| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,775.02 |
$7,775.02 |
5.4× |
| Abdomen 2 views (74019) |
$962.64 |
$962.64 |
8.8× |
| Acute gi blood loss imaging (78278) |
$1,667.83 |
$1,667.83 |
4.0× |
| Angiography extremity bilateral rs&i (75716) |
$4,122.25 |
$4,122.25 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$3,867.62 |
$3,867.62 |
1.2× |
Angiography pelvic slctv/supraslctv rs&i (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 pulmonary unilateral slctv rs&i (75741) |
$5,210.70 |
$5,210.70 |
1.6× |
| Angiography Spinal Selective Rs&I (75705) |
$9,645.05 |
$9,645.05 |
1.7× |
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× |
| Aortogram thoracic (75605) |
$10,184.93 |
$10,184.93 |
1.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,220.35 |
$5,220.35 |
1.6× |
| Aortography abdominal serialography rs&i (75625) |
$5,419.03 |
$5,419.03 |
1.6× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$8,304.72 |
$8,304.72 |
2.5× |
| Artery X-Rays Adrenal Gland (75731) |
$6,261.12 |
$6,261.12 |
1.9× |
| Arthrogram hip (73525) |
$2,093.21 |
$2,093.21 |
5.7× |
| Arthrogram knee (73580) |
$1,458.38 |
$1,458.38 |
4.0× |
| Arthrogram shoulder (73040) |
$1,263.42 |
$1,263.42 |
3.5× |
| Arthrogram wrist (73115) |
$690.14 |
$690.14 |
1.9× |
| Basic dosimetry (77300) |
$1,387.96 |
$1,387.96 |
9.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,417.42 |
$2,417.42 |
5.8× |
| Bone &/joint imaging whole body (78306) |
$4,567.08 |
$4,567.08 |
10.9× |
| Bone age studies (77072) |
$760.06 |
$760.06 |
7.0× |
| Bone Imaging 3 Phase (78315) |
$5,023.56 |
$5,023.56 |
12.0× |
| Bone survey complete (77075) |
$2,295.09 |
$2,295.09 |
21.0× |
| Bone survey infant (77076) |
$382.10 |
$382.10 |
3.5× |
| Brachytx isodose complex (77318) |
$1,669.56 |
$1,669.56 |
4.3× |
| Brachytx isodose intermed (77317) |
$1,277.55 |
$1,277.55 |
3.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$815.14 |
$815.14 |
2.1× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,071.83 |
$2,071.83 |
5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,088.26 |
$9,088.26 |
6.1× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,971.03 |
$2,971.03 |
7.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,782.35 |
$3,782.35 |
10.4× |
| Cervical spine 2 or 3 views (72040) |
$1,020.34 |
$1,020.34 |
11.2× |
| Chest 1 view (71045) |
$720.34 |
$720.34 |
7.9× |
| Chest xray 3 views (71047) |
$1,731.07 |
$1,731.07 |
19.0× |
| Cholecystography, oral contrast Non-Facility (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× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,537.52 |
$2,537.52 |
3.1× |
| Clavicle complete (73000) |
$1,301.64 |
$1,301.64 |
14.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,613.79 |
$2,613.79 |
23.9× |
| Continuing medical physics consltj pr wk (77336) |
$1,317.25 |
$1,317.25 |
9.4× |
| 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 contrast (74160) |
$5,596.23 |
$5,596.23 |
30.6× |
| CT abdomen w wo contrast (74170) |
$7,871.37 |
$7,871.37 |
43.0× |
| CT abdomen w/o contrast (74150) |
$5,026.83 |
$5,026.83 |
46.0× |
| CT angio hrt w/3d image (75574) |
$3,231.02 |
$3,231.02 |
8.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$7,111.34 |
$7,111.34 |
38.8× |
| CT angiography upper extremity lt (73206) |
$7,111.34 |
$7,111.34 |
38.8× |
| CT c-spine w/contrast (72126) |
$7,251.49 |
$7,251.49 |
19.9× |
| CT c-spine w/o contrast (72125) |
$6,532.81 |
$6,532.81 |
59.8× |
| CT cervical spine w&w/o contrast (72127) |
$5,352.22 |
$5,352.22 |
29.2× |
| CT chest w contrast (71260) |
$5,980.02 |
$5,980.02 |
32.6× |
| CT chest w/wo contrast (71270) |
$7,091.23 |
$7,091.23 |
38.7× |
| 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 iac w contrast (70481) |
$6,324.38 |
$6,324.38 |
34.5× |
| CT limited/localized follow up study (76380) |
$950.70 |
$950.70 |
10.5× |
| CT lower ext w/o (73700) |
$3,980.81 |
$3,980.81 |
36.5× |
| CT lower extremity w wo contrast (73702) |
$6,920.81 |
$6,920.81 |
37.8× |
| CT lower extremity w/contrast material (73701) |
$6,278.51 |
$6,278.51 |
34.3× |
| CT lumbar spine w & w/o contrast (72133) |
$4,908.94 |
$4,908.94 |
26.8× |
| 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 maxillofacial w contrast (70487) |
$6,895 |
$6,895 |
37.6× |
| CT maxillofacial w/wo contrast (70488) |
$7,125.86 |
$7,125.86 |
38.9× |
| CT maxillofacial wo contrast (70486) |
$5,969.13 |
$5,969.13 |
54.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,167.74 |
$6,167.74 |
33.7× |
| CT orbits w/o contrast (70480) |
$5,051.67 |
$5,051.67 |
46.3× |
| CT pelvis w/o contrast (72192) |
$5,947.41 |
$5,947.41 |
54.5× |
| CT pelvis w/wo contrast (72194) |
$5,647.25 |
$5,647.25 |
30.8× |
| CT scan of arm combo (73202) |
$7,461.07 |
$7,461.07 |
40.7× |
| CT soft tissue neck w contrast (70491) |
$7,334.15 |
$7,334.15 |
40.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,451.60 |
$9,451.60 |
51.6× |
| CT soft tissue neck w/o contrast (70490) |
$5,664.24 |
$5,664.24 |
51.9× |
| 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/wo contrast (72130) |
$4,372.12 |
$4,372.12 |
23.9× |
| CT thorax w/o contrast (71250) |
$4,876.34 |
$4,876.34 |
44.7× |
| CT unlisted procedure (76497) |
$7,029.28 |
$7,029.28 |
77.3× |
| CT upper ext wo (73200) |
$4,091.88 |
$4,091.88 |
37.5× |
| CT upper extremity with contrast (73201) |
$6,553.93 |
$6,553.93 |
18.0× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,107.92 |
$3,107.92 |
17.0× |
| Cta Abdomen (74175) |
$7,745.93 |
$7,745.93 |
42.3× |
| CTA abdomen pelvis (74174) |
$13,315.86 |
$13,315.86 |
36.5× |
| CTA chest (71275) |
$5,981.04 |
$5,981.04 |
32.7× |
| Cta Head (70496) |
$8,637.63 |
$8,637.63 |
47.2× |
| Cta Neck (70498) |
$7,929.96 |
$7,929.96 |
43.3× |
| Cta Pelvis (72191) |
$7,111.34 |
$7,111.34 |
38.8× |
| Cystography minimum 3 views rs&i (74430) |
$972.31 |
$972.31 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,125.11 |
$1,125.11 |
10.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$677.69 |
$677.69 |
7.5× |
| Dxa bone density study axial skeleton (77085) |
$1,530.93 |
$1,530.93 |
14.0× |
| Esophagus (74220) |
$1,421.78 |
$1,421.78 |
7.8× |
| Facial bones min 3 views (70150) |
$1,636.79 |
$1,636.79 |
15.0× |
| Fetal biophysical profile non-stress testing (76818) |
$527.88 |
$527.88 |
4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$865.15 |
$865.15 |
7.9× |
| Fluoroscopy up to 1 hr (76000) |
$1,294.20 |
$1,294.20 |
5.2× |
| Foot 2 views (73620) |
$963.50 |
$963.50 |
10.6× |
| Forearm 2 views (73090) |
$1,011.40 |
$1,011.40 |
11.1× |
| Hand 2 views (73120) |
$781.01 |
$781.01 |
7.2× |
| 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 Hemodyn Eval Rs&I (75889) |
$9,565.48 |
$9,565.48 |
2.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,666.02 |
$6,666.02 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,315.42 |
$4,315.42 |
7.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,315.42 |
$4,315.42 |
10.3× |
| Hysterosalpingogram (74740) |
$1,742.01 |
$1,742.01 |
7.0× |
| 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× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,080.91 |
$5,080.91 |
9.0× |
| Knee 3 views (73562) |
$1,211.89 |
$1,211.89 |
13.3× |
| Lung perfusion differential (78597) |
$2,294.57 |
$2,294.57 |
5.5× |
| Lymphoscintigraphy (78195) |
$3,593.94 |
$3,593.94 |
6.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$6,555.23 |
$6,555.23 |
8.0× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$5,859.93 |
$5,859.93 |
16.1× |
| Mlc imrt design & construction per imrt plan (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&/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 implt pos&/immoblj (76019) |
$140.35 |
$140.35 |
2.3× |
| 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 &W/Contrast Material (70549) |
$4,190.13 |
$4,190.13 |
11.5× |
| MRA neck w/o contrast (70547) |
$2,923.55 |
$2,923.55 |
11.7× |
| 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 jt lower extrem w/contrast material (73722) |
$6,861.30 |
$6,861.30 |
8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$6,082.35 |
$6,082.35 |
16.7× |
| MRI breast w/o contrast bilateral (77047) |
$3,338.50 |
$3,338.50 |
13.4× |
| MRI c-spine with contrast (72142) |
$7,484.68 |
$7,484.68 |
20.5× |
| 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 chest w/o & w/contrast material (71552) |
$5,195.02 |
$5,195.02 |
14.3× |
| MRI chest w/o contrast (71550) |
$4,293.67 |
$4,293.67 |
17.2× |
| MRI chest with contrast (71551) |
$2,114.61 |
$2,114.61 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,679.32 |
$7,679.32 |
21.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$6,768.31 |
$6,768.31 |
18.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,593.01 |
$5,593.01 |
22.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,135.84 |
$5,135.84 |
20.6× |
| MRI orbit face neck w contrast (70542) |
$4,286.96 |
$4,286.96 |
11.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,488.48 |
$6,488.48 |
17.8× |
| MRI pelvis w/contrast (72196) |
$5,326.37 |
$5,326.37 |
14.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,909.09 |
$5,909.09 |
16.2× |
| MRI pelvis w/o contrast (72195) |
$5,216.12 |
$5,216.12 |
20.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$8,231.51 |
$8,231.51 |
22.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$6,997.71 |
$6,997.71 |
19.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,489.37 |
$7,489.37 |
20.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,482.68 |
$6,482.68 |
17.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (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 up ext w/o contrast (73218) |
$4,068.96 |
$4,068.96 |
16.3× |
| MRI upper ext joint w/o contrast (73221) |
$5,569.42 |
$5,569.42 |
22.4× |
| MRI, joint upper extrem combo (73223) |
$7,208.44 |
$7,208.44 |
19.8× |
| Myelogram Cervical (72240) |
$4,518.65 |
$4,518.65 |
5.5× |
| Myelogram Lumbar (72265) |
$5,028.54 |
$5,028.54 |
6.1× |
| Myelography 2 or more regions (72270) |
$3,074.01 |
$3,074.01 |
3.8× |
| Myocardial Spect Multiple Studies (78452) |
$11,449 |
$11,449 |
8.5× |
| Myocardial spect single study at rest or stress (78451) |
$7,279.29 |
$7,279.29 |
5.4× |
| Neck soft tissue (70360) |
$779.38 |
$779.38 |
8.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$815.61 |
$815.61 |
2.0× |
| Nm cardiac blood pool multiple (78473) |
$3,737.91 |
$3,737.91 |
9.0× |
| Nm cisternogram (78630) |
$2,563.44 |
$2,563.44 |
4.5× |
| Nm gastric emptying study (78264) |
$3,935.56 |
$3,935.56 |
9.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$14,356.32 |
$14,356.32 |
9.9× |
| Pelvis 1 or 2 views (72170) |
$810.90 |
$810.90 |
7.4× |
| PET image w/CT, skull-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× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,235.26 |
$2,235.26 |
3.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,313.63 |
$1,313.63 |
14.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$792.97 |
$792.97 |
8.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,110.14 |
$1,110.14 |
12.2× |
| 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 fingr minimum 2 views (73140) |
$775.01 |
$775.01 |
8.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,143.04 |
$1,143.04 |
12.6× |
| Radex Hand Minimum 3 Views (73130) |
$1,059.67 |
$1,059.67 |
11.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$646.35 |
$646.35 |
7.1× |
| 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 Humerus Minimum 2 Views (73060) |
$942.56 |
$942.56 |
10.4× |
| Radex Kne 1/2 Views (73560) |
$631.38 |
$631.38 |
6.9× |
| Radex Kne Compl 4/More Views (73564) |
$1,403.41 |
$1,403.41 |
12.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,077.22 |
$1,077.22 |
9.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$942.56 |
$942.56 |
10.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$828.88 |
$828.88 |
7.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,220.87 |
$1,220.87 |
13.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$1,310.64 |
$1,310.64 |
14.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$814.39 |
$814.39 |
7.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,143.04 |
$1,143.04 |
12.6× |
| Radex Toe Minimum 2 Views (73660) |
$837.86 |
$837.86 |
9.2× |
| Radex upper extremity infant minimum 2 views (73092) |
$1,098.06 |
$1,098.06 |
10.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,146.05 |
$1,146.05 |
12.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,454.24 |
$1,454.24 |
13.3× |
| Radiation Delivery Stereotactic Cranial Cobalt (77371) |
$27,584.98 |
$27,584.98 |
3.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$44,880.59 |
$44,880.59 |
5.8× |
| Radiation treatment delivery level 1 (77402) |
$1,141.12 |
$1,141.12 |
10.7× |
| Radiation treatment delivery level 2 (77407) |
$866.24 |
$866.24 |
2.2× |
| Radiation treatment delivery level 3 (77412) |
$1,945.98 |
$1,945.98 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$870.36 |
$870.36 |
9.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,014.95 |
$1,014.95 |
9.3× |
| Radiologic exam chest 2 views (71046) |
$1,418.03 |
$1,418.03 |
15.6× |
| Radiologic exam colon single contrast study (74270) |
$1,670.62 |
$1,670.62 |
9.1× |
| 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 (73551) |
$462.82 |
$462.82 |
5.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$999.42 |
$999.42 |
11.0× |
| Radiological examination surgical specimen (76098) |
$1,428.17 |
$1,428.17 |
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× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$1,015.86 |
$1,015.86 |
2.5× |
| Ribs bilateral 3 views (71110) |
$1,695.63 |
$1,695.63 |
15.5× |
| 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× |
| Sacroiliac Joints < 3 Views (72200) |
$540.88 |
$540.88 |
5.0× |
| Scapula (73010) |
$1,074.23 |
$1,074.23 |
9.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$103.18 |
$103.18 |
4.4× |
| Shoulder 1 view (73020) |
$816.90 |
$816.90 |
9.0× |
| 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× |
| Spine thoracic 3 views (72072) |
$1,666.72 |
$1,666.72 |
15.3× |
| Stereotactic Body Radiation Delivery (77373) |
$6,157.90 |
$6,157.90 |
3.3× |
| Tbs technical calculation only (77091) |
$220.51 |
$220.51 |
2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,791.26 |
$2,791.26 |
7.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$955.40 |
$955.40 |
2.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,855.39 |
$3,855.39 |
9.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,135.45 |
$2,135.45 |
15.2× |
| Thoracolumbar 2 views (72080) |
$1,493.17 |
$1,493.17 |
16.4× |
| Thyroid carcinoma metastases img whole 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× |
| Tmj unilateral (70328) |
$499.08 |
$499.08 |
5.5× |
| Treatment device complex (77334) |
$2,863.71 |
$2,863.71 |
7.3× |
| Treatment devices simple (77332) |
$886.77 |
$886.77 |
6.3× |
| Ultrasound breast complete (76641) |
$1,918.80 |
$1,918.80 |
17.6× |
| Ultrasound Exam Aaa Screen (76706) |
$871.85 |
$871.85 |
8.0× |
| Ultrasound, abdomen limited (76705) |
$1,786.85 |
$1,786.85 |
16.4× |
| Umbilical-artery Doppler (OB) (76820) |
$325.04 |
$325.04 |
3.0× |
| Urethrocystogram voiding (74455) |
$1,632.04 |
$1,632.04 |
6.5× |
| Urethrocystography retrograde rs&i (74450) |
$2,262.98 |
$2,262.98 |
9.1× |
| Us breast unilateral limited (76642) |
$1,519.25 |
$1,519.25 |
16.7× |
| 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 lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,084.26 |
$1,084.26 |
9.9× |
| Us ob limited (76815) |
$1,320.31 |
$1,320.31 |
12.1× |
| Us ob transvaginal (76817) |
$1,597.39 |
$1,597.39 |
14.6× |
| Us pelvic non ob complete (76856) |
$2,120.74 |
$2,120.74 |
19.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,235.49 |
$1,235.49 |
11.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$2,762.22 |
$2,762.22 |
25.3× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$778.94 |
$778.94 |
7.1× |
| 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 and contents (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 and contents (76800) |
$813.65 |
$813.65 |
7.5× |
| Us, eye b-scan (76512) |
$386.15 |
$386.15 |
3.5× |
| Us,transplanted kidney, real time/ doppler (76776) |
$626.27 |
$626.27 |
5.7× |
| Venogram extremity bilateral (75822) |
$4,987.61 |
$4,987.61 |
3.0× |
| Venogram Extremity Unilateral (75820) |
$3,582.82 |
$3,582.82 |
2.2× |
| Venography caval inferior serialography rs&i (75825) |
$5,194.59 |
$5,194.59 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$4,524.78 |
$4,524.78 |
2.8× |
| Venography Renal Bilateral (75833) |
$9,565.48 |
$9,565.48 |
2.9× |
| 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× |
| Wrist 2 views (73100) |
$984.48 |
$984.48 |
10.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,442.98 |
$1,442.98 |
13.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$604.42 |
$604.42 |
6.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,608.92 |
$1,608.92 |
8.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$837.86 |
$837.86 |
9.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$798.92 |
$798.92 |
8.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$272.70 |
$272.70 |
2.5× |
| X-ray exam of femur 2/> (73552) |
$966.51 |
$966.51 |
10.6× |
| X-ray eye for foreign body (70030) |
$422.77 |
$422.77 |
4.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$981.48 |
$981.48 |
10.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$797.45 |
$797.45 |
8.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,618.83 |
$1,618.83 |
17.8× |
| X-ray leg, infant (73592) |
$843.82 |
$843.82 |
9.3× |
| 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 nose-rectum child f.b. (76010) |
$244.47 |
$244.47 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,804.37 |
$1,804.37 |
16.5× |
| X-ray retrograde pyelogram (74420) |
$1,579.96 |
$1,579.96 |
4.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,427.34 |
$1,427.34 |
15.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,025.78 |
$2,025.78 |
18.6× |
| 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 Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,496.12 |
$1,496.12 |
16.5× |
| 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 Spine One View - Xr Spine (72020) |
$595.47 |
$595.47 |
6.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$400.17 |
$400.17 |
4.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,310.64 |
$1,310.64 |
14.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,110.14 |
$1,110.14 |
10.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,610.54 |
$1,610.54 |
14.8× |
| Xr c-spine 4 or 5 views (72050) |
$2,166.43 |
$2,166.43 |
19.8× |
| Xr c-spine 6 or more views (72052) |
$2,322.03 |
$2,322.03 |
21.3× |
| Xr chest 4+ views (71048) |
$1,776.31 |
$1,776.31 |
16.3× |
| Xr urogram antegrade (74425) |
$1,010.85 |
$1,010.85 |
2.8× |