| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,402.83 |
$4,539 |
3.1× |
| Abdomen 2 views (74019) |
$481.12 |
$496 |
4.5× |
| Ankle 2 views (73600) |
$318.16 |
$328 |
3.5× |
| Basic dosimetry (77300) |
$458.81 |
$473 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$1,828.45 |
$1,885 |
4.4× |
| Bone age studies (77072) |
$470.45 |
$485 |
4.4× |
| Bone Imaging 3 Phase (78315) |
$1,618.93 |
$1,669 |
3.9× |
| Bone survey complete (77075) |
$1,466.64 |
$1,512 |
13.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,283.38 |
$2,354 |
5.5× |
| Cervical spine 2 or 3 views (72040) |
$365.69 |
$377 |
4.1× |
| Chest 1 view (71045) |
$355.50 |
$366.50 |
4.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$776.97 |
$801 |
4.3× |
| Clavicle complete (73000) |
$268.69 |
$277 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$485 |
$500 |
4.5× |
| Continuing medical physics consltj pr wk (77336) |
$819.65 |
$845 |
5.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,683.16 |
$4,828 |
13.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,271.88 |
$4,404 |
17.3× |
| CT abdomen w contrast (74160) |
$2,772.26 |
$2,858 |
15.3× |
| CT abdomen w wo contrast (74170) |
$3,187.42 |
$3,286 |
17.6× |
| CT abdomen w/o contrast (74150) |
$2,220.33 |
$2,289 |
20.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,149.52 |
$2,216 |
11.9× |
| CT angiography upper extremity lt (73206) |
$3,292.18 |
$3,394 |
18.2× |
| CT c-spine w/contrast (72126) |
$2,416.27 |
$2,491 |
6.7× |
| CT c-spine w/o contrast (72125) |
$2,153.40 |
$2,220 |
20.0× |
| CT chest w contrast (71260) |
$2,416.27 |
$2,491 |
13.3× |
| CT chest w/wo contrast (71270) |
$2,657.80 |
$2,740 |
14.7× |
| CT head/brain with contrast (70460) |
$2,416.27 |
$2,491 |
13.3× |
| CT head/brain without and with contrast (70470) |
$2,657.80 |
$2,740 |
14.7× |
| CT iac w contrast (70481) |
$2,416.27 |
$2,491 |
13.3× |
| CT lower ext w/o (73700) |
$2,149.52 |
$2,216 |
19.9× |
| CT lower extremity w/contrast material (73701) |
$2,416.27 |
$2,491 |
13.3× |
| CT lumbar spine w/contrast (72132) |
$2,416.27 |
$2,491 |
6.7× |
| CT lumbar spine w/o contrast (72131) |
$2,149.52 |
$2,216 |
19.9× |
| CT maxillofacial w contrast (70487) |
$2,326.06 |
$2,398 |
12.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,537.52 |
$2,616 |
14.0× |
| CT maxillofacial wo contrast (70486) |
$2,114.60 |
$2,180 |
19.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,657.80 |
$2,740 |
14.7× |
| CT orbits w/o contrast (70480) |
$1,920.60 |
$1,980 |
17.8× |
| CT pelvis w/o contrast (72192) |
$2,057.37 |
$2,121 |
19.1× |
| CT scan of arm combo (73202) |
$2,681.08 |
$2,764 |
14.8× |
| CT soft tissue neck w contrast (70491) |
$2,416.27 |
$2,491 |
13.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,657.80 |
$2,740 |
14.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,149.52 |
$2,216 |
19.9× |
| CT thoracic spine w/contrast (72129) |
$2,416.27 |
$2,491 |
13.3× |
| CT thoracic spine w/o contrast (72128) |
$2,149.52 |
$2,216 |
19.9× |
| CT thorax w/o contrast (71250) |
$2,149.52 |
$2,216 |
19.9× |
| CT upper ext wo (73200) |
$2,149.52 |
$2,216 |
19.9× |
| CT upper extremity with contrast (73201) |
$2,416.27 |
$2,491 |
6.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,381.42 |
$3,486 |
18.7× |
| Cta Abdomen (74175) |
$3,381.42 |
$3,486 |
18.7× |
| CTA abdomen pelvis (74174) |
$4,833.51 |
$4,983 |
13.4× |
| CTA chest (71275) |
$3,381.42 |
$3,486 |
18.7× |
| Cta Head (70496) |
$3,211.67 |
$3,311 |
17.7× |
| Cta Neck (70498) |
$3,211.67 |
$3,311 |
17.7× |
| Cystography minimum 3 views rs&i (74430) |
$762.42 |
$786 |
2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$157.14 |
$162 |
1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$840.02 |
$866 |
7.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$798.31 |
$823 |
7.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$439.41 |
$453 |
1.8× |
| Esophagus (74220) |
$631.47 |
$651 |
3.5× |
| Facial bones min 3 views (70150) |
$617.89 |
$637 |
5.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$624.68 |
$644 |
5.8× |
| Fetal Echo (76825) |
$542.23 |
$559 |
1.0× |
| Fluoroscopy up to 1 hr (76000) |
$397.70 |
$410 |
1.6× |
| Foot 2 views (73620) |
$318.16 |
$328 |
3.5× |
| Forearm 2 views (73090) |
$318.16 |
$328 |
3.5× |
| Hand 2 views (73120) |
$318.16 |
$328 |
2.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,013.72 |
$2,076 |
3.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,998.20 |
$2,060 |
4.8× |
| Hysterosalpingogram (74740) |
$2,223.24 |
$2,292 |
9.0× |
| Image fusion (77399) |
$950.60 |
$980 |
6.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,145.64 |
$2,212 |
3.8× |
| Knee 3 views (73562) |
$420.98 |
$434 |
4.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$3,897.46 |
$4,018 |
4.8× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$4,597.80 |
$4,740 |
12.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$150.35 |
$155 |
1.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,150.42 |
$1,186 |
3.0× |
| MRA head w & w/o contrast (70546) |
$4,817.02 |
$4,966 |
13.4× |
| MRA head w/o contrast (70544) |
$3,663.69 |
$3,777 |
14.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,876.19 |
$5,027 |
13.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,057.58 |
$5,214 |
14.0× |
| MRI abdomen w/o contrast (74181) |
$3,623.92 |
$3,736 |
14.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,897.46 |
$4,018 |
4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,287.40 |
$4,420 |
11.9× |
| MRI cervical spine w/o contrast (72141) |
$3,623.92 |
$3,736 |
14.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,082.73 |
$4,209 |
11.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,597.80 |
$4,740 |
12.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,623.92 |
$3,736 |
14.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,275.83 |
$5,439 |
14.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,734.57 |
$4,881 |
13.1× |
| MRI pelvis w/o contrast (72195) |
$3,623.92 |
$3,736 |
14.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,503.71 |
$4,643 |
12.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,928.57 |
$5,081 |
13.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,503.71 |
$4,643 |
12.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,663.69 |
$3,777 |
14.9× |
| MRI up ext w/o contrast (73218) |
$3,623.92 |
$3,736 |
14.7× |
| MRI upper ext joint w/o contrast (73221) |
$3,623.92 |
$3,736 |
14.7× |
| MRI, joint upper extrem combo (73223) |
$4,597.80 |
$4,740 |
12.8× |
| Myocardial Spect Multiple Studies (78452) |
$4,147.72 |
$4,276 |
3.1× |
| Myocardial spect single study at rest or stress (78451) |
$4,147.72 |
$4,276 |
3.1× |
| Neck soft tissue (70360) |
$294.88 |
$304 |
3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,812.17 |
$4,961 |
3.4× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Non-Facility (76519) |
$162.96 |
$168 |
1.5× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$29.10 |
$30 |
1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,339.64 |
$2,412 |
5.7× |
| Pelvis 1 or 2 views (72170) |
$318.16 |
$328 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$5,621.15 |
$5,795 |
3.8× |
| PET imaging for CT attenuation whole body (78816) |
$5,621.15 |
$5,795 |
3.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,274.58 |
$1,314 |
2.3× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$375.39 |
$387 |
4.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$318.16 |
$328 |
3.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$397.70 |
$410 |
4.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$410.31 |
$423 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$533.50 |
$550 |
4.9× |
| Radex fingr minimum 2 views (73140) |
$318.16 |
$328 |
3.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$397.70 |
$410 |
4.4× |
| Radex Hand Minimum 3 Views (73130) |
$397.70 |
$410 |
4.4× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$318.16 |
$328 |
3.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$512.16 |
$528 |
4.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$444.26 |
$458 |
4.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$587.82 |
$606 |
5.4× |
| Radex Humerus Minimum 2 Views (73060) |
$318.16 |
$328 |
3.5× |
| Radex Kne 1/2 Views (73560) |
$318.16 |
$328 |
3.5× |
| Radex Kne Compl 4/More Views (73564) |
$510.22 |
$526 |
4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$457.84 |
$472 |
5.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$431.65 |
$445 |
4.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$359.87 |
$371 |
4.0× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$421.95 |
$435 |
3.9× |
| Radex Toe Minimum 2 Views (73660) |
$318.16 |
$328 |
3.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$397.70 |
$410 |
4.4× |
| Radiation treatment delivery level 3 (77412) |
$1,831.36 |
$1,888 |
3.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$366.66 |
$378 |
4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$457.84 |
$472 |
4.2× |
| Radiologic exam chest 2 views (71046) |
$484.03 |
$499 |
5.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$620.80 |
$640 |
3.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,133.93 |
$1,169 |
6.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$776.97 |
$801 |
4.3× |
| Radiologic examination femur 1 view (73551) |
$318.16 |
$328 |
3.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$341.44 |
$352 |
3.8× |
| Radiological examination surgical specimen (76098) |
$542.23 |
$559 |
1.0× |
| Ribs bilateral 3 views (71110) |
$601.40 |
$620 |
5.6× |
| Scapula (73010) |
$318.16 |
$328 |
2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$76.63 |
$79 |
3.3× |
| Shoulder 1 view (73020) |
$268.69 |
$277 |
3.0× |
| Small bowel series (74250) |
$689.67 |
$711 |
3.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,634.45 |
$1,685 |
4.2× |
| Special dosimetry (77331) |
$403.52 |
$416 |
2.9× |
| Special Physics Consult (77370) |
$950.60 |
$980 |
6.9× |
| Special treatment procedure (77470) |
$3,236.89 |
$3,337 |
5.7× |
| Spine thoracic 3 views (72072) |
$601.40 |
$620 |
5.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,251.30 |
$1,290 |
3.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,908.06 |
$2,998 |
7.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$840.02 |
$866 |
6.1× |
| Thoracolumbar 2 views (72080) |
$460.75 |
$475 |
5.1× |
| Treatment device complex (77334) |
$1,649 |
$1,700 |
4.3× |
| Treatment device intermediate (77333) |
$891.43 |
$919 |
6.4× |
| Treatment devices simple (77332) |
$556.78 |
$574 |
4.0× |
| Ultrasound breast complete (76641) |
$801.22 |
$826 |
7.4× |
| Ultrasound Exam Aaa Screen (76706) |
$483.06 |
$498 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$614.98 |
$634 |
5.7× |
| Umbilical-artery Doppler (OB) (76820) |
$206.61 |
$213 |
1.9× |
| Us breast unilateral limited (76642) |
$361.81 |
$373 |
4.0× |
| Us chest (76604) |
$638.26 |
$658 |
5.9× |
| Us compl joint r-t w/image documentation (76881) |
$808.01 |
$833 |
7.5× |
| Us encephalogram (76506) |
$534.47 |
$551 |
5.0× |
| Us hips infant static (76886) |
$731.38 |
$754 |
8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$712.95 |
$735 |
6.6× |
| Us ob detailed single fetus (76811) |
$750.78 |
$774 |
3.0× |
| Us ob limited (76815) |
$432.62 |
$446 |
4.0× |
| Us ob transvaginal (76817) |
$830.32 |
$856 |
7.7× |
| Us pelvic non ob complete (76856) |
$740.11 |
$763 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$485 |
$500 |
4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$495.67 |
$511 |
4.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$465.60 |
$480 |
4.3× |
| Us retroperitoneal complete (76770) |
$878.82 |
$906 |
8.1× |
| Us retroperitoneal limited (76775) |
$633.41 |
$653 |
5.9× |
| Us scrotum and contents (76870) |
$641.17 |
$661 |
5.9× |
| Us soft tissue head/neck (76536) |
$594.61 |
$613 |
5.5× |
| Us spinal canal and contents (76800) |
$1,364.79 |
$1,407 |
12.6× |
| Us,transplanted kidney, real time/ doppler (76776) |
$583.94 |
$602 |
5.4× |
| Wrist 2 views (73100) |
$318.16 |
$328 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$378.30 |
$390 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$318.16 |
$328 |
3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$449.11 |
$463 |
5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$511.19 |
$527 |
4.7× |
| X-ray exam of femur 2/> (73552) |
$341.44 |
$352 |
3.8× |
| X-ray eye for foreign body (70030) |
$313.31 |
$323 |
3.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$526.71 |
$543 |
5.9× |
| X-ray leg, infant (73592) |
$373.45 |
$385 |
4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$495.67 |
$511 |
4.6× |
| X-ray nose-rectum child f.b. (76010) |
$318.16 |
$328 |
3.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$421.95 |
$435 |
3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$424.86 |
$438 |
4.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$580.06 |
$598 |
5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$736.23 |
$759 |
6.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$310.40 |
$320 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$415.16 |
$428 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$435.53 |
$449 |
4.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$362.78 |
$374 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$505.37 |
$521 |
4.7× |
| Xr c-spine 4 or 5 views (72050) |
$532.53 |
$549 |
4.9× |