| Abdomen 2 views (74019) |
$180.65 |
$320.40 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$753.28 |
$1,336 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$5,456.52 |
$9,677.60 |
1.8× |
| Angiography extremity unilateral rs&i (75710) |
$5,456.52 |
$9,677.60 |
1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$9,616.12 |
$17,055 |
1.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$9,616.12 |
$17,055 |
1.8× |
| Ankle 2 views (73600) |
$154.49 |
$274 |
1.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$602.90 |
$1,069.30 |
1.8× |
| Aortogram thoracic (75605) |
$9,616.12 |
$17,055 |
1.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,456.52 |
$9,677.60 |
1.8× |
| Aortography abdominal serialography rs&i (75625) |
$5,456.52 |
$9,677.60 |
1.8× |
| Arthrogram elbow (73085) |
$761.73 |
$1,351 |
2.3× |
| Arthrogram hip (73525) |
$761.73 |
$1,351 |
2.3× |
| Arthrogram shoulder (73040) |
$697.68 |
$1,237.40 |
2.1× |
| Arthrogram wrist (73115) |
$761.73 |
$1,351 |
2.3× |
| Arthrography knee lt (73580) |
$685.56 |
$1,215.90 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$761.73 |
$1,351 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$761.73 |
$1,351 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$1,142.60 |
$2,026.50 |
3.0× |
| Bone age studies (77072) |
$180.65 |
$320.40 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$761.73 |
$1,351 |
2.0× |
| Bone survey complete (77075) |
$180.65 |
$320.40 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,117.02 |
$5,528.30 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$254.57 |
$451.50 |
3.0× |
| Chest 1 view (71045) |
$257.11 |
$456 |
3.1× |
| Chest 3 views (71047) |
$310.11 |
$550 |
3.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$303.11 |
$537.60 |
1.8× |
| Clavicle complete (73000) |
$228.35 |
$405 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$897.50 |
$1,591.80 |
8.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$303.11 |
$537.60 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,147.19 |
$5,581.80 |
9.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,945.95 |
$3,451.30 |
8.5× |
| CT abdomen w contrast (74160) |
$1,707.05 |
$3,027.60 |
10.1× |
| CT abdomen w wo contrast (74170) |
$1,880.60 |
$3,335.40 |
11.2× |
| CT abdomen w/o contrast (74150) |
$1,017.71 |
$1,805 |
10.1× |
| CT angio hrt w/3d image (75574) |
$1,057.18 |
$1,875 |
3.2× |
| CT angiography upper extremity lt (73206) |
$1,332.33 |
$2,363 |
7.9× |
| CT c-spine w/o contrast (72125) |
$1,356.91 |
$2,406.60 |
13.5× |
| CT cervical spine w&w/o contrast (72127) |
$1,804.26 |
$3,200 |
10.7× |
| CT cervical spine with contrast (72126) |
$1,749 |
$3,102 |
5.2× |
| CT chest w/wo contrast (71270) |
$2,001.60 |
$3,550 |
11.9× |
| CT chest with contrast (71260) |
$1,974.98 |
$3,502.80 |
11.7× |
| CT head/brain with contrast (70460) |
$1,353.19 |
$2,400 |
8.0× |
| CT head/brain without and with contrast (70470) |
$1,381.38 |
$2,450 |
8.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$602.90 |
$1,069.30 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$142.53 |
$214.50 |
1.7× |
| CT iac w contrast (70481) |
$1,166 |
$2,068 |
6.9× |
| CT limited/localized follow up study (76380) |
$398.63 |
$707 |
4.8× |
| CT lower ext w/o (73700) |
$1,287.90 |
$2,284.20 |
12.8× |
| CT lower extremity w wo contrast (73702) |
$1,747.87 |
$3,100 |
10.4× |
| CT lower extremity with contrast (73701) |
$1,724.70 |
$3,058.90 |
10.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,747.87 |
$3,100 |
10.4× |
| CT lumbar spine w/o contrast (72131) |
$1,130.76 |
$2,005.50 |
11.3× |
| CT lumbar spine with contrast (72132) |
$1,683.71 |
$2,986.20 |
5.0× |
| CT maxillofacial w contrast (70487) |
$1,556.85 |
$2,761.20 |
9.3× |
| CT maxillofacial w/o contrast (70486) |
$1,356.91 |
$2,406.60 |
13.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,635.11 |
$2,900 |
9.7× |
| CT neck soft tissue w contrast (70491) |
$1,606.91 |
$2,850 |
9.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,291.17 |
$2,290 |
7.7× |
| CT orbits w/o contrast (70480) |
$753.84 |
$1,337 |
7.5× |
| CT pelvis w & w/o contrast (72194) |
$1,465.96 |
$2,600 |
8.7× |
| CT pelvis w/o contrast (72192) |
$1,130.76 |
$2,005.50 |
11.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$273.46 |
$485 |
3.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,635.11 |
$2,900 |
9.7× |
| CT soft tissue neck w/o contrast (70490) |
$824.49 |
$1,462.30 |
8.2× |
| CT thoracic spine w/contrast (72129) |
$1,166 |
$2,068 |
6.9× |
| CT thoracic spine w/o contrast (72128) |
$1,086.73 |
$1,927.40 |
10.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,291.17 |
$2,290 |
7.7× |
| CT thorax w/o contrast (71250) |
$1,130.76 |
$2,005.50 |
11.3× |
| CT unlisted procedure (76497) |
$150.37 |
$266.70 |
1.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,291.17 |
$2,290 |
7.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,130.76 |
$2,005.50 |
11.3× |
| CT upper extremity with contrast (73201) |
$1,175.75 |
$2,085.30 |
3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,332.33 |
$2,363 |
7.9× |
| Cta Abdomen (74175) |
$1,332.33 |
$2,363 |
7.9× |
| CTA abdomen pelvis (74174) |
$2,737.39 |
$4,855 |
8.2× |
| CTA chest (71275) |
$2,279.45 |
$4,042.80 |
13.5× |
| Cta Head (70496) |
$2,032.16 |
$3,604.20 |
12.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$643.33 |
$1,141 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,931.91 |
$3,426.40 |
11.5× |
| Cta Neck (70498) |
$2,032.16 |
$3,604.20 |
12.1× |
| Cta Pelvis (72191) |
$1,332.33 |
$2,363 |
7.9× |
| Cystography minimum 3 views rs&i (74430) |
$602.90 |
$1,069.30 |
1.8× |
| Diskogram cervical (72285) |
$3,374.58 |
$5,985.10 |
1.8× |
| Diskography lumbar (72295) |
$3,374.58 |
$5,985.10 |
1.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$343.54 |
$609.30 |
3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$150.37 |
$266.70 |
1.8× |
| Echoencephalography real time imaging (76506) |
$275.71 |
$489 |
2.7× |
| Esophagus (74220) |
$303.11 |
$537.60 |
1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$450.50 |
$799 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$740.03 |
$1,312.50 |
3.2× |
| Foot 2 views (73620) |
$178.28 |
$316.20 |
2.1× |
| Forearm 2 views (73090) |
$230.61 |
$409 |
2.8× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$412.33 |
$731.30 |
1.8× |
| Gated Heart Planar Single (78472) |
$690.86 |
$1,225.30 |
1.8× |
| Hand 2 views (73120) |
$180.65 |
$320.40 |
1.8× |
| Hand 3 views (73130) |
$296.86 |
$526.50 |
3.6× |
| Heart Infarct Image (78466) |
$690.86 |
$1,225.30 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$938.33 |
$1,664.20 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$811.41 |
$1,439.10 |
2.1× |
| Ht muscle image spect sing (78451) |
$2,237.33 |
$3,968.10 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$154.49 |
$274 |
1.9× |
| Hysterosalpingogram (74740) |
$687.87 |
$1,220 |
3.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$938.33 |
$1,664.20 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$938.33 |
$1,664.20 |
1.8× |
| Knee 3 views (73562) |
$231.73 |
$411 |
2.8× |
| Liver & spleen imaging static only (78215) |
$710.43 |
$1,260 |
1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$710.43 |
$1,260 |
1.9× |
| Liver imaging w/vascular flow (78202) |
$938.33 |
$1,664.20 |
1.8× |
| Lung perfusion differential (78597) |
$690.86 |
$1,225.30 |
1.8× |
| Lung Ventilation Imaging (78579) |
$690.86 |
$1,225.30 |
1.8× |
| Lymphoscintigraphy (78195) |
$938.33 |
$1,664.20 |
1.8× |
| Mammary ductogram or galactogram multiple (77054) |
$1,504.30 |
$2,668 |
6.6× |
| Mammary ductogram or galactogram single (77053) |
$878.45 |
$1,558 |
3.8× |
| Meckels Diverticulum (78290) |
$753.28 |
$1,336 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$50.01 |
$88.70 |
1.8× |
| MRA head w & w/o contrast (70546) |
$1,761.97 |
$3,125 |
5.3× |
| MRA head w/o contrast (70544) |
$1,573.59 |
$2,790.90 |
6.9× |
| MRA head with contrast (70545) |
$1,606.91 |
$2,850 |
4.8× |
| MRA neck w contrast (70548) |
$1,398.30 |
$2,480 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,761.97 |
$3,125 |
5.3× |
| MRA neck w/o contrast (70547) |
$1,138.37 |
$2,019 |
5.0× |
| MRI abdomen w contrast (74182) |
$1,747.87 |
$3,100 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,642.95 |
$4,687.50 |
7.9× |
| MRI abdomen w/o contrast (74181) |
$1,699.66 |
$3,014.50 |
7.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,354.71 |
$2,402.70 |
1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,674.41 |
$2,969.70 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$2,349.99 |
$4,167.90 |
10.3× |
| MRI breast w/o contrast unilat (77046) |
$1,138.37 |
$2,019 |
5.0× |
| MRI c-spine with contrast (72142) |
$1,776.06 |
$3,150 |
5.3× |
| MRI cardiac w/o contrast (75557) |
$1,138.37 |
$2,019 |
5.0× |
| MRI cervical spine w/o contrast (72141) |
$1,712.13 |
$3,036.60 |
7.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,642.95 |
$4,687.50 |
7.9× |
| MRI chest w/o contrast (71550) |
$1,544.95 |
$2,740.10 |
6.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,398.30 |
$2,480 |
4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,691.49 |
$3,000 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,599.47 |
$2,836.80 |
7.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,138.37 |
$2,019 |
5.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,761.97 |
$3,125 |
5.3× |
| MRI pelvis w contrast (72196) |
$1,550.53 |
$2,750 |
4.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,642.95 |
$4,687.50 |
7.9× |
| MRI pelvis w/o contrast (72195) |
$1,494.43 |
$2,650.50 |
6.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,272.06 |
$4,029.70 |
6.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,540.79 |
$4,506.30 |
7.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,642.95 |
$4,687.50 |
7.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,606.91 |
$2,850 |
4.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,907.16 |
$5,156.10 |
8.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,776.06 |
$3,150 |
5.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,642.95 |
$4,687.50 |
7.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,707.56 |
$3,028.50 |
7.5× |
| MRI tmj (70336) |
$1,138.37 |
$2,019 |
5.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,408.16 |
$2,497.50 |
6.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,842.03 |
$3,267 |
5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,141.76 |
$2,025 |
5.0× |
| Myelogram Cervical (72240) |
$1,354.71 |
$2,402.70 |
1.8× |
| Myelogram Lumbar (72265) |
$1,354.71 |
$2,402.70 |
1.8× |
| Myelogram thoracic (72255) |
$1,354.71 |
$2,402.70 |
1.8× |
| Myelography 2 or more regions (72270) |
$1,354.71 |
$2,402.70 |
1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,117.02 |
$5,528.30 |
2.5× |
| Myocardial Spect Multiple Studies (78452) |
$2,237.33 |
$3,968.10 |
1.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,752.90 |
$4,882.50 |
3.3× |
| Neck soft tissue (70360) |
$231.73 |
$411 |
2.8× |
| Nm bone marrow wb (78104) |
$753.28 |
$1,336 |
2.0× |
| Nm cisternogram (78630) |
$938.33 |
$1,664.20 |
1.8× |
| Nm csf leak detection (78650) |
$2,237.33 |
$3,968.10 |
1.8× |
| Nm gastric emptying study (78264) |
$1,129.91 |
$2,004 |
2.9× |
| Nuclear medicine of heart pumping function (78473) |
$690.86 |
$1,225.30 |
1.8× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$690.86 |
$1,225.30 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$667.01 |
$1,183 |
3.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$275.71 |
$489 |
2.7× |
| Osseous survey infant (77076) |
$180.65 |
$320.40 |
1.8× |
| Osseous survey limited (77074) |
$180.65 |
$320.40 |
1.8× |
| Parathyroid imaging (78070) |
$690.86 |
$1,225.30 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$180.65 |
$320.40 |
1.8× |
| PET image w/CT, skull-thigh (78815) |
$3,558.72 |
$6,311.70 |
2.6× |
| PET imaging CT for attenuation limited area (78814) |
$3,117.02 |
$5,528.30 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$4,675.50 |
$8,292.40 |
3.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,504.25 |
$4,441.50 |
7.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$690.86 |
$1,225.30 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$938.33 |
$1,664.20 |
1.8× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,715.17 |
$3,042 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$944.30 |
$1,674.80 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$154.49 |
$274 |
1.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$230.38 |
$408.60 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$243.35 |
$431.60 |
2.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$180.65 |
$320.40 |
1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$180.65 |
$320.40 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$226.83 |
$402.30 |
2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$180.65 |
$320.40 |
1.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$295.84 |
$524.70 |
3.5× |
| Radiologic exam colon single contrast study (74270) |
$303.11 |
$537.60 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$738.34 |
$1,309.50 |
4.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$568.68 |
$1,008.60 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$189.28 |
$335.70 |
2.3× |
| Radiological examination surgical specimen (76098) |
$944.30 |
$1,674.80 |
1.8× |
| Ribs bilateral 3 views (71110) |
$281.91 |
$500 |
2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$873.37 |
$1,549 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,743.36 |
$3,092 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,331.72 |
$4,135.50 |
4.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$561.01 |
$995 |
2.5× |
| Rp Therapy Intravenous Administration (79101) |
$667.01 |
$1,183 |
3.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$674.34 |
$1,196 |
2.9× |
| Scanogram (77073) |
$180.65 |
$320.40 |
1.8× |
| Scapula complete (73010) |
$180.65 |
$320.40 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$83.22 |
$147.60 |
3.6× |
| Sella turcica (70240) |
$161.82 |
$287 |
1.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$180.65 |
$320.40 |
1.8× |
| Sialogram (70390) |
$687.87 |
$1,220 |
3.0× |
| Small bowel series (74250) |
$303.11 |
$537.60 |
1.8× |
| Spine thoracic 3 views (72072) |
$197.34 |
$350 |
2.0× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$761.73 |
$1,351 |
3.3× |
| Testicular Imaging With Vascular Flow (78761) |
$690.86 |
$1,225.30 |
1.8× |
| Thoracolumbar 2 views (72080) |
$190.69 |
$338.20 |
2.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$938.33 |
$1,664.20 |
1.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$690.86 |
$1,225.30 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$690.86 |
$1,225.30 |
1.8× |
| Tmj unilateral (70328) |
$150.37 |
$266.70 |
1.8× |
| Tomogram (76100) |
$255.98 |
$454 |
2.6× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$150.37 |
$266.70 |
1.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,865.37 |
$3,308.40 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$773.57 |
$1,372 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$525.71 |
$932.40 |
5.2× |
| Umbilical-artery Doppler (OB) (76820) |
$180.65 |
$320.40 |
1.8× |
| Unlisted magnetic resonance procedure (76498) |
$771.32 |
$1,368 |
9.2× |
| Upper Extremity Infant (73092) |
$233.99 |
$415 |
2.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$690.86 |
$1,225.30 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$412.33 |
$731.30 |
1.8× |
| Urethrocystography voiding (74455) |
$571.89 |
$1,014.30 |
2.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$598.79 |
$1,062 |
3.6× |
| Us abdl aorta screen aaa (76706) |
$405.45 |
$719.10 |
4.0× |
| Us breast unilateral complete (76641) |
$211.44 |
$375 |
2.1× |
| Us breast unilateral limited (76642) |
$258.80 |
$459 |
3.1× |
| Us chest (76604) |
$356.11 |
$631.60 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$414.41 |
$735 |
4.1× |
| Us guided compression repair (76936) |
$373.14 |
$661.80 |
1.8× |
| Us infant hips dynamic (76885) |
$275.71 |
$489 |
3.3× |
| Us infant hips limited static (76886) |
$275.71 |
$489 |
3.3× |
| Us kidney transplant (76776) |
$450.50 |
$799 |
4.5× |
| Us ob transvaginal (76817) |
$301.93 |
$535.50 |
3.0× |
| Us pelvic non ob complete (76856) |
$607.41 |
$1,077.30 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$317.66 |
$563.40 |
3.2× |
| Us pregnancy ltd (76815) |
$293.59 |
$520.70 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$675.75 |
$1,198.50 |
6.7× |
| Us retroperitoneal complete (76770) |
$553.62 |
$981.90 |
5.5× |
| Us retroperitoneal limited (76775) |
$508.57 |
$902 |
5.1× |
| Us scrotum and contents (76870) |
$504.80 |
$895.30 |
5.0× |
| Us soft tissue head/neck (76536) |
$540.60 |
$958.80 |
5.4× |
| Us spinal canal and contents (76800) |
$450.50 |
$799 |
4.5× |
| Us transrectal (76872) |
$450.50 |
$799 |
4.5× |
| Us transrectal prostate volume (76873) |
$450.50 |
$799 |
4.5× |
| Us xtr non-vasc lmtd (76882) |
$350.31 |
$621.30 |
3.5× |
| Vascular flow imaging (78445) |
$690.86 |
$1,225.30 |
1.8× |
| Venogram extremity bilateral (75822) |
$2,720.37 |
$4,824.80 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$5,456.52 |
$9,677.60 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$2,720.37 |
$4,824.80 |
1.8× |
| Venography extremity unilateral rs&i (75820) |
$2,810.92 |
$4,985.40 |
1.9× |
| Vertebral fracture assessment via dxa (77086) |
$154.49 |
$274 |
1.9× |
| Wrist 2 views (73100) |
$230.61 |
$409 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$283.38 |
$502.60 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$231.17 |
$410 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$251.36 |
$445.80 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$303.11 |
$537.60 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$230.61 |
$409 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$233.99 |
$415 |
2.8× |
| X-ray exam hip uni 1 view (73501) |
$177.61 |
$315 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$212.14 |
$376.25 |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$280.22 |
$497 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$255.98 |
$454 |
2.6× |
| X-ray exam of femur 1 (73551) |
$150.37 |
$266.70 |
1.8× |
| X-ray eye for foreign body (70030) |
$161.82 |
$287 |
1.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$161.82 |
$287 |
1.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$254.57 |
$451.50 |
3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$154.49 |
$274 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$161.82 |
$287 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$334.91 |
$594 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$231.17 |
$410 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$154.49 |
$274 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$255.98 |
$454 |
2.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$164.92 |
$292.50 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$154.49 |
$274 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$271.48 |
$481.50 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$602.90 |
$1,069.30 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$231.73 |
$411 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$287.61 |
$510.10 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$210.87 |
$374 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$254.57 |
$451.50 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$165.20 |
$293 |
2.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$165.20 |
$293 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$255.98 |
$454 |
2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$180.65 |
$320.40 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$190.69 |
$338.20 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$164.30 |
$291.40 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$164.30 |
$291.40 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$190.69 |
$338.20 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$213.69 |
$379 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$292.80 |
$519.30 |
3.5× |
| Xr arthrogram ankle (73615) |
$761.73 |
$1,351 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$255.98 |
$454 |
2.6× |
| Xr chest 4+ views (71048) |
$310.11 |
$550 |
3.1× |
| Xr finger(s) 2+ views (73140) |
$221.75 |
$393.30 |
2.7× |
| Xr internal auditory meati complete (70134) |
$944.30 |
$1,674.80 |
1.8× |
| Xr shoulder 1 view (73020) |
$154.49 |
$274 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$383.97 |
$681 |
3.8× |
| Xr tibia/fibula 2 views (73590) |
$231.73 |
$411 |
2.8× |
| Xr tmj bilateral (70330) |
$231.17 |
$410 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$231.73 |
$411 |
2.8× |