Medical Procedure Costs

76810

Ob us >/= 14 wks addl fetus

Radiology

$89

—

76811

Ob us detailed sngl fetus

Radiology

$182

—

76812

Ob us detailed addl fetus

Radiology

$194

—

76813

Ob us nuchal meas 1 gest

Radiology

$116

—

76814

Ob us nuchal meas add-on

Radiology

$75

—

76815

Ob us limited fetus(s)

Radiology

$82

—

76816

Ob us follow-up per fetus

Radiology

$111

—

76817

Transvaginal us obstetric

Radiology

$93

—

76818

Fetal biophys profile w/nst

Radiology

$122

—

76819

Fetal biophys profil w/o nst

Radiology

$88

—

76820

Umbilical artery echo

Radiology

$45

—

76821

Middle cerebral artery echo

Radiology

$90

—

76825

Echo exam of fetal heart

Radiology

$262

—

76826

Echo exam of fetal heart

Radiology

$158

—

76827

Echo exam of fetal heart

Radiology

$70

—

76828

Echo exam of fetal heart

Radiology

$49

—

76830

Transvaginal us non-ob

Radiology

$118

—

76831

Echo exam uterus

Radiology

$117

—

76856

Us exam pelvic complete

Radiology

$105

—

76857

Us exam pelvic limited

Radiology

$51

—

76870

Us exam scrotum

Radiology

$99

—

76872

Us transrectal

Radiology

$120

—

76873

Echograp trans r pros study

Radiology

$179

—

76881

Us compl joint r-t w/img

Radiology

$54

—

76882

Us lmtd jt/fcl evl nvasc xtr

Radiology

$64

—

76883

Us nrv&acc strux 1xtr compre

Radiology

$74

—

76885

Us exam infant hips dynamic

Radiology

$132

—

76886

Us exam infant hips static

Radiology

$97

—

76936

Echo guide for artery repair

Radiology

$265

—

76937

Us guide vascular access

Radiology

$40

—

76942

Echo guide for biopsy

Radiology

$64

—

76946

Echo guide for amniocentesis

Radiology

$34

—

76948

Echo guide ova aspiration

Radiology

$82

—

76965

Echo guidance radiotherapy

Radiology

$97

—

76977

Us bone density measure

Radiology

$8

—

76978

Us trgt dyn mbubb 1st les

Radiology

$171

—

76979

Us trgt dyn mbubb ea addl

Radiology

$107

—

76981

Use parenchyma

Radiology

$113

—

76982

Use 1st target lesion

Radiology

$93

—

76983

Use ea addl target lesion

Radiology

$61

—

77001

Fluoroguide for vein device

Radiology

$99

—

77002

Needle localization by xray

Radiology

$121

—

77003

Fluoroguide for spine inject

Radiology

$105

—

77011

Ct scan for localization

Radiology

$221

—

77012

Ct scan for needle biopsy

Radiology

$123

—

77021

Mri guidance ndl plmt rs&i

Radiology

$427

—

77046

Mri breast c- unilateral

Radiology

$213

—

77047

Mri breast c- bilateral

Radiology

$216

—

77048

Mri breast c-+ w/cad uni

Radiology

$334

—

77049

Mri breast c-+ w/cad bi

Radiology

$340

—

My Cost List