| Abdomen 2 views (74019) |
$1,034.25 |
$1,379 |
9.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,802.25 |
$6,403 |
12.0× |
| Angiography extremity bilateral rs&i (75716) |
$7,396.50 |
$9,862 |
2.3× |
| Angiography extremity unilateral rs&i (75710) |
$6,719.25 |
$8,959 |
2.1× |
| Angiography internal mammary rs&i (75756) |
$6,371.62 |
$8,495.50 |
2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,010.75 |
$10,681 |
1.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,114 |
$8,152 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,938.25 |
$9,251 |
2.2× |
| Angiography Spinal Selective Rs&I (75705) |
$9,469.88 |
$12,626.50 |
1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,320.75 |
$13,761 |
1.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,737.25 |
$4,983 |
1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,952 |
$3,936 |
0.9× |
| Ankle 2 views (73600) |
$1,526.25 |
$2,035 |
17.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,408.25 |
$3,211 |
6.9× |
| Aortogram thoracic (75605) |
$5,682 |
$7,576 |
1.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$11,956.50 |
$15,942 |
3.8× |
| Aortography abdominal serialography rs&i (75625) |
$9,234.75 |
$12,313 |
2.9× |
| Arthrogram elbow (73085) |
$1,531.50 |
$2,042 |
4.4× |
| Arthrogram hip (73525) |
$3,024.75 |
$4,033 |
8.6× |
| Arthrogram shoulder (73040) |
$2,083.50 |
$2,778 |
5.9× |
| Arthrogram wrist (73115) |
$1,341.75 |
$1,789 |
3.8× |
| Arthrography knee lt (73580) |
$1,509 |
$2,012 |
4.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,686.50 |
$3,582 |
6.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$3,711.75 |
$4,949 |
9.2× |
| Bone &/joint imaging whole body (78306) |
$4,117.50 |
$5,490 |
10.3× |
| Bone age studies (77072) |
$737.25 |
$983 |
7.0× |
| Bone Imaging 3 Phase (78315) |
$5,031 |
$6,708 |
12.5× |
| Bone survey complete (77075) |
$2,889 |
$3,852 |
27.5× |
| Brain Imaging Vascular Flow Only (78610) |
$2,296.50 |
$3,062 |
4.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,778 |
$7,704 |
16.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,060.25 |
$2,747 |
3.8× |
| Cervical spine 2 or 3 views (72040) |
$1,962 |
$2,616 |
22.4× |
| Chest 1 view (71045) |
$1,155 |
$1,540 |
13.2× |
| Chest 3 views (71047) |
$1,487.25 |
$1,983 |
17.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,968 |
$2,624 |
11.2× |
| Clavicle complete (73000) |
$1,842.75 |
$2,457 |
21.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$23,517.75 |
$31,357 |
67.1× |
| CT abdomen and pelvis without contrast (74176) |
$19,806.75 |
$26,409 |
82.6× |
| CT abdomen w contrast (74160) |
$10,384.50 |
$13,846 |
58.9× |
| CT abdomen w wo contrast (74170) |
$10,583.25 |
$14,111 |
60.1× |
| CT abdomen w/o contrast (74150) |
$9,668.25 |
$12,891 |
92.1× |
| CT angio hrt w/3d image (75574) |
$19,534.50 |
$26,046 |
55.7× |
| CT angiography upper extremity lt (73206) |
$7,924.50 |
$10,566 |
45.0× |
| CT c-spine w/o contrast (72125) |
$6,368.25 |
$8,491 |
60.6× |
| CT cervical spine w&w/o contrast (72127) |
$8,680.50 |
$11,574 |
49.3× |
| CT cervical spine with contrast (72126) |
$7,742.25 |
$10,323 |
22.1× |
| CT chest w/wo contrast (71270) |
$8,783.25 |
$11,711 |
49.8× |
| CT chest with contrast (71260) |
$8,592 |
$11,456 |
48.8× |
| CT colonography screening (74263) |
$2,754.75 |
$3,673 |
11.5× |
| CT colonography w/o cntrst (74261) |
$3,742.50 |
$4,990 |
35.6× |
| CT head/brain with contrast (70460) |
$6,649.50 |
$8,866 |
37.7× |
| CT head/brain without and with contrast (70470) |
$7,005 |
$9,340 |
39.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$9,939 |
$13,252 |
28.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$3,654 |
$4,872 |
41.8× |
| CT hrt w/3d image congen (75573) |
$12,858.75 |
$17,145 |
36.7× |
| CT iac w contrast (70481) |
$7,749 |
$10,332 |
44.0× |
| CT limited/localized follow up study (76380) |
$1,857 |
$2,476 |
21.2× |
| CT lower ext w/o (73700) |
$4,758 |
$6,344 |
45.3× |
| CT lower extremity w wo contrast (73702) |
$6,055.50 |
$8,074 |
34.4× |
| CT lower extremity with contrast (73701) |
$5,595.75 |
$7,461 |
31.8× |
| CT lumbar spine w & w/o contrast (72133) |
$8,593.50 |
$11,458 |
48.8× |
| CT lumbar spine w/o contrast (72131) |
$6,265.50 |
$8,354 |
59.7× |
| CT lumbar spine with contrast (72132) |
$6,557.25 |
$8,743 |
18.7× |
| CT maxillofacial w contrast (70487) |
$7,519.50 |
$10,026 |
42.7× |
| CT maxillofacial w/o contrast (70486) |
$7,374.75 |
$9,833 |
70.2× |
| CT maxillofacial w/wo contrast (70488) |
$9,435.75 |
$12,581 |
53.6× |
| CT neck soft tissue w contrast (70491) |
$8,346.75 |
$11,129 |
47.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$8,306.25 |
$11,075 |
47.1× |
| CT orbits w/o contrast (70480) |
$6,463.50 |
$8,618 |
61.5× |
| CT pelvis w & w/o contrast (72194) |
$10,161.75 |
$13,549 |
57.7× |
| CT pelvis w/o contrast (72192) |
$7,278 |
$9,704 |
69.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,726.75 |
$12,969 |
55.2× |
| CT soft tissue neck w/o contrast (70490) |
$7,849.50 |
$10,466 |
74.7× |
| CT thoracic spine w/contrast (72129) |
$7,236 |
$9,648 |
41.1× |
| CT thoracic spine w/o contrast (72128) |
$7,224.75 |
$9,633 |
68.8× |
| CT thoracic spine w/wo contrast (72130) |
$9,011.25 |
$12,015 |
51.1× |
| CT thorax w/o contrast (71250) |
$7,046.25 |
$9,395 |
67.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$11,118.75 |
$14,825 |
63.1× |
| CT upper extremity w/o contrast rt (73200) |
$7,515 |
$10,020 |
71.6× |
| CT upper extremity with contrast (73201) |
$10,672.50 |
$14,230 |
30.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$14,879.25 |
$19,839 |
84.4× |
| Cta Abdomen (74175) |
$12,535.50 |
$16,714 |
71.1× |
| CTA abdomen pelvis (74174) |
$23,259 |
$31,012 |
66.4× |
| CTA chest (71275) |
$11,974.50 |
$15,966 |
68.0× |
| Cta Head (70496) |
$10,668.75 |
$14,225 |
60.5× |
| CTA lwr ext w&w/o contrast (73706) |
$6,828 |
$9,104 |
38.8× |
| Cta Neck (70498) |
$10,668.75 |
$14,225 |
60.5× |
| Cta Pelvis (72191) |
$8,237.25 |
$10,983 |
46.7× |
| Cystography minimum 3 views rs&i (74430) |
$2,403 |
$3,204 |
6.9× |
| Diskography lumbar (72295) |
$2,114.25 |
$2,819 |
1.1× |
| Echoencephalography real time imaging (76506) |
$2,808 |
$3,744 |
26.7× |
| Esophagus (74220) |
$1,749.75 |
$2,333 |
9.9× |
| Fetal biophysical profile non-stress testing (76818) |
$4,431 |
$5,908 |
42.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,259.75 |
$3,013 |
21.5× |
| Fluoroscopy up to 1 hr (76000) |
$2,070 |
$2,760 |
8.6× |
| Foot 2 views (73620) |
$1,689 |
$2,252 |
19.3× |
| Forearm 2 views (73090) |
$1,549.50 |
$2,066 |
17.7× |
| Gated Heart Planar Single (78472) |
$5,860.50 |
$7,814 |
14.6× |
| Hand 2 views (73120) |
$1,204.50 |
$1,606 |
11.5× |
| Hand 3 views (73130) |
$1,689 |
$2,252 |
19.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,060.75 |
$8,081 |
1.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,076 |
$6,768 |
9.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,076 |
$6,768 |
12.6× |
| Ht muscle image spect sing (78451) |
$12,340.50 |
$16,454 |
9.5× |
| Humerus Min 2 Views Left (73060) |
$933 |
$1,244 |
10.7× |
| Hysterosalpingogram (74740) |
$3,480 |
$4,640 |
14.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,560.75 |
$6,081 |
8.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,683.50 |
$7,578 |
10.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,883 |
$7,844 |
10.8× |
| Knee 3 views (73562) |
$1,398.75 |
$1,865 |
16.0× |
| Liver & spleen imaging static only (78215) |
$4,059 |
$5,412 |
10.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,553 |
$3,404 |
6.4× |
| Liver imaging static only (78201) |
$3,687 |
$4,916 |
6.8× |
| Lung perf&ventilat diferentl (78598) |
$2,756.25 |
$3,675 |
5.1× |
| Lung perfusion differential (78597) |
$2,261.25 |
$3,015 |
5.6× |
| Lung Ventilation Imaging (78579) |
$2,756.25 |
$3,675 |
6.9× |
| Lymphoscintigraphy (78195) |
$5,076 |
$6,768 |
9.3× |
| Meckels Diverticulum (78290) |
$3,260.25 |
$4,347 |
8.1× |
| Mr safety determination physician/other qhp (76016) |
$540.75 |
$721 |
6.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$364.50 |
$486 |
6.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$150.75 |
$201 |
5.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$564 |
$752 |
5.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,484.25 |
$1,979 |
6.2× |
| MRA head w & w/o contrast (70546) |
$11,869.50 |
$15,826 |
33.9× |
| MRA head w/o contrast (70544) |
$9,384.75 |
$12,513 |
39.2× |
| MRA head with contrast (70545) |
$10,354.50 |
$13,806 |
29.5× |
| MRA neck w contrast (70548) |
$10,354.50 |
$13,806 |
29.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$11,869.50 |
$15,826 |
33.9× |
| MRA neck w/o contrast (70547) |
$8,962.50 |
$11,950 |
37.4× |
| MRI abdomen w contrast (74182) |
$8,687.25 |
$11,583 |
24.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$10,304.25 |
$13,739 |
29.4× |
| MRI abdomen w/o contrast (74181) |
$8,493 |
$11,324 |
35.4× |
| MRI any jnt lwr ext with con lt (73722) |
$10,685.25 |
$14,247 |
13.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$11,751.75 |
$15,669 |
14.9× |
| MRI c-spine with contrast (72142) |
$15,708 |
$20,944 |
44.8× |
| MRI cardiac w/o contrast (75557) |
$4,626.75 |
$6,169 |
19.3× |
| MRI cervical spine w/o contrast (72141) |
$15,000 |
$20,000 |
62.6× |
| MRI chest w/o & w/contrast material (71552) |
$8,375.25 |
$11,167 |
23.9× |
| MRI chest w/o contrast (71550) |
$6,841.50 |
$9,122 |
28.5× |
| MRI chest with contrast (71551) |
$3,811.50 |
$5,082 |
4.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$9,909 |
$13,212 |
28.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$11,775.75 |
$15,701 |
33.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$9,715.50 |
$12,954 |
40.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$13,201.50 |
$17,602 |
55.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$17,024.25 |
$22,699 |
48.6× |
| MRI orbit/face/neck w/contrast (70542) |
$14,517 |
$19,356 |
41.4× |
| MRI pelvis w contrast (72196) |
$9,854.25 |
$13,139 |
28.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$11,273.25 |
$15,031 |
32.2× |
| MRI pelvis w/o contrast (72195) |
$10,135.50 |
$13,514 |
42.3× |
| MRI scan of arm joint before and after contrast (73223) |
$11,578.50 |
$15,438 |
33.0× |
| MRI scan of leg joint before and after contrast (73723) |
$11,181.75 |
$14,909 |
31.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$20,487 |
$27,316 |
58.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$10,583.25 |
$14,111 |
30.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$14,287.50 |
$19,050 |
40.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$10,451.25 |
$13,935 |
29.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$14,992.50 |
$19,990 |
42.8× |
| MRI thoracic spine w/o contrast (72146) |
$9,501 |
$12,668 |
39.6× |
| MRI tmj (70336) |
$3,580.50 |
$4,774 |
14.9× |
| MRI upper ext joint w/o contrast (73221) |
$10,587.75 |
$14,117 |
44.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$11,578.50 |
$15,438 |
33.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$7,622.25 |
$10,163 |
31.8× |
| Myelography 2 or more regions (72270) |
$6,932.25 |
$9,243 |
8.8× |
| Myocardial Spect Multiple Studies (78452) |
$16,440 |
$21,920 |
12.6× |
| Neck soft tissue (70360) |
$1,719 |
$2,292 |
19.7× |
| Nm cisternogram (78630) |
$3,518.25 |
$4,691 |
6.5× |
| Nm csf leak detection (78650) |
$2,988.75 |
$3,985 |
2.3× |
| Nm gastric emptying study (78264) |
$4,802.25 |
$6,403 |
12.0× |
| Nm gastroesophageal reflux study (78262) |
$3,686.25 |
$4,915 |
9.2× |
| Nm peritoneal-venous shunt patency (78291) |
$1,444.50 |
$1,926 |
3.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$5,706.75 |
$7,609 |
4.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,731.75 |
$6,309 |
3.6× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,554 |
$2,072 |
3.9× |
| Nuclear Rx Oral Admin (79005) |
$5,556 |
$7,408 |
23.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,928.25 |
$2,571 |
18.4× |
| Osseous survey infant (77076) |
$2,083.50 |
$2,778 |
19.8× |
| Osseous survey limited (77074) |
$1,750.50 |
$2,334 |
16.7× |
| Parathyroid imaging (78070) |
$2,292 |
$3,056 |
5.7× |
| Pelvis 1 or 2 views (72170) |
$739.50 |
$986 |
7.0× |
| Peritoneogram rs&i (74190) |
$1,749.75 |
$2,333 |
3.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$12,314.25 |
$16,419 |
35.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,480 |
$4,640 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,765.75 |
$5,021 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,088 |
$2,784 |
5.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,867.75 |
$5,157 |
7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,890.75 |
$2,521 |
3.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,634.25 |
$2,179 |
18.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,101.50 |
$2,802 |
20.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,236 |
$1,648 |
11.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$4,064.25 |
$5,419 |
38.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,209 |
$1,612 |
11.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$996 |
$1,328 |
11.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,623.75 |
$2,165 |
15.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,487.25 |
$1,983 |
17.0× |
| Radiologic exam colon single contrast study (74270) |
$2,855.25 |
$3,807 |
16.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,749.75 |
$2,333 |
9.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,035.25 |
$4,047 |
17.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,054 |
$4,072 |
17.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,052.25 |
$1,403 |
12.0× |
| Radiological examination surgical specimen (76098) |
$1,353.75 |
$1,805 |
2.5× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,270.50 |
$5,694 |
1.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,480 |
$4,640 |
1.1× |
| Ribs bilateral 3 views (71110) |
$2,177.25 |
$2,903 |
20.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,944.25 |
$5,259 |
9.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,808.25 |
$6,411 |
8.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,340.50 |
$8,454 |
11.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$4,173 |
$5,564 |
3.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$9,011.25 |
$12,015 |
38.4× |
| Sacroiliac Joints < 3 Views (72200) |
$662.25 |
$883 |
6.3× |
| Scanogram (77073) |
$2,076.75 |
$2,769 |
19.8× |
| Scapula complete (73010) |
$1,858.50 |
$2,478 |
17.7× |
| Sialogram (70390) |
$1,566 |
$2,088 |
6.5× |
| Small bowel series (74250) |
$1,627.50 |
$2,170 |
9.2× |
| Spine thoracic 3 views (72072) |
$2,739 |
$3,652 |
26.1× |
| Thoracolumbar 2 views (72080) |
$1,829.25 |
$2,439 |
20.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,432.75 |
$4,577 |
6.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,338 |
$1,784 |
3.3× |
| Thyroid uptake measurement (78012) |
$1,559.25 |
$2,079 |
3.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,145.25 |
$5,527 |
10.3× |
| Tmj unilateral (70328) |
$669 |
$892 |
7.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,165.75 |
$8,221 |
11.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,435.75 |
$4,581 |
8.6× |
| Ultrasound, abdomen limited (76705) |
$2,985 |
$3,980 |
28.4× |
| Umbilical-artery Doppler (OB) (76820) |
$2,144.25 |
$2,859 |
20.4× |
| Upper Extremity Infant (73092) |
$1,065 |
$1,420 |
10.1× |
| Urethrocystography retrograde rs&i (74450) |
$2,685 |
$3,580 |
11.2× |
| Urethrocystography voiding (74455) |
$2,525.25 |
$3,367 |
10.5× |
| Us abdl aorta screen aaa (76706) |
$1,228.50 |
$1,638 |
11.7× |
| Us breast unilateral complete (76641) |
$1,688.25 |
$2,251 |
16.1× |
| Us breast unilateral limited (76642) |
$1,318.50 |
$1,758 |
15.1× |
| Us chest (76604) |
$1,350.75 |
$1,801 |
12.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,820.25 |
$2,427 |
17.3× |
| Us guided compression repair (76936) |
$1,783.50 |
$2,378 |
8.2× |
| Us infant hips dynamic (76885) |
$2,226.75 |
$2,969 |
25.5× |
| Us infant hips limited static (76886) |
$1,711.50 |
$2,282 |
19.6× |
| Us kidney transplant (76776) |
$1,650.75 |
$2,201 |
15.7× |
| Us ob transvaginal (76817) |
$2,886 |
$3,848 |
27.5× |
| Us pelvic non ob complete (76856) |
$2,853.75 |
$3,805 |
27.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,328.75 |
$3,105 |
22.2× |
| Us pregnancy ltd (76815) |
$2,355.75 |
$3,141 |
22.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,657.75 |
$4,877 |
34.8× |
| Us retroperitoneal complete (76770) |
$3,445.50 |
$4,594 |
32.8× |
| Us retroperitoneal limited (76775) |
$2,317.50 |
$3,090 |
22.1× |
| Us scrotum and contents (76870) |
$2,392.50 |
$3,190 |
22.8× |
| Us soft tissue head/neck (76536) |
$2,477.25 |
$3,303 |
23.6× |
| Us spinal canal and contents (76800) |
$2,401.50 |
$3,202 |
22.9× |
| Us transrectal (76872) |
$2,613.75 |
$3,485 |
24.9× |
| Us xtr non-vasc lmtd (76882) |
$1,812 |
$2,416 |
17.3× |
| Venogram extremity bilateral (75822) |
$4,847.25 |
$6,463 |
3.1× |
| Venography caval inferior serialography rs&i (75825) |
$9,944.25 |
$13,259 |
3.1× |
| Venography caval superior serialography rs&i (75827) |
$9,944.25 |
$13,259 |
6.3× |
| Venography extremity unilateral rs&i (75820) |
$4,269.75 |
$5,693 |
2.7× |
| Venography Renal Bilateral (75833) |
$9,377.25 |
$12,503 |
3.0× |
| Venography renal unilateral selective rs&i (75831) |
$7,908.75 |
$10,545 |
2.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,480 |
$4,640 |
1.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$7,339.50 |
$9,786 |
1.3× |
| Wrist 2 views (73100) |
$1,126.50 |
$1,502 |
12.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,108.25 |
$2,811 |
20.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,224.75 |
$1,633 |
14.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,968 |
$2,624 |
22.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,103.50 |
$4,138 |
17.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,433.25 |
$1,911 |
16.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,827 |
$2,436 |
20.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$3,219 |
$4,292 |
30.7× |
| X-ray exam hip uni 1 view (73501) |
$710.25 |
$947 |
8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$899.25 |
$1,199 |
10.3× |
| X-ray exam hip uni 4/> views (73503) |
$1,052.25 |
$1,403 |
10.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,350.75 |
$1,801 |
12.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,602.75 |
$2,137 |
15.3× |
| X-ray exam of femur 1 (73551) |
$812.25 |
$1,083 |
9.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,598.25 |
$2,131 |
9.1× |
| X-ray eye for foreign body (70030) |
$357.75 |
$477 |
4.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,658 |
$3,544 |
25.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,949.25 |
$2,599 |
22.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,894.50 |
$2,526 |
21.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,410.25 |
$4,547 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,623 |
$2,164 |
18.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,410.75 |
$1,881 |
8.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,551 |
$2,068 |
14.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,096.50 |
$1,462 |
12.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,845 |
$2,460 |
21.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,308.50 |
$3,078 |
22.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,550.50 |
$4,734 |
33.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$2,416.50 |
$3,222 |
23.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,813.50 |
$2,418 |
20.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,737.75 |
$2,317 |
19.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,138.25 |
$2,851 |
20.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,000.50 |
$1,334 |
9.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$3,048 |
$4,064 |
8.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,473.75 |
$1,965 |
16.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,902 |
$2,536 |
18.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,176.50 |
$2,902 |
20.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$911.25 |
$1,215 |
8.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,791 |
$2,388 |
20.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,778.25 |
$2,371 |
20.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,228.50 |
$1,638 |
14.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,124.25 |
$1,499 |
12.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,118.75 |
$2,825 |
20.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,874.25 |
$2,499 |
17.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,310.25 |
$1,747 |
15.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,662 |
$2,216 |
19.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,403 |
$3,204 |
22.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,447.50 |
$1,930 |
16.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,152 |
$1,536 |
13.2× |
| Xr c-spine 6 or more views (72052) |
$2,123.25 |
$2,831 |
20.2× |
| Xr chest 4+ views (71048) |
$1,912.50 |
$2,550 |
18.2× |
| Xr finger(s) 2+ views (73140) |
$1,634.25 |
$2,179 |
18.7× |
| Xr shoulder 1 view (73020) |
$1,413.75 |
$1,885 |
16.2× |
| Xr spine cervical 4 or 5 views (72050) |
$2,123.25 |
$2,831 |
20.2× |
| Xr tibia/fibula 2 views (73590) |
$1,554.75 |
$2,073 |
17.8× |
| Xr tmj bilateral (70330) |
$1,373.25 |
$1,831 |
15.7× |
| Xray knee 1 or 2 views rt (73560) |
$1,236.75 |
$1,649 |
14.1× |