| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,514.40 |
$10,096 |
1.1× |
| Abdomen 2 views (74019) |
$194.70 |
$1,298 |
1.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$286.65 |
$1,911 |
0.7× |
| Acute venous thrombus image (78456) |
$308.85 |
$2,059 |
0.2× |
| Angiography extremity bilateral rs&i (75716) |
$1,325.40 |
$8,836 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,219.50 |
$8,130 |
0.4× |
| Angiography internal mammary rs&i (75756) |
$1,267.58 |
$8,450.50 |
0.4× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$1,258.50 |
$8,390 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,187.25 |
$7,915 |
0.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$203.55 |
$1,357 |
0.1× |
| Ankle 2 views (73600) |
$137.55 |
$917 |
1.6× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,258.42 |
$8,389.50 |
0.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,494.90 |
$9,966 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,205.53 |
$8,036.86 |
0.4× |
| Arthrogram elbow (73085) |
$192.15 |
$1,281 |
0.5× |
| Arthrogram hip (73525) |
$211.50 |
$1,410 |
0.6× |
| Arthrogram shoulder (73040) |
$341.08 |
$2,273.88 |
1.0× |
| Arthrogram wrist (73115) |
$198.15 |
$1,321 |
0.6× |
| Arthrography knee lt (73580) |
$243.45 |
$1,623 |
0.7× |
| Basic radiation dosimetry calculation (77300) |
$256.95 |
$1,713 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$655.50 |
$4,370 |
1.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$791.70 |
$5,278 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$851.22 |
$5,674.78 |
2.1× |
| Bone age studies (77072) |
$60.29 |
$401.88 |
0.6× |
| Bone Imaging 3 Phase (78315) |
$1,004.40 |
$6,696 |
2.5× |
| Bone Marrow Imaging Limited Area (78102) |
$210 |
$1,400 |
0.5× |
| Bone survey complete (77075) |
$1,118.55 |
$7,457 |
10.7× |
| Brachytx isodose complex (77318) |
$383.40 |
$2,556 |
1.0× |
| Brachytx isodose intermed (77317) |
$263.25 |
$1,755 |
0.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$241.50 |
$1,610 |
0.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$277.50 |
$1,850 |
0.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,109.70 |
$7,398 |
0.8× |
| Cardiac shunt detection (78428) |
$316.20 |
$2,108 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$374.10 |
$2,494 |
4.3× |
| Chest 1 view (71045) |
$152.55 |
$1,017 |
1.7× |
| Chest 3 views (71047) |
$251.70 |
$1,678 |
2.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$258.42 |
$1,722.75 |
1.5× |
| Cisternography Positive Contrast Rs&I (70015) |
$336 |
$2,240 |
0.4× |
| Clavicle complete (73000) |
$237 |
$1,580 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$148.22 |
$988.12 |
1.4× |
| Continuing medical physics consltj pr wk (77336) |
$302.85 |
$2,019 |
2.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$130 |
$866.70 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,242.50 |
$14,950 |
6.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,672.81 |
$11,152.04 |
7.0× |
| CT abdomen w contrast (74160) |
$1,449.68 |
$9,664.56 |
8.2× |
| CT abdomen w wo contrast (74170) |
$1,638.15 |
$10,921 |
9.3× |
| CT abdomen w/o contrast (74150) |
$840.90 |
$5,606 |
8.0× |
| CT angio hrt w/3d image (75574) |
$201.30 |
$1,342 |
0.6× |
| CT angiography upper extremity lt (73206) |
$632.82 |
$4,218.77 |
3.6× |
| CT c-spine w/o contrast (72125) |
$1,031.70 |
$6,878 |
9.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,568.25 |
$10,455 |
8.9× |
| CT cervical spine with contrast (72126) |
$1,341.15 |
$8,941 |
3.8× |
| CT chest w/wo contrast (71270) |
$1,078.80 |
$7,192 |
6.1× |
| CT chest with contrast (71260) |
$918.45 |
$6,123 |
5.2× |
| CT head/brain with contrast (70460) |
$1,141.50 |
$7,610 |
6.5× |
| CT head/brain without and with contrast (70470) |
$1,337.10 |
$8,914 |
7.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$171.75 |
$1,145 |
0.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$43.50 |
$290 |
0.5× |
| CT hrt w/3d image congen (75573) |
$167.85 |
$1,119 |
0.5× |
| CT iac w contrast (70481) |
$634.95 |
$4,233 |
3.6× |
| CT lower ext w/o (73700) |
$625.64 |
$4,170.89 |
6.0× |
| CT lower extremity w wo contrast (73702) |
$944.70 |
$6,298 |
5.4× |
| CT lower extremity with contrast (73701) |
$807.15 |
$5,381 |
4.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,557.30 |
$10,382 |
8.8× |
| CT lumbar spine w/o contrast (72131) |
$1,011.30 |
$6,742 |
9.6× |
| CT lumbar spine with contrast (72132) |
$1,324.80 |
$8,832 |
3.8× |
| CT maxillofacial w contrast (70487) |
$1,126.65 |
$7,511 |
6.4× |
| CT maxillofacial w/o contrast (70486) |
$946.78 |
$6,311.88 |
9.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,363.35 |
$9,089 |
7.7× |
| CT neck soft tissue w contrast (70491) |
$1,042.65 |
$6,951 |
5.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$740.85 |
$4,939 |
4.2× |
| CT orbits w/o contrast (70480) |
$556.95 |
$3,713 |
5.3× |
| CT pelvis w & w/o contrast (72194) |
$1,636.50 |
$10,910 |
9.3× |
| CT pelvis w/o contrast (72192) |
$856.80 |
$5,712 |
8.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,251.15 |
$8,341 |
7.1× |
| CT soft tissue neck w/o contrast (70490) |
$844.50 |
$5,630 |
8.0× |
| CT thoracic spine w/contrast (72129) |
$1,149.30 |
$7,662 |
6.5× |
| CT thoracic spine w/o contrast (72128) |
$877.35 |
$5,849 |
8.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,351.05 |
$9,007 |
7.7× |
| CT thorax w/o contrast (71250) |
$728.95 |
$4,859.64 |
6.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,582.20 |
$10,548 |
9.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,020.73 |
$6,804.85 |
9.7× |
| CT upper extremity with contrast (73201) |
$1,275.90 |
$8,506 |
3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,728.60 |
$11,523.95 |
9.8× |
| Cta Abdomen (74175) |
$1,724.85 |
$11,499 |
9.8× |
| CTA abdomen pelvis (74174) |
$1,876.48 |
$12,509.86 |
5.4× |
| CTA chest (71275) |
$1,214.50 |
$8,096.68 |
6.9× |
| Cta Head (70496) |
$1,095.20 |
$7,301.30 |
6.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,881.25 |
$12,541.65 |
10.7× |
| Cta Neck (70498) |
$1,170 |
$7,799.97 |
6.6× |
| Cta Pelvis (72191) |
$679.50 |
$4,530 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$312.54 |
$2,083.60 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$89.40 |
$596 |
0.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$48.83 |
$325.52 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$230.55 |
$1,537 |
2.2× |
| Echoencephalography real time imaging (76506) |
$182.40 |
$1,216 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$184.58 |
$1,230.56 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$161.70 |
$1,078 |
0.7× |
| Foot 2 views (73620) |
$175.50 |
$1,170 |
2.0× |
| Forearm 2 views (73090) |
$161.02 |
$1,073.50 |
1.8× |
| Gated Heart Planar Single (78472) |
$382.69 |
$2,551.26 |
1.0× |
| Hand 2 views (73120) |
$217.80 |
$1,452 |
2.1× |
| Hand 3 views (73130) |
$256.20 |
$1,708 |
2.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,229.25 |
$8,195 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$897.30 |
$5,982 |
2.2× |
| Ht muscle image spect sing (78451) |
$1,829.55 |
$12,197 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$242.76 |
$1,618.39 |
2.8× |
| Hysterosalpingogram (74740) |
$254.32 |
$1,695.50 |
1.1× |
| Image fusion (77399) |
$61.80 |
$412 |
0.5× |
| Intracavitary Radiation Source Applic Complex (77763) |
$850.65 |
$5,671 |
1.2× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$618.90 |
$4,126 |
1.1× |
| Intracavitary radiation source applic simple (77761) |
$458.55 |
$3,057 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$974.70 |
$6,498 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$786 |
$5,240 |
1.4× |
| Knee 3 views (73562) |
$194.35 |
$1,295.64 |
2.2× |
| Liver & spleen imaging static only (78215) |
$390 |
$2,600 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$362.40 |
$2,416 |
0.7× |
| Lung Ventilation Imaging (78579) |
$521.55 |
$3,477 |
1.3× |
| Lymphoscintigraphy (78195) |
$519.19 |
$3,461.25 |
1.0× |
| Mammary ductogram or galactogram multiple (77054) |
$242.70 |
$1,618 |
1.0× |
| Mammary ductogram or galactogram single (77053) |
$170.25 |
$1,135 |
0.7× |
| Meckels Diverticulum (78290) |
$303.15 |
$2,021 |
0.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$311.10 |
$2,074 |
0.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$7.95 |
$53 |
0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$19.95 |
$133 |
0.2× |
| MRA head w & w/o contrast (70546) |
$1,502.40 |
$10,016 |
4.3× |
| MRA head w/o contrast (70544) |
$981.88 |
$6,545.88 |
4.1× |
| MRA head with contrast (70545) |
$1,031.10 |
$6,874 |
2.9× |
| MRA neck w contrast (70548) |
$1,158.15 |
$7,721 |
3.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,625.40 |
$10,836 |
4.6× |
| MRA neck w/o contrast (70547) |
$1,015.92 |
$6,772.75 |
4.2× |
| MRI abdomen w contrast (74182) |
$1,380.60 |
$9,204 |
3.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,533.90 |
$10,226 |
4.4× |
| MRI abdomen w/o contrast (74181) |
$889.80 |
$5,932 |
3.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,241.30 |
$14,942 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,223 |
$14,820 |
2.8× |
| MRI c-spine with contrast (72142) |
$1,782.60 |
$11,884 |
5.1× |
| MRI cardiac w/o cont stress (75559) |
$526.80 |
$3,512 |
1.0× |
| MRI cervical spine w/o contrast (72141) |
$1,229.40 |
$8,196 |
5.1× |
| MRI chest w/o & w/contrast material (71552) |
$1,189.65 |
$7,931 |
3.4× |
| MRI chest w/o contrast (71550) |
$660.84 |
$4,405.62 |
2.8× |
| MRI chest with contrast (71551) |
$796.80 |
$5,312 |
1.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,273.20 |
$8,488 |
3.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,513.65 |
$10,091 |
4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,282.80 |
$8,552 |
5.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$673.65 |
$4,491 |
2.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,005.30 |
$6,702 |
2.9× |
| MRI orbit/face/neck w/contrast (70542) |
$794.25 |
$5,295 |
2.3× |
| MRI pelvis w contrast (72196) |
$1,267.50 |
$8,450 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,584.40 |
$10,562.70 |
4.5× |
| MRI pelvis w/o contrast (72195) |
$1,077.45 |
$7,183 |
4.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,739.30 |
$18,262 |
7.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,608.50 |
$17,390 |
7.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,065.35 |
$13,769 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,671.60 |
$11,144 |
4.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,965.90 |
$13,106 |
5.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,159.55 |
$14,397 |
6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,534.40 |
$16,896 |
7.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,499.64 |
$9,997.62 |
6.3× |
| MRI tmj (70336) |
$3,037.65 |
$20,251 |
12.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,434.15 |
$9,561 |
6.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,576.95 |
$10,513 |
4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,168.20 |
$7,788 |
4.9× |
| Myelogram Cervical (72240) |
$376.58 |
$2,510.50 |
0.5× |
| Myelogram Lumbar (72265) |
$366.75 |
$2,445 |
0.5× |
| Myelogram thoracic (72255) |
$538.88 |
$3,592.50 |
0.7× |
| Myelography 2 or more regions (72270) |
$685.72 |
$4,571.50 |
0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,022.85 |
$6,819 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,204.25 |
$14,695 |
1.7× |
| Neck soft tissue (70360) |
$166.03 |
$1,106.85 |
1.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$79.35 |
$529 |
0.2× |
| Nm cisternogram (78630) |
$450.90 |
$3,006 |
0.8× |
| Nm csf leak detection (78650) |
$630.60 |
$4,204 |
0.5× |
| Nm gastric emptying study (78264) |
$376.82 |
$2,512.12 |
0.9× |
| Nm peritoneal-venous shunt patency (78291) |
$199.95 |
$1,333 |
0.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,297.40 |
$15,316 |
1.7× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$1,307.70 |
$8,717.94 |
0.9× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$229.65 |
$1,531 |
0.6× |
| Nuclear Rx Oral Admin (79005) |
$484.95 |
$3,233 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$324 |
$2,160 |
3.1× |
| Orthopantogram (70355) |
$44.55 |
$297 |
0.5× |
| Osseous survey limited (77074) |
$223.80 |
$1,492 |
2.1× |
| Parathyrd planar w/wo subtrj (78071) |
$422.55 |
$2,817 |
1.1× |
| Parathyroid imaging (78070) |
$475.37 |
$3,169.12 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$170.38 |
$1,135.84 |
1.6× |
| PET image w/CT, skull-thigh (78815) |
$1,764.15 |
$11,761 |
1.2× |
| PET imaging CT for attenuation limited area (78814) |
$1,023.30 |
$6,822 |
0.7× |
| PET imaging for CT attenuation whole body (78816) |
$1,817.10 |
$12,114 |
1.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,936.95 |
$12,913 |
5.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$658.80 |
$4,392 |
1.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$914.85 |
$6,099 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$122.55 |
$817 |
0.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$65.55 |
$437 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$107.48 |
$716.52 |
1.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$113.40 |
$756 |
1.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$116.10 |
$774 |
1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$151.50 |
$1,010 |
1.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$4,444.65 |
$29,631 |
0.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$307.05 |
$2,047 |
0.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$97.65 |
$651 |
1.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$107.40 |
$716 |
0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$146.43 |
$976.14 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$160.92 |
$1,072.81 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$194.70 |
$1,298 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$199.95 |
$1,333 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$317.25 |
$2,115 |
1.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$447.75 |
$2,985 |
2.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$371.02 |
$2,473.42 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$235.12 |
$1,567.50 |
2.7× |
| Radiological examination surgical specimen (76098) |
$229.60 |
$1,530.66 |
0.4× |
| Ribs bilateral 3 views (71110) |
$447.75 |
$2,985 |
4.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$425.85 |
$2,839 |
1.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$483.90 |
$3,226 |
0.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$536.55 |
$3,577 |
1.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,028.25 |
$6,855 |
0.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$750.15 |
$5,001 |
0.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$241.05 |
$1,607 |
1.0× |
| Salivary gland imaging (78230) |
$175.35 |
$1,169 |
0.4× |
| Scanogram (77073) |
$40.80 |
$272 |
0.4× |
| Scapula complete (73010) |
$132.90 |
$886 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$36.57 |
$243.80 |
1.6× |
| Sialogram (70390) |
$144.90 |
$966 |
0.6× |
| Simulation intermediate (77285) |
$763.20 |
$5,088 |
2.0× |
| Small bowel series (74250) |
$588.85 |
$3,925.66 |
3.3× |
| Spec medical radj physics consltj (77370) |
$490.50 |
$3,270 |
3.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$272.07 |
$1,813.75 |
0.7× |
| Special dosimetry (77331) |
$169.50 |
$1,130 |
1.3× |
| Special treatment procedure (77470) |
$391.50 |
$2,610 |
0.7× |
| Spine thoracic 3 views (72072) |
$299.03 |
$1,993.48 |
2.8× |
| Stereotactic body radiation delivery (77373) |
$1,068 |
$7,120 |
0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$558.26 |
$3,721.68 |
1.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$206.70 |
$1,378 |
0.5× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$198.15 |
$1,321 |
0.8× |
| Testicular Imaging With Vascular Flow (78761) |
$286.95 |
$1,913 |
0.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$771 |
$5,140 |
2.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$462.60 |
$3,084 |
3.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$605.55 |
$4,036.97 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$545.70 |
$3,638 |
1.4× |
| Thyroid uptake measurement (78012) |
$106.35 |
$709 |
0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$690.75 |
$4,605 |
1.7× |
| Treatment device intermediate (77333) |
$511.80 |
$3,412 |
3.8× |
| Treatment devices simple (77332) |
$145.65 |
$971 |
1.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$401.70 |
$2,678 |
1.0× |
| Tx devices design & construction complex (77334) |
$469.50 |
$3,130 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$391.35 |
$2,609 |
3.7× |
| Umbilical-artery Doppler (OB) (76820) |
$95.75 |
$638.32 |
0.9× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$90.60 |
$604 |
0.2× |
| Upper Extremity Infant (73092) |
$62.73 |
$418.20 |
0.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$174.45 |
$1,163 |
0.4× |
| Urethrocystography retrograde rs&i (74450) |
$156.04 |
$1,040.30 |
0.7× |
| Urethrocystography voiding (74455) |
$196.50 |
$1,309.97 |
0.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$240.60 |
$1,604 |
1.4× |
| Us abdl aorta screen aaa (76706) |
$91.74 |
$611.62 |
0.9× |
| Us breast unilateral complete (76641) |
$375.30 |
$2,502 |
3.6× |
| Us breast unilateral limited (76642) |
$312.75 |
$2,085 |
3.6× |
| Us chest (76604) |
$410.46 |
$2,736.36 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$130.20 |
$868 |
1.2× |
| Us elastography parenchyma (76981) |
$37.51 |
$250.02 |
0.4× |
| Us guided compression repair (76936) |
$281.32 |
$1,875.50 |
1.3× |
| Us infant hips dynamic (76885) |
$217.11 |
$1,447.38 |
2.5× |
| Us ob detailed single fetus (76811) |
$184.80 |
$1,232 |
0.8× |
| Us ob transvaginal (76817) |
$324 |
$2,159.98 |
3.1× |
| Us pelvic non ob complete (76856) |
$605.55 |
$4,037 |
5.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$282.45 |
$1,883 |
2.7× |
| Us pregnancy ltd (76815) |
$285.15 |
$1,901 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$484.28 |
$3,228.51 |
4.6× |
| Us retroperitoneal complete (76770) |
$545.84 |
$3,638.90 |
5.2× |
| Us retroperitoneal limited (76775) |
$300.30 |
$2,002 |
2.9× |
| Us scrotum and contents (76870) |
$541.28 |
$3,608.50 |
5.2× |
| Us soft tissue head/neck (76536) |
$522 |
$3,480 |
5.0× |
| Us spinal canal and contents (76800) |
$62.40 |
$416 |
0.6× |
| Us transrectal (76872) |
$298.50 |
$1,990 |
2.8× |
| Us xtr non-vasc lmtd (76882) |
$154.94 |
$1,032.88 |
1.5× |
| Venogram extremity bilateral (75822) |
$404.85 |
$2,699 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$1,258.35 |
$8,389 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$522.75 |
$3,485 |
0.3× |
| Venography extremity unilateral rs&i (75820) |
$411.46 |
$2,743.10 |
0.3× |
| Venography Renal Bilateral (75833) |
$1,258.35 |
$8,389 |
0.4× |
| Wrist 2 views (73100) |
$195.45 |
$1,303 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$194.70 |
$1,298 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$81.60 |
$544 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$261.68 |
$1,744.50 |
3.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$422.85 |
$2,819 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$223.80 |
$1,492 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$254.40 |
$1,696 |
2.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$121.50 |
$810 |
1.2× |
| X-ray exam hip uni 1 view (73501) |
$90.90 |
$606 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$131.80 |
$878.61 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$166.05 |
$1,107 |
1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$148.95 |
$993 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$171.30 |
$1,142 |
1.6× |
| X-ray exam of femur 1 (73551) |
$49.95 |
$333 |
0.6× |
| X-ray eye for foreign body (70030) |
$71.10 |
$474 |
0.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$225.57 |
$1,503.75 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$153.45 |
$1,023 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$275.64 |
$1,837.55 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$134.67 |
$897.75 |
1.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$223.50 |
$1,490 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$190.50 |
$1,270 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$66.30 |
$442 |
0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$396.60 |
$2,644 |
3.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$607.65 |
$4,051 |
5.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$401.70 |
$2,678 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$168.60 |
$1,124 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$63.18 |
$421.17 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$137.86 |
$919.02 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$257.25 |
$1,715 |
2.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$173.25 |
$1,155 |
0.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$501.15 |
$3,341 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$374.55 |
$2,497 |
4.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$430.50 |
$2,870 |
4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$538.05 |
$3,587 |
5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$266.40 |
$1,776 |
2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$222 |
$1,480 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$186.22 |
$1,241.50 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$397.20 |
$2,648 |
4.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$151.05 |
$1,007 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$136.04 |
$906.88 |
1.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$110.25 |
$735 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$140.10 |
$934 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$75.14 |
$500.96 |
0.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$95.44 |
$636.30 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$227.29 |
$1,515.23 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$164.90 |
$1,099.32 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$238.35 |
$1,589 |
2.7× |
| Xr arthrogram ankle (73615) |
$192.15 |
$1,281 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$591.45 |
$3,943 |
5.6× |
| Xr chest 4+ views (71048) |
$271.50 |
$1,810 |
2.6× |
| Xr finger(s) 2+ views (73140) |
$203.85 |
$1,359 |
2.3× |
| Xr internal auditory meati complete (70134) |
$117.30 |
$782 |
0.2× |
| Xr optic foramina (70190) |
$70.95 |
$473 |
0.8× |
| Xr shoulder 1 view (73020) |
$171.15 |
$1,141 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$505.50 |
$3,370 |
4.8× |
| Xr tibia/fibula 2 views (73590) |
$269.10 |
$1,794 |
3.1× |
| Xr tmj bilateral (70330) |
$114.62 |
$764.10 |
1.3× |
| Xray knee 1 or 2 views rt (73560) |
$161.40 |
$1,076 |
1.8× |