| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$11,229.12 |
$11,229.12 |
7.8× |
| Acute gi blood loss imaging (78278) |
$5,028.21 |
$5,028.21 |
12.0× |
| Angio extremity unilateral (75710) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angio pulmonary unilateral (75741) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angiogram extremity bilateral (75716) |
$9,864.54 |
$9,864.54 |
3.0× |
| Angiogram pelvic (75736) |
$14,552.47 |
$14,552.47 |
2.5× |
| Angiography internal mammary rs&i (75756) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$9,495.69 |
$9,495.69 |
2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$14,552.47 |
$14,552.47 |
2.5× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$8,333.83 |
$8,333.83 |
2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$8,333.83 |
$8,333.83 |
2.5× |
| Ankle 2 views (73600) |
$1,028.66 |
$1,028.66 |
11.3× |
| Arthrography knee lt (73580) |
$3,495.47 |
$3,495.47 |
9.6× |
| Arthrography wrist lt (73115) |
$3,425.21 |
$3,425.21 |
9.4× |
| Barium enema (74270) |
$1,594.07 |
$1,594.07 |
8.7× |
| Basic dosimetry (77300) |
$817.14 |
$817.14 |
5.8× |
| Bilat selctv renal venogram (75833) |
$26,854.65 |
$26,854.65 |
8.1× |
| Bone age studies (77072) |
$773.97 |
$773.97 |
7.1× |
| Bone imaging limited area (78300) |
$1,530.24 |
$1,530.24 |
3.7× |
| Bone survey complete (77075) |
$875.44 |
$875.44 |
8.0× |
| Bowel imaging (78290) |
$1,916.52 |
$1,916.52 |
4.6× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,985.79 |
$1,985.79 |
5.1× |
| Brain image w/flow 4 + views (78606) |
$4,228.74 |
$4,228.74 |
7.5× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) |
$3,951.75 |
$3,951.75 |
9.5× |
| Card MRI w/stress img & dye (75563) |
$7,308.76 |
$7,308.76 |
8.9× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$5,440.42 |
$5,440.42 |
13.0× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$3,233.04 |
$3,233.04 |
8.9× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$1,646.31 |
$1,646.31 |
9.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,139.09 |
$1,139.09 |
6.2× |
| Cineradiography/videoradiography (76120) |
$1,344.82 |
$1,344.82 |
12.3× |
| Cisternogram (78630) |
$4,191.86 |
$4,191.86 |
7.4× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$7,308.76 |
$7,308.76 |
8.9× |
| Clavicle complete (73000) |
$1,063.59 |
$1,063.59 |
11.7× |
| Computed tomographic (CT) colonography, screening, including image postprocessing UNSCHEDULED (74263) |
$3,401.46 |
$3,401.46 |
13.7× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$6,810.73 |
$6,810.73 |
37.2× |
| Continuing medical physics consltj pr wk (77336) |
$1,162.11 |
$1,162.11 |
8.3× |
| Contrast exam abdominl aorta (75625) |
$8,333.83 |
$8,333.83 |
2.5× |
| Contrast exam thoracic aorta (75605) |
$14,552.47 |
$14,552.47 |
2.5× |
| Csf shunt evaluation (78645) |
$1,429.79 |
$1,429.79 |
2.5× |
| CT - st neck w&wo contr (70492) |
$7,629.22 |
$7,629.22 |
41.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$11,731.26 |
$11,731.26 |
32.2× |
| CT abdomen and pelvis without contrast (74176) |
$10,605.58 |
$10,605.58 |
42.6× |
| CT abdomen w wo contrast (74170) |
$8,152.94 |
$8,152.94 |
44.5× |
| CT abdomen w/contrast (74160) |
$5,946.53 |
$5,946.53 |
32.5× |
| CT abdomen w/o contrast (74150) |
$5,941.80 |
$5,941.80 |
54.4× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$11,092.30 |
$11,092.30 |
30.4× |
| CT angio abdom w/o & w/dye (74175) |
$9,258.56 |
$9,258.56 |
50.5× |
| CT angio abdominal arteries (75635) |
$11,871.86 |
$11,871.86 |
64.8× |
| CT angio hrt w/3d image (75574) |
$2,161.58 |
$2,161.58 |
5.9× |
| CT angiograph pelv w/o&w/dye (72191) |
$5,596.43 |
$5,596.43 |
30.6× |
| CT cervical spine w/contrast (72126) |
$7,578.02 |
$7,578.02 |
20.8× |
| CT cervical spine w/o contrast (72125) |
$7,085.30 |
$7,085.30 |
64.9× |
| CT chest w/contrast (71260) |
$6,428.52 |
$6,428.52 |
35.1× |
| CT colonography w/o cntrst (74261) |
$1,477.19 |
$1,477.19 |
13.5× |
| CT extremity upper w & w/o contrast (73202) |
$6,137.33 |
$6,137.33 |
33.5× |
| CT head/brain with contrast (70460) |
$6,291.38 |
$6,291.38 |
34.3× |
| CT head/brain without and with contrast (70470) |
$7,403.58 |
$7,403.58 |
40.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,147.56 |
$2,147.56 |
5.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$810.94 |
$810.94 |
8.9× |
| CT hrt w/3d image congen (75573) |
$1,556.20 |
$1,556.20 |
4.3× |
| CT limited/localized follow up study (76380) |
$1,835.51 |
$1,835.51 |
20.2× |
| CT lower ext w/wo contrast (73702) |
$8,074.82 |
$8,074.82 |
44.1× |
| CT lower extremity w contrast (73701) |
$6,404.73 |
$6,404.73 |
35.0× |
| CT lower extremity w/o contrast unilateral (73700) |
$5,853.26 |
$5,853.26 |
53.6× |
| CT lumbar spine w/contrast (72132) |
$7,471.70 |
$7,471.70 |
20.5× |
| CT lumbar spine w/o contrast (72131) |
$6,719.14 |
$6,719.14 |
61.5× |
| CT lumbar spine w/o then w/ con (72133) |
$9,086.29 |
$9,086.29 |
49.6× |
| CT maxillofacial area w/o contrast (70486) |
$5,208.06 |
$5,208.06 |
47.7× |
| CT maxillofacial w/contrast (70487) |
$6,567.27 |
$6,567.27 |
35.9× |
| CT maxillofacial w/o then w/ con (70488) |
$7,249.84 |
$7,249.84 |
39.6× |
| CT orbit sella ear w/o con (70480) |
$5,414.07 |
$5,414.07 |
49.6× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$8,344.66 |
$8,344.66 |
45.6× |
| CT pelvis w & w/o contrast (72194) |
$7,362.94 |
$7,362.94 |
40.2× |
| CT pelvis w/o contrast (72192) |
$5,925.36 |
$5,925.36 |
54.3× |
| CT soft tissue neck w/contrast (70491) |
$6,736.86 |
$6,736.86 |
36.8× |
| CT soft tissue neck w/o contrast (70490) |
$5,626.72 |
$5,626.72 |
51.5× |
| CT spine cervical w/wo contrast (72127) |
$9,137.17 |
$9,137.17 |
49.9× |
| CT thoracic spine w/contrast (72129) |
$7,266.64 |
$7,266.64 |
39.7× |
| CT thoracic spine w/o contrast (72128) |
$6,556.64 |
$6,556.64 |
60.1× |
| CT thoracic spine w/o then w/ con (72130) |
$8,179.14 |
$8,179.14 |
44.7× |
| CT thorax lung cancer scr c- (71271) |
$1,077.74 |
$1,077.74 |
9.9× |
| CT thorax w/o contrast (71250) |
$5,984.31 |
$5,984.31 |
54.8× |
| CT thorax w/o then w/ contrast (71270) |
$7,070.63 |
$7,070.63 |
38.6× |
| CT upper extremity w/dye (73201) |
$6,385.20 |
$6,385.20 |
17.5× |
| CT upper extremity w/o contrast rt (73200) |
$5,790.96 |
$5,790.96 |
53.0× |
| CTA chest w/wo contrast (71275) |
$7,858.22 |
$7,858.22 |
42.9× |
| CTA head w contrast (70496) |
$8,769.47 |
$8,769.47 |
47.9× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$4,485.62 |
$4,485.62 |
24.5× |
| Cta Neck (70498) |
$10,740.61 |
$10,740.61 |
58.6× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$4,775.76 |
$4,775.76 |
26.1× |
| Diskography lumbar (72295) |
$6,598.98 |
$6,598.98 |
3.2× |
| Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study… (76828) |
$1,344.82 |
$1,344.82 |
12.3× |
| Doppler fetal mid cerebral artery (76821) |
$1,736.50 |
$1,736.50 |
15.9× |
| Dxa bone density study axial skeleton (77085) |
$427.91 |
$427.91 |
3.9× |
| Esophogram (74220) |
$1,102.75 |
$1,102.75 |
6.0× |
| Fetal biophysical profile non-stress testing (76818) |
$1,791.80 |
$1,791.80 |
16.4× |
| Fetal biophysical profile w/o nst (76819) |
$1,421.84 |
$1,421.84 |
13.0× |
| Fetal echo complete (76825) |
$5,928.41 |
$5,928.41 |
10.4× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,525.57 |
$1,525.57 |
6.1× |
| Full mouth X-ray of teeth (70320) |
$1,047.21 |
$1,047.21 |
4.2× |
| Gastric emptying study (78264) |
$4,998.76 |
$4,998.76 |
12.0× |
| Gated heart planar single (78472) |
$3,654.02 |
$3,654.02 |
8.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,519.18 |
$3,519.18 |
4.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,552.89 |
$4,552.89 |
6.3× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$8,333.83 |
$8,333.83 |
2.5× |
| Hepatobil syst image w/drug (78227) |
$4,656.91 |
$4,656.91 |
8.2× |
| Hepatobiliary system imaging (78226) |
$1,891.53 |
$1,891.53 |
4.5× |
| Humerus min 2 views (73060) |
$1,493.37 |
$1,493.37 |
16.4× |
| Hysterosalpingography (74740) |
$1,742.59 |
$1,742.59 |
7.0× |
| Imrt planning (77301) |
$16,618.24 |
$16,618.24 |
11.5× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$1,156.93 |
$1,156.93 |
2.8× |
| Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when… (77778) |
$10,491.27 |
$10,491.27 |
14.4× |
| Intracavitary radiation source applic complex (77763) |
$4,409.66 |
$4,409.66 |
6.1× |
| Intracavitary radiation source applic intermed (77762) |
$3,666.28 |
$3,666.28 |
6.4× |
| Intracavitary radiation source applic simple (77761) |
$2,473.39 |
$2,473.39 |
4.3× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,614.62 |
$1,614.62 |
4.1× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$1,358.39 |
$1,358.39 |
3.5× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$1,770.01 |
$1,770.01 |
4.5× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$1,226.75 |
$1,226.75 |
3.1× |
| Ivp (74400) |
$1,646.31 |
$1,646.31 |
9.0× |
| Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) |
$1,977.66 |
$1,977.66 |
3.5× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$1,651.16 |
$1,651.16 |
2.9× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$1,755.85 |
$1,755.85 |
3.1× |
| Kidney w vascular flow (78701) |
$1,521.22 |
$1,521.22 |
3.6× |
| Liver & spleen; static only (78215) |
$1,592.04 |
$1,592.04 |
3.8× |
| Liver & spleen; w vasc flow (78216) |
$3,951.75 |
$3,951.75 |
9.5× |
| Liver imaging w/vascular flow (78202) |
$4,228.74 |
$4,228.74 |
7.5× |
| Lung perf&ventilat diferentl (78598) |
$4,661.02 |
$4,661.02 |
8.2× |
| Lung perfusion differential (78597) |
$3,951.75 |
$3,951.75 |
9.5× |
| Lung ventilat&perfus imaging (78582) |
$3,878.56 |
$3,878.56 |
6.8× |
| Lung ventilation imaging (78579) |
$3,951.75 |
$3,951.75 |
9.5× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$6,128.04 |
$6,128.04 |
16.8× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$5,419.62 |
$5,419.62 |
14.9× |
| Mlc device(s) for imrt (77338) |
$1,226.75 |
$1,226.75 |
3.1× |
| Mr safety determination physician/other qhp (76016) |
$295.04 |
$295.04 |
3.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$196.49 |
$196.49 |
3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$82.38 |
$82.38 |
2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$309.28 |
$309.28 |
3.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$812.98 |
$812.98 |
3.3× |
| MRA head w & w/o contrast (70546) |
$6,286.46 |
$6,286.46 |
17.3× |
| MRA head w/contrast (70545) |
$5,926.14 |
$5,926.14 |
16.3× |
| MRA head w/o contrast (70544) |
$4,815.75 |
$4,815.75 |
19.3× |
| MRA neck w/contrast (70548) |
$6,173.90 |
$6,173.90 |
16.9× |
| MRA neck w/o contrast (70547) |
$3,800.66 |
$3,800.66 |
15.3× |
| MRA neck w/wo contrast (70549) |
$5,419.14 |
$5,419.14 |
14.9× |
| MRI abdomen w/contrast (74182) |
$5,540.28 |
$5,540.28 |
15.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,084.36 |
$7,084.36 |
19.4× |
| MRI abdomen w/o contrast (74181) |
$5,121.16 |
$5,121.16 |
20.6× |
| MRI any jnt lwr ext with con lt (73722) |
$6,194.65 |
$6,194.65 |
7.6× |
| MRI breast without contrast bilateral (77047) |
$5,092.83 |
$5,092.83 |
20.4× |
| MRI breast without contrast material unilateral (77046) |
$1,928.17 |
$1,928.17 |
7.7× |
| MRI cardiac w/o contrast (75557) |
$3,128.04 |
$3,128.04 |
12.6× |
| MRI cervical spine w/o contrast (72141) |
$4,367.74 |
$4,367.74 |
17.5× |
| MRI cervical spine with contrast (72142) |
$4,976.36 |
$4,976.36 |
13.7× |
| MRI chest w & w/o contrast (71552) |
$5,600.69 |
$5,600.69 |
15.4× |
| MRI chest w/contrast (71551) |
$3,171.89 |
$3,171.89 |
3.9× |
| MRI chest w/o contrast (71550) |
$2,773.14 |
$2,773.14 |
11.1× |
| MRI elastography (76391) |
$812.98 |
$812.98 |
3.3× |
| MRI joint upper ext w/contrast (73222) |
$4,677.59 |
$4,677.59 |
5.7× |
| MRI joint upr extr w/o&w/dye (73223) |
$6,127.19 |
$6,127.19 |
16.8× |
| MRI joint upr extrem w/o dye (73221) |
$4,490.04 |
$4,490.04 |
18.0× |
| Mri Lower Extremity W/O Dye (73718) |
$4,914.78 |
$4,914.78 |
19.7× |
| MRI lumbar spine with contrast (72149) |
$5,629.84 |
$5,629.84 |
15.5× |
| MRI lumbar w/wo contrast (72158) |
$7,713.24 |
$7,713.24 |
21.2× |
| MRI lwr ext w/o jnts with con rt (73719) |
$3,828.56 |
$3,828.56 |
10.5× |
| MRI orbit/face/neck w/contrast (70542) |
$4,378.54 |
$4,378.54 |
12.0× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$5,991.96 |
$5,991.96 |
16.4× |
| MRI orbit/face/neck w/o contrast (70540) |
$3,754.16 |
$3,754.16 |
15.1× |
| MRI pelvis w/ contrast (72196) |
$5,174.80 |
$5,174.80 |
14.2× |
| MRI pelvis w/o contrast (72195) |
$4,721.20 |
$4,721.20 |
18.9× |
| MRI pelvis w/wo contrast (72197) |
$6,635.44 |
$6,635.44 |
18.2× |
| MRI spectroscopy (76390) |
$5,295.14 |
$5,295.14 |
58.3× |
| MRI spine cervical wo/w contrast (72156) |
$5,818.05 |
$5,818.05 |
16.0× |
| MRI spine thoracic w/contrast (72147) |
$5,609.24 |
$5,609.24 |
15.4× |
| MRI thoracic spine w wo contrast (72157) |
$7,693.95 |
$7,693.95 |
21.1× |
| MRI thoracic spine w/o contrast (72146) |
$5,092.76 |
$5,092.76 |
20.4× |
| MRI tmj (70336) |
$2,409.66 |
$2,409.66 |
9.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,839.92 |
$3,839.92 |
15.4× |
| Mri Upper Extremity W/Dye (73219) |
$4,492.03 |
$4,492.03 |
12.3× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$5,519.06 |
$5,519.06 |
15.1× |
| Myelogram thoracic (72255) |
$3,261.15 |
$3,261.15 |
4.0× |
| Myelography 2 or more regions (72270) |
$3,442.91 |
$3,442.91 |
4.2× |
| Myelography lumbosacral (72265) |
$4,974.35 |
$4,974.35 |
6.1× |
| Myocardial spect single study at rest or stress (78451) |
$4,819.89 |
$4,819.89 |
3.6× |
| N-invas est c ffr augmnt sw alys CTA i&r phy/qhp (75580) |
$3,570.67 |
$3,570.67 |
4.0× |
| Nm bone 3 phase (78315) |
$2,508.89 |
$2,508.89 |
6.0× |
| Nm bone imaging whole body (78306) |
$2,099.64 |
$2,099.64 |
5.0× |
| Nm heart perfusion spect stress rest (78452) |
$11,728.14 |
$11,728.14 |
8.7× |
| Nm liver image static only (78201) |
$4,228.74 |
$4,228.74 |
7.5× |
| Nm lymph system (78195) |
$6,360.96 |
$6,360.96 |
11.2× |
| Nm thyroid imaging only (78013) |
$3,951.75 |
$3,951.75 |
9.5× |
| Nose to rectum for fb child (76010) |
$506.47 |
$506.47 |
5.6× |
| Nuclear rx IV admin (79101) |
$2,443.15 |
$2,443.15 |
10.0× |
| Ob us < 14 wks single fetus (76801) |
$1,652.08 |
$1,652.08 |
15.1× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) |
$1,344.82 |
$1,344.82 |
12.3× |
| Oral radiopharm rx (79005) |
$3,213.70 |
$3,213.70 |
13.2× |
| Orthopantogram (70355) |
$783.49 |
$783.49 |
8.6× |
| Parathyroid imaging (78070) |
$1,184.56 |
$1,184.56 |
2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,760.83 |
$1,760.83 |
4.2× |
| Peritoneogram rs&i (74190) |
$5,928.41 |
$5,928.41 |
10.4× |
| PET brain metabolic eval (78608) |
$14,593.75 |
$14,593.75 |
9.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$24,121.72 |
$24,121.72 |
16.2× |
| PET imaging CT for attenuation limited area (78814) |
$14,593.75 |
$14,593.75 |
9.8× |
| PET imaging for CT attenuation whole body (78816) |
$26,801.92 |
$26,801.92 |
17.9× |
| PET imaging whole body (78813) |
$20,101.44 |
$20,101.44 |
13.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$26,854.65 |
$26,854.65 |
8.1× |
| Pulmonary perfusion imaging particulate (78580) |
$3,083.23 |
$3,083.23 |
7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,837.79 |
$1,837.79 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,556.42 |
$1,556.42 |
17.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,188.66 |
$2,188.66 |
20.0× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$3,120.93 |
$3,120.93 |
28.6× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$3,139.90 |
$3,139.90 |
28.8× |
| Radex hip unilateral with pelvis 1 view (73501) |
$1,707.62 |
$1,707.62 |
18.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$2,240.42 |
$2,240.42 |
24.7× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,728.35 |
$2,728.35 |
25.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,269.31 |
$1,269.31 |
11.6× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,784.97 |
$1,784.97 |
16.4× |
| Radex spine cervical 2 or 3 views (72040) |
$2,020.82 |
$2,020.82 |
22.2× |
| Radex spine cervical 4 or 5 views (72050) |
$2,243.62 |
$2,243.62 |
20.6× |
| Radex spine cervical 6 or more views (72052) |
$2,476.05 |
$2,476.05 |
22.7× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,631.43 |
$1,631.43 |
18.0× |
| Radiation delivery stereotactic cranial linear (77372) |
$28,702.20 |
$28,702.20 |
3.7× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$35,192.81 |
$35,192.81 |
4.6× |
| Radiation tx delivery lvl 1 (77402) |
$703.14 |
$703.14 |
6.6× |
| Radiation tx delivery lvl 2 (77407) |
$938.60 |
$938.60 |
2.3× |
| Radiation tx delivery lvl 3 (77412) |
$1,516.22 |
$1,516.22 |
2.6× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,344.82 |
$1,344.82 |
12.3× |
| Radiologic exam phrnx&/crv esoph contrast study (74210) |
$1,646.31 |
$1,646.31 |
9.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,057.13 |
$2,057.13 |
11.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,516.80 |
$1,516.80 |
8.3× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$954.28 |
$954.28 |
10.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,433.45 |
$1,433.45 |
15.8× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,693.50 |
$1,693.50 |
15.5× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$2,282.84 |
$2,282.84 |
20.9× |
| Radiologic examination, teeth; partial examination, less than full mouth Other Diagnostic Radiology FS (70310) |
$812.98 |
$812.98 |
3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,047.30 |
$2,047.30 |
4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,249.78 |
$2,249.78 |
5.4× |
| Rp loclzj tum plnr whole body 2+ days imaging (78804) |
$3,104.69 |
$3,104.69 |
5.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,887.12 |
$2,887.12 |
5.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,329.67 |
$3,329.67 |
5.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,454.56 |
$4,454.56 |
3.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$997.17 |
$997.17 |
4.1× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$218.99 |
$218.99 |
9.4× |
| Selective spinal angiogram (75705) |
$46,619.20 |
$46,619.20 |
8.0× |
| Shoulder arthrogram (73040) |
$1,337.76 |
$1,337.76 |
3.7× |
| Simulation complex (77290) |
$2,131.28 |
$2,131.28 |
5.5× |
| Simulation simple (77280) |
$1,068.79 |
$1,068.79 |
7.6× |
| Small bowel series (74250) |
$1,903.56 |
$1,903.56 |
10.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,624.09 |
$1,624.09 |
4.2× |
| Special dosimetry (77331) |
$942.28 |
$942.28 |
6.7× |
| Special physics consult (77370) |
$1,661.78 |
$1,661.78 |
11.8× |
| Special treatment procedure (77470) |
$3,449 |
$3,449 |
6.0× |
| Stereotactic body radiation delivery (77373) |
$10,119.58 |
$10,119.58 |
5.4× |
| Superior sagittal sinus venogram (75870) |
$26,854.65 |
$26,854.65 |
8.1× |
| Surface application of low dose rate radionuclide source 2nd-5th Sessions (77789) |
$728.14 |
$728.14 |
6.8× |
| Tbs technical calculation only (77091) |
$299 |
$299 |
3.3× |
| Therapeutic enema barium or air (74283) |
$1,646.31 |
$1,646.31 |
9.0× |
| Thyroid met imaging body (78018) |
$3,425.59 |
$3,425.59 |
6.0× |
| Thyroid uptake single/multiple quant measurement (78012) |
$4,194.99 |
$4,194.99 |
10.0× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$1,186.03 |
$1,186.03 |
2.8× |
| Treatment device intermediate (77333) |
$1,022.18 |
$1,022.18 |
7.3× |
| Treatment devices complex (77334) |
$3,681.61 |
$3,681.61 |
9.4× |
| Treatment devices simple (77332) |
$711.32 |
$711.32 |
5.1× |
| Ultrasound breast limited (76642) |
$1,553.45 |
$1,553.45 |
17.1× |
| Ultrasound, abdomen limited (76705) |
$2,532.21 |
$2,532.21 |
23.2× |
| Umbilical-artery Doppler (OB) (76820) |
$1,785.59 |
$1,785.59 |
16.4× |
| Unlisted fluoroscopic procedure (76496) |
$986.70 |
$986.70 |
10.9× |
| Urethrocystography retrograde rs&i (74450) |
$2,833.35 |
$2,833.35 |
11.4× |
| Urethrocystography voiding (74455) |
$1,558.31 |
$1,558.31 |
6.3× |
| Urography antegrade (74425) |
$1,700.88 |
$1,700.88 |
4.7× |
| Us abdominal aorta real time screen study aaa (76706) |
$1,066.77 |
$1,066.77 |
9.8× |
| Us breast uni real time with image complete (76641) |
$2,331.74 |
$2,331.74 |
21.4× |
| Us chest (76604) |
$1,893.70 |
$1,893.70 |
17.3× |
| Us compl joint r-t w/image documentation (76881) |
$1,943.72 |
$1,943.72 |
17.8× |
| Us elastography parenchyma (76981) |
$1,344.82 |
$1,344.82 |
12.3× |
| Us encephalogram (76506) |
$1,872.60 |
$1,872.60 |
17.2× |
| Us guided compression repair (76936) |
$2,194.29 |
$2,194.29 |
9.7× |
| Us inft hips r-t img dynamic req phys/qhp manj (76885) |
$1,580.20 |
$1,580.20 |
17.4× |
| Us kidney transplanted (76776) |
$2,294.20 |
$2,294.20 |
21.0× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,880 |
$1,880 |
17.2× |
| Us ob detailed single fetus (76811) |
$3,198.77 |
$3,198.77 |
12.8× |
| Us ob followup per fetus (76816) |
$1,414.91 |
$1,414.91 |
13.0× |
| Us ob limited 1 or more fetuses (76815) |
$1,180.21 |
$1,180.21 |
10.8× |
| Us obstetric transvaginal (76817) |
$1,728.92 |
$1,728.92 |
15.8× |
| Us pelvic limited or f/u non-ob (76857) |
$1,791.06 |
$1,791.06 |
16.4× |
| Us pelvis complete (76856) |
$2,785.92 |
$2,785.92 |
25.5× |
| Us retroperitoneal complete (76770) |
$2,706.27 |
$2,706.27 |
24.8× |
| Us retroperitoneal limited (76775) |
$2,267.71 |
$2,267.71 |
20.8× |
| Us scrotum (76870) |
$2,229.12 |
$2,229.12 |
20.4× |
| Us soft tissue head/neck (76536) |
$2,443.11 |
$2,443.11 |
22.4× |
| Us spinal canal (76800) |
$1,381.02 |
$1,381.02 |
12.7× |
| Us transrectal (76872) |
$1,282.98 |
$1,282.98 |
11.8× |
| Us transrectal prostate volume (76873) |
$1,344.82 |
$1,344.82 |
12.3× |
| Us trgt dyn mbubb 1st les (76978) |
$2,640.82 |
$2,640.82 |
7.2× |
| Vascular flow imaging (78445) |
$3,951.75 |
$3,951.75 |
9.5× |
| Vein X-ray liver w/hemodynam (75885) |
$26,854.65 |
$26,854.65 |
8.1× |
| Venogram extremity bilateral (75822) |
$6,080.06 |
$6,080.06 |
3.7× |
| Venogram ivc w serialography (75825) |
$8,333.83 |
$8,333.83 |
2.5× |
| Venogram svc w serialography (75827) |
$12,975.70 |
$12,975.70 |
7.9× |
| Venography adrenal unilateral selective rs&i (75840) |
$26,854.65 |
$26,854.65 |
8.1× |
| Venography ext unilateral (75820) |
$4,342.90 |
$4,342.90 |
2.6× |
| Venography renal unilateral selective rs&i (75831) |
$26,854.65 |
$26,854.65 |
8.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$26,854.65 |
$26,854.65 |
8.1× |
| Venous sampling by catheter (75893) |
$46,619.20 |
$46,619.20 |
8.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,096.69 |
$1,096.69 |
12.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,669.55 |
$1,669.55 |
18.4× |
| X-ray aorta leg arteries (75630) |
$8,333.83 |
$8,333.83 |
2.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,258.21 |
$2,258.21 |
12.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,259.62 |
$1,259.62 |
13.9× |
| X-ray exam hips bi 3-4 views (73522) |
$1,665.96 |
$1,665.96 |
15.3× |
| X-ray exam of finger(s) (73140) |
$955.54 |
$955.54 |
10.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,488.23 |
$2,488.23 |
27.4× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,031.47 |
$1,031.47 |
11.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,139.24 |
$1,139.24 |
12.5× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,125.12 |
$1,125.12 |
10.3× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,231.66 |
$1,231.66 |
13.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$962.28 |
$962.28 |
10.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,043.34 |
$1,043.34 |
11.5× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,478.60 |
$1,478.60 |
16.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,739.51 |
$1,739.51 |
15.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$2,366.62 |
$2,366.62 |
26.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,857.44 |
$1,857.44 |
17.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,843.17 |
$2,843.17 |
26.0× |
| X-ray perineogram (74775) |
$2,833.35 |
$2,833.35 |
11.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,044.77 |
$1,044.77 |
11.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,447.82 |
$2,447.82 |
22.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,123.95 |
$1,123.95 |
10.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$664.50 |
$664.50 |
6.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,662.46 |
$1,662.46 |
18.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,868.10 |
$1,868.10 |
20.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,055.21 |
$2,055.21 |
22.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,283.89 |
$2,283.89 |
20.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,046.21 |
$2,046.21 |
18.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$888.16 |
$888.16 |
9.8× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,329.28 |
$1,329.28 |
14.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,597.04 |
$1,597.04 |
17.6× |
| Xr abdomen 1 view (74018) |
$978.47 |
$978.47 |
10.8× |
| Xr abdomen 2 views (74019) |
$1,204.27 |
$1,204.27 |
11.0× |
| Xr abdomen 3 views (74021) |
$1,430.07 |
$1,430.07 |
13.1× |
| Xr arthrogram elbow (73085) |
$3,582.22 |
$3,582.22 |
9.8× |
| Xr arthrogram hip (73525) |
$2,698.83 |
$2,698.83 |
7.4× |
| Xr bone density appendicular (77081) |
$837.72 |
$837.72 |
9.2× |
| Xr bone density axial (77080) |
$1,476.02 |
$1,476.02 |
13.5× |
| Xr bone length study (77073) |
$895.42 |
$895.42 |
8.2× |
| Xr bone survey infant (77076) |
$1,422.31 |
$1,422.31 |
13.0× |
| Xr bone survey limited (77074) |
$581.73 |
$581.73 |
5.3× |
| Xr chest 1 view (71045) |
$865.98 |
$865.98 |
9.5× |
| Xr chest 2 views (71046) |
$1,158.09 |
$1,158.09 |
12.7× |
| Xr chest 3 views (71047) |
$1,291.86 |
$1,291.86 |
14.2× |
| Xr cystogram 3+ views (74430) |
$1,241.87 |
$1,241.87 |
3.4× |
| Xr eye foreign body (70030) |
$986.70 |
$986.70 |
10.9× |
| Xr facial bones 3 views (70150) |
$2,646.40 |
$2,646.40 |
24.2× |
| Xr lower extremity 2 views infant (73592) |
$1,026 |
$1,026 |
11.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$431.61 |
$431.61 |
4.0× |
| Xr mandible 4 views (70110) |
$2,445.26 |
$2,445.26 |
22.4× |
| Xr myelogram c-spine (72240) |
$4,806.90 |
$4,806.90 |
5.9× |
| Xr nasal bones (70160) |
$1,341.54 |
$1,341.54 |
14.8× |
| Xr pelvis 3 views (72190) |
$1,967.61 |
$1,967.61 |
18.0× |
| Xr spine 1 view (72020) |
$1,134.39 |
$1,134.39 |
12.5× |
| Xr sternum 2 views (71120) |
$1,580.12 |
$1,580.12 |
17.4× |
| Xr surgical specimen (76098) |
$1,837.79 |
$1,837.79 |
3.2× |
| Xr upper extremity 2 views infant (73092) |
$837.89 |
$837.89 |
7.7× |
| Xray elbow 2 views (73070) |
$1,197.98 |
$1,197.98 |
13.2× |
| Xray forearm 2 views (73090) |
$1,282.89 |
$1,282.89 |
14.1× |
| Xray knee 1 or 2 views rt (73560) |
$1,233.39 |
$1,233.39 |
13.6× |
| Xray neck soft tissue (70360) |
$716.34 |
$716.34 |
7.9× |
| Xray orbits complete min 4 views (70200) |
$1,956.71 |
$1,956.71 |
17.9× |
| Xray pelvis 1 or 2 views (72170) |
$1,280.97 |
$1,280.97 |
11.7× |
| Xray ribs bilateral 3 views (71110) |
$1,468.50 |
$1,468.50 |
13.5× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,223.77 |
$2,223.77 |
20.4× |
| Xray scapula complete (73010) |
$923.52 |
$923.52 |
8.5× |
| Xray shoulder 1 view (73020) |
$566.11 |
$566.11 |
6.2× |
| Xray sinuses paranasal <3 views (70210) |
$1,056.67 |
$1,056.67 |
11.6× |
| Xray spine thoracic 2 views (72070) |
$1,187.03 |
$1,187.03 |
10.9× |
| Xray spine thoracic 3 views (72072) |
$2,117.56 |
$2,117.56 |
19.4× |
| Xray tibia-fibula 2 views bil (73590) |
$1,418.45 |
$1,418.45 |
15.6× |
| Xray tmj open - closed unilat (70328) |
$1,096.69 |
$1,096.69 |
12.1× |
| Xray tmj's bilateral open-clsc (70330) |
$1,096.69 |
$1,096.69 |
12.1× |