| Abdomen 2 views (74019) |
$850.70 |
$850.70 |
8.1× |
| Ankle 2 views (73600) |
$479.22 |
$479.22 |
5.5× |
| Bone survey complete (77075) |
$1,533.13 |
$1,533.13 |
14.6× |
| Brachytx isodose complex (77318) |
$2,599.35 |
$2,599.35 |
6.9× |
| Brachytx isodose intermed (77317) |
$4,380.20 |
$4,380.20 |
11.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$4,163.04 |
$4,163.04 |
11.1× |
| Cervical spine 2 or 3 views (72040) |
$735.88 |
$735.88 |
8.4× |
| Chest 1 view (71045) |
$687.73 |
$687.73 |
7.9× |
| Clavicle complete (73000) |
$392.91 |
$392.91 |
4.5× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$98,343.21 |
$98,343.21 |
13.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,731.74 |
$1,731.74 |
16.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,083.29 |
$8,083.29 |
23.1× |
| CT abdomen and pelvis without contrast (74176) |
$6,422.46 |
$6,422.46 |
26.8× |
| CT abdomen w contrast (74160) |
$4,701.85 |
$4,701.85 |
26.7× |
| CT abdomen w wo contrast (74170) |
$5,079.39 |
$5,079.39 |
28.8× |
| CT abdomen w/o contrast (74150) |
$4,079.16 |
$4,079.16 |
38.8× |
| CT angiography upper extremity lt (73206) |
$5,118.42 |
$5,118.42 |
29.0× |
| CT c-spine w/o contrast (72125) |
$4,291.76 |
$4,291.76 |
40.9× |
| CT cervical spine w&w/o contrast (72127) |
$5,116.27 |
$5,116.27 |
29.0× |
| CT cervical spine with contrast (72126) |
$4,651.93 |
$4,651.93 |
13.3× |
| CT chest w/wo contrast (71270) |
$4,690.98 |
$4,690.98 |
26.6× |
| CT chest with contrast (71260) |
$4,293.93 |
$4,293.93 |
24.4× |
| CT head/brain with contrast (70460) |
$3,494.18 |
$3,494.18 |
19.8× |
| CT head/brain without and with contrast (70470) |
$3,802.18 |
$3,802.18 |
21.6× |
| CT iac w contrast (70481) |
$3,714.15 |
$3,714.15 |
21.1× |
| CT lower ext w/o (73700) |
$3,692.90 |
$3,692.90 |
35.2× |
| CT lower extremity w wo contrast (73702) |
$4,573.84 |
$4,573.84 |
26.0× |
| CT lower extremity with contrast (73701) |
$4,003.20 |
$4,003.20 |
22.7× |
| CT lumbar spine w & w/o contrast (72133) |
$5,081.55 |
$5,081.55 |
28.8× |
| CT lumbar spine w/o contrast (72131) |
$4,007.51 |
$4,007.51 |
38.2× |
| CT lumbar spine with contrast (72132) |
$4,302.62 |
$4,302.62 |
12.3× |
| CT maxillofacial w contrast (70487) |
$3,250.16 |
$3,250.16 |
18.4× |
| CT maxillofacial w/o contrast (70486) |
$3,020.14 |
$3,020.14 |
28.8× |
| CT maxillofacial w/wo contrast (70488) |
$3,486.14 |
$3,486.14 |
19.8× |
| CT neck soft tissue w contrast (70491) |
$3,662.15 |
$3,662.15 |
20.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,088.20 |
$4,088.20 |
23.2× |
| CT orbits w/o contrast (70480) |
$3,348.14 |
$3,348.14 |
31.9× |
| CT pelvis w & w/o contrast (72194) |
$5,081.55 |
$5,081.55 |
28.8× |
| CT pelvis w/o contrast (72192) |
$3,981.50 |
$3,981.50 |
37.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,610.16 |
$3,610.16 |
20.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,886.14 |
$2,886.14 |
27.5× |
| CT thoracic spine w/o contrast (72128) |
$3,708.09 |
$3,708.09 |
35.3× |
| CT thoracic spine w/wo contrast (72130) |
$5,294.19 |
$5,294.19 |
30.0× |
| CT thorax w/o contrast (71250) |
$3,738.47 |
$3,738.47 |
35.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,732.50 |
$5,732.50 |
32.5× |
| CT upper extremity w/o contrast rt (73200) |
$3,977.14 |
$3,977.14 |
37.9× |
| CT upper extremity with contrast (73201) |
$4,549.97 |
$4,549.97 |
13.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,351.99 |
$2,351.99 |
13.3× |
| Cta Abdomen (74175) |
$3,831.80 |
$3,831.80 |
21.7× |
| CTA abdomen pelvis (74174) |
$8,210.32 |
$8,210.32 |
23.4× |
| CTA chest (71275) |
$4,925.32 |
$4,925.32 |
28.0× |
| Cta Head (70496) |
$4,540.19 |
$4,540.19 |
25.8× |
| CTA lwr ext w&w/o contrast (73706) |
$5,118.42 |
$5,118.42 |
29.0× |
| Cta Neck (70498) |
$3,532.17 |
$3,532.17 |
20.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$567.84 |
$567.84 |
5.4× |
| Echoencephalography real time imaging (76506) |
$873.85 |
$873.85 |
8.3× |
| Foot 2 views (73620) |
$440.62 |
$440.62 |
5.0× |
| Forearm 2 views (73090) |
$522.39 |
$522.39 |
6.0× |
| Hand 2 views (73120) |
$495.15 |
$495.15 |
4.7× |
| Hand 3 views (73130) |
$586.01 |
$586.01 |
6.7× |
| Humerus Min 2 Views Left (73060) |
$536.20 |
$536.20 |
6.1× |
| Intracavitary Radiation Source Applic Complex (77763) |
$9,218.31 |
$9,218.31 |
13.2× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$7,013.06 |
$7,013.06 |
12.6× |
| Intracavitary radiation source applic simple (77761) |
$7,013.06 |
$7,013.06 |
12.6× |
| Knee 3 views (73562) |
$570.08 |
$570.08 |
6.5× |
| Mr safety determination physician/other qhp (76016) |
$254.79 |
$254.79 |
2.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$169.68 |
$169.68 |
2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$71.15 |
$71.15 |
2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$267.09 |
$267.09 |
2.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$702.07 |
$702.07 |
2.9× |
| MRA head w/o contrast (70544) |
$3,908.13 |
$3,908.13 |
16.3× |
| MRA neck w contrast (70548) |
$4,165.30 |
$4,165.30 |
11.9× |
| MRI scan of leg joint before and after contrast (73723) |
$5,923.72 |
$5,923.72 |
16.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,897.22 |
$5,897.22 |
16.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,565.11 |
$5,565.11 |
15.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,609.30 |
$4,609.30 |
13.2× |
| Myocardial Spect Multiple Studies (78452) |
$8,441.82 |
$8,441.82 |
6.5× |
| Neck soft tissue (70360) |
$520.32 |
$520.32 |
6.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$17,408.24 |
$17,408.24 |
12.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$743.40 |
$743.40 |
7.1× |
| Osseous survey infant (77076) |
$1,137.92 |
$1,137.92 |
10.8× |
| Pelvis 1 or 2 views (72170) |
$465.62 |
$465.62 |
4.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,443.23 |
$4,443.23 |
12.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$842.65 |
$842.65 |
8.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,305.36 |
$1,305.36 |
12.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,913.64 |
$1,913.64 |
4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$654.13 |
$654.13 |
6.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$493.50 |
$493.50 |
5.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$646.31 |
$646.31 |
6.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$923.84 |
$923.84 |
10.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$590.52 |
$590.52 |
6.8× |
| Ribs bilateral 3 views (71110) |
$721.35 |
$721.35 |
6.9× |
| Sacroiliac Joints < 3 Views (72200) |
$627.75 |
$627.75 |
6.0× |
| Scanogram (77073) |
$679.13 |
$679.13 |
6.5× |
| Scapula complete (73010) |
$540.58 |
$540.58 |
5.1× |
| Screening digital breast tomosynthesis (77063) |
$318.28 |
$318.28 |
13.6× |
| Spine thoracic 3 views (72072) |
$822.20 |
$822.20 |
7.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,794.37 |
$1,794.37 |
4.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$3,663.61 |
$3,663.61 |
9.7× |
| Ultrasound, abdomen limited (76705) |
$1,242.44 |
$1,242.44 |
11.8× |
| Us abdl aorta screen aaa (76706) |
$950.10 |
$950.10 |
9.0× |
| Us breast unilateral limited (76642) |
$688.16 |
$688.16 |
7.9× |
| Us chest (76604) |
$956.71 |
$956.71 |
9.1× |
| Us compl joint r-t w/image documentation (76881) |
$1,399.39 |
$1,399.39 |
13.3× |
| Us kidney transplant (76776) |
$2,288.27 |
$2,288.27 |
21.8× |
| Us ob detailed single fetus (76811) |
$1,702.20 |
$1,702.20 |
7.1× |
| Us ob transvaginal (76817) |
$954.63 |
$954.63 |
9.1× |
| Us pelvic non ob complete (76856) |
$1,178.28 |
$1,178.28 |
11.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,066.46 |
$1,066.46 |
10.2× |
| Us pregnancy ltd (76815) |
$915.27 |
$915.27 |
8.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,375.01 |
$1,375.01 |
13.1× |
| Us retroperitoneal complete (76770) |
$1,161.71 |
$1,161.71 |
11.1× |
| Us retroperitoneal limited (76775) |
$1,068.52 |
$1,068.52 |
10.2× |
| Us scrotum and contents (76870) |
$1,180.35 |
$1,180.35 |
11.2× |
| Us soft tissue head/neck (76536) |
$1,093.37 |
$1,093.37 |
10.4× |
| Us xtr non-vasc lmtd (76882) |
$932.95 |
$932.95 |
8.9× |
| Wrist 2 views (73100) |
$470.16 |
$470.16 |
5.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$920.90 |
$920.90 |
8.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$663.23 |
$663.23 |
7.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$575.95 |
$575.95 |
6.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$613.26 |
$613.26 |
7.0× |
| X-ray exam hip uni 1 view (73501) |
$383.85 |
$383.85 |
4.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$656.42 |
$656.42 |
7.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,412.06 |
$1,412.06 |
13.4× |
| X-ray exam of femur 1 (73551) |
$383.85 |
$383.85 |
4.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$601.90 |
$601.90 |
6.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$613.26 |
$613.26 |
7.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$461.06 |
$461.06 |
5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$426.98 |
$426.98 |
4.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$679.13 |
$679.13 |
6.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$922.15 |
$922.15 |
10.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$620.07 |
$620.07 |
5.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,049.33 |
$1,049.33 |
10.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$814.45 |
$814.45 |
7.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$642.77 |
$642.77 |
7.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$415.03 |
$415.03 |
4.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$622.03 |
$622.03 |
5.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$452.21 |
$452.21 |
5.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$788.15 |
$788.15 |
7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$601.90 |
$601.90 |
5.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$683.63 |
$683.63 |
7.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$692.77 |
$692.77 |
7.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$888.07 |
$888.07 |
10.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$676.32 |
$676.32 |
7.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$615.53 |
$615.53 |
5.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$513.31 |
$513.31 |
5.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$670.05 |
$670.05 |
6.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$872.16 |
$872.16 |
8.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$540.58 |
$540.58 |
6.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$533.77 |
$533.77 |
6.1× |
| Xr c-spine 6 or more views (72052) |
$1,087.95 |
$1,087.95 |
10.4× |
| Xr finger(s) 2+ views (73140) |
$463.32 |
$463.32 |
5.3× |
| Xr shoulder 1 view (73020) |
$440.62 |
$440.62 |
5.0× |
| Xr spine cervical 4 or 5 views (72050) |
$942.59 |
$942.59 |
9.0× |
| Xr tibia/fibula 2 views (73590) |
$565.55 |
$565.55 |
6.5× |
| Xr tmj bilateral (70330) |
$706.38 |
$706.38 |
8.1× |
| Xray knee 1 or 2 views rt (73560) |
$558.73 |
$558.73 |
6.4× |