| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,409 |
$10,409 |
6.0× |
| Abdomen 1 View (74018) |
$223 |
$223 |
2.1× |
| Abdomen 2 views (74019) |
$410 |
$410 |
3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,767 |
$2,767 |
5.5× |
| Angio pulmonary bilat (75743) |
$11,513 |
$11,513 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$10,012 |
$10,012 |
2.5× |
| Angiography extremity unilateral rs&i (75710) |
$8,008 |
$8,008 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,012 |
$10,012 |
2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,161 |
$5,161 |
1.3× |
| Ankle 2 views (73600) |
$387 |
$387 |
3.6× |
| Aortography thoracic serialography rs&i (75605) |
$8,920 |
$8,920 |
1.3× |
| Artery X-Rays Abdomen (75726) |
$14,030 |
$14,030 |
2.0× |
| Artery X-Rays Pelvis (75736) |
$8,511 |
$8,511 |
1.2× |
| Artery X-Rays Spine (75705) |
$16,545 |
$16,545 |
2.4× |
| Arthrogram ankle (73615) |
$1,120 |
$1,120 |
2.6× |
| Arthrogram hip (73525) |
$1,146 |
$1,146 |
2.6× |
| Arthrogram Wrist (73115) |
$1,120 |
$1,120 |
2.6× |
| Basic radiation dosimetry calculation (77300) |
$1,007 |
$1,007 |
6.0× |
| Bone age studies (77072) |
$652 |
$652 |
5.0× |
| Bone Imaging 3 Phase (78315) |
$2,983 |
$2,983 |
6.0× |
| Bone Imaging Limited Area (78300) |
$1,999 |
$1,999 |
4.0× |
| Bone Imaging Whole Body (78306) |
$3,615 |
$3,615 |
7.2× |
| Bone marrow imaging limited area (78102) |
$1,346 |
$1,346 |
2.7× |
| Bone marrow imaging; whole body (78104) |
$2,100 |
$2,100 |
4.2× |
| Bone survey infant (77076) |
$1,503 |
$1,503 |
11.5× |
| Brachytx isodose complex (77318) |
$2,505 |
$2,505 |
5.4× |
| Brachytx isodose intermed (77317) |
$1,921 |
$1,921 |
4.1× |
| Brachytx Isodose Plan Simple (77316) |
$1,565 |
$1,565 |
3.3× |
| Brain Image W/Flow < 4 Views (78601) |
$1,126 |
$1,126 |
2.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,527 |
$3,527 |
5.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,727 |
$3,727 |
2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,911 |
$5,911 |
13.6× |
| Cat Scan Follow-Up Study (76380) |
$1,266 |
$1,266 |
11.7× |
| Chest 1 view (71045) |
$223 |
$223 |
2.1× |
| Chest 2 views (71046) |
$242 |
$242 |
2.2× |
| Chest 3 views (71047) |
$704 |
$704 |
6.5× |
| Chest 4 or more views (71048) |
$882 |
$882 |
6.8× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$266 |
$266 |
2.0× |
| Clavicle complete (73000) |
$413 |
$413 |
3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$435 |
$435 |
3.3× |
| Continuing medical physics consltj pr wk (77336) |
$860 |
$860 |
5.1× |
| Contrast Exam Abdominl Aorta (75625) |
$10,072 |
$10,072 |
2.6× |
| Contrast X-Ray Bladder (74430) |
$1,278 |
$1,278 |
2.9× |
| Contrast X-Ray Of Elbow (73085) |
$1,319 |
$1,319 |
3.0× |
| Contrast X-Ray Of Knee Joint (73580) |
$1,221 |
$1,221 |
2.8× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$438 |
$438 |
2.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,861 |
$6,861 |
15.8× |
| CT abdomen and pelvis without contrast (74176) |
$5,329 |
$5,329 |
17.9× |
| CT abdomen w contrast (74160) |
$4,539 |
$4,539 |
20.7× |
| CT abdomen w wo contrast (74170) |
$4,891 |
$4,891 |
22.3× |
| CT abdomen w/o contrast (74150) |
$3,412 |
$3,412 |
26.1× |
| CT Angio Abdomen and Pelvis (74174) |
$5,823 |
$5,823 |
13.4× |
| CT Angio Chest (71275) |
$3,894 |
$3,894 |
17.8× |
| CT Angio Head (70496) |
$5,258 |
$5,258 |
24.0× |
| CT angio hrt w/3d image (75574) |
$3,303 |
$3,303 |
7.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$3,632 |
$3,632 |
16.6× |
| CT Angio Neck (70498) |
$5,194 |
$5,194 |
23.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$3,391 |
$3,391 |
15.5× |
| CT cervical spine w/ contrast (72126) |
$4,684 |
$4,684 |
10.8× |
| CT cervical spine w/o contrast (72125) |
$3,128 |
$3,128 |
24.0× |
| CT cervical spine w/wo cont (72127) |
$5,661 |
$5,661 |
25.9× |
| CT chest w contrast (71260) |
$3,859 |
$3,859 |
17.6× |
| CT chest w/wo contrast (71270) |
$5,283 |
$5,283 |
24.1× |
| CT head/brain with contrast (70460) |
$3,323 |
$3,323 |
15.2× |
| CT head/brain without and with contrast (70470) |
$4,031 |
$4,031 |
18.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,303 |
$3,303 |
7.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$215 |
$215 |
2.0× |
| CT hrt w/3d image congen (75573) |
$5,005 |
$5,005 |
11.5× |
| CT iac w contrast (70481) |
$3,967 |
$3,967 |
18.1× |
| CT l-spine w&w/o contrast (72133) |
$5,347 |
$5,347 |
24.4× |
| CT lower ext w/o (73700) |
$2,768 |
$2,768 |
21.2× |
| CT lower extremity w/contrast material (73701) |
$3,034 |
$3,034 |
13.9× |
| CT lumbar spine w contrast (72132) |
$4,715 |
$4,715 |
10.8× |
| CT lumbar spine w/o contrast (72131) |
$4,252 |
$4,252 |
32.6× |
| CT maxillofacial w contrast (70487) |
$3,510 |
$3,510 |
16.0× |
| CT maxillofacial wo contrast (70486) |
$3,323 |
$3,323 |
25.5× |
| CT neck tissue combo (70492) |
$4,223 |
$4,223 |
19.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$4,680 |
$4,680 |
21.4× |
| CT orbits w/o contrast (70480) |
$2,629 |
$2,629 |
20.1× |
| CT pelvis w&w/o contrast (72194) |
$5,267 |
$5,267 |
24.1× |
| CT pelvis w/o contrast (72192) |
$3,164 |
$3,164 |
24.2× |
| CT scan of leg combo (73702) |
$4,064 |
$4,064 |
18.6× |
| CT scans face/jaw combo (70488) |
$4,610 |
$4,610 |
21.1× |
| CT soft tissue neck w contrast (70491) |
$2,930 |
$2,930 |
13.4× |
| CT soft tissue neck w/o contrast (70490) |
$2,585 |
$2,585 |
19.8× |
| CT thoracic spine w contrast (72129) |
$4,590 |
$4,590 |
21.0× |
| CT thoracic spine w/o contrast (72128) |
$4,113 |
$4,113 |
31.5× |
| CT thorax w/o contrast (71250) |
$3,308 |
$3,308 |
25.3× |
| CT upper ext wo (73200) |
$2,469 |
$2,469 |
18.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,003 |
$4,003 |
18.3× |
| CT upper extremity with contrast (73201) |
$3,917 |
$3,917 |
9.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,892 |
$3,892 |
17.8× |
| Cta Abdomen (74175) |
$3,927 |
$3,927 |
17.9× |
| CTA pelvis (72191) |
$4,701 |
$4,701 |
21.5× |
| Dilation ureters/urethra rs&i (74485) |
$4,618 |
$4,618 |
1.8× |
| Discography Cerv/Thor Spine (72285) |
$10,729 |
$10,729 |
4.4× |
| Diskography lumbar (72295) |
$10,729 |
$10,729 |
4.4× |
| Dxa Bone Density Axial (77080) |
$1,021 |
$1,021 |
7.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$216 |
$216 |
2.0× |
| Echo exam uterus (76831) |
$714 |
$714 |
2.4× |
| Echo Guide For Artery Repair (76936) |
$778 |
$778 |
2.9× |
| Esophagram (74220) |
$774 |
$774 |
3.5× |
| Fetal Biophys Profile W/Nst (76818) |
$1,383 |
$1,383 |
10.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$284 |
$284 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$1,129 |
$1,129 |
3.8× |
| Follow-Up Angiography (75898) |
$2,846 |
$2,846 |
0.7× |
| Foot 2 views (73620) |
$393 |
$393 |
3.6× |
| Forearm 2 views (73090) |
$477 |
$477 |
4.4× |
| Gastric emptying imaging study (78264) |
$3,107 |
$3,107 |
6.2× |
| Gastroesophageal Reflux Exam (78262) |
$2,020 |
$2,020 |
4.0× |
| Gated Heart Planar Single (78472) |
$2,885 |
$2,885 |
5.8× |
| Hand 2 views (73120) |
$484 |
$484 |
3.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$11,513 |
$11,513 |
2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$8,649 |
$8,649 |
2.2× |
| Hepatobil Syst Image W/Drug (78227) |
$3,561 |
$3,561 |
5.3× |
| Hepatobiliary System Imaging (78226) |
$2,197 |
$2,197 |
4.4× |
| Ht Muscle Image Spect Sing (78451) |
$4,485 |
$4,485 |
2.8× |
| Hysterosalpingogram (74740) |
$1,541 |
$1,541 |
5.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$858 |
$858 |
7.9× |
| Infusion Ivp (74410) |
$1,495 |
$1,495 |
6.8× |
| Intracavitary Radiation Source Applic Complex (77763) |
$5,103 |
$5,103 |
5.9× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,120 |
$2,120 |
3.1× |
| K Flow/Funct Image W/Drug (78708) |
$2,639 |
$2,639 |
3.9× |
| K Flow/Funct Image W/O Drug (78707) |
$1,366 |
$1,366 |
2.0× |
| Kidney Imaging Morphol (78700) |
$2,119 |
$2,119 |
4.2× |
| Knee 3 Views (73562) |
$589 |
$589 |
5.4× |
| Leveen/Shunt Patency Exam (78291) |
$1,852 |
$1,852 |
3.7× |
| Liver & Spleen Imaging Static Only (78215) |
$1,936 |
$1,936 |
3.9× |
| Lung Perf&Ventilat Diferentl (78598) |
$3,918 |
$3,918 |
5.8× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,682 |
$2,682 |
4.0× |
| Lung Ventilation Imaging (78579) |
$2,976 |
$2,976 |
6.0× |
| Lymph System Imaging (78195) |
$1,439 |
$1,439 |
2.1× |
| Lymphangiography extremity only unilateral rs&i (75801) |
$2,336 |
$2,336 |
3.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$3,472 |
$3,472 |
0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$2,870 |
$2,870 |
0.7× |
| Magnetic Image Jaw Joint (70336) |
$5,600 |
$5,600 |
18.8× |
| Meckels Divert Exam (78290) |
$2,710 |
$2,710 |
5.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$5,239 |
$5,239 |
11.2× |
| Mra Head W/O & W/Contrast Material (70546) |
$5,509 |
$5,509 |
12.7× |
| MRA head w/o contrast (70544) |
$5,152 |
$5,152 |
17.3× |
| MRA head with contrast (70545) |
$4,887 |
$4,887 |
11.2× |
| MRA neck w contrast (70548) |
$4,538 |
$4,538 |
10.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$6,888 |
$6,888 |
15.8× |
| MRA neck w/o contrast (70547) |
$5,088 |
$5,088 |
17.1× |
| MRI abdomen w contrast (74182) |
$5,180 |
$5,180 |
11.9× |
| MRI abdomen w/o contrast (74181) |
$5,716 |
$5,716 |
19.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$5,576 |
$5,576 |
5.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,218 |
$4,218 |
9.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,376 |
$5,376 |
5.5× |
| MRI bone marrow blood supply (77084) |
$5,376 |
$5,376 |
18.0× |
| MRI Breast W/O Contrast Bilateral (77047) |
$5,261 |
$5,261 |
17.7× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$4,680 |
$4,680 |
15.7× |
| MRI cardiac w/o contrast (75557) |
$5,640 |
$5,640 |
18.9× |
| MRI cervical spine w contrast (72142) |
$5,062 |
$5,062 |
11.6× |
| MRI cervical spine w/o cont (72141) |
$5,423 |
$5,423 |
18.2× |
| MRI chest w/o contrast (71550) |
$4,784 |
$4,784 |
16.1× |
| MRI chest with contrast (71551) |
$7,215 |
$7,215 |
7.4× |
| MRI chest wo w contrast (71552) |
$7,894 |
$7,894 |
18.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,666 |
$5,666 |
13.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$6,978 |
$6,978 |
16.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,330 |
$5,330 |
17.9× |
| MRI lumbar spine w contrast (72149) |
$6,564 |
$6,564 |
15.1× |
| Mri Neck Spine W/O & W/Dye (72156) |
$8,161 |
$8,161 |
18.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,530 |
$5,530 |
18.6× |
| MRI orbit face neck w contrast (70542) |
$5,666 |
$5,666 |
13.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$7,895 |
$7,895 |
18.1× |
| MRI pelvis w contrast (72196) |
$5,446 |
$5,446 |
12.5× |
| MRI pelvis w/o & w contrast (72197) |
$7,884 |
$7,884 |
18.1× |
| MRI pelvis w/o contrast (72195) |
$5,451 |
$5,451 |
18.3× |
| MRI thoracic spine w/o contrast (72146) |
$5,686 |
$5,686 |
19.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,258 |
$5,258 |
17.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$7,895 |
$7,895 |
18.1× |
| MRI, abdomen, combo (74183) |
$8,137 |
$8,137 |
18.7× |
| MRI, dorsal spine combo (72157) |
$8,220 |
$8,220 |
18.9× |
| MRI, dorsal spine contrast (72147) |
$6,642 |
$6,642 |
15.3× |
| MRI, joint upper extrem (73221) |
$4,539 |
$4,539 |
15.2× |
| MRI, joint upper extrem combo (73223) |
$7,177 |
$7,177 |
16.5× |
| MRI, lumbar spine combo (72158) |
$7,991 |
$7,991 |
18.3× |
| Myelogram Lumbar (72265) |
$2,274 |
$2,274 |
2.3× |
| Myelography thoracic (72255) |
$2,322 |
$2,322 |
2.4× |
| Myelograpy 2/more regions rs&i (72270) |
$3,113 |
$3,113 |
3.2× |
| Myocardial Spect Multiple Studies (78452) |
$8,587 |
$8,587 |
5.3× |
| Neck soft tissue (70360) |
$607 |
$607 |
5.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,584 |
$10,584 |
6.1× |
| Nuclear Rx Intra-Arterial (79445) |
$887 |
$887 |
3.0× |
| Nuclear Rx Oral Admin (79005) |
$2,506 |
$2,506 |
8.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$259 |
$259 |
2.0× |
| Parathyroid Planar Imaging (78070) |
$2,554 |
$2,554 |
5.1× |
| Pelvis 1 or 2 views (72170) |
$569 |
$569 |
4.4× |
| Peritoneogram Rs&I (74190) |
$1,400 |
$1,400 |
2.1× |
| Pet Image W/Ct Lmtd (78814) |
$3,946 |
$3,946 |
2.2× |
| PET image w/CT, full body (78816) |
$3,946 |
$3,946 |
2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,946 |
$3,946 |
2.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$11,513 |
$11,513 |
2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,775 |
$2,775 |
5.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$1,026 |
$1,026 |
7.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,164 |
$1,164 |
1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$477 |
$477 |
4.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$401 |
$401 |
3.7× |
| Radex elbow complete minimum 3 views (73080) |
$484 |
$484 |
4.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$901 |
$901 |
6.9× |
| Radex fingr minimum 2 views (73140) |
$387 |
$387 |
3.6× |
| Radex foot complete minimum 3 views (73630) |
$477 |
$477 |
4.4× |
| Radex Hand Minimum 3 Views (73130) |
$477 |
$477 |
4.4× |
| Radex lower extremity infant minimum 2 views (73592) |
$508 |
$508 |
4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$477 |
$477 |
4.4× |
| Radex Ribs Unilateral 2 Views (71100) |
$494 |
$494 |
4.5× |
| Radex shoulder complete minimum 2 views (73030) |
$483 |
$483 |
4.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$457 |
$457 |
4.2× |
| Radex Spine 1 View Specify Level (72020) |
$589 |
$589 |
5.4× |
| Radex Sternum Minimum 2 Views (71120) |
$465 |
$465 |
4.3× |
| Radex Toe Minimum 2 Views (73660) |
$387 |
$387 |
3.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$426 |
$426 |
3.3× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$477 |
$477 |
4.4× |
| Radiation treatment delivery level 1 (77402) |
$475 |
$475 |
3.7× |
| Radiation treatment delivery level 3 (77412) |
$1,467 |
$1,467 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$607 |
$607 |
4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$410 |
$410 |
3.1× |
| Radiologic exam colon double contrast study (74280) |
$1,907 |
$1,907 |
8.7× |
| Radiologic exam colon single contrast study (74270) |
$1,038 |
$1,038 |
4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$554 |
$554 |
2.5× |
| Radiologic exam knee complete 4/more views (73564) |
$634 |
$634 |
4.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$742 |
$742 |
5.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,336 |
$1,336 |
6.1× |
| Radiologic exam swallow function contrast study (74230) |
$845 |
$845 |
3.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,551 |
$1,551 |
7.1× |
| Radiologic examination femur 1 view (73551) |
$242 |
$242 |
2.2× |
| Radiologic examination femur minimum 2 views (73552) |
$461 |
$461 |
4.2× |
| Radiologic examination knee 1/2 views (73560) |
$459 |
$459 |
4.2× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,108 |
$1,108 |
8.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$477 |
$477 |
4.4× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) |
$887 |
$887 |
3.0× |
| Ribs bilateral 3 views (71110) |
$894 |
$894 |
6.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,170 |
$1,170 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,169 |
$3,169 |
6.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,049 |
$4,049 |
6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$3,951 |
$3,951 |
5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$4,049 |
$4,049 |
6.0× |
| Rp Therapy Intravenous Administration (79101) |
$1,034 |
$1,034 |
3.5× |
| Scapula (73010) |
$505 |
$505 |
3.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$50 |
$50 |
2.1× |
| Sella turcica (70240) |
$287 |
$287 |
2.6× |
| Shoulder 1 view (73020) |
$393 |
$393 |
3.6× |
| Shoulder Arthrography (73040) |
$1,197 |
$1,197 |
2.7× |
| Skull less than 4 views (70250) |
$681 |
$681 |
5.2× |
| Special dosimetry (77331) |
$867 |
$867 |
5.2× |
| Special Physics Consult (77370) |
$1,843 |
$1,843 |
11.0× |
| Special teletherapy port plan (77321) |
$2,066 |
$2,066 |
4.4× |
| Special treatment procedure (77470) |
$3,844 |
$3,844 |
5.6× |
| Stereotactic Body Radiation Delivery (77373) |
$5,596 |
$5,596 |
2.5× |
| Sternoclavicular joints (71130) |
$242 |
$242 |
2.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$820 |
$820 |
6.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,493 |
$2,493 |
5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,234 |
$1,234 |
2.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,495 |
$1,495 |
5.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,179 |
$2,179 |
4.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$2,086 |
$2,086 |
4.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,752 |
$1,752 |
10.4× |
| Thoracic spine 2 views (72070) |
$551 |
$551 |
4.2× |
| Thoracic spine 3 views (72072) |
$746 |
$746 |
5.7× |
| Thoracolumbar 2 views (72080) |
$606 |
$606 |
5.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,658 |
$1,658 |
3.3× |
| Thyroid Met Imaging Body (78018) |
$3,765 |
$3,765 |
5.6× |
| Thyroid Uptake Measurement (78012) |
$1,012 |
$1,012 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,364 |
$2,364 |
4.7× |
| Tx Devices Design & Construction Complex (77334) |
$2,137 |
$2,137 |
4.6× |
| Tx devices design & construction intermediate (77333) |
$1,300 |
$1,300 |
7.7× |
| Tx devices design & construction simple (77332) |
$1,111 |
$1,111 |
6.6× |
| Ultrasound Breast Limited (76642) |
$398 |
$398 |
3.7× |
| Ultrasound elastography first target lesion (76982) |
$1,026 |
$1,026 |
7.9× |
| Ultrasound Elastography Parenchyma (76981) |
$1,026 |
$1,026 |
7.9× |
| Ultrasound Exam Aaa Screen (76706) |
$1,354 |
$1,354 |
10.4× |
| Ultrasound, abdomen limited (76705) |
$1,217 |
$1,217 |
9.3× |
| Upper gi w/o kub (74240) |
$1,399 |
$1,399 |
6.4× |
| Urethrocystogram voiding (74455) |
$1,103 |
$1,103 |
3.7× |
| Urethrocystography retrograde (74450) |
$1,307 |
$1,307 |
4.4× |
| Us breast unilateral complete (76641) |
$277 |
$277 |
2.1× |
| Us chest (76604) |
$1,158 |
$1,158 |
8.9× |
| Us complete joint (76881) |
$840 |
$840 |
6.4× |
| Us exam, pelvic, limited (76857) |
$1,126 |
$1,126 |
8.6× |
| Us head (76506) |
$671 |
$671 |
5.1× |
| Us kidney transplant (76776) |
$1,576 |
$1,576 |
12.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$799 |
$799 |
6.1× |
| Us ob detailed single fetus (76811) |
$1,373 |
$1,373 |
4.6× |
| Us ob limited 1 or more fetuses (76815) |
$990 |
$990 |
7.6× |
| Us ob transvaginal (76817) |
$278 |
$278 |
2.1× |
| Us pelvic non ob complete (76856) |
$1,081 |
$1,081 |
8.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,318 |
$1,318 |
10.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$585 |
$585 |
4.5× |
| Us retroperitoneal complete (76770) |
$1,354 |
$1,354 |
10.4× |
| Us retroperitoneal limited (76775) |
$903 |
$903 |
6.9× |
| Us scrotum and contents (76870) |
$232 |
$232 |
1.8× |
| Us spinal canal and contents (76800) |
$861 |
$861 |
6.6× |
| Us thyroid (76536) |
$1,137 |
$1,137 |
8.7× |
| Vein X-Ray Chest (75827) |
$4,434 |
$4,434 |
2.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$3,599 |
$3,599 |
0.9× |
| Vein X-Ray Skull Epidural (75872) |
$3,216 |
$3,216 |
4.1× |
| Venogram Sinus/Jugular (75860) |
$3,250 |
$3,250 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$8,511 |
$8,511 |
2.2× |
| Venography extremity bilateral rs&i (75822) |
$3,404 |
$3,404 |
1.7× |
| Venography extremity unilateral rs&i (75820) |
$3,697 |
$3,697 |
1.9× |
| Venography Renal Bilateral (75833) |
$10,012 |
$10,012 |
2.5× |
| Venography Renal Unilateral (75831) |
$8,289 |
$8,289 |
2.1× |
| Wrist 2 views (73100) |
$367 |
$367 |
3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$629 |
$629 |
5.8× |
| X-ray antegrade pyelogram tube (74425) |
$1,323 |
$1,323 |
3.0× |
| X-Ray Aorta Leg Arteries (75630) |
$10,010 |
$10,010 |
2.5× |
| X-Ray Bend Only L-S Spine (72120) |
$928 |
$928 |
7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$389 |
$389 |
3.6× |
| X-Ray Exam Breast Specimen (76098) |
$1,536 |
$1,536 |
2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$606 |
$606 |
5.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$985 |
$985 |
7.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$1,125 |
$1,125 |
8.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$387 |
$387 |
3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,057 |
$1,057 |
9.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$325 |
$325 |
2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$916 |
$916 |
7.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$493 |
$493 |
3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$325 |
$325 |
2.5× |
| X-Ray Exam L-S Spine Bending (72114) |
$941 |
$941 |
7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$102 |
$102 |
0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$844 |
$844 |
6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$648 |
$648 |
5.0× |
| X-ray eye for foreign body (70030) |
$275 |
$275 |
2.5× |
| X-ray humerus (73060) |
$417 |
$417 |
3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$650 |
$650 |
6.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$439 |
$439 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$569 |
$569 |
4.4× |
| X-ray nose-rectum child f.b. (76010) |
$772 |
$772 |
7.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,083 |
$1,083 |
8.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$614 |
$614 |
4.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$484 |
$484 |
3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$489 |
$489 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$622 |
$622 |
5.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,026 |
$1,026 |
7.9× |
| X-ray thoracic spine 4 vw (72074) |
$756 |
$756 |
5.8× |
| X-Ray Tmj Unilat (70328) |
$540 |
$540 |
5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,143 |
$1,143 |
2.6× |
| X-Rays Bone Length Studies (77073) |
$719 |
$719 |
5.5× |
| X-Rays Bone Survey Complete (77075) |
$1,108 |
$1,108 |
8.5× |
| Xr c-spine 4 or 5 views (72050) |
$726 |
$726 |
5.6× |
| Xr facial bones less than 3 views (70140) |
$660 |
$660 |
6.1× |
| Xr myelogram posterior fossa (70010) |
$2,631 |
$2,631 |
6.0× |
| Xr orbits complete 4 views (70200) |
$599 |
$599 |
4.6× |
| Xr Tomogram Single Plane (76100) |
$1,099 |
$1,099 |
8.4× |