Dr. Andrew Lewis , MD
Specialist • Ossining, NY
Professional Overview & Biography Verified Profile Summary
Dr. Andrew Lewis, MD is a certified Specialist practicing in Ossining, NY. With approximately 41 years of clinical experience since graduating from New York University School Of Medicine in 1985, Dr. Lewis delivers high-quality medical care to the local community at 310 N HIGHLAND AVE.
Dr. Lewis maintains professional affiliations with Maritime Radiology Associates Pc, St Lawrence Radiology Assoc Pc, Olean Radiology, Pc and accepts Medicare assignment.
Frequently performed procedures and clinical services include screening mammography, x-ray of chest, 2 views, screening digital tomography of both breasts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
310 N Highland Ave
Ste 3
Ossining, NY 105626300
Medicare Profile & Education
New York University School Of Medicine
1985
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Ossining, NY
Practicing in Ossining, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
77067
Screening mammography
|
750 | 750 | $135.00 | $33.95 |
|
71046
X-ray of chest, 2 views
|
738 | 641 | $39.01 | $9.90 |
|
77063
Screening digital tomography of both breasts
|
712 | 712 | $110.00 | $26.66 |
|
71045
X-ray of chest, 1 view
|
709 | 604 | $32.98 | $7.97 |
|
70450
Ct scan head or brain without contrast
|
320 | 299 | $155.88 | $37.18 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
317 | 317 | $37.00 | $8.84 |
|
76641
Complete ultrasound scan of 1 breast
|
257 | 214 | $136.09 | $33.14 |
|
73564
X-ray of knee, 4 or more views
|
249 | 206 | $54.17 | $13.84 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
231 | 200 | $438.00 | $106.13 |
|
73502
X-ray of hip, 2-3 views
|
221 | 177 | $40.98 | $10.20 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
215 | 201 | $334.68 | $81.36 |
|
73030
X-ray of shoulder, minimum of 2 views
|
209 | 176 | $35.16 | $8.65 |
|
76705
Limited ultrasound scan of abdomen
|
167 | 162 | $108.00 | $25.86 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
155 | 140 | $82.00 | $19.76 |
|
74018
X-ray of abdomen, 1 view
|
150 | 136 | $33.00 | $8.24 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
143 | 138 | $319.82 | $77.78 |
|
71250
Ct scan of chest without contrast
|
123 | 113 | $187.96 | $48.09 |
|
73630
X-ray of foot, minimum of 3 views
|
120 | 105 | $31.00 | $7.66 |
|
77065
Diagnostic mammography of 1 breast
|
95 | 73 | $143.00 | $36.44 |
|
74230
Imaging for evaluation of swallowing function
|
92 | 89 | $98.00 | $23.93 |
|
73110
X-ray of wrist, minimum of 3 views
|
87 | 61 | $31.99 | $7.83 |
|
72125
Ct scan of upper spine without contrast
|
83 | 83 | $196.93 | $44.11 |
|
73610
X-ray of ankle, minimum of 3 views
|
82 | 63 | $32.00 | $7.98 |
|
70551
Mri scan of brain without contrast
|
82 | 81 | $271.93 | $65.51 |
|
71275
Ct scan of blood vessels of chest with contrast
|
78 | 76 | $333.88 | $80.47 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
77 | 76 | $58.00 | $11.82 |
|
70553
Mri scan of brain before and after contrast
|
76 | 72 | $420.74 | $102.23 |
|
93925
Ultrasound of leg arteries or artery grafts
|
76 | 71 | $144.00 | $35.22 |
|
71260
Ct scan of chest with contrast
|
75 | 72 | $228.61 | $50.57 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
72 | 69 | $146.00 | $35.55 |
|
76536
Ultrasound of head and neck
|
71 | 71 | $103.00 | $25.23 |
|
G0279
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
|
71 | 68 | $110.00 | $26.84 |
|
73130
X-ray of hand, minimum of 3 views
|
70 | 64 | $32.46 | $7.92 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
60 | 59 | $126.97 | $30.80 |
|
72148
MRI scan of lower spinal canal
|
58 | 58 | $272.84 | $66.57 |
|
70496
Ct scan of blood vessels of head with contrast
|
52 | 52 | $321.00 | $76.70 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
52 | 51 | $134.98 | $33.11 |
|
73552
X-ray of thigh bone, minimum 2 views
|
51 | 35 | $34.00 | $8.27 |
|
36573
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older
|
49 | 40 | $312.00 | $77.22 |
|
70498
Ct scan of blood vessels of neck with contrast
|
47 | 47 | $321.00 | $74.45 |
|
77066
Diagnostic mammography of both breasts
|
46 | 44 | $178.00 | $44.72 |
|
70486
CT scan of face
|
45 | 44 | $158.00 | $38.28 |
|
74183
Mri scan of abdomen before and after contrast
|
44 | 37 | $415.00 | $98.00 |
|
76700
Ultrasound of abdomen
|
35 | 34 | $147.94 | $35.32 |
|
73080
X-ray of elbow, minimum of 3 views
|
34 | 29 | $32.00 | $7.97 |
|
73590
X-ray of lower leg, 2 views
|
34 | 33 | $31.00 | $7.33 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
34 | 34 | $105.94 | $25.78 |
|
70491
CT scan of neck with contrast
|
31 | 28 | $255.45 | $61.42 |
|
73700
Ct scan of leg without contrast
|
30 | 29 | $183.57 | $44.37 |
|
73721
Mri scan of leg joint without contrast
|
30 | 27 | $249.80 | $60.69 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
30 | 29 | $90.00 | $30.92 |
|
72131
CT scan of lower spine
|
29 | 29 | $183.62 | $43.55 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
27 | 26 | $50.00 | $12.14 |
|
72141
MRI scan of upper spinal canal
|
27 | 27 | $273.00 | $65.52 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
26 | 26 | $198.08 | $48.06 |
|
19083
Biopsy of breast and placement of locating device using ultrasound, first growth
|
25 | 24 | $588.00 | $140.35 |
|
73562
X-ray of knee, 3 views
|
25 | 25 | $38.08 | $9.61 |
|
32555
Aspiration of fluid from chest cavity using imaging guidance
|
25 | 17 | $417.00 | $101.07 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
24 | 24 | $40.92 | $10.21 |
|
76000
Imaging guidance for procedure, 60 minutes or less
|
24 | 24 | $48.00 | $13.90 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
23 | 23 | $369.00 | $89.66 |
|
76706
Ultrasound scan of abdominal aorta
|
22 | 22 | $102.00 | $24.42 |
|
73090
X-ray of forearm, 2 views
|
22 | 18 | $32.41 | $7.65 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
22 | 21 | $157.00 | $37.24 |
|
77001
Fluoroscopic guidance for insertion, replacement or removal of central venous access device
|
21 | 21 | $70.00 | $16.75 |
|
73140
X-ray of finger, minimum of 2 views
|
21 | 21 | $24.95 | $6.34 |
|
74220
Single contrast x-ray of esophagus
|
21 | 21 | $85.00 | $26.81 |
|
72148
MRI scan of lower spinal canal
|
19 | 19 | $1802.79 | $212.17 |
|
74250
X-ray of small intestine
|
19 | 19 | $86.00 | $36.07 |
|
73221
Mri scan of arm joint without contrast
|
19 | 19 | $250.00 | $61.03 |
|
72052
X-ray of upper spine, 6 or more views
|
19 | 19 | $67.00 | $13.69 |
|
72197
Mri scan of pelvis before and after contrast
|
18 | 16 | $415.00 | $93.32 |
|
72170
X-ray of pelvis, 1-2 views
|
18 | 17 | $32.00 | $7.94 |
|
73560
X-ray of knee, 1-2 views
|
18 | 18 | $31.00 | $7.60 |
|
72220
X-ray of sacrum and tailbone, minimum of 2 views
|
17 | 17 | $32.00 | $7.96 |
|
73060
X-ray of upper arm, minimum of 2 views
|
16 | 16 | $31.00 | $6.95 |
|
72070
X-ray of middle spine, 2 views
|
16 | 16 | $41.00 | $9.26 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
16 | 16 | $289.81 | $71.35 |
|
73501
X-ray of hip with pelvis, 1 view
|
15 | 15 | $34.00 | $8.58 |
|
74019
X-ray of abdomen, 2 views
|
15 | 14 | $42.00 | $10.24 |
|
76870
Ultrasound scan of scrotum
|
15 | 11 | $117.00 | $28.01 |
|
78315
Nuclear medicine study of bone taken at different times
|
14 | 14 | $184.00 | $45.10 |
|
78227
Nuclear medicine study of liver and bile duct system with use of drugs
|
13 | 13 | $164.00 | $39.54 |
|
73000
X-ray of collar bone
|
13 | 11 | $31.00 | $7.64 |
|
74420
Imaging of urinary tract
|
13 | 12 | $65.00 | $23.07 |
|
71046
X-ray of chest, 2 views
|
12 | 12 | $74.00 | $18.93 |
|
38792
Injection of radioactive material for x-ray identification of lymph node
|
12 | 12 | $298.00 | $26.25 |
|
19281
Placement of breast localization devices accessed through the skin with mammographic guidance
|
11 | 11 | $375.00 | $91.60 |
|
73521
X-ray of both hips, 2 views
|
11 | 11 | $42.00 | $10.18 |
|
73200
Ct scan of arm without contrast
|
11 | 11 | $184.00 | $44.75 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71046
X-ray of chest, 2 views
|
652 | 566 | $39.03 | $10.21 |
|
77067
Screening mammography
|
619 | 619 | $135.00 | $35.53 |
|
71045
X-ray of chest, 1 view
|
614 | 536 | $32.97 | $8.57 |
|
77063
Screening digital tomography of both breasts
|
578 | 578 | $110.00 | $28.23 |
|
70450
Ct scan head or brain without contrast
|
335 | 312 | $155.51 | $38.67 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
261 | 242 | $334.37 | $84.98 |
|
76641
Complete ultrasound scan of 1 breast
|
227 | 198 | $150.53 | $36.45 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
201 | 201 | $37.00 | $9.22 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
193 | 177 | $438.00 | $110.49 |
|
73564
X-ray of knee, 4 or more views
|
180 | 156 | $51.93 | $13.76 |
|
73502
X-ray of hip, 2-3 views
|
176 | 143 | $40.95 | $10.55 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
173 | 167 | $319.41 | $81.27 |
|
71250
Ct scan of chest without contrast
|
172 | 156 | $188.00 | $49.89 |
|
73030
X-ray of shoulder, minimum of 2 views
|
170 | 145 | $35.56 | $9.04 |
|
71260
Ct scan of chest with contrast
|
155 | 135 | $228.43 | $52.85 |
|
74018
X-ray of abdomen, 1 view
|
151 | 134 | $33.00 | $8.57 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
142 | 135 | $81.97 | $20.66 |
|
73630
X-ray of foot, minimum of 3 views
|
138 | 122 | $31.40 | $7.98 |
|
76705
Limited ultrasound scan of abdomen
|
129 | 119 | $107.99 | $27.42 |
|
73110
X-ray of wrist, minimum of 3 views
|
108 | 80 | $31.96 | $8.23 |
|
77065
Diagnostic mammography of 1 breast
|
106 | 94 | $143.00 | $37.60 |
|
71275
Ct scan of blood vessels of chest with contrast
|
105 | 101 | $333.35 | $84.20 |
|
72125
Ct scan of upper spine without contrast
|
99 | 95 | $196.25 | $45.51 |
|
70551
Mri scan of brain without contrast
|
97 | 97 | $271.65 | $68.50 |
|
70553
Mri scan of brain before and after contrast
|
95 | 90 | $421.00 | $106.75 |
|
73130
X-ray of hand, minimum of 3 views
|
79 | 74 | $32.81 | $8.44 |
|
73610
X-ray of ankle, minimum of 3 views
|
78 | 70 | $31.92 | $8.23 |
|
76536
Ultrasound of head and neck
|
76 | 71 | $103.00 | $26.36 |
|
71046
X-ray of chest, 2 views
|
73 | 70 | $42.45 | $11.16 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
72 | 72 | $57.97 | $12.23 |
|
93925
Ultrasound of leg arteries or artery grafts
|
72 | 70 | $143.99 | $36.16 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
67 | 67 | $197.88 | $50.32 |
|
72148
MRI scan of lower spinal canal
|
65 | 65 | $1224.66 | $182.95 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
61 | 61 | $145.98 | $37.06 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
57 | 56 | $134.98 | $34.20 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
55 | 55 | $126.84 | $32.18 |
|
76700
Ultrasound of abdomen
|
50 | 50 | $148.00 | $37.60 |
|
G0279
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
|
48 | 46 | $110.00 | $28.28 |
|
74183
Mri scan of abdomen before and after contrast
|
46 | 42 | $415.00 | $102.09 |
|
72148
MRI scan of lower spinal canal
|
45 | 45 | $272.51 | $68.73 |
|
72141
MRI scan of upper spinal canal
|
45 | 45 | $998.69 | $136.30 |
|
74230
Imaging for evaluation of swallowing function
|
43 | 40 | $98.00 | $24.95 |
|
70486
CT scan of face
|
42 | 42 | $157.81 | $38.84 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
42 | 42 | $289.64 | $74.10 |
|
73552
X-ray of thigh bone, minimum 2 views
|
40 | 39 | $34.00 | $8.56 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
39 | 39 | $49.92 | $12.57 |
|
73590
X-ray of lower leg, 2 views
|
38 | 33 | $30.92 | $7.57 |
|
36573
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older
|
38 | 32 | $312.00 | $80.69 |
|
70498
Ct scan of blood vessels of neck with contrast
|
36 | 35 | $320.42 | $77.40 |
|
70496
Ct scan of blood vessels of head with contrast
|
35 | 34 | $320.40 | $80.04 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
34 | 32 | $88.68 | $32.27 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
34 | 34 | $368.53 | $93.37 |
|
77066
Diagnostic mammography of both breasts
|
33 | 32 | $178.00 | $46.24 |
|
73080
X-ray of elbow, minimum of 3 views
|
31 | 29 | $31.97 | $8.23 |
|
73721
Mri scan of leg joint without contrast
|
31 | 25 | $1493.48 | $214.65 |
|
72141
MRI scan of upper spinal canal
|
30 | 30 | $272.90 | $68.63 |
|
73562
X-ray of knee, 3 views
|
30 | 29 | $38.50 | $10.07 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
29 | 29 | $40.93 | $10.56 |
|
70491
CT scan of neck with contrast
|
28 | 26 | $255.89 | $64.30 |
|
73560
X-ray of knee, 1-2 views
|
25 | 20 | $31.00 | $7.90 |
|
73630
X-ray of foot, minimum of 3 views
|
25 | 25 | $44.80 | $11.51 |
|
73700
Ct scan of leg without contrast
|
24 | 23 | $182.83 | $45.65 |
|
73521
X-ray of both hips, 2 views
|
22 | 22 | $42.00 | $10.56 |
|
72131
CT scan of lower spine
|
22 | 22 | $182.73 | $44.91 |
|
73721
Mri scan of leg joint without contrast
|
22 | 22 | $250.00 | $62.99 |
|
73501
X-ray of hip with pelvis, 1 view
|
21 | 19 | $34.00 | $8.88 |
|
72052
X-ray of upper spine, 6 or more views
|
21 | 21 | $67.00 | $14.14 |
|
74220
Single contrast x-ray of esophagus
|
20 | 20 | $85.00 | $28.28 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
20 | 20 | $106.00 | $26.90 |
|
76706
Ultrasound scan of abdominal aorta
|
20 | 20 | $102.00 | $25.59 |
|
73060
X-ray of upper arm, minimum of 2 views
|
19 | 17 | $30.84 | $7.88 |
|
19083
Biopsy of breast and placement of locating device using ultrasound, first growth
|
19 | 18 | $588.00 | $148.12 |
|
70450
Ct scan head or brain without contrast
|
19 | 18 | $220.74 | $56.83 |
|
93926
Ultrasound of one leg arteries or artery grafts
|
19 | 17 | $89.00 | $22.02 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
18 | 18 | $270.00 | $69.80 |
|
72192
Ct scan pelvis
|
18 | 18 | $199.67 | $50.79 |
|
76000
Imaging guidance for procedure, 60 minutes or less
|
17 | 17 | $48.00 | $14.96 |
|
78264
Stomach emptying study
|
17 | 17 | $133.94 | $36.30 |
|
72070
X-ray of middle spine, 2 views
|
17 | 16 | $40.29 | $9.55 |
|
73090
X-ray of forearm, 2 views
|
17 | 15 | $30.94 | $7.57 |
|
71250
Ct scan of chest without contrast
|
16 | 16 | $267.25 | $71.29 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
16 | 16 | $401.75 | $101.87 |
|
70553
Mri scan of brain before and after contrast
|
16 | 16 | $1307.81 | $266.77 |
|
73718
Mri scan of leg without contrast
|
15 | 15 | $248.00 | $62.95 |
|
78816
Nuclear medicine study whole body with ct scan
|
15 | 13 | $442.00 | $111.79 |
|
19281
Placement of breast localization devices accessed through the skin with mammographic guidance
|
15 | 14 | $375.00 | $95.30 |
|
74019
X-ray of abdomen, 2 views
|
15 | 15 | $41.87 | $10.88 |
|
76377
3D radiographic procedure with computerized image postprocessing
|
14 | 14 | $145.00 | $36.92 |
|
74181
Mri scan of abdomen without contrast
|
14 | 14 | $269.00 | $67.94 |
|
70551
Mri scan of brain without contrast
|
14 | 14 | $1402.07 | $177.96 |
|
74420
Imaging of urinary tract
|
14 | 13 | $65.00 | $22.31 |
|
76830
Ultrasound pelvis through vagina
|
14 | 13 | $126.93 | $32.66 |
|
73221
Mri scan of arm joint without contrast
|
14 | 13 | $1654.57 | $232.65 |
|
76604
Ultrasound scan of chest
|
14 | 11 | $113.00 | $26.68 |
|
71047
X-ray of chest, 3 views
|
13 | 12 | $52.00 | $12.87 |
|
72050
X-ray of upper spine, 4 or 5 views
|
13 | 13 | $57.00 | $12.89 |
|
73070
X-ray of elbow, 2 views
|
13 | 11 | $29.00 | $7.89 |
|
73140
X-ray of finger, minimum of 2 views
|
13 | 13 | $25.00 | $6.56 |
|
73221
Mri scan of arm joint without contrast
|
12 | 11 | $250.00 | $63.62 |
|
73200
Ct scan of arm without contrast
|
12 | 11 | $183.08 | $45.84 |
|
73564
X-ray of knee, 4 or more views
|
12 | 12 | $72.58 | $19.32 |
|
74150
Ct scan of abdomen without contrast
|
12 | 12 | $219.00 | $55.45 |
|
74250
X-ray of small intestine
|
12 | 12 | $86.00 | $37.59 |
|
76098
X-ray of surgical specimen
|
12 | 12 | $29.00 | $14.79 |
|
76536
Ultrasound of head and neck
|
12 | 12 | $180.25 | $46.99 |
|
76856
Complete ultrasound scan of pelvis
|
12 | 12 | $126.00 | $30.17 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
12 | 12 | $157.00 | $38.62 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
12 | 12 | $230.33 | $60.03 |
|
72170
X-ray of pelvis, 1-2 views
|
11 | 11 | $32.00 | $8.23 |
|
72128
CT scan of middle spine
|
11 | 11 | $182.82 | $44.78 |
|
76870
Ultrasound scan of scrotum
|
11 | 11 | $117.00 | $29.66 |
|
72072
X-ray of middle spine, 3 views
|
11 | 11 | $40.00 | $10.58 |
|
72156
Mri scan of upper spinal canal before and after contrast
|
11 | 11 | $421.00 | $104.43 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
11 | 11 | $418.64 | $99.13 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
11 | 11 | $196.73 | $50.52 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
A9575
Injection, gadoterate meglumine, 0.1 ml
|
1,303 | 14 | $1.37 | $0.14 |
|
71045
X-ray of chest, 1 view
|
1,020 | 869 | $33.00 | $8.71 |
|
71046
X-ray of chest, 2 views
|
535 | 510 | $39.11 | $10.42 |
|
70450
Ct scan head or brain without contrast
|
439 | 415 | $155.51 | $39.05 |
|
77067
Screening mammography
|
266 | 266 | $135.00 | $35.86 |
|
77063
Screening digital tomography of both breasts
|
243 | 243 | $110.00 | $28.75 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
211 | 206 | $334.59 | $86.13 |
|
71046
X-ray of chest, 2 views
|
195 | 187 | $45.46 | $12.04 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
190 | 184 | $319.14 | $82.11 |
|
73502
X-ray of hip, 2-3 views
|
163 | 153 | $40.94 | $10.75 |
|
71250
Ct scan of chest without contrast
|
161 | 154 | $187.83 | $50.61 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
154 | 154 | $37.00 | $9.38 |
|
74018
X-ray of abdomen, 1 view
|
147 | 133 | $33.00 | $8.72 |
|
73030
X-ray of shoulder, minimum of 2 views
|
135 | 122 | $35.19 | $9.11 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
120 | 117 | $81.78 | $21.03 |
|
71275
Ct scan of blood vessels of chest with contrast
|
113 | 110 | $333.56 | $85.32 |
|
72125
Ct scan of upper spine without contrast
|
108 | 104 | $196.09 | $46.64 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
103 | 102 | $126.62 | $33.03 |
|
71260
Ct scan of chest with contrast
|
102 | 98 | $228.91 | $53.41 |
|
73564
X-ray of knee, 4 or more views
|
101 | 95 | $48.23 | $12.66 |
|
76705
Limited ultrasound scan of abdomen
|
97 | 93 | $107.94 | $27.88 |
|
73630
X-ray of foot, minimum of 3 views
|
93 | 85 | $31.63 | $8.23 |
|
72148
MRI scan of lower spinal canal
|
87 | 87 | $1103.52 | $162.24 |
|
76700
Ultrasound of abdomen
|
83 | 83 | $147.93 | $37.69 |
|
70551
Mri scan of brain without contrast
|
83 | 83 | $271.46 | $69.64 |
|
76641
Complete ultrasound scan of 1 breast
|
80 | 75 | $150.75 | $36.76 |
|
73110
X-ray of wrist, minimum of 3 views
|
79 | 68 | $31.94 | $8.39 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
79 | 77 | $40.96 | $10.76 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
70 | 70 | $145.86 | $37.98 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
70 | 70 | $288.91 | $75.67 |
|
76536
Ultrasound of head and neck
|
67 | 66 | $102.99 | $26.74 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
64 | 63 | $134.97 | $34.76 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
61 | 61 | $57.70 | $12.44 |
|
73630
X-ray of foot, minimum of 3 views
|
54 | 48 | $42.02 | $10.95 |
|
73610
X-ray of ankle, minimum of 3 views
|
54 | 52 | $31.96 | $8.39 |
|
72148
MRI scan of lower spinal canal
|
53 | 53 | $272.60 | $70.37 |
|
73562
X-ray of knee, 3 views
|
51 | 45 | $36.00 | $9.58 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
50 | 49 | $438.00 | $112.44 |
|
72141
MRI scan of upper spinal canal
|
48 | 48 | $846.71 | $137.60 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
47 | 47 | $198.00 | $50.73 |
|
70553
Mri scan of brain before and after contrast
|
46 | 45 | $420.46 | $104.95 |
|
73130
X-ray of hand, minimum of 3 views
|
46 | 44 | $33.33 | $8.76 |
|
71250
Ct scan of chest without contrast
|
45 | 42 | $230.27 | $61.76 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
44 | 44 | $105.89 | $27.36 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
42 | 41 | $368.71 | $94.79 |
|
73560
X-ray of knee, 1-2 views
|
41 | 40 | $30.95 | $8.02 |
|
72131
CT scan of lower spine
|
34 | 34 | $182.91 | $46.29 |
|
73721
Mri scan of leg joint without contrast
|
33 | 32 | $249.15 | $64.45 |
|
73552
X-ray of thigh bone, minimum 2 views
|
33 | 30 | $34.00 | $8.70 |
|
73221
Mri scan of arm joint without contrast
|
32 | 31 | $249.75 | $64.40 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
32 | 30 | $159.88 | $41.65 |
|
73700
Ct scan of leg without contrast
|
32 | 32 | $183.56 | $46.41 |
|
77065
Diagnostic mammography of 1 breast
|
32 | 29 | $143.00 | $38.37 |
|
70450
Ct scan head or brain without contrast
|
31 | 31 | $171.87 | $42.65 |
|
76705
Limited ultrasound scan of abdomen
|
28 | 28 | $154.29 | $40.66 |
|
93925
Ultrasound of leg arteries or artery grafts
|
28 | 28 | $143.89 | $37.47 |
|
72141
MRI scan of upper spinal canal
|
28 | 28 | $272.46 | $70.44 |
|
74150
Ct scan of abdomen without contrast
|
27 | 27 | $218.93 | $56.17 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
26 | 26 | $382.08 | $101.48 |
|
70486
CT scan of face
|
26 | 26 | $157.46 | $39.53 |
|
70498
Ct scan of blood vessels of neck with contrast
|
26 | 26 | $320.54 | $80.95 |
|
76830
Ultrasound pelvis through vagina
|
26 | 26 | $126.85 | $32.84 |
|
73060
X-ray of upper arm, minimum of 2 views
|
25 | 23 | $30.96 | $7.70 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
25 | 25 | $49.92 | $12.78 |
|
72170
X-ray of pelvis, 1-2 views
|
25 | 25 | $31.96 | $8.38 |
|
73590
X-ray of lower leg, 2 views
|
24 | 24 | $30.88 | $7.71 |
|
73501
X-ray of hip with pelvis, 1 view
|
24 | 24 | $34.00 | $9.03 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
24 | 24 | $292.50 | $76.63 |
|
73080
X-ray of elbow, minimum of 3 views
|
24 | 24 | $31.92 | $8.38 |
|
70496
Ct scan of blood vessels of head with contrast
|
23 | 23 | $320.48 | $81.92 |
|
72050
X-ray of upper spine, 4 or 5 views
|
23 | 23 | $57.87 | $13.15 |
|
73721
Mri scan of leg joint without contrast
|
23 | 22 | $1081.70 | $174.76 |
|
76536
Ultrasound of head and neck
|
23 | 22 | $183.61 | $44.30 |
|
76856
Complete ultrasound scan of pelvis
|
23 | 23 | $125.65 | $32.80 |
|
73502
X-ray of hip, 2-3 views
|
22 | 22 | $58.73 | $15.55 |
|
73564
X-ray of knee, 4 or more views
|
22 | 21 | $89.18 | $23.66 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
20 | 20 | $433.10 | $113.70 |
|
76706
Ultrasound scan of abdominal aorta
|
20 | 20 | $102.00 | $25.94 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
20 | 20 | $837.35 | $163.91 |
|
72070
X-ray of middle spine, 2 views
|
20 | 20 | $41.00 | $9.73 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
19 | 18 | $90.00 | $22.82 |
|
70553
Mri scan of brain before and after contrast
|
18 | 18 | $1484.44 | $283.61 |
|
73521
X-ray of both hips, 2 views
|
18 | 18 | $42.00 | $10.76 |
|
74019
X-ray of abdomen, 2 views
|
18 | 16 | $42.00 | $11.11 |
|
73620
X-ray of foot, 2 views
|
17 | 17 | $28.00 | $7.38 |
|
73090
X-ray of forearm, 2 views
|
17 | 17 | $30.94 | $7.35 |
|
72114
X-ray lower and sacral spine, minimum of 6 views
|
17 | 17 | $158.24 | $41.67 |
|
72040
X-ray of upper spine, 2-3 views
|
16 | 16 | $40.88 | $10.77 |
|
70551
Mri scan of brain without contrast
|
16 | 16 | $1229.13 | $188.33 |
|
73221
Mri scan of arm joint without contrast
|
16 | 16 | $1062.88 | $196.99 |
|
73610
X-ray of ankle, minimum of 3 views
|
15 | 15 | $32.00 | $8.35 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
15 | 15 | $157.00 | $39.70 |
|
77014
Ct guidance for insertion of radiation therapy fields
|
15 | 15 | $158.00 | $43.99 |
|
74160
Ct scan of abdomen with contrast
|
15 | 15 | $233.00 | $59.92 |
|
73030
X-ray of shoulder, minimum of 2 views
|
15 | 15 | $43.40 | $11.28 |
|
74018
X-ray of abdomen, 1 view
|
14 | 14 | $38.50 | $10.20 |
|
73718
Mri scan of leg without contrast
|
14 | 14 | $247.00 | $63.75 |
|
70486
CT scan of face
|
14 | 14 | $437.00 | $110.94 |
|
76700
Ultrasound of abdomen
|
14 | 14 | $229.43 | $60.43 |
|
74220
Single contrast x-ray of esophagus
|
14 | 14 | $85.00 | $28.53 |
|
73020
X-ray of shoulder, 1 view
|
14 | 13 | $28.00 | $7.35 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
14 | 14 | $58.00 | $12.42 |
|
73140
X-ray of finger, minimum of 2 views
|
14 | 14 | $25.00 | $6.66 |
|
73600
X-ray of ankle, 2 views
|
14 | 14 | $31.00 | $7.70 |
|
72072
X-ray of middle spine, 3 views
|
13 | 13 | $40.00 | $10.81 |
|
73130
X-ray of hand, minimum of 3 views
|
13 | 13 | $46.77 | $12.24 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
13 | 12 | $138.92 | $35.20 |
|
76981
Elastography ultrasound of organ tissue
|
13 | 13 | $109.00 | $28.39 |
|
72192
Ct scan pelvis
|
12 | 12 | $199.83 | $51.39 |
|
78264
Stomach emptying study
|
12 | 12 | $133.50 | $36.88 |
|
76881
Complete ultrasound of joint of arm or leg
|
12 | 11 | $115.92 | $29.93 |
|
72202
X-ray of joint between lower spine and hip bone, 3 or more views
|
11 | 11 | $36.00 | $10.80 |
|
76870
Ultrasound scan of scrotum
|
11 | 11 | $116.82 | $29.95 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
11 | 11 | $420.64 | $106.54 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
11 | 11 | $402.00 | $103.35 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71045
X-ray of chest, 1 view
|
1,237 | 1,005 | $33.00 | $8.98 |
|
71046
X-ray of chest, 2 views
|
521 | 504 | $39.36 | $10.72 |
|
77067
Screening mammography
|
417 | 417 | $134.78 | $37.45 |
|
70450
Ct scan head or brain without contrast
|
404 | 385 | $155.06 | $40.64 |
|
77063
Screening digital tomography of both breasts
|
286 | 286 | $110.00 | $29.84 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
282 | 276 | $333.93 | $88.52 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
262 | 251 | $318.28 | $84.80 |
|
74018
X-ray of abdomen, 1 view
|
197 | 177 | $33.00 | $8.91 |
|
73502
X-ray of hip, 2-3 views
|
191 | 181 | $40.81 | $11.07 |
|
71250
Ct scan of chest without contrast
|
166 | 158 | $187.08 | $51.83 |
|
73030
X-ray of shoulder, minimum of 2 views
|
159 | 150 | $35.53 | $9.50 |
|
71046
X-ray of chest, 2 views
|
155 | 148 | $39.00 | $10.74 |
|
71260
Ct scan of chest with contrast
|
147 | 144 | $228.38 | $55.22 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
139 | 139 | $37.00 | $9.74 |
|
73630
X-ray of foot, minimum of 3 views
|
138 | 133 | $32.89 | $8.84 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
133 | 129 | $81.47 | $21.70 |
|
73564
X-ray of knee, 4 or more views
|
131 | 117 | $44.17 | $12.00 |
|
72148
MRI scan of lower spinal canal
|
111 | 111 | $686.85 | $148.78 |
|
76705
Limited ultrasound scan of abdomen
|
105 | 104 | $107.51 | $28.64 |
|
72125
Ct scan of upper spine without contrast
|
105 | 105 | $195.65 | $48.14 |
|
71275
Ct scan of blood vessels of chest with contrast
|
100 | 99 | $331.78 | $87.31 |
|
73562
X-ray of knee, 3 views
|
97 | 86 | $36.45 | $10.00 |
|
76641
Complete ultrasound scan of 1 breast
|
96 | 94 | $195.51 | $43.63 |
|
70551
Mri scan of brain without contrast
|
95 | 95 | $270.61 | $71.28 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
94 | 93 | $57.64 | $12.82 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
87 | 87 | $145.41 | $38.65 |
|
73130
X-ray of hand, minimum of 3 views
|
87 | 76 | $34.07 | $9.22 |
|
73610
X-ray of ankle, minimum of 3 views
|
86 | 75 | $32.86 | $8.93 |
|
76700
Ultrasound of abdomen
|
85 | 85 | $147.02 | $39.27 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
77 | 76 | $125.90 | $33.48 |
|
72148
MRI scan of lower spinal canal
|
72 | 72 | $271.71 | $71.64 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
66 | 65 | $435.70 | $116.17 |
|
73560
X-ray of knee, 1-2 views
|
64 | 56 | $34.27 | $9.19 |
|
72141
MRI scan of upper spinal canal
|
60 | 59 | $600.32 | $125.01 |
|
73110
X-ray of wrist, minimum of 3 views
|
59 | 56 | $32.37 | $8.78 |
|
70553
Mri scan of brain before and after contrast
|
57 | 55 | $417.61 | $110.16 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
55 | 55 | $40.85 | $11.07 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
54 | 54 | $287.61 | $77.40 |
|
76536
Ultrasound of head and neck
|
51 | 51 | $102.71 | $27.94 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
51 | 51 | $105.55 | $28.58 |
|
73630
X-ray of foot, minimum of 3 views
|
44 | 40 | $38.05 | $10.19 |
|
77065
Diagnostic mammography of 1 breast
|
42 | 42 | $142.90 | $38.74 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
42 | 42 | $49.86 | $13.18 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
41 | 40 | $367.73 | $97.80 |
|
73080
X-ray of elbow, minimum of 3 views
|
40 | 39 | $31.77 | $8.63 |
|
72131
CT scan of lower spine
|
39 | 38 | $182.51 | $47.90 |
|
72141
MRI scan of upper spinal canal
|
39 | 39 | $271.77 | $72.00 |
|
77067
Screening mammography
|
38 | 38 | $135.00 | $37.56 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
37 | 37 | $198.27 | $52.78 |
|
70486
CT scan of face
|
36 | 36 | $156.94 | $40.66 |
|
73700
Ct scan of leg without contrast
|
36 | 34 | $187.72 | $49.63 |
|
73590
X-ray of lower leg, 2 views
|
35 | 35 | $30.83 | $7.93 |
|
73721
Mri scan of leg joint without contrast
|
34 | 34 | $248.18 | $65.86 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
34 | 33 | $134.91 | $35.91 |
|
70496
Ct scan of blood vessels of head with contrast
|
33 | 33 | $319.58 | $85.05 |
|
73120
X-ray of hand, 2 views
|
33 | 27 | $39.33 | $10.53 |
|
73552
X-ray of thigh bone, minimum 2 views
|
32 | 31 | $35.06 | $9.28 |
|
72040
X-ray of upper spine, 2-3 views
|
31 | 31 | $40.77 | $11.07 |
|
72170
X-ray of pelvis, 1-2 views
|
30 | 30 | $31.83 | $8.63 |
|
49083
Drainage of fluid from abdominal cavity using imaging guidance
|
28 | 16 | $401.64 | $102.16 |
|
70498
Ct scan of blood vessels of neck with contrast
|
27 | 27 | $320.04 | $81.99 |
|
74019
X-ray of abdomen, 2 views
|
27 | 21 | $42.00 | $11.43 |
|
93925
Ultrasound of leg arteries or artery grafts
|
27 | 27 | $143.15 | $38.02 |
|
73221
Mri scan of arm joint without contrast
|
26 | 26 | $248.62 | $66.32 |
|
77066
Diagnostic mammography of both breasts
|
23 | 23 | $177.74 | $48.77 |
|
73140
X-ray of finger, minimum of 2 views
|
23 | 21 | $25.00 | $6.88 |
|
74220
Single contrast x-ray of esophagus
|
23 | 23 | $84.74 | $29.71 |
|
73060
X-ray of upper arm, minimum of 2 views
|
22 | 22 | $30.91 | $8.29 |
|
70450
Ct scan head or brain without contrast
|
22 | 22 | $156.00 | $41.14 |
|
70551
Mri scan of brain without contrast
|
21 | 21 | $847.33 | $174.78 |
|
71250
Ct scan of chest without contrast
|
21 | 21 | $188.00 | $52.64 |
|
72192
Ct scan pelvis
|
21 | 21 | $198.67 | $52.96 |
|
76856
Complete ultrasound scan of pelvis
|
21 | 20 | $125.24 | $33.47 |
|
73130
X-ray of hand, minimum of 3 views
|
20 | 20 | $46.40 | $12.54 |
|
76830
Ultrasound pelvis through vagina
|
20 | 18 | $125.95 | $33.86 |
|
72050
X-ray of upper spine, 4 or 5 views
|
20 | 20 | $57.50 | $13.01 |
|
72070
X-ray of middle spine, 2 views
|
19 | 19 | $40.89 | $10.04 |
|
73090
X-ray of forearm, 2 views
|
18 | 18 | $30.83 | $7.94 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
18 | 18 | $648.94 | $159.17 |
|
73620
X-ray of foot, 2 views
|
18 | 18 | $31.11 | $8.44 |
|
73221
Mri scan of arm joint without contrast
|
18 | 18 | $1036.94 | $227.22 |
|
73030
X-ray of shoulder, minimum of 2 views
|
18 | 18 | $36.94 | $9.85 |
|
70491
CT scan of neck with contrast
|
18 | 18 | $254.67 | $66.14 |
|
70553
Mri scan of brain before and after contrast
|
18 | 18 | $969.44 | $217.57 |
|
73502
X-ray of hip, 2-3 views
|
17 | 17 | $41.00 | $11.09 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
17 | 17 | $106.00 | $28.68 |
|
76641
Complete ultrasound scan of 1 breast
|
15 | 15 | $223.33 | $47.52 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
15 | 14 | $155.00 | $41.13 |
|
78226
Imaging of liver and bile duct system
|
15 | 15 | $133.67 | $35.68 |
|
71100
X-ray of ribs of one side of body, 2 views
|
15 | 15 | $40.93 | $11.09 |
|
76536
Ultrasound of head and neck
|
15 | 15 | $103.00 | $27.96 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
15 | 15 | $82.00 | $21.71 |
|
20610
Aspiration and/or injection of fluid from large joint
|
15 | 15 | $169.00 | $45.61 |
|
73600
X-ray of ankle, 2 views
|
15 | 15 | $30.93 | $8.29 |
|
72072
X-ray of middle spine, 3 views
|
14 | 14 | $39.64 | $10.43 |
|
74183
Mri scan of abdomen before and after contrast
|
14 | 14 | $413.14 | $106.61 |
|
77014
Ct guidance for insertion of radiation therapy fields
|
14 | 14 | $158.00 | $44.92 |
|
73521
X-ray of both hips, 2 views
|
14 | 14 | $42.00 | $11.08 |
|
73523
X-ray of both hips, minimum of 5 views
|
13 | 13 | $58.46 | $15.20 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
13 | 13 | $58.00 | $12.82 |
|
73610
X-ray of ankle, minimum of 3 views
|
13 | 13 | $36.92 | $9.98 |
|
76870
Ultrasound scan of scrotum
|
13 | 12 | $116.31 | $30.96 |
|
78315
Nuclear medicine study of bone taken at different times
|
13 | 13 | $182.15 | $48.89 |
|
73718
Mri scan of leg without contrast
|
12 | 11 | $246.83 | $65.31 |
|
93923
Complete ultrasound study of arm and leg arteries
|
12 | 12 | $96.00 | $21.66 |
|
72156
Mri scan of upper spinal canal before and after contrast
|
12 | 12 | $491.58 | $132.47 |
|
73200
Ct scan of arm without contrast
|
12 | 11 | $182.67 | $48.40 |
|
76705
Limited ultrasound scan of abdomen
|
12 | 12 | $108.00 | $29.04 |
|
71271
Low dose ct scan of chest for lung cancer screening
|
12 | 12 | $198.00 | $60.83 |
|
74181
Mri scan of abdomen without contrast
|
11 | 11 | $267.55 | $70.08 |
|
19083
Biopsy of breast and placement of locating device using ultrasound, first growth
|
11 | 11 | $588.00 | $155.89 |
|
73020
X-ray of shoulder, 1 view
|
11 | 11 | $30.55 | $8.30 |
|
71045
X-ray of chest, 1 view
|
11 | 11 | $33.00 | $9.00 |
|
76706
Ultrasound scan of abdominal aorta
|
11 | 11 | $102.00 | $27.39 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
11 | 11 | $89.73 | $23.61 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
11 | 11 | $420.64 | $109.32 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71045
X-ray of chest, 1 view
|
1,251 | 995 | $33.00 | $9.23 |
|
71046
X-ray of chest, 2 views
|
551 | 509 | $39.65 | $10.99 |
|
77067
Screening mammography
|
511 | 511 | $134.16 | $38.78 |
|
70450
Ct scan head or brain without contrast
|
408 | 392 | $154.51 | $42.07 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
267 | 253 | $331.72 | $92.21 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
256 | 239 | $316.45 | $87.54 |
|
73564
X-ray of knee, 4 or more views
|
228 | 178 | $40.83 | $11.56 |
|
74018
X-ray of abdomen, 1 view
|
216 | 168 | $33.00 | $9.25 |
|
71250
Ct scan of chest without contrast
|
215 | 207 | $186.06 | $57.56 |
|
73502
X-ray of hip, 2-3 views
|
210 | 183 | $40.52 | $11.34 |
|
71046
X-ray of chest, 2 views
|
189 | 184 | $39.00 | $10.99 |
|
73030
X-ray of shoulder, minimum of 2 views
|
155 | 138 | $35.24 | $9.78 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
141 | 140 | $80.88 | $22.41 |
|
71260
Ct scan of chest with contrast
|
136 | 132 | $227.06 | $61.43 |
|
72125
Ct scan of upper spine without contrast
|
113 | 109 | $195.25 | $49.69 |
|
76705
Limited ultrasound scan of abdomen
|
100 | 97 | $106.93 | $29.24 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
92 | 92 | $144.65 | $40.11 |
|
73630
X-ray of foot, minimum of 3 views
|
90 | 78 | $31.30 | $8.74 |
|
70551
Mri scan of brain without contrast
|
89 | 87 | $269.30 | $74.73 |
|
77063
Screening digital tomography of both breasts
|
88 | 88 | $109.82 | $30.05 |
|
76700
Ultrasound of abdomen
|
85 | 84 | $146.28 | $41.13 |
|
73110
X-ray of wrist, minimum of 3 views
|
83 | 73 | $31.96 | $8.99 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
79 | 75 | $433.03 | $120.29 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
77 | 75 | $125.35 | $34.82 |
|
70553
Mri scan of brain before and after contrast
|
76 | 73 | $415.30 | $115.84 |
|
73610
X-ray of ankle, minimum of 3 views
|
76 | 63 | $31.43 | $8.89 |
|
76536
Ultrasound of head and neck
|
76 | 74 | $101.70 | $28.51 |
|
73130
X-ray of hand, minimum of 3 views
|
72 | 64 | $31.97 | $9.02 |
|
77067
Screening mammography
|
72 | 72 | $134.93 | $38.53 |
|
72148
MRI scan of lower spinal canal
|
72 | 71 | $269.54 | $73.80 |
|
76641
Complete ultrasound scan of 1 breast
|
69 | 63 | $179.70 | $43.95 |
|
73630
X-ray of foot, minimum of 3 views
|
67 | 55 | $37.01 | $10.14 |
|
71275
Ct scan of blood vessels of chest with contrast
|
67 | 67 | $330.33 | $91.06 |
|
73560
X-ray of knee, 1-2 views
|
65 | 57 | $34.12 | $9.42 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
61 | 60 | $57.28 | $13.17 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
58 | 57 | $104.83 | $29.02 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
58 | 58 | $287.05 | $80.07 |
|
77065
Diagnostic mammography of 1 breast
|
50 | 49 | $142.96 | $41.45 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
49 | 49 | $40.53 | $11.39 |
|
73562
X-ray of knee, 3 views
|
47 | 43 | $34.00 | $9.57 |
|
72131
CT scan of lower spine
|
44 | 44 | $181.73 | $49.18 |
|
73721
Mri scan of leg joint without contrast
|
42 | 41 | $247.05 | $67.93 |
|
70486
CT scan of face
|
42 | 42 | $156.19 | $42.66 |
|
73130
X-ray of hand, minimum of 3 views
|
41 | 34 | $46.05 | $12.71 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
38 | 38 | $363.84 | $101.23 |
|
73590
X-ray of lower leg, 2 views
|
37 | 35 | $31.27 | $8.39 |
|
73221
Mri scan of arm joint without contrast
|
37 | 37 | $246.54 | $69.18 |
|
G0297
Low dose ct scan (ldct) for lung cancer screening
|
36 | 36 | $95.97 | $51.77 |
|
72141
MRI scan of upper spinal canal
|
35 | 35 | $269.66 | $74.74 |
|
73552
X-ray of thigh bone, minimum 2 views
|
34 | 34 | $34.00 | $9.23 |
|
76830
Ultrasound pelvis through vagina
|
33 | 31 | $125.52 | $35.03 |
|
76856
Complete ultrasound scan of pelvis
|
31 | 30 | $124.65 | $34.44 |
|
74246
X-ray of upper digestive tract with contrast
|
30 | 30 | $124.73 | $45.55 |
|
73080
X-ray of elbow, minimum of 3 views
|
30 | 30 | $31.63 | $8.88 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
30 | 28 | $154.00 | $43.19 |
|
77073
Imaging for bone length assessment
|
28 | 28 | $51.11 | $13.85 |
|
70498
Ct scan of blood vessels of neck with contrast
|
27 | 26 | $320.26 | $86.29 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
27 | 27 | $134.22 | $36.78 |
|
70496
Ct scan of blood vessels of head with contrast
|
26 | 25 | $319.19 | $88.00 |
|
73620
X-ray of foot, 2 views
|
26 | 21 | $30.15 | $8.40 |
|
73700
Ct scan of leg without contrast
|
26 | 26 | $182.31 | $49.92 |
|
74220
Single contrast x-ray of esophagus
|
26 | 25 | $83.50 | $30.28 |
|
73060
X-ray of upper arm, minimum of 2 views
|
26 | 21 | $30.38 | $8.54 |
|
72114
X-ray lower and sacral spine, minimum of 6 views
|
25 | 25 | $59.32 | $15.33 |
|
73140
X-ray of finger, minimum of 2 views
|
24 | 23 | $25.00 | $7.09 |
|
70450
Ct scan head or brain without contrast
|
24 | 24 | $156.00 | $41.93 |
|
72148
MRI scan of lower spinal canal
|
23 | 23 | $347.13 | $85.19 |
|
93925
Ultrasound of leg arteries or artery grafts
|
23 | 23 | $142.13 | $39.50 |
|
73120
X-ray of hand, 2 views
|
23 | 17 | $34.78 | $9.58 |
|
73523
X-ray of both hips, minimum of 5 views
|
22 | 22 | $58.41 | $16.01 |
|
72072
X-ray of middle spine, 3 views
|
22 | 21 | $39.55 | $11.77 |
|
74022
Complete x-ray study of abdomen with single x-ray of chest
|
22 | 20 | $58.41 | $16.07 |
|
74240
Single contrast x-ray of upper digestive tract
|
22 | 22 | $125.45 | $41.13 |
|
72050
X-ray of upper spine, 4 or 5 views
|
22 | 22 | $57.09 | $13.93 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
22 | 22 | $81.86 | $22.30 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
20 | 20 | $37.00 | $9.97 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
20 | 19 | $319.85 | $87.44 |
|
73030
X-ray of shoulder, minimum of 2 views
|
20 | 19 | $38.50 | $10.49 |
|
77063
Screening digital tomography of both breasts
|
19 | 19 | $109.84 | $29.89 |
|
71250
Ct scan of chest without contrast
|
19 | 19 | $188.00 | $57.37 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
19 | 19 | $49.68 | $13.54 |
|
74019
X-ray of abdomen, 2 views
|
19 | 17 | $42.00 | $11.78 |
|
78315
Nuclear medicine study of bone taken at different times
|
18 | 18 | $181.33 | $48.61 |
|
72040
X-ray of upper spine, 2-3 views
|
18 | 18 | $40.56 | $11.41 |
|
74181
Mri scan of abdomen without contrast
|
18 | 18 | $265.00 | $73.62 |
|
72192
Ct scan pelvis
|
18 | 18 | $197.67 | $54.47 |
|
74183
Mri scan of abdomen before and after contrast
|
17 | 17 | $409.53 | $107.19 |
|
72170
X-ray of pelvis, 1-2 views
|
17 | 17 | $31.82 | $8.88 |
|
71045
X-ray of chest, 1 view
|
17 | 17 | $33.00 | $9.18 |
|
76700
Ultrasound of abdomen
|
17 | 17 | $148.00 | $40.83 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
16 | 16 | $396.75 | $110.67 |
|
76642
Limited ultrasound scan of 1 breast
|
16 | 14 | $122.00 | $34.30 |
|
76536
Ultrasound of head and neck
|
16 | 16 | $103.00 | $28.48 |
|
73502
X-ray of hip, 2-3 views
|
16 | 16 | $41.00 | $11.37 |
|
G0297
Low dose ct scan (ldct) for lung cancer screening
|
15 | 15 | $97.00 | $51.87 |
|
74270
X-ray of large bowel with single contrast
|
14 | 14 | $125.29 | $52.49 |
|
74018
X-ray of abdomen, 1 view
|
14 | 14 | $33.00 | $9.21 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
14 | 14 | $146.00 | $39.92 |
|
77066
Diagnostic mammography of both breasts
|
14 | 14 | $176.29 | $50.74 |
|
72202
X-ray of joint between lower spine and hip bone, 3 or more views
|
14 | 14 | $35.21 | $11.78 |
|
78227
Nuclear medicine study of liver and bile duct system with use of drugs
|
14 | 14 | $160.57 | $45.38 |
|
70491
CT scan of neck with contrast
|
14 | 14 | $252.57 | $69.65 |
|
72146
Mri scan of middle spinal canal
|
14 | 14 | $270.00 | $73.67 |
|
72131
CT scan of lower spine
|
13 | 13 | $184.00 | $49.60 |
|
76870
Ultrasound scan of scrotum
|
13 | 13 | $115.85 | $31.51 |
|
71260
Ct scan of chest with contrast
|
13 | 12 | $229.00 | $61.29 |
|
32555
Aspiration of fluid from chest cavity using imaging guidance
|
13 | 11 | $409.46 | $114.20 |
|
70544
Mri scan of blood vessels of head without contrast
|
12 | 12 | $218.17 | $59.76 |
|
73718
Mri scan of leg without contrast
|
12 | 12 | $246.00 | $67.82 |
|
72128
CT scan of middle spine
|
12 | 12 | $181.17 | $49.01 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
12 | 11 | $414.00 | $114.28 |
|
76705
Limited ultrasound scan of abdomen
|
12 | 12 | $108.00 | $29.25 |
|
74230
Imaging for evaluation of swallowing function
|
11 | 11 | $97.36 | $26.63 |
|
73521
X-ray of both hips, 2 views
|
11 | 11 | $42.00 | $11.38 |
|
73090
X-ray of forearm, 2 views
|
11 | 11 | $30.64 | $8.54 |
|
20610
Aspiration and/or injection of fluid from large joint
|
11 | 11 | $167.45 | $46.19 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71045
X-ray of chest, 1 view
|
1,242 | 1,049 | $33.00 | $9.09 |
|
71046
X-ray of chest, 2 views
|
874 | 826 | $39.27 | $10.87 |
|
70450
Ct scan head or brain without contrast
|
582 | 555 | $153.92 | $41.41 |
|
77067
Screening mammography
|
518 | 518 | $134.00 | $37.81 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
347 | 339 | $331.82 | $90.90 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
315 | 312 | $316.70 | $86.39 |
|
71250
Ct scan of chest without contrast
|
253 | 245 | $185.88 | $57.24 |
|
73502
X-ray of hip, 2-3 views
|
247 | 225 | $40.87 | $11.22 |
|
73030
X-ray of shoulder, minimum of 2 views
|
206 | 187 | $35.69 | $9.67 |
|
71260
Ct scan of chest with contrast
|
185 | 178 | $226.82 | $60.41 |
|
77063
Screening digital tomography of both breasts
|
173 | 173 | $109.00 | $29.75 |
|
74018
X-ray of abdomen, 1 view
|
167 | 151 | $33.00 | $9.10 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
157 | 155 | $80.91 | $22.22 |
|
72125
Ct scan of upper spine without contrast
|
153 | 151 | $194.86 | $52.46 |
|
76705
Limited ultrasound scan of abdomen
|
152 | 151 | $106.96 | $28.66 |
|
71275
Ct scan of blood vessels of chest with contrast
|
149 | 144 | $330.62 | $90.05 |
|
73564
X-ray of knee, 4 or more views
|
145 | 128 | $43.98 | $12.07 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
130 | 130 | $144.88 | $39.58 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
124 | 124 | $37.00 | $9.74 |
|
73630
X-ray of foot, minimum of 3 views
|
123 | 113 | $31.36 | $8.49 |
|
76641
Complete ultrasound scan of 1 breast
|
118 | 107 | $189.14 | $44.57 |
|
71046
X-ray of chest, 2 views
|
113 | 111 | $39.00 | $10.86 |
|
73610
X-ray of ankle, minimum of 3 views
|
108 | 96 | $32.16 | $8.82 |
|
73110
X-ray of wrist, minimum of 3 views
|
100 | 88 | $31.87 | $8.74 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
99 | 98 | $125.82 | $34.06 |
|
70551
Mri scan of brain without contrast
|
93 | 92 | $268.94 | $72.74 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
91 | 89 | $104.92 | $28.50 |
|
73562
X-ray of knee, 3 views
|
91 | 81 | $37.36 | $10.27 |
|
73130
X-ray of hand, minimum of 3 views
|
90 | 76 | $32.64 | $8.93 |
|
73560
X-ray of knee, 1-2 views
|
88 | 78 | $35.16 | $9.61 |
|
72148
MRI scan of lower spinal canal
|
79 | 79 | $269.81 | $72.72 |
|
76700
Ultrasound of abdomen
|
79 | 79 | $146.72 | $39.25 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
73 | 73 | $40.85 | $11.22 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
70 | 69 | $364.43 | $99.79 |
|
76536
Ultrasound of head and neck
|
69 | 68 | $101.88 | $28.01 |
|
70553
Mri scan of brain before and after contrast
|
66 | 66 | $416.62 | $113.67 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
65 | 65 | $57.00 | $15.70 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
64 | 63 | $433.84 | $118.47 |
|
77067
Screening mammography
|
63 | 63 | $134.00 | $37.77 |
|
72141
MRI scan of upper spinal canal
|
52 | 52 | $269.83 | $73.96 |
|
73700
Ct scan of leg without contrast
|
52 | 50 | $185.35 | $50.34 |
|
70486
CT scan of face
|
52 | 52 | $155.73 | $42.46 |
|
73721
Mri scan of leg joint without contrast
|
51 | 50 | $257.33 | $70.20 |
|
73590
X-ray of lower leg, 2 views
|
50 | 48 | $30.94 | $8.02 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
46 | 46 | $133.96 | $35.96 |
|
73620
X-ray of foot, 2 views
|
44 | 42 | $38.05 | $10.83 |
|
72131
CT scan of lower spine
|
43 | 41 | $181.77 | $48.68 |
|
73080
X-ray of elbow, minimum of 3 views
|
42 | 40 | $31.88 | $8.74 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
42 | 42 | $287.00 | $78.74 |
|
73552
X-ray of thigh bone, minimum 2 views
|
40 | 39 | $34.00 | $9.10 |
|
73221
Mri scan of arm joint without contrast
|
39 | 36 | $247.79 | $65.19 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
39 | 37 | $154.85 | $42.07 |
|
G0297
Low dose ct scan (ldct) for lung cancer screening
|
39 | 39 | $95.77 | $51.09 |
|
74019
X-ray of abdomen, 2 views
|
38 | 36 | $42.00 | $11.56 |
|
70496
Ct scan of blood vessels of head with contrast
|
37 | 36 | $317.78 | $86.94 |
|
73120
X-ray of hand, 2 views
|
36 | 31 | $47.31 | $12.56 |
|
73090
X-ray of forearm, 2 views
|
33 | 33 | $31.00 | $8.36 |
|
71045
X-ray of chest, 1 view
|
32 | 31 | $33.00 | $9.09 |
|
70498
Ct scan of blood vessels of neck with contrast
|
32 | 31 | $317.88 | $84.70 |
|
73060
X-ray of upper arm, minimum of 2 views
|
32 | 30 | $30.88 | $8.38 |
|
74220
Single contrast x-ray of esophagus
|
31 | 31 | $83.90 | $33.55 |
|
76830
Ultrasound pelvis through vagina
|
28 | 28 | $125.82 | $34.65 |
|
74181
Mri scan of abdomen without contrast
|
27 | 26 | $265.85 | $72.73 |
|
76856
Complete ultrasound scan of pelvis
|
27 | 27 | $124.93 | $33.87 |
|
70450
Ct scan head or brain without contrast
|
27 | 27 | $154.00 | $41.72 |
|
72114
X-ray lower and sacral spine, minimum of 6 views
|
27 | 27 | $59.40 | $16.48 |
|
72170
X-ray of pelvis, 1-2 views
|
25 | 25 | $31.88 | $8.74 |
|
72040
X-ray of upper spine, 2-3 views
|
25 | 25 | $40.76 | $11.23 |
|
20610
Aspiration and/or injection of fluid from large joint
|
24 | 21 | $166.88 | $42.27 |
|
77065
Diagnostic mammography of 1 breast
|
24 | 24 | $142.08 | $40.51 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
23 | 23 | $49.87 | $13.59 |
|
73501
X-ray of hip with pelvis, 1 view
|
22 | 22 | $34.00 | $9.42 |
|
77002
Fluoroscopic guidance for needle placement
|
22 | 22 | $101.91 | $27.61 |
|
77066
Diagnostic mammography of both breasts
|
22 | 21 | $176.00 | $49.95 |
|
73140
X-ray of finger, minimum of 2 views
|
22 | 22 | $25.00 | $6.94 |
|
78226
Imaging of liver and bile duct system
|
22 | 22 | $133.00 | $36.37 |
|
78582
Nuclear medicine study of lung ventilation and circulation
|
21 | 21 | $191.86 | $52.44 |
|
74230
Imaging for evaluation of swallowing function
|
21 | 21 | $97.00 | $26.55 |
|
73521
X-ray of both hips, 2 views
|
21 | 21 | $41.95 | $11.22 |
|
72202
X-ray of joint between lower spine and hip bone, 3 or more views
|
21 | 21 | $35.26 | $9.45 |
|
72052
X-ray of upper spine, 6 or more views
|
21 | 21 | $66.00 | $18.19 |
|
72192
Ct scan pelvis
|
20 | 19 | $197.90 | $54.22 |
|
78315
Nuclear medicine study of bone taken at different times
|
20 | 20 | $181.90 | $49.76 |
|
76000
Imaging guidance for procedure, 60 minutes or less
|
20 | 20 | $46.26 | $15.23 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
19 | 18 | $89.00 | $24.42 |
|
32555
Aspiration of fluid from chest cavity using imaging guidance
|
19 | 17 | $412.37 | $111.95 |
|
93922
Ultrasound study of arm and leg arteries
|
18 | 18 | $81.69 | $12.38 |
|
76706
Ultrasound scan of abdominal aorta
|
18 | 18 | $101.00 | $27.26 |
|
93925
Ultrasound of leg arteries or artery grafts
|
18 | 18 | $142.44 | $39.08 |
|
72070
X-ray of middle spine, 2 views
|
18 | 18 | $40.94 | $11.21 |
|
77063
Screening digital tomography of both breasts
|
17 | 17 | $109.00 | $29.75 |
|
72050
X-ray of upper spine, 4 or 5 views
|
17 | 17 | $57.00 | $15.71 |
|
72148
MRI scan of lower spinal canal
|
17 | 17 | $1426.47 | $214.15 |
|
70490
Ct scan of soft tissue of neck without contrast
|
17 | 17 | $234.00 | $63.26 |
|
72128
CT scan of middle spine
|
16 | 16 | $181.88 | $47.92 |
|
93976
Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow
|
16 | 15 | $143.63 | $39.55 |
|
77012
Review by radiologist of ct guidance for needle placement
|
16 | 16 | $208.00 | $73.32 |
|
78264
Stomach emptying study
|
16 | 16 | $132.88 | $38.53 |
|
71100
X-ray of ribs of one side of body, 2 views
|
15 | 15 | $40.93 | $11.21 |
|
73100
X-ray of wrist, 2 views
|
15 | 13 | $31.00 | $8.36 |
|
72220
X-ray of sacrum and tailbone, minimum of 2 views
|
15 | 15 | $31.87 | $8.74 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
15 | 15 | $397.67 | $108.34 |
|
73522
X-ray of both hips, 3-4 views
|
14 | 14 | $54.93 | $14.98 |
|
73600
X-ray of ankle, 2 views
|
14 | 11 | $30.86 | $8.38 |
|
73630
X-ray of foot, minimum of 3 views
|
14 | 14 | $42.07 | $11.39 |
|
72146
Mri scan of middle spinal canal
|
14 | 14 | $270.00 | $72.66 |
|
70470
Ct scan of head or brain before and after contrast
|
14 | 14 | $230.79 | $62.64 |
|
73502
X-ray of hip, 2-3 views
|
14 | 14 | $41.00 | $11.21 |
|
76377
3D radiographic procedure with computerized image postprocessing
|
13 | 13 | $144.00 | $39.42 |
|
74022
Complete x-ray study of abdomen with single x-ray of chest
|
13 | 13 | $58.85 | $16.08 |
|
74250
X-ray of small intestine
|
13 | 13 | $84.92 | $23.38 |
|
70551
Mri scan of brain without contrast
|
13 | 12 | $931.08 | $157.58 |
|
76857
Limited ultrasound scan of pelvis
|
13 | 13 | $89.59 | $24.80 |
|
72072
X-ray of middle spine, 3 views
|
13 | 13 | $39.92 | $10.87 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
13 | 13 | $317.00 | $86.66 |
|
73718
Mri scan of leg without contrast
|
13 | 13 | $246.00 | $67.01 |
|
70491
CT scan of neck with contrast
|
12 | 11 | $253.00 | $67.97 |
|
74183
Mri scan of abdomen before and after contrast
|
12 | 12 | $411.00 | $108.84 |
|
70544
Mri scan of blood vessels of head without contrast
|
12 | 12 | $218.00 | $59.45 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
12 | 12 | $81.00 | $22.18 |
|
76870
Ultrasound scan of scrotum
|
12 | 12 | $115.92 | $31.37 |
|
77001
Fluoroscopic guidance for insertion, replacement or removal of central venous access device
|
11 | 11 | $69.00 | $18.42 |
|
74150
Ct scan of abdomen without contrast
|
11 | 11 | $216.18 | $59.54 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71045
X-ray of chest, 1 view
|
1,105 | 1,005 | $33.00 | $8.95 |
|
71046
X-ray of chest, 2 views
|
1,002 | 944 | $39.32 | $10.71 |
|
77067
Screening mammography
|
602 | 602 | $134.00 | $37.04 |
|
70450
Ct scan head or brain without contrast
|
485 | 466 | $153.88 | $40.96 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
304 | 295 | $316.47 | $85.42 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
272 | 264 | $331.66 | $89.61 |
|
77063
Screening digital tomography of both breasts
|
259 | 259 | $109.00 | $29.06 |
|
71250
Ct scan of chest without contrast
|
251 | 248 | $185.88 | $56.56 |
|
73030
X-ray of shoulder, minimum of 2 views
|
221 | 205 | $36.24 | $9.69 |
|
73502
X-ray of hip, 2-3 views
|
219 | 210 | $40.90 | $11.06 |
|
74018
X-ray of abdomen, 1 view
|
199 | 177 | $33.00 | $8.92 |
|
71260
Ct scan of chest with contrast
|
187 | 179 | $226.74 | $59.37 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
173 | 168 | $80.88 | $21.84 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
159 | 159 | $144.84 | $39.01 |
|
73564
X-ray of knee, 4 or more views
|
154 | 144 | $42.99 | $11.64 |
|
76705
Limited ultrasound scan of abdomen
|
143 | 142 | $106.91 | $28.70 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
139 | 139 | $37.00 | $9.94 |
|
73630
X-ray of foot, minimum of 3 views
|
132 | 123 | $30.91 | $8.19 |
|
77067
Screening mammography
|
119 | 119 | $134.00 | $37.03 |
|
76641
Complete ultrasound scan of 1 breast
|
117 | 111 | $191.75 | $43.83 |
|
73560
X-ray of knee, 1-2 views
|
114 | 103 | $34.75 | $9.27 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
111 | 111 | $57.00 | $15.50 |
|
73610
X-ray of ankle, minimum of 3 views
|
105 | 96 | $32.25 | $8.69 |
|
71275
Ct scan of blood vessels of chest with contrast
|
104 | 103 | $330.54 | $88.88 |
|
72125
Ct scan of upper spine without contrast
|
103 | 102 | $194.75 | $51.93 |
|
73562
X-ray of knee, 3 views
|
93 | 80 | $35.83 | $9.80 |
|
70551
Mri scan of brain without contrast
|
91 | 91 | $268.80 | $72.82 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
90 | 87 | $125.76 | $33.59 |
|
73130
X-ray of hand, minimum of 3 views
|
87 | 80 | $32.68 | $8.80 |
|
71046
X-ray of chest, 2 views
|
84 | 77 | $39.00 | $10.72 |
|
73110
X-ray of wrist, minimum of 3 views
|
83 | 76 | $31.92 | $8.61 |
|
72148
MRI scan of lower spinal canal
|
81 | 81 | $269.48 | $72.36 |
|
76700
Ultrasound of abdomen
|
74 | 74 | $146.59 | $39.61 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
74 | 73 | $40.89 | $11.06 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
74 | 74 | $104.92 | $28.11 |
|
76536
Ultrasound of head and neck
|
73 | 73 | $101.92 | $27.59 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
70 | 68 | $364.66 | $98.27 |
|
73120
X-ray of hand, 2 views
|
68 | 59 | $50.15 | $13.10 |
|
73620
X-ray of foot, 2 views
|
62 | 57 | $44.09 | $11.95 |
|
73721
Mri scan of leg joint without contrast
|
54 | 52 | $247.41 | $66.75 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
53 | 53 | $287.00 | $77.71 |
|
70553
Mri scan of brain before and after contrast
|
53 | 53 | $416.53 | $112.05 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
53 | 50 | $433.15 | $116.89 |
|
72141
MRI scan of upper spinal canal
|
50 | 50 | $269.52 | $72.23 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
46 | 46 | $133.96 | $36.04 |
|
74019
X-ray of abdomen, 2 views
|
46 | 42 | $42.00 | $11.39 |
|
72131
CT scan of lower spine
|
45 | 45 | $181.78 | $48.34 |
|
73221
Mri scan of arm joint without contrast
|
44 | 44 | $259.09 | $69.87 |
|
73552
X-ray of thigh bone, minimum 2 views
|
43 | 41 | $34.00 | $9.31 |
|
73700
Ct scan of leg without contrast
|
42 | 39 | $186.29 | $49.76 |
|
70486
CT scan of face
|
41 | 41 | $155.71 | $41.96 |
|
73590
X-ray of lower leg, 2 views
|
40 | 38 | $30.88 | $8.26 |
|
77065
Diagnostic mammography of 1 breast
|
40 | 40 | $142.30 | $40.12 |
|
72202
X-ray of joint between lower spine and hip bone, 3 or more views
|
36 | 36 | $35.30 | $9.30 |
|
72050
X-ray of upper spine, 4 or 5 views
|
35 | 35 | $57.00 | $15.53 |
|
71045
X-ray of chest, 1 view
|
35 | 33 | $33.00 | $8.95 |
|
76830
Ultrasound pelvis through vagina
|
35 | 34 | $125.74 | $33.33 |
|
72170
X-ray of pelvis, 1-2 views
|
35 | 35 | $31.91 | $8.61 |
|
74230
Imaging for evaluation of swallowing function
|
34 | 34 | $97.00 | $26.14 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
33 | 33 | $49.82 | $13.42 |
|
G0297
Low dose ct scan (ldct) for lung cancer screening
|
31 | 31 | $95.87 | $48.53 |
|
72070
X-ray of middle spine, 2 views
|
31 | 31 | $40.90 | $11.05 |
|
77063
Screening digital tomography of both breasts
|
30 | 30 | $109.00 | $29.17 |
|
74220
Single contrast x-ray of esophagus
|
29 | 28 | $83.90 | $22.70 |
|
73140
X-ray of finger, minimum of 2 views
|
29 | 28 | $25.00 | $6.86 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
28 | 28 | $154.71 | $41.74 |
|
73060
X-ray of upper arm, minimum of 2 views
|
28 | 27 | $30.93 | $8.26 |
|
73521
X-ray of both hips, 2 views
|
27 | 27 | $42.00 | $11.04 |
|
70496
Ct scan of blood vessels of head with contrast
|
27 | 27 | $317.85 | $84.18 |
|
73080
X-ray of elbow, minimum of 3 views
|
27 | 25 | $33.11 | $8.92 |
|
72052
X-ray of upper spine, 6 or more views
|
26 | 26 | $66.00 | $17.94 |
|
77001
Fluoroscopic guidance for insertion, replacement or removal of central venous access device
|
25 | 24 | $69.00 | $17.78 |
|
78315
Nuclear medicine study of bone taken at different times
|
25 | 25 | $181.68 | $49.09 |
|
72192
Ct scan pelvis
|
25 | 25 | $197.84 | $53.23 |
|
72040
X-ray of upper spine, 2-3 views
|
25 | 24 | $40.88 | $11.07 |
|
76937
Ultrasonic guidance for blood vessel access
|
24 | 24 | $52.00 | $14.08 |
|
70498
Ct scan of blood vessels of neck with contrast
|
23 | 23 | $317.83 | $82.53 |
|
72114
X-ray lower and sacral spine, minimum of 6 views
|
23 | 23 | $59.47 | $16.21 |
|
71100
X-ray of ribs of one side of body, 2 views
|
22 | 22 | $40.82 | $11.07 |
|
76856
Complete ultrasound scan of pelvis
|
22 | 22 | $124.86 | $33.25 |
|
70491
CT scan of neck with contrast
|
21 | 20 | $252.71 | $67.44 |
|
77066
Diagnostic mammography of both breasts
|
21 | 21 | $176.00 | $49.30 |
|
32555
Aspiration of fluid from chest cavity using imaging guidance
|
20 | 19 | $412.70 | $109.67 |
|
20610
Aspiration and/or injection of fluid from large joint
|
19 | 15 | $167.00 | $42.29 |
|
73090
X-ray of forearm, 2 views
|
18 | 17 | $30.94 | $8.25 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
18 | 17 | $317.00 | $85.30 |
|
72072
X-ray of middle spine, 3 views
|
18 | 18 | $39.78 | $10.76 |
|
93925
Ultrasound of leg arteries or artery grafts
|
18 | 18 | $142.56 | $38.78 |
|
78264
Stomach emptying study
|
17 | 17 | $132.76 | $38.00 |
|
72158
Mri scan of lower spinal canal before and after contrast
|
17 | 17 | $416.71 | $112.28 |
|
73660
X-ray of toes, minimum of 2 views
|
17 | 16 | $24.00 | $6.53 |
|
74150
Ct scan of abdomen without contrast
|
17 | 17 | $216.65 | $58.54 |
|
77002
Fluoroscopic guidance for needle placement
|
16 | 14 | $102.00 | $27.37 |
|
70450
Ct scan head or brain without contrast
|
16 | 14 | $154.00 | $40.94 |
|
74250
X-ray of small intestine
|
16 | 16 | $84.81 | $23.08 |
|
71250
Ct scan of chest without contrast
|
15 | 15 | $186.00 | $56.65 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
15 | 15 | $398.00 | $106.59 |
|
78226
Imaging of liver and bile duct system
|
15 | 15 | $132.73 | $35.88 |
|
93922
Ultrasound study of arm and leg arteries
|
15 | 15 | $81.65 | $12.19 |
|
73200
Ct scan of arm without contrast
|
14 | 14 | $181.86 | $48.84 |
|
78582
Nuclear medicine study of lung ventilation and circulation
|
14 | 14 | $192.00 | $51.62 |
|
70551
Mri scan of brain without contrast
|
14 | 14 | $269.00 | $72.32 |
|
72146
Mri scan of middle spinal canal
|
14 | 14 | $269.79 | $71.69 |
|
72220
X-ray of sacrum and tailbone, minimum of 2 views
|
14 | 14 | $32.00 | $8.60 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
13 | 13 | $89.00 | $24.05 |
|
73522
X-ray of both hips, 3-4 views
|
13 | 12 | $55.00 | $14.73 |
|
73718
Mri scan of leg without contrast
|
13 | 12 | $246.00 | $65.57 |
|
74022
Complete x-ray study of abdomen with single x-ray of chest
|
13 | 13 | $58.69 | $15.87 |
|
74183
Mri scan of abdomen before and after contrast
|
13 | 12 | $411.00 | $106.57 |
|
76000
Imaging guidance for procedure, 60 minutes or less
|
13 | 12 | $47.95 | $8.47 |
|
76377
3D radiographic procedure with computerized image postprocessing
|
13 | 13 | $144.00 | $38.80 |
|
76870
Ultrasound scan of scrotum
|
13 | 13 | $115.92 | $30.86 |
|
72128
CT scan of middle spine
|
12 | 11 | $181.67 | $48.31 |
|
76706
Ultrasound scan of abdominal aorta
|
12 | 12 | $101.00 | $26.95 |
|
74160
Ct scan of abdomen with contrast
|
12 | 12 | $230.75 | $62.35 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
11 | 11 | $81.00 | $21.86 |
|
74247
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast
|
11 | 11 | $125.73 | $33.89 |
|
73030
X-ray of shoulder, minimum of 2 views
|
11 | 11 | $38.08 | $10.14 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
71010
X-ray of chest, 1 view, front
|
1,065 | 930 | $33.00 | $8.80 |
|
71020
X-ray of chest, 2 views, front and side
|
1,055 | 976 | $39.92 | $10.50 |
|
G0202
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
|
622 | 622 | $134.00 | $35.33 |
|
70450
Ct scan head or brain without contrast
|
420 | 405 | $153.93 | $40.70 |
|
74176
Ct scan of abdomen and pelvis without contrast
|
305 | 294 | $316.69 | $84.16 |
|
74177
Ct scan of abdomen and pelvis with contrast
|
247 | 238 | $331.82 | $87.75 |
|
77063
Screening digital tomography of both breasts
|
238 | 238 | $109.00 | $28.90 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
231 | 231 | $37.00 | $9.75 |
|
71250
Ct scan of chest without contrast
|
222 | 216 | $185.87 | $49.04 |
|
73502
X-ray of hip, 2-3 views
|
212 | 198 | $40.94 | $10.86 |
|
74000
X-ray of abdomen, single view
|
211 | 191 | $33.00 | $8.81 |
|
73030
X-ray of shoulder, minimum of 2 views
|
189 | 174 | $35.97 | $9.44 |
|
76705
Limited ultrasound scan of abdomen
|
182 | 178 | $106.98 | $28.20 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
169 | 162 | $80.90 | $21.27 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
160 | 160 | $144.86 | $38.26 |
|
71260
Ct scan of chest with contrast
|
157 | 149 | $226.85 | $58.83 |
|
G0202
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
|
153 | 153 | $168.72 | $61.55 |
|
73564
X-ray of knee, 4 or more views
|
151 | 127 | $42.01 | $11.16 |
|
73630
X-ray of foot, minimum of 3 views
|
123 | 114 | $31.43 | $8.29 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
113 | 113 | $104.96 | $27.74 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
100 | 100 | $57.00 | $15.26 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
97 | 96 | $128.39 | $33.38 |
|
76641
Complete ultrasound scan of 1 breast
|
95 | 91 | $200.12 | $44.20 |
|
73110
X-ray of wrist, minimum of 3 views
|
90 | 83 | $32.26 | $8.56 |
|
73560
X-ray of knee, 1-2 views
|
90 | 79 | $33.03 | $8.67 |
|
72148
MRI scan of lower spinal canal
|
85 | 85 | $269.89 | $72.08 |
|
73610
X-ray of ankle, minimum of 3 views
|
85 | 84 | $32.68 | $8.67 |
|
76536
Ultrasound of head and neck
|
83 | 81 | $101.93 | $27.12 |
|
76700
Ultrasound of abdomen
|
83 | 81 | $146.76 | $38.95 |
|
70551
Mri scan of brain without contrast
|
79 | 79 | $268.89 | $71.26 |
|
72125
Ct scan of upper spine without contrast
|
77 | 77 | $194.87 | $51.41 |
|
71275
Ct scan of blood vessels of chest with contrast
|
73 | 72 | $330.89 | $87.75 |
|
73721
Mri scan of leg joint without contrast
|
71 | 68 | $254.87 | $67.44 |
|
73562
X-ray of knee, 3 views
|
68 | 58 | $37.50 | $10.10 |
|
70553
Mri scan of brain before and after contrast
|
65 | 63 | $416.69 | $110.71 |
|
91200
Measurement of liver stiffness
|
65 | 65 | $47.00 | $13.32 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
63 | 63 | $287.00 | $76.22 |
|
73130
X-ray of hand, minimum of 3 views
|
62 | 57 | $31.81 | $8.48 |
|
74020
Imaging of abdomen
|
59 | 53 | $49.97 | $13.16 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
59 | 59 | $40.93 | $10.71 |
|
74178
Ct scan of abdomen and pelvis before and after contrast
|
58 | 56 | $364.79 | $97.03 |
|
72131
CT scan of lower spine
|
48 | 47 | $181.88 | $47.70 |
|
72141
MRI scan of upper spinal canal
|
47 | 47 | $269.94 | $69.86 |
|
73620
X-ray of foot, 2 views
|
45 | 45 | $42.15 | $11.30 |
|
71020
X-ray of chest, 2 views, front and side
|
44 | 43 | $67.27 | $20.82 |
|
71101
X-ray of ribs on side of body, minimum of 3 views
|
44 | 44 | $49.93 | $13.19 |
|
73120
X-ray of hand, 2 views
|
43 | 39 | $51.88 | $13.64 |
|
73700
Ct scan of leg without contrast
|
42 | 40 | $181.86 | $47.88 |
|
70486
CT scan of face
|
42 | 42 | $155.95 | $41.28 |
|
G0206
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
|
41 | 41 | $142.00 | $37.65 |
|
73552
X-ray of thigh bone, minimum 2 views
|
41 | 38 | $34.00 | $9.13 |
|
78815
Nuclear medicine study from skull base to mid-thigh with ct scan
|
41 | 41 | $433.76 | $115.42 |
|
73221
Mri scan of arm joint without contrast
|
40 | 39 | $248.00 | $65.63 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
37 | 37 | $133.97 | $35.43 |
|
73080
X-ray of elbow, minimum of 3 views
|
35 | 34 | $31.91 | $8.47 |
|
76856
Complete ultrasound scan of pelvis
|
34 | 34 | $124.88 | $33.18 |
|
73060
X-ray of upper arm, minimum of 2 views
|
32 | 29 | $30.97 | $8.12 |
|
73590
X-ray of lower leg, 2 views
|
32 | 31 | $31.00 | $8.13 |
|
72170
X-ray of pelvis, 1-2 views
|
31 | 30 | $31.97 | $8.45 |
|
72052
X-ray of upper spine, 6 or more views
|
30 | 30 | $66.00 | $17.63 |
|
78306
Nuclear medicine study of bone and/or joint whole body
|
30 | 29 | $154.87 | $40.77 |
|
76830
Ultrasound pelvis through vagina
|
29 | 29 | $125.83 | $33.58 |
|
G0297
Low dose ct scan (ldct) for lung cancer screening
|
29 | 29 | $95.90 | $48.62 |
|
73140
X-ray of finger, minimum of 2 views
|
29 | 28 | $25.00 | $6.75 |
|
G0204
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
|
29 | 29 | $176.00 | $44.38 |
|
72070
X-ray of middle spine, 2 views
|
28 | 27 | $41.00 | $10.84 |
|
49083
Drainage of fluid from abdominal cavity using imaging guidance
|
27 | 21 | $398.33 | $105.87 |
|
72202
X-ray of joint between lower spine and hip bone, 3 or more views
|
27 | 27 | $35.30 | $9.17 |
|
76000
Imaging guidance for procedure, 60 minutes or less
|
26 | 26 | $46.65 | $8.38 |
|
77001
Fluoroscopic guidance for insertion, replacement or removal of central venous access device
|
26 | 25 | $69.00 | $18.20 |
|
74220
Single contrast x-ray of esophagus
|
26 | 26 | $83.96 | $22.38 |
|
73521
X-ray of both hips, 2 views
|
24 | 24 | $42.00 | $11.19 |
|
72050
X-ray of upper spine, 4 or 5 views
|
24 | 24 | $57.00 | $15.22 |
|
93925
Ultrasound of leg arteries or artery grafts
|
24 | 24 | $148.79 | $37.89 |
|
32555
Aspiration of fluid from chest cavity using imaging guidance
|
24 | 17 | $413.00 | $109.54 |
|
73630
X-ray of foot, minimum of 3 views
|
21 | 16 | $133.00 | $31.03 |
|
70491
CT scan of neck with contrast
|
21 | 21 | $252.86 | $66.63 |
|
93922
Ultrasound study of arm and leg arteries
|
20 | 20 | $81.65 | $12.08 |
|
78582
Nuclear medicine study of lung ventilation and circulation
|
20 | 20 | $192.00 | $51.12 |
|
76937
Ultrasonic guidance for blood vessel access
|
19 | 19 | $52.00 | $13.87 |
|
76641
Complete ultrasound scan of 1 breast
|
19 | 15 | $461.37 | $148.13 |
|
72040
X-ray of upper spine, 2-3 views
|
19 | 19 | $40.84 | $10.89 |
|
71100
X-ray of ribs of one side of body, 2 views
|
18 | 18 | $41.00 | $10.88 |
|
74230
Imaging for evaluation of swallowing function
|
18 | 18 | $97.00 | $25.77 |
|
73090
X-ray of forearm, 2 views
|
18 | 18 | $30.78 | $8.13 |
|
73718
Mri scan of leg without contrast
|
18 | 17 | $246.00 | $64.73 |
|
70498
Ct scan of blood vessels of neck with contrast
|
18 | 18 | $317.33 | $82.61 |
|
76642
Limited ultrasound scan of 1 breast
|
18 | 17 | $130.89 | $33.99 |
|
77078
Ct scan for measuring calcium and other minerals in bone
|
18 | 18 | $495.00 | $85.01 |
|
70496
Ct scan of blood vessels of head with contrast
|
17 | 17 | $318.00 | $82.15 |
|
G0206
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
|
16 | 16 | $222.63 | $75.27 |
|
73660
X-ray of toes, minimum of 2 views
|
16 | 16 | $24.00 | $6.42 |
|
74150
Ct scan of abdomen without contrast
|
16 | 16 | $216.81 | $57.48 |
|
74160
Ct scan of abdomen with contrast
|
16 | 16 | $231.00 | $61.40 |
|
71035
X-ray of chest, special views
|
16 | 15 | $33.00 | $8.80 |
|
76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
|
16 | 14 | $89.00 | $23.77 |
|
74420
Imaging of urinary tract
|
15 | 15 | $64.00 | $17.03 |
|
70470
Ct scan of head or brain before and after contrast
|
15 | 15 | $230.20 | $61.26 |
|
72192
Ct scan pelvis
|
15 | 15 | $198.00 | $52.80 |
|
74250
X-ray of small intestine
|
15 | 15 | $84.93 | $22.99 |
|
74181
Mri scan of abdomen without contrast
|
14 | 14 | $265.43 | $70.42 |
|
77002
Fluoroscopic guidance for needle placement
|
14 | 14 | $101.86 | $26.98 |
|
78315
Nuclear medicine study of bone taken at different times
|
14 | 14 | $181.86 | $48.51 |
|
20610
Aspiration and/or injection of fluid from large joint
|
14 | 13 | $166.79 | $42.63 |
|
76870
Ultrasound scan of scrotum
|
13 | 13 | $115.92 | $30.84 |
|
76642
Limited ultrasound scan of 1 breast
|
13 | 13 | $133.54 | $34.19 |
|
74183
Mri scan of abdomen before and after contrast
|
13 | 13 | $411.00 | $109.27 |
|
73200
Ct scan of arm without contrast
|
13 | 13 | $182.00 | $48.17 |
|
74247
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast
|
13 | 13 | $126.00 | $33.49 |
|
77012
Review by radiologist of ct guidance for needle placement
|
13 | 13 | $208.00 | $55.14 |
|
71250
Ct scan of chest without contrast
|
12 | 12 | $595.33 | $145.11 |
|
72146
Mri scan of middle spinal canal
|
12 | 12 | $269.50 | $68.51 |
|
78264
Stomach emptying study
|
11 | 11 | $133.00 | $37.62 |
|
72110
X-ray of lower and sacral spine, minimum of 4 views
|
11 | 11 | $187.00 | $54.17 |
|
74174
Ct scan of blood vessels of abdomen and pelvis with contrast
|
11 | 11 | $397.55 | $105.98 |
|
71270
Ct scan of chest before and after contrast
|
11 | 11 | $251.00 | $65.44 |
|
70544
Mri scan of blood vessels of head without contrast
|
11 | 11 | $218.00 | $58.35 |
|
72220
X-ray of sacrum and tailbone, minimum of 2 views
|
11 | 11 | $31.91 | $8.48 |
|
78226
Imaging of liver and bile duct system
|
11 | 11 | $133.00 | $35.33 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
NUCC Taxonomy Code: 2085R0202X
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Olean Radiology, Pc
515 Main St, Olean, NY 147601513
Phone: 7163732600
St Lawrence Radiology Assoc Pc
7785 N State St, Lowville, NY 133671229
Phone: 3153765200
Maritime Radiology Associates Pc
194 E Main St, Fort Kent, ME 047431428
Phone: 2078343155
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Ophthalmology
MDPHD
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 310 N HIGHLAND AVE, STE 3, OSSINING, NY 105626300 (Tel: 9149230201)
Registered at 310 N HIGHLAND AVE, STE 3, OSSINING, NY 105626300 (Tel: 9149230201)
Recorded as ANDREW LEWIS, M.D.
Radiology (License #169491 in NY)
Specialist (License #169491 in NY)
NPI status registered as active in NPPES database
Registered at 560 S BROADWAY, HICKSVILLE, NY 118015013 (Tel: 5169372233)
Registered at 310 N HIGHLAND AVE, STE 3, OSSINING, NY 105626300 (Tel: 9149230201)
Recorded as ANDREW LEWIS, M.D.
Specialist (License #169491 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
310 N Highland Ave, Ste 3
Ossining, NY 105626300
Phone: 9149230201
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.