| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,737.58 |
$21,058.30 |
2.0× |
| Abdomen 2 views (74019) |
$139.62 |
$1,073.98 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$323 |
$2,484.59 |
0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,571.93 |
$19,784.03 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$1,890.60 |
$14,543.03 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$1,890.60 |
$14,543.03 |
0.6× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,890.60 |
$14,543.03 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,890.60 |
$14,543.03 |
0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,890.60 |
$14,543.03 |
0.6× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$1,890.60 |
$14,543.03 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,890.60 |
$14,543.03 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$934.83 |
$7,190.94 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$934.83 |
$7,190.94 |
0.3× |
| Ankle 2 views (73600) |
$154.36 |
$1,187.33 |
1.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$181.94 |
$1,399.47 |
0.5× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,835.42 |
$14,118.58 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,778.77 |
$13,682.82 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,880.14 |
$14,462.57 |
0.6× |
| Artery X-Rays Adrenal Gland (75731) |
$2,764.42 |
$21,264.70 |
0.9× |
| Arthrogram elbow (73085) |
$282.28 |
$2,171.31 |
0.8× |
| Arthrogram hip (73525) |
$183.50 |
$1,411.52 |
0.5× |
| Arthrogram shoulder (73040) |
$368.47 |
$2,834.33 |
1.1× |
| Arthrogram wrist (73115) |
$258.95 |
$1,991.90 |
0.8× |
| Arthrography knee lt (73580) |
$188.73 |
$1,451.75 |
0.6× |
| Basic radiation dosimetry calculation (77300) |
$337.28 |
$2,594.43 |
2.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$775.60 |
$5,966.11 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$330.61 |
$2,543.14 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$910.76 |
$7,005.77 |
2.3× |
| Bone age studies (77072) |
$169.91 |
$1,306.99 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$910.76 |
$7,005.77 |
2.3× |
| Bone survey complete (77075) |
$384.56 |
$2,958.12 |
3.8× |
| Brachytx isodose complex (77318) |
$888.30 |
$6,833.02 |
2.4× |
| Brachytx isodose intermed (77317) |
$762.89 |
$5,868.32 |
2.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$590.39 |
$4,541.41 |
1.6× |
| Brain image w/flow 4 + views (78606) |
$350.36 |
$2,695.03 |
0.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,017.35 |
$7,825.73 |
0.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$370.52 |
$2,850.08 |
0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,368.29 |
$10,525.26 |
4.0× |
| Cervical spine 2 or 3 views (72040) |
$203.15 |
$1,562.62 |
2.4× |
| Chest 1 view (71045) |
$63.23 |
$486.32 |
0.7× |
| Chest 3 views (71047) |
$63.23 |
$486.32 |
0.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$218.83 |
$1,683.27 |
1.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$545.90 |
$4,199.17 |
0.7× |
| Clavicle complete (73000) |
$177.85 |
$1,368.06 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$116.06 |
$892.74 |
1.1× |
| Continuing medical physics consltj pr wk (77336) |
$255.21 |
$1,963.09 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,560.85 |
$12,006.48 |
4.6× |
| CT abdomen and pelvis without contrast (74176) |
$875.03 |
$6,730.98 |
3.7× |
| CT abdomen w contrast (74160) |
$505.69 |
$3,889.91 |
2.9× |
| CT abdomen w wo contrast (74170) |
$681.18 |
$5,239.81 |
4.0× |
| CT abdomen w/o contrast (74150) |
$496.42 |
$3,818.54 |
4.9× |
| CT angio hrt w/3d image (75574) |
$598.26 |
$4,601.95 |
1.8× |
| CT angiography upper extremity lt (73206) |
$900.82 |
$6,929.32 |
5.2× |
| CT c-spine w/o contrast (72125) |
$574.70 |
$4,420.74 |
5.6× |
| CT cervical spine w&w/o contrast (72127) |
$719.95 |
$5,538.04 |
4.2× |
| CT cervical spine with contrast (72126) |
$593.25 |
$4,563.42 |
1.7× |
| CT chest w/wo contrast (71270) |
$865.39 |
$6,656.78 |
5.0× |
| CT chest with contrast (71260) |
$548.54 |
$4,219.53 |
3.2× |
| CT head/brain with contrast (70460) |
$643.15 |
$4,947.28 |
3.7× |
| CT head/brain without and with contrast (70470) |
$681.74 |
$5,244.09 |
4.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$598.26 |
$4,601.95 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$7.93 |
$60.99 |
0.1× |
| CT iac w contrast (70481) |
$505.69 |
$3,889.91 |
2.9× |
| CT limited/localized follow up study (76380) |
$218.72 |
$1,682.40 |
2.6× |
| CT lower ext w/o (73700) |
$743.69 |
$5,720.69 |
7.3× |
| CT lower extremity w wo contrast (73702) |
$779.68 |
$5,997.52 |
4.5× |
| CT lower extremity with contrast (73701) |
$760.58 |
$5,850.56 |
4.4× |
| CT lumbar spine w & w/o contrast (72133) |
$829.95 |
$6,384.23 |
4.8× |
| CT lumbar spine w/o contrast (72131) |
$600.67 |
$4,620.51 |
5.9× |
| CT lumbar spine with contrast (72132) |
$667.82 |
$5,137.06 |
2.0× |
| CT maxillofacial w contrast (70487) |
$532.22 |
$4,093.96 |
3.1× |
| CT maxillofacial w/o contrast (70486) |
$496.42 |
$3,818.54 |
4.9× |
| CT maxillofacial w/wo contrast (70488) |
$626.83 |
$4,821.72 |
3.7× |
| CT neck soft tissue w contrast (70491) |
$547.25 |
$4,209.55 |
3.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$517.75 |
$3,982.66 |
3.0× |
| CT orbits w/o contrast (70480) |
$496.42 |
$3,818.54 |
4.9× |
| CT pelvis w & w/o contrast (72194) |
$822.91 |
$6,330.01 |
4.8× |
| CT pelvis w/o contrast (72192) |
$453.94 |
$3,491.78 |
4.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$558.01 |
$4,292.31 |
3.3× |
| CT soft tissue neck w/o contrast (70490) |
$534.26 |
$4,109.66 |
5.2× |
| CT thoracic spine w/contrast (72129) |
$667.82 |
$5,137.06 |
3.9× |
| CT thoracic spine w/o contrast (72128) |
$586.57 |
$4,512.05 |
5.7× |
| CT thoracic spine w/wo contrast (72130) |
$749.45 |
$5,764.95 |
4.4× |
| CT thorax w/o contrast (71250) |
$306.17 |
$2,355.12 |
3.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$688.23 |
$5,294.04 |
4.0× |
| CT upper extremity w/o contrast rt (73200) |
$496.42 |
$3,818.54 |
4.9× |
| CT upper extremity with contrast (73201) |
$593.25 |
$4,563.42 |
1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$645.56 |
$4,965.83 |
3.8× |
| Cta Abdomen (74175) |
$595.85 |
$4,583.41 |
3.5× |
| CTA abdomen pelvis (74174) |
$990.60 |
$7,619.98 |
2.9× |
| CTA chest (71275) |
$581.56 |
$4,473.52 |
3.4× |
| Cta Head (70496) |
$496.42 |
$3,818.54 |
2.9× |
| CTA lwr ext w&w/o contrast (73706) |
$537.41 |
$4,133.92 |
3.1× |
| Cta Neck (70498) |
$496.42 |
$3,818.54 |
2.9× |
| Cta Pelvis (72191) |
$541.50 |
$4,165.31 |
3.2× |
| Cystography minimum 3 views rs&i (74430) |
$181.84 |
$1,398.74 |
0.5× |
| Diskogram cervical (72285) |
$735.46 |
$5,657.38 |
0.4× |
| Diskography lumbar (72295) |
$1,426.20 |
$10,970.76 |
0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$87.86 |
$675.81 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$38.34 |
$294.89 |
0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$200.43 |
$1,541.75 |
2.4× |
| Echo exam of fetal heart (76825) |
$149.69 |
$1,151.42 |
0.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$164.66 |
$1,266.57 |
0.7× |
| Echoencephalography real time imaging (76506) |
$164.66 |
$1,266.57 |
1.6× |
| Esophagus (74220) |
$271.70 |
$2,089.98 |
1.6× |
| Fetal biophysical profile non-stress testing (76818) |
$164.66 |
$1,266.57 |
1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$164.66 |
$1,266.57 |
1.6× |
| Fluoroscopy up to 1 hr (76000) |
$235.13 |
$1,808.65 |
1.0× |
| Foot 2 views (73620) |
$168.56 |
$1,296.55 |
2.0× |
| Forearm 2 views (73090) |
$175.77 |
$1,352.06 |
2.1× |
| Gated Heart Planar Single (78472) |
$837.11 |
$6,439.25 |
2.1× |
| Hand 2 views (73120) |
$163.65 |
$1,258.82 |
1.6× |
| Hand 3 views (73130) |
$174.51 |
$1,342.37 |
2.0× |
| Heart Infarct Image (78466) |
$489.22 |
$3,763.17 |
1.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,762.11 |
$21,246.94 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$831.34 |
$6,394.89 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$706.67 |
$5,435.87 |
1.8× |
| Ht muscle image spect sing (78451) |
$1,904.19 |
$14,647.59 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$178.70 |
$1,374.54 |
2.1× |
| Hysterosalpingogram (74740) |
$244.94 |
$1,884.13 |
1.0× |
| Interstitial radiation source applic complex (77778) |
$944.69 |
$7,266.79 |
1.4× |
| Intracavitary Radiation Source Applic Complex (77763) |
$550.61 |
$4,235.40 |
0.8× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$491.23 |
$3,778.65 |
0.9× |
| Intracavitary radiation source applic simple (77761) |
$316.03 |
$2,430.94 |
0.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$802.13 |
$6,170.17 |
1.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$857.68 |
$6,597.50 |
1.6× |
| Knee 3 views (73562) |
$172.43 |
$1,326.35 |
2.0× |
| Liver & spleen imaging static only (78215) |
$762.63 |
$5,866.38 |
2.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$222.39 |
$1,710.69 |
0.6× |
| Lung perf&ventilat diferentl (78598) |
$447.25 |
$3,440.31 |
0.8× |
| Lung perfusion differential (78597) |
$802.13 |
$6,170.17 |
2.1× |
| Lung Ventilation Imaging (78579) |
$247.50 |
$1,903.78 |
0.6× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$3,070.04 |
$23,615.69 |
1.0× |
| Lymphoscintigraphy (78195) |
$494.99 |
$3,807.54 |
0.9× |
| Meckels Diverticulum (78290) |
$696.39 |
$5,356.82 |
1.8× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$136.97 |
$1,053.55 |
0.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,461.92 |
$26,630.11 |
9.5× |
| Mr safety determination physician/other qhp (76016) |
$31.85 |
$244.96 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$8.91 |
$68.48 |
0.3× |
| MRA head w & w/o contrast (70546) |
$691.25 |
$5,317.25 |
2.0× |
| MRA head w/o contrast (70544) |
$569.08 |
$4,377.53 |
2.4× |
| MRA head with contrast (70545) |
$629.30 |
$4,840.71 |
1.8× |
| MRA neck w contrast (70548) |
$629.30 |
$4,840.71 |
1.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$587.69 |
$4,520.64 |
1.7× |
| MRA neck w/o contrast (70547) |
$569.08 |
$4,377.53 |
2.4× |
| MRI abdomen w contrast (74182) |
$642.75 |
$4,944.22 |
1.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$659.31 |
$5,071.58 |
1.9× |
| MRI abdomen w/o contrast (74181) |
$526.67 |
$4,051.26 |
2.3× |
| MRI any jnt lwr ext with con lt (73722) |
$577.21 |
$4,440.03 |
0.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$569.08 |
$4,377.53 |
0.7× |
| MRI bone marrow blood supply (77084) |
$659.31 |
$5,071.58 |
2.8× |
| MRI breast w/o contrast bilateral (77047) |
$569.08 |
$4,377.53 |
2.4× |
| MRI breast w/o contrast unilat (77046) |
$526.67 |
$4,051.26 |
2.3× |
| MRI c-spine with contrast (72142) |
$747.12 |
$5,747.02 |
2.2× |
| MRI cardiac w/o contrast (75557) |
$1,368.29 |
$10,525.26 |
5.9× |
| MRI cervical spine w/o contrast (72141) |
$564.80 |
$4,344.61 |
2.4× |
| MRI chest w/o & w/contrast material (71552) |
$606.85 |
$4,668.02 |
1.8× |
| MRI chest w/o contrast (71550) |
$569.08 |
$4,377.53 |
2.4× |
| MRI chest with contrast (71551) |
$576.71 |
$4,436.21 |
0.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$595.13 |
$4,577.88 |
1.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$577.21 |
$4,440.03 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$569.08 |
$4,377.53 |
2.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$569.08 |
$4,377.53 |
2.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$607.96 |
$4,676.61 |
1.8× |
| MRI orbit/face/neck w/contrast (70542) |
$581.18 |
$4,470.55 |
1.7× |
| MRI pelvis w contrast (72196) |
$569.08 |
$4,377.53 |
1.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$719.21 |
$5,532.37 |
2.1× |
| MRI pelvis w/o contrast (72195) |
$559.41 |
$4,303.10 |
2.4× |
| MRI scan of arm joint before and after contrast (73223) |
$775.21 |
$5,963.11 |
2.3× |
| MRI scan of leg joint before and after contrast (73723) |
$739.68 |
$5,689.78 |
2.2× |
| MRI spectroscopy (76390) |
$569.08 |
$4,377.53 |
6.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$796.79 |
$6,129.12 |
2.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$618.94 |
$4,761.04 |
1.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$754.19 |
$5,801.40 |
2.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$569.08 |
$4,377.53 |
1.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$787.30 |
$6,056.13 |
2.3× |
| MRI thoracic spine w/o contrast (72146) |
$563.32 |
$4,333.17 |
2.4× |
| MRI tmj (70336) |
$621.17 |
$4,778.21 |
2.7× |
| MRI upper ext joint w/o contrast (73221) |
$563.32 |
$4,333.17 |
2.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$621.17 |
$4,778.21 |
1.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$589.73 |
$4,536.36 |
2.5× |
| Myelogram Cervical (72240) |
$917.09 |
$7,054.52 |
1.2× |
| Myelogram Lumbar (72265) |
$736.94 |
$5,668.70 |
1.0× |
| Myocardial infarct spect (78469) |
$1,051.27 |
$8,086.63 |
2.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,940.19 |
$14,924.50 |
1.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,111.57 |
$8,550.50 |
1.3× |
| Neck soft tissue (70360) |
$169.09 |
$1,300.67 |
2.0× |
| Nm bone marrow multiple (78103) |
$254.52 |
$1,957.81 |
0.7× |
| Nm cisternogram (78630) |
$728.07 |
$5,600.47 |
1.4× |
| Nm csf leak detection (78650) |
$885.20 |
$6,809.22 |
0.7× |
| Nm gastric emptying study (78264) |
$1,098.58 |
$8,450.55 |
2.8× |
| Nm gastroesophageal reflux study (78262) |
$225.06 |
$1,731.20 |
0.6× |
| Nm peritoneal-venous shunt patency (78291) |
$213.34 |
$1,641.03 |
0.5× |
| Nm whole blood volume (78122) |
$343.97 |
$2,645.87 |
0.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,201.69 |
$32,320.63 |
3.1× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$186.60 |
$1,435.37 |
0.5× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$266.62 |
$2,050.89 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$1,069.57 |
$8,227.41 |
4.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$100.50 |
$773.01 |
1.0× |
| Osseous survey infant (77076) |
$188.73 |
$1,451.75 |
1.8× |
| Osseous survey limited (77074) |
$85.49 |
$657.60 |
0.8× |
| Parathyrd planar w/spect&CT (78072) |
$509.17 |
$3,916.66 |
1.0× |
| Parathyrd planar w/wo subtrj (78071) |
$509.17 |
$3,916.66 |
1.3× |
| Parathyroid imaging (78070) |
$518.85 |
$3,991.08 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$151.95 |
$1,168.84 |
1.5× |
| Peritoneogram rs&i (74190) |
$172.01 |
$1,323.13 |
0.3× |
| PET image w/CT, skull-thigh (78815) |
$1,412.68 |
$10,866.71 |
1.0× |
| PET imaging CT for attenuation limited area (78814) |
$941.58 |
$7,242.88 |
0.7× |
| PET imaging for CT attenuation whole body (78816) |
$1,412.68 |
$10,866.71 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$585.33 |
$4,502.52 |
1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,762.11 |
$21,246.94 |
0.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$934.83 |
$7,190.94 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$407.75 |
$3,136.52 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$836.49 |
$6,434.50 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$214.23 |
$1,647.90 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$611.54 |
$4,704.08 |
6.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$277.98 |
$2,138.27 |
2.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$161.13 |
$1,239.46 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$168.88 |
$1,299.05 |
1.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$131.68 |
$1,012.90 |
1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$191.02 |
$1,469.38 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$63.23 |
$486.32 |
0.7× |
| Radiologic exam colon single contrast study (74270) |
$398.15 |
$3,062.65 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$281.05 |
$2,161.91 |
1.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$198.14 |
$1,524.14 |
1.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$432.27 |
$3,325.13 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$154.36 |
$1,187.33 |
1.8× |
| Radiological examination surgical specimen (76098) |
$363.03 |
$2,792.49 |
0.7× |
| Radiopharm Dacryocystography (78660) |
$173.02 |
$1,330.89 |
0.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$1,381.06 |
$10,623.53 |
0.4× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,764.42 |
$21,264.70 |
0.9× |
| Ribs bilateral 3 views (71110) |
$248.09 |
$1,908.35 |
2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$442.12 |
$3,400.86 |
1.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$914.87 |
$7,037.42 |
1.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,011.14 |
$7,777.96 |
1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$455 |
$3,500 |
0.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$477.10 |
$3,669.99 |
0.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$376.28 |
$2,894.46 |
1.6× |
| Rp Therapy Intravenous Administration (79101) |
$1,564.76 |
$12,036.55 |
6.9× |
| Sacroiliac Joints < 3 Views (72200) |
$107 |
$823.07 |
1.0× |
| Scanogram (77073) |
$117.67 |
$905.15 |
1.2× |
| Scapula complete (73010) |
$185.81 |
$1,429.30 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$36.17 |
$278.20 |
1.5× |
| Sella turcica (70240) |
$76.29 |
$586.82 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$111.28 |
$856 |
1.1× |
| Sialogram (70390) |
$214.23 |
$1,647.90 |
0.9× |
| Simulation intermediate (77285) |
$710.59 |
$5,466.04 |
1.9× |
| Small bowel series (74250) |
$293.02 |
$2,253.96 |
1.7× |
| Spec medical radj physics consltj (77370) |
$543.93 |
$4,184.03 |
4.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$836.63 |
$6,435.56 |
2.3× |
| Special dosimetry (77331) |
$292.71 |
$2,251.54 |
2.2× |
| Special treatment procedure (77470) |
$1,184.54 |
$9,111.79 |
2.2× |
| Spine thoracic 3 views (72072) |
$215.07 |
$1,654.36 |
2.1× |
| Splenoportograpy rs&i (75810) |
$2,762.11 |
$21,246.94 |
0.9× |
| Stereotactic body radiation delivery (77373) |
$10,405.77 |
$80,044.34 |
5.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$76.13 |
$585.60 |
0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$844.54 |
$6,496.44 |
2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$563.11 |
$4,331.55 |
1.5× |
| Testicular Imaging With Vascular Flow (78761) |
$570.89 |
$4,391.41 |
1.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$831.62 |
$6,397.06 |
2.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$457.69 |
$3,520.63 |
3.5× |
| Therapeutic Enema (74283) |
$248.91 |
$1,914.67 |
1.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$566.56 |
$4,358.15 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$453.43 |
$3,487.87 |
1.2× |
| Thyroid uptake measurement (78012) |
$139.07 |
$1,069.74 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$751.93 |
$5,784.02 |
1.9× |
| Tmj unilateral (70328) |
$26.43 |
$203.29 |
0.3× |
| Tomogram (76100) |
$172.01 |
$1,323.14 |
1.7× |
| Treatment device intermediate (77333) |
$373.73 |
$2,874.81 |
2.8× |
| Treatment devices simple (77332) |
$282.49 |
$2,172.95 |
2.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$914.87 |
$7,037.42 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$328.13 |
$2,524.04 |
0.8× |
| Tx devices design & construction complex (77334) |
$575.40 |
$4,426.09 |
1.6× |
| Ultrasound elastography first target lesion (76982) |
$164.66 |
$1,266.57 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$159.28 |
$1,225.14 |
1.6× |
| Umbilical-artery Doppler (OB) (76820) |
$87.86 |
$675.81 |
0.9× |
| Unlisted magnetic resonance procedure (76498) |
$569.08 |
$4,377.53 |
6.7× |
| Unlisted Ultrasound Procedure (76999) |
$143 |
$1,100 |
1.7× |
| Upper Extremity Infant (73092) |
$288.18 |
$2,216.71 |
2.8× |
| Urea breath test, C-14 (isotopic); analysis (78268) |
$67.34 |
$517.95 |
0.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$328.34 |
$2,525.65 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$166.78 |
$1,282.90 |
0.7× |
| Urethrocystography voiding (74455) |
$381.64 |
$2,935.66 |
1.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$530.02 |
$4,077.03 |
3.1× |
| Us abdl aorta screen aaa (76706) |
$164.66 |
$1,266.57 |
1.6× |
| Us breast unilateral complete (76641) |
$164.66 |
$1,266.57 |
1.6× |
| Us breast unilateral limited (76642) |
$164.66 |
$1,266.57 |
1.9× |
| Us chest (76604) |
$164.66 |
$1,266.57 |
1.6× |
| Us compl joint r-t w/image documentation (76881) |
$164.66 |
$1,266.57 |
1.6× |
| Us elastography parenchyma (76981) |
$164.66 |
$1,266.57 |
1.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$146.23 |
$1,124.81 |
1.4× |
| Us guided compression repair (76936) |
$213.92 |
$1,645.51 |
1.0× |
| Us infant hips dynamic (76885) |
$164.66 |
$1,266.57 |
1.9× |
| Us infant hips limited static (76886) |
$148.19 |
$1,139.91 |
1.7× |
| Us kidney transplant (76776) |
$246.99 |
$1,899.89 |
2.4× |
| Us ob detailed single fetus (76811) |
$164.66 |
$1,266.57 |
0.7× |
| Us ob transvaginal (76817) |
$164.66 |
$1,266.57 |
1.6× |
| Us pelvic non ob complete (76856) |
$164.66 |
$1,266.57 |
1.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$164.66 |
$1,266.57 |
1.6× |
| Us pregnancy ltd (76815) |
$164.66 |
$1,266.57 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$136.15 |
$1,047.27 |
1.3× |
| Us retroperitoneal complete (76770) |
$136.42 |
$1,049.31 |
1.3× |
| Us retroperitoneal limited (76775) |
$164.66 |
$1,266.57 |
1.6× |
| Us scrotum and contents (76870) |
$164.66 |
$1,266.57 |
1.6× |
| Us soft tissue head/neck (76536) |
$164.66 |
$1,266.57 |
1.6× |
| Us spinal canal and contents (76800) |
$164.66 |
$1,266.57 |
1.6× |
| Us transrectal (76872) |
$164.66 |
$1,266.57 |
1.6× |
| Us xtr non-vasc lmtd (76882) |
$164.66 |
$1,266.57 |
1.6× |
| Venogram extremity bilateral (75822) |
$1,205.09 |
$9,269.87 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,004.44 |
$15,418.68 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$602.55 |
$4,634.94 |
0.4× |
| Venography extremity unilateral rs&i (75820) |
$602.55 |
$4,634.94 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,615.75 |
$12,428.82 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$1,932.25 |
$14,863.39 |
0.6× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$1,890.60 |
$14,543.03 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$109.52 |
$842.44 |
1.3× |
| Wrist 2 views (73100) |
$181.63 |
$1,397.14 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$240.55 |
$1,850.36 |
2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$169.91 |
$1,306.99 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$177.45 |
$1,364.97 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$602.55 |
$4,634.94 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$154.88 |
$1,191.31 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$165.73 |
$1,274.84 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$117.88 |
$906.76 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$137.73 |
$1,059.45 |
1.6× |
| X-ray exam hip uni 4/> views (73503) |
$166.78 |
$1,282.90 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$337.95 |
$2,599.57 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$510.17 |
$3,924.33 |
5.0× |
| X-ray exam of femur 1 (73551) |
$53.72 |
$413.16 |
0.6× |
| X-ray eye for foreign body (70030) |
$168.88 |
$1,299.05 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$164.07 |
$1,262.07 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$138.99 |
$1,069.14 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$179.53 |
$1,380.97 |
2.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,113.55 |
$8,565.74 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$164.17 |
$1,262.79 |
1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$168.88 |
$1,299.05 |
2.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$235.02 |
$1,807.79 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$185.39 |
$1,426.05 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$386.74 |
$2,974.86 |
4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$163.86 |
$1,260.44 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$357.59 |
$2,750.65 |
3.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$163.65 |
$1,258.82 |
1.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$211.50 |
$1,626.91 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$58.52 |
$450.14 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$200.85 |
$1,544.98 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$249.75 |
$1,921.12 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$449.15 |
$3,454.96 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$216.94 |
$1,668.75 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$231.37 |
$1,779.75 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$304.30 |
$2,340.75 |
3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$188.52 |
$1,450.13 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$178.27 |
$1,371.29 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$169.49 |
$1,303.75 |
2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$173.67 |
$1,335.91 |
2.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$160.31 |
$1,233.13 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$317.47 |
$2,442.03 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$220.07 |
$1,692.83 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$104.71 |
$805.44 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$67.72 |
$520.91 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$172.43 |
$1,326.35 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$203.35 |
$1,564.22 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$162.39 |
$1,249.14 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$190.81 |
$1,467.74 |
2.2× |
| Xr arthrogram ankle (73615) |
$460.64 |
$3,543.34 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$402.96 |
$3,099.64 |
3.9× |
| Xr chest 4+ views (71048) |
$195.67 |
$1,505.08 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$131.47 |
$1,011.30 |
1.5× |
| Xr shoulder 1 view (73020) |
$113.70 |
$874.61 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$262.08 |
$2,015.98 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$163.12 |
$1,254.71 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$160.37 |
$1,233.56 |
1.9× |