 |
22.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$863.25 |
$1,151 |
8.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$942.75 |
$1,257 |
9.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,204.50 |
$1,606 |
11.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,036.88 |
$1,382.50 |
11.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,196.25 |
$1,595 |
11.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,568.25 |
$2,091 |
17.9× |
| Radiologic exam colon single contrast study (74270) |
$2,328 |
$3,104 |
13.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$2,133.75 |
$2,845 |
12.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$635.25 |
$847 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,185.75 |
$1,581 |
6.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,166.62 |
$1,555.50 |
13.3× |
| Radiological examination surgical specimen (76098) |
$1,216.50 |
$1,622 |
2.2× |
| Ribs bilateral 3 views (71110) |
$1,570.12 |
$2,093.50 |
15.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$16,160.25 |
$21,547 |
40.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,969.75 |
$9,293 |
12.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$18,213 |
$24,284 |
33.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$4,925.25 |
$6,567 |
3.8× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,395 |
$1,860 |
6.0× |
| Rp Therapy Intravenous Administration (79101) |
$1,405.50 |
$1,874 |
6.0× |
| Sacroiliac Joints < 3 Views (72200) |
$1,008 |
$1,344 |
9.6× |
| Scanogram (77073) |
$1,207.12 |
$1,609.50 |
11.5× |
| Scapula complete (73010) |
$1,587.75 |
$2,117 |
15.1× |
| Screening digital breast tomosynthesis (77063) |
$330.75 |
$441 |
14.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,254 |
$1,672 |
11.9× |
| Sialogram (70390) |
$2,633.25 |
$3,511 |
11.0× |
| Small bowel series (74250) |
$2,133.75 |
$2,845 |
12.1× |
| Speech evaluation complex (70371) |
$3,797.25 |
$5,063 |
15.8× |
| Spine thoracic 3 views (72072) |
$2,124 |
$2,832 |
20.2× |
| Superior sagittal sinus venogram (75870) |
$3,156 |
$4,208 |
1.0× |
| Thoracolumbar 2 views (72080) |
$343.50 |
$458 |
3.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$8,316.75 |
$11,089 |
15.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,218.75 |
$1,625 |
3.0× |
| Thyroid uptake measurement (78012) |
$6,107.25 |
$8,143 |
15.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,997.25 |
$6,663 |
12.4× |
| Tmj unilateral (70328) |
$342 |
$456 |
3.9× |
| Tomogram (76100) |
$1,924.50 |
$2,566 |
18.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,925.25 |
$6,567 |
9.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,489 |
$4,652 |
8.7× |
| Ultrasound, abdomen limited (76705) |
$6,040.50 |
$8,054 |
57.5× |
| Umbilical-artery Doppler (OB) (76820) |
$1,900.50 |
$2,534 |
18.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$6,069 |
$8,092 |
69.4× |
| Upper Extremity Infant (73092) |
$892.50 |
$1,190 |
8.5× |
| Urethrocystography retrograde rs&i (74450) |
$3,829.50 |
$5,106 |
16.0× |
| Urethrocystography voiding (74455) |
$4,539 |
$6,052 |
18.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$4,930.50 |
$6,574 |
28.0× |
| Us abdl aorta screen aaa (76706) |
$371.25 |
$495 |
3.5× |
| Us breast unilateral complete (76641) |
$2,390.25 |
$3,187 |
22.8× |
| Us breast unilateral limited (76642) |
$2,390.25 |
$3,187 |
27.3× |
| Us chest (76604) |
$1,688.25 |
$2,251 |
16.1× |
| Us compl joint r-t w/image documentation (76881) |
$2,449.12 |
$3,265.50 |
23.3× |
| Us guided compression repair (76936) |
$6,360.75 |
$8,481 |
29.3× |
| Us infant hips dynamic (76885) |
$1,814.62 |
$2,419.50 |
20.8× |
| Us infant hips limited static (76886) |
$502.50 |
$670 |
5.7× |
| Us kidney transplant (76776) |
$3,380.25 |
$4,507 |
32.2× |
| Us ob detailed single fetus (76811) |
$1,608 |
$2,144 |
6.7× |
| Us ob transvaginal (76817) |
$2,187.38 |
$2,916.50 |
20.8× |
| Us pelvic non ob complete (76856) |
$6,039.75 |
$8,053 |
57.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$3,571.88 |
$4,762.50 |
34.0× |
| Us pregnancy ltd (76815) |
$2,225.25 |
$2,967 |
21.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,504.75 |
$4,673 |
33.4× |
| Us retroperitoneal complete (76770) |
$5,208.75 |
$6,945 |
49.6× |
| Us retroperitoneal limited (76775) |
$4,212.75 |
$5,617 |
40.1× |
| Us scrotum and contents (76870) |
$4,521 |
$6,028 |
43.0× |
| Us soft tissue head/neck (76536) |
$3,114.75 |
$4,153 |
29.7× |
| Us spinal canal and contents (76800) |
$2,009.25 |
$2,679 |
19.1× |
| Us xtr non-vasc lmtd (76882) |
$2,655 |
$3,540 |
25.3× |
| Venogram extremity bilateral (75822) |
$4,677.75 |
$6,237 |
3.0× |
| Venography caval inferior serialography rs&i (75825) |
$11,984.25 |
$15,979 |
3.8× |
| Venography caval superior serialography rs&i (75827) |
$3,796.50 |
$5,062 |
2.4× |
| Venography extremity unilateral rs&i (75820) |
$4,269 |
$5,692 |
2.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,713.50 |
$7,618 |
1.8× |
| Wrist 2 views (73100) |
$1,205.62 |
$1,607.50 |
13.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,064.25 |
$1,419 |
10.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,364.25 |
$1,819 |
15.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,798.12 |
$2,397.50 |
20.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,662.50 |
$3,550 |
15.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,733.25 |
$2,311 |
19.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,902 |
$2,536 |
21.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,078.50 |
$1,438 |
10.3× |
| X-ray exam hip uni 1 view (73501) |
$1,404 |
$1,872 |
16.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,624.50 |
$2,166 |
18.6× |
| X-ray exam hip uni 4/> views (73503) |
$498.75 |
$665 |
4.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$460.50 |
$614 |
4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$915 |
$1,220 |
8.7× |
| X-ray exam of femur 1 (73551) |
$414.75 |
$553 |
4.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$814.50 |
$1,086 |
4.6× |
| X-ray eye for foreign body (70030) |
$1,023.75 |
$1,365 |
11.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,636.50 |
$2,182 |
15.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,567.50 |
$2,090 |
17.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$936.75 |
$1,249 |
10.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$4,662 |
$6,216 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$696.75 |
$929 |
8.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,257.12 |
$3,009.50 |
25.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,135.12 |
$1,513.50 |
10.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,061.25 |
$1,415 |
12.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$753 |
$1,004 |
8.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,199 |
$2,932 |
20.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,465.25 |
$3,287 |
23.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$2,465.25 |
$3,287 |
23.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,470.75 |
$1,961 |
16.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,050 |
$1,400 |
10.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$789.75 |
$1,053 |
7.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$4,919.25 |
$6,559 |
9.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$3,784.50 |
$5,046 |
10.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,594.50 |
$2,126 |
18.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,853.25 |
$2,471 |
17.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,225.75 |
$4,301 |
30.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,129.12 |
$1,505.50 |
10.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,050 |
$1,400 |
12.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,117.25 |
$2,823 |
24.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,416 |
$1,888 |
16.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,416 |
$1,888 |
16.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,863.38 |
$2,484.50 |
17.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,050 |
$1,400 |
10.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,173 |
$1,564 |
13.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,045.25 |
$2,727 |
23.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,075.12 |
$1,433.50 |
12.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,944 |
$2,592 |
18.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,753.88 |
$2,338.50 |
16.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,499.25 |
$1,999 |
17.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,298.25 |
$1,731 |
14.9× |
| Xr arthrogram ankle (73615) |
$8,071.50 |
$10,762 |
23.0× |
| Xr c-spine 6 or more views (72052) |
$1,706.25 |
$2,275 |
16.2× |
| Xr finger(s) 2+ views (73140) |
$1,274.62 |
$1,699.50 |
14.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$1,498.12 |
$1,997.50 |
14.3× |
| Xr optic foramina (70190) |
$342 |
$456 |
3.9× |
| Xr shoulder 1 view (73020) |
$1,880.25 |
$2,507 |
21.5× |
| Xr spine cervical 4 or 5 views (72050) |
$2,457.75 |
$3,277 |
23.4× |
| Xr tibia/fibula 2 views (73590) |
$1,499.25 |
$1,999 |
17.1× |
| Xr tmj bilateral (70330) |
$1,171.50 |
$1,562 |
13.4× |
| Xray knee 1 or 2 views rt (73560) |
$1,417.50 |
$1,890 |
16.2× |