|
Upper Back (Thoracic Spine) MRI (without contrast)
|
CPT 72146 |
$233.59 |
$2,034.41
|
$19,355.60 |
932 |
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
CPT 72070 |
$34.50 |
$321.95
|
$2,790.87 |
895 |
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
CPT 72072 |
$57.20 |
$381.60
|
$3,742.67 |
898 |
|
Upper GI Barium X-ray (barium and gas)
|
CPT 74246 |
$44.82 |
$660.40
|
$6,557.07 |
879 |
|
Upper GI Barium X-ray (barium only)
|
CPT 74240 |
$64.96 |
$607.20
|
$6,140.62 |
903 |
|
Ureteral reflux study
|
CPT 78740 |
$157.85 |
$952.50
|
$7,106.71 |
469 |
|
Urethrcystgrphy rtrgrde s&i
|
CPT 74450 |
$34.50 |
$584.00
|
$5,878.00 |
796 |
|
Urethrocystography void s&i
|
CPT 74455 |
$57.78 |
$631.40
|
$6,421.68 |
835 |
|
Urinary bldr retent nuc study
|
CPT 78730 |
$24.80 |
$350.66
|
$2,948.61 |
139 |
|
Urography, antegrade
|
CPT 74425 |
$86.87 |
$622.35
|
$5,897.27 |
683 |
|
Urography inf drip &/or bolus
|
CPT 74410 |
$64.80 |
$642.50
|
$6,344.64 |
277 |
|
Use 1st target lesion
|
CPT 76982 |
$48.40 |
$332.00
|
$3,195.08 |
340 |
|
Vein x-ray adrenal gland
|
CPT 75840 |
$296.40 |
$2,833.34
|
$27,662.85 |
333 |
|
Vein x-ray adrenal glands
|
CPT 75842 |
$518.40 |
$3,456.00
|
$26,796.90 |
266 |
|
Vein x-ray eye socket
|
CPT 75880 |
$88.00 |
$1,438.32
|
$10,836.00 |
258 |
|
Vein x-ray kidney
|
CPT 75831 |
$468.80 |
$2,870.00
|
$26,854.65 |
555 |
|
Vein x-ray liver
|
CPT 75891 |
$470.40 |
$3,312.00
|
$29,295.99 |
551 |
|
Vein x-ray liver w/hemodynam
|
CPT 75885 |
$502.40 |
$3,610.20
|
$29,600.40 |
565 |
|
Vein x-ray liver w/hemodynam
|
CPT 75889 |
$277.00 |
$3,662.50
|
$28,841.38 |
611 |
|
Vein x-ray liver without hemodyn
|
CPT 75887 |
$347.51 |
$2,452.80
|
$24,386.58 |
516 |
|
Vein x-ray skull
|
CPT 75870 |
$316.73 |
$2,236.50
|
$21,237.15 |
481 |
|
Vein x-ray skull epidural
|
CPT 75872 |
$139.16 |
$1,596.00
|
$16,728.00 |
270 |
|
Vein x-ray spleen/liver
|
CPT 75810 |
$541.80 |
$3,434.00
|
$29,600.40 |
401 |
|
Venogram ext bil s&i
|
CPT 75822 |
$131.00 |
$1,829.42
|
$14,882.87 |
738 |
|
Venogram extremity supervision & interpretation unilateral
|
CPT 75820 |
$73.80 |
$1,382.58
|
$8,982.35 |
704 |
|
Venous sampling s&i
|
CPT 75893 |
$404.80 |
$4,200.00
|
$36,588.73 |
574 |
|
Venous thrombosis imaging
|
CPT 78457 |
$230.61 |
$697.20
|
$5,620.67 |
174 |
|
Ven thrombosis images bilat
|
CPT 78458 |
$45.36 |
$796.50
|
$7,902.46 |
283 |
|
Video Swallow Study (Modified Barium Swallow)
|
CPT 74230 |
$64.80 |
$524.50
|
$5,109.80 |
912 |
|
Whole-Body Bone Scan (Nuclear Medicine)
|
CPT 78306 |
$149.04 |
$1,570.65
|
$15,401.55 |
906 |
|
Whole Skeleton X-ray Survey
|
CPT 77075 |
$40.95 |
$639.93
|
$6,371.91 |
909 |
|
Wrist X-ray
|
CPT 73110 |
$57.90 |
$349.70
|
$2,623.00 |
836 |
|
Wrist X-ray (2 views, both wrists)
|
CPT 73100 |
$36.00 |
$291.20
|
$2,079.56 |
831 |
|
X-ray abdomen >=3 views
|
CPT 74021 |
$38.25 |
$344.12
|
$3,326.29 |
797 |
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
CPT 73040 |
$42.66 |
$789.36
|
$7,590.42 |
709 |
|
X-ray bone length studies
|
CPT 77073 |
$40.80 |
$285.30
|
$2,694.02 |
825 |
|
X-ray bone survey infant
|
CPT 77076 |
$52.64 |
$394.80
|
$3,870.79 |
840 |
|
X-ray consultation
|
CPT 76140 |
$7.53 |
$40.88
|
$368.87 |
50 |
|
Xray endovasc thor ao repr
|
CPT 75956 |
$313.62 |
$1,734.00
|
$15,847.00 |
222 |
|
Xray endovasc thor ao repr
|
CPT 75957 |
$137.85 |
$1,622.18
|
$15,400.32 |
240 |
|
X-ray exam entire spi 4/5 vw
|
CPT 72083 |
$64.26 |
$450.24
|
$4,390.84 |
722 |
|
X-ray exam entire spi 6/> vw
|
CPT 72084 |
$69.00 |
$519.00
|
$4,944.00 |
711 |
|
X-ray exam of arm infant
|
CPT 73092 |
$33.00 |
$248.82
|
$2,007.62 |
765 |
|
X-ray exam of femur 1
|
CPT 73551 |
$12.69 |
$237.60
|
$2,260.63 |
775 |
|
X-ray exam of jaw joint
|
CPT 70328 |
$19.25 |
$193.39
|
$1,668.83 |
531 |
|
X-ray exam of jaw joint
|
CPT 70332 |
$88.00 |
$452.00
|
$3,595.00 |
215 |
|
X-ray exam of mastoids
|
CPT 70120 |
$22.44 |
$193.41
|
$1,170.60 |
338 |
|
X-ray exam of middle ear
|
CPT 70134 |
$58.80 |
$345.66
|
$3,171.35 |
216 |
|
X-ray exam of penis
|
CPT 74445 |
$66.00 |
$593.46
|
$5,950.60 |
199 |
|
X-ray exam of perineum
|
CPT 74775 |
$38.00 |
$588.00
|
$4,315.00 |
236 |
|
X-ray exam of salivary gland
|
CPT 70380 |
$8.64 |
$162.60
|
$1,439.75 |
243 |
|
X-ray exam of tear duct
|
CPT 70170 |
$123.31 |
$467.50
|
$4,613.00 |
199 |
|
X-ray exam of teeth
|
CPT 70300 |
$20.00 |
$138.40
|
$660.80 |
161 |
|
X-ray exam of teeth
|
CPT 70310 |
$43.00 |
$385.39
|
$3,149.19 |
172 |
|
X-ray exam si joints
|
CPT 72200 |
$28.65 |
$246.50
|
$2,431.00 |
672 |
|
X-ray exam thorac spine4/>vw
|
CPT 72074 |
$52.20 |
$390.43
|
$3,831.00 |
720 |
|
X-ray eye detection foreign body (both sides)
|
CPT 70030 |
$31.54 |
$238.29
|
$2,235.00 |
740 |
|
X-ray fallopian tube
|
CPT 74742 |
$38.00 |
$565.40
|
$5,504.20 |
228 |
|
X-ray head for orthodontia
|
CPT 70350 |
$27.00 |
$158.50
|
$686.40 |
124 |
|
X-ray hip uni w/wo pelvis min 4 views
|
CPT 73503 |
$49.14 |
$376.80
|
$3,450.81 |
760 |
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
CPT 73523 |
$34.80 |
$512.80
|
$5,110.60 |
832 |
|
X-ray joint survey 1 view
|
CPT 77077 |
$17.55 |
$232.00
|
$1,365.65 |
525 |
|
X-ray lower extremities infant > 2 views (both sides)
|
CPT 73592 |
$33.00 |
$253.50
|
$2,235.16 |
772 |
|
X-ray l/s-spine bend vw only 2-3 vw
|
CPT 72120 |
$35.70 |
$364.75
|
$3,449.55 |
821 |
|
X-ray male genital tract
|
CPT 74440 |
$87.00 |
$603.50
|
$2,187.85 |
133 |
|
X-ray mandible ltd <4 views
|
CPT 70100 |
$18.26 |
$238.00
|
$2,260.05 |
793 |
|
X-ray measurement of pelvis
|
CPT 74710 |
$37.20 |
$157.39
|
$749.40 |
27 |
|
X-ray nose to rectum for foreign body child
|
CPT 76010 |
$32.00 |
$226.20
|
$2,234.00 |
838 |
|
X-ray of mammary ducts
|
CPT 77054 |
$54.78 |
$568.26
|
$5,525.26 |
432 |
|
X-ray optic foramina
|
CPT 70190 |
$22.42 |
$185.95
|
$1,391.56 |
346 |
|
Xray place dist ext thor ao
|
CPT 75959 |
$191.36 |
$1,194.70
|
$11,691.55 |
134 |
|
Xray place prox ext thor ao
|
CPT 75958 |
$99.75 |
$1,005.84
|
$8,914.75 |
161 |
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
CPT 74420 |
$44.00 |
$762.55
|
$6,935.25 |
795 |
|
X-ray ribs 2 views left
|
CPT 71100 |
$40.60 |
$296.32
|
$2,537.84 |
820 |
|
X-ray sella turcica
|
CPT 70240 |
$10.80 |
$160.05
|
$1,623.00 |
384 |
|
X-ray sinus tract/fistula/abscess
|
CPT 76080 |
$66.00 |
$632.80
|
$4,699.00 |
803 |
|
X-ray slg plne bdy sect without urogr
|
CPT 76100 |
$29.16 |
$399.82
|
$4,245.00 |
432 |
|
X-ray small intestine follow-through study
|
CPT 74248 |
$29.55 |
$501.19
|
$4,913.00 |
827 |
|
X-ray sternoclavicular joint(s) > 3 views
|
CPT 71130 |
$43.00 |
$267.50
|
$2,671.99 |
836 |
|
X-ray surgical specimen
|
CPT 76098 |
$35.40 |
$520.00
|
$4,471.80 |
817 |
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
CPT 72081 |
$35.35 |
$256.85
|
$2,455.30 |
824 |
|
X-ray upper gi delay w/kub
|
CPT 74241 |
$125.00 |
$247.02
|
$668.50 |
45 |
|
X-ray upper gi&small intest
|
CPT 74245 |
$183.00 |
$692.45
|
$1,502.00 |
56 |
|
X-ray xm phrnx&/crv esoph c+
|
CPT 74210 |
$69.00 |
$362.98
|
$3,038.07 |
283 |