| 3-D radiotherapy plan dose-volume histograms (77295) |
$541.12 |
$4,162.50 |
0.4× |
| Abdomen 2 views (74019) |
$185.70 |
$1,428.50 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$934.44 |
$7,188 |
2.3× |
| Angiography extremity bilateral rs&i (75716) |
$1,718.21 |
$13,217 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,708.46 |
$13,142 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$967.04 |
$7,438.80 |
0.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$780 |
$6,000 |
0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$657.93 |
$5,061 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,490.45 |
$11,465 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$422.11 |
$3,247 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$422.11 |
$3,247 |
0.1× |
| Ankle 2 views (73600) |
$149.37 |
$1,149 |
1.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$577.46 |
$4,442 |
1.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$972.66 |
$7,482 |
0.3× |
| Aortography abdominal serialography rs&i (75625) |
$1,718.21 |
$13,217 |
0.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$815.88 |
$6,276 |
0.3× |
| Arthrogram elbow (73085) |
$109.20 |
$840 |
0.3× |
| Arthrogram hip (73525) |
$256.49 |
$1,973 |
0.7× |
| Arthrogram shoulder (73040) |
$438.10 |
$3,370 |
1.3× |
| Arthrogram wrist (73115) |
$239.59 |
$1,843 |
0.7× |
| Arthrography knee lt (73580) |
$383.11 |
$2,947 |
1.1× |
| Basic radiation dosimetry calculation (77300) |
$154.31 |
$1,187 |
1.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$362.70 |
$2,790 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$860.21 |
$6,617 |
2.1× |
| Bone age studies (77072) |
$36.27 |
$279 |
0.3× |
| Bone Imaging 3 Phase (78315) |
$1,275.43 |
$9,811 |
3.2× |
| Bone survey complete (77075) |
$768.30 |
$5,910 |
7.3× |
| Brachytx isodose complex (77318) |
$120.25 |
$925 |
0.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$48.75 |
$375 |
0.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$578.37 |
$4,449 |
0.4× |
| Brain Imaging Vascular Flow Only (78610) |
$71.37 |
$549 |
0.1× |
| Cervical spine 2 or 3 views (72040) |
$254.67 |
$1,959 |
2.9× |
| Chest 1 view (71045) |
$157.17 |
$1,209 |
1.8× |
| Chest 3 views (71047) |
$270.50 |
$2,080.80 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$251.68 |
$1,936 |
1.4× |
| Clavicle complete (73000) |
$169.26 |
$1,302 |
1.9× |
Complete single session course of cranial lesion surgery using radiation (77371)
likely a partial charge, not the full procedure |
$1,283.36 |
$9,872 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$50 |
$123 |
0.5× |
| Continuing medical physics consltj pr wk (77336) |
$90.46 |
$695.90 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,624.74 |
$12,498 |
4.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,127.88 |
$8,676 |
4.7× |
| CT abdomen w contrast (74160) |
$722.15 |
$5,555 |
4.1× |
| CT abdomen w wo contrast (74170) |
$833.56 |
$6,412 |
4.7× |
| CT abdomen w/o contrast (74150) |
$659.75 |
$5,075 |
6.3× |
| CT angio hrt w/3d image (75574) |
$264.94 |
$2,038 |
0.8× |
| CT angiography upper extremity lt (73206) |
$461.89 |
$3,553 |
2.6× |
| CT c-spine w/o contrast (72125) |
$538.85 |
$4,145 |
5.1× |
| CT cervical spine w&w/o contrast (72127) |
$597.61 |
$4,597 |
3.4× |
| CT cervical spine with contrast (72126) |
$556.27 |
$4,279 |
1.6× |
| CT chest w/wo contrast (71270) |
$1,126.72 |
$8,667.11 |
6.4× |
| CT chest with contrast (71260) |
$699.79 |
$5,383 |
4.0× |
| CT head/brain with contrast (70460) |
$531.44 |
$4,088 |
3.0× |
| CT head/brain without and with contrast (70470) |
$754.26 |
$5,802 |
4.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$236.73 |
$1,821 |
0.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$75 |
$812 |
0.9× |
| CT hrt w/3d image congen (75573) |
$94.38 |
$726 |
0.3× |
| CT iac w contrast (70481) |
$533 |
$4,100 |
3.0× |
| CT limited/localized follow up study (76380) |
$196.43 |
$1,511 |
2.2× |
| CT lower ext w/o (73700) |
$487.37 |
$3,749 |
4.6× |
| CT lower extremity w wo contrast (73702) |
$596.31 |
$4,587 |
3.4× |
| CT lower extremity with contrast (73701) |
$520 |
$4,000 |
3.0× |
| CT lumbar spine w & w/o contrast (72133) |
$580.71 |
$4,467 |
3.3× |
| CT lumbar spine w/o contrast (72131) |
$532.48 |
$4,096 |
5.1× |
| CT lumbar spine with contrast (72132) |
$552.24 |
$4,248 |
1.6× |
| CT maxillofacial w contrast (70487) |
$521.69 |
$4,013 |
3.0× |
| CT maxillofacial w/o contrast (70486) |
$501.41 |
$3,857 |
4.8× |
| CT maxillofacial w/wo contrast (70488) |
$556.92 |
$4,284 |
3.2× |
| CT neck soft tissue w contrast (70491) |
$591.37 |
$4,549 |
3.4× |
| CT orbits w/o contrast (70480) |
$519.87 |
$3,999 |
5.0× |
| CT pelvis w & w/o contrast (72194) |
$686.14 |
$5,278 |
3.9× |
| CT pelvis w/o contrast (72192) |
$473.98 |
$3,646 |
4.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$775.45 |
$5,965 |
4.4× |
| CT soft tissue neck w/o contrast (70490) |
$435.50 |
$3,350 |
4.1× |
| CT thoracic spine w/contrast (72129) |
$520.78 |
$4,006 |
3.0× |
| CT thoracic spine w/o contrast (72128) |
$504.14 |
$3,878 |
4.8× |
| CT thorax w/o contrast (71250) |
$525.72 |
$4,044 |
5.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$520.65 |
$4,005 |
3.0× |
| CT upper extremity w/o contrast rt (73200) |
$411.06 |
$3,162 |
3.9× |
| CT upper extremity with contrast (73201) |
$442 |
$3,400 |
1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$592.67 |
$4,559 |
3.4× |
| Cta Abdomen (74175) |
$722.41 |
$5,557 |
4.1× |
| CTA abdomen pelvis (74174) |
$1,356.16 |
$10,432 |
3.9× |
| CTA chest (71275) |
$1,065.09 |
$8,193 |
6.0× |
| Cta Head (70496) |
$671.58 |
$5,166 |
3.8× |
| CTA lwr ext w&w/o contrast (73706) |
$581.10 |
$4,470 |
3.3× |
| Cta Neck (70498) |
$834.86 |
$6,422 |
4.7× |
| Cta Pelvis (72191) |
$689.91 |
$5,307 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$359.84 |
$2,768 |
1.0× |
| Diskogram cervical (72285) |
$617.37 |
$4,749 |
0.3× |
| Diskography lumbar (72295) |
$852.02 |
$6,554 |
0.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$215.02 |
$1,654 |
2.0× |
| Echoencephalography real time imaging (76506) |
$55.77 |
$429 |
0.5× |
| Esophagus (74220) |
$234.52 |
$1,804 |
1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$194.38 |
$1,495.20 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$304.20 |
$2,340 |
1.3× |
| Foot 2 views (73620) |
$150.93 |
$1,161 |
1.7× |
| Forearm 2 views (73090) |
$315.90 |
$2,430 |
3.6× |
| Gated Heart Planar Single (78472) |
$498.56 |
$3,835.10 |
1.2× |
| Hand 2 views (73120) |
$266.24 |
$2,048 |
2.5× |
| Hand 3 views (73130) |
$312.39 |
$2,403 |
3.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$272.22 |
$2,094 |
0.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$272.22 |
$2,094 |
0.4× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$272.22 |
$2,094 |
0.4× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$73.97 |
$569 |
0.2× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$73.97 |
$569 |
0.2× |
| Heart Infarct Image (78466) |
$87.23 |
$671 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,380.73 |
$10,621 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$860.21 |
$6,617 |
2.1× |
| Ht muscle image spect sing (78451) |
$664.82 |
$5,114 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$184.21 |
$1,417 |
2.1× |
| Hysterosalpingogram (74740) |
$204.49 |
$1,573 |
0.9× |
| Interstitial radiation source applic complex (77778) |
$476.45 |
$3,665 |
0.7× |
| Intracavitary Radiation Source Applic Complex (77763) |
$234.65 |
$1,805 |
0.3× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$191.75 |
$1,475 |
0.3× |
| Intracavitary radiation source applic simple (77761) |
$166.79 |
$1,283 |
0.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$752.44 |
$5,788 |
1.4× |
| Knee 3 views (73562) |
$281.06 |
$2,162 |
3.2× |
| Liver & spleen imaging static only (78215) |
$626.60 |
$4,820 |
1.6× |
| Liver imaging static only (78201) |
$290.16 |
$2,232 |
0.5× |
| Lung Ventilation Imaging (78579) |
$210.99 |
$1,623 |
0.5× |
| Lymphoscintigraphy (78195) |
$790.79 |
$6,083 |
1.4× |
| Mammary ductogram or galactogram single (77053) |
$126.88 |
$976 |
0.5× |
| Meckels Diverticulum (78290) |
$542.75 |
$4,174.99 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$139.23 |
$1,071 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$9.75 |
$75 |
0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$39 |
$300 |
0.4× |
| MRA head w & w/o contrast (70546) |
$1,009.32 |
$7,764 |
2.9× |
| MRA head w/o contrast (70544) |
$892.97 |
$6,869 |
3.7× |
| MRA head with contrast (70545) |
$917.54 |
$7,058 |
2.6× |
| MRA neck w contrast (70548) |
$702 |
$5,400 |
2.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,307.02 |
$10,054 |
3.7× |
| MRA neck w/o contrast (70547) |
$571.22 |
$4,394 |
2.4× |
| MRI abdomen w contrast (74182) |
$1,220.70 |
$9,390 |
3.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,198.69 |
$16,913 |
6.3× |
| MRI abdomen w/o contrast (74181) |
$1,099.93 |
$8,461 |
4.6× |
| MRI any jnt lwr ext with con lt (73722) |
$421.59 |
$3,243 |
0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,043.64 |
$8,028 |
1.3× |
| MRI breast w/o contrast bilateral (77047) |
$473.20 |
$3,640 |
2.0× |
| MRI breast w/o contrast unilat (77046) |
$367.38 |
$2,826 |
1.5× |
| MRI c-spine with contrast (72142) |
$1,179.62 |
$9,074 |
3.4× |
| MRI cervical spine w/o contrast (72141) |
$1,123.72 |
$8,644 |
4.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,596.01 |
$12,277 |
4.6× |
| MRI chest w/o contrast (71550) |
$975 |
$7,500 |
4.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$640.25 |
$4,925 |
1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,001 |
$7,700 |
2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$973.05 |
$7,485 |
4.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$347.23 |
$2,671 |
1.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$899.21 |
$6,917 |
2.6× |
| MRI orbit/face/neck w/contrast (70542) |
$455 |
$3,500 |
1.3× |
| MRI pelvis w contrast (72196) |
$1,157 |
$8,900 |
3.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,456.78 |
$11,206 |
4.2× |
| MRI pelvis w/o contrast (72195) |
$942.89 |
$7,253 |
3.9× |
| MRI scan of arm joint before and after contrast (73223) |
$1,236.74 |
$9,513.35 |
3.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,960.53 |
$15,081 |
5.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,339 |
$10,300 |
3.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,384.24 |
$10,648 |
3.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,726.40 |
$13,280 |
4.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,280.50 |
$9,850 |
3.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,342.64 |
$10,328 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,214.59 |
$9,343 |
5.1× |
| MRI tmj (70336) |
$368.29 |
$2,833 |
1.5× |
| MRI upper ext joint w/o contrast (73221) |
$994.24 |
$7,648 |
4.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,536.73 |
$11,821 |
4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$591.50 |
$4,550 |
2.5× |
| Myelogram Cervical (72240) |
$282.10 |
$2,170 |
0.4× |
| Myelogram Lumbar (72265) |
$292.37 |
$2,249 |
0.4× |
| Myelogram thoracic (72255) |
$192.14 |
$1,478 |
0.2× |
| Myelography 2 or more regions (72270) |
$317.20 |
$2,440 |
0.4× |
| Myocardial infarct spect (78469) |
$236.99 |
$1,823 |
0.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,184 |
$16,800 |
1.7× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$976.62 |
$7,512.45 |
0.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$526.50 |
$4,050 |
0.6× |
| Neck soft tissue (70360) |
$112.71 |
$867 |
1.3× |
| Nm cisternogram (78630) |
$712.40 |
$5,480 |
1.3× |
| Nm gastric emptying study (78264) |
$764.66 |
$5,882 |
1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$801.06 |
$6,162 |
0.6× |
| Nuclear medicine of heart pumping function (78473) |
$388.18 |
$2,986 |
1.0× |
| Nuclear medicine study of digestive tracts (78299) |
$168.09 |
$1,293 |
0.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$85.80 |
$660 |
0.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$68.12 |
$524 |
0.2× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$157.43 |
$1,211 |
0.3× |
| Nuclear Rx Oral Admin (79005) |
$796.38 |
$6,126 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$106.24 |
$817.20 |
1.0× |
| Osseous survey infant (77076) |
$35.62 |
$274 |
0.3× |
| Osseous survey limited (77074) |
$451 |
$3,469.20 |
4.3× |
| Parathyrd planar w/wo subtrj (78071) |
$179.14 |
$1,378 |
0.4× |
| Parathyroid imaging (78070) |
$543.14 |
$4,178 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$256.75 |
$1,975 |
2.4× |
| Peritoneogram rs&i (74190) |
$138.06 |
$1,062 |
0.3× |
| PET image w/CT, skull-thigh (78815) |
$1,861.60 |
$14,320 |
1.3× |
| PET imaging CT for attenuation limited area (78814) |
$668.98 |
$5,146 |
0.5× |
| PET imaging for CT attenuation whole body (78816) |
$1,924 |
$14,800 |
1.3× |
| Pr heart first pass single,planar (78481) |
$192.27 |
$1,479 |
0.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,532.18 |
$11,786 |
4.4× |
| Pr sono bone density measure,peripheral (76977) |
$16.64 |
$128 |
0.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$680.94 |
$5,238 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$359.58 |
$2,766 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,731.99 |
$13,323 |
3.2× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$464.10 |
$3,570 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$113.23 |
$871 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$68.12 |
$524 |
0.8× |
Radiation Delivery Stereotactic Cranial Linear (77372)
likely a partial charge, not the full procedure |
$1,506.70 |
$11,590 |
0.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$92.56 |
$712 |
0.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$42.90 |
$330 |
0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$284.57 |
$2,189 |
2.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$176.80 |
$1,360 |
2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$250.47 |
$1,926.67 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$286 |
$2,200 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$312.26 |
$2,402 |
1.8× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$31.72 |
$244 |
0.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$459.55 |
$3,535 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$456.30 |
$3,510 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$178.88 |
$1,376 |
2.0× |
| Radiological examination surgical specimen (76098) |
$202.15 |
$1,555 |
0.4× |
| Radiopharmaceutical therapy, unlisted procedure UNSCHEDULED (79999) |
$75.27 |
$579 |
0.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,201.98 |
$9,246 |
0.4× |
| Ribs bilateral 3 views (71110) |
$336.44 |
$2,588 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$94.12 |
$724 |
0.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$336.83 |
$2,591 |
0.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,920.36 |
$14,772 |
3.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$134.03 |
$1,031 |
0.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$147.56 |
$1,135.10 |
0.6× |
| Rp Therapy Intravenous Administration (79101) |
$131.56 |
$1,012 |
0.6× |
| Sacroiliac Joints < 3 Views (72200) |
$169 |
$1,300 |
1.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$138.19 |
$1,063 |
0.6× |
| Scapula complete (73010) |
$275.86 |
$2,122 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$29.38 |
$226 |
1.3× |
| Sialogram (70390) |
$114.92 |
$884 |
0.5× |
| Simulation intermediate (77285) |
$187.07 |
$1,439 |
0.5× |
| Small bowel series (74250) |
$160.29 |
$1,233 |
0.9× |
| Spec medical radj physics consltj (77370) |
$113.23 |
$871 |
0.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$155.87 |
$1,199 |
0.4× |
| Special dosimetry (77331) |
$132.60 |
$1,020 |
1.0× |
| Special treatment procedure (77470) |
$234.39 |
$1,803 |
0.4× |
| Spine thoracic 3 views (72072) |
$275.99 |
$2,123 |
2.6× |
| Stereotactic body radiation delivery (77373) |
$1,753.70 |
$13,490 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$53.56 |
$412 |
0.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$48.75 |
$375 |
0.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$302.38 |
$2,326 |
0.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$155.87 |
$1,199 |
1.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$801.71 |
$6,167 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$115.31 |
$887 |
0.3× |
| Thyroid uptake measurement (78012) |
$115.57 |
$889 |
0.3× |
| Tomogram (76100) |
$247.52 |
$1,904 |
2.4× |
| Treatment device intermediate (77333) |
$149.63 |
$1,151 |
1.1× |
| Treatment devices simple (77332) |
$63.18 |
$486 |
0.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,880.58 |
$14,466 |
3.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$193.18 |
$1,486 |
0.5× |
| Tx devices design & construction complex (77334) |
$357.24 |
$2,748 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$346.58 |
$2,666 |
3.3× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$52.78 |
$406 |
0.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$178.88 |
$1,376 |
1.7× |
| Unlisted Ultrasound Procedure (76999) |
$26 |
$200 |
0.3× |
| Urethrocystography retrograde rs&i (74450) |
$333.32 |
$2,564 |
1.4× |
| Urethrocystography voiding (74455) |
$268.48 |
$2,065.20 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$517.66 |
$3,982 |
2.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$149.50 |
$1,150 |
0.8× |
| Us breast unilateral complete (76641) |
$262.60 |
$2,020 |
2.5× |
| Us breast unilateral limited (76642) |
$108.29 |
$833 |
1.2× |
| Us chest (76604) |
$255.32 |
$1,964 |
2.4× |
| Us compl joint r-t w/image documentation (76881) |
$374.92 |
$2,884 |
3.6× |
| Us elastography parenchyma (76981) |
$217.23 |
$1,671 |
2.1× |
| Us infant hips dynamic (76885) |
$43.42 |
$334 |
0.5× |
| Us ob transvaginal (76817) |
$308.23 |
$2,371 |
2.9× |
| Us pelvic non ob complete (76856) |
$336.57 |
$2,589 |
3.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$326.69 |
$2,513 |
3.1× |
| Us pregnancy ltd (76815) |
$251 |
$1,930.80 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$364.10 |
$2,800.80 |
3.5× |
| Us retroperitoneal complete (76770) |
$358.28 |
$2,756 |
3.4× |
| Us retroperitoneal limited (76775) |
$217.62 |
$1,674 |
2.1× |
| Us scrotum and contents (76870) |
$333.06 |
$2,562 |
3.2× |
| Us soft tissue head/neck (76536) |
$328.90 |
$2,530 |
3.1× |
| Us spinal canal and contents (76800) |
$98.80 |
$760 |
0.9× |
| Us transrectal (76872) |
$336.80 |
$2,590.80 |
3.2× |
| Us xtr non-vasc lmtd (76882) |
$218.60 |
$1,681.50 |
2.1× |
| Venogram extremity bilateral (75822) |
$629.85 |
$4,845 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$764.87 |
$5,883.60 |
0.2× |
| Venography caval superior serialography rs&i (75827) |
$362.83 |
$2,791 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$355.84 |
$2,737.20 |
0.2× |
| Venography Renal Bilateral (75833) |
$890.24 |
$6,848 |
0.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$422.11 |
$3,247 |
0.1× |
| Wrist 2 views (73100) |
$151.84 |
$1,168 |
1.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$319.67 |
$2,459 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$72.70 |
$559.20 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$270.53 |
$2,081 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$393.64 |
$3,028 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$120.25 |
$925 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$256.62 |
$1,974 |
2.9× |
| X-ray exam hip uni 1 view (73501) |
$108.94 |
$838 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$192.27 |
$1,479 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$141.31 |
$1,087 |
1.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$296.92 |
$2,284 |
2.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$170.17 |
$1,309 |
1.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$268.84 |
$2,068 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$459.68 |
$3,536 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$238.68 |
$1,836 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$319.28 |
$2,456 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$345.67 |
$2,659 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$75.92 |
$584 |
0.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$69.16 |
$532 |
0.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$163.02 |
$1,254 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$225.88 |
$1,737.50 |
2.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$292.50 |
$2,250 |
2.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$103.61 |
$797 |
0.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$480.22 |
$3,694 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$268.19 |
$2,063 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$223.47 |
$1,719 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$66.69 |
$513 |
0.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$182.78 |
$1,406 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$442 |
$3,400 |
5.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$389.35 |
$2,995 |
4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$325 |
$2,500 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$279.11 |
$2,147 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$196.56 |
$1,512 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$62.40 |
$480 |
0.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$260.91 |
$2,007 |
3.0× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$14.95 |
$115 |
0.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$422.50 |
$3,250 |
4.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$171.73 |
$1,321 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$293.93 |
$2,261 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$360.36 |
$2,772 |
3.4× |
| Xr chest 4+ views (71048) |
$355.94 |
$2,738 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$110.76 |
$852 |
1.3× |
| Xr shoulder 1 view (73020) |
$155.74 |
$1,198 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$310.31 |
$2,387 |
3.0× |
| Xr tibia/fibula 2 views (73590) |
$330.72 |
$2,544 |
3.8× |
| Xr tmj bilateral (70330) |
$123.37 |
$949 |
1.4× |
| Xray knee 1 or 2 views rt (73560) |
$172.51 |
$1,327 |
2.0× |