| 3-D radiotherapy plan dose-volume histograms (77295) |
$15,129.60 |
$25,216 |
11.9× |
| Abdomen 2 views (74019) |
$498.60 |
$831 |
5.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,129 |
$5,215 |
8.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,937 |
$9,895 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$9,658.20 |
$16,097 |
3.3× |
| Angiography extremity unilateral rs&i (75710) |
$7,235.70 |
$12,059.50 |
2.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$9,755.10 |
$16,258.50 |
1.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,911.60 |
$13,186 |
2.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,937 |
$9,895 |
2.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$11,010 |
$18,350 |
2.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,967.40 |
$3,279 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,347.90 |
$7,246.50 |
1.5× |
| Ankle 2 views (73600) |
$368.70 |
$614.50 |
4.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,081.20 |
$1,802 |
3.4× |
| Aortogram thoracic (75605) |
$9,755.10 |
$16,258.50 |
1.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$8,141.10 |
$13,568.50 |
2.8× |
| Aortography abdominal serialography rs&i (75625) |
$7,911.60 |
$13,186 |
2.7× |
| Artery X-Rays Adrenal Gland (75731) |
$11,010 |
$18,350 |
3.8× |
| Arthrogram elbow (73085) |
$663.60 |
$1,106 |
2.1× |
| Arthrogram hip (73525) |
$1,275.60 |
$2,126 |
4.0× |
| Arthrogram shoulder (73040) |
$1,275.60 |
$2,126 |
4.0× |
| Arthrogram wrist (73115) |
$1,454.40 |
$2,424 |
4.6× |
| Arthrography knee lt (73580) |
$724.80 |
$1,208 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$504 |
$840 |
4.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,909.60 |
$6,516 |
10.7× |
| Bone &/joint imaging whole body (78306) |
$3,909.60 |
$6,516 |
10.7× |
| Bone age studies (77072) |
$661.80 |
$1,103 |
6.9× |
| Bone Imaging 3 Phase (78315) |
$3,909.60 |
$6,516 |
10.7× |
| Bone Marrow Imaging Limited Area (78102) |
$1,315.20 |
$2,192 |
3.6× |
| Bone survey complete (77075) |
$670.80 |
$1,118 |
7.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,334.40 |
$2,224 |
3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,865.40 |
$8,109 |
3.7× |
| Brain Imaging Vascular Flow Only (78610) |
$4,317.90 |
$7,196.50 |
8.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$642.60 |
$1,071 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$593.10 |
$988.50 |
7.4× |
| Chest 1 view (71045) |
$275.40 |
$459 |
3.5× |
| Chest 3 views (71047) |
$383.10 |
$638.50 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$954 |
$1,590 |
5.9× |
| Cisternography Positive Contrast Rs&I (70015) |
$490.20 |
$817 |
0.7× |
| Clavicle complete (73000) |
$470.40 |
$784 |
5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$165.60 |
$276 |
1.7× |
| Continuing medical physics consltj pr wk (77336) |
$735.60 |
$1,226 |
6.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,685 |
$9,475 |
17.8× |
| CT abdomen and pelvis without contrast (74176) |
$4,257.60 |
$7,096 |
19.5× |
| CT abdomen w contrast (74160) |
$3,062.40 |
$5,104 |
19.1× |
| CT abdomen w wo contrast (74170) |
$3,529.50 |
$5,882.50 |
22.0× |
| CT abdomen w/o contrast (74150) |
$2,496.90 |
$4,161.50 |
26.1× |
| CT angio hrt w/3d image (75574) |
$2,386.20 |
$3,977 |
7.5× |
| CT angiography upper extremity lt (73206) |
$3,287.10 |
$5,478.50 |
20.5× |
| CT c-spine w/o contrast (72125) |
$2,441.70 |
$4,069.50 |
25.5× |
| CT cervical spine w&w/o contrast (72127) |
$3,470.70 |
$5,784.50 |
21.6× |
| CT cervical spine with contrast (72126) |
$2,273.70 |
$3,789.50 |
7.1× |
| CT chest w/wo contrast (71270) |
$3,446.40 |
$5,744 |
21.5× |
| CT chest with contrast (71260) |
$1,503 |
$2,505 |
9.4× |
| CT head/brain with contrast (70460) |
$2,172.60 |
$3,621 |
13.5× |
| CT head/brain without and with contrast (70470) |
$3,205.80 |
$5,343 |
20.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,094 |
$3,490 |
6.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,134 |
$1,890 |
14.2× |
| CT hrt w/3d image congen (75573) |
$2,094 |
$3,490 |
6.6× |
| CT iac w contrast (70481) |
$2,724.90 |
$4,541.50 |
17.0× |
| CT lower ext w/o (73700) |
$4,222.20 |
$7,037 |
44.1× |
| CT lower extremity w wo contrast (73702) |
$1,447.80 |
$2,413 |
9.0× |
| CT lower extremity with contrast (73701) |
$3,708 |
$6,180 |
23.1× |
| CT lumbar spine w & w/o contrast (72133) |
$2,748 |
$4,580 |
17.1× |
| CT lumbar spine w/o contrast (72131) |
$2,540.10 |
$4,233.50 |
26.5× |
| CT lumbar spine with contrast (72132) |
$2,382 |
$3,970 |
7.5× |
| CT maxillofacial w contrast (70487) |
$2,255.40 |
$3,759 |
14.0× |
| CT maxillofacial w/o contrast (70486) |
$2,425.50 |
$4,042.50 |
25.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,972.10 |
$4,953.50 |
18.5× |
| CT neck soft tissue w contrast (70491) |
$2,650.80 |
$4,418 |
16.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,247.40 |
$2,079 |
7.8× |
| CT orbits w/o contrast (70480) |
$2,671.80 |
$4,453 |
27.9× |
| CT pelvis w & w/o contrast (72194) |
$2,933.40 |
$4,889 |
18.3× |
| CT pelvis w/o contrast (72192) |
$2,308.80 |
$3,848 |
24.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,422.70 |
$5,704.50 |
21.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,114.40 |
$3,524 |
22.1× |
| CT thoracic spine w/contrast (72129) |
$2,261.40 |
$3,769 |
14.1× |
| CT thoracic spine w/o contrast (72128) |
$2,461.20 |
$4,102 |
25.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,654.10 |
$4,423.50 |
16.5× |
| CT thorax w/o contrast (71250) |
$2,496.90 |
$4,161.50 |
26.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,770.60 |
$2,951 |
11.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,477.20 |
$2,462 |
15.4× |
| CT upper extremity with contrast (73201) |
$1,624.20 |
$2,707 |
5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,432.20 |
$7,387 |
27.6× |
| Cta Abdomen (74175) |
$3,568.20 |
$5,947 |
22.2× |
| CTA abdomen pelvis (74174) |
$6,274.80 |
$10,458 |
19.6× |
| CTA chest (71275) |
$3,434.70 |
$5,724.50 |
21.4× |
| Cta Head (70496) |
$3,421.50 |
$5,702.50 |
21.3× |
| CTA lwr ext w&w/o contrast (73706) |
$4,147.50 |
$6,912.50 |
25.8× |
| Cta Neck (70498) |
$2,607.30 |
$4,345.50 |
16.2× |
| Cta Pelvis (72191) |
$1,840.80 |
$3,068 |
11.5× |
| Cystography minimum 3 views rs&i (74430) |
$1,204.20 |
$2,007 |
3.8× |
| Diskogram cervical (72285) |
$7,116 |
$11,860 |
4.0× |
| Diskography lumbar (72295) |
$5,272.20 |
$8,787 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$815.70 |
$1,359.50 |
8.5× |
| Dxa bone density study axial skeleton (77085) |
$177 |
$295 |
1.8× |
| Echoencephalography real time imaging (76506) |
$939 |
$1,565 |
9.8× |
| Esophagus (74220) |
$936.60 |
$1,561 |
5.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$868.20 |
$1,447 |
9.1× |
| Fluoroscopy up to 1 hr (76000) |
$592.80 |
$988 |
2.7× |
| Foot 2 views (73620) |
$368.70 |
$614.50 |
4.6× |
| Forearm 2 views (73090) |
$447 |
$745 |
5.6× |
| Gated Heart Planar Single (78472) |
$5,634.90 |
$9,391.50 |
15.4× |
| Hand 2 views (73120) |
$347.10 |
$578.50 |
3.6× |
| Hand 3 views (73130) |
$488.40 |
$814 |
6.1× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,033.20 |
$6,722 |
6.3× |
| Heart Infarct Image (78466) |
$2,200.20 |
$3,667 |
6.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,937 |
$9,895 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,758.70 |
$6,264.50 |
7.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,109.20 |
$5,182 |
8.5× |
| Ht muscle image spect sing (78451) |
$5,239.80 |
$8,733 |
4.4× |
| Humerus Min 2 Views Left (73060) |
$470.40 |
$784 |
5.9× |
| Hysterosalpingogram (74740) |
$1,124.10 |
$1,873.50 |
5.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,638.40 |
$6,064 |
7.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,167.20 |
$3,612 |
4.4× |
| Knee 3 views (73562) |
$450.60 |
$751 |
5.7× |
| Liver & spleen imaging static only (78215) |
$2,809.20 |
$4,682 |
7.7× |
| Liver imaging static only (78201) |
$4,427.40 |
$7,379 |
8.9× |
| Lung perfusion differential (78597) |
$4,312.80 |
$7,188 |
11.8× |
| Lymphoscintigraphy (78195) |
$4,132.50 |
$6,887.50 |
8.3× |
| Meckels Diverticulum (78290) |
$2,874 |
$4,790 |
7.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,237.20 |
$7,062 |
12.4× |
| Mr safety determination physician/other qhp (76016) |
$134.40 |
$224 |
1.7× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$275.40 |
$459 |
5.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$21 |
$35 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$211.20 |
$352 |
2.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$415.20 |
$692 |
1.9× |
| MRA head w & w/o contrast (70546) |
$6,031.80 |
$10,053 |
18.9× |
| MRA head w/o contrast (70544) |
$3,502.80 |
$5,838 |
16.0× |
| MRA head with contrast (70545) |
$4,420.20 |
$7,367 |
13.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$6,878.40 |
$11,464 |
21.5× |
| MRA neck w/o contrast (70547) |
$3,502.80 |
$5,838 |
16.0× |
| MRI abdomen w contrast (74182) |
$2,802 |
$4,670 |
8.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,840.20 |
$8,067 |
15.1× |
| MRI abdomen w/o contrast (74181) |
$4,047 |
$6,745 |
18.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,844.60 |
$4,741 |
4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,701.80 |
$4,503 |
3.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,943.90 |
$4,906.50 |
13.5× |
| MRI c-spine with contrast (72142) |
$3,249.60 |
$5,416 |
10.2× |
| MRI cervical spine w/o contrast (72141) |
$4,096.50 |
$6,827.50 |
18.7× |
| MRI chest w/o & w/contrast material (71552) |
$4,610.40 |
$7,684 |
14.4× |
| MRI chest w/o contrast (71550) |
$4,047 |
$6,745 |
18.5× |
| MRI chest with contrast (71551) |
$2,342.40 |
$3,904 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,545.40 |
$5,909 |
11.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,545.40 |
$5,909 |
11.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,989.10 |
$6,648.50 |
18.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,118.60 |
$3,531 |
9.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,772.30 |
$4,620.50 |
8.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,233.20 |
$3,722 |
7.0× |
| MRI pelvis w contrast (72196) |
$3,646.50 |
$6,077.50 |
11.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,214.70 |
$7,024.50 |
13.2× |
| MRI pelvis w/o contrast (72195) |
$3,464.70 |
$5,774.50 |
15.9× |
| MRI scan of arm joint before and after contrast (73223) |
$2,812.80 |
$4,688 |
8.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,655.50 |
$6,092.50 |
11.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,817.10 |
$8,028.50 |
15.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,383.30 |
$7,305.50 |
13.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,817.10 |
$8,028.50 |
15.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,612.50 |
$7,687.50 |
14.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,817.10 |
$8,028.50 |
15.1× |
| MRI thoracic spine w/o contrast (72146) |
$4,096.50 |
$6,827.50 |
18.7× |
| MRI tmj (70336) |
$3,005.10 |
$5,008.50 |
13.8× |
| MRI upper ext joint w/o contrast (73221) |
$5,975.40 |
$9,959 |
27.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,545.40 |
$5,909 |
11.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,288.80 |
$7,148 |
19.6× |
| Myelography 2 or more regions (72270) |
$1,965.60 |
$3,276 |
2.7× |
| Myocardial Spect Multiple Studies (78452) |
$5,255.40 |
$8,759 |
4.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,882.80 |
$3,138 |
2.4× |
| Neck soft tissue (70360) |
$504 |
$840 |
6.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$791.10 |
$1,318.50 |
2.2× |
| Nm cisternogram (78630) |
$1,890.30 |
$3,150.50 |
3.8× |
| Nm gastric emptying study (78264) |
$2,730.60 |
$4,551 |
7.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,846.40 |
$9,744 |
4.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,345.40 |
$3,909 |
2.0× |
| Nuclear Rx Oral Admin (79005) |
$2,026.20 |
$3,377 |
9.5× |
| Osseous survey infant (77076) |
$737.40 |
$1,229 |
7.7× |
| Osseous survey limited (77074) |
$889.50 |
$1,482.50 |
9.3× |
| Parathyrd planar w/wo subtrj (78071) |
$2,917.20 |
$4,862 |
8.0× |
| Parathyroid imaging (78070) |
$1,859.40 |
$3,099 |
5.1× |
| Pelvis 1 or 2 views (72170) |
$495 |
$825 |
5.2× |
| PET image w/CT, skull-thigh (78815) |
$4,668.60 |
$7,781 |
3.6× |
| PET imaging CT for attenuation limited area (78814) |
$2,625.60 |
$4,376 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$5,437.80 |
$9,063 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,545.40 |
$5,909 |
11.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,741 |
$6,235 |
1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,304.60 |
$3,841 |
6.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,326.60 |
$7,211 |
8.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$918.60 |
$1,531 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$158.40 |
$264 |
2.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$446.10 |
$743.50 |
4.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$459.90 |
$766.50 |
4.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$391.80 |
$653 |
4.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$493.80 |
$823 |
5.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$18,256.20 |
$30,427 |
2.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,825.80 |
$3,043 |
3.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$226.80 |
$378 |
2.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$507.60 |
$846 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$631.80 |
$1,053 |
6.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$303.60 |
$506 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,092 |
$1,820 |
11.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$319.20 |
$532 |
4.0× |
| Radiologic exam colon single contrast study (74270) |
$691.80 |
$1,153 |
4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$936.60 |
$1,561 |
5.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,068.30 |
$1,780.50 |
6.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$908.70 |
$1,514.50 |
5.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$394.20 |
$657 |
4.9× |
| Radiological examination surgical specimen (76098) |
$836.40 |
$1,394 |
1.7× |
| Review by radiologist of adrenal gland vein image (75840) |
$5,937 |
$9,895 |
2.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$9,280.80 |
$15,468 |
3.2× |
| Ribs bilateral 3 views (71110) |
$468 |
$780 |
4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$778.20 |
$1,297 |
2.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,784.80 |
$6,308 |
7.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,865.40 |
$8,109 |
9.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,557.20 |
$4,262 |
2.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$742.80 |
$1,238 |
3.5× |
| Rp Therapy Intravenous Administration (79101) |
$817.20 |
$1,362 |
3.8× |
| Sacroiliac Joints < 3 Views (72200) |
$241.50 |
$402.50 |
2.5× |
| Scanogram (77073) |
$673.50 |
$1,122.50 |
7.0× |
| Scapula complete (73010) |
$536.40 |
$894 |
5.6× |
| Screening digital breast tomosynthesis (77063) |
$633 |
$1,055 |
27.1× |
| Sella turcica (70240) |
$391.80 |
$653 |
4.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$918.60 |
$1,531 |
9.6× |
| Simulation intermediate (77285) |
$665.40 |
$1,109 |
1.9× |
| Small bowel series (74250) |
$796.20 |
$1,327 |
5.0× |
| Spec medical radj physics consltj (77370) |
$940.80 |
$1,568 |
7.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,146 |
$1,910 |
3.3× |
| Special dosimetry (77331) |
$524.40 |
$874 |
4.3× |
| Special treatment procedure (77470) |
$4,501.80 |
$7,503 |
8.9× |
| Spine thoracic 3 views (72072) |
$652.20 |
$1,087 |
6.8× |
| Stereotactic body radiation delivery (77373) |
$4,392.60 |
$7,321 |
2.7× |
| Superior sagittal sinus venogram (75870) |
$3,769.20 |
$6,282 |
1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,006.40 |
$3,344 |
5.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$665.40 |
$1,109 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,439.20 |
$5,732 |
10.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,129.20 |
$1,882 |
9.2× |
| Therapeutic Enema (74283) |
$411 |
$685 |
2.6× |
| Thoracolumbar 2 views (72080) |
$391.80 |
$653 |
4.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,536.20 |
$4,227 |
5.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,537.20 |
$2,562 |
4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,494.20 |
$4,157 |
6.8× |
| Tmj unilateral (70328) |
$143.40 |
$239 |
1.8× |
| Treatment devices simple (77332) |
$839.40 |
$1,399 |
6.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,454.40 |
$7,424 |
9.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$778.20 |
$1,297 |
2.1× |
| Tx devices design & construction complex (77334) |
$1,681.20 |
$2,802 |
4.9× |
| Ultrasound elastography first target lesion (76982) |
$961.80 |
$1,603 |
10.0× |
| Ultrasound, abdomen limited (76705) |
$1,008.30 |
$1,680.50 |
10.5× |
| Umbilical-artery Doppler (OB) (76820) |
$318.60 |
$531 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$139.20 |
$232 |
1.7× |
| Unlisted magnetic resonance procedure (76498) |
$2,300.40 |
$3,834 |
28.9× |
| Upper Extremity Infant (73092) |
$302.70 |
$504.50 |
3.2× |
| Urethrocystography retrograde rs&i (74450) |
$1,411.20 |
$2,352 |
6.5× |
| Urethrocystography voiding (74455) |
$1,812.60 |
$3,021 |
8.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,491 |
$2,485 |
9.3× |
| Us abdl aorta screen aaa (76706) |
$1,118.40 |
$1,864 |
11.7× |
| Us breast unilateral complete (76641) |
$330.60 |
$551 |
3.5× |
| Us breast unilateral limited (76642) |
$330.60 |
$551 |
4.1× |
| Us chest (76604) |
$483.90 |
$806.50 |
5.1× |
| Us compl joint r-t w/image documentation (76881) |
$1,310.70 |
$2,184.50 |
13.7× |
| Us elastography parenchyma (76981) |
$1,065.60 |
$1,776 |
11.1× |
| Us guided compression repair (76936) |
$892.20 |
$1,487 |
4.5× |
| Us infant hips dynamic (76885) |
$500.40 |
$834 |
6.3× |
| Us infant hips limited static (76886) |
$321.90 |
$536.50 |
4.0× |
| Us kidney transplant (76776) |
$1,180.20 |
$1,967 |
12.3× |
| Us ob transvaginal (76817) |
$1,402.20 |
$2,337 |
14.6× |
| Us pelvic non ob complete (76856) |
$1,174.20 |
$1,957 |
12.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,062.90 |
$1,771.50 |
11.1× |
| Us pregnancy ltd (76815) |
$664.80 |
$1,108 |
6.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,171.80 |
$1,953 |
12.2× |
| Us retroperitoneal complete (76770) |
$1,182.60 |
$1,971 |
12.4× |
| Us retroperitoneal limited (76775) |
$1,182.60 |
$1,971 |
12.4× |
| Us scrotum and contents (76870) |
$1,174.20 |
$1,957 |
12.3× |
| Us soft tissue head/neck (76536) |
$573.60 |
$956 |
6.0× |
| Us spinal canal and contents (76800) |
$450.60 |
$751 |
4.7× |
| Us xtr non-vasc lmtd (76882) |
$354 |
$590 |
3.7× |
| Venogram extremity bilateral (75822) |
$3,402.60 |
$5,671 |
2.4× |
| Venography caval inferior serialography rs&i (75825) |
$5,937 |
$9,895 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$4,692.60 |
$7,821 |
3.3× |
| Venography extremity unilateral rs&i (75820) |
$878.40 |
$1,464 |
0.6× |
| Venography Renal Bilateral (75833) |
$5,937 |
$9,895 |
2.1× |
| Venography renal unilateral selective rs&i (75831) |
$5,375.10 |
$8,958.50 |
1.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,418.40 |
$7,364 |
1.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,937 |
$9,895 |
1.2× |
| Wrist 2 views (73100) |
$450 |
$750 |
5.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$676.20 |
$1,127 |
7.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$513 |
$855 |
6.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$488.40 |
$814 |
6.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,142.40 |
$1,904 |
7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$351 |
$585 |
4.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$544.20 |
$907 |
6.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$493.80 |
$823 |
5.2× |
| X-ray exam hip uni 1 view (73501) |
$397.20 |
$662 |
5.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$436.50 |
$727.50 |
5.5× |
| X-ray exam hip uni 4/> views (73503) |
$579.60 |
$966 |
6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$550.20 |
$917 |
5.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$593.40 |
$989 |
6.2× |
| X-ray exam of femur 1 (73551) |
$175.20 |
$292 |
2.2× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,206.60 |
$2,011 |
7.5× |
| X-ray eye for foreign body (70030) |
$291.60 |
$486 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$781.80 |
$1,303 |
8.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$338.40 |
$564 |
4.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$486.60 |
$811 |
6.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,114 |
$5,190 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$447 |
$745 |
5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$354.90 |
$591.50 |
4.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$624.90 |
$1,041.50 |
6.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$194.40 |
$324 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$435.30 |
$725.50 |
5.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$561.60 |
$936 |
5.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$849 |
$1,415 |
8.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$461.70 |
$769.50 |
4.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$621.60 |
$1,036 |
7.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$327 |
$545 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$511.20 |
$852 |
5.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$787.20 |
$1,312 |
8.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$974.40 |
$1,624 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$595.20 |
$992 |
7.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$804.60 |
$1,341 |
8.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$804.60 |
$1,341 |
8.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$536.40 |
$894 |
5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$536.40 |
$894 |
6.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$581.10 |
$968.50 |
7.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$694.80 |
$1,158 |
8.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$412.20 |
$687 |
5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$643.20 |
$1,072 |
6.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$398.40 |
$664 |
4.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$517.50 |
$862.50 |
6.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$366.60 |
$611 |
4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$465 |
$775 |
5.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$307.20 |
$512 |
3.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$391.80 |
$653 |
4.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$407.40 |
$679 |
5.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$564.60 |
$941 |
7.1× |
| Xr c-spine 6 or more views (72052) |
$1,082.70 |
$1,804.50 |
11.3× |
| Xr chest 4+ views (71048) |
$407.70 |
$679.50 |
4.3× |
| Xr finger(s) 2+ views (73140) |
$407.40 |
$679 |
5.1× |
| Xr shoulder 1 view (73020) |
$310.20 |
$517 |
3.9× |
| Xr spine cervical 4 or 5 views (72050) |
$733.20 |
$1,222 |
7.7× |
| Xr tibia/fibula 2 views (73590) |
$481.80 |
$803 |
6.0× |
| Xr tmj bilateral (70330) |
$471 |
$785 |
5.9× |
| Xray knee 1 or 2 views rt (73560) |
$450 |
$750 |
5.6× |