| 3-D radiotherapy plan dose-volume histograms (77295) |
$1,925.82 |
$7,407 |
1.5× |
| Abdomen 2 views (74019) |
$222.95 |
$857.50 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$328.64 |
$1,264 |
0.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,216.50 |
$8,525 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$1,108.38 |
$4,263 |
0.4× |
| Angiography internal mammary rs&i (75756) |
$743.86 |
$2,861 |
0.2× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,350.44 |
$5,194 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,983.02 |
$7,627 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,159.34 |
$4,459 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,083.16 |
$4,166 |
0.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$677.04 |
$2,604 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,285.18 |
$4,943 |
0.4× |
| Ankle 2 views (73600) |
$96.98 |
$373 |
1.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,259.96 |
$4,846 |
3.8× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,378 |
$5,300 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,233.44 |
$4,744 |
0.4× |
| Aortography abdominal serialography rs&i (75625) |
$1,101.10 |
$4,235 |
0.4× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,595.62 |
$6,137 |
0.5× |
| Basic radiation dosimetry calculation (77300) |
$252.46 |
$971 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$345.28 |
$1,328 |
0.9× |
| Bone &/joint imaging whole body (78306) |
$428.48 |
$1,648 |
1.1× |
| Bone age studies (77072) |
$124.80 |
$480 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$489.32 |
$1,882 |
1.3× |
| Bone survey complete (77075) |
$283.40 |
$1,090 |
2.9× |
| Brachytx isodose intermed (77317) |
$746.72 |
$2,872 |
2.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$501.80 |
$1,930 |
1.4× |
| Brain image w/flow 4 + views (78606) |
$383.24 |
$1,474 |
0.7× |
| Brain Imaging Vascular Flow Only (78610) |
$404.04 |
$1,554 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$134.68 |
$518 |
1.6× |
| Chest 1 view (71045) |
$134.68 |
$518 |
1.6× |
| Chest 3 views (71047) |
$166.92 |
$642 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$273.52 |
$1,052 |
1.7× |
| Clavicle complete (73000) |
$134.94 |
$519 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$67.60 |
$260 |
0.7× |
| Continuing medical physics consltj pr wk (77336) |
$429.52 |
$1,652 |
3.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$968.76 |
$3,726 |
2.9× |
| CT abdomen and pelvis without contrast (74176) |
$619.84 |
$2,384 |
2.8× |
| CT abdomen w contrast (74160) |
$472.94 |
$1,819 |
2.9× |
| CT abdomen w wo contrast (74170) |
$489.58 |
$1,883 |
3.0× |
| CT abdomen w/o contrast (74150) |
$380.90 |
$1,465 |
3.9× |
| CT angio hrt w/3d image (75574) |
$324.48 |
$1,248 |
1.0× |
| CT angiography upper extremity lt (73206) |
$462.28 |
$1,778 |
2.8× |
| CT c-spine w/o contrast (72125) |
$391.56 |
$1,506 |
4.0× |
| CT cervical spine w&w/o contrast (72127) |
$650 |
$2,500 |
3.9× |
| CT cervical spine with contrast (72126) |
$503.88 |
$1,938 |
1.5× |
| CT chest w/wo contrast (71270) |
$509.34 |
$1,959 |
3.1× |
| CT chest with contrast (71260) |
$424.06 |
$1,631 |
2.6× |
| CT head/brain with contrast (70460) |
$281.32 |
$1,082 |
1.7× |
| CT head/brain without and with contrast (70470) |
$317.46 |
$1,221 |
1.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48.10 |
$185 |
0.6× |
| CT iac w contrast (70481) |
$249.08 |
$958 |
1.5× |
| CT limited/localized follow up study (76380) |
$210.34 |
$809 |
2.6× |
| CT lower ext w/o (73700) |
$302.64 |
$1,164 |
3.1× |
| CT lower extremity w wo contrast (73702) |
$488.54 |
$1,879 |
3.0× |
| CT lower extremity with contrast (73701) |
$382.72 |
$1,472 |
2.3× |
| CT lumbar spine w & w/o contrast (72133) |
$585 |
$2,250 |
3.5× |
| CT lumbar spine w/o contrast (72131) |
$399.36 |
$1,536 |
4.0× |
| CT lumbar spine with contrast (72132) |
$483.08 |
$1,858 |
1.5× |
| CT maxillofacial w contrast (70487) |
$302.38 |
$1,163 |
1.8× |
| CT maxillofacial w/o contrast (70486) |
$249.86 |
$961 |
2.5× |
| CT maxillofacial w/wo contrast (70488) |
$336.31 |
$1,293.50 |
2.0× |
| CT neck soft tissue w contrast (70491) |
$309.14 |
$1,189 |
1.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$351.26 |
$1,351 |
2.1× |
| CT orbits w/o contrast (70480) |
$214.24 |
$824 |
2.2× |
| CT pelvis w & w/o contrast (72194) |
$487.76 |
$1,876 |
2.9× |
| CT pelvis w/o contrast (72192) |
$333.32 |
$1,282 |
3.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$317.46 |
$1,221 |
1.9× |
| CT soft tissue neck w/o contrast (70490) |
$258.18 |
$993 |
2.6× |
| CT thoracic spine w/contrast (72129) |
$379.86 |
$1,461 |
2.3× |
| CT thoracic spine w/o contrast (72128) |
$366.60 |
$1,410 |
3.7× |
| CT thoracic spine w/wo contrast (72130) |
$420.16 |
$1,616 |
2.5× |
| CT thorax w/o contrast (71250) |
$353.60 |
$1,360 |
3.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$414.18 |
$1,593 |
2.5× |
| CT upper extremity w/o contrast rt (73200) |
$278.46 |
$1,071 |
2.8× |
| CT upper extremity with contrast (73201) |
$340.08 |
$1,308 |
1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$515.32 |
$1,982 |
3.1× |
| Cta Abdomen (74175) |
$506.48 |
$1,948 |
3.1× |
| CTA abdomen pelvis (74174) |
$800.02 |
$3,077 |
2.4× |
| CTA chest (71275) |
$509.34 |
$1,959 |
3.1× |
| Cta Head (70496) |
$317.46 |
$1,221 |
1.9× |
| CTA lwr ext w&w/o contrast (73706) |
$521.30 |
$2,005 |
3.1× |
| Cta Neck (70498) |
$317.46 |
$1,221 |
1.9× |
| Cta Pelvis (72191) |
$518.44 |
$1,994 |
3.1× |
| Cystography minimum 3 views rs&i (74430) |
$253.50 |
$975 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$210.60 |
$810 |
2.1× |
| Echo exam of fetal heart (76825) |
$425.62 |
$1,637 |
0.8× |
| Echoencephalography real time imaging (76506) |
$416.52 |
$1,602 |
4.2× |
| Esophagus (74220) |
$185.90 |
$715 |
1.1× |
| Fetal biophysical profile non-stress testing (76818) |
$385.06 |
$1,481 |
3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$303.16 |
$1,166 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$337.22 |
$1,297 |
1.5× |
| Foot 2 views (73620) |
$106.34 |
$409 |
1.3× |
| Forearm 2 views (73090) |
$108.42 |
$417 |
1.3× |
| Gated Heart Planar Single (78472) |
$460.72 |
$1,772 |
1.2× |
| Hand 2 views (73120) |
$108.42 |
$417 |
1.1× |
| Hand 3 views (73130) |
$131.82 |
$507 |
1.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$891.80 |
$3,430 |
1.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,119.56 |
$4,306 |
1.7× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,429.22 |
$5,497 |
2.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,380.08 |
$5,308 |
0.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$409.24 |
$1,574 |
0.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$379.34 |
$1,459 |
1.0× |
| Ht muscle image spect sing (78451) |
$886.86 |
$3,411 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$128.18 |
$493 |
1.6× |
| Hysterosalpingogram (74740) |
$396.76 |
$1,526 |
1.8× |
| Image fusion (77399) |
$107.90 |
$415 |
0.9× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,473.16 |
$5,666 |
2.2× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,127.36 |
$4,336 |
2.2× |
| Intracavitary radiation source applic simple (77761) |
$964.08 |
$3,708 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$419.38 |
$1,613 |
0.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$447.20 |
$1,720 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$460.46 |
$1,771 |
0.9× |
| Knee 3 views (73562) |
$113.88 |
$438 |
1.4× |
| Liver & spleen imaging static only (78215) |
$368.68 |
$1,418 |
1.0× |
| Liver imaging static only (78201) |
$457.34 |
$1,759 |
0.9× |
| Lung perf&ventilat diferentl (78598) |
$648.18 |
$2,493 |
1.3× |
| Lung perfusion differential (78597) |
$715.26 |
$2,751 |
1.9× |
| Lung Ventilation Imaging (78579) |
$611.52 |
$2,352 |
1.6× |
| Lymphoscintigraphy (78195) |
$405.86 |
$1,561 |
0.8× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$84.50 |
$325 |
1.0× |
| Meckels Diverticulum (78290) |
$269.62 |
$1,037 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$679.12 |
$2,612 |
1.9× |
| Mr elastography (76391) |
$272.48 |
$1,048 |
1.2× |
| MRA head w & w/o contrast (70546) |
$870.74 |
$3,349 |
2.6× |
| MRA head w/o contrast (70544) |
$585 |
$2,250 |
2.6× |
| MRA head with contrast (70545) |
$713.96 |
$2,746 |
2.2× |
| MRA neck w contrast (70548) |
$713.96 |
$2,746 |
2.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$856.70 |
$3,295 |
2.6× |
| MRA neck w/o contrast (70547) |
$592.80 |
$2,280 |
2.6× |
| MRI abdomen w contrast (74182) |
$772.85 |
$2,972.50 |
2.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$998.14 |
$3,839 |
3.0× |
| MRI abdomen w/o contrast (74181) |
$676.52 |
$2,602 |
3.0× |
| MRI any jnt lwr ext with con lt (73722) |
$743.34 |
$2,859 |
1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$751.14 |
$2,889 |
1.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,017.64 |
$3,914 |
4.5× |
| MRI breast w/o contrast unilat (77046) |
$736.06 |
$2,831 |
3.3× |
| MRI c-spine with contrast (72142) |
$939.38 |
$3,613 |
2.9× |
| MRI cervical spine w/o contrast (72141) |
$798.72 |
$3,072 |
3.5× |
| MRI chest w/o & w/contrast material (71552) |
$743.34 |
$2,859 |
2.3× |
| MRI chest w/o contrast (71550) |
$598 |
$2,300 |
2.7× |
| MRI chest with contrast (71551) |
$838.50 |
$3,225 |
1.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$826.02 |
$3,177 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$712.66 |
$2,741 |
2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$633.62 |
$2,437 |
2.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$592.80 |
$2,280 |
2.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$785.72 |
$3,022 |
2.4× |
| MRI orbit/face/neck w/contrast (70542) |
$799.24 |
$3,074 |
2.4× |
| MRI pelvis w contrast (72196) |
$869.44 |
$3,344 |
2.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$877.76 |
$3,376 |
2.7× |
| MRI pelvis w/o contrast (72195) |
$629.46 |
$2,421 |
2.8× |
| MRI scan of arm joint before and after contrast (73223) |
$953.94 |
$3,669 |
2.9× |
| MRI scan of leg joint before and after contrast (73723) |
$833.30 |
$3,205 |
2.5× |
| MRI spectroscopy (76390) |
$379.34 |
$1,459 |
4.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,108.90 |
$4,265 |
3.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$757.90 |
$2,915 |
2.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$893.88 |
$3,438 |
2.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$768.56 |
$2,956 |
2.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$991.12 |
$3,812 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$598 |
$2,300 |
2.7× |
| MRI tmj (70336) |
$601.90 |
$2,315 |
2.7× |
| MRI upper ext joint w/o contrast (73221) |
$483.34 |
$1,859 |
2.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$877.76 |
$3,376 |
2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$629.98 |
$2,423 |
2.8× |
| Myelogram Cervical (72240) |
$913.12 |
$3,512 |
1.2× |
| Myelogram Lumbar (72265) |
$847.34 |
$3,259 |
1.1× |
| Myelogram thoracic (72255) |
$911.04 |
$3,504 |
1.2× |
| Myelography 2 or more regions (72270) |
$970.84 |
$3,734 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$1,411.02 |
$5,427 |
1.2× |
| Neck soft tissue (70360) |
$128.44 |
$494 |
1.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$567.32 |
$2,182 |
1.5× |
| Nm adrenal scan (78075) |
$459.94 |
$1,769 |
0.4× |
| Nm cisternogram (78630) |
$546.52 |
$2,102 |
1.1× |
| Nm gastric emptying study (78264) |
$418.08 |
$1,608 |
1.1× |
| Nm gastroesophageal reflux study (78262) |
$315.12 |
$1,212 |
0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,742.22 |
$10,547 |
2.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$1,612 |
$6,200 |
1.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$914.68 |
$3,518 |
0.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$914.68 |
$3,518 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$219.70 |
$845 |
1.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$247.78 |
$953 |
2.5× |
| Osseous survey infant (77076) |
$294.32 |
$1,132 |
3.0× |
| Osseous survey limited (77074) |
$274.30 |
$1,055 |
2.8× |
| Parathyrd planar w/spect&CT (78072) |
$409.50 |
$1,575 |
0.8× |
| Parathyrd planar w/wo subtrj (78071) |
$627.12 |
$2,412 |
1.7× |
| Parathyroid imaging (78070) |
$524.16 |
$2,016 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$128.18 |
$493 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$1,828.84 |
$7,034 |
1.4× |
| PET imaging CT for attenuation limited area (78814) |
$2,139.02 |
$8,227 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$1,847.56 |
$7,106 |
1.4× |
| PET whole body (78813) |
$1,419.60 |
$5,460 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$797.94 |
$3,069 |
2.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,900.08 |
$7,308 |
0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$372.84 |
$1,434 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$937.30 |
$3,605 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$231.40 |
$890 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$212.16 |
$816 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$230.10 |
$885 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$219.18 |
$843 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$255.58 |
$983 |
2.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$264.68 |
$1,018 |
2.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$6,088.16 |
$23,416 |
0.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$239.72 |
$922 |
0.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$196.56 |
$756 |
2.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$189.80 |
$730 |
0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$158.86 |
$611 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$160.16 |
$616 |
2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$313.17 |
$1,204.50 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$165.88 |
$638 |
2.0× |
| Radiologic exam colon single contrast study (74270) |
$354.64 |
$1,364 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$351.52 |
$1,352 |
2.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$365.04 |
$1,404 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$135.72 |
$522 |
1.7× |
| Radiological examination surgical specimen (76098) |
$525.72 |
$2,022 |
1.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,809.86 |
$6,961 |
0.6× |
| Ribs bilateral 3 views (71110) |
$305.76 |
$1,176 |
3.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$859.56 |
$3,306 |
1.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$637.78 |
$2,453 |
1.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$939.12 |
$3,612 |
0.8× |
| Rp therapy intra-arterial particulate admn (79445) |
$181.48 |
$698 |
0.8× |
| Rp Therapy Intravenous Administration (79101) |
$178.62 |
$687 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$134.68 |
$518 |
1.4× |
| Scanogram (77073) |
$229.32 |
$882 |
2.3× |
| Scapula complete (73010) |
$115.70 |
$445 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$47.58 |
$183 |
2.0× |
| Sella turcica (70240) |
$49.92 |
$192 |
0.6× |
| Simulation intermediate (77285) |
$711.10 |
$2,735 |
2.0× |
| Small bowel series (74250) |
$295.10 |
$1,135 |
1.8× |
| Spec medical radj physics consltj (77370) |
$205.92 |
$792 |
1.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$575.64 |
$2,214 |
1.6× |
| Special dosimetry (77331) |
$278.20 |
$1,070 |
2.2× |
| Special treatment procedure (77470) |
$1,112.80 |
$4,280 |
2.1× |
| Spine thoracic 3 views (72072) |
$177.84 |
$684 |
1.8× |
| Stereotactic body radiation delivery (77373) |
$3,875.04 |
$14,904 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$743.60 |
$2,860 |
2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$207.48 |
$798 |
0.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$740.35 |
$2,847.50 |
3.3× |
| Testicular Imaging With Vascular Flow (78761) |
$358.54 |
$1,379 |
1.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$997.36 |
$3,836 |
2.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$535.60 |
$2,060 |
4.2× |
| Thoracolumbar 2 views (72080) |
$192.14 |
$739 |
2.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$397.54 |
$1,529 |
0.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$389.48 |
$1,498 |
1.0× |
| Thyroid uptake measurement (78012) |
$389.48 |
$1,498 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$333.06 |
$1,281 |
0.9× |
| Tmj unilateral (70328) |
$80.08 |
$308 |
1.0× |
| Treatment device intermediate (77333) |
$450.06 |
$1,731 |
3.5× |
| Treatment devices simple (77332) |
$314.86 |
$1,211 |
2.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$831.48 |
$3,198 |
1.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$392.34 |
$1,509 |
1.0× |
| Tx devices design & construction complex (77334) |
$743.34 |
$2,859 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$369.98 |
$1,423 |
3.8× |
| Unlisted fluoroscopic procedure (76496) |
$142.22 |
$547 |
1.7× |
| Unlisted magnetic resonance procedure (76498) |
$768.30 |
$2,955 |
9.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$727.22 |
$2,797 |
7.6× |
| Upper Extremity Infant (73092) |
$80.34 |
$309 |
0.8× |
| Urethrocystography voiding (74455) |
$372.06 |
$1,431 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$314.86 |
$1,211 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$225.42 |
$867 |
2.3× |
| Us breast unilateral complete (76641) |
$177.58 |
$683 |
1.8× |
| Us breast unilateral limited (76642) |
$177.58 |
$683 |
2.2× |
| Us chest (76604) |
$611.52 |
$2,352 |
6.2× |
| Us compl joint r-t w/image documentation (76881) |
$449.02 |
$1,727 |
4.6× |
| Us infant hips dynamic (76885) |
$312.52 |
$1,202 |
3.8× |
| Us kidney transplant (76776) |
$317.98 |
$1,223 |
3.2× |
| Us ob detailed single fetus (76811) |
$124.28 |
$478 |
0.6× |
| Us ob transvaginal (76817) |
$361.14 |
$1,389 |
3.7× |
| Us pelvic non ob complete (76856) |
$425.62 |
$1,637 |
4.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$373.62 |
$1,437 |
3.8× |
| Us pregnancy ltd (76815) |
$315.64 |
$1,214 |
3.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$312.26 |
$1,201 |
3.2× |
| Us retroperitoneal complete (76770) |
$579.80 |
$2,230 |
5.9× |
| Us retroperitoneal limited (76775) |
$404.30 |
$1,555 |
4.1× |
| Us scrotum and contents (76870) |
$425.62 |
$1,637 |
4.3× |
| Us soft tissue head/neck (76536) |
$432.90 |
$1,665 |
4.4× |
| Us spinal canal and contents (76800) |
$492.18 |
$1,893 |
5.0× |
| Us transrectal (76872) |
$263.90 |
$1,015 |
2.7× |
| Us transrectal prostate volume (76873) |
$387.66 |
$1,491 |
3.9× |
| Us xtr non-vasc lmtd (76882) |
$352.04 |
$1,354 |
3.6× |
| Vascular flow imaging (78445) |
$291.20 |
$1,120 |
0.8× |
| Venogram extremity bilateral (75822) |
$704.86 |
$2,711 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,197.56 |
$4,606 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$1,165.58 |
$4,483 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$352.82 |
$1,357 |
0.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,809.86 |
$6,961 |
0.6× |
| Wrist 2 views (73100) |
$90.48 |
$348 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$254.54 |
$979 |
2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$177.06 |
$681 |
2.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$129.74 |
$499 |
1.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$529.10 |
$2,035 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$106.86 |
$411 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$153.92 |
$592 |
1.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$247 |
$950 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$108.16 |
$416 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$146.38 |
$563 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$187.46 |
$721 |
1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$199.94 |
$769 |
2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$214.24 |
$824 |
2.2× |
| X-ray exam of femur 1 (73551) |
$135.72 |
$522 |
1.7× |
| X-ray eye for foreign body (70030) |
$122.46 |
$471 |
1.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$199.42 |
$767 |
2.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$138.84 |
$534 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$128.18 |
$493 |
1.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$111.54 |
$429 |
1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$130.52 |
$502 |
1.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$127.92 |
$492 |
1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$144.30 |
$555 |
1.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$127.14 |
$489 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$150.80 |
$580 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$229.06 |
$881 |
2.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$227.24 |
$874 |
2.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$99.58 |
$383 |
1.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$109.98 |
$423 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$200.72 |
$772 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$179.14 |
$689 |
1.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$451.36 |
$1,736 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$153.14 |
$589 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$174.46 |
$671 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$349.18 |
$1,343 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$161.20 |
$620 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$106.86 |
$411 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$132.60 |
$510 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$144.04 |
$554 |
1.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$120.12 |
$462 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$183.82 |
$707 |
1.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$136.24 |
$524 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$133.38 |
$513 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$153.92 |
$592 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$156.78 |
$603 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$149.24 |
$574 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$198.38 |
$763 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$80.86 |
$311 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$113.36 |
$436 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$225.16 |
$866 |
2.3× |
| Xr chest 4+ views (71048) |
$286 |
$1,100 |
2.9× |
| Xr finger(s) 2+ views (73140) |
$81.38 |
$313 |
1.0× |
| Xr optic foramina (70190) |
$212.94 |
$819 |
2.6× |
| Xr shoulder 1 view (73020) |
$78 |
$300 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$195.78 |
$753 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$122.46 |
$471 |
1.5× |
| Xr tmj bilateral (70330) |
$104.26 |
$401 |
1.3× |
| Xray knee 1 or 2 views rt (73560) |
$110.24 |
$424 |
1.3× |