| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,302.84 |
$10,302.84 |
7.4× |
| Abdomen 2 views (74019) |
$2,648.92 |
$2,648.92 |
25.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$8,792.72 |
$8,792.72 |
22.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$20,221.81 |
$20,221.81 |
6.4× |
| Angiography extremity bilateral rs&i (75716) |
$39,997.74 |
$39,997.74 |
12.6× |
| Angiography extremity unilateral rs&i (75710) |
$39,997.74 |
$39,997.74 |
12.6× |
| Angiography internal mammary rs&i (75756) |
$16,485.15 |
$16,485.15 |
5.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$38,690.47 |
$38,690.47 |
6.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$38,690.47 |
$38,690.47 |
12.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$13,900.57 |
$13,900.57 |
4.4× |
| Angiography Spinal Selective Rs&I (75705) |
$11,973.95 |
$11,973.95 |
2.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$38,690.47 |
$38,690.47 |
6.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,600.77 |
$5,600.77 |
1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$19,225.05 |
$19,225.05 |
6.1× |
| Ankle 2 views (73600) |
$2,061.81 |
$2,061.81 |
23.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$4,532.93 |
$4,532.93 |
13.0× |
| Aortogram thoracic (75605) |
$38,690.47 |
$38,690.47 |
6.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$38,690.47 |
$38,690.47 |
12.2× |
| Aortography abdominal serialography rs&i (75625) |
$38,690.47 |
$38,690.47 |
12.2× |
| Artery X-Rays Adrenal Gland (75731) |
$26,461.90 |
$26,461.90 |
8.4× |
| Arthrogram elbow (73085) |
$4,762.53 |
$4,762.53 |
13.6× |
| Arthrogram hip (73525) |
$11,474.60 |
$11,474.60 |
32.8× |
| Arthrogram shoulder (73040) |
$6,393.88 |
$6,393.88 |
18.3× |
| Arthrogram wrist (73115) |
$6,393.88 |
$6,393.88 |
18.3× |
| Arthrography knee lt (73580) |
$5,349.39 |
$5,349.39 |
15.3× |
| Basic radiation dosimetry calculation (77300) |
$3,578 |
$3,578 |
26.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$10,944.52 |
$10,944.52 |
27.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$10,944.52 |
$10,944.52 |
27.3× |
| Bone &/joint imaging whole body (78306) |
$10,944.52 |
$10,944.52 |
27.3× |
| Bone age studies (77072) |
$1,688.89 |
$1,688.89 |
16.1× |
| Bone Imaging 3 Phase (78315) |
$10,944.52 |
$10,944.52 |
27.3× |
| Bone Marrow Imaging Limited Area (78102) |
$7,056.62 |
$7,056.62 |
17.6× |
| Bone survey complete (77075) |
$5,055.79 |
$5,055.79 |
48.3× |
| Brachytx isodose complex (77318) |
$3,343.86 |
$3,343.86 |
8.9× |
| Brachytx isodose intermed (77317) |
$3,343.86 |
$3,343.86 |
8.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,203.02 |
$1,203.02 |
3.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$4,086.56 |
$4,086.56 |
10.2× |
| Brain Imaging Minimum 4 Static Views (78605) |
$10,178.08 |
$10,178.08 |
18.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$15,107.66 |
$15,107.66 |
10.5× |
| Brain Imaging Vascular Flow Only (78610) |
$7,635.74 |
$7,635.74 |
14.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,132.81 |
$5,132.81 |
14.7× |
| Cervical spine 2 or 3 views (72040) |
$1,596.55 |
$1,596.55 |
18.3× |
| Chest 1 view (71045) |
$1,237.60 |
$1,237.60 |
14.2× |
| Chest 3 views (71047) |
$2,964.40 |
$2,964.40 |
34.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,686.96 |
$3,686.96 |
21.0× |
| Clavicle complete (73000) |
$2,239.41 |
$2,239.41 |
25.7× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$38,196.05 |
$38,196.05 |
5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$510.29 |
$510.29 |
4.9× |
| Continuing medical physics consltj pr wk (77336) |
$1,157.30 |
$1,157.30 |
8.6× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$2,146.65 |
$2,146.65 |
12.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$24,859.38 |
$24,859.38 |
71.1× |
| CT abdomen and pelvis without contrast (74176) |
$20,504.82 |
$20,504.82 |
85.8× |
| CT abdomen w contrast (74160) |
$11,444.58 |
$11,444.58 |
65.1× |
| CT abdomen w wo contrast (74170) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT abdomen w/o contrast (74150) |
$10,240.90 |
$10,240.90 |
97.8× |
| CT angio hrt w/3d image (75574) |
$1,955.46 |
$1,955.46 |
5.6× |
| CT angiography upper extremity lt (73206) |
$12,606.34 |
$12,606.34 |
71.8× |
| CT c-spine w/o contrast (72125) |
$11,267.30 |
$11,267.30 |
107.6× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$716.80 |
$716.80 |
4.1× |
| CT cervical spine w&w/o contrast (72127) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT cervical spine with contrast (72126) |
$11,805.56 |
$11,805.56 |
33.8× |
| CT chest w/wo contrast (71270) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT chest with contrast (71260) |
$10,293.20 |
$10,293.20 |
58.6× |
| CT head/brain with contrast (70460) |
$11,105.12 |
$11,105.12 |
63.2× |
| CT head/brain without and with contrast (70470) |
$12,299.98 |
$12,299.98 |
70.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,955.46 |
$1,955.46 |
5.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$73.75 |
$73.75 |
0.8× |
| CT hrt w/3d image congen (75573) |
$1,955.46 |
$1,955.46 |
5.6× |
| CT iac w contrast (70481) |
$12,462.11 |
$12,462.11 |
70.9× |
| CT limited/localized follow up study (76380) |
$5,296.24 |
$5,296.24 |
60.8× |
| CT lower ext w/o (73700) |
$11,249.83 |
$11,249.83 |
107.4× |
| CT lower extremity w wo contrast (73702) |
$11,746.22 |
$11,746.22 |
66.9× |
| CT lower extremity with contrast (73701) |
$11,735.47 |
$11,735.47 |
66.8× |
| CT lumbar spine w & w/o contrast (72133) |
$9,561.04 |
$9,561.04 |
54.4× |
| CT lumbar spine w/o contrast (72131) |
$11,275.66 |
$11,275.66 |
107.7× |
| CT lumbar spine with contrast (72132) |
$11,806.13 |
$11,806.13 |
33.8× |
| CT maxillofacial w contrast (70487) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT maxillofacial w/o contrast (70486) |
$11,612.57 |
$11,612.57 |
110.9× |
| CT maxillofacial w/wo contrast (70488) |
$15,660.80 |
$15,660.80 |
89.1× |
| CT neck soft tissue w contrast (70491) |
$11,444.58 |
$11,444.58 |
65.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$18,793.11 |
$18,793.11 |
107.0× |
| CT orbits w/o contrast (70480) |
$11,960.95 |
$11,960.95 |
114.2× |
| CT pelvis w & w/o contrast (72194) |
$12,388.82 |
$12,388.82 |
70.5× |
| CT pelvis w/o contrast (72192) |
$10,263.90 |
$10,263.90 |
98.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT soft tissue neck w/o contrast (70490) |
$10,931.44 |
$10,931.44 |
104.4× |
| CT thoracic spine w/contrast (72129) |
$12,623.10 |
$12,623.10 |
71.9× |
| CT thoracic spine w/o contrast (72128) |
$11,275.66 |
$11,275.66 |
107.7× |
| CT thoracic spine w/wo contrast (72130) |
$12,469.46 |
$12,469.46 |
71.0× |
| CT thorax w/o contrast (71250) |
$9,893.83 |
$9,893.83 |
94.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$14,096.72 |
$14,096.72 |
80.2× |
| CT upper extremity w/o contrast rt (73200) |
$11,249.83 |
$11,249.83 |
107.4× |
| CT upper extremity with contrast (73201) |
$11,735.47 |
$11,735.47 |
33.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$20,818.18 |
$20,818.18 |
118.5× |
| Cta Abdomen (74175) |
$15,606.76 |
$15,606.76 |
88.8× |
| CTA abdomen pelvis (74174) |
$6,193.84 |
$6,193.84 |
17.7× |
| CTA chest (71275) |
$15,822.78 |
$15,822.78 |
90.1× |
| Cta Head (70496) |
$15,152.61 |
$15,152.61 |
86.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$14,176.82 |
$14,176.82 |
40.6× |
| CTA lwr ext w&w/o contrast (73706) |
$13,285.55 |
$13,285.55 |
75.6× |
| Cta Neck (70498) |
$16,569.85 |
$16,569.85 |
94.3× |
| Cta Pelvis (72191) |
$15,608.28 |
$15,608.28 |
88.8× |
| Cystography minimum 3 views rs&i (74430) |
$3,580.38 |
$3,580.38 |
10.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,934.75 |
$1,934.75 |
18.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$913.61 |
$913.61 |
10.5× |
| Dxa bone density study axial skeleton (77085) |
$1,300.70 |
$1,300.70 |
12.4× |
| Echoencephalography real time imaging (76506) |
$1,687.32 |
$1,687.32 |
16.1× |
| Esophagus (74220) |
$2,598.92 |
$2,598.92 |
14.8× |
| Fetal biophysical profile non-stress testing (76818) |
$2,547.29 |
$2,547.29 |
24.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$3,184.74 |
$3,184.74 |
30.4× |
| Fluoroscopy up to 1 hr (76000) |
$3,477.78 |
$3,477.78 |
14.6× |
| Foot 2 views (73620) |
$1,824.36 |
$1,824.36 |
20.9× |
| Forearm 2 views (73090) |
$1,810.30 |
$1,810.30 |
20.8× |
| Functional MRI brain by tech (70554) |
$3,161.96 |
$3,161.96 |
13.2× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$4,280.35 |
$4,280.35 |
7.9× |
| Gated Heart Planar Single (78472) |
$10,251.52 |
$10,251.52 |
25.6× |
| Hand 2 views (73120) |
$1,986.78 |
$1,986.78 |
19.0× |
| Hand 3 views (73130) |
$1,818.47 |
$1,818.47 |
20.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$14,659.63 |
$14,659.63 |
4.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,645.50 |
$6,645.50 |
12.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$6,645.50 |
$6,645.50 |
16.6× |
| Ht muscle image spect sing (78451) |
$16,362.39 |
$16,362.39 |
12.6× |
| Humerus Min 2 Views Left (73060) |
$1,719.92 |
$1,719.92 |
19.7× |
| Hysterosalpingogram (74740) |
$6,377.86 |
$6,377.86 |
26.7× |
| Interstitial radiation source applic complex (77778) |
$137,505.35 |
$137,505.35 |
197.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$14,313.56 |
$14,313.56 |
26.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$10,092.56 |
$10,092.56 |
18.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$17,832.40 |
$17,832.40 |
32.8× |
| Knee 3 views (73562) |
$2,063.63 |
$2,063.63 |
23.7× |
| Liver & spleen imaging static only (78215) |
$9,039.35 |
$9,039.35 |
22.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$10,341.93 |
$10,341.93 |
25.8× |
| Lung perf&ventilat diferentl (78598) |
$7,166.20 |
$7,166.20 |
13.2× |
| Lung perfusion differential (78597) |
$4,584.98 |
$4,584.98 |
11.5× |
| Lung Ventilation Imaging (78579) |
$4,584.98 |
$4,584.98 |
11.5× |
| Lymphoscintigraphy (78195) |
$9,985.92 |
$9,985.92 |
18.4× |
| Mammary ductogram or galactogram multiple (77054) |
$3,059.76 |
$3,059.76 |
12.8× |
| Mammary ductogram or galactogram single (77053) |
$3,059.76 |
$3,059.76 |
12.8× |
| Meckels Diverticulum (78290) |
$7,102.88 |
$7,102.88 |
17.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,873.05 |
$2,873.05 |
7.7× |
| Mr elastography (76391) |
$2,545.14 |
$2,545.14 |
10.6× |
| Mr safety determination physician/other qhp (76016) |
$387.42 |
$387.42 |
4.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$261.36 |
$261.36 |
4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$107.76 |
$107.76 |
3.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$403.88 |
$403.88 |
4.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$1,063.57 |
$1,063.57 |
4.5× |
| MRA head w & w/o contrast (70546) |
$13,128.61 |
$13,128.61 |
37.6× |
| MRA head w/o contrast (70544) |
$16,658.98 |
$16,658.98 |
69.7× |
| MRA head with contrast (70545) |
$15,580.02 |
$15,580.02 |
44.6× |
| MRA neck w contrast (70548) |
$18,514 |
$18,514 |
53.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$18,847.49 |
$18,847.49 |
53.9× |
| MRA neck w/o contrast (70547) |
$16,936.72 |
$16,936.72 |
70.9× |
| MRI abdomen w contrast (74182) |
$15,584.39 |
$15,584.39 |
44.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$15,889.72 |
$15,889.72 |
45.5× |
| MRI abdomen w/o contrast (74181) |
$13,134.32 |
$13,134.32 |
55.0× |
| MRI any jnt lwr ext with con lt (73722) |
$15,492.96 |
$15,492.96 |
19.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$14,446.03 |
$14,446.03 |
18.4× |
| MRI breast w/o contrast bilateral (77047) |
$19,891.30 |
$19,891.30 |
83.2× |
| MRI c-spine with contrast (72142) |
$17,630.24 |
$17,630.24 |
50.5× |
| MRI cardiac w/o cont stress (75559) |
$3,161.96 |
$3,161.96 |
5.8× |
| MRI cardiac w/o contrast (75557) |
$3,161.96 |
$3,161.96 |
13.2× |
| MRI cervical spine w/o contrast (72141) |
$12,802.34 |
$12,802.34 |
53.6× |
| MRI chest w/o & w/contrast material (71552) |
$17,142.33 |
$17,142.33 |
49.1× |
| MRI chest w/o contrast (71550) |
$14,167.49 |
$14,167.49 |
59.3× |
| MRI chest with contrast (71551) |
$16,810.77 |
$16,810.77 |
21.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$17,477.20 |
$17,477.20 |
50.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$17,474.80 |
$17,474.80 |
50.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$11,159.45 |
$11,159.45 |
46.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$12,802.34 |
$12,802.34 |
53.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$15,886.48 |
$15,886.48 |
45.5× |
| MRI orbit/face/neck w/contrast (70542) |
$13,128.61 |
$13,128.61 |
37.6× |
| MRI pelvis w contrast (72196) |
$7,015.86 |
$7,015.86 |
20.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$10,822.56 |
$10,822.56 |
31.0× |
| MRI pelvis w/o contrast (72195) |
$13,134.32 |
$13,134.32 |
55.0× |
| MRI scan of arm joint before and after contrast (73223) |
$15,889.72 |
$15,889.72 |
45.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$5,132.81 |
$5,132.81 |
6.5× |
| MRI scan of leg joint before and after contrast (73723) |
$16,936.72 |
$16,936.72 |
48.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$17,602.77 |
$17,602.77 |
50.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$17,778.60 |
$17,778.60 |
50.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$17,778.60 |
$17,778.60 |
50.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$17,778.60 |
$17,778.60 |
50.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$17,778.60 |
$17,778.60 |
50.9× |
| MRI thoracic spine w/o contrast (72146) |
$12,802.34 |
$12,802.34 |
53.6× |
| MRI tmj (70336) |
$6,488.20 |
$6,488.20 |
27.1× |
| MRI upper ext joint w/o contrast (73221) |
$12,802.34 |
$12,802.34 |
53.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$13,267.89 |
$13,267.89 |
38.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$17,569.41 |
$17,569.41 |
73.5× |
| Myelogram Cervical (72240) |
$10,037.85 |
$10,037.85 |
12.8× |
| Myelogram Lumbar (72265) |
$5,752.86 |
$5,752.86 |
7.3× |
| Myelogram thoracic (72255) |
$10,537.45 |
$10,537.45 |
13.4× |
| Myelography 2 or more regions (72270) |
$20,366.73 |
$20,366.73 |
25.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$7,946.77 |
$7,946.77 |
6.1× |
| Myocardial infarct spect (78469) |
$8,175.01 |
$8,175.01 |
15.0× |
| Myocardial Spect Multiple Studies (78452) |
$19,403.05 |
$19,403.05 |
15.0× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$9,000.33 |
$9,000.33 |
6.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$9,000.33 |
$9,000.33 |
6.3× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$13,399.90 |
$13,399.90 |
6.1× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$16,377.06 |
$16,377.06 |
7.4× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$12,717.33 |
$12,717.33 |
8.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$7,602.65 |
$7,602.65 |
8.8× |
| Neck soft tissue (70360) |
$1,520.92 |
$1,520.92 |
17.4× |
| Nm cisternogram (78630) |
$8,798.08 |
$8,798.08 |
16.2× |
| Nm gastric emptying study (78264) |
$14,950.96 |
$14,950.96 |
37.3× |
| Nm peritoneal-venous shunt patency (78291) |
$8,625.61 |
$8,625.61 |
21.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,110.93 |
$10,110.93 |
7.3× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$11,156.57 |
$11,156.57 |
7.8× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$22,532.42 |
$22,532.42 |
17.4× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$11,156.57 |
$11,156.57 |
7.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$13,470.01 |
$13,470.01 |
10.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$5,477.26 |
$5,477.26 |
13.7× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$3,226.06 |
$3,226.06 |
8.1× |
| Nuclear Rx Oral Admin (79005) |
$10,884.72 |
$10,884.72 |
46.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$3,644.66 |
$3,644.66 |
34.8× |
| Orthopantogram (70355) |
$2,329.48 |
$2,329.48 |
26.7× |
| Osseous survey infant (77076) |
$3,861.48 |
$3,861.48 |
36.9× |
| Osseous survey limited (77074) |
$3,518.60 |
$3,518.60 |
33.6× |
| Parathyrd planar w/wo subtrj (78071) |
$4,460.83 |
$4,460.83 |
11.1× |
| Parathyroid imaging (78070) |
$5,112.84 |
$5,112.84 |
12.8× |
| Pelvis 1 or 2 views (72170) |
$1,717.63 |
$1,717.63 |
16.4× |
| Peritoneogram rs&i (74190) |
$7,723.58 |
$7,723.58 |
14.1× |
| PET image w/CT, skull-thigh (78815) |
$14,122.31 |
$14,122.31 |
9.9× |
| PET imaging CT for attenuation limited area (78814) |
$14,122.31 |
$14,122.31 |
9.9× |
| PET imaging for CT attenuation whole body (78816) |
$15,107.66 |
$15,107.66 |
10.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$13,267.89 |
$13,267.89 |
38.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$29,912.54 |
$29,912.54 |
9.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$13,597.53 |
$13,597.53 |
4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$8,822.85 |
$8,822.85 |
22.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,912.97 |
$5,912.97 |
10.9× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$3,802 |
$3,802 |
4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,206.12 |
$3,206.12 |
5.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$345.85 |
$345.85 |
4.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$553.10 |
$553.10 |
5.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$924.19 |
$924.19 |
8.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,762.01 |
$1,762.01 |
16.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$73,387.57 |
$73,387.57 |
9.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,054.31 |
$2,054.31 |
3.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,075.48 |
$1,075.48 |
10.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,075.48 |
$1,075.48 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$2,552.44 |
$2,552.44 |
24.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,690.32 |
$1,690.32 |
19.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,648.92 |
$2,648.92 |
25.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,609.76 |
$1,609.76 |
18.5× |
| Radiologic exam colon single contrast study (74270) |
$3,805.29 |
$3,805.29 |
21.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$4,791.41 |
$4,791.41 |
27.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$4,791.41 |
$4,791.41 |
27.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$558.05 |
$558.05 |
6.4× |
| Radiological examination surgical specimen (76098) |
$1,370.06 |
$1,370.06 |
2.5× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$5,850.94 |
$5,850.94 |
10.8× |
| Review by radiologist of adrenal gland vein image (75840) |
$27,990.67 |
$27,990.67 |
8.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$38,690.47 |
$38,690.47 |
12.2× |
| Ribs bilateral 3 views (71110) |
$4,250.76 |
$4,250.76 |
40.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$10,944.52 |
$10,944.52 |
27.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$13,705.43 |
$13,705.43 |
25.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$13,705.43 |
$13,705.43 |
25.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$13,705.43 |
$13,705.43 |
10.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$14,709.40 |
$14,709.40 |
10.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$13,705.43 |
$13,705.43 |
10.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$3,278.89 |
$3,278.89 |
14.0× |
| Rp Therapy Intravenous Administration (79101) |
$6,936.21 |
$6,936.21 |
29.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$5,398.36 |
$5,398.36 |
22.6× |
| Scanogram (77073) |
$2,512.05 |
$2,512.05 |
24.0× |
| Scapula complete (73010) |
$2,239.41 |
$2,239.41 |
21.4× |
| Screening digital breast tomosynthesis (77063) |
$61.44 |
$61.44 |
2.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$855.99 |
$855.99 |
8.2× |
| Sialogram (70390) |
$3,289.13 |
$3,289.13 |
13.8× |
| Small bowel series (74250) |
$4,389.18 |
$4,389.18 |
25.0× |
| Spec medical radj physics consltj (77370) |
$1,399.15 |
$1,399.15 |
10.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,873.05 |
$2,873.05 |
7.7× |
| Special dosimetry (77331) |
$1,057.56 |
$1,057.56 |
7.9× |
| Special treatment procedure (77470) |
$5,248.35 |
$5,248.35 |
9.5× |
| Spine thoracic 3 views (72072) |
$2,217.23 |
$2,217.23 |
21.2× |
| Splenoportograpy rs&i (75810) |
$16,920.63 |
$16,920.63 |
5.4× |
| Stereotactic body radiation delivery (77373) |
$16,253.23 |
$16,253.23 |
9.1× |
| Superior sagittal sinus venogram (75870) |
$11,973.95 |
$11,973.95 |
3.8× |
| Tbs Technical Calculation Only (77091) |
$731.06 |
$731.06 |
8.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,038.04 |
$2,038.04 |
5.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,422.01 |
$1,422.01 |
3.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,066.67 |
$3,066.67 |
8.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,641 |
$1,641 |
12.2× |
| Thoracolumbar 2 views (72080) |
$2,296.50 |
$2,296.50 |
26.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$12,358.38 |
$12,358.38 |
22.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,265.38 |
$2,265.38 |
5.7× |
| Thyroid uptake measurement (78012) |
$1,721.69 |
$1,721.69 |
4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,517.01 |
$3,517.01 |
8.8× |
| Tmj unilateral (70328) |
$1,559.66 |
$1,559.66 |
17.9× |
| Tomogram (76100) |
$3,376.50 |
$3,376.50 |
32.2× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$731.06 |
$731.06 |
8.4× |
| Treatment devices simple (77332) |
$3,369.81 |
$3,369.81 |
25.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$14,122.43 |
$14,122.43 |
26.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$10,944.52 |
$10,944.52 |
27.3× |
| Tx devices design & construction complex (77334) |
$3,066.67 |
$3,066.67 |
8.2× |
| Ultrasound, abdomen limited (76705) |
$5,560.10 |
$5,560.10 |
53.1× |
| Umbilical-artery Doppler (OB) (76820) |
$2,273.32 |
$2,273.32 |
21.7× |
| Unlisted fluoroscopic procedure (76496) |
$457.64 |
$457.64 |
5.2× |
| Upper Extremity Infant (73092) |
$1,920.42 |
$1,920.42 |
18.3× |
| Urethrocystography retrograde rs&i (74450) |
$4,649.24 |
$4,649.24 |
19.5× |
| Urethrocystography voiding (74455) |
$4,819.48 |
$4,819.48 |
20.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$5,563.50 |
$5,563.50 |
31.7× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$8,883.22 |
$8,883.22 |
50.6× |
| Us abdl aorta screen aaa (76706) |
$684.41 |
$684.41 |
6.5× |
| Us breast unilateral complete (76641) |
$900.96 |
$900.96 |
8.6× |
| Us breast unilateral limited (76642) |
$900.96 |
$900.96 |
10.3× |
| Us chest (76604) |
$2,871.16 |
$2,871.16 |
27.4× |
| Us compl joint r-t w/image documentation (76881) |
$6,022.65 |
$6,022.65 |
57.5× |
| Us guided compression repair (76936) |
$8,464.51 |
$8,464.51 |
39.1× |
| Us infant hips dynamic (76885) |
$1,158 |
$1,158 |
13.3× |
| Us infant hips limited static (76886) |
$3,967.77 |
$3,967.77 |
45.5× |
| Us kidney transplant (76776) |
$3,362.70 |
$3,362.70 |
32.1× |
| Us ob detailed single fetus (76811) |
$5,727.12 |
$5,727.12 |
24.0× |
| Us ob transvaginal (76817) |
$4,980.74 |
$4,980.74 |
47.6× |
| Us pelvic non ob complete (76856) |
$5,405.02 |
$5,405.02 |
51.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,596.51 |
$2,596.51 |
24.8× |
| Us pregnancy ltd (76815) |
$2,609.80 |
$2,609.80 |
24.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$4,025.05 |
$4,025.05 |
38.4× |
| Us retroperitoneal complete (76770) |
$5,845.35 |
$5,845.35 |
55.8× |
| Us retroperitoneal limited (76775) |
$3,216.47 |
$3,216.47 |
30.7× |
| Us scrotum and contents (76870) |
$4,233.60 |
$4,233.60 |
40.4× |
| Us soft tissue head/neck (76536) |
$4,233.60 |
$4,233.60 |
40.4× |
| Us spinal canal and contents (76800) |
$2,603.92 |
$2,603.92 |
24.9× |
| Us transrectal (76872) |
$4,084.63 |
$4,084.63 |
39.0× |
| Us xtr non-vasc lmtd (76882) |
$3,611.91 |
$3,611.91 |
34.5× |
| Vascular flow imaging (78445) |
$7,435.71 |
$7,435.71 |
18.6× |
| Venogram extremity bilateral (75822) |
$19,935.39 |
$19,935.39 |
12.6× |
| Venography caval inferior serialography rs&i (75825) |
$16,495.99 |
$16,495.99 |
5.2× |
| Venography caval superior serialography rs&i (75827) |
$22,132.84 |
$22,132.84 |
14.0× |
| Venography epidural rs&i (75872) |
$11,973.95 |
$11,973.95 |
19.1× |
| Venography extremity unilateral rs&i (75820) |
$12,713.45 |
$12,713.45 |
8.1× |
| Venography Renal Bilateral (75833) |
$18,890.52 |
$18,890.52 |
6.0× |
| Venography renal unilateral selective rs&i (75831) |
$16,920.63 |
$16,920.63 |
5.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$9,895.27 |
$9,895.27 |
3.1× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$11,628.97 |
$11,628.97 |
2.1× |
| Vertebral fracture assessment via dxa (77086) |
$588.23 |
$588.23 |
6.7× |
| Wrist 2 views (73100) |
$2,153.23 |
$2,153.23 |
24.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$3,793.49 |
$3,793.49 |
36.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,095.06 |
$2,095.06 |
24.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,895.18 |
$1,895.18 |
21.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$5,861.47 |
$5,861.47 |
33.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$2,395.70 |
$2,395.70 |
27.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$2,472.60 |
$2,472.60 |
28.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,762.01 |
$1,762.01 |
16.8× |
| X-ray exam hip uni 1 view (73501) |
$344.08 |
$344.08 |
3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$344.08 |
$344.08 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$569.82 |
$569.82 |
5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$924.19 |
$924.19 |
8.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,762.01 |
$1,762.01 |
16.8× |
| X-ray exam of femur 1 (73551) |
$558.05 |
$558.05 |
6.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$5,997.29 |
$5,997.29 |
34.1× |
| X-ray eye for foreign body (70030) |
$1,966.43 |
$1,966.43 |
22.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,640.84 |
$2,640.84 |
25.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,497.66 |
$2,497.66 |
28.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$2,243.34 |
$2,243.34 |
25.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$10,000.07 |
$10,000.07 |
4.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,527.80 |
$1,527.80 |
17.5× |
| X-ray IV pyelogram+drip infusn (74410) |
$4,513.14 |
$4,513.14 |
25.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,421.58 |
$2,421.58 |
27.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,337.43 |
$2,337.43 |
22.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,505.22 |
$1,505.22 |
17.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,920.42 |
$1,920.42 |
22.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,327.96 |
$2,327.96 |
22.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,913.36 |
$3,913.36 |
37.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$3,857.19 |
$3,857.19 |
36.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$2,042.90 |
$2,042.90 |
23.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,809.80 |
$1,809.80 |
20.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,483.30 |
$2,483.30 |
23.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,387.59 |
$2,387.59 |
22.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$7,330.61 |
$7,330.61 |
13.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$4,731.40 |
$4,731.40 |
13.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,787.58 |
$2,787.58 |
32.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$4,250.76 |
$4,250.76 |
40.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$5,653.76 |
$5,653.76 |
54.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,173.40 |
$2,173.40 |
20.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,251.10 |
$2,251.10 |
25.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,984.70 |
$1,984.70 |
22.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,766.80 |
$2,766.80 |
31.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,494.40 |
$1,494.40 |
17.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,842.10 |
$2,842.10 |
27.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,126.68 |
$2,126.68 |
20.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,950.33 |
$1,950.33 |
22.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,980.60 |
$1,980.60 |
22.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,974.51 |
$1,974.51 |
22.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,197.89 |
$2,197.89 |
21.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$3,346.80 |
$3,346.80 |
32.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,280.50 |
$1,280.50 |
14.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$2,095.48 |
$2,095.48 |
24.0× |
| Xr arthrogram ankle (73615) |
$4,761.54 |
$4,761.54 |
13.6× |
| Xr c-spine 6 or more views (72052) |
$3,136.56 |
$3,136.56 |
30.0× |
| Xr chest 4+ views (71048) |
$2,934.66 |
$2,934.66 |
28.0× |
| Xr finger(s) 2+ views (73140) |
$1,280.50 |
$1,280.50 |
14.7× |
| Xr shoulder 1 view (73020) |
$1,429.52 |
$1,429.52 |
16.4× |
| Xr spine cervical 4 or 5 views (72050) |
$3,042.60 |
$3,042.60 |
29.1× |
| Xr tibia/fibula 2 views (73590) |
$2,239.41 |
$2,239.41 |
25.7× |
| Xr tmj bilateral (70330) |
$2,490.62 |
$2,490.62 |
28.6× |
| Xray knee 1 or 2 views rt (73560) |
$1,476.90 |
$1,476.90 |
16.9× |