| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,030.90 |
$13,402 |
4.1× |
| Abdomen 2 views (74019) |
$324.45 |
$721 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,675.80 |
$3,724 |
3.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,893.95 |
$6,431 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$1,668.60 |
$3,708 |
0.5× |
| Angiography internal mammary rs&i (75756) |
$1,505.25 |
$3,345 |
0.4× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,102.85 |
$4,673 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,343.40 |
$9,652 |
1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,685.60 |
$5,968 |
0.8× |
| Angiography Spinal Selective Rs&I (75705) |
$3,028.95 |
$6,731 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure |
$1,687.05 |
$3,749 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,395 |
$3,100 |
0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,365.30 |
$3,034 |
0.4× |
| Ankle 2 views (73600) |
$106.65 |
$237 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$650.25 |
$1,445 |
1.7× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,877.30 |
$6,394 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,578.95 |
$5,731 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,490.75 |
$5,535 |
0.7× |
| Arthrogram hip (73525) |
$703.35 |
$1,563 |
1.9× |
| Arthrogram shoulder (73040) |
$529.20 |
$1,176 |
1.4× |
| Arthrogram wrist (73115) |
$551.70 |
$1,226 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$550.35 |
$1,223 |
3.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$739.35 |
$1,643 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$1,688.40 |
$3,752 |
4.0× |
| Bone Imaging 3 Phase (78315) |
$1,394.55 |
$3,099 |
3.3× |
| Bone survey complete (77075) |
$781.65 |
$1,737 |
7.0× |
| Brachytx isodose complex (77318) |
$2,510.55 |
$5,579 |
6.3× |
| Brachytx isodose intermed (77317) |
$1,598.40 |
$3,552 |
4.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,100.70 |
$2,446 |
2.8× |
| Brain image w/flow 4 + views (78606) |
$966.15 |
$2,147 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$304.20 |
$676 |
3.3× |
| Chest 1 view (71045) |
$258.30 |
$574 |
2.8× |
| Chest 3 views (71047) |
$300.60 |
$668 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$454.50 |
$1,010 |
2.4× |
| Clavicle complete (73000) |
$315.45 |
$701 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$774.90 |
$1,722 |
6.9× |
| Continuing medical physics consltj pr wk (77336) |
$757.35 |
$1,683 |
5.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,857.65 |
$13,017 |
15.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,484.35 |
$7,743 |
13.7× |
| CT abdomen w contrast (74160) |
$1,837.35 |
$4,083 |
9.8× |
| CT abdomen w wo contrast (74170) |
$2,009.25 |
$4,465 |
10.7× |
| CT abdomen w/o contrast (74150) |
$1,782.90 |
$3,962 |
16.0× |
| CT angiography upper extremity lt (73206) |
$588.60 |
$1,308 |
3.1× |
| CT c-spine w/o contrast (72125) |
$1,748.70 |
$3,886 |
15.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,277.90 |
$5,062 |
12.2× |
| CT cervical spine with contrast (72126) |
$2,070 |
$4,600 |
5.6× |
| CT chest w/wo contrast (71270) |
$2,169.90 |
$4,822 |
11.6× |
| CT chest with contrast (71260) |
$2,034.45 |
$4,521 |
10.9× |
| CT head/brain with contrast (70460) |
$1,928.25 |
$4,285 |
10.3× |
| CT head/brain without and with contrast (70470) |
$2,096.10 |
$4,658 |
11.2× |
| CT iac w contrast (70481) |
$1,431.90 |
$3,182 |
7.7× |
| CT limited/localized follow up study (76380) |
$823.50 |
$1,830 |
8.9× |
| CT lower ext w/o (73700) |
$1,242.45 |
$2,761 |
11.1× |
| CT lower extremity w wo contrast (73702) |
$1,406.25 |
$3,125 |
7.5× |
| CT lower extremity with contrast (73701) |
$1,246.95 |
$2,771 |
6.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,939.95 |
$4,311 |
10.4× |
| CT lumbar spine w/o contrast (72131) |
$1,050.30 |
$2,334 |
9.4× |
| CT lumbar spine with contrast (72132) |
$1,154.70 |
$2,566 |
3.1× |
| CT maxillofacial w contrast (70487) |
$864 |
$1,920 |
4.6× |
| CT maxillofacial w/o contrast (70486) |
$746.55 |
$1,659 |
6.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,659.60 |
$3,688 |
8.9× |
| CT neck soft tissue w contrast (70491) |
$1,916.10 |
$4,258 |
10.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,791 |
$3,980 |
9.6× |
| CT orbits w/o contrast (70480) |
$1,252.80 |
$2,784 |
11.2× |
| CT pelvis w & w/o contrast (72194) |
$2,192.85 |
$4,873 |
11.7× |
| CT pelvis w/o contrast (72192) |
$1,543.50 |
$3,430 |
13.8× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$679.05 |
$1,509 |
7.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,169.45 |
$4,821 |
11.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,185.30 |
$2,634 |
10.6× |
| CT thoracic spine w/contrast (72129) |
$1,507.05 |
$3,349 |
8.1× |
| CT thoracic spine w/o contrast (72128) |
$1,675.80 |
$3,724 |
15.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,612.35 |
$3,583 |
8.6× |
| CT thorax w/o contrast (71250) |
$822.60 |
$1,828 |
7.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,575.90 |
$3,502 |
8.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,761.52 |
$3,914.50 |
15.8× |
| CT upper extremity with contrast (73201) |
$2,286.90 |
$5,082 |
6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,552.95 |
$3,451 |
8.3× |
| Cta Abdomen (74175) |
$1,076.85 |
$2,393 |
5.8× |
| CTA abdomen pelvis (74174) |
$4,398.30 |
$9,774 |
11.8× |
| CTA chest (71275) |
$1,109.70 |
$2,466 |
5.9× |
| Cta Head (70496) |
$1,000.35 |
$2,223 |
5.3× |
| CTA lwr ext w&w/o contrast (73706) |
$2,214.45 |
$4,921 |
11.8× |
| Cta Neck (70498) |
$1,032.30 |
$2,294 |
5.5× |
| Cta Pelvis (72191) |
$1,602 |
$3,560 |
8.6× |
| Cystography minimum 3 views rs&i (74430) |
$291.15 |
$647 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$445.05 |
$989 |
4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$92.70 |
$206 |
1.0× |
| Esophagus (74220) |
$458.55 |
$1,019 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$452.25 |
$1,005 |
1.8× |
| Foot 2 views (73620) |
$104.40 |
$232 |
1.1× |
| Forearm 2 views (73090) |
$327.60 |
$728 |
3.5× |
| Gated Heart Planar Single (78472) |
$864.90 |
$1,922 |
2.0× |
| Hand 3 views (73130) |
$215.55 |
$479 |
2.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$2,488.05 |
$5,529 |
3.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,185.10 |
$7,078 |
4.3× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,200.75 |
$9,335 |
5.7× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$2,610 |
$5,800 |
6.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,313.25 |
$9,585 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,266.75 |
$2,815 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$901.35 |
$2,003 |
2.1× |
| Ht muscle image spect sing (78451) |
$3,109.50 |
$6,910 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$221.85 |
$493 |
2.4× |
| Hyperthermia ntrstl prb 5/< (77610) |
$3,042.45 |
$6,761 |
5.2× |
| Interstitial radiation source applic complex (77778) |
$7,707.15 |
$17,127 |
10.4× |
Intraop radiaj tx deliver xray single tx session (77424)
likely a partial charge, not the full procedure |
$568.35 |
$1,263 |
0.1× |
| Io rad tx deliver by elctrns (77425) |
$14,179.95 |
$31,511 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,239.30 |
$2,754 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,709.55 |
$3,799 |
3.0× |
| Knee 3 views (73562) |
$265.95 |
$591 |
2.9× |
| Liver & spleen imaging static only (78215) |
$1,333.35 |
$2,963 |
3.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$670.50 |
$1,490 |
1.6× |
| Liver imaging static only (78201) |
$2,954.25 |
$6,565 |
5.1× |
| Liver imaging w/vascular flow (78202) |
$709.65 |
$1,577 |
1.2× |
| Lung perf&ventilat diferentl (78598) |
$1,777.50 |
$3,950 |
3.1× |
| Lung perfusion differential (78597) |
$1,503.90 |
$3,342 |
3.5× |
| Lung Ventilation Imaging (78579) |
$792.90 |
$1,762 |
1.9× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$4,598.10 |
$10,218 |
1.4× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$2,089.80 |
$4,644 |
0.6× |
| Lymphoscintigraphy (78195) |
$861.75 |
$1,915 |
1.5× |
| Meckels Diverticulum (78290) |
$971.55 |
$2,159 |
2.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,917.90 |
$4,262 |
4.8× |
| Mr safety determination physician/other qhp (76016) |
$122.85 |
$273 |
1.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$82.80 |
$184 |
1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$34.20 |
$76 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$128.25 |
$285 |
1.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$337.50 |
$750 |
1.3× |
| MRA head w & w/o contrast (70546) |
$2,847.15 |
$6,327 |
7.6× |
| MRA head w/o contrast (70544) |
$1,037.70 |
$2,306 |
4.1× |
| MRA head with contrast (70545) |
$1,208.25 |
$2,685 |
3.2× |
| MRA neck w contrast (70548) |
$1,885.95 |
$4,191 |
5.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,664.10 |
$3,698 |
4.5× |
| MRA neck w/o contrast (70547) |
$1,611.90 |
$3,582 |
6.3× |
| MRI abdomen w contrast (74182) |
$2,518.65 |
$5,597 |
6.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,779.75 |
$3,955 |
4.8× |
| MRI abdomen w/o contrast (74181) |
$2,122.20 |
$4,716 |
8.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,905.30 |
$4,234 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,971 |
$4,380 |
2.4× |
| MRI breast w/o contrast bilateral (77047) |
$366.30 |
$814 |
1.4× |
| MRI breast w/o contrast unilat (77046) |
$368.55 |
$819 |
1.4× |
| MRI c-spine with contrast (72142) |
$2,172.15 |
$4,827 |
5.8× |
| MRI cervical spine w/o contrast (72141) |
$1,399.50 |
$3,110 |
5.5× |
| MRI chest w/o & w/contrast material (71552) |
$2,814.75 |
$6,255 |
7.6× |
| MRI chest w/o contrast (71550) |
$1,638.45 |
$3,641 |
6.4× |
| MRI chest with contrast (71551) |
$2,677.95 |
$5,951 |
3.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,012.40 |
$4,472 |
5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,162.70 |
$4,806 |
5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,667.15 |
$5,927 |
10.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,402.65 |
$3,117 |
5.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,631.50 |
$8,070 |
9.8× |
| MRI orbit/face/neck w/contrast (70542) |
$2,274.30 |
$5,054 |
6.1× |
| MRI pelvis w contrast (72196) |
$2,895.30 |
$6,434 |
7.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,204.90 |
$7,122 |
8.6× |
| MRI pelvis w/o contrast (72195) |
$2,233.35 |
$4,963 |
8.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,404.80 |
$5,344 |
6.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,421.90 |
$5,382 |
6.5× |
| MRI spectroscopy (76390) |
$1,712.70 |
$3,806 |
18.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,244.85 |
$9,433 |
11.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,433.60 |
$5,408 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,241.70 |
$9,426 |
11.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,863 |
$4,140 |
5.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,113.10 |
$6,918 |
8.4× |
| MRI thoracic spine w/o contrast (72146) |
$1,630.35 |
$3,623 |
6.4× |
| MRI tmj (70336) |
$2,024.55 |
$4,499 |
8.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,404.80 |
$5,344 |
9.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,600.65 |
$3,557 |
4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,622.25 |
$3,605 |
6.4× |
| Myelogram Cervical (72240) |
$998.10 |
$2,218 |
1.2× |
| Myelogram Lumbar (72265) |
$1,012.05 |
$2,249 |
1.2× |
| Myelogram thoracic (72255) |
$1,053.45 |
$2,341 |
1.3× |
| Myelography 2 or more regions (72270) |
$1,401.30 |
$3,114 |
1.7× |
| Myocardial Spect Multiple Studies (78452) |
$1,830.15 |
$4,067 |
1.3× |
| Neck soft tissue (70360) |
$151.65 |
$337 |
1.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$338.40 |
$752 |
0.8× |
| Nm gastric emptying study (78264) |
$760.50 |
$1,690 |
1.8× |
| Nm peritoneal-venous shunt patency (78291) |
$675 |
$1,500 |
1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,754.15 |
$12,787 |
3.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,830.15 |
$4,067 |
1.3× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3,304.80 |
$7,344 |
2.2× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$3,109.50 |
$6,910 |
2.3× |
| Nuclear Rx Oral Admin (79005) |
$1,012.50 |
$2,250 |
4.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,089 |
$2,420 |
1.9× |
| Parathyroid imaging (78070) |
$1,505.25 |
$3,345 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$140.40 |
$312 |
1.3× |
| Perineogram (74775) |
$338.85 |
$753 |
1.3× |
| PET image w/CT, skull-thigh (78815) |
$4,117.05 |
$9,149 |
2.7× |
| PET imaging CT for attenuation limited area (78814) |
$3,632.85 |
$8,073 |
2.4× |
| PET imaging for CT attenuation whole body (78816) |
$4,388.18 |
$9,751.50 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,554.65 |
$5,677 |
6.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$710.10 |
$1,578 |
0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$987.30 |
$2,194 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$748.80 |
$1,664 |
1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$543.15 |
$1,207 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$334.80 |
$744 |
3.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$158.85 |
$353 |
1.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$114.30 |
$254 |
1.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$20,442.60 |
$45,428 |
2.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$799.20 |
$1,776 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$483.75 |
$1,075 |
4.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$841.95 |
$1,871 |
2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$291.60 |
$648 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$217.35 |
$483 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$250.65 |
$557 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$282.60 |
$628 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$754.20 |
$1,676 |
4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$265.05 |
$589 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$334.35 |
$743 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$634.95 |
$1,411 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$333.90 |
$742 |
3.6× |
| Radiological examination surgical specimen (76098) |
$98.55 |
$219 |
0.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$4,398.30 |
$9,774 |
1.3× |
| Ribs bilateral 3 views (71110) |
$517.95 |
$1,151 |
4.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$960.30 |
$2,134 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,431.45 |
$3,181 |
2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,279.70 |
$5,066 |
3.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,939.50 |
$4,310 |
1.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,898.10 |
$4,218 |
1.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,095.30 |
$2,434 |
4.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$453.15 |
$1,007 |
1.8× |
| Rp Therapy Intravenous Administration (79101) |
$432 |
$960 |
1.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$418.50 |
$930 |
1.6× |
| Scapula complete (73010) |
$338.40 |
$752 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$38.70 |
$86 |
1.7× |
| Simulation intermediate (77285) |
$1,220.40 |
$2,712 |
3.1× |
| Small bowel series (74250) |
$681.30 |
$1,514 |
3.6× |
| Spec medical radj physics consltj (77370) |
$667.80 |
$1,484 |
4.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,364.85 |
$3,033 |
3.4× |
| Special dosimetry (77331) |
$387.45 |
$861 |
2.7× |
| Special treatment procedure (77470) |
$3,361.05 |
$7,469 |
5.7× |
| Spine thoracic 3 views (72072) |
$201.60 |
$448 |
1.8× |
| Spleen imaging only (78185) |
$616.95 |
$1,371 |
1.4× |
| Stereotactic body radiation delivery (77373) |
$16,412.40 |
$36,472 |
8.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,147.40 |
$4,772 |
5.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,360.35 |
$3,023 |
3.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,336.05 |
$2,969 |
3.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,051.65 |
$2,337 |
7.3× |
| Thoracolumbar 2 views (72080) |
$223.20 |
$496 |
2.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,671.75 |
$3,715 |
2.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$370.35 |
$823 |
0.9× |
| Thyroid uptake measurement (78012) |
$218.25 |
$485 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$763.20 |
$1,696 |
1.8× |
| Treatment device intermediate (77333) |
$642.60 |
$1,428 |
4.5× |
| Treatment devices simple (77332) |
$371.25 |
$825 |
2.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,011.05 |
$4,469 |
3.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$872.10 |
$1,938 |
2.0× |
| Tx devices design & construction complex (77334) |
$1,210.95 |
$2,691 |
3.0× |
| Ultrasound elastography first target lesion (76982) |
$143.55 |
$319 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$517.50 |
$1,150 |
4.6× |
| Unlisted magnetic resonance procedure (76498) |
$2,837.70 |
$6,306 |
30.6× |
| Urethrocystography voiding (74455) |
$480.15 |
$1,067 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$716.85 |
$1,593 |
3.8× |
| Us abdl aorta screen aaa (76706) |
$517.50 |
$1,150 |
4.6× |
| Us breast unilateral complete (76641) |
$331.65 |
$737 |
3.0× |
| Us breast unilateral limited (76642) |
$210.60 |
$468 |
2.3× |
| Us chest (76604) |
$401.85 |
$893 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$484.20 |
$1,076 |
4.3× |
| Us kidney transplant (76776) |
$455.40 |
$1,012 |
4.1× |
| Us ob transvaginal (76817) |
$358.20 |
$796 |
3.2× |
| Us pelvic non ob complete (76856) |
$372.15 |
$827 |
3.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$328.50 |
$730 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$541.80 |
$1,204 |
4.9× |
| Us retroperitoneal complete (76770) |
$555.30 |
$1,234 |
5.0× |
| Us retroperitoneal limited (76775) |
$374.85 |
$833 |
3.4× |
| Us scrotum and contents (76870) |
$534.60 |
$1,188 |
4.8× |
| Us soft tissue head/neck (76536) |
$247.05 |
$549 |
2.2× |
| Us transrectal (76872) |
$434.25 |
$965 |
3.9× |
| Us transrectal prostate volume (76873) |
$389.70 |
$866 |
3.5× |
| Us xtr non-vasc lmtd (76882) |
$399.60 |
$888 |
3.6× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (77600) |
$2,325.60 |
$5,168 |
5.7× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm (77605) |
$2,789.10 |
$6,198 |
3.8× |
| Use of interstitial probe generated heat to increase temperature of cancer cell, more than 5 probes (77615) |
$2,944.80 |
$6,544 |
5.0× |
| Venogram extremity bilateral (75822) |
$1,159.65 |
$2,577 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,906.55 |
$6,459 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$2,041.20 |
$4,536 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$849.15 |
$1,887 |
0.5× |
| Venography Renal Bilateral (75833) |
$4,405.50 |
$9,790 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,639.15 |
$8,087 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$125.55 |
$279 |
1.4× |
| Wrist 2 views (73100) |
$189.90 |
$422 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$625.95 |
$1,391 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$174.60 |
$388 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$225 |
$500 |
2.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$795.15 |
$1,767 |
4.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$353.25 |
$785 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$281.48 |
$625.50 |
3.0× |
| X-ray exam hip uni 4/> views (73503) |
$294.75 |
$655 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$158.40 |
$352 |
1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$158.40 |
$352 |
1.4× |
| X-ray exam of femur 1 (73551) |
$222.30 |
$494 |
2.4× |
| X-ray eye for foreign body (70030) |
$192.15 |
$427 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$140.40 |
$312 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$214.65 |
$477 |
2.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,857.95 |
$6,351 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$174.60 |
$388 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$351.45 |
$781 |
3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$139.95 |
$311 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$400.05 |
$889 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$275.85 |
$613 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$260.10 |
$578 |
2.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$169.65 |
$377 |
1.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$305.55 |
$679 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$511.65 |
$1,137 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$290.25 |
$645 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$407.70 |
$906 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$344.25 |
$765 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$207 |
$460 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$301.05 |
$669 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$240.75 |
$535 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$423.45 |
$941 |
4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$173.70 |
$386 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$150.75 |
$335 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$216.90 |
$482 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$190.80 |
$424 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$265.05 |
$589 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$154.80 |
$344 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$207.45 |
$461 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$362.25 |
$805 |
3.9× |
| Xr c-spine 6 or more views (72052) |
$377.10 |
$838 |
3.4× |
| Xr chest 4+ views (71048) |
$368.55 |
$819 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$129.15 |
$287 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$365.40 |
$812 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$196.65 |
$437 |
2.1× |
| Xr tmj bilateral (70330) |
$363.15 |
$807 |
3.9× |
| Xray knee 1 or 2 views rt (73560) |
$199.35 |
$443 |
2.1× |