| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,000.50 |
$17,501.23 |
5.2× |
| Abdomen 2 views (74019) |
$528.34 |
$1,320.85 |
5.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,265.68 |
$3,164.22 |
3.2× |
| Angiography extremity unilateral rs&i (75710) |
$1,152.78 |
$2,881.94 |
0.4× |
| Ankle 2 views (73600) |
$458.24 |
$1,145.59 |
5.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$476.42 |
$1,191.07 |
1.4× |
| Arthrogram elbow (73085) |
$548.16 |
$1,370.41 |
1.6× |
| Arthrogram hip (73525) |
$770.71 |
$1,926.78 |
2.3× |
| Arthrogram shoulder (73040) |
$1,090.64 |
$2,726.59 |
3.2× |
| Arthrogram wrist (73115) |
$897.14 |
$2,242.84 |
2.6× |
| Arthrography knee lt (73580) |
$1,048.14 |
$2,620.35 |
3.1× |
| Basic radiation dosimetry calculation (77300) |
$454.91 |
$1,137.28 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,343.26 |
$3,358.15 |
3.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,947.86 |
$4,869.66 |
5.0× |
| Bone &/joint imaging whole body (78306) |
$2,123.26 |
$5,308.14 |
5.4× |
| Bone age studies (77072) |
$574.24 |
$1,435.59 |
5.6× |
| Bone Imaging 3 Phase (78315) |
$2,452.95 |
$6,132.38 |
6.3× |
| Bone Marrow Imaging Limited Area (78102) |
$758.08 |
$1,895.20 |
1.9× |
| Bone survey complete (77075) |
$1,124.02 |
$2,810.04 |
11.0× |
| Brain image w/flow 4 + views (78606) |
$746.17 |
$1,865.43 |
1.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$444.53 |
$1,111.32 |
0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$8,245.10 |
$20,612.76 |
5.9× |
| Brain Imaging Vascular Flow Only (78610) |
$367.80 |
$919.49 |
0.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$2,006.89 |
$5,017.22 |
5.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$321.49 |
$803.72 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$583.52 |
$1,458.80 |
6.9× |
| Chest 1 view (71045) |
$441.86 |
$1,104.64 |
5.2× |
| Chest 3 views (71047) |
$441.86 |
$1,104.64 |
5.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$897.20 |
$2,243.01 |
5.2× |
| Clavicle complete (73000) |
$418.24 |
$1,045.60 |
4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$120.46 |
$301.16 |
1.2× |
| Continuing medical physics consltj pr wk (77336) |
$862.57 |
$2,156.43 |
6.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,277.78 |
$13,194.44 |
15.5× |
| CT abdomen and pelvis without contrast (74176) |
$4,549.22 |
$11,373.05 |
19.5× |
| CT abdomen w contrast (74160) |
$2,451.27 |
$6,128.18 |
14.3× |
| CT abdomen w wo contrast (74170) |
$2,888.92 |
$7,222.29 |
16.9× |
| CT abdomen w/o contrast (74150) |
$1,989.05 |
$4,972.63 |
19.5× |
| CT angio hrt w/3d image (75574) |
$1,156.91 |
$2,892.28 |
3.4× |
| CT angiography upper extremity lt (73206) |
$232.18 |
$580.44 |
1.4× |
| CT c-spine w/o contrast (72125) |
$1,764.72 |
$4,411.81 |
17.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,159.52 |
$5,398.78 |
12.6× |
| CT cervical spine with contrast (72126) |
$2,029.66 |
$5,074.14 |
6.0× |
| CT chest w/wo contrast (71270) |
$1,534.68 |
$3,836.70 |
9.0× |
| CT chest with contrast (71260) |
$1,971.46 |
$4,928.67 |
11.5× |
| CT head/brain with contrast (70460) |
$2,060.03 |
$5,150.06 |
12.0× |
| CT head/brain without and with contrast (70470) |
$2,160.36 |
$5,400.90 |
12.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,156.91 |
$2,892.28 |
3.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$573.54 |
$1,433.86 |
6.7× |
| CT hrt w/3d image congen (75573) |
$605.05 |
$1,512.63 |
1.8× |
| CT iac w contrast (70481) |
$1,692.11 |
$4,230.27 |
9.9× |
| CT limited/localized follow up study (76380) |
$812.88 |
$2,032.18 |
9.6× |
| CT lower ext w/o (73700) |
$1,939.44 |
$4,848.59 |
19.0× |
| CT lower extremity w wo contrast (73702) |
$2,080.24 |
$5,200.61 |
12.1× |
| CT lower extremity with contrast (73701) |
$1,966.41 |
$4,916.02 |
11.5× |
| CT lumbar spine w & w/o contrast (72133) |
$3,890.66 |
$9,726.65 |
22.7× |
| CT lumbar spine w/o contrast (72131) |
$2,215.16 |
$5,537.90 |
21.7× |
| CT lumbar spine with contrast (72132) |
$2,029.66 |
$5,074.14 |
6.0× |
| CT maxillofacial w contrast (70487) |
$1,678.03 |
$4,195.08 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$1,536.37 |
$3,840.93 |
15.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,728.62 |
$4,321.56 |
10.1× |
| CT neck soft tissue w contrast (70491) |
$2,423.44 |
$6,058.60 |
14.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,116.32 |
$5,290.82 |
12.4× |
| CT orbits w/o contrast (70480) |
$1,654.19 |
$4,135.47 |
16.2× |
| CT pelvis w & w/o contrast (72194) |
$2,388.86 |
$5,972.16 |
13.9× |
| CT pelvis w/o contrast (72192) |
$1,942.25 |
$4,855.63 |
19.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,595.46 |
$6,488.66 |
15.2× |
| CT soft tissue neck w/o contrast (70490) |
$2,223.59 |
$5,558.97 |
21.8× |
| CT thoracic spine w/contrast (72129) |
$2,029.66 |
$5,074.14 |
11.8× |
| CT thoracic spine w/o contrast (72128) |
$1,745.50 |
$4,363.74 |
17.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,181.91 |
$5,454.78 |
12.7× |
| CT thorax w/o contrast (71250) |
$1,891.41 |
$4,728.53 |
18.5× |
| CT unlisted procedure (76497) |
$142.88 |
$357.21 |
1.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$894.68 |
$2,236.68 |
5.2× |
| CT upper extremity w/o contrast rt (73200) |
$713.38 |
$1,783.45 |
7.0× |
| CT upper extremity with contrast (73201) |
$713.38 |
$1,783.45 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,669.68 |
$6,674.20 |
15.6× |
| Cta Abdomen (74175) |
$2,719.42 |
$6,798.55 |
15.9× |
| CTA abdomen pelvis (74174) |
$5,101.54 |
$12,753.85 |
15.0× |
| CTA chest (71275) |
$2,008.58 |
$5,021.44 |
11.7× |
| Cta Head (70496) |
$1,948.71 |
$4,871.78 |
11.4× |
| CTA lwr ext w&w/o contrast (73706) |
$2,244.67 |
$5,611.67 |
13.1× |
| Cta Neck (70498) |
$2,381.28 |
$5,953.18 |
13.9× |
| Cta Pelvis (72191) |
$2,381.28 |
$5,953.18 |
13.9× |
| Cystography minimum 3 views rs&i (74430) |
$899.74 |
$2,249.33 |
2.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$400.53 |
$1,001.32 |
3.9× |
| Esophagus (74220) |
$702.02 |
$1,755.06 |
4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,009.34 |
$2,523.36 |
9.9× |
| Fluoroscopy up to 1 hr (76000) |
$813.72 |
$2,034.29 |
3.5× |
| Foot 2 views (73620) |
$397.81 |
$994.53 |
4.7× |
| Forearm 2 views (73090) |
$401.38 |
$1,003.46 |
4.7× |
| Gastric mucosa imaging (78261) |
$892.14 |
$2,230.36 |
2.3× |
| Gated Heart Planar Single (78472) |
$1,979.06 |
$4,947.64 |
5.1× |
| Hand 2 views (73120) |
$447.04 |
$1,117.59 |
4.4× |
| Hand 3 views (73130) |
$416.56 |
$1,041.40 |
4.9× |
| Heart Infarct Image (78466) |
$444.53 |
$1,111.32 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,068.44 |
$5,171.11 |
3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,957.98 |
$4,894.94 |
5.0× |
| Ht muscle image spect sing (78451) |
$2,046.24 |
$5,115.60 |
1.6× |
| Humerus Min 2 Views Left (73060) |
$367.64 |
$919.11 |
4.3× |
| Hysterosalpingogram (74740) |
$952.02 |
$2,380.03 |
4.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$360.06 |
$900.16 |
3.5× |
| Kidney imaging morphology (78700) |
$679.14 |
$1,697.85 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,663.87 |
$4,159.67 |
3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,818 |
$4,545.01 |
3.4× |
| Knee 3 views (73562) |
$505.09 |
$1,262.74 |
5.9× |
| Liver & spleen imaging static only (78215) |
$600.64 |
$1,501.61 |
1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,941.96 |
$4,854.89 |
5.0× |
| Liver imaging static only (78201) |
$702.07 |
$1,755.18 |
1.3× |
| Lymphoscintigraphy (78195) |
$1,215.10 |
$3,037.74 |
2.3× |
| Meckels Diverticulum (78290) |
$1,199.08 |
$2,997.68 |
3.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$8,391.33 |
$20,978.32 |
22.9× |
| MRA head w & w/o contrast (70546) |
$2,577.76 |
$6,444.39 |
7.6× |
| MRA head w/o contrast (70544) |
$2,577.76 |
$6,444.39 |
11.1× |
| MRA neck w contrast (70548) |
$2,840.84 |
$7,102.09 |
8.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,097.18 |
$7,742.95 |
9.1× |
| MRA neck w/o contrast (70547) |
$2,555 |
$6,387.49 |
11.0× |
| MRI abdomen w contrast (74182) |
$1,334.47 |
$3,336.17 |
3.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,438.70 |
$8,596.74 |
10.1× |
| MRI abdomen w/o contrast (74181) |
$2,661.49 |
$6,653.73 |
11.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,896.50 |
$7,241.24 |
3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,896.50 |
$7,241.24 |
3.8× |
| MRI c-spine with contrast (72142) |
$3,344.26 |
$8,360.65 |
9.8× |
| MRI cervical spine w/o contrast (72141) |
$3,126.68 |
$7,816.72 |
13.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,589.40 |
$6,473.51 |
7.6× |
| MRI chest w/o contrast (71550) |
$2,576.48 |
$6,441.20 |
11.1× |
| MRI chest with contrast (71551) |
$2,418.34 |
$6,045.85 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,514.84 |
$3,787.09 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,514.84 |
$3,787.09 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,898.18 |
$7,245.44 |
12.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,206.76 |
$5,516.91 |
9.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,410.02 |
$8,525.07 |
10.0× |
| MRI orbit/face/neck w/contrast (70542) |
$2,797.81 |
$6,994.52 |
8.2× |
| MRI pelvis w contrast (72196) |
$1,134.25 |
$2,835.63 |
3.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,681.54 |
$9,203.86 |
10.8× |
| MRI pelvis w/o contrast (72195) |
$2,923.48 |
$7,308.71 |
12.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,438.70 |
$8,596.74 |
10.1× |
| MRI scan of leg joint before and after contrast (73723) |
$3,218.60 |
$8,046.51 |
9.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,561.80 |
$8,904.51 |
10.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,440.37 |
$8,600.94 |
10.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,657.08 |
$9,142.70 |
10.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,561.80 |
$8,904.51 |
10.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,168.01 |
$7,920.02 |
13.6× |
| MRI tmj (70336) |
$2,896.50 |
$7,241.24 |
12.4× |
| MRI upper ext joint w/o contrast (73221) |
$3,004.42 |
$7,511.06 |
12.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,065.13 |
$7,662.83 |
9.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,122.34 |
$5,305.84 |
9.1× |
| Myelogram Cervical (72240) |
$1,754.78 |
$4,386.93 |
2.3× |
| Myelogram Lumbar (72265) |
$1,951.24 |
$4,878.10 |
2.5× |
| Myelogram thoracic (72255) |
$1,834.86 |
$4,587.16 |
2.4× |
| Myelography 2 or more regions (72270) |
$5,108.29 |
$12,770.72 |
6.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$8,245.10 |
$20,612.76 |
6.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,250.72 |
$10,626.80 |
3.4× |
| Neck soft tissue (70360) |
$386.20 |
$965.50 |
4.5× |
| Nm bone marrow multiple (78103) |
$907.14 |
$2,267.84 |
2.3× |
| Nm bone marrow wb (78104) |
$863.48 |
$2,158.70 |
2.2× |
| Nm cisternogram (78630) |
$1,040.90 |
$2,602.25 |
2.0× |
| Nm gastric emptying study (78264) |
$2,220.20 |
$5,550.50 |
5.7× |
| Nm gastroesophageal reflux study (78262) |
$429.54 |
$1,073.84 |
1.1× |
| Nm red cell sequestration (78140) |
$600.64 |
$1,501.61 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,748.46 |
$24,371.14 |
7.2× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$4,312.10 |
$10,780.25 |
3.1× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,922.76 |
$4,806.90 |
1.5× |
| Nuclear medicine of heart pumping function (78473) |
$1,192.90 |
$2,982.26 |
3.1× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3,749.38 |
$9,373.46 |
2.7× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$4,312.10 |
$10,780.25 |
3.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,635.67 |
$4,089.17 |
1.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,298.57 |
$3,246.42 |
3.3× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,790.59 |
$4,476.47 |
4.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$971.08 |
$2,427.71 |
2.5× |
| Nuclear Rx Oral Admin (79005) |
$981.52 |
$2,453.82 |
4.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$276.07 |
$690.17 |
2.7× |
| Orthopantogram (70355) |
$232.41 |
$581.02 |
2.7× |
| Osseous survey infant (77076) |
$637.47 |
$1,593.68 |
6.2× |
| Osseous survey limited (77074) |
$710.84 |
$1,777.10 |
7.0× |
| Parathyrd planar w/spect&CT (78072) |
$743.53 |
$1,858.82 |
1.4× |
| Parathyrd planar w/wo subtrj (78071) |
$743.53 |
$1,858.82 |
1.9× |
| Parathyroid imaging (78070) |
$1,301.94 |
$3,254.85 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$446.92 |
$1,117.30 |
4.4× |
| PET image w/CT, skull-thigh (78815) |
$7,169.14 |
$17,922.84 |
5.1× |
| PET imaging CT for attenuation limited area (78814) |
$7,169.14 |
$17,922.84 |
5.1× |
| PET imaging for CT attenuation whole body (78816) |
$7,169.14 |
$17,922.84 |
5.1× |
| PET imaging limited area chest head/neck (78811) |
$3,945.63 |
$9,864.07 |
3.1× |
| PET whole body (78813) |
$3,749.38 |
$9,373.46 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,352.62 |
$5,881.56 |
6.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$593.64 |
$1,484.09 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,542.26 |
$3,855.64 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$967.19 |
$2,417.96 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$222.86 |
$557.16 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$767.73 |
$1,919.32 |
7.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$557.93 |
$1,394.82 |
5.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$315.38 |
$788.46 |
3.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,337.50 |
$18,343.75 |
1.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$802.91 |
$2,007.27 |
1.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$603.80 |
$1,509.50 |
6.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$703.76 |
$1,759.40 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$624.83 |
$1,562.08 |
6.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$359.74 |
$899.36 |
4.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$444.38 |
$1,110.96 |
5.2× |
| Radiologic exam colon single contrast study (74270) |
$1,019.46 |
$2,548.66 |
6.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,221.68 |
$3,054.19 |
7.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,127.25 |
$2,818.13 |
6.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$404.99 |
$1,012.48 |
4.8× |
| Radiological examination surgical specimen (76098) |
$255.50 |
$638.74 |
0.5× |
| Ribs bilateral 3 views (71110) |
$708.32 |
$1,770.78 |
6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$611.34 |
$1,528.34 |
1.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,022.44 |
$5,056.10 |
3.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,802.12 |
$9,505.31 |
7.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,022.44 |
$5,056.10 |
1.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,294.24 |
$5,735.62 |
1.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,022.44 |
$5,056.10 |
1.6× |
| Rp Therapy Intravenous Administration (79101) |
$1,460.59 |
$3,651.48 |
6.4× |
| Salivary gland function study (78232) |
$667.68 |
$1,669.19 |
1.7× |
| Scanogram (77073) |
$537.98 |
$1,344.96 |
5.3× |
| Scapula complete (73010) |
$484.86 |
$1,212.15 |
4.7× |
| Screening digital breast tomosynthesis (77063) |
$47.80 |
$119.50 |
2.0× |
| Sella turcica (70240) |
$279.94 |
$699.86 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$516.06 |
$1,290.16 |
5.1× |
| Simulation intermediate (77285) |
$1,102.73 |
$2,756.82 |
3.0× |
| Small bowel series (74250) |
$897.20 |
$2,243.01 |
5.2× |
| Spec medical radj physics consltj (77370) |
$692.48 |
$1,731.19 |
5.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,102.73 |
$2,756.82 |
3.0× |
| Special dosimetry (77331) |
$845.79 |
$2,114.48 |
6.4× |
| Special treatment procedure (77470) |
$1,814.57 |
$4,536.43 |
3.4× |
| Spine thoracic 3 views (72072) |
$700.72 |
$1,751.82 |
6.9× |
| Stereotactic body radiation delivery (77373) |
$3,914.63 |
$9,786.57 |
2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,369.68 |
$8,424.18 |
9.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$630.97 |
$1,577.43 |
1.7× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$546.84 |
$1,367.10 |
2.3× |
| Testicular Imaging With Vascular Flow (78761) |
$807.82 |
$2,019.54 |
2.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,505.40 |
$3,763.50 |
4.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$701.74 |
$1,754.36 |
5.3× |
| Thoracolumbar 2 views (72080) |
$534.62 |
$1,336.54 |
6.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,603.04 |
$4,007.59 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$761.44 |
$1,903.60 |
2.0× |
| Thyroid uptake measurement (78012) |
$578.46 |
$1,446.16 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,181.36 |
$2,953.40 |
3.0× |
| Treatment device intermediate (77333) |
$801.98 |
$2,004.96 |
6.1× |
| Treatment devices simple (77332) |
$404.35 |
$1,010.88 |
3.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,030.82 |
$5,077.04 |
3.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,360.13 |
$3,400.32 |
3.5× |
| Tx devices design & construction complex (77334) |
$1,201.30 |
$3,003.24 |
3.3× |
| Ultrasound elastography first target lesion (76982) |
$178.18 |
$445.44 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$586.53 |
$1,466.33 |
5.7× |
| Upper Extremity Infant (73092) |
$295.98 |
$739.94 |
2.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$601.08 |
$1,502.71 |
1.5× |
| Urethrocystography retrograde rs&i (74450) |
$709.16 |
$1,772.90 |
3.0× |
| Urethrocystography voiding (74455) |
$887.08 |
$2,217.70 |
3.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$620.05 |
$1,550.12 |
3.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,342.42 |
$3,356.05 |
7.8× |
| Us abdl aorta screen aaa (76706) |
$219.80 |
$549.50 |
2.2× |
| Us breast unilateral complete (76641) |
$750.45 |
$1,876.12 |
7.4× |
| Us breast unilateral limited (76642) |
$576.10 |
$1,440.25 |
6.8× |
| Us chest (76604) |
$704.94 |
$1,762.36 |
6.9× |
| Us compl joint r-t w/image documentation (76881) |
$833.12 |
$2,082.78 |
8.2× |
| Us elastography parenchyma (76981) |
$178.18 |
$445.44 |
1.7× |
| Us guided compression repair (76936) |
$561.60 |
$1,403.99 |
2.7× |
| Us infant hips dynamic (76885) |
$1,258.10 |
$3,145.24 |
14.8× |
| Us kidney transplant (76776) |
$543.04 |
$1,357.59 |
5.3× |
| Us ob detailed single fetus (76811) |
$545.96 |
$1,364.90 |
2.3× |
| Us ob transvaginal (76817) |
$1,063.31 |
$2,658.28 |
10.4× |
| Us pelvic non ob complete (76856) |
$1,007.83 |
$2,519.58 |
9.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$605.45 |
$1,513.63 |
5.9× |
| Us pregnancy ltd (76815) |
$655.60 |
$1,639.02 |
6.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$466.31 |
$1,165.78 |
4.6× |
| Us retroperitoneal complete (76770) |
$996.52 |
$2,491.29 |
9.8× |
| Us retroperitoneal limited (76775) |
$519.65 |
$1,299.13 |
5.1× |
| Us scrotum and contents (76870) |
$910.70 |
$2,276.73 |
8.9× |
| Us soft tissue head/neck (76536) |
$1,011.47 |
$2,528.68 |
9.9× |
| Us spinal canal and contents (76800) |
$218.40 |
$546 |
2.1× |
| Us transrectal (76872) |
$178.18 |
$445.44 |
1.7× |
| Vascular flow imaging (78445) |
$264.16 |
$660.40 |
0.7× |
| Venogram extremity bilateral (75822) |
$1,208.78 |
$3,021.95 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$1,087.95 |
$2,719.87 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$1,087.95 |
$2,719.87 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$605.94 |
$1,514.84 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$259.72 |
$649.28 |
3.1× |
| Wrist 2 views (73100) |
$241.27 |
$603.17 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$699.04 |
$1,747.60 |
6.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$478.48 |
$1,196.19 |
5.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$483.17 |
$1,207.92 |
5.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,255.56 |
$3,138.90 |
7.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$386.20 |
$965.50 |
4.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$484.02 |
$1,210.04 |
5.7× |
| X-ray exam hip uni 1 view (73501) |
$325.08 |
$812.70 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$351.97 |
$879.92 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$126.87 |
$317.17 |
1.2× |
| X-ray exam of femur 1 (73551) |
$157.53 |
$393.83 |
1.9× |
| X-ray eye for foreign body (70030) |
$444.38 |
$1,110.96 |
5.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$600.35 |
$1,500.87 |
5.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$583.52 |
$1,458.80 |
6.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$483.17 |
$1,207.92 |
5.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$620.93 |
$1,552.32 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$419.94 |
$1,049.83 |
4.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,107.16 |
$2,767.90 |
6.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$607.96 |
$1,519.91 |
6.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$701.56 |
$1,753.90 |
8.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$308.63 |
$771.56 |
3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$701.56 |
$1,753.90 |
6.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$903.94 |
$2,259.86 |
8.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$366.91 |
$917.28 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$507.62 |
$1,269.06 |
6.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$419.94 |
$1,049.83 |
4.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$583.52 |
$1,458.80 |
5.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$667 |
$1,667.48 |
6.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,187.28 |
$2,968.20 |
3.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$574.24 |
$1,435.59 |
6.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$600.35 |
$1,500.87 |
5.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$836.48 |
$2,091.20 |
8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$576.78 |
$1,441.94 |
5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$508.46 |
$1,271.16 |
6.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$504.26 |
$1,260.64 |
5.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$744.58 |
$1,861.45 |
8.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$247.06 |
$617.66 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$779.99 |
$1,949.97 |
7.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$500.03 |
$1,250.08 |
4.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$427.53 |
$1,068.82 |
5.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$328.86 |
$822.16 |
3.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$484.86 |
$1,212.15 |
5.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$593.64 |
$1,484.09 |
5.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$382.84 |
$957.08 |
4.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$424.99 |
$1,062.47 |
5.0× |
| Xr c-spine 6 or more views (72052) |
$888.77 |
$2,221.93 |
8.7× |
| Xr chest 4+ views (71048) |
$423.22 |
$1,058.04 |
4.1× |
| Xr Cholecystography Oral Contrast (74290) |
$302.97 |
$757.42 |
1.8× |
| Xr finger(s) 2+ views (73140) |
$383.66 |
$959.16 |
4.5× |
| Xr shoulder 1 view (73020) |
$337.30 |
$843.25 |
4.0× |
| Xr spine cervical 4 or 5 views (72050) |
$737.82 |
$1,844.56 |
7.2× |
| Xr tibia/fibula 2 views (73590) |
$457.04 |
$1,142.60 |
5.4× |
| Xr tmj bilateral (70330) |
$525.34 |
$1,313.34 |
6.2× |
| Xray knee 1 or 2 views rt (73560) |
$419.94 |
$1,049.83 |
4.9× |