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Table 4 US Medicare Reimbursements for Imaging Studies 2010*

From: Diagnostic imaging for spinal disorders in the elderly: a narrative review

Examination

 

Medicare National Average Global Fee

CPT Code

$ Submitted

$ Allowed

% Allowed

LUMBAR SPINE

Radiographs 2 or 3 views

72100

73.12

23.70

32.4

CT without contrast

72131

329.71

97.11

29.5

CT with contrast

72132

356.98

99.61

27.9

CT with and without contrast

72133

547.05

169.74

31.0

Injection for myelogram

62284

489.58

107.97

22.1

MR without contrast

72148

802.75

230.36

28.7

MR with contrast

72149

736.35

224.10

30.4

MR with and without contrast

72158

1,088.47

302.33

27.8

CERVICAL SPINE

Radiographs 2 or 3 views

72040

68.61

22.56

32.9

CT without contrast

72125

240.39

68.81

28.6

CT with contrast

72126

351.46

98.07

27.9

CT with and without contrast

72127

484.23

153.25

31.6

MR without contrast

72141

772.47

224.40

29.0

MR with contrast

72142

732.39

225.78

30.8

MR with and without contrast

72156

1,049.86

302.71

28.8

GENERAL

DXA Scan Axial

77080

172.88

59.30

34.3

Ultrasound screen for AAA

76770

190.10

69.71

36.7

   

Mean % Allowed:

30.0

  1. *https://www.codemap.com/cpt.cfm?cpt_code=72131 Accessed Nov 19, 2011.