| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,400.31 |
$9,400.31 |
7.2× |
| Abdomen 2 views (74019) |
$863.22 |
$863.22 |
8.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,271.70 |
$4,271.70 |
11.3× |
| Angiography extremity bilateral rs&i (75716) |
$7,478.76 |
$7,478.76 |
2.5× |
| Angiography extremity unilateral rs&i (75710) |
$5,754.46 |
$5,754.46 |
1.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,020.76 |
$6,020.76 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,510.69 |
$6,510.69 |
2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,099.09 |
$5,099.09 |
1.7× |
| Angiography Spinal Selective Rs&I (75705) |
$6,885.31 |
$6,885.31 |
1.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,844.02 |
$5,844.02 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,014.96 |
$5,014.96 |
1.7× |
| Ankle 2 views (73600) |
$374.88 |
$374.88 |
4.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,995.38 |
$2,995.38 |
9.1× |
| Aortogram thoracic (75605) |
$6,020.76 |
$6,020.76 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,831.63 |
$6,831.63 |
2.3× |
| Aortography abdominal serialography rs&i (75625) |
$5,653.93 |
$5,653.93 |
1.9× |
| Artery X-Rays Adrenal Gland (75731) |
$6,020.76 |
$6,020.76 |
2.0× |
| Arthrogram elbow (73085) |
$1,433.85 |
$1,433.85 |
4.3× |
| Arthrogram hip (73525) |
$1,277.05 |
$1,277.05 |
3.9× |
| Arthrogram shoulder (73040) |
$1,342.03 |
$1,342.03 |
4.1× |
| Arthrogram wrist (73115) |
$1,849.42 |
$1,849.42 |
5.6× |
| Arthrography knee lt (73580) |
$2,438.47 |
$2,438.47 |
7.4× |
| Basic radiation dosimetry calculation (77300) |
$1,046.40 |
$1,046.40 |
8.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,480.45 |
$3,480.45 |
9.2× |
| Bone &/joint imaging whole body (78306) |
$4,775.50 |
$4,775.50 |
12.6× |
| Bone age studies (77072) |
$651.32 |
$651.32 |
6.6× |
| Bone Imaging 3 Phase (78315) |
$5,706.31 |
$5,706.31 |
15.1× |
| Bone survey complete (77075) |
$2,532.06 |
$2,532.06 |
25.6× |
| Brachytx isodose complex (77318) |
$2,651.83 |
$2,651.83 |
7.5× |
| Brachytx isodose intermed (77317) |
$2,651.83 |
$2,651.83 |
7.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,000.40 |
$1,000.40 |
2.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$2,879.86 |
$2,879.86 |
7.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,319.17 |
$3,319.17 |
10.0× |
| Cervical spine 2 or 3 views (72040) |
$680.98 |
$680.98 |
8.3× |
| Chest 1 view (71045) |
$767.63 |
$767.63 |
9.3× |
| Chest 3 views (71047) |
$1,508.97 |
$1,508.97 |
18.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,220.13 |
$1,220.13 |
7.3× |
| Clavicle complete (73000) |
$714.69 |
$714.69 |
8.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,035.75 |
$2,035.75 |
20.6× |
| Continuing medical physics consltj pr wk (77336) |
$1,047.93 |
$1,047.93 |
8.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$976.84 |
$976.84 |
5.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,436.55 |
$9,436.55 |
28.6× |
| CT abdomen and pelvis without contrast (74176) |
$6,814.94 |
$6,814.94 |
30.2× |
| CT abdomen w contrast (74160) |
$5,089.63 |
$5,089.63 |
30.6× |
| CT abdomen w wo contrast (74170) |
$6,423.56 |
$6,423.56 |
38.7× |
| CT abdomen w/o contrast (74150) |
$4,653.76 |
$4,653.76 |
47.0× |
| CT angio hrt w/3d image (75574) |
$4,946.13 |
$4,946.13 |
15.0× |
| CT angiography upper extremity lt (73206) |
$5,781.67 |
$5,781.67 |
34.8× |
| CT c-spine w/o contrast (72125) |
$4,804.27 |
$4,804.27 |
48.5× |
| CT cervical spine w&w/o contrast (72127) |
$4,965.06 |
$4,965.06 |
29.9× |
| CT cervical spine with contrast (72126) |
$4,885.71 |
$4,885.71 |
14.8× |
| CT chest w/wo contrast (71270) |
$6,202.28 |
$6,202.28 |
37.3× |
| CT chest with contrast (71260) |
$4,212.73 |
$4,212.73 |
25.4× |
| CT head/brain with contrast (70460) |
$5,549.93 |
$5,549.93 |
33.4× |
| CT head/brain without and with contrast (70470) |
$6,248.04 |
$6,248.04 |
37.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,482.78 |
$2,482.78 |
7.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,355.75 |
$1,355.75 |
16.5× |
| CT iac w contrast (70481) |
$5,341.32 |
$5,341.32 |
32.2× |
| CT limited/localized follow up study (76380) |
$2,262.51 |
$2,262.51 |
27.5× |
| CT lower ext w/o (73700) |
$4,966.64 |
$4,966.64 |
50.2× |
| CT lower extremity w wo contrast (73702) |
$10,437.63 |
$10,437.63 |
62.9× |
| CT lower extremity with contrast (73701) |
$5,361.89 |
$5,361.89 |
32.3× |
| CT lumbar spine w & w/o contrast (72133) |
$5,235.43 |
$5,235.43 |
31.5× |
| CT lumbar spine w/o contrast (72131) |
$4,947.46 |
$4,947.46 |
50.0× |
| CT lumbar spine with contrast (72132) |
$5,034.65 |
$5,034.65 |
15.2× |
| CT maxillofacial w contrast (70487) |
$5,341.32 |
$5,341.32 |
32.2× |
| CT maxillofacial w/o contrast (70486) |
$4,854.76 |
$4,854.76 |
49.0× |
| CT maxillofacial w/wo contrast (70488) |
$7,282.73 |
$7,282.73 |
43.9× |
| CT neck soft tissue w contrast (70491) |
$4,421.83 |
$4,421.83 |
26.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$7,282.73 |
$7,282.73 |
43.9× |
| CT orbits w/o contrast (70480) |
$4,854.76 |
$4,854.76 |
49.0× |
| CT pelvis w & w/o contrast (72194) |
$4,920.65 |
$4,920.65 |
29.6× |
| CT pelvis w/o contrast (72192) |
$3,422.59 |
$3,422.59 |
34.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$2,035.75 |
$2,035.75 |
24.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,243.76 |
$5,243.76 |
31.6× |
| CT soft tissue neck w/o contrast (70490) |
$3,495.03 |
$3,495.03 |
35.3× |
| CT thoracic spine w/contrast (72129) |
$5,897.70 |
$5,897.70 |
35.5× |
| CT thoracic spine w/o contrast (72128) |
$4,800.46 |
$4,800.46 |
48.5× |
| CT thoracic spine w/wo contrast (72130) |
$6,137.72 |
$6,137.72 |
37.0× |
| CT thorax w/o contrast (71250) |
$3,830.63 |
$3,830.63 |
38.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,560.06 |
$5,560.06 |
33.5× |
| CT upper extremity w/o contrast rt (73200) |
$4,578.88 |
$4,578.88 |
46.3× |
| CT upper extremity with contrast (73201) |
$5,331.12 |
$5,331.12 |
16.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,377.84 |
$2,377.84 |
14.3× |
| Cta Abdomen (74175) |
$2,084.86 |
$2,084.86 |
12.6× |
| CTA abdomen pelvis (74174) |
$8,030.75 |
$8,030.75 |
24.3× |
| CTA chest (71275) |
$5,356.30 |
$5,356.30 |
32.3× |
| Cta Head (70496) |
$5,257.18 |
$5,257.18 |
31.7× |
| CTA lwr ext w&w/o contrast (73706) |
$5,781.67 |
$5,781.67 |
34.8× |
| Cta Neck (70498) |
$5,257.18 |
$5,257.18 |
31.7× |
| Cta Pelvis (72191) |
$5,781.67 |
$5,781.67 |
34.8× |
| Cystography minimum 3 views rs&i (74430) |
$1,310.27 |
$1,310.27 |
4.0× |
| Dacryocystography (70170) |
$2,651.15 |
$2,651.15 |
11.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,014.56 |
$1,014.56 |
10.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,671.06 |
$1,671.06 |
16.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$590.49 |
$590.49 |
6.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$987.10 |
$987.10 |
10.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$644.58 |
$644.58 |
7.8× |
| Dxa bone density study axial skeleton (77085) |
$1,515.52 |
$1,515.52 |
15.3× |
| Echo exam of fetal heart (76825) |
$1,866.70 |
$1,866.70 |
3.6× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,479.19 |
$1,479.19 |
6.5× |
| Echoencephalography real time imaging (76506) |
$1,667.06 |
$1,667.06 |
16.8× |
| Esophagus (74220) |
$976.84 |
$976.84 |
5.9× |
| Fetal biophysical profile non-stress testing (76818) |
$1,209.85 |
$1,209.85 |
12.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$870.61 |
$870.61 |
8.8× |
| Fluoroscopy up to 1 hr (76000) |
$2,241.91 |
$2,241.91 |
9.9× |
| Foot 2 views (73620) |
$785.98 |
$785.98 |
9.5× |
| Forearm 2 views (73090) |
$915.63 |
$915.63 |
11.1× |
| Gated Heart Planar Single (78472) |
$2,571.50 |
$2,571.50 |
6.8× |
| Hand 2 views (73120) |
$347.51 |
$347.51 |
3.5× |
| Hand 3 views (73130) |
$926.42 |
$926.42 |
11.2× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,051.42 |
$5,051.42 |
7.7× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$5,051.42 |
$5,051.42 |
7.7× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$5,051.42 |
$5,051.42 |
7.7× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$1,353.59 |
$1,353.59 |
3.7× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$1,082.87 |
$1,082.87 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,461.24 |
$4,461.24 |
8.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,787.97 |
$3,787.97 |
10.0× |
| Ht muscle image spect sing (78451) |
$5,468.36 |
$5,468.36 |
4.5× |
| Humerus Min 2 Views Left (73060) |
$486.72 |
$486.72 |
5.9× |
| Hysterosalpingogram (74740) |
$1,789.66 |
$1,789.66 |
7.9× |
| Interstitial radiation source applic complex (77778) |
$742.16 |
$742.16 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,433.22 |
$1,433.22 |
2.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,819.08 |
$1,819.08 |
3.5× |
| Knee 3 views (73562) |
$966.52 |
$966.52 |
11.7× |
| Lung perf&ventilat diferentl (78598) |
$3,222.17 |
$3,222.17 |
6.3× |
| Lung perfusion differential (78597) |
$3,304.19 |
$3,304.19 |
8.7× |
| Lymphoscintigraphy (78195) |
$2,084.94 |
$2,084.94 |
4.1× |
| Meckels Diverticulum (78290) |
$1,804.86 |
$1,804.86 |
4.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,525.97 |
$2,525.97 |
7.1× |
| Mr safety determination physician/other qhp (76016) |
$243.81 |
$243.81 |
3.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$162.37 |
$162.37 |
2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$68.08 |
$68.08 |
2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$255.58 |
$255.58 |
2.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$671.82 |
$671.82 |
3.0× |
| MRA head w & w/o contrast (70546) |
$3,833.42 |
$3,833.42 |
11.6× |
| MRA head w/o contrast (70544) |
$2,324.13 |
$2,324.13 |
10.3× |
| MRA head with contrast (70545) |
$2,556.55 |
$2,556.55 |
7.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,096.60 |
$5,096.60 |
15.4× |
| MRA neck w/o contrast (70547) |
$3,396.82 |
$3,396.82 |
15.0× |
| MRI abdomen w contrast (74182) |
$4,879.79 |
$4,879.79 |
14.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,046.72 |
$6,046.72 |
18.3× |
| MRI abdomen w/o contrast (74181) |
$4,040.07 |
$4,040.07 |
17.9× |
| MRI any jnt lwr ext with con lt (73722) |
$4,879.79 |
$4,879.79 |
6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,444.84 |
$4,444.84 |
6.0× |
| MRI breast w/o contrast bilateral (77047) |
$5,671.20 |
$5,671.20 |
25.1× |
| MRI c-spine with contrast (72142) |
$4,436.20 |
$4,436.20 |
13.4× |
| MRI cardiac w/o contrast (75557) |
$3,211.13 |
$3,211.13 |
14.2× |
| MRI cervical spine w/o contrast (72141) |
$3,665.94 |
$3,665.94 |
16.2× |
| MRI chest w/o & w/contrast material (71552) |
$6,651.40 |
$6,651.40 |
20.1× |
| MRI chest w/o contrast (71550) |
$4,435.77 |
$4,435.77 |
19.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,747.23 |
$3,747.23 |
16.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,600.03 |
$3,600.03 |
15.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,400.04 |
$5,400.04 |
16.3× |
| MRI pelvis w contrast (72196) |
$4,879.79 |
$4,879.79 |
14.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,046.72 |
$6,046.72 |
18.3× |
| MRI pelvis w/o contrast (72195) |
$4,435.77 |
$4,435.77 |
19.6× |
| MRI scan of arm joint before and after contrast (73223) |
$5,877.20 |
$5,877.20 |
17.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$6,943.32 |
$6,943.32 |
9.4× |
| MRI scan of leg joint before and after contrast (73723) |
$6,651.40 |
$6,651.40 |
20.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,497.01 |
$5,497.01 |
16.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,879.79 |
$4,879.79 |
14.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,046.72 |
$6,046.72 |
18.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,879.79 |
$4,879.79 |
14.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,046.72 |
$6,046.72 |
18.3× |
| MRI thoracic spine w/o contrast (72146) |
$4,032.52 |
$4,032.52 |
17.9× |
| MRI tmj (70336) |
$4,040.07 |
$4,040.07 |
17.9× |
| MRI upper ext joint w/o contrast (73221) |
$3,672.79 |
$3,672.79 |
16.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,805.19 |
$6,805.19 |
20.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,303.95 |
$4,303.95 |
19.1× |
| Myelogram Cervical (72240) |
$4,918.89 |
$4,918.89 |
6.6× |
| Myelogram Lumbar (72265) |
$4,407.51 |
$4,407.51 |
5.9× |
| Myelography 2 or more regions (72270) |
$9,599.03 |
$9,599.03 |
12.9× |
| Myocardial Spect Multiple Studies (78452) |
$6,430.18 |
$6,430.18 |
5.2× |
| Neck soft tissue (70360) |
$558.71 |
$558.71 |
6.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,379.69 |
$1,379.69 |
3.6× |
| Nm gastric emptying study (78264) |
$3,410.28 |
$3,410.28 |
9.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,545.74 |
$8,545.74 |
6.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$749.68 |
$749.68 |
2.0× |
| Nuclear Rx Oral Admin (79005) |
$2,773.47 |
$2,773.47 |
12.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,051.86 |
$1,051.86 |
10.6× |
| Osseous survey infant (77076) |
$759.20 |
$759.20 |
7.7× |
| Osseous survey limited (77074) |
$1,117.91 |
$1,117.91 |
11.3× |
| Parathyrd planar w/spect&CT (78072) |
$4,228.74 |
$4,228.74 |
8.2× |
| Parathyrd planar w/wo subtrj (78071) |
$1,843.11 |
$1,843.11 |
4.9× |
| Parathyroid imaging (78070) |
$1,753.94 |
$1,753.94 |
4.6× |
| Pelvis 1 or 2 views (72170) |
$663.45 |
$663.45 |
6.7× |
| PET image w/CT, skull-thigh (78815) |
$7,232.13 |
$7,232.13 |
5.3× |
| PET imaging for CT attenuation whole body (78816) |
$9,944.17 |
$9,944.17 |
7.3× |
| PET whole body (78813) |
$10,667.32 |
$10,667.32 |
7.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,967.81 |
$5,967.81 |
18.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,652.14 |
$2,652.14 |
7.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,099.11 |
$3,099.11 |
6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,276 |
$1,276 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$466.33 |
$466.33 |
4.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$993.42 |
$993.42 |
10.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$611.40 |
$611.40 |
6.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$24,243.54 |
$24,243.54 |
3.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,558.12 |
$1,558.12 |
3.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$828.95 |
$828.95 |
8.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,061.26 |
$1,061.26 |
10.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$701.37 |
$701.37 |
8.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,025.07 |
$1,025.07 |
10.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,005.96 |
$1,005.96 |
12.2× |
| Radiologic exam colon single contrast study (74270) |
$2,456.97 |
$2,456.97 |
14.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,649.32 |
$2,649.32 |
16.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,731.89 |
$1,731.89 |
10.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,090.93 |
$1,090.93 |
13.2× |
| Radiological examination surgical specimen (76098) |
$304.13 |
$304.13 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$8,696.79 |
$8,696.79 |
2.9× |
| Ribs bilateral 3 views (71110) |
$796.96 |
$796.96 |
8.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,112.15 |
$3,112.15 |
6.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,225.67 |
$4,225.67 |
8.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$5,653.27 |
$5,653.27 |
4.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$6,306.72 |
$6,306.72 |
28.5× |
| Sacroiliac Joints < 3 Views (72200) |
$508.54 |
$508.54 |
5.1× |
| Scapula complete (73010) |
$890.01 |
$890.01 |
9.0× |
| Screening digital breast tomosynthesis (77063) |
$170.48 |
$170.48 |
7.3× |
| Small bowel series (74250) |
$1,079.57 |
$1,079.57 |
6.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,525.97 |
$2,525.97 |
7.1× |
| Special treatment procedure (77470) |
$3,747.70 |
$3,747.70 |
7.2× |
| Spine thoracic 3 views (72072) |
$1,061.26 |
$1,061.26 |
10.7× |
| Stereotactic body radiation delivery (77373) |
$8,491.48 |
$8,491.48 |
5.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,000.40 |
$1,000.40 |
2.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,778.55 |
$2,778.55 |
7.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,047.93 |
$1,047.93 |
8.2× |
| Thoracolumbar 2 views (72080) |
$528.60 |
$528.60 |
6.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,708.78 |
$4,708.78 |
9.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,229.43 |
$2,229.43 |
5.9× |
| Tmj unilateral (70328) |
$585.25 |
$585.25 |
7.1× |
| Treatment devices simple (77332) |
$1,751.25 |
$1,751.25 |
13.8× |
| Tx devices design & construction complex (77334) |
$1,926.37 |
$1,926.37 |
5.4× |
| Ultrasound, abdomen limited (76705) |
$1,151.56 |
$1,151.56 |
11.6× |
| Umbilical-artery Doppler (OB) (76820) |
$1,165.09 |
$1,165.09 |
11.8× |
| Upper Extremity Infant (73092) |
$465.23 |
$465.23 |
4.7× |
| Urethrocystography retrograde rs&i (74450) |
$1,355.32 |
$1,355.32 |
6.0× |
| Urethrocystography voiding (74455) |
$1,571.26 |
$1,571.26 |
7.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$3,049.44 |
$3,049.44 |
18.4× |
| Us abdl aorta screen aaa (76706) |
$666.09 |
$666.09 |
6.7× |
| Us breast unilateral complete (76641) |
$1,004.19 |
$1,004.19 |
10.1× |
| Us breast unilateral limited (76642) |
$912.87 |
$912.87 |
11.1× |
| Us chest (76604) |
$1,493.70 |
$1,493.70 |
15.1× |
| Us compl joint r-t w/image documentation (76881) |
$4,533.98 |
$4,533.98 |
45.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,325.57 |
$1,325.57 |
13.4× |
| Us infant hips dynamic (76885) |
$1,667.06 |
$1,667.06 |
20.2× |
| Us kidney transplant (76776) |
$728.73 |
$728.73 |
7.4× |
| Us ob detailed single fetus (76811) |
$1,298.18 |
$1,298.18 |
5.7× |
| Us ob transvaginal (76817) |
$1,343.62 |
$1,343.62 |
13.6× |
| Us pelvic non ob complete (76856) |
$1,900.37 |
$1,900.37 |
19.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$928.68 |
$928.68 |
9.4× |
| Us pregnancy ltd (76815) |
$870.03 |
$870.03 |
8.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,187.28 |
$1,187.28 |
12.0× |
| Us retroperitoneal complete (76770) |
$1,902.31 |
$1,902.31 |
19.2× |
| Us retroperitoneal limited (76775) |
$1,225.10 |
$1,225.10 |
12.4× |
| Us scrotum and contents (76870) |
$2,445.85 |
$2,445.85 |
24.7× |
| Us soft tissue head/neck (76536) |
$2,361.79 |
$2,361.79 |
23.9× |
| Us spinal canal and contents (76800) |
$1,762.88 |
$1,762.88 |
17.8× |
| Us transrectal (76872) |
$2,262.02 |
$2,262.02 |
22.9× |
| Us xtr non-vasc lmtd (76882) |
$2,264 |
$2,264 |
22.9× |
| Us, eye b-scan (76512) |
$927.07 |
$927.07 |
9.4× |
| Venogram extremity bilateral (75822) |
$2,811.19 |
$2,811.19 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$7,521 |
$7,521 |
2.5× |
| Venography caval superior serialography rs&i (75827) |
$8,368.27 |
$8,368.27 |
5.6× |
| Venography extremity unilateral rs&i (75820) |
$2,588 |
$2,588 |
1.7× |
| Venography Renal Bilateral (75833) |
$16,635.42 |
$16,635.42 |
5.6× |
| Venography renal unilateral selective rs&i (75831) |
$6,020.76 |
$6,020.76 |
2.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$11,668.57 |
$11,668.57 |
3.9× |
| Wrist 2 views (73100) |
$541.20 |
$541.20 |
6.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,213.90 |
$1,213.90 |
12.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,061.26 |
$1,061.26 |
12.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$412.63 |
$412.63 |
5.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,999.21 |
$2,999.21 |
18.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$791.14 |
$791.14 |
9.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$916.37 |
$916.37 |
11.1× |
| X-ray exam hip uni 1 view (73501) |
$652.67 |
$652.67 |
7.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$982.32 |
$982.32 |
11.9× |
| X-ray exam hip uni 4/> views (73503) |
$2,094.50 |
$2,094.50 |
21.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,303.86 |
$1,303.86 |
13.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,396.99 |
$1,396.99 |
14.1× |
| X-ray exam of femur 1 (73551) |
$519.16 |
$519.16 |
6.3× |
| X-ray eye for foreign body (70030) |
$980.63 |
$980.63 |
11.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,243.30 |
$1,243.30 |
12.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$760.55 |
$760.55 |
9.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$965.52 |
$965.52 |
11.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$729.53 |
$729.53 |
8.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$745.71 |
$745.71 |
9.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,219.02 |
$1,219.02 |
12.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$509.73 |
$509.73 |
6.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$539.39 |
$539.39 |
6.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$920.62 |
$920.62 |
9.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,237.08 |
$1,237.08 |
12.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,157.01 |
$1,157.01 |
11.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$890.01 |
$890.01 |
10.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,351.71 |
$1,351.71 |
16.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$725.80 |
$725.80 |
7.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$663.45 |
$663.45 |
6.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$926.42 |
$926.42 |
11.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,161.06 |
$1,161.06 |
11.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,548.07 |
$1,548.07 |
15.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$678.06 |
$678.06 |
6.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$790.22 |
$790.22 |
9.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$900.80 |
$900.80 |
10.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,374.11 |
$1,374.11 |
16.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$838.76 |
$838.76 |
10.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,347.16 |
$1,347.16 |
13.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$819.89 |
$819.89 |
8.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$691.77 |
$691.77 |
8.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$640.54 |
$640.54 |
7.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$888.65 |
$888.65 |
10.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$591.99 |
$591.99 |
6.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,387.59 |
$1,387.59 |
14.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$547.49 |
$547.49 |
6.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$912.93 |
$912.93 |
11.1× |
| Xr c-spine 6 or more views (72052) |
$1,641.11 |
$1,641.11 |
16.6× |
| Xr finger(s) 2+ views (73140) |
$608.16 |
$608.16 |
7.4× |
| Xr shoulder 1 view (73020) |
$822.59 |
$822.59 |
10.0× |
| Xr spine cervical 4 or 5 views (72050) |
$1,472.56 |
$1,472.56 |
14.9× |
| Xr tibia/fibula 2 views (73590) |
$885.39 |
$885.39 |
10.7× |
| Xr tmj bilateral (70330) |
$841.46 |
$841.46 |
10.2× |
| Xray knee 1 or 2 views rt (73560) |
$928.35 |
$928.35 |
11.3× |