| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,966.79 |
$4,966.79 |
3.8× |
| Abdomen 2 views (74019) |
$399.36 |
$399.36 |
4.0× |
| Ankle 2 views (73600) |
$197.46 |
$197.46 |
2.4× |
| Basic radiation dosimetry calculation (77300) |
$366.78 |
$366.78 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$537.67 |
$537.67 |
1.4× |
| Bone age studies (77072) |
$296.72 |
$296.72 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$973.11 |
$973.11 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$269.80 |
$269.80 |
3.2× |
| Chest 1 view (71045) |
$260.16 |
$260.16 |
3.1× |
| Chest 3 views (71047) |
$291.10 |
$291.10 |
3.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$216.18 |
$216.18 |
1.3× |
| Clavicle complete (73000) |
$282.90 |
$282.90 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,063.78 |
$1,063.78 |
10.6× |
| Continuing medical physics consltj pr wk (77336) |
$528.06 |
$528.06 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,930.23 |
$4,930.23 |
14.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,646.35 |
$3,646.35 |
16.0× |
| CT abdomen w contrast (74160) |
$2,496.06 |
$2,496.06 |
14.9× |
| CT abdomen w wo contrast (74170) |
$2,618.39 |
$2,618.39 |
15.6× |
| CT abdomen w/o contrast (74150) |
$1,672.72 |
$1,672.72 |
16.7× |
| CT angio hrt w/3d image (75574) |
$4,042.91 |
$4,042.91 |
12.1× |
| CT angiography upper extremity lt (73206) |
$1,562.32 |
$1,562.32 |
9.3× |
| CT c-spine w/o contrast (72125) |
$1,118.38 |
$1,118.38 |
11.2× |
| CT cervical spine with contrast (72126) |
$1,078.57 |
$1,078.57 |
3.2× |
| CT chest w/wo contrast (71270) |
$730.87 |
$730.87 |
4.4× |
| CT chest with contrast (71260) |
$1,385.17 |
$1,385.17 |
8.3× |
| CT head/brain without and with contrast (70470) |
$2,271.06 |
$2,271.06 |
13.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$822.64 |
$822.64 |
9.9× |
| CT iac w contrast (70481) |
$1,132.88 |
$1,132.88 |
6.8× |
| CT lower ext w/o (73700) |
$1,079.60 |
$1,079.60 |
10.8× |
| CT lower extremity w wo contrast (73702) |
$1,132.52 |
$1,132.52 |
6.8× |
| CT lower extremity with contrast (73701) |
$1,178.42 |
$1,178.42 |
7.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,160.43 |
$1,160.43 |
6.9× |
| CT lumbar spine w/o contrast (72131) |
$839.60 |
$839.60 |
8.4× |
| CT lumbar spine with contrast (72132) |
$913.46 |
$913.46 |
2.7× |
| CT maxillofacial w contrast (70487) |
$1,691.70 |
$1,691.70 |
10.1× |
| CT maxillofacial w/o contrast (70486) |
$956.24 |
$956.24 |
9.6× |
| CT neck soft tissue w contrast (70491) |
$1,974.35 |
$1,974.35 |
11.8× |
| CT orbits w/o contrast (70480) |
$1,297.95 |
$1,297.95 |
13.0× |
| CT pelvis w & w/o contrast (72194) |
$2,311.84 |
$2,311.84 |
13.8× |
| CT pelvis w/o contrast (72192) |
$1,728.26 |
$1,728.26 |
17.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,238.21 |
$1,238.21 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$309.54 |
$309.54 |
3.1× |
| CT thoracic spine w/contrast (72129) |
$918.18 |
$918.18 |
5.5× |
| CT thoracic spine w/o contrast (72128) |
$1,402.01 |
$1,402.01 |
14.0× |
| CT thorax w/o contrast (71250) |
$1,063.78 |
$1,063.78 |
10.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,230.44 |
$1,230.44 |
12.3× |
| CT upper extremity with contrast (73201) |
$990.27 |
$990.27 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,091.88 |
$1,091.88 |
6.5× |
| Cta Abdomen (74175) |
$1,456.85 |
$1,456.85 |
8.7× |
| CTA abdomen pelvis (74174) |
$1,906.09 |
$1,906.09 |
5.7× |
| CTA chest (71275) |
$2,216.21 |
$2,216.21 |
13.2× |
| Cta Head (70496) |
$995.12 |
$995.12 |
5.9× |
| CTA lwr ext w&w/o contrast (73706) |
$979.30 |
$979.30 |
5.8× |
| Cta Neck (70498) |
$627.85 |
$627.85 |
3.7× |
| Cystography minimum 3 views rs&i (74430) |
$192.94 |
$192.94 |
0.6× |
| Esophagus (74220) |
$437.68 |
$437.68 |
2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$309.37 |
$309.37 |
3.1× |
| Foot 2 views (73620) |
$236.92 |
$236.92 |
2.8× |
| Forearm 2 views (73090) |
$255.94 |
$255.94 |
3.1× |
| Hand 2 views (73120) |
$191.89 |
$191.89 |
1.9× |
| Hand 3 views (73130) |
$448.24 |
$448.24 |
5.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,939.19 |
$1,939.19 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,939.19 |
$1,939.19 |
5.1× |
| Humerus Min 2 Views Left (73060) |
$259.04 |
$259.04 |
3.1× |
| Hysterosalpingogram (74740) |
$728.43 |
$728.43 |
3.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$613.13 |
$613.13 |
1.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$718.58 |
$718.58 |
1.4× |
| Knee 3 views (73562) |
$309.35 |
$309.35 |
3.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$289.52 |
$289.52 |
0.8× |
| MRA head w & w/o contrast (70546) |
$1,722.53 |
$1,722.53 |
5.2× |
| MRA head w/o contrast (70544) |
$1,791.16 |
$1,791.16 |
7.9× |
| MRA neck w contrast (70548) |
$1,455.44 |
$1,455.44 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,157.79 |
$2,157.79 |
6.5× |
| MRI abdomen w/o contrast (74181) |
$2,315.45 |
$2,315.45 |
10.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,197.45 |
$1,197.45 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,415.85 |
$3,415.85 |
4.6× |
| MRI cervical spine w/o contrast (72141) |
$2,208.48 |
$2,208.48 |
9.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,214.99 |
$2,214.99 |
6.6× |
| MRI chest w/o contrast (71550) |
$1,555.94 |
$1,555.94 |
6.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,527.35 |
$1,527.35 |
4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,432.78 |
$2,432.78 |
10.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,733.25 |
$1,733.25 |
7.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,926.38 |
$2,926.38 |
8.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,597.55 |
$3,597.55 |
10.8× |
| MRI pelvis w/o contrast (72195) |
$1,984.88 |
$1,984.88 |
8.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,569.01 |
$2,569.01 |
7.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,144.68 |
$3,144.68 |
9.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,881.88 |
$1,881.88 |
5.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,335.60 |
$3,335.60 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,536.65 |
$3,536.65 |
10.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,786.61 |
$1,786.61 |
7.8× |
| MRI tmj (70336) |
$1,977.77 |
$1,977.77 |
8.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,400.44 |
$2,400.44 |
10.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,110.75 |
$2,110.75 |
6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,317.05 |
$2,317.05 |
10.2× |
| Myelogram Cervical (72240) |
$864.11 |
$864.11 |
1.2× |
| Myelogram Lumbar (72265) |
$304.86 |
$304.86 |
0.4× |
| Myelography 2 or more regions (72270) |
$758.77 |
$758.77 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$3,500 |
$3,500 |
2.8× |
| Neck soft tissue (70360) |
$265.79 |
$265.79 |
3.2× |
| Nm gastric emptying study (78264) |
$773.43 |
$773.43 |
2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,274.24 |
$4,274.24 |
3.2× |
| Nuclear Rx Oral Admin (79005) |
$1,582 |
$1,582 |
7.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$127.97 |
$127.97 |
1.3× |
| Osseous survey infant (77076) |
$91.93 |
$91.93 |
0.9× |
| Osseous survey limited (77074) |
$183 |
$183 |
1.8× |
| Parathyroid imaging (78070) |
$629.99 |
$629.99 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$171.23 |
$171.23 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$1,965.40 |
$1,965.40 |
1.4× |
| PET imaging for CT attenuation whole body (78816) |
$2,597.14 |
$2,597.14 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,157.79 |
$2,157.79 |
6.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$509.10 |
$509.10 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$248.99 |
$248.99 |
0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$114.24 |
$114.24 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$60.80 |
$60.80 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$100.69 |
$100.69 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$367 |
$367 |
3.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$191.97 |
$191.97 |
1.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,061.55 |
$1,061.55 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$383.89 |
$383.89 |
4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$414.83 |
$414.83 |
4.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$275.63 |
$275.63 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$334.84 |
$334.84 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$438 |
$438 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$608 |
$608 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$607.74 |
$607.74 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$164.90 |
$164.90 |
2.0× |
| Ribs bilateral 3 views (71110) |
$179.50 |
$179.50 |
1.8× |
| Sacroiliac Joints < 3 Views (72200) |
$142.42 |
$142.42 |
1.4× |
| Scapula complete (73010) |
$187.27 |
$187.27 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$94.50 |
$94.50 |
4.0× |
| Small bowel series (74250) |
$642.65 |
$642.65 |
3.8× |
| Spec medical radj physics consltj (77370) |
$519.94 |
$519.94 |
4.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$636.52 |
$636.52 |
1.8× |
| Special dosimetry (77331) |
$175.78 |
$175.78 |
1.4× |
| Special treatment procedure (77470) |
$1,206.04 |
$1,206.04 |
2.3× |
| Spine thoracic 3 views (72072) |
$200.74 |
$200.74 |
2.0× |
| Stereotactic body radiation delivery (77373) |
$4,407.90 |
$4,407.90 |
2.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,265.61 |
$1,265.61 |
3.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$327.57 |
$327.57 |
2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,143.27 |
$1,143.27 |
3.0× |
| Tx devices design & construction complex (77334) |
$669.75 |
$669.75 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$530.15 |
$530.15 |
5.3× |
| Umbilical-artery Doppler (OB) (76820) |
$151.38 |
$151.38 |
1.5× |
| Upper Extremity Infant (73092) |
$135.54 |
$135.54 |
1.4× |
| Urethrocystography retrograde rs&i (74450) |
$268.81 |
$268.81 |
1.2× |
| Us abdl aorta screen aaa (76706) |
$184.49 |
$184.49 |
1.8× |
| Us breast unilateral complete (76641) |
$512.58 |
$512.58 |
5.1× |
| Us breast unilateral limited (76642) |
$512.58 |
$512.58 |
6.2× |
| Us chest (76604) |
$170.16 |
$170.16 |
1.7× |
| Us elastography parenchyma (76981) |
$284 |
$284 |
2.8× |
| Us ob transvaginal (76817) |
$304.20 |
$304.20 |
3.0× |
| Us pelvic non ob complete (76856) |
$719.99 |
$719.99 |
7.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$208.12 |
$208.12 |
2.1× |
| Us pregnancy ltd (76815) |
$284.87 |
$284.87 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$236.38 |
$236.38 |
2.4× |
| Us retroperitoneal complete (76770) |
$459.84 |
$459.84 |
4.6× |
| Us retroperitoneal limited (76775) |
$430.30 |
$430.30 |
4.3× |
| Us scrotum and contents (76870) |
$554.05 |
$554.05 |
5.5× |
| Us soft tissue head/neck (76536) |
$719.99 |
$719.99 |
7.2× |
| Us transrectal (76872) |
$500 |
$500 |
5.0× |
| Us xtr non-vasc lmtd (76882) |
$260.16 |
$260.16 |
2.6× |
| Venogram extremity bilateral (75822) |
$4,678 |
$4,678 |
3.1× |
| Wrist 2 views (73100) |
$289.68 |
$289.68 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$559.68 |
$559.68 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$127.56 |
$127.56 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$455.28 |
$455.28 |
5.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$355.88 |
$355.88 |
2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$364.78 |
$364.78 |
4.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$271.10 |
$271.10 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$245 |
$245 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$326 |
$326 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$387 |
$387 |
3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$489 |
$489 |
4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$581 |
$581 |
5.8× |
| X-ray exam of femur 1 (73551) |
$179 |
$179 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$199.35 |
$199.35 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$439.32 |
$439.32 |
5.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$216.87 |
$216.87 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$303.74 |
$303.74 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$410.32 |
$410.32 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$471.24 |
$471.24 |
5.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$163.40 |
$163.40 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$330.12 |
$330.12 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$559.68 |
$559.68 |
5.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$134.73 |
$134.73 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$248.76 |
$248.76 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$214.25 |
$214.25 |
2.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$261.35 |
$261.35 |
2.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$838 |
$838 |
2.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$282.26 |
$282.26 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$185.73 |
$185.73 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$683.42 |
$683.42 |
6.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$242.12 |
$242.12 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$144.89 |
$144.89 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$302.99 |
$302.99 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$437.35 |
$437.35 |
5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$544.22 |
$544.22 |
5.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$411.42 |
$411.42 |
4.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$254.71 |
$254.71 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$159.26 |
$159.26 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$302.28 |
$302.28 |
3.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$245.90 |
$245.90 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$194.55 |
$194.55 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$351.56 |
$351.56 |
4.2× |
| Xr c-spine 6 or more views (72052) |
$485.15 |
$485.15 |
4.9× |
| Xr finger(s) 2+ views (73140) |
$295.94 |
$295.94 |
3.6× |
| Xr shoulder 1 view (73020) |
$113.90 |
$113.90 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$437.35 |
$437.35 |
4.4× |
| Xr tibia/fibula 2 views (73590) |
$338.87 |
$338.87 |
4.1× |
| Xr tmj bilateral (70330) |
$103.36 |
$103.36 |
1.2× |
| Xray knee 1 or 2 views rt (73560) |
$392.70 |
$392.70 |
4.7× |