|
Collarbone (Clavicle) X-ray (both sides)
|
CPT 73000 |
$50.00 |
$303.73
|
$2,036.49 |
835 |
|
Complex body section x-ray
|
CPT 76101 |
โ |
โ
|
โ |
0 |
|
Complex body section x-rays
|
CPT 76102 |
$532.33 |
$532.33
|
$558.95 |
9 |
|
Computed tomographic angiography head and neck with contrast
|
CPT 70471 |
$213.84 |
$2,247.00
|
$21,719.92 |
295 |
|
Contrast exam abdominl aorta 75625-26
|
CPT 75625 |
$504.80 |
$3,480.00
|
$28,804.50 |
698 |
|
Contrast exam thoracic aorta
|
CPT 75600 |
$441.00 |
$3,616.90
|
$31,637.78 |
361 |
|
Contrast exam thoracic aorta 75605-26
|
CPT 75605 |
$472.80 |
$3,745.00
|
$34,986.14 |
670 |
|
Contrast x-ray gallbladder
|
CPT 74290 |
$18.00 |
$341.00
|
$3,446.23 |
366 |
|
Contrast x-ray of ankle
|
CPT 73615 |
$43.20 |
$684.00
|
$4,181.81 |
471 |
|
Contrast x-ray of brain
|
CPT 70010 |
$139.26 |
$735.93
|
$3,653.66 |
127 |
|
Contrast x-ray of brain
|
CPT 70015 |
$127.68 |
$1,077.92
|
$9,642.56 |
257 |
|
Contrast x-ray of elbow
|
CPT 73085 |
$100.44 |
$708.00
|
$4,108.74 |
549 |
|
Contrast x-ray of hip
|
CPT 73525 |
$41.60 |
$796.38
|
$4,784.51 |
680 |
|
Contrast x-ray of knee joint
|
CPT 73580 |
$48.06 |
$790.50
|
$5,347.75 |
640 |
|
Contrast x-ray of wrist
|
CPT 73115 |
$99.58 |
$667.50
|
$5,347.75 |
619 |
|
Contrst x-ray uppr gi tract
|
CPT 74249 |
$314.45 |
$762.93
|
$1,709.00 |
52 |
|
Crbrospnl fld flw imag cistern
|
CPT 78630 |
$81.84 |
$1,330.02
|
$13,341.82 |
693 |
|
Csf leakage imaging
|
CPT 78650 |
$238.68 |
$1,564.11
|
$15,187.32 |
418 |
|
Csf ventriculography
|
CPT 78635 |
$425.18 |
$877.00
|
$6,035.82 |
139 |
|
CT 3d report other modality w/workstation
|
CPT 76377 |
$45.29 |
$661.13
|
$5,567.13 |
748 |
|
Cta lower extremity without & w/contrast (both sides)
|
CPT 73706 |
$194.55 |
$1,986.77
|
$17,631.17 |
798 |
|
CT Angiogram of Abdomen and Pelvis
|
CPT 74174 |
$232.80 |
$2,839.85
|
$26,274.09 |
912 |
|
CT Angiogram of the Abdomen
|
CPT 74175 |
$109.50 |
$1,994.52
|
$18,746.73 |
902 |
|
CT Angiogram of the Abdomen and Both Legs
|
CPT 75635 |
$134.00 |
$1,909.90
|
$18,693.41 |
887 |
|
CT Angiogram of the Chest (for blood clot)
|
CPT 71275 |
$113.25 |
$1,915.30
|
$18,986.95 |
914 |
|
CT Angiogram of the Head
|
CPT 70496 |
$172.80 |
$1,940.00
|
$18,986.95 |
901 |
|
CT Angiogram of the Neck
|
CPT 70498 |
$169.80 |
$1,881.75
|
$18,197.00 |
902 |
|
CT angio hrt w/3d image
|
CPT 75574 |
$84.36 |
$1,428.68
|
$14,466.74 |
733 |
|
CT angio pelvis
|
CPT 72191 |
$194.55 |
$1,806.60
|
$18,197.00 |
825 |
|
Cta upper extremity w &/or without contrast left
|
CPT 73206 |
$194.55 |
$1,691.30
|
$14,154.11 |
790 |
|
CT bone density axial
|
CPT 77078 |
$30.36 |
$385.15
|
$2,864.16 |
177 |
|
CT cerebral perf w cont & prcssng
|
CPT 70473 |
$116.11 |
$1,040.00
|
$8,742.00 |
234 |
|
CT colonography dx
|
CPT 74261 |
$116.22 |
$811.41
|
$6,607.88 |
417 |
|
CT colonography dx w/dye
|
CPT 74262 |
$187.50 |
$1,069.25
|
$10,680.70 |
298 |
|
CT colonography screening
|
CPT 74263 |
$76.16 |
$1,084.20
|
$9,675.75 |
359 |
|
CT guidance for needle placement
|
CPT 77012 |
$94.75 |
$1,494.00
|
$14,782.00 |
812 |
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
CPT 75989 |
$64.50 |
$1,215.06
|
$11,156.23 |
764 |
|
CT guid parench tis ablat
|
CPT 77013 |
$90.85 |
$1,281.75
|
$12,771.00 |
632 |
|
CT heart w/evaluation of calcium without contrast
|
CPT 75571 |
$9.46 |
$150.00
|
$1,820.04 |
717 |
|
CT hrt c+ strux cgen hrt ds
|
CPT 75573 |
$141.00 |
$1,395.79
|
$14,076.20 |
488 |
|
CT hrt w/3d image
|
CPT 75572 |
$86.94 |
$1,350.03
|
$13,469.00 |
637 |
|
CT limited or localized follow-up study
|
CPT 76380 |
$35.20 |
$636.55
|
$6,417.08 |
769 |
|
CT lwr extremity w/o&w/dye
|
CPT 73702 |
$109.50 |
$1,818.96
|
$12,832.05 |
804 |
|
CT scan for localization
|
CPT 77011 |
$193.84 |
$1,216.80
|
$11,447.66 |
418 |
|
CT scan for therapy guide
|
CPT 77014 |
$64.79 |
$694.60
|
$4,681.00 |
403 |
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
CPT 74178 |
$211.80 |
$3,426.52
|
$33,440.30 |
919 |
|
CT Scan of Abdomen and Pelvis (with contrast)
|
CPT 74177 |
$184.80 |
$2,871.20
|
$27,886.00 |
919 |
|
CT Scan of Abdomen and Pelvis (without contrast)
|
CPT 74176 |
$242.50 |
$2,272.00
|
$22,248.00 |
911 |
|
CT t-spine w /wo contrast
|
CPT 72130 |
$172.80 |
$1,975.00
|
$20,101.89 |
808 |
|
CT uppr extremity w/o&w/dye
|
CPT 73202 |
$98.40 |
$1,845.36
|
$12,696.00 |
751 |
|
Cystogram >= 3 views supervision & interpretation
|
CPT 74430 |
$56.16 |
$586.95
|
$5,681.92 |
866 |
|
Design mlc device for imrt
|
CPT 77338 |
$142.12 |
$1,753.00
|
$11,887.00 |
535 |
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
CPT 77081 |
$11.50 |
$227.25
|
$2,069.70 |
684 |
|
Diagnostic digital breast tomosynthesis bil
|
CPT 77062 |
$15.75 |
$117.94
|
$1,038.60 |
364 |
|
Diagnostic digital breast tomosynthesis unil
|
CPT 77061 |
$4.90 |
$75.93
|
$691.80 |
376 |
|
Diagnostic Mammogram (both breasts)
|
CPT 77066 |
$83.95 |
$420.35
|
$3,708.00 |
871 |
|
Diagnostic Mammogram (one breast)
|
CPT 77065 |
$68.75 |
$314.00
|
$1,499.40 |
762 |
|
Diagnostic radio unlisted proc
|
CPT 76499 |
$15.55 |
$259.00
|
$2,757.44 |
350 |
|
Discography cerv/thor spine
|
CPT 72285 |
$145.20 |
$2,565.00
|
$22,966.31 |
425 |
|
Ductogram sgl duct
|
CPT 77053 |
$44.22 |
$469.80
|
$4,633.00 |
516 |
|
Dxa bone density axl vrt fx
|
CPT 77085 |
$36.15 |
$401.20
|
$3,419.00 |
513 |
|
Dx intraop epcar Ultrasound chd i&r
|
CPT 76989 |
$49.84 |
$465.29
|
$2,661.12 |
72 |
|
Dx intraop epicar car Ultrasound chd
|
CPT 76987 |
$49.84 |
$558.11
|
$2,661.12 |
72 |
|
Dx intraop thoracic aorta Ultrasound
|
CPT 76984 |
$50.96 |
$558.11
|
$2,518.56 |
78 |
|
Dx ntrop epcr Ultrasound chd img acq
|
CPT 76988 |
$49.84 |
$558.11
|
$2,661.12 |
87 |
|
Echo exam of eye
|
CPT 76516 |
$48.89 |
$143.75
|
$596.70 |
114 |
|
Echo exam of eye
|
CPT 76519 |
$18.15 |
$172.00
|
$777.00 |
153 |
|
Echo exam of eye
|
CPT 76529 |
$53.07 |
$169.62
|
$722.40 |
142 |
|
Echo exam of eye thickness
|
CPT 76514 |
$3.15 |
$40.30
|
$274.00 |
166 |
|
Echo exam of fetal heart
|
CPT 76825 |
$141.68 |
$904.80
|
$5,928.41 |
470 |
|
Echo exam of fetal heart
|
CPT 76826 |
$105.11 |
$538.27
|
$4,801.00 |
385 |
|
Echo exam of fetal heart
|
CPT 76827 |
$21.80 |
$431.41
|
$3,427.70 |
491 |
|
Echo exam of fetal heart
|
CPT 76828 |
$47.85 |
$318.34
|
$2,848.00 |
390 |
|
Echo exam uterus 76831-
|
CPT 76831 |
$35.00 |
$561.00
|
$5,603.51 |
604 |
|
Echograp trans r pros study
|
CPT 76873 |
$51.34 |
$468.00
|
$4,707.75 |
444 |
|
Echo guidance radiotherapy
|
CPT 76965 |
$44.85 |
$812.00
|
$7,985.95 |
428 |
|
Echo guide cardiocentesis
|
CPT 76930 |
$68.80 |
$269.33
|
$942.00 |
41 |
|
Echo guide for amniocentesis
|
CPT 76946 |
$25.72 |
$455.57
|
$4,526.90 |
606 |
|
Echo guide for artery repair
|
CPT 76936 |
$68.02 |
$696.30
|
$6,026.00 |
595 |
|
Echo guide for heart biopsy
|
CPT 76932 |
$47.09 |
$666.40
|
$3,427.70 |
157 |
|
Echo guide for transfusion
|
CPT 76941 |
$50.16 |
$332.39
|
$3,116.00 |
236 |
|
Echo guide ova aspiration
|
CPT 76948 |
$33.66 |
$174.20
|
$1,678.00 |
88 |
|
Echo guide villus sampling
|
CPT 76945 |
$44.74 |
$362.88
|
$2,909.25 |
222 |
|
Elbow X-ray (2 views, both sides)
|
CPT 73070 |
$42.45 |
$291.94
|
$2,499.46 |
834 |
|
Elbow X-ray (3 or more views, both sides)
|
CPT 73080 |
$55.50 |
$364.20
|
$1,897.73 |
831 |
|
Embolization s&i
|
CPT 75894 |
$168.00 |
$3,215.00
|
$31,547.66 |
607 |
|
Endo cath bile duct s&i
|
CPT 74328 |
$41.58 |
$714.24
|
$6,764.00 |
609 |
|
Endo cath panc duct s&i
|
CPT 74329 |
$33.88 |
$672.43
|
$6,039.07 |
510 |
|
Epidurography
|
CPT 72275 |
$354.89 |
$589.04
|
$1,255.50 |
33 |
|
Ercp biliary & pancreas
|
CPT 74330 |
$69.96 |
$967.04
|
$9,558.00 |
665 |
|
Esophageal dilat s&i
|
CPT 74360 |
$28.35 |
$551.20
|
$5,032.95 |
465 |
|
Esophageal motility
|
CPT 78258 |
$35.10 |
$655.45
|
$6,376.58 |
229 |
|
Eye Socket (Orbit) X-ray
|
CPT 70200 |
$42.45 |
$328.35
|
$2,825.00 |
879 |
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
CPT 70482 |
$109.50 |
$1,705.20
|
$16,973.12 |
884 |
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
CPT 70481 |
$117.60 |
$1,543.00
|
$14,564.92 |
907 |
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
CPT 70480 |
$74.25 |
$1,320.00
|
$12,866.41 |
909 |
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
CPT 70543 |
$323.88 |
$2,821.87
|
$27,208.76 |
929 |
|
Face, Eye Socket and Neck MRI (without contrast)
|
CPT 70540 |
$215.87 |
$1,883.25
|
$17,691.97 |
909 |
|
Facial Bones X-ray (1 to 2 views)
|
CPT 70140 |
$35.00 |
$252.60
|
$2,488.23 |
862 |
|
Facial Bones X-ray (complete)
|
CPT 70150 |
$48.00 |
$381.75
|
$3,718.81 |
905 |