| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,676 |
$4,460 |
2.0× |
| Abdomen 2 views (74019) |
$201.90 |
$336.50 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$865.80 |
$1,443 |
2.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,396.70 |
$3,994.50 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$1,502.70 |
$2,504.50 |
0.5× |
| Angiography internal mammary rs&i (75756) |
$128.40 |
$214 |
0.0× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,166 |
$3,610 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,577.80 |
$5,963 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,197.20 |
$4,532 |
1.0× |
| Ankle 2 views (73600) |
$266.40 |
$444 |
3.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$643.20 |
$1,072 |
1.9× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,792.80 |
$2,988 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,671.90 |
$2,786.50 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,359.30 |
$2,265.50 |
0.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,219.50 |
$2,032.50 |
0.4× |
| Arthrogram elbow (73085) |
$561.60 |
$936 |
1.7× |
| Arthrogram hip (73525) |
$679.20 |
$1,132 |
2.0× |
| Arthrogram shoulder (73040) |
$655.80 |
$1,093 |
2.0× |
| Arthrogram wrist (73115) |
$564.60 |
$941 |
1.7× |
| Arthrography knee lt (73580) |
$621.60 |
$1,036 |
1.9× |
| Basic radiation dosimetry calculation (77300) |
$254.40 |
$424 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$671.70 |
$1,119.50 |
1.8× |
| Bone &/joint imaging whole body (78306) |
$1,012.80 |
$1,688 |
2.7× |
| Bone age studies (77072) |
$62.70 |
$104.50 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$1,083.30 |
$1,805.50 |
2.8× |
| Bone Marrow Imaging Limited Area (78102) |
$738 |
$1,230 |
1.9× |
| Bone survey complete (77075) |
$189 |
$315 |
1.9× |
| Brachytx isodose complex (77318) |
$379.20 |
$632 |
1.1× |
| Brachytx isodose intermed (77317) |
$250.80 |
$418 |
0.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$169.20 |
$282 |
0.5× |
| Brain imaging < 4 static views w vascular flow (78601) |
$522.60 |
$871 |
1.4× |
| Cardiac shunt detection (78428) |
$286.80 |
$478 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$240.60 |
$401 |
2.9× |
| Chest 1 view (71045) |
$192.60 |
$321 |
2.3× |
| Chest 3 views (71047) |
$170.70 |
$284.50 |
2.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$372.60 |
$621 |
2.2× |
| Cineradiography/videoradiography (76120) |
$91.80 |
$153 |
0.9× |
| Clavicle complete (73000) |
$161.40 |
$269 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$326.40 |
$544 |
3.3× |
| Continuing medical physics consltj pr wk (77336) |
$349.50 |
$582.50 |
2.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,660.40 |
$4,434 |
8.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,768.20 |
$2,947 |
7.8× |
| CT abdomen w contrast (74160) |
$1,388.70 |
$2,314.50 |
8.3× |
| CT abdomen w wo contrast (74170) |
$1,587 |
$2,645 |
9.5× |
| CT abdomen w/o contrast (74150) |
$1,121.10 |
$1,868.50 |
11.2× |
| CT angio hrt w/3d image (75574) |
$1,548.60 |
$2,581 |
4.6× |
| CT angiography upper extremity lt (73206) |
$2,160 |
$3,600 |
12.9× |
| CT c-spine w/o contrast (72125) |
$1,203 |
$2,005 |
12.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,395.80 |
$3,993 |
14.3× |
| CT cervical spine with contrast (72126) |
$1,568.70 |
$2,614.50 |
4.7× |
| CT chest w/wo contrast (71270) |
$1,604.70 |
$2,674.50 |
9.6× |
| CT chest with contrast (71260) |
$1,271.10 |
$2,118.50 |
7.6× |
| CT head/brain with contrast (70460) |
$1,217.70 |
$2,029.50 |
7.3× |
| CT head/brain without and with contrast (70470) |
$1,464.30 |
$2,440.50 |
8.7× |
| CT heart contrast eval cardiac structure&morph (75572) |
$945.60 |
$1,576 |
2.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$128.10 |
$213.50 |
1.5× |
| CT iac w contrast (70481) |
$1,258.20 |
$2,097 |
7.5× |
| CT limited/localized follow up study (76380) |
$194.40 |
$324 |
2.3× |
| CT lower ext w/o (73700) |
$1,407.90 |
$2,346.50 |
14.1× |
| CT lower extremity w wo contrast (73702) |
$2,091 |
$3,485 |
12.5× |
| CT lower extremity with contrast (73701) |
$1,830.60 |
$3,051 |
10.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,505.60 |
$4,176 |
14.9× |
| CT lumbar spine w/o contrast (72131) |
$1,134.30 |
$1,890.50 |
11.4× |
| CT lumbar spine with contrast (72132) |
$1,463.70 |
$2,439.50 |
4.4× |
| CT maxillofacial w contrast (70487) |
$1,281.30 |
$2,135.50 |
7.6× |
| CT maxillofacial w/o contrast (70486) |
$1,030.50 |
$1,717.50 |
10.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,517.70 |
$2,529.50 |
9.1× |
| CT neck soft tissue w contrast (70491) |
$1,430.10 |
$2,383.50 |
8.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,515.90 |
$2,526.50 |
9.0× |
| CT orbits w/o contrast (70480) |
$1,046.40 |
$1,744 |
10.5× |
| CT pelvis w & w/o contrast (72194) |
$1,482.60 |
$2,471 |
8.8× |
| CT pelvis w/o contrast (72192) |
$999.90 |
$1,666.50 |
10.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,541.70 |
$2,569.50 |
9.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,033.20 |
$1,722 |
10.3× |
| CT thoracic spine w/contrast (72129) |
$1,538.70 |
$2,564.50 |
9.2× |
| CT thoracic spine w/o contrast (72128) |
$1,075.50 |
$1,792.50 |
10.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,412 |
$4,020 |
14.4× |
| CT thorax w/o contrast (71250) |
$1,039.50 |
$1,732.50 |
10.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,160 |
$3,600 |
12.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,681.20 |
$2,802 |
16.8× |
| CT upper extremity with contrast (73201) |
$2,000.40 |
$3,334 |
6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,936.50 |
$3,227.50 |
11.6× |
| Cta Abdomen (74175) |
$1,678.80 |
$2,798 |
10.0× |
| CTA abdomen pelvis (74174) |
$2,532.30 |
$4,220.50 |
7.6× |
| CTA chest (71275) |
$1,686.60 |
$2,811 |
10.1× |
| Cta Head (70496) |
$1,768.80 |
$2,948 |
10.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$4,546.20 |
$7,577 |
13.6× |
| CTA lwr ext w&w/o contrast (73706) |
$2,018.48 |
$3,364.13 |
12.0× |
| Cta Neck (70498) |
$1,773.90 |
$2,956.50 |
10.6× |
| Cta Pelvis (72191) |
$1,747.50 |
$2,912.50 |
10.4× |
| Cystography minimum 3 views rs&i (74430) |
$294.60 |
$491 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$307.50 |
$512.50 |
3.1× |
| Dxa bone density study axial skeleton (77085) |
$121.20 |
$202 |
1.2× |
| Echoencephalography real time imaging (76506) |
$244.20 |
$407 |
2.4× |
| Esophagus (74220) |
$229.50 |
$382.50 |
1.4× |
| Fetal biophysical profile non-stress testing (76818) |
$444.60 |
$741 |
4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$355.80 |
$593 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$329.40 |
$549 |
1.4× |
| Foot 2 views (73620) |
$254.40 |
$424 |
3.1× |
| Forearm 2 views (73090) |
$283.80 |
$473 |
3.4× |
| Gated Heart Planar Single (78472) |
$950.70 |
$1,584.50 |
2.5× |
| Hand 2 views (73120) |
$258.60 |
$431 |
2.6× |
| Hand 3 views (73130) |
$299.40 |
$499 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,135.80 |
$1,893 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$921.60 |
$1,536 |
2.4× |
| Ht muscle image spect sing (78451) |
$1,510.50 |
$2,517.50 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$260.40 |
$434 |
3.1× |
| Hysterosalpingogram (74740) |
$497.40 |
$829 |
2.2× |
| Interstitial radiation source applic complex (77778) |
$901.20 |
$1,502 |
1.4× |
Intraop radiaj tx deliver xray single tx session (77424)
likely a partial charge, not the full procedure |
$966 |
$1,610 |
0.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$136.20 |
$227 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$876 |
$1,460 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$973.80 |
$1,623 |
1.9× |
| Knee 3 views (73562) |
$332.40 |
$554 |
4.0× |
| Liver & spleen imaging static only (78215) |
$684.30 |
$1,140.50 |
1.8× |
| Liver imaging static only (78201) |
$783.60 |
$1,306 |
1.5× |
| Lung perfusion differential (78597) |
$589.80 |
$983 |
1.5× |
| Lung Ventilation Imaging (78579) |
$363 |
$605 |
0.9× |
| Lymphoscintigraphy (78195) |
$778.80 |
$1,298 |
1.5× |
| Mammary ductogram or galactogram single (77053) |
$836.40 |
$1,394 |
3.7× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$150 |
$250 |
1.8× |
| Meckels Diverticulum (78290) |
$873.60 |
$1,456 |
2.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,170 |
$1,950 |
3.3× |
| MRA head w/o contrast (70544) |
$2,070 |
$3,450 |
9.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,959.80 |
$4,933 |
8.9× |
| MRA neck w/o contrast (70547) |
$1,899 |
$3,165 |
8.3× |
| MRI abdomen w contrast (74182) |
$2,703.60 |
$4,506 |
8.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,191.40 |
$5,319 |
9.6× |
| MRI abdomen w/o contrast (74181) |
$2,434.80 |
$4,058 |
10.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,509.80 |
$4,183 |
3.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,190.50 |
$5,317.50 |
4.3× |
| MRI breast w/o contrast bilateral (77047) |
$1,987.20 |
$3,312 |
8.7× |
| MRI breast w/o contrast unilat (77046) |
$1,289.40 |
$2,149 |
5.7× |
| MRI c-spine with contrast (72142) |
$2,812.20 |
$4,687 |
8.4× |
| MRI cervical spine w/o contrast (72141) |
$2,298.60 |
$3,831 |
10.1× |
| MRI chest w/o & w/contrast material (71552) |
$3,246.60 |
$5,411 |
9.7× |
| MRI chest w/o contrast (71550) |
$2,090.40 |
$3,484 |
9.2× |
| MRI chest with contrast (71551) |
$2,407.80 |
$4,013 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,400 |
$4,000 |
7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,400 |
$4,000 |
7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,687.40 |
$4,479 |
11.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,015.40 |
$3,359 |
8.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,127.80 |
$5,213 |
9.4× |
| MRI orbit/face/neck w/contrast (70542) |
$2,617.20 |
$4,362 |
7.8× |
| MRI pelvis w contrast (72196) |
$2,400 |
$4,000 |
7.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,502.90 |
$4,171.50 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$2,128.80 |
$3,548 |
9.3× |
| MRI scan of arm joint before and after contrast (73223) |
$3,555.90 |
$5,926.50 |
10.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,910.60 |
$4,851 |
8.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,084 |
$5,140 |
9.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,679 |
$4,465 |
8.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,245.40 |
$5,409 |
9.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,835 |
$4,725 |
8.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,079.80 |
$5,133 |
9.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,140.20 |
$3,567 |
9.4× |
| MRI tmj (70336) |
$2,043.60 |
$3,406 |
9.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,150.10 |
$3,583.50 |
9.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,632.40 |
$6,054 |
10.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,542.50 |
$4,237.50 |
11.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$216 |
$360 |
0.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,506.50 |
$4,177.50 |
2.0× |
| Neck soft tissue (70360) |
$156.60 |
$261 |
1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$225.60 |
$376 |
0.6× |
| Nm cisternogram (78630) |
$1,402.80 |
$2,338 |
2.7× |
| Nm gastric emptying study (78264) |
$937.50 |
$1,562.50 |
2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,407.80 |
$4,013 |
1.8× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$333 |
$555 |
0.9× |
| Nuclear Rx Oral Admin (79005) |
$840.90 |
$1,401.50 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$345.60 |
$576 |
3.5× |
| Orthopantogram (70355) |
$223.20 |
$372 |
2.7× |
| Osseous survey infant (77076) |
$183.60 |
$306 |
1.8× |
| Osseous survey limited (77074) |
$204.90 |
$341.50 |
2.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,108.80 |
$1,848 |
2.1× |
| Parathyroid imaging (78070) |
$648.90 |
$1,081.50 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$184.20 |
$307 |
1.8× |
| Peritoneogram rs&i (74190) |
$553.80 |
$923 |
1.1× |
| PET image w/CT, skull-thigh (78815) |
$4,365 |
$7,275 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$1,594.80 |
$2,658 |
1.2× |
| PET imaging for CT attenuation whole body (78816) |
$4,683.60 |
$7,806 |
3.4× |
| Pr gi endoscopic ultrasound (76975) |
$85.20 |
$142 |
0.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,036 |
$5,060 |
9.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$701.70 |
$1,169.50 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$979.20 |
$1,632 |
1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$489 |
$815 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$188.70 |
$314.50 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$258 |
$430 |
2.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$202.50 |
$337.50 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$113.70 |
$189.50 |
1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$147.60 |
$246 |
1.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$14,637.60 |
$24,396 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$468.60 |
$781 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$485.40 |
$809 |
5.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,293.60 |
$2,156 |
3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$216 |
$360 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$157.50 |
$262.50 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$271.50 |
$452.50 |
2.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$224.40 |
$374 |
2.7× |
| Radiologic exam colon single contrast study (74270) |
$538.80 |
$898 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$523.80 |
$873 |
3.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$590.40 |
$984 |
3.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$258 |
$430 |
3.1× |
| Radiological examination surgical specimen (76098) |
$321 |
$535 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,290.20 |
$3,817 |
0.8× |
| Ribs bilateral 3 views (71110) |
$90 |
$150 |
0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,249.20 |
$2,082 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,273.20 |
$2,122 |
2.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,494.60 |
$2,491 |
1.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$318 |
$530 |
1.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$600 |
$1,000 |
2.7× |
| Rp Therapy Intravenous Administration (79101) |
$832.80 |
$1,388 |
3.7× |
| Sacroiliac Joints < 3 Views (72200) |
$135.30 |
$225.50 |
1.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$660 |
$1,100 |
2.9× |
| Scanogram (77073) |
$196.50 |
$327.50 |
2.0× |
| Scapula complete (73010) |
$152.40 |
$254 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$49.50 |
$82.50 |
2.1× |
| Sella turcica (70240) |
$56.65 |
$94.41 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$115.20 |
$192 |
1.2× |
| Sialogram (70390) |
$330.60 |
$551 |
1.4× |
| Simulation intermediate (77285) |
$715.20 |
$1,192 |
2.0× |
| Small bowel series (74250) |
$478.80 |
$798 |
2.9× |
| Spec medical radj physics consltj (77370) |
$545.70 |
$909.50 |
4.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$495 |
$825 |
1.4× |
| Special dosimetry (77331) |
$265.80 |
$443 |
2.1× |
| Special treatment procedure (77470) |
$963 |
$1,605 |
1.8× |
| Spine thoracic 3 views (72072) |
$200.70 |
$334.50 |
2.0× |
| Stereotactic body radiation delivery (77373) |
$4,209.60 |
$7,016 |
2.5× |
| Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions (77438) |
$213.60 |
$356 |
2.2× |
| Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) |
$78 |
$130 |
2.2× |
| Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th… (77437) |
$213.60 |
$356 |
2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$776.40 |
$1,294 |
2.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$332.40 |
$554 |
0.9× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$313.80 |
$523 |
1.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$921 |
$1,535 |
2.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$488.40 |
$814 |
3.8× |
| Therapeutic Enema (74283) |
$306 |
$510 |
1.8× |
| Thoracolumbar 2 views (72080) |
$197.40 |
$329 |
2.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,696.20 |
$2,827 |
3.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$496.80 |
$828 |
1.3× |
| Thyroid uptake measurement (78012) |
$290.70 |
$484.50 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$676.20 |
$1,127 |
1.8× |
| Tmj unilateral (70328) |
$91.50 |
$152.50 |
1.1× |
| Treatment device intermediate (77333) |
$374.10 |
$623.50 |
2.9× |
| Treatment devices simple (77332) |
$260.40 |
$434 |
2.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,139 |
$3,565 |
4.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$600.90 |
$1,001.50 |
1.6× |
| Tx devices design & construction complex (77334) |
$579 |
$965 |
1.6× |
| Ultrasound elastography first target lesion (76982) |
$429.30 |
$715.50 |
4.3× |
| Ultrasound, abdomen limited (76705) |
$145.80 |
$243 |
1.5× |
| Umbilical-artery Doppler (OB) (76820) |
$175.20 |
$292 |
1.8× |
| Unlisted magnetic resonance procedure (76498) |
$788.40 |
$1,314 |
9.5× |
| Unlisted Ultrasound Procedure (76999) |
$111 |
$185 |
1.3× |
| Upper Extremity Infant (73092) |
$68.40 |
$114 |
0.7× |
| Urethrocystography retrograde rs&i (74450) |
$323.70 |
$539.50 |
1.4× |
| Urethrocystography voiding (74455) |
$567.60 |
$946 |
2.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$864.60 |
$1,441 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$270.30 |
$450.50 |
2.7× |
| Us breast unilateral complete (76641) |
$373.20 |
$622 |
3.7× |
| Us breast unilateral limited (76642) |
$322.20 |
$537 |
3.9× |
| Us chest (76604) |
$250.20 |
$417 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$581.40 |
$969 |
5.8× |
| Us elastography parenchyma (76981) |
$230.40 |
$384 |
2.3× |
| Us guided compression repair (76936) |
$418.50 |
$697.50 |
2.0× |
| Us infant hips dynamic (76885) |
$160.80 |
$268 |
1.9× |
| Us infant hips limited static (76886) |
$160.80 |
$268 |
1.9× |
| Us ob detailed single fetus (76811) |
$732 |
$1,220 |
3.2× |
| Us ob transvaginal (76817) |
$579.60 |
$966 |
5.8× |
| Us pelvic non ob complete (76856) |
$478.20 |
$797 |
4.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$325.20 |
$542 |
3.3× |
| Us pregnancy ltd (76815) |
$400.80 |
$668 |
4.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$343.80 |
$573 |
3.4× |
| Us retroperitoneal complete (76770) |
$427.20 |
$712 |
4.3× |
| Us retroperitoneal limited (76775) |
$314.10 |
$523.50 |
3.1× |
| Us scrotum and contents (76870) |
$399.30 |
$665.50 |
4.0× |
| Us soft tissue head/neck (76536) |
$359.40 |
$599 |
3.6× |
| Us spinal canal and contents (76800) |
$208.80 |
$348 |
2.1× |
| Us transrectal (76872) |
$348.30 |
$580.50 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$252 |
$420 |
2.5× |
| Venogram extremity bilateral (75822) |
$737.70 |
$1,229.50 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,924.20 |
$3,207 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$2,098.20 |
$3,497 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$565.20 |
$942 |
0.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$169.80 |
$283 |
0.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$3,538.80 |
$5,898 |
0.7× |
| Wrist 2 views (73100) |
$235.20 |
$392 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$275.40 |
$459 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$159.90 |
$266.50 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$328.20 |
$547 |
3.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$682.80 |
$1,138 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$248.40 |
$414 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$325.20 |
$542 |
3.9× |
| X-ray exam hip uni 1 view (73501) |
$140.40 |
$234 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$168.60 |
$281 |
2.0× |
| X-ray exam hip uni 4/> views (73503) |
$124.20 |
$207 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$206.40 |
$344 |
2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$171 |
$285 |
1.7× |
| X-ray exam of femur 1 (73551) |
$130.20 |
$217 |
1.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$615.60 |
$1,026 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$222 |
$370 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$231 |
$385 |
2.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$300.60 |
$501 |
3.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$237 |
$395 |
2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$131.70 |
$219.50 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$370.20 |
$617 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$157.80 |
$263 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$56.65 |
$94.41 |
0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$219.30 |
$365.50 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$320.70 |
$534.50 |
3.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$85.32 |
$142.19 |
0.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$142.50 |
$237.50 |
1.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$57 |
$95 |
0.7× |
| X-ray of voice box or throat (70370) |
$117.60 |
$196 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$290.40 |
$484 |
2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$525 |
$875 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$88.20 |
$147 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$227.10 |
$378.50 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$286.20 |
$477 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$175.80 |
$293 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$176.70 |
$294.50 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$198.90 |
$331.50 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$219.60 |
$366 |
2.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$139.50 |
$232.50 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$270 |
$450 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$188.70 |
$314.50 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$157.80 |
$263 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$162.30 |
$270.50 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$150.90 |
$251.50 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$207.90 |
$346.50 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$249.30 |
$415.50 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$132.90 |
$221.50 |
1.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$304.80 |
$508 |
3.7× |
| Xr arthrogram ankle (73615) |
$313.80 |
$523 |
0.9× |
| Xr c-spine 6 or more views (72052) |
$365.70 |
$609.50 |
3.7× |
| Xr chest 4+ views (71048) |
$248.70 |
$414.50 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$154.20 |
$257 |
1.9× |
| Xr internal auditory meati complete (70134) |
$316.80 |
$528 |
0.6× |
| XR Mastoids < 3 Views Bilateral (70120) |
$67.80 |
$113 |
0.7× |
| Xr shoulder 1 view (73020) |
$245.70 |
$409.50 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$335.70 |
$559.50 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$264 |
$440 |
3.2× |
| Xr tmj bilateral (70330) |
$151.80 |
$253 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$278.40 |
$464 |
3.3× |