| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,457.93 |
$4,939.90 |
2.7× |
| Abdomen 2 views (74019) |
$272.55 |
$389.35 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$986.58 |
$1,409.40 |
2.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$1,682.14 |
$2,403.05 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$3,195.43 |
$4,564.90 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$2,623.53 |
$3,747.90 |
0.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,753.66 |
$3,933.80 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,526.99 |
$5,038.55 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,898.33 |
$2,711.90 |
0.6× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,520 |
$3,600 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,393.20 |
$3,418.85 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$902.16 |
$1,288.80 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,069.83 |
$2,956.90 |
0.7× |
| Ankle 2 views (73600) |
$183.93 |
$262.75 |
2.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$654.12 |
$934.45 |
2.0× |
| Aortogram thoracic (75605) |
$3,424.58 |
$4,892.25 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,298.30 |
$3,283.28 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$3,261.02 |
$4,658.60 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,628.20 |
$2,326 |
0.6× |
| Artery X-Rays Adrenal Gland (75731) |
$1,121.40 |
$1,602 |
0.4× |
| Arthrogram elbow (73085) |
$674 |
$962.85 |
2.1× |
| Arthrogram hip (73525) |
$674 |
$962.85 |
2.1× |
| Arthrogram shoulder (73040) |
$674 |
$962.85 |
2.1× |
| Arthrogram wrist (73115) |
$618.73 |
$883.90 |
1.9× |
| Arthrography knee lt (73580) |
$674 |
$962.85 |
2.1× |
| Basic radiation dosimetry calculation (77300) |
$287.88 |
$411.25 |
2.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$830.69 |
$1,186.70 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$1,150.35 |
$1,643.35 |
3.1× |
| Bone age studies (77072) |
$212.94 |
$304.20 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,259.83 |
$1,799.75 |
3.4× |
| Bone Marrow Imaging Limited Area (78102) |
$605.12 |
$864.45 |
1.6× |
| Bone survey complete (77075) |
$321.09 |
$458.70 |
3.3× |
| Brachytx isodose complex (77318) |
$891.24 |
$1,273.20 |
2.6× |
| Brachytx isodose intermed (77317) |
$763.11 |
$1,090.15 |
2.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$502.29 |
$717.55 |
1.4× |
| Brain imaging < 4 static views w vascular flow (78601) |
$678.23 |
$968.90 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,616.27 |
$5,166.10 |
2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,569.18 |
$3,670.25 |
7.9× |
| Cervical spine 2 or 3 views (72040) |
$332.29 |
$474.70 |
4.1× |
| Chest 1 view (71045) |
$177.03 |
$252.90 |
2.2× |
| Chest 3 views (71047) |
$176.51 |
$252.15 |
2.2× |
| Clavicle complete (73000) |
$242.41 |
$346.30 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$963.10 |
$1,375.85 |
9.9× |
| Continuing medical physics consltj pr wk (77336) |
$414.12 |
$591.60 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,473.46 |
$6,390.65 |
13.8× |
| CT abdomen and pelvis without contrast (74176) |
$2,404.99 |
$3,435.70 |
10.8× |
| CT abdomen w contrast (74160) |
$1,580.06 |
$2,257.22 |
9.7× |
| CT abdomen w wo contrast (74170) |
$2,161.88 |
$3,088.40 |
13.2× |
| CT abdomen w/o contrast (74150) |
$1,307.66 |
$1,868.08 |
13.4× |
| CT angio hrt w/3d image (75574) |
$1,323.63 |
$1,890.90 |
4.1× |
| CT angiography upper extremity lt (73206) |
$1,135.75 |
$1,622.50 |
7.0× |
| CT c-spine w/o contrast (72125) |
$1,606.36 |
$2,294.80 |
16.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,485 |
$3,550 |
15.2× |
| CT cervical spine with contrast (72126) |
$2,402.37 |
$3,431.95 |
7.4× |
| CT chest w/wo contrast (71270) |
$2,397.99 |
$3,425.70 |
14.7× |
| CT chest with contrast (71260) |
$1,636.15 |
$2,337.35 |
10.0× |
| CT colonography screening (74263) |
$1,328.53 |
$1,897.90 |
6.0× |
| CT colonography w/o cntrst (74261) |
$614.01 |
$877.15 |
6.3× |
| CT head/brain with contrast (70460) |
$1,677.31 |
$2,396.15 |
10.3× |
| CT head/brain without and with contrast (70470) |
$1,558.92 |
$2,227.02 |
9.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,719.45 |
$2,456.35 |
5.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$337.65 |
$482.35 |
4.2× |
| CT iac w contrast (70481) |
$1,964.83 |
$2,806.90 |
12.0× |
| CT limited/localized follow up study (76380) |
$398.93 |
$569.90 |
4.9× |
| CT lower ext w/o (73700) |
$1,397.94 |
$1,997.05 |
14.4× |
| CT lower extremity w wo contrast (73702) |
$1,524.53 |
$2,177.90 |
9.3× |
| CT lower extremity with contrast (73701) |
$1,985.87 |
$2,836.95 |
12.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,221.84 |
$3,174.05 |
13.6× |
| CT lumbar spine w/o contrast (72131) |
$2,166.71 |
$3,095.30 |
22.3× |
| CT lumbar spine with contrast (72132) |
$2,700.78 |
$3,858.25 |
8.3× |
| CT maxillofacial w contrast (70487) |
$1,924.90 |
$2,749.85 |
11.8× |
| CT maxillofacial w/o contrast (70486) |
$1,666.53 |
$2,380.75 |
17.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,344.09 |
$3,348.70 |
14.3× |
| CT neck soft tissue w contrast (70491) |
$1,584.52 |
$2,263.60 |
9.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,162.34 |
$3,089.05 |
13.2× |
| CT orbits w/o contrast (70480) |
$1,750.18 |
$2,500.25 |
18.0× |
| CT pelvis w & w/o contrast (72194) |
$2,211.13 |
$3,158.75 |
13.5× |
| CT pelvis w/o contrast (72192) |
$1,700.41 |
$2,429.15 |
17.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,795 |
$2,564.28 |
11.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,149.56 |
$1,642.22 |
11.8× |
| CT thoracic spine w/contrast (72129) |
$2,120.06 |
$3,028.65 |
13.0× |
| CT thoracic spine w/o contrast (72128) |
$1,637.55 |
$2,339.35 |
16.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,170 |
$3,100 |
13.3× |
| CT thorax w/o contrast (71250) |
$1,300.13 |
$1,857.32 |
13.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$902.86 |
$1,289.80 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$948.68 |
$1,355.25 |
9.7× |
| CT upper extremity with contrast (73201) |
$1,228.57 |
$1,755.10 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,499.32 |
$3,570.45 |
15.3× |
| Cta Abdomen (74175) |
$2,089.85 |
$2,985.50 |
12.8× |
| CTA abdomen pelvis (74174) |
$4,848.83 |
$6,926.90 |
14.9× |
| CTA chest (71275) |
$2,286.52 |
$3,266.45 |
14.0× |
| Cta Head (70496) |
$2,290.26 |
$3,271.80 |
14.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,454.11 |
$2,077.30 |
8.9× |
| Cta Neck (70498) |
$2,261.49 |
$3,230.70 |
13.8× |
| Cta Pelvis (72191) |
$1,419.32 |
$2,027.60 |
8.7× |
| Cystography minimum 3 views rs&i (74430) |
$500.19 |
$714.55 |
1.5× |
| Diskography lumbar (72295) |
$2,962.89 |
$4,232.70 |
1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$275.35 |
$393.35 |
2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$302.72 |
$432.45 |
3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$319.03 |
$455.75 |
3.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$449.40 |
$642 |
4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$179.27 |
$256.10 |
2.2× |
| Echo exam of fetal heart (76825) |
$878.40 |
$1,254.85 |
1.7× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$612.85 |
$875.50 |
2.8× |
| Echoencephalography real time imaging (76506) |
$277.55 |
$396.50 |
2.9× |
| Esophagus (74220) |
$420 |
$600 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$388.61 |
$555.15 |
4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$409.85 |
$585.50 |
4.2× |
| Fluoroscopy up to 1 hr (76000) |
$452.69 |
$646.70 |
2.0× |
| Foot 2 views (73620) |
$253.30 |
$361.85 |
3.1× |
| Forearm 2 views (73090) |
$249.59 |
$356.55 |
3.1× |
| Functional MRI brain by tech (70554) |
$1,141.35 |
$1,630.50 |
5.1× |
| Gated Heart Planar Single (78472) |
$1,197.21 |
$1,710.30 |
3.2× |
| Hand 2 views (73120) |
$211.51 |
$302.15 |
2.2× |
| Hand 3 views (73130) |
$256.31 |
$366.15 |
3.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,415.89 |
$2,022.70 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,347.47 |
$1,924.95 |
2.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,347.47 |
$1,924.95 |
3.6× |
| Ht muscle image spect sing (78451) |
$2,245.46 |
$3,207.80 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$224.98 |
$321.40 |
2.8× |
| Hysterosalpingogram (74740) |
$450.10 |
$643 |
2.0× |
| Interstitial radiation source applic complex (77778) |
$2,399.18 |
$3,427.40 |
3.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$180.25 |
$257.50 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,142.37 |
$1,631.95 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,251.74 |
$1,788.20 |
2.5× |
| Knee 3 views (73562) |
$260.82 |
$372.60 |
3.2× |
| Liver & spleen imaging static only (78215) |
$881.65 |
$1,259.50 |
2.4× |
| Liver imaging static only (78201) |
$1,395.17 |
$1,993.10 |
2.8× |
| Lung perf&ventilat diferentl (78598) |
$1,049.62 |
$1,499.45 |
2.1× |
| Lung perfusion differential (78597) |
$1,319.92 |
$1,885.60 |
3.5× |
| Lymphoscintigraphy (78195) |
$1,126.83 |
$1,609.75 |
2.2× |
| Mammary ductogram or galactogram single (77053) |
$338.56 |
$483.65 |
1.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$201.25 |
$287.50 |
2.5× |
| Meckels Diverticulum (78290) |
$663.81 |
$948.30 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,499.54 |
$2,142.20 |
4.3× |
| Mr elastography (76391) |
$1,953 |
$2,790 |
8.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$230.27 |
$328.95 |
8.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$303.24 |
$433.20 |
3.4× |
| MRA head w & w/o contrast (70546) |
$2,178.58 |
$3,112.25 |
6.7× |
| MRA head w/o contrast (70544) |
$1,955.94 |
$2,794.20 |
8.8× |
| MRA head with contrast (70545) |
$1,819.37 |
$2,599.10 |
5.6× |
| MRA neck w contrast (70548) |
$1,661.59 |
$2,373.70 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,106.83 |
$3,009.75 |
6.5× |
| MRA neck w/o contrast (70547) |
$1,874.60 |
$2,678 |
8.4× |
| MRI abdomen w contrast (74182) |
$2,341.36 |
$3,344.80 |
7.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,494.58 |
$4,992.25 |
10.8× |
| MRI abdomen w/o contrast (74181) |
$2,265.76 |
$3,236.80 |
10.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,900.96 |
$2,715.65 |
2.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,931.65 |
$2,759.50 |
2.6× |
| MRI breast w/o contrast bilateral (77047) |
$1,676.12 |
$2,394.45 |
7.5× |
| MRI breast w/o contrast unilat (77046) |
$1,613.54 |
$2,305.05 |
7.3× |
| MRI c-spine with contrast (72142) |
$2,183.58 |
$3,119.40 |
6.7× |
| MRI cardiac w/o contrast (75557) |
$1,307.36 |
$1,867.65 |
5.9× |
| MRI cervical spine w/o contrast (72141) |
$1,951.29 |
$2,787.55 |
8.8× |
| MRI chest w/o & w/contrast material (71552) |
$1,567.56 |
$2,239.38 |
4.8× |
| MRI chest w/o contrast (71550) |
$971.18 |
$1,387.40 |
4.4× |
| MRI chest with contrast (71551) |
$1,178.45 |
$1,683.50 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,737.02 |
$2,481.45 |
5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,514.59 |
$2,163.70 |
4.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,902.71 |
$2,718.15 |
8.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,640.38 |
$2,343.40 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,023.58 |
$4,319.40 |
9.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,744.68 |
$2,492.40 |
5.4× |
| MRI pelvis w contrast (72196) |
$2,036.65 |
$2,909.50 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,706.20 |
$3,866 |
8.3× |
| MRI pelvis w/o contrast (72195) |
$2,074.52 |
$2,963.60 |
9.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,774.03 |
$3,962.90 |
8.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,704.91 |
$3,864.15 |
8.3× |
| MRI spectroscopy (76390) |
$1,282.44 |
$1,832.05 |
15.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,970.86 |
$5,672.65 |
12.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,220.93 |
$3,172.75 |
6.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,400.57 |
$4,857.95 |
10.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,220.93 |
$3,172.75 |
6.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,400.57 |
$4,857.95 |
10.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,309.20 |
$3,298.85 |
10.4× |
| MRI tmj (70336) |
$1,236.10 |
$1,765.85 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,262.05 |
$3,231.50 |
10.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,537.01 |
$3,624.30 |
7.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,664.71 |
$2,378.15 |
7.5× |
| Myelogram Cervical (72240) |
$795.66 |
$1,136.65 |
1.1× |
| Myelogram Lumbar (72265) |
$984.87 |
$1,406.95 |
1.3× |
| Myelogram thoracic (72255) |
$985.57 |
$1,407.95 |
1.3× |
| Myelography 2 or more regions (72270) |
$1,130.33 |
$1,614.75 |
1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,430.88 |
$4,901.25 |
2.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,723.25 |
$3,890.35 |
2.3× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$3,830.05 |
$5,471.50 |
2.9× |
| Neck soft tissue (70360) |
$235.69 |
$336.70 |
2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$94.71 |
$135.30 |
0.3× |
| Nm bone marrow multiple (78103) |
$673.82 |
$962.60 |
1.8× |
| Nm bone marrow wb (78104) |
$703.82 |
$1,005.45 |
1.9× |
| Nm cisternogram (78630) |
$503.58 |
$719.40 |
1.0× |
| Nm csf leak detection (78650) |
$464.03 |
$662.90 |
0.4× |
| Nm gastric emptying study (78264) |
$1,137.57 |
$1,625.10 |
3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,281.43 |
$4,687.75 |
2.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$580.02 |
$828.60 |
1.6× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$460.64 |
$658.05 |
0.9× |
| Nuclear Rx Oral Admin (79005) |
$639.49 |
$913.55 |
2.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$302.82 |
$432.60 |
3.1× |
| Osseous survey infant (77076) |
$212.94 |
$304.20 |
2.2× |
| Osseous survey limited (77074) |
$322.60 |
$460.85 |
3.3× |
| Parathyrd planar w/wo subtrj (78071) |
$1,013.22 |
$1,447.45 |
2.7× |
| Parathyroid imaging (78070) |
$682.43 |
$974.90 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$216.06 |
$308.65 |
2.2× |
| Peritoneogram rs&i (74190) |
$593.74 |
$848.20 |
1.2× |
| PET image w/CT, skull-thigh (78815) |
$5,398.44 |
$7,712.05 |
4.1× |
| PET imaging CT for attenuation limited area (78814) |
$3,110.73 |
$4,443.90 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$5,121.97 |
$7,317.10 |
3.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,103.07 |
$4,432.95 |
9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$723.52 |
$1,033.60 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,093.47 |
$1,562.10 |
2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$444.47 |
$634.95 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$376.11 |
$537.30 |
3.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$390.85 |
$558.35 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$180.85 |
$258.35 |
1.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$11,580.10 |
$16,543 |
1.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$747.46 |
$1,067.80 |
1.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$318.68 |
$455.25 |
3.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$363.27 |
$518.95 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$294.63 |
$420.90 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$261.70 |
$373.85 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$212.94 |
$304.20 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$224.77 |
$321.10 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$552.34 |
$789.05 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$348.18 |
$497.40 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$579.29 |
$827.55 |
3.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$555.98 |
$794.25 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$242.45 |
$346.35 |
3.0× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$181.41 |
$259.15 |
2.2× |
| Radiological examination surgical specimen (76098) |
$276.64 |
$395.20 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,983.77 |
$2,833.95 |
0.7× |
| Ribs bilateral 3 views (71110) |
$344.40 |
$492 |
3.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,638.63 |
$2,340.90 |
3.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,633.54 |
$2,333.62 |
3.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$649.64 |
$928.05 |
3.0× |
| Rp Therapy Intravenous Administration (79101) |
$450.59 |
$643.70 |
2.1× |
| Sacroiliac Joints < 3 Views (72200) |
$179.34 |
$256.20 |
1.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$459.66 |
$656.65 |
2.1× |
| Scanogram (77073) |
$221.42 |
$316.30 |
2.3× |
| Scapula complete (73010) |
$298.59 |
$426.55 |
3.1× |
| Screening digital breast tomosynthesis (77063) |
$64.26 |
$91.80 |
2.7× |
| Sella turcica (70240) |
$177.03 |
$252.90 |
2.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$437.89 |
$625.55 |
4.5× |
| Sialogram (70390) |
$366.03 |
$522.90 |
1.6× |
| Simulation intermediate (77285) |
$735.46 |
$1,050.65 |
2.1× |
| Small bowel series (74250) |
$452.27 |
$646.10 |
2.8× |
| Spec medical radj physics consltj (77370) |
$524.20 |
$748.85 |
4.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$728.04 |
$1,040.05 |
2.1× |
| Special dosimetry (77331) |
$299.88 |
$428.40 |
2.4× |
| Special treatment procedure (77470) |
$1,382.33 |
$1,974.75 |
2.7× |
| Spine thoracic 3 views (72072) |
$341.43 |
$487.75 |
3.5× |
| Stereotactic body radiation delivery (77373) |
$3,649.87 |
$5,214.10 |
2.2× |
| Superior sagittal sinus venogram (75870) |
$837.38 |
$1,196.25 |
0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$819.32 |
$1,170.45 |
2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$345.87 |
$494.10 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$605.85 |
$865.50 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,030.93 |
$1,472.75 |
3.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$525.81 |
$751.15 |
4.2× |
| Thoracolumbar 2 views (72080) |
$329.53 |
$470.75 |
4.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$963.97 |
$1,377.10 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$600.92 |
$858.45 |
1.6× |
| Thyroid uptake measurement (78012) |
$344.19 |
$491.70 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$772.94 |
$1,104.20 |
2.1× |
| Tomogram (76100) |
$287.95 |
$411.35 |
3.0× |
| Treatment device intermediate (77333) |
$555.35 |
$793.35 |
4.4× |
| Treatment devices simple (77332) |
$465.85 |
$665.50 |
3.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,245.46 |
$3,207.80 |
4.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$926.66 |
$1,323.80 |
2.5× |
| Tx devices design & construction complex (77334) |
$620.55 |
$886.50 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$645.44 |
$922.05 |
6.6× |
| Umbilical-artery Doppler (OB) (76820) |
$353.61 |
$505.15 |
3.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$177.35 |
$253.35 |
2.2× |
| Unlisted Ultrasound Procedure (76999) |
$266.74 |
$381.05 |
3.3× |
| Upper Extremity Infant (73092) |
$177.35 |
$253.35 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$518.67 |
$740.95 |
2.3× |
| Urethrocystography voiding (74455) |
$507.26 |
$724.65 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$580.86 |
$829.80 |
3.6× |
| Us abdl aorta screen aaa (76706) |
$331.35 |
$473.35 |
3.4× |
| Us breast unilateral complete (76641) |
$443.52 |
$633.60 |
4.6× |
| Us breast unilateral limited (76642) |
$376.43 |
$537.75 |
4.6× |
| Us chest (76604) |
$347.20 |
$496 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$505.82 |
$722.60 |
5.2× |
| Us elastography parenchyma (76981) |
$738.61 |
$1,055.15 |
7.6× |
| Us fetal nuchal translucency 1st gestation (76813) |
$403.27 |
$576.10 |
4.1× |
| Us guided compression repair (76936) |
$886.80 |
$1,266.85 |
4.4× |
| Us infant hips dynamic (76885) |
$379.19 |
$541.70 |
4.7× |
| Us infant hips limited static (76886) |
$350.14 |
$500.20 |
4.3× |
| Us kidney transplant (76776) |
$322.11 |
$460.15 |
3.3× |
| Us ob detailed single fetus (76811) |
$561.02 |
$801.45 |
2.5× |
| Us ob transvaginal (76817) |
$418.99 |
$598.55 |
4.3× |
| Us pelvic non ob complete (76856) |
$606.20 |
$866 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$416.71 |
$595.30 |
4.3× |
| Us pregnancy ltd (76815) |
$290.92 |
$415.60 |
3.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$476.42 |
$680.60 |
4.9× |
| Us retroperitoneal complete (76770) |
$532.91 |
$761.30 |
5.5× |
| Us retroperitoneal limited (76775) |
$570.88 |
$815.55 |
5.9× |
| Us scrotum and contents (76870) |
$622.02 |
$888.60 |
6.4× |
| Us soft tissue head/neck (76536) |
$589.75 |
$842.50 |
6.1× |
| Us spinal canal and contents (76800) |
$359.91 |
$514.15 |
3.7× |
| Us transrectal (76872) |
$616.18 |
$880.25 |
6.3× |
| Us transrectal prostate volume (76873) |
$477.44 |
$682.05 |
4.9× |
| Us xtr non-vasc lmtd (76882) |
$429.34 |
$613.35 |
4.4× |
| Venogram extremity bilateral (75822) |
$1,418.12 |
$2,025.88 |
1.0× |
| Venography caval inferior serialography rs&i (75825) |
$1,665.98 |
$2,379.98 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,644.51 |
$2,349.30 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$1,009.61 |
$1,442.30 |
0.7× |
| Venography Renal Bilateral (75833) |
$2,643.69 |
$3,776.70 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$4,051.11 |
$5,787.30 |
1.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,066.31 |
$1,523.30 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$177.35 |
$253.35 |
2.2× |
| Wrist 2 views (73100) |
$176.96 |
$252.80 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$314.37 |
$449.10 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$201.46 |
$287.80 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$266.49 |
$380.70 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$534.66 |
$763.80 |
3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$180.50 |
$257.85 |
2.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$258.65 |
$369.50 |
3.2× |
| X-ray exam hip uni 1 view (73501) |
$223.30 |
$319 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$243.43 |
$347.75 |
3.0× |
| X-ray exam hip uni 4/> views (73503) |
$247.87 |
$354.10 |
2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$411.78 |
$588.25 |
4.2× |
| X-ray exam of femur 1 (73551) |
$177.66 |
$253.80 |
2.2× |
| X-ray eye for foreign body (70030) |
$180.78 |
$258.25 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$312.20 |
$446 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$178.43 |
$254.90 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$280.84 |
$401.20 |
3.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$356.37 |
$509.10 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$218.09 |
$311.55 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$373.35 |
$533.35 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$189.32 |
$270.45 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$182 |
$260 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$353.33 |
$504.75 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$373.66 |
$533.80 |
3.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$314.58 |
$449.40 |
3.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$214.87 |
$306.95 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$177.35 |
$253.35 |
2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$273.56 |
$390.80 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$264.39 |
$377.70 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$679.98 |
$971.40 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$237.27 |
$338.95 |
2.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$314.93 |
$449.90 |
3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$368.83 |
$526.90 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$282.77 |
$403.95 |
2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$260.02 |
$371.45 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$276.89 |
$395.55 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$291.06 |
$415.80 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$177.03 |
$252.90 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$310.80 |
$444 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$255.47 |
$364.95 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$237.62 |
$339.45 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$177.03 |
$252.90 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$353.57 |
$505.10 |
4.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$286.86 |
$409.80 |
2.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$247.17 |
$353.10 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$199.99 |
$285.70 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$257.43 |
$367.75 |
3.2× |
| Xr arthrogram ankle (73615) |
$746.03 |
$1,065.75 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$454.02 |
$648.60 |
4.7× |
| Xr chest 4+ views (71048) |
$227.71 |
$325.30 |
2.3× |
| Xr finger(s) 2+ views (73140) |
$197.37 |
$281.95 |
2.4× |
| Xr myelogram posterior fossa (70010) |
$629.76 |
$899.65 |
1.9× |
| Xr shoulder 1 view (73020) |
$183.44 |
$262.05 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$384.65 |
$549.50 |
3.9× |
| Xr tibia/fibula 2 views (73590) |
$247.70 |
$353.85 |
3.1× |
| Xr tmj bilateral (70330) |
$177.03 |
$252.90 |
2.2× |
| Xray knee 1 or 2 views rt (73560) |
$263.69 |
$376.70 |
3.3× |