| 3-Dimensional radiotherapy plan including dose-volume histograms (77295) |
$7,775.02 |
$7,775.02 |
5.4× |
| Acute gi blood loss imaging (78278) |
$1,667.83 |
$1,667.83 |
4.0× |
| Angio adrenal unilat select (75731) |
$6,261.12 |
$6,261.12 |
1.9× |
| Angio extremity unilateral (75710) |
$3,867.62 |
$3,867.62 |
1.2× |
| Angio pulmonary unilateral (75741) |
$5,210.70 |
$5,210.70 |
1.6× |
| Angiogram extremity bilateral (75716) |
$4,122.25 |
$4,122.25 |
1.3× |
Angiogram pelvic (75736)
unusually low: confirm this is the full procedure |
$2,905.31 |
$2,905.31 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,517.35 |
$2,517.35 |
0.8× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,250.81 |
$2,250.81 |
0.4× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$1,586.24 |
$1,586.24 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,364.42 |
$1,364.42 |
0.4× |
| Ankle 2 views (73600) |
$745.11 |
$745.11 |
8.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$8,304.72 |
$8,304.72 |
2.5× |
| Arthrography knee lt (73580) |
$1,458.38 |
$1,458.38 |
4.0× |
| Arthrography wrist lt (73115) |
$690.14 |
$690.14 |
1.9× |
| Barium enema (74270) |
$1,670.62 |
$1,670.62 |
9.1× |
| Basic dosimetry (77300) |
$1,387.96 |
$1,387.96 |
9.9× |
| Bilat selctv renal venogram (75833) |
$9,565.48 |
$9,565.48 |
2.9× |
| Bone age studies (77072) |
$760.06 |
$760.06 |
7.0× |
| Bone imaging limited area (78300) |
$2,417.42 |
$2,417.42 |
5.8× |
| Bone survey complete (77075) |
$2,295.09 |
$2,295.09 |
21.0× |
| Brachytx isodose pln cplx w/dosimetry cal (77318) |
$1,669.56 |
$1,669.56 |
4.3× |
| Brain imaging, less than 4 static views; with vascular flow Age Under 21 (78601) |
$2,071.83 |
$2,071.83 |
5.0× |
| Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and… (78473) |
$3,737.91 |
$3,737.91 |
9.0× |
| Cardiac MRI w/wo contrast & further seq (75561) |
$3,782.35 |
$3,782.35 |
10.4× |
| Cholecystography, oral contrast Other Diagnostic Radiology FS (74290) |
$1,199.71 |
$1,199.71 |
6.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,130.48 |
$1,130.48 |
6.2× |
| Cisternogram (78630) |
$2,563.44 |
$2,563.44 |
4.5× |
| Cisternography, positive contrast, radiological supervision and interpretation Other Diagnostic Radiology FS (70015) |
$2,537.52 |
$2,537.52 |
3.1× |
| Clavicle complete (73000) |
$1,301.64 |
$1,301.64 |
14.3× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$6,324.38 |
$6,324.38 |
34.5× |
| Continuing medical physics consltj pr wk (77336) |
$1,317.25 |
$1,317.25 |
9.4× |
| Contrast exam abdominl aorta (75625) |
$5,419.03 |
$5,419.03 |
1.6× |
| Contrast exam thoracic aorta (75605) |
$10,184.93 |
$10,184.93 |
1.8× |
| CT - st neck w&wo contr (70492) |
$9,451.60 |
$9,451.60 |
51.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$14,966.67 |
$14,966.67 |
41.1× |
| CT abdomen and pelvis without contrast (74176) |
$11,321.08 |
$11,321.08 |
45.4× |
| CT abdomen w wo contrast (74170) |
$7,871.37 |
$7,871.37 |
43.0× |
| CT abdomen w/contrast (74160) |
$5,596.23 |
$5,596.23 |
30.6× |
| CT abdomen w/o contrast (74150) |
$5,026.83 |
$5,026.83 |
46.0× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$13,315.86 |
$13,315.86 |
36.5× |
| CT angio abdom w/o & w/dye (74175) |
$7,745.93 |
$7,745.93 |
42.3× |
| CT angio abdominal arteries (75635) |
$3,107.92 |
$3,107.92 |
17.0× |
| CT angio hrt w/3d image (75574) |
$3,231.02 |
$3,231.02 |
8.9× |
| CT angiograph pelv w/o&w/dye (72191) |
$7,111.34 |
$7,111.34 |
38.8× |
| CT cervical spine w/contrast (72126) |
$7,251.49 |
$7,251.49 |
19.9× |
| CT cervical spine w/o contrast (72125) |
$6,532.81 |
$6,532.81 |
59.8× |
| CT chest w/contrast (71260) |
$5,980.02 |
$5,980.02 |
32.6× |
| CT extremity upper w & w/o contrast (73202) |
$7,461.07 |
$7,461.07 |
40.7× |
| CT head/brain with contrast (70460) |
$7,334.15 |
$7,334.15 |
40.0× |
| CT head/brain without and with contrast (70470) |
$8,699.16 |
$8,699.16 |
47.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,680.02 |
$1,680.02 |
4.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$121.55 |
$121.55 |
1.3× |
| CT limited/localized follow up study (76380) |
$950.70 |
$950.70 |
10.5× |
| CT lower ext w/wo contrast (73702) |
$6,920.81 |
$6,920.81 |
37.8× |
| CT lower extremity w contrast (73701) |
$6,278.51 |
$6,278.51 |
34.3× |
| CT lower extremity w/o contrast unilateral (73700) |
$3,980.81 |
$3,980.81 |
36.5× |
| CT lumbar spine w/contrast (72132) |
$4,713.30 |
$4,713.30 |
12.9× |
| CT lumbar spine w/o contrast (72131) |
$4,525.15 |
$4,525.15 |
41.5× |
| CT lumbar spine w/o then w/ con (72133) |
$4,908.94 |
$4,908.94 |
26.8× |
| CT maxillofacial area w/o contrast (70486) |
$5,969.13 |
$5,969.13 |
54.7× |
| CT maxillofacial w/contrast (70487) |
$6,895 |
$6,895 |
37.6× |
| CT maxillofacial w/o then w/ con (70488) |
$7,125.86 |
$7,125.86 |
38.9× |
| CT orbit sella ear w/o con (70480) |
$5,051.67 |
$5,051.67 |
46.3× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$6,167.74 |
$6,167.74 |
33.7× |
| CT pelvis w & w/o contrast (72194) |
$5,647.25 |
$5,647.25 |
30.8× |
| CT pelvis w/o contrast (72192) |
$5,947.41 |
$5,947.41 |
54.5× |
| CT soft tissue neck w/contrast (70491) |
$7,334.15 |
$7,334.15 |
40.0× |
| CT soft tissue neck w/o contrast (70490) |
$5,664.24 |
$5,664.24 |
51.9× |
| CT spine cervical w/wo contrast (72127) |
$5,352.22 |
$5,352.22 |
29.2× |
| CT thoracic spine w/contrast (72129) |
$4,008.44 |
$4,008.44 |
21.9× |
| CT thoracic spine w/o contrast (72128) |
$3,644.73 |
$3,644.73 |
33.4× |
| CT thoracic spine w/o then w/ con (72130) |
$4,372.12 |
$4,372.12 |
23.9× |
| CT thorax lung cancer scr c- (71271) |
$2,613.79 |
$2,613.79 |
23.9× |
| CT thorax w/o contrast (71250) |
$4,876.34 |
$4,876.34 |
44.7× |
| CT thorax w/o then w/ contrast (71270) |
$7,091.23 |
$7,091.23 |
38.7× |
| CT upper extremity w/dye (73201) |
$6,553.93 |
$6,553.93 |
18.0× |
| CT upper extremity w/o contrast rt (73200) |
$4,091.88 |
$4,091.88 |
37.5× |
| CTA chest w/wo contrast (71275) |
$5,981.04 |
$5,981.04 |
32.7× |
| CTA head w contrast (70496) |
$8,637.63 |
$8,637.63 |
47.2× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$7,111.34 |
$7,111.34 |
38.8× |
| Cta Neck (70498) |
$7,929.96 |
$7,929.96 |
43.3× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$7,111.34 |
$7,111.34 |
38.8× |
| Dxa bone density study axial skeleton (77085) |
$1,530.93 |
$1,530.93 |
14.0× |
| Esophogram (74220) |
$1,421.78 |
$1,421.78 |
7.8× |
| Fetal biophysical profile non-stress testing (76818) |
$527.88 |
$527.88 |
4.8× |
| Fetal biophysical profile w/o nst (76819) |
$865.15 |
$865.15 |
7.9× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$1,294.20 |
$1,294.20 |
5.2× |
| Gastric emptying study (78264) |
$3,935.56 |
$3,935.56 |
9.4× |
| Gated heart planar single (78472) |
$2,971.03 |
$2,971.03 |
7.1× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$8,461.99 |
$8,461.99 |
11.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$9,763.64 |
$9,763.64 |
13.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,666.02 |
$6,666.02 |
2.0× |
| Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Other… (75889) |
$9,565.48 |
$9,565.48 |
2.9× |
| Hepatobil syst image w/drug (78227) |
$4,315.42 |
$4,315.42 |
7.6× |
| Hepatobiliary system imaging (78226) |
$4,315.42 |
$4,315.42 |
10.3× |
| Humerus min 2 views (73060) |
$942.56 |
$942.56 |
10.4× |
| Hysterosalpingography (74740) |
$1,742.01 |
$1,742.01 |
7.0× |
| Imrt planning (77301) |
$14,356.32 |
$14,356.32 |
9.9× |
| Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid… (78808) |
$815.61 |
$815.61 |
2.0× |
| Intracavitary radiation source applic complex (77763) |
$2,096.75 |
$2,096.75 |
2.9× |
| Intracavitary radiation source applic intermed (77762) |
$1,603.67 |
$1,603.67 |
2.8× |
| Intracavitary radiation source applic simple (77761) |
$1,603.67 |
$1,603.67 |
2.8× |
| Isodose brachytherapy intermed 5 to 10 sources (77317) |
$1,277.55 |
$1,277.55 |
3.3× |
| Isodose brachytherapy plan simple 1 to 4 source (77316) |
$815.14 |
$815.14 |
2.1× |
| Isodose teletherapy plan complex multi tx w/cal (77307) |
$2,791.26 |
$2,791.26 |
7.1× |
| Isodose teletherapy plan simple 1 or 2 port w/cal (77306) |
$955.40 |
$955.40 |
2.4× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$5,080.91 |
$5,080.91 |
9.0× |
| Lung perfusion differential (78597) |
$2,294.57 |
$2,294.57 |
5.5× |
| Lung ventilat&perfus imaging (78582) |
$2,235.26 |
$2,235.26 |
3.9× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$6,082.35 |
$6,082.35 |
16.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$6,768.31 |
$6,768.31 |
18.6× |
| Mlc device(s) for imrt (77338) |
$1,020.69 |
$1,020.69 |
2.6× |
| Mr safety determination physician/other qhp (76016) |
$210.74 |
$210.74 |
2.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$140.35 |
$140.35 |
2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$58.85 |
$58.85 |
1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$220.91 |
$220.91 |
2.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$580.74 |
$580.74 |
2.3× |
| MRA head w & w/o contrast (70546) |
$4,322.12 |
$4,322.12 |
11.9× |
| MRA head w/o contrast (70544) |
$3,541.40 |
$3,541.40 |
14.2× |
| MRA neck w/contrast (70548) |
$2,990.93 |
$2,990.93 |
8.2× |
| MRA neck w/o contrast (70547) |
$2,923.55 |
$2,923.55 |
11.7× |
| MRA neck w/wo contrast (70549) |
$4,190.13 |
$4,190.13 |
11.5× |
| MRI abdomen w/contrast (74182) |
$5,681.99 |
$5,681.99 |
15.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,208.76 |
$6,208.76 |
17.0× |
| MRI abdomen w/o contrast (74181) |
$4,918.76 |
$4,918.76 |
19.7× |
| MRI any jnt lwr ext with con lt (73722) |
$6,861.30 |
$6,861.30 |
8.4× |
| MRI breast without contrast bilateral (77047) |
$3,338.50 |
$3,338.50 |
13.4× |
| MRI cardiac w/o contrast (75557) |
$3,551.89 |
$3,551.89 |
14.3× |
| MRI cervical spine w/o contrast (72141) |
$8,231.51 |
$8,231.51 |
33.0× |
| MRI cervical spine with contrast (72142) |
$7,484.68 |
$7,484.68 |
20.5× |
| MRI chest w & w/o contrast (71552) |
$5,195.02 |
$5,195.02 |
14.3× |
| MRI chest w/contrast (71551) |
$2,114.61 |
$2,114.61 |
2.6× |
| MRI chest w/o contrast (71550) |
$4,293.67 |
$4,293.67 |
17.2× |
| MRI joint upper ext w/contrast (73222) |
$6,555.23 |
$6,555.23 |
8.0× |
| MRI joint upr extr w/o&w/dye (73223) |
$7,208.44 |
$7,208.44 |
19.8× |
| MRI joint upr extrem w/o dye (73221) |
$5,569.42 |
$5,569.42 |
22.4× |
| Mri Lower Extremity W/O Dye (73718) |
$5,593.01 |
$5,593.01 |
22.4× |
| MRI lumbar spine with contrast (72149) |
$6,997.71 |
$6,997.71 |
19.2× |
| MRI lumbar w/wo contrast (72158) |
$7,489.37 |
$7,489.37 |
20.6× |
| MRI lwr ext w/o jnts with con rt (73719) |
$7,679.32 |
$7,679.32 |
21.1× |
| MRI orbit/face/neck w/contrast (70542) |
$4,286.96 |
$4,286.96 |
11.8× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$6,488.48 |
$6,488.48 |
17.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$5,135.84 |
$5,135.84 |
20.6× |
| MRI pelvis w/ contrast (72196) |
$5,326.37 |
$5,326.37 |
14.6× |
| MRI pelvis w/o contrast (72195) |
$5,216.12 |
$5,216.12 |
20.9× |
| MRI pelvis w/wo contrast (72197) |
$5,909.09 |
$5,909.09 |
16.2× |
| MRI spine cervical wo/w contrast (72156) |
$8,231.51 |
$8,231.51 |
22.6× |
| MRI spine thoracic w/contrast (72147) |
$6,482.68 |
$6,482.68 |
17.8× |
| MRI thoracic spine w wo contrast (72157) |
$7,489.37 |
$7,489.37 |
20.6× |
| MRI thoracic spine w/o contrast (72146) |
$5,892.69 |
$5,892.69 |
23.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,068.96 |
$4,068.96 |
16.3× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$5,859.93 |
$5,859.93 |
16.1× |
| Myelography 2 or more regions (72270) |
$3,074.01 |
$3,074.01 |
3.8× |
| Myelography lumbosacral (72265) |
$5,028.54 |
$5,028.54 |
6.1× |
| Myocardial spect single study at rest or stress (78451) |
$7,279.29 |
$7,279.29 |
5.4× |
| Nm bone 3 phase (78315) |
$5,023.56 |
$5,023.56 |
12.0× |
| Nm bone imaging whole body (78306) |
$4,567.08 |
$4,567.08 |
10.9× |
| Nm heart perfusion spect stress rest (78452) |
$11,449 |
$11,449 |
8.5× |
| Nm lymph system (78195) |
$3,593.94 |
$3,593.94 |
6.3× |
| Nose to rectum for fb child (76010) |
$244.47 |
$244.47 |
2.7× |
| Ob us < 14 wks single fetus (76801) |
$2,762.22 |
$2,762.22 |
25.3× |
| Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21 (76512) |
$386.15 |
$386.15 |
3.5× |
| PET brain metabolic eval (78608) |
$9,088.26 |
$9,088.26 |
6.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$9,364.65 |
$9,364.65 |
6.3× |
| PET imaging for CT attenuation whole body (78816) |
$11,733.90 |
$11,733.90 |
7.9× |
| Pulmonary perfusion imaging particulate (78580) |
$2,652.43 |
$2,652.43 |
6.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$588.30 |
$588.30 |
6.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,114.90 |
$2,114.90 |
19.4× |
| Radex entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) |
$1,639.21 |
$1,639.21 |
15.0× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$1,454.24 |
$1,454.24 |
13.3× |
| Radex hip unilateral with pelvis 1 view (73501) |
$646.35 |
$646.35 |
7.1× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$798.92 |
$798.92 |
8.8× |
| Radex hip unilateral with pelvis minimum 4 views (73503) |
$2,415.21 |
$2,415.21 |
22.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,364.59 |
$1,364.59 |
12.5× |
| Radex hips bilateral with pelvis minimum 5 views (73523) |
$1,264.13 |
$1,264.13 |
11.6× |
| Radex spine cervical 2 or 3 views (72040) |
$1,020.34 |
$1,020.34 |
11.2× |
| Radex spine cervical 4 or 5 views (72050) |
$2,166.43 |
$2,166.43 |
19.8× |
| Radex spine cervical 6 or more views (72052) |
$2,322.03 |
$2,322.03 |
21.3× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,493.17 |
$1,493.17 |
16.4× |
| Radiation delivery stereotactic cranial linear (77372) |
$44,880.59 |
$44,880.59 |
5.8× |
| Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s)… (77371) |
$27,584.98 |
$27,584.98 |
3.6× |
| Radiation tx delivery lvl 1 (77402) |
$1,141.12 |
$1,141.12 |
10.7× |
| Radiation tx delivery lvl 2 (77407) |
$866.24 |
$866.24 |
2.2× |
| Radiation tx delivery lvl 3 (77412) |
$1,945.98 |
$1,945.98 |
3.4× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$1,776.31 |
$1,776.31 |
16.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,786.40 |
$1,786.40 |
9.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,157.49 |
$1,157.49 |
6.3× |
| Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) |
$462.82 |
$462.82 |
5.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$966.51 |
$966.51 |
10.6× |
| Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) |
$1,442.98 |
$1,442.98 |
13.2× |
| Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) |
$1,610.54 |
$1,610.54 |
14.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$1,015.86 |
$1,015.86 |
2.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$1,523.79 |
$1,523.79 |
3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,917.24 |
$2,917.24 |
7.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,547.39 |
$3,547.39 |
6.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,933.76 |
$3,933.76 |
6.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,862.48 |
$3,862.48 |
2.9× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$103.18 |
$103.18 |
4.4× |
| Selective spinal angiogram (75705) |
$9,645.05 |
$9,645.05 |
1.7× |
| Shoulder arthrogram (73040) |
$1,263.42 |
$1,263.42 |
3.5× |
| Simulation complex (77290) |
$3,855.39 |
$3,855.39 |
9.9× |
| Simulation simple (77280) |
$2,135.45 |
$2,135.45 |
15.2× |
| Small bowel series (74250) |
$1,491.21 |
$1,491.21 |
8.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,109.73 |
$2,109.73 |
5.4× |
| Special dosimetry (77331) |
$1,184.54 |
$1,184.54 |
8.4× |
| Special physics consult (77370) |
$2,127.99 |
$2,127.99 |
15.2× |
| Special treatment procedure (77470) |
$4,956.32 |
$4,956.32 |
8.6× |
| Stereotactic body radiation delivery (77373) |
$6,157.90 |
$6,157.90 |
3.3× |
| Tbs technical calculation only (77091) |
$220.51 |
$220.51 |
2.4× |
| Thyroid met imaging body (78018) |
$6,564.99 |
$6,564.99 |
11.6× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$3,163.39 |
$3,163.39 |
7.6× |
| Treatment devices complex (77334) |
$2,863.71 |
$2,863.71 |
7.3× |
| Treatment devices simple (77332) |
$886.77 |
$886.77 |
6.3× |
| Ultrasound breast limited (76642) |
$1,519.25 |
$1,519.25 |
16.7× |
| Ultrasound, abdomen limited (76705) |
$1,786.85 |
$1,786.85 |
16.4× |
| Umbilical-artery Doppler (OB) (76820) |
$325.04 |
$325.04 |
3.0× |
| Unlisted CT procedure (76497) |
$7,029.28 |
$7,029.28 |
77.3× |
| Urethrocystography retrograde rs&i (74450) |
$2,262.98 |
$2,262.98 |
9.1× |
| Urethrocystography voiding (74455) |
$1,632.04 |
$1,632.04 |
6.5× |
| Urography antegrade (74425) |
$1,010.85 |
$1,010.85 |
2.8× |
| Urography retrograde w/wo kub (74420) |
$1,579.96 |
$1,579.96 |
4.3× |
| Us abdominal aorta real time screen study aaa (76706) |
$871.85 |
$871.85 |
8.0× |
| Us breast uni real time with image complete (76641) |
$1,918.80 |
$1,918.80 |
17.6× |
| Us chest (76604) |
$678.55 |
$678.55 |
6.2× |
| Us compl joint r-t w/image documentation (76881) |
$1,201.59 |
$1,201.59 |
11.0× |
| Us encephalogram (76506) |
$1,416.98 |
$1,416.98 |
13.0× |
| Us kidney transplanted (76776) |
$626.27 |
$626.27 |
5.7× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,084.26 |
$1,084.26 |
9.9× |
| Us ob followup per fetus (76816) |
$778.94 |
$778.94 |
7.1× |
| Us ob limited 1 or more fetuses (76815) |
$1,320.31 |
$1,320.31 |
12.1× |
| Us obstetric transvaginal (76817) |
$1,597.39 |
$1,597.39 |
14.6× |
| Us pelvic limited or f/u non-ob (76857) |
$1,235.49 |
$1,235.49 |
11.3× |
| Us pelvis complete (76856) |
$2,120.74 |
$2,120.74 |
19.4× |
| Us retroperitoneal complete (76770) |
$1,515.41 |
$1,515.41 |
13.9× |
| Us retroperitoneal limited (76775) |
$1,477.34 |
$1,477.34 |
13.5× |
| Us scrotum (76870) |
$2,182.62 |
$2,182.62 |
20.0× |
| Us soft tissue head/neck (76536) |
$1,812.48 |
$1,812.48 |
16.6× |
| Us spinal canal (76800) |
$813.65 |
$813.65 |
7.5× |
| Venogram extremity bilateral (75822) |
$4,987.61 |
$4,987.61 |
3.0× |
| Venogram ivc w serialography (75825) |
$5,194.59 |
$5,194.59 |
1.6× |
| Venogram svc w serialography (75827) |
$4,524.78 |
$4,524.78 |
2.8× |
| Venography ext unilateral (75820) |
$3,582.82 |
$3,582.82 |
2.2× |
| Venography renal unilateral selective rs&i (75831) |
$6,797.51 |
$6,797.51 |
2.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,565.95 |
$2,565.95 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$604.42 |
$604.42 |
6.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,313.63 |
$1,313.63 |
14.5× |
| X-ray aorta leg arteries (75630) |
$5,220.35 |
$5,220.35 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,608.92 |
$1,608.92 |
8.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,110.14 |
$1,110.14 |
12.2× |
| X-ray exam hips bi 3-4 views (73522) |
$272.70 |
$272.70 |
2.5× |
| X-ray exam of finger(s) (73140) |
$775.01 |
$775.01 |
8.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$981.48 |
$981.48 |
10.8× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$963.50 |
$963.50 |
10.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,143.04 |
$1,143.04 |
12.6× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$781.01 |
$781.01 |
7.2× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,059.67 |
$1,059.67 |
11.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$792.97 |
$792.97 |
8.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$797.45 |
$797.45 |
8.8× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,211.89 |
$1,211.89 |
13.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,403.41 |
$1,403.41 |
12.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,618.83 |
$1,618.83 |
17.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,481.16 |
$1,481.16 |
13.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,360.94 |
$2,360.94 |
21.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,427.34 |
$1,427.34 |
15.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,432.70 |
$1,432.70 |
13.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$828.88 |
$828.88 |
7.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$540.88 |
$540.88 |
5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,496.12 |
$1,496.12 |
16.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,220.87 |
$1,220.87 |
13.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,609.88 |
$1,609.88 |
17.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,621.82 |
$1,621.82 |
14.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,409.35 |
$1,409.35 |
12.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$400.17 |
$400.17 |
4.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$837.86 |
$837.86 |
9.2× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$984.48 |
$984.48 |
10.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,146.05 |
$1,146.05 |
12.6× |
| Xr abdomen 1 view (74018) |
$870.36 |
$870.36 |
9.6× |
| Xr abdomen 2 views (74019) |
$962.64 |
$962.64 |
8.8× |
| Xr abdomen 3 views (74021) |
$1,014.95 |
$1,014.95 |
9.3× |
| Xr arthrogram hip (73525) |
$2,093.21 |
$2,093.21 |
5.7× |
| Xr bone density appendicular (77081) |
$677.69 |
$677.69 |
7.5× |
| Xr bone density axial (77080) |
$1,125.11 |
$1,125.11 |
10.3× |
| Xr bone survey infant (77076) |
$382.10 |
$382.10 |
3.5× |
| Xr chest 1 view (71045) |
$720.34 |
$720.34 |
7.9× |
| Xr chest 2 views (71046) |
$1,418.03 |
$1,418.03 |
15.6× |
| Xr chest 3 views (71047) |
$1,731.07 |
$1,731.07 |
19.0× |
| Xr cystogram 3+ views (74430) |
$972.31 |
$972.31 |
2.7× |
| Xr eye foreign body (70030) |
$422.77 |
$422.77 |
4.7× |
| Xr facial bones 3 views (70150) |
$1,636.79 |
$1,636.79 |
15.0× |
| Xr lower extremity 2 views infant (73592) |
$843.82 |
$843.82 |
9.3× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$814.39 |
$814.39 |
7.5× |
| Xr mandible 4 views (70110) |
$1,077.22 |
$1,077.22 |
9.9× |
| Xr myelogram c-spine (72240) |
$4,518.65 |
$4,518.65 |
5.5× |
| Xr nasal bones (70160) |
$942.56 |
$942.56 |
10.4× |
| Xr pelvis 3 views (72190) |
$828.88 |
$828.88 |
7.6× |
| Xr spine 1 view (72020) |
$595.47 |
$595.47 |
6.6× |
| Xr sternum 2 views (71120) |
$1,310.64 |
$1,310.64 |
14.4× |
| Xr surgical specimen (76098) |
$1,428.17 |
$1,428.17 |
2.5× |
| Xr upper extremity 2 views infant (73092) |
$1,098.06 |
$1,098.06 |
10.1× |
| Xray elbow 2 views (73070) |
$837.86 |
$837.86 |
9.2× |
| Xray forearm 2 views (73090) |
$1,011.40 |
$1,011.40 |
11.1× |
| Xray knee 1 or 2 views rt (73560) |
$631.38 |
$631.38 |
6.9× |
| Xray neck soft tissue (70360) |
$779.38 |
$779.38 |
8.6× |
| Xray orbits complete min 4 views (70200) |
$1,804.37 |
$1,804.37 |
16.5× |
| Xray pelvis 1 or 2 views (72170) |
$810.90 |
$810.90 |
7.4× |
| Xray ribs bilateral 3 views (71110) |
$1,695.63 |
$1,695.63 |
15.5× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,025.78 |
$2,025.78 |
18.6× |
| Xray scapula complete (73010) |
$1,074.23 |
$1,074.23 |
9.8× |
| Xray shoulder 1 view (73020) |
$816.90 |
$816.90 |
9.0× |
| Xray sinuses paranasal <3 views (70210) |
$1,310.64 |
$1,310.64 |
14.4× |
| Xray spine thoracic 2 views (72070) |
$1,110.14 |
$1,110.14 |
10.2× |
| Xray spine thoracic 3 views (72072) |
$1,666.72 |
$1,666.72 |
15.3× |
| Xray tibia-fibula 2 views bil (73590) |
$999.42 |
$999.42 |
11.0× |
| Xray tmj open - closed unilat (70328) |
$499.08 |
$499.08 |
5.5× |
| Xray tmj's bilateral open-clsc (70330) |
$1,143.04 |
$1,143.04 |
12.6× |