| 3-D radiotherapy plan dose-volume histograms (77295) |
$12,023.40 |
$20,039 |
8.7× |
| Abdomen 1 View (74018) |
$620.40 |
$1,034 |
7.1× |
| Abdomen 2 views (74019) |
$307.80 |
$513 |
2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$946.20 |
$1,577 |
2.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,949 |
$9,915 |
1.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,847.60 |
$4,746 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,646 |
$4,410 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,207.60 |
$10,346 |
2.0× |
| Ankle 2 views (73600) |
$578.40 |
$964 |
6.6× |
| Artery X-Rays Abdomen (75726) |
$4,183.20 |
$6,972 |
0.7× |
Artery X-Rays Spine (75705)
likely a partial charge, not the full procedure |
$1,456.80 |
$2,428 |
0.3× |
| Arthrogram hip (73525) |
$1,489.20 |
$2,482 |
4.3× |
| Arthrogram Wrist (73115) |
$558.60 |
$931 |
1.6× |
| Basic radiation dosimetry calculation (77300) |
$1,114.20 |
$1,857 |
8.3× |
| Bone age studies (77072) |
$737.40 |
$1,229 |
7.0× |
| Bone Imaging 3 Phase (78315) |
$3,498 |
$5,830 |
8.7× |
| Bone Imaging Limited Area (78300) |
$1,590.60 |
$2,651 |
4.0× |
| Bone Imaging Multiple Areas (78305) |
$1,591.20 |
$2,652 |
4.0× |
| Bone Imaging Whole Body (78306) |
$2,323.20 |
$3,872 |
5.8× |
| Bone marrow imaging; whole body (78104) |
$655.20 |
$1,092 |
1.6× |
| Bone survey infant (77076) |
$911.40 |
$1,519 |
8.7× |
| Brachytx isodose complex (77318) |
$549.60 |
$916 |
1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$345 |
$575 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,540 |
$15,900 |
6.6× |
| Chest 1 view (71045) |
$243.60 |
$406 |
2.8× |
| Chest 2 views (71046) |
$485.40 |
$809 |
5.6× |
| Chest 3 views (71047) |
$533.40 |
$889 |
6.1× |
| Chest 4 or more views (71048) |
$606 |
$1,010 |
5.8× |
| Clavicle complete (73000) |
$775.20 |
$1,292 |
8.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$313.20 |
$522 |
3.0× |
| Continuing medical physics consltj pr wk (77336) |
$1,407 |
$2,345 |
10.4× |
| Contrast Exam Abdominl Aorta (75625) |
$3,043.80 |
$5,073 |
1.0× |
| Contrast X-Ray Bladder (74430) |
$839.40 |
$1,399 |
2.4× |
| Contrast X-Ray Of Elbow (73085) |
$336.60 |
$561 |
1.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,493.80 |
$5,823 |
10.0× |
| CT abdomen and pelvis without contrast (74176) |
$2,201.40 |
$3,669 |
9.2× |
| CT abdomen w contrast (74160) |
$2,604 |
$4,340 |
14.8× |
| CT abdomen w wo contrast (74170) |
$2,323.20 |
$3,872 |
13.2× |
| CT abdomen w/o contrast (74150) |
$1,969.20 |
$3,282 |
18.8× |
| CT Angio Abdomen and Pelvis (74174) |
$3,399 |
$5,665 |
9.7× |
| CT Angio Chest (71275) |
$2,503.80 |
$4,173 |
14.2× |
| CT Angio Head (70496) |
$2,505.60 |
$4,176 |
14.2× |
| CT angio hrt w/3d image (75574) |
$2,494.80 |
$4,158 |
7.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,511.40 |
$2,519 |
8.6× |
| CT Angio Neck (70498) |
$4,071 |
$6,785 |
23.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,233.60 |
$2,056 |
7.0× |
| CT cervical spine w/ contrast (72126) |
$2,887.80 |
$4,813 |
8.3× |
| CT cervical spine w/o contrast (72125) |
$1,830.60 |
$3,051 |
17.5× |
| CT cervical spine w/wo cont (72127) |
$1,278 |
$2,130 |
7.3× |
| CT chest w contrast (71260) |
$1,986.60 |
$3,311 |
11.3× |
| CT chest w/wo contrast (71270) |
$1,879.80 |
$3,133 |
10.7× |
| CT head/brain with contrast (70460) |
$2,964 |
$4,940 |
16.8× |
| CT head/brain without and with contrast (70470) |
$2,741.40 |
$4,569 |
15.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,335.20 |
$3,892 |
6.7× |
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines |
$115–$129 |
$115–$129 |
varies |
| CT hrt w/3d image congen (75573) |
$1,512 |
$2,520 |
4.3× |
| CT iac w contrast (70481) |
$2,647.80 |
$4,413 |
15.0× |
| CT lower ext w/o (73700) |
$1,528.20 |
$2,547 |
14.6× |
| CT lower extremity w/contrast material (73701) |
$2,887.80 |
$4,813 |
16.4× |
| CT lumbar spine w contrast (72132) |
$2,975.40 |
$4,959 |
8.5× |
| CT lumbar spine w/o contrast (72131) |
$1,447.80 |
$2,413 |
13.8× |
| CT maxillofacial w contrast (70487) |
$2,730.60 |
$4,551 |
15.5× |
| CT maxillofacial wo contrast (70486) |
$1,481.40 |
$2,469 |
14.1× |
| CT neck tissue combo (70492) |
$3,436.80 |
$5,728 |
19.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$3,436.80 |
$5,728 |
19.5× |
| CT orbits w/o contrast (70480) |
$3,354 |
$5,590 |
32.0× |
| CT pelvis w&w/o contrast (72194) |
$3,156.60 |
$5,261 |
17.9× |
| CT pelvis w/o contrast (72192) |
$1,810.20 |
$3,017 |
17.3× |
| CT scan of leg combo (73702) |
$2,674.80 |
$4,458 |
15.2× |
| CT scans face/jaw combo (70488) |
$2,777.40 |
$4,629 |
15.8× |
| CT soft tissue neck w contrast (70491) |
$2,194.80 |
$3,658 |
12.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,852.20 |
$3,087 |
17.7× |
| CT thoracic spine w contrast (72129) |
$2,857.20 |
$4,762 |
16.2× |
| CT thoracic spine w/o contrast (72128) |
$1,689 |
$2,815 |
16.1× |
| CT thoracic spine w/wo cont (72130) |
$1,191 |
$1,985 |
6.8× |
| CT thorax w/o contrast (71250) |
$1,629.60 |
$2,716 |
15.5× |
| CT upper ext wo (73200) |
$1,824.60 |
$3,041 |
17.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$991.80 |
$1,653 |
5.6× |
| CT upper extremity with contrast (73201) |
$3,019.80 |
$5,033 |
8.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,298.20 |
$5,497 |
18.7× |
| Cta Abdomen (74175) |
$2,182.80 |
$3,638 |
12.4× |
| CTA pelvis (72191) |
$3,031.80 |
$5,053 |
17.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$70.20 |
$117 |
0.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$70.20 |
$117 |
0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$487.80 |
$813 |
4.7× |
| Dxa Bone Density Axial (77080) |
$898.20 |
$1,497 |
8.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$147.60 |
$246 |
1.7× |
| Echo exam of fetal heart (76825) |
$1,419.60 |
$2,366 |
2.6× |
| Echo exam uterus (76831) |
$190.80 |
$318 |
0.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$405.60 |
$676 |
1.7× |
| Esophagram (74220) |
$1,231.80 |
$2,053 |
7.0× |
| Fetal Biophys Profile W/Nst (76818) |
$1,566 |
$2,610 |
14.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,108.80 |
$1,848 |
10.6× |
| Fluoroscopy up to 1 hr (76000) |
$1,035 |
$1,725 |
4.3× |
| Follow-Up Angiography (75898) |
$6,207.60 |
$10,346 |
2.0× |
| Foot 2 views (73620) |
$385.80 |
$643 |
4.4× |
| Forearm 2 views (73090) |
$496.20 |
$827 |
5.7× |
| Gastric emptying imaging study (78264) |
$3,115.20 |
$5,192 |
7.8× |
| Gastric Mucosa Imaging (78261) |
$236.40 |
$394 |
0.6× |
| Gated Heart Planar Single (78472) |
$1,875.60 |
$3,126 |
4.7× |
| Hand 2 views (73120) |
$481.20 |
$802 |
4.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,884.40 |
$6,474 |
1.2× |
| Hepatobil Syst Image W/Drug (78227) |
$3,641.40 |
$6,069 |
6.7× |
| Hepatobiliary System Imaging (78226) |
$3,612 |
$6,020 |
9.0× |
| Ht Muscle Image Spect Sing (78451) |
$4,153.20 |
$6,922 |
3.2× |
| Hysterosalpingogram (74740) |
$236.40 |
$394 |
1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$700.20 |
$1,167 |
8.0× |
| Infant hip ultrasound, limited static exam (76886) |
$150.60 |
$251 |
1.7× |
| Interstitial radiation source applic complex (77778) |
$1,723.80 |
$2,873 |
2.5× |
| K Flow/Funct Image W/Drug (78708) |
$2,209.80 |
$3,683 |
4.1× |
| K Flow/Funct Image W/O Drug (78707) |
$1,967.40 |
$3,279 |
3.6× |
| Knee 3 Views (73562) |
$645 |
$1,075 |
7.4× |
| Liver & Spleen Imaging Static Only (78215) |
$205.20 |
$342 |
0.5× |
| Lung Ventilat&Perfus Imaging (78582) |
$588 |
$980 |
1.1× |
| Lymph System Imaging (78195) |
$2,111.40 |
$3,519 |
3.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) |
$2,935.80 |
$4,893 |
1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$6,207.60 |
$10,346 |
2.0× |
| Magnetic Image Jaw Joint (70336) |
$2,728.20 |
$4,547 |
11.4× |
| Meckels Divert Exam (78290) |
$1,206.60 |
$2,011 |
3.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$664.80 |
$1,108 |
1.8× |
| Mr safety determination physician/other qhp (76016) |
$166.20 |
$277 |
1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$46.20 |
$77 |
1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$173.40 |
$289 |
1.8× |
| Mr safety implt pos&/immoblj (76019) |
$112.20 |
$187 |
1.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$456.60 |
$761 |
1.9× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,180.80 |
$6,968 |
11.9× |
| MRA head w/o contrast (70544) |
$2,284.80 |
$3,808 |
9.5× |
| MRA head with contrast (70545) |
$1,003.80 |
$1,673 |
2.9× |
| MRA neck w contrast (70548) |
$3,273.60 |
$5,456 |
9.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,678.80 |
$7,798 |
13.4× |
| MRA neck w/o contrast (70547) |
$2,695.80 |
$4,493 |
11.3× |
| MRI abdomen w contrast (74182) |
$3,663 |
$6,105 |
10.5× |
| MRI abdomen w/o contrast (74181) |
$2,527.20 |
$4,212 |
10.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,628.80 |
$6,048 |
4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,688.40 |
$7,814 |
13.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,543.60 |
$5,906 |
4.5× |
| MRI cervical spine w contrast (72142) |
$1,557 |
$2,595 |
4.4× |
| MRI cervical spine w/o cont (72141) |
$2,087.40 |
$3,479 |
8.7× |
| MRI chest w/o contrast (71550) |
$2,728.20 |
$4,547 |
11.4× |
| MRI chest with contrast (71551) |
$2,707.20 |
$4,512 |
3.4× |
| MRI chest wo w contrast (71552) |
$4,661.40 |
$7,769 |
13.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,869.80 |
$4,783 |
8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,426.20 |
$7,377 |
12.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,424 |
$4,040 |
10.1× |
| MRI lumbar spine w contrast (72149) |
$1,557 |
$2,595 |
4.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,340.20 |
$5,567 |
9.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,999.40 |
$4,999 |
12.5× |
| MRI orbit face neck w contrast (70542) |
$2,869.80 |
$4,783 |
8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$4,426.20 |
$7,377 |
12.6× |
| MRI pelvis w contrast (72196) |
$1,556.40 |
$2,594 |
4.4× |
| MRI pelvis w/o & w contrast (72197) |
$3,834.60 |
$6,391 |
11.0× |
| MRI pelvis w/o contrast (72195) |
$2,658 |
$4,430 |
11.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,289.60 |
$3,816 |
9.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,869.80 |
$4,783 |
8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,928.60 |
$4,881 |
12.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$4,292.40 |
$7,154 |
12.3× |
| MRI, abdomen, combo (74183) |
$3,352.80 |
$5,588 |
9.6× |
| MRI, dorsal spine combo (72157) |
$3,525 |
$5,875 |
10.1× |
| MRI, dorsal spine contrast (72147) |
$3,459 |
$5,765 |
9.9× |
| MRI, joint upper extrem (73221) |
$2,204.40 |
$3,674 |
9.2× |
| MRI, joint upper extrem combo (73223) |
$4,426.20 |
$7,377 |
12.6× |
| MRI, lumbar spine combo (72158) |
$3,340.20 |
$5,567 |
9.5× |
| Myocardial Spect Multiple Studies (78452) |
$5,660.40 |
$9,434 |
4.4× |
| N-invas est c ffr sw aly CTA (75580) |
$2,646 |
$4,410 |
3.1× |
| Neck soft tissue (70360) |
$647.40 |
$1,079 |
7.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,624.40 |
$9,374 |
4.1× |
| Nuclear Rx Oral Admin (79005) |
$928.80 |
$1,548 |
4.0× |
| Ob us nuchal meas 1 gest (76813) |
$597 |
$995 |
5.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$223.20 |
$372 |
2.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,651.80 |
$2,753 |
3.0× |
| Parathyroid Planar Imaging (78070) |
$1,595.40 |
$2,659 |
4.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,809.60 |
$3,016 |
4.5× |
| Pelvis 1 or 2 views (72170) |
$603.60 |
$1,006 |
5.8× |
| Pet Image W/Ct Lmtd (78814) |
$7,037.40 |
$11,729 |
4.9× |
| PET image w/CT, full body (78816) |
$7,013.40 |
$11,689 |
4.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$7,013.40 |
$11,689 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,385.40 |
$2,309 |
3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$871.20 |
$1,452 |
8.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$844.80 |
$1,408 |
1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$569.40 |
$949 |
6.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$543.60 |
$906 |
6.2× |
| Radex elbow complete minimum 3 views (73080) |
$762.60 |
$1,271 |
8.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$664.20 |
$1,107 |
6.3× |
| Radex fingr minimum 2 views (73140) |
$614.40 |
$1,024 |
7.0× |
| Radex foot complete minimum 3 views (73630) |
$576 |
$960 |
6.6× |
| Radex Hand Minimum 3 Views (73130) |
$712.80 |
$1,188 |
8.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$511.80 |
$853 |
5.9× |
| Radex Ribs Unilateral 2 Views (71100) |
$448.80 |
$748 |
5.1× |
| Radex shoulder complete minimum 2 views (73030) |
$759.60 |
$1,266 |
8.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$666 |
$1,110 |
7.6× |
| Radex Spine 1 View Specify Level (72020) |
$442.20 |
$737 |
5.1× |
| Radex Sternum Minimum 2 Views (71120) |
$559.80 |
$933 |
6.4× |
| Radex Toe Minimum 2 Views (73660) |
$430.80 |
$718 |
4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$662.40 |
$1,104 |
7.6× |
| Radiation treatment delivery level 3 (77412) |
$6,368.40 |
$10,614 |
11.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$612.60 |
$1,021 |
5.8× |
| Radiologic exam colon double contrast study (74280) |
$2,462.40 |
$4,104 |
14.0× |
| Radiologic exam colon single contrast study (74270) |
$1,495.80 |
$2,493 |
8.5× |
| Radiologic exam knee complete 4/more views (73564) |
$1,069.80 |
$1,783 |
10.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$653.40 |
$1,089 |
6.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,458 |
$2,430 |
8.3× |
| Radiologic exam swallow function contrast study (74230) |
$620.40 |
$1,034 |
3.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) |
$87.60 |
$146 |
0.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,794.60 |
$2,991 |
10.2× |
| Radiologic examination femur 1 view (73551) |
$544.20 |
$907 |
6.2× |
| Radiologic examination femur minimum 2 views (73552) |
$776.40 |
$1,294 |
8.9× |
| Radiologic examination knee 1/2 views (73560) |
$445.80 |
$743 |
5.1× |
| Radiologic Examination Osseous Survey Limited (77074) |
$792.60 |
$1,321 |
7.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$809.40 |
$1,349 |
9.3× |
| Radiologic examination, teeth; single view Non-Facility (70300) |
$87.60 |
$146 |
1.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$169.20 |
$282 |
0.4× |
| Ribs bilateral 3 views (71110) |
$585 |
$975 |
5.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$286.80 |
$478 |
0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$501 |
$835 |
1.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$929.40 |
$1,549 |
1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,403.60 |
$4,006 |
4.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,467.20 |
$4,112 |
1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,757 |
$4,595 |
1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$2,467.20 |
$4,112 |
1.9× |
| Scapula (73010) |
$803.40 |
$1,339 |
7.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$107.40 |
$179 |
4.6× |
| Shoulder 1 view (73020) |
$508.20 |
$847 |
5.8× |
| Shoulder Arthrography (73040) |
$1,365.60 |
$2,276 |
3.9× |
| Skull less than 4 views (70250) |
$642 |
$1,070 |
6.1× |
| Special Physics Consult (77370) |
$1,055.40 |
$1,759 |
7.8× |
| Special teletherapy port plan (77321) |
$747.60 |
$1,246 |
2.0× |
| Special treatment procedure (77470) |
$3,684.60 |
$6,141 |
6.6× |
| Stereotactic Body Radiation Delivery (77373) |
$14,459.40 |
$24,099 |
8.1× |
| Superior sagittal sinus venogram (75870) |
$2,045.40 |
$3,409 |
0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,242 |
$2,070 |
3.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$698.40 |
$1,164 |
1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,682.60 |
$4,471 |
7.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,928.40 |
$3,214 |
14.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$1,147.80 |
$1,913 |
6.5× |
| Thoracic spine 2 views (72070) |
$924 |
$1,540 |
8.8× |
| Thoracic spine 3 views (72072) |
$735.60 |
$1,226 |
7.0× |
| Thoracolumbar 2 views (72080) |
$486.60 |
$811 |
5.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$537 |
$895 |
1.3× |
| Thyroid Met Imaging Body (78018) |
$492 |
$820 |
0.9× |
| Thyroid Uptake Measurement (78012) |
$305.40 |
$509 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,208.80 |
$5,348 |
8.0× |
| Tx Devices Design & Construction Complex (77334) |
$3,002.40 |
$5,004 |
8.0× |
| Tx devices design & construction intermediate (77333) |
$289.80 |
$483 |
2.1× |
| Tx devices design & construction simple (77332) |
$822 |
$1,370 |
6.1× |
| Ultrasound Breast Limited (76642) |
$583.20 |
$972 |
6.7× |
| Ultrasound Exam Aaa Screen (76706) |
$1,010.40 |
$1,684 |
9.6× |
| Ultrasound, abdomen limited (76705) |
$868.20 |
$1,447 |
8.3× |
| Umbilical-artery Doppler (OB) (76820) |
$523.80 |
$873 |
5.0× |
| Unlisted Dx Radiographic Procedure (76499) |
$181.20 |
$302 |
2.1× |
| Unlisted fluoroscopic procedure (76496) |
$460.20 |
$767 |
5.3× |
| Unlisted magnetic resonance procedure (76498) |
$779.40 |
$1,299 |
8.9× |
| Unlisted us procedure (76999) |
$58.20 |
$97 |
0.7× |
| Upper gi w/o kub (74240) |
$831.60 |
$1,386 |
4.7× |
| Urethrocystogram voiding (74455) |
$957 |
$1,595 |
4.0× |
| Us breast unilateral complete (76641) |
$717 |
$1,195 |
6.8× |
| Us chest (76604) |
$868.80 |
$1,448 |
8.3× |
| Us complete joint (76881) |
$696 |
$1,160 |
6.6× |
| Us exam, pelvic, limited (76857) |
$759.60 |
$1,266 |
7.2× |
| Us head (76506) |
$1,409.40 |
$2,349 |
13.4× |
| Us kidney transplant (76776) |
$1,134 |
$1,890 |
10.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$615.60 |
$1,026 |
5.9× |
| Us ob detailed single fetus (76811) |
$3,756 |
$6,260 |
15.7× |
| Us ob limited 1 or more fetuses (76815) |
$829.80 |
$1,383 |
7.9× |
| Us ob transvaginal (76817) |
$1,213.80 |
$2,023 |
11.6× |
| Us pelvic non ob complete (76856) |
$1,611 |
$2,685 |
15.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$918.60 |
$1,531 |
8.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$677.40 |
$1,129 |
6.5× |
| Us retroperitoneal complete (76770) |
$1,407.60 |
$2,346 |
13.4× |
| Us retroperitoneal limited (76775) |
$855.60 |
$1,426 |
8.2× |
| Us scrotum and contents (76870) |
$1,098 |
$1,830 |
10.5× |
| Us spinal canal and contents (76800) |
$964.20 |
$1,607 |
9.2× |
| Us thyroid (76536) |
$945.60 |
$1,576 |
9.0× |
| Venogram Sinus/Jugular (75860) |
$2,301 |
$3,835 |
0.7× |
| Venography Adrenal Unilateral (75840) |
$2,335.20 |
$3,892 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$3,900 |
$6,500 |
1.2× |
| Venography extremity bilateral rs&i (75822) |
$2,121 |
$3,535 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,491 |
$2,485 |
0.9× |
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure |
$1,766.40 |
$2,944 |
0.3× |
| Wrist 2 views (73100) |
$534.60 |
$891 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$58.20 |
$97 |
0.7× |
| X-Ray Aorta Leg Arteries (75630) |
$1,916.40 |
$3,194 |
0.6× |
| X-Ray Bend Only L-S Spine (72120) |
$468.60 |
$781 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$345.60 |
$576 |
4.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$697.20 |
$1,162 |
8.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$253.20 |
$422 |
2.4× |
| X-Ray Exam Hip Uni 1 View (73501) |
$325.20 |
$542 |
3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$487.20 |
$812 |
5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$1,144.80 |
$1,908 |
10.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,163.40 |
$1,939 |
11.1× |
| X-Ray Exam L-S Spine Bending (72114) |
$758.40 |
$1,264 |
7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$591.60 |
$986 |
6.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,012.80 |
$1,688 |
9.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$924 |
$1,540 |
8.8× |
| X-ray eye for foreign body (70030) |
$492 |
$820 |
5.6× |
| X-ray humerus (73060) |
$594.60 |
$991 |
6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$154.80 |
$258 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$402.60 |
$671 |
4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$868.20 |
$1,447 |
8.3× |
| X-ray nose-rectum child f.b. (76010) |
$186.60 |
$311 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$696.60 |
$1,161 |
6.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$576.60 |
$961 |
5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$553.80 |
$923 |
5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$776.40 |
$1,294 |
8.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$995.40 |
$1,659 |
11.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$847.20 |
$1,412 |
8.1× |
| X-ray thoracic spine 4 vw (72074) |
$165.60 |
$276 |
1.6× |
| X-Ray Tmj Unilat (70328) |
$181.20 |
$302 |
2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,941.60 |
$3,236 |
5.5× |
| X-Rays Bone Length Studies (77073) |
$232.20 |
$387 |
2.2× |
| X-Rays Bone Survey Complete (77075) |
$1,092 |
$1,820 |
10.4× |
| Xr c-spine 4 or 5 views (72050) |
$1,011.60 |
$1,686 |
9.6× |
| Xr facial bones less than 3 views (70140) |
$140.40 |
$234 |
1.6× |