| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,194.03 |
$1,326.70 |
0.9× |
| Abdomen 2 views (74019) |
$228.10 |
$253.44 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,233.86 |
$1,370.96 |
3.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,905.81 |
$3,228.68 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,368.43 |
$3,742.70 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$2,749.75 |
$3,055.28 |
0.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,586.58 |
$6,207.31 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,384.46 |
$3,760.52 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,669.16 |
$2,965.72 |
0.9× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$1,857.39 |
$2,063.77 |
0.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,586.58 |
$6,207.31 |
1.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$683.74 |
$759.70 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,049.42 |
$4,499.35 |
1.4× |
| Ankle 2 views (73600) |
$153.08 |
$170.08 |
1.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$464.13 |
$515.70 |
1.4× |
| Aortogram thoracic (75605) |
$4,695.07 |
$5,216.74 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,368.43 |
$3,742.70 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,368.43 |
$3,742.70 |
1.1× |
| Arthrogram elbow (73085) |
$464.13 |
$515.70 |
1.4× |
| Arthrogram hip (73525) |
$450.61 |
$500.68 |
1.4× |
| Arthrogram shoulder (73040) |
$464.13 |
$515.70 |
1.4× |
| Arthrogram wrist (73115) |
$450.61 |
$500.68 |
1.4× |
| Arthrography knee lt (73580) |
$519.84 |
$577.60 |
1.6× |
| Basic radiation dosimetry calculation (77300) |
$377.54 |
$419.49 |
3.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$848.66 |
$942.95 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$2,195.84 |
$2,439.82 |
5.8× |
| Bone age studies (77072) |
$112.28 |
$124.76 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$1,298.12 |
$1,442.36 |
3.5× |
| Bone survey complete (77075) |
$504.20 |
$560.22 |
5.1× |
| Brain image w/flow 4 + views (78606) |
$855.11 |
$950.12 |
1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,809.88 |
$2,010.97 |
1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,386.72 |
$3,763.02 |
10.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$827.11 |
$919.01 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$176.56 |
$196.18 |
2.2× |
| Chest 1 view (71045) |
$277.26 |
$308.07 |
3.4× |
| Chest 3 views (71047) |
$210.51 |
$233.90 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$400.58 |
$445.09 |
2.4× |
| Clavicle complete (73000) |
$187.16 |
$207.95 |
2.3× |
| Continuing medical physics consltj pr wk (77336) |
$130.50 |
$145 |
1.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$346.86 |
$385.40 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,599 |
$5,110 |
14.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,504.62 |
$3,894.02 |
15.6× |
| CT abdomen w contrast (74160) |
$2,477.03 |
$2,752.25 |
15.0× |
| CT abdomen w wo contrast (74170) |
$2,545.39 |
$2,828.21 |
15.4× |
| CT abdomen w/o contrast (74150) |
$1,828.92 |
$2,032.14 |
18.6× |
| CT angio hrt w/3d image (75574) |
$1,040.44 |
$1,156.04 |
3.2× |
| CT angiography upper extremity lt (73206) |
$2,059.88 |
$2,288.75 |
12.5× |
| CT c-spine w/o contrast (72125) |
$2,321.02 |
$2,578.90 |
23.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,882.85 |
$3,203.17 |
17.5× |
| CT cervical spine with contrast (72126) |
$2,574.90 |
$2,861 |
7.9× |
| CT chest w/wo contrast (71270) |
$3,190.85 |
$3,545.39 |
19.4× |
| CT chest with contrast (71260) |
$2,860.84 |
$3,178.72 |
17.4× |
| CT head/brain with contrast (70460) |
$2,302.67 |
$2,558.52 |
14.0× |
| CT head/brain without and with contrast (70470) |
$2,447.11 |
$2,719.01 |
14.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,775.04 |
$1,972.27 |
5.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$113.96 |
$126.62 |
1.4× |
| CT hrt w/3d image congen (75573) |
$1,034.26 |
$1,149.18 |
3.2× |
| CT iac w contrast (70481) |
$2,248.38 |
$2,498.20 |
13.6× |
| CT limited/localized follow up study (76380) |
$460.98 |
$512.20 |
5.6× |
| CT lower ext w/o (73700) |
$1,873.68 |
$2,081.86 |
19.1× |
| CT lower extremity w wo contrast (73702) |
$1,820.35 |
$2,022.61 |
11.0× |
| CT lower extremity with contrast (73701) |
$1,888.74 |
$2,098.61 |
11.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,645.33 |
$2,939.26 |
16.1× |
| CT lumbar spine w/o contrast (72131) |
$2,209.08 |
$2,454.53 |
22.5× |
| CT lumbar spine with contrast (72132) |
$2,561 |
$2,845.56 |
7.8× |
| CT maxillofacial w contrast (70487) |
$2,149.03 |
$2,387.81 |
13.0× |
| CT maxillofacial w/o contrast (70486) |
$2,349.26 |
$2,610.29 |
23.9× |
| CT maxillofacial w/wo contrast (70488) |
$2,607.64 |
$2,897.38 |
15.8× |
| CT neck soft tissue w contrast (70491) |
$2,074.94 |
$2,305.50 |
12.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,892.52 |
$3,213.91 |
17.6× |
| CT orbits w/o contrast (70480) |
$1,931.31 |
$2,145.90 |
19.7× |
| CT pelvis w & w/o contrast (72194) |
$2,399.73 |
$2,666.37 |
14.6× |
| CT pelvis w/o contrast (72192) |
$1,958.73 |
$2,176.36 |
19.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,910.84 |
$2,123.15 |
11.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,693.03 |
$1,881.14 |
17.2× |
| CT thoracic spine w/contrast (72129) |
$2,553.76 |
$2,837.50 |
15.5× |
| CT thoracic spine w/o contrast (72128) |
$2,270.73 |
$2,523.03 |
23.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,645.48 |
$2,939.42 |
16.1× |
| CT thorax w/o contrast (71250) |
$2,054.09 |
$2,282.32 |
20.9× |
| CT unlisted procedure (76497) |
$235.23 |
$261.36 |
2.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,062.31 |
$2,291.46 |
12.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,852.40 |
$2,058.22 |
18.9× |
| CT upper extremity with contrast (73201) |
$1,949.76 |
$2,166.40 |
5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,768.32 |
$1,964.80 |
10.7× |
| Cta Abdomen (74175) |
$2,347.66 |
$2,608.51 |
14.2× |
| CTA abdomen pelvis (74174) |
$2,949.23 |
$3,276.92 |
9.0× |
| CTA chest (71275) |
$2,419.99 |
$2,688.88 |
14.7× |
| Cta Head (70496) |
$2,292.77 |
$2,547.52 |
13.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,928.10 |
$2,142.33 |
11.7× |
| Cta Neck (70498) |
$2,341.02 |
$2,601.13 |
14.2× |
| Cta Pelvis (72191) |
$1,627.68 |
$1,808.53 |
9.9× |
| Cystography minimum 3 views rs&i (74430) |
$296.33 |
$329.26 |
0.9× |
| Diskogram cervical (72285) |
$3,998.64 |
$4,442.93 |
2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$250.36 |
$278.18 |
2.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$329.66 |
$366.30 |
3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$569.35 |
$632.61 |
5.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$400.96 |
$445.52 |
4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$171.97 |
$191.08 |
2.1× |
| Echo exam of fetal heart (76825) |
$943.09 |
$1,047.88 |
1.8× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$794.35 |
$882.61 |
3.5× |
| Echoencephalography real time imaging (76506) |
$700.09 |
$777.88 |
7.1× |
| Esophageal motility (78258) |
$882.81 |
$980.90 |
2.4× |
| Esophagus (74220) |
$326.94 |
$363.27 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$64 |
$71.11 |
0.3× |
| Foot 2 views (73620) |
$156.56 |
$173.96 |
1.9× |
| Forearm 2 views (73090) |
$172.08 |
$191.20 |
2.1× |
| Functional MRI brain by tech (70554) |
$3,281.74 |
$3,646.38 |
14.6× |
| Gated Heart Planar Single (78472) |
$1,317.90 |
$1,464.33 |
3.5× |
| Hand 2 views (73120) |
$155.34 |
$172.60 |
1.6× |
| Hand 3 views (73130) |
$181.86 |
$202.07 |
2.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$3,095.28 |
$3,439.20 |
1.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,199.38 |
$2,443.75 |
4.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,871.36 |
$2,079.29 |
5.0× |
| Ht muscle image spect sing (78451) |
$1,562.59 |
$1,736.21 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$209.48 |
$232.76 |
2.6× |
| Hysterosalpingogram (74740) |
$157.20 |
$174.67 |
0.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,839.69 |
$2,044.10 |
4.9× |
| Kidney imaging morphology (78700) |
$1,046.45 |
$1,162.72 |
2.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$999.77 |
$1,110.86 |
2.0× |
| Knee 3 views (73562) |
$211.90 |
$235.44 |
2.6× |
| Liver & spleen imaging static only (78215) |
$740.82 |
$823.13 |
2.0× |
| Lung Ventilation Imaging (78579) |
$1,027.85 |
$1,142.05 |
2.7× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$607.91 |
$675.45 |
0.2× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$2,075.82 |
$2,306.47 |
1.4× |
| Lymphoscintigraphy (78195) |
$1,352.08 |
$1,502.31 |
2.7× |
| Meckels Diverticulum (78290) |
$1,242.43 |
$1,380.48 |
3.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$377.01 |
$418.90 |
1.1× |
| Mr elastography (76391) |
$544.56 |
$605.07 |
2.4× |
| Mr safety determination physician/other qhp (76016) |
$117.19 |
$130.21 |
1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$32.61 |
$36.23 |
1.2× |
| MRA head w & w/o contrast (70546) |
$2,466.64 |
$2,740.71 |
7.5× |
| MRA head w/o contrast (70544) |
$1,984.52 |
$2,205.02 |
8.9× |
| MRA head with contrast (70545) |
$2,030.44 |
$2,256.04 |
6.2× |
| MRA neck w contrast (70548) |
$1,548.04 |
$1,720.04 |
4.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,052.87 |
$2,280.97 |
6.3× |
| MRA neck w/o contrast (70547) |
$1,946.73 |
$2,163.03 |
8.7× |
| MRI abdomen w contrast (74182) |
$2,412.80 |
$2,680.89 |
7.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,666.70 |
$4,074.11 |
11.2× |
| MRI abdomen w/o contrast (74181) |
$3,041.13 |
$3,379.04 |
13.6× |
| MRI any jnt lwr ext with con lt (73722) |
$3,525.63 |
$3,917.37 |
4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,680.35 |
$2,978.17 |
3.6× |
| MRI c-spine with contrast (72142) |
$3,545.46 |
$3,939.40 |
10.8× |
| MRI cardiac w/o cont stress (75559) |
$3,161.30 |
$3,512.56 |
6.2× |
| MRI cardiac w/o contrast (75557) |
$2,506.25 |
$2,784.72 |
11.2× |
| MRI cervical spine w/o contrast (72141) |
$3,087.42 |
$3,430.47 |
13.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,229.70 |
$1,366.33 |
3.8× |
| MRI chest w/o contrast (71550) |
$2,207.65 |
$2,452.94 |
9.8× |
| MRI fetal sngl/1st gestation (74712) |
$3,179.16 |
$3,532.40 |
14.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,408.39 |
$3,787.10 |
10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,459.52 |
$3,843.90 |
10.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,598.94 |
$2,887.71 |
11.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,157.91 |
$2,397.68 |
9.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,351.33 |
$3,723.70 |
10.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,144.79 |
$2,383.10 |
6.5× |
| MRI pelvis w contrast (72196) |
$2,952.87 |
$3,280.97 |
9.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,399.12 |
$3,776.80 |
10.4× |
| MRI pelvis w/o contrast (72195) |
$2,824.39 |
$3,138.21 |
12.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,631.58 |
$4,035.09 |
11.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$3,222.99 |
$3,581.10 |
4.4× |
| MRI scan of leg joint before and after contrast (73723) |
$3,317.45 |
$3,686.06 |
10.1× |
| MRI spectroscopy (76390) |
$1,089.14 |
$1,210.15 |
13.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,441.40 |
$4,934.88 |
13.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,442.28 |
$3,824.75 |
10.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,370.77 |
$4,856.41 |
13.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,442.28 |
$3,824.75 |
10.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,441.40 |
$4,934.88 |
13.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,087.63 |
$3,430.70 |
13.8× |
| MRI tmj (70336) |
$1,298.02 |
$1,442.24 |
5.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,998.71 |
$3,331.90 |
13.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,262.82 |
$3,625.36 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,635.41 |
$2,928.23 |
11.8× |
| Myelogram Lumbar (72265) |
$841.19 |
$934.66 |
1.1× |
| Myelogram thoracic (72255) |
$668.36 |
$742.62 |
0.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,680.74 |
$4,089.71 |
3.0× |
| Neck soft tissue (70360) |
$176.56 |
$196.18 |
2.2× |
| Nm cisternogram (78630) |
$1,113.89 |
$1,237.65 |
2.2× |
| Nm csf leak detection (78650) |
$1,024.48 |
$1,138.31 |
0.8× |
| Nm gastric emptying study (78264) |
$2,184 |
$2,426.67 |
5.8× |
| Nm gastroesophageal reflux study (78262) |
$1,009.44 |
$1,121.59 |
2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,612.82 |
$1,792.02 |
1.2× |
| Nuclear Rx Oral Admin (79005) |
$974.87 |
$1,083.19 |
4.4× |
| Orthopantogram (70355) |
$99 |
$110 |
1.2× |
| Osseous survey infant (77076) |
$235.56 |
$261.73 |
2.4× |
| Osseous survey limited (77074) |
$361.67 |
$401.86 |
3.7× |
| Parathyroid imaging (78070) |
$468.48 |
$520.53 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$202.34 |
$224.82 |
2.1× |
| Perineogram (74775) |
$240 |
$266.67 |
1.1× |
| PET image w/CT, skull-thigh (78815) |
$2,340.22 |
$2,600.24 |
1.7× |
| PET imaging for CT attenuation whole body (78816) |
$2,341.24 |
$2,601.38 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,839.83 |
$4,266.48 |
11.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,368.43 |
$3,742.70 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,983.61 |
$3,315.12 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$767.58 |
$852.88 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,556.42 |
$1,729.35 |
3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$661.80 |
$735.33 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$177.26 |
$196.95 |
2.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$222.24 |
$246.94 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$239.39 |
$265.99 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$272.64 |
$302.94 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$227.98 |
$253.32 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$179.92 |
$199.90 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$220.95 |
$245.50 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$312.25 |
$346.94 |
3.8× |
| Radiologic exam colon single contrast study (74270) |
$334.60 |
$371.78 |
2.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$283.91 |
$315.46 |
1.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$213.68 |
$237.42 |
2.6× |
| Radiological examination surgical specimen (76098) |
$171.74 |
$190.82 |
0.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,579.72 |
$3,977.46 |
1.2× |
| Ribs bilateral 3 views (71110) |
$208.56 |
$231.72 |
2.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,637.33 |
$1,819.26 |
3.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,821.02 |
$2,023.36 |
3.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,919.22 |
$2,132.48 |
1.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,741.98 |
$1,935.52 |
1.4× |
| Salivary gland imaging (78230) |
$1,037.14 |
$1,152.38 |
2.8× |
| Scanogram (77073) |
$224.97 |
$249.97 |
2.3× |
| Scapula complete (73010) |
$270.28 |
$300.32 |
2.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$607.91 |
$675.45 |
6.2× |
| Small bowel series (74250) |
$277.41 |
$308.23 |
1.7× |
| Special treatment procedure (77470) |
$153.22 |
$170.24 |
0.3× |
| Spine thoracic 3 views (72072) |
$292.41 |
$324.90 |
3.0× |
| Splenoportograpy rs&i (75810) |
$2,106.96 |
$2,341.06 |
0.7× |
| Stereotactic body radiation delivery (77373) |
$915.16 |
$1,016.84 |
0.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$431.53 |
$479.48 |
1.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$154.55 |
$171.72 |
1.2× |
| Therapeutic Enema (74283) |
$470.20 |
$522.44 |
2.9× |
| Thoracolumbar 2 views (72080) |
$208.07 |
$231.19 |
2.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,246.74 |
$1,385.27 |
2.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,134.85 |
$1,260.94 |
3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$475.52 |
$528.35 |
1.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,271.67 |
$1,412.97 |
2.5× |
| Tx devices design & construction complex (77334) |
$102.30 |
$113.67 |
0.3× |
| Ultrasound elastography first target lesion (76982) |
$239.46 |
$266.07 |
2.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$805.65 |
$895.17 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$519.07 |
$576.74 |
5.3× |
| Umbilical-artery Doppler (OB) (76820) |
$427.64 |
$475.15 |
4.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$132.67 |
$147.41 |
1.6× |
| Unlisted magnetic resonance procedure (76498) |
$2,281.42 |
$2,534.92 |
27.9× |
| Upper Extremity Infant (73092) |
$207.23 |
$230.26 |
2.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,284.84 |
$1,427.60 |
3.4× |
| Urethrocystography voiding (74455) |
$296.71 |
$329.68 |
1.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$306.29 |
$340.32 |
1.9× |
| Us breast unilateral complete (76641) |
$528.39 |
$587.10 |
5.4× |
| Us breast unilateral limited (76642) |
$519.37 |
$577.08 |
6.4× |
| Us chest (76604) |
$270.33 |
$300.36 |
2.8× |
| Us elastography parenchyma (76981) |
$592.52 |
$658.36 |
6.0× |
| Us infant hips dynamic (76885) |
$482.80 |
$536.44 |
5.9× |
| Us infant hips limited static (76886) |
$482.80 |
$536.44 |
5.9× |
| Us kidney transplant (76776) |
$498.36 |
$553.72 |
5.1× |
| Us pelvic non ob complete (76856) |
$474.76 |
$527.52 |
4.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$132.26 |
$146.96 |
1.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$469.80 |
$522 |
4.8× |
| Us retroperitoneal complete (76770) |
$577.74 |
$641.94 |
5.9× |
| Us retroperitoneal limited (76775) |
$134.24 |
$149.16 |
1.4× |
| Us scrotum and contents (76870) |
$531.43 |
$590.48 |
5.4× |
| Us soft tissue head/neck (76536) |
$519.37 |
$577.08 |
5.3× |
| Us spinal canal and contents (76800) |
$494.36 |
$549.29 |
5.0× |
| Us xtr non-vasc lmtd (76882) |
$449.79 |
$499.77 |
4.6× |
| Us, eye b-scan (76512) |
$704.23 |
$782.48 |
7.2× |
| Venogram extremity bilateral (75822) |
$2,169.34 |
$2,410.37 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$3,270.32 |
$3,633.69 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$810.19 |
$900.21 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$814.44 |
$904.94 |
0.6× |
| Venography Renal Bilateral (75833) |
$2,004.22 |
$2,226.91 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$1,993.44 |
$2,214.94 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,270.32 |
$3,633.69 |
1.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,586.58 |
$6,207.31 |
1.1× |
| Wrist 2 views (73100) |
$156.56 |
$173.96 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$378.60 |
$420.67 |
3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$183.66 |
$204.08 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$181.40 |
$201.56 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$645.71 |
$717.46 |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$204.37 |
$227.08 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$212.05 |
$235.61 |
2.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$238.70 |
$265.22 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$228.61 |
$254.01 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$208.92 |
$232.13 |
2.6× |
| X-ray exam of femur 1 (73551) |
$135.90 |
$151 |
1.7× |
| X-ray eye for foreign body (70030) |
$71.60 |
$79.55 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$224.71 |
$249.68 |
2.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$181.86 |
$202.07 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$160.86 |
$178.73 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$212 |
$235.56 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$198.47 |
$220.52 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$219.35 |
$243.72 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$282.56 |
$313.96 |
2.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$307.08 |
$341.20 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$180.95 |
$201.06 |
2.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$205.01 |
$227.79 |
2.5× |
| X-ray of voice box or throat (70370) |
$224.41 |
$249.34 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$192.33 |
$213.70 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$297.59 |
$330.65 |
3.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$482.54 |
$536.16 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$205.47 |
$228.30 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$205.94 |
$228.82 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$204.50 |
$227.22 |
2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$286.80 |
$318.67 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$135.68 |
$150.75 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$181.86 |
$202.07 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$280.56 |
$311.74 |
3.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$213.55 |
$237.28 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$308.42 |
$342.69 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$260.04 |
$288.93 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$150.81 |
$167.57 |
1.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$211.84 |
$235.38 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$180.10 |
$200.10 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$282.56 |
$313.96 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$143.08 |
$158.98 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$211.95 |
$235.50 |
2.6× |
| Xr c-spine 6 or more views (72052) |
$224.80 |
$249.78 |
2.3× |
| Xr chest 4+ views (71048) |
$228.40 |
$253.78 |
2.3× |
| Xr finger(s) 2+ views (73140) |
$154.87 |
$172.08 |
1.9× |
| XR Mastoids < 3 Views Bilateral (70120) |
$207.59 |
$230.65 |
2.1× |
| Xr shoulder 1 view (73020) |
$136.61 |
$151.78 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$281.78 |
$313.09 |
2.9× |
| Xr tibia/fibula 2 views (73590) |
$223.96 |
$248.84 |
2.7× |
| Xr tmj bilateral (70330) |
$227.98 |
$253.32 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$187.16 |
$207.95 |
2.3× |