| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,760.13 |
$9,400.33 |
2.8× |
| Abdomen 2 views (74019) |
$1,272.02 |
$3,180.07 |
12.5× |
| Acute gi blood loss imaging (78278) |
$1,120.38 |
$2,800.96 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,404.58 |
$8,511.45 |
1.1× |
| Angiography extremity unilateral rs&i (75710) |
$2,552.25 |
$6,380.62 |
0.8× |
| Angiography internal mammary rs&i (75756) |
$1,073.27 |
$2,683.18 |
0.3× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,209.72 |
$5,524.28 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,720.38 |
$9,300.94 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,356.16 |
$8,390.41 |
1.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,612.50 |
$6,531.26 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,408.95 |
$3,522.37 |
0.5× |
| Ankle 2 views (73600) |
$605.84 |
$1,499.18 |
7.1× |
| Aortogram thoracic (75605) |
$4,088.44 |
$10,221.10 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,454.26 |
$6,135.64 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$4,243.02 |
$10,607.56 |
1.4× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$2,845.12 |
$7,112.80 |
0.9× |
| Arthrogram ankle (73615) |
$1,239.64 |
$3,099.08 |
3.6× |
| Arthrogram elbow (73085) |
$783.97 |
$1,959.93 |
2.3× |
| Arthrogram hip (73525) |
$764.84 |
$1,912.10 |
2.2× |
| Arthrogram knee (73580) |
$673.56 |
$1,683.89 |
2.0× |
| Arthrogram shoulder (73040) |
$948.26 |
$2,370.66 |
2.8× |
| Arthrogram wrist (73115) |
$544 |
$1,359.98 |
1.6× |
| Basic dosimetry (77300) |
$546.21 |
$1,365.52 |
4.2× |
| Bone &/joint imaging whole body (78306) |
$2,131.82 |
$5,329.54 |
5.5× |
| Bone age studies (77072) |
$256.17 |
$640.42 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$2,382.83 |
$5,957.08 |
6.1× |
| Bone survey complete (77075) |
$950.34 |
$2,375.86 |
9.3× |
| Bone survey infant (77076) |
$454.19 |
$1,135.48 |
4.5× |
| Bowel imaging (78290) |
$1,409.68 |
$3,524.18 |
3.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$791.34 |
$1,978.33 |
1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,223.31 |
$25,558.28 |
7.3× |
| Brain Imaging Vascular Flow Only (78610) |
$698.58 |
$1,746.44 |
1.3× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,553.62 |
$6,384.05 |
6.5× |
| Cervical spine 2 or 3 views (72040) |
$599.22 |
$1,498.03 |
7.1× |
| Chest 1 view (71045) |
$178.93 |
$447.32 |
2.1× |
| Chest xray 3 views (71047) |
$742.74 |
$1,856.86 |
8.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$899.54 |
$2,248.86 |
5.3× |
| Clavicle complete (73000) |
$673.37 |
$1,683.43 |
7.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,999.88 |
$7,499.70 |
29.4× |
| Continuing medical physics consltj pr wk (77336) |
$901.66 |
$2,254.16 |
6.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,252.70 |
$20,631.76 |
24.2× |
| CT abdomen and pelvis without contrast (74176) |
$4,854 |
$12,135.02 |
20.9× |
| CT abdomen w contrast (74160) |
$3,077.74 |
$7,694.36 |
18.0× |
| CT abdomen w wo contrast (74170) |
$4,973.99 |
$12,434.98 |
29.1× |
| CT abdomen w/o contrast (74150) |
$2,376.94 |
$5,942.36 |
23.3× |
| CT angio hrt w/3d image (75574) |
$2,006.68 |
$5,016.69 |
5.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,850.11 |
$7,125.28 |
16.7× |
| CT angiography upper extremity lt (73206) |
$2,221.63 |
$5,554.08 |
13.0× |
| CT c-spine w/contrast (72126) |
$3,247.05 |
$8,117.62 |
9.5× |
| CT c-spine w/o contrast (72125) |
$3,149.88 |
$7,874.71 |
30.9× |
| CT cervical spine w&w/o contrast (72127) |
$3,420.04 |
$8,550.10 |
20.0× |
| CT chest w contrast (71260) |
$1,881.54 |
$4,703.84 |
11.0× |
| CT chest w/wo contrast (71270) |
$2,432.16 |
$6,080.38 |
14.2× |
| CT head/brain with contrast (70460) |
$2,393.88 |
$5,984.70 |
14.0× |
| CT head/brain without and with contrast (70470) |
$2,564.66 |
$6,411.66 |
15.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,130.69 |
$2,826.72 |
3.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$35.27 |
$88.17 |
0.4× |
| CT iac w contrast (70481) |
$2,906.95 |
$7,267.38 |
17.0× |
| CT limited/localized follow up study (76380) |
$1,153.51 |
$2,883.77 |
13.6× |
| CT lower ext w/o (73700) |
$2,318.83 |
$5,797.07 |
22.7× |
| CT lower extremity w wo contrast (73702) |
$2,496.97 |
$6,242.42 |
14.6× |
| CT lower extremity w/contrast material (73701) |
$2,407.13 |
$6,017.82 |
14.1× |
| CT lumbar spine w & w/o contrast (72133) |
$3,897.04 |
$9,742.61 |
22.8× |
| CT lumbar spine w/contrast (72132) |
$2,552.14 |
$6,380.36 |
7.5× |
| CT lumbar spine w/o contrast (72131) |
$3,593.02 |
$8,982.56 |
35.2× |
| CT maxillofacial w contrast (70487) |
$3,247.05 |
$8,117.62 |
19.0× |
| CT maxillofacial w/wo contrast (70488) |
$4,289.40 |
$10,723.50 |
25.1× |
| CT maxillofacial wo contrast (70486) |
$3,093.20 |
$7,733.01 |
30.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,577.57 |
$8,943.92 |
20.9× |
| CT orbits w/o contrast (70480) |
$2,708.21 |
$6,770.52 |
26.6× |
| CT pelvis w/o contrast (72192) |
$2,476.32 |
$6,190.81 |
24.3× |
| CT pelvis w/wo contrast (72194) |
$3,277.22 |
$8,193.07 |
19.1× |
| CT scan of arm combo (73202) |
$5,478.32 |
$13,695.80 |
32.0× |
| CT soft tissue neck w contrast (70491) |
$2,230.46 |
$5,576.15 |
13.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,432.16 |
$6,080.38 |
14.2× |
| CT soft tissue neck w/o contrast (70490) |
$2,067.78 |
$5,169.44 |
20.3× |
| CT thoracic spine w/contrast (72129) |
$3,379.55 |
$8,448.86 |
19.7× |
| CT thoracic spine w/o contrast (72128) |
$2,368.85 |
$5,922.13 |
23.2× |
| CT thoracic spine w/wo contrast (72130) |
$3,643.82 |
$9,109.56 |
21.3× |
| CT thorax w/o contrast (71250) |
$973.52 |
$2,433.82 |
9.5× |
| CT upper ext wo (73200) |
$2,318.83 |
$5,797.07 |
22.7× |
| CT upper extremity with contrast (73201) |
$2,407.13 |
$6,017.82 |
7.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,978.36 |
$7,445.92 |
17.4× |
| Cta Abdomen (74175) |
$909.12 |
$2,272.79 |
5.3× |
| CTA abdomen pelvis (74174) |
$3,041.67 |
$7,604.17 |
8.9× |
| CTA chest (71275) |
$1,591.50 |
$3,978.76 |
9.3× |
| Cta Head (70496) |
$1,319.12 |
$3,297.82 |
7.7× |
| Cta Neck (70498) |
$1,319.12 |
$3,297.82 |
7.7× |
| Cta Pelvis (72191) |
$2,131.09 |
$5,327.72 |
12.5× |
| Cystography minimum 3 views rs&i (74430) |
$597.73 |
$1,494.33 |
1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$390.88 |
$977.21 |
3.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$633.07 |
$1,582.68 |
6.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$772.06 |
$1,930.14 |
7.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$518.97 |
$1,297.42 |
6.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$773.68 |
$1,934.18 |
3.3× |
| Esophagus (74220) |
$890.72 |
$2,226.80 |
5.2× |
| Facial bones min 3 views (70150) |
$502.05 |
$1,255.12 |
4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$914.27 |
$2,285.68 |
9.0× |
| Fetal Echo (76825) |
$1,221.23 |
$3,053.08 |
2.3× |
| Fluoroscopy up to 1 hr (76000) |
$645.96 |
$1,614.89 |
2.8× |
| Foot 2 views (73620) |
$592 |
$1,479.99 |
7.0× |
| Forearm 2 views (73090) |
$621.94 |
$1,554.84 |
7.3× |
| Hand 2 views (73120) |
$929.84 |
$2,324.60 |
9.1× |
| Heart first pass single,planar (78481) |
$2,477.80 |
$6,194.51 |
4.7× |
| Heart Infarct Image (78466) |
$2,784.03 |
$6,960.08 |
7.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,018.11 |
$7,545.28 |
1.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,506.50 |
$6,266.27 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,216.87 |
$8,042.18 |
6.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,521.23 |
$6,303.06 |
6.5× |
| Hysterosalpingogram (74740) |
$605.10 |
$1,512.74 |
2.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,433.24 |
$3,583.10 |
2.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,891.10 |
$4,727.77 |
3.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,738.38 |
$6,845.96 |
5.2× |
| Knee 3 views (73562) |
$746.44 |
$1,866.10 |
8.8× |
| Liver & spleen imaging static only (78215) |
$1,762.29 |
$4,405.72 |
4.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,521.23 |
$6,303.06 |
6.5× |
| Liver imaging static only (78201) |
$1,512.74 |
$3,781.84 |
2.9× |
| Lung perf&ventilat diferentl (78598) |
$1,615.06 |
$4,037.64 |
3.0× |
| Lung perfusion differential (78597) |
$1,164.56 |
$2,911.40 |
3.0× |
| Lung ventilation imaging (78579) |
$2,382.10 |
$5,955.24 |
6.1× |
| Lymphoscintigraphy (78195) |
$1,409.68 |
$3,524.18 |
2.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$4,341.66 |
$10,854.16 |
5.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$3,102.77 |
$7,756.92 |
9.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$4,284.46 |
$10,711.16 |
12.6× |
| Mammary ductogram or galactogram multiple (77054) |
$1,342.69 |
$3,356.73 |
5.8× |
| Mammary ductogram or galactogram single (77053) |
$1,177.80 |
$2,944.50 |
5.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,504.64 |
$3,761.62 |
4.1× |
| Mr safety determination physician/other qhp (76016) |
$87.86 |
$219.64 |
1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$23.38 |
$58.45 |
0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$91.58 |
$228.96 |
1.0× |
| Mr safety implt pos&/immoblj (76019) |
$59.27 |
$148.18 |
1.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$241.18 |
$602.96 |
1.0× |
| MRA head w & w/o contrast (70546) |
$3,516.46 |
$8,791.16 |
10.3× |
| MRA head w/o contrast (70544) |
$2,407.87 |
$6,019.67 |
10.3× |
| MRA head with contrast (70545) |
$2,594.84 |
$6,487.10 |
7.6× |
| MRA neck w contrast (70548) |
$2,206.16 |
$5,515.40 |
6.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,516.46 |
$8,791.16 |
10.3× |
| MRA neck w/o contrast (70547) |
$2,094.28 |
$5,235.69 |
9.0× |
| MRI abdomen w contrast (74182) |
$2,198.08 |
$5,495.18 |
6.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,677.67 |
$9,194.17 |
10.8× |
| MRI abdomen w/o contrast (74181) |
$1,759.34 |
$4,398.36 |
7.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,528.63 |
$11,321.57 |
5.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,852.64 |
$12,131.61 |
14.3× |
| MRI breast w/o contrast bilateral (77047) |
$2,563.20 |
$6,407.98 |
11.0× |
| MRI breast wo contrast unilateral (77046) |
$2,563.20 |
$6,407.98 |
11.0× |
| MRI c-spine with contrast (72142) |
$4,329.15 |
$10,822.88 |
12.7× |
| MRI cervical spine w/o contrast (72141) |
$4,223.14 |
$10,557.86 |
18.1× |
| MRI chest w/o & w/contrast material (71552) |
$3,177.84 |
$7,944.62 |
9.3× |
| MRI chest w/o contrast (71550) |
$1,870.49 |
$4,676.23 |
8.0× |
| MRI chest with contrast (71551) |
$2,372.54 |
$5,931.34 |
3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,674.57 |
$11,686.43 |
13.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,284.46 |
$10,711.16 |
12.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,861.68 |
$7,154.19 |
12.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,094.28 |
$5,235.69 |
9.0× |
| MRI orbit face neck w contrast (70542) |
$2,739.12 |
$6,847.81 |
8.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,907.34 |
$9,768.36 |
11.5× |
| MRI pelvis w/contrast (72196) |
$3,905.14 |
$9,762.85 |
11.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,784.08 |
$11,960.20 |
14.1× |
| MRI pelvis w/o contrast (72195) |
$3,754.96 |
$9,387.42 |
16.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$8,887.24 |
$22,218.08 |
26.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,856.96 |
$12,142.40 |
14.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$9,443.75 |
$23,609.37 |
27.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,721.50 |
$11,803.76 |
13.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,740.70 |
$16,851.74 |
19.8× |
| MRI temporomandibular joint (70336) |
$2,953.34 |
$7,383.34 |
12.7× |
| MRI thoracic spine w/o contrast (72146) |
$3,202.88 |
$8,007.20 |
13.8× |
| MRI up ext w/o contrast (73218) |
$2,743.54 |
$6,858.84 |
11.8× |
| MRI upper ext joint w/o contrast (73221) |
$4,205.37 |
$10,513.43 |
18.1× |
| MRI, joint upper extrem combo (73223) |
$4,652.30 |
$11,630.76 |
13.7× |
| Myelogram Cervical (72240) |
$1,930.12 |
$4,825.32 |
2.5× |
| Myelogram Lumbar (72265) |
$1,930.12 |
$4,825.32 |
2.5× |
| Myelogram thoracic (72255) |
$1,930.12 |
$4,825.32 |
2.5× |
| Myelography 2 or more regions (72270) |
$2,829.66 |
$7,074.16 |
3.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$929.72 |
$2,324.30 |
0.7× |
| Myocardial Spect Multiple Studies (78452) |
$5,028.48 |
$12,571.18 |
4.0× |
| Myocardial spect single study at rest or stress (78451) |
$5,028.48 |
$12,571.18 |
4.0× |
| Neck soft tissue (70360) |
$517.50 |
$1,293.75 |
6.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$417.39 |
$1,043.48 |
1.1× |
| Nm bone marrow wb (78104) |
$1,138.05 |
$2,845.12 |
2.9× |
| Nm cisternogram (78630) |
$4,508.04 |
$11,270.10 |
8.5× |
| Nm gastric emptying study (78264) |
$1,472.24 |
$3,680.62 |
3.8× |
| Nm red cell sequestration (78140) |
$1,154.98 |
$2,887.45 |
3.0× |
| Noncardiac Vascular Flow Imaging (78445) |
$654.42 |
$1,636.04 |
1.7× |
| Nonvascular shunt X-ray (75809) |
$237.78 |
$594.44 |
2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,414.93 |
$13,537.32 |
4.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,908.78 |
$4,771.93 |
4.9× |
| Nuclear Rx Oral Admin (79005) |
$2,100.16 |
$5,250.42 |
9.2× |
| Ob us nuchal meas 1 gest (76813) |
$555.03 |
$1,387.58 |
5.4× |
| Parathyroid Planar Imaging (78070) |
$2,073.66 |
$5,184.15 |
5.3× |
| Pelvis 1 or 2 views (72170) |
$509.40 |
$1,273.50 |
5.0× |
| Peritoneogram after injection (74190) |
$1,759.34 |
$4,398.36 |
3.3× |
| PET image w/CT, skull-thigh (78815) |
$10,663.55 |
$26,658.87 |
7.6× |
| PET imaging CT for attenuation limited area (78814) |
$10,786.87 |
$26,967.17 |
7.7× |
| PET imaging for CT attenuation whole body (78816) |
$10,663.55 |
$26,658.87 |
7.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,164.56 |
$2,911.40 |
3.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,784.03 |
$6,960.08 |
5.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,261.72 |
$3,154.31 |
2.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$681.07 |
$1,702.67 |
8.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$523.67 |
$1,309.17 |
6.2× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$619.64 |
$1,549.11 |
7.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$937.82 |
$2,344.56 |
11.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$970.22 |
$2,425.55 |
9.5× |
| Radex fingr minimum 2 views (73140) |
$510.14 |
$1,275.34 |
6.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$626.54 |
$1,566.35 |
7.4× |
| Radex Hand Minimum 3 Views (73130) |
$635 |
$1,587.49 |
7.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$309.92 |
$774.78 |
3.6× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$426.22 |
$1,065.56 |
4.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$426.22 |
$1,065.56 |
4.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$426.22 |
$1,065.56 |
4.2× |
| Radex Humerus Minimum 2 Views (73060) |
$433.82 |
$1,084.56 |
5.1× |
| Radex Kne 1/2 Views (73560) |
$520.59 |
$1,301.48 |
6.1× |
| Radex Kne Compl 4/More Views (73564) |
$737.88 |
$1,844.69 |
7.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$758.21 |
$1,895.54 |
7.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$290.04 |
$725.10 |
3.4× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$552.10 |
$1,380.24 |
5.4× |
| Radex Sho Compl Minimum 2 Views (73030) |
$673.37 |
$1,683.43 |
7.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$616.14 |
$1,540.34 |
7.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$642.64 |
$1,606.58 |
6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$645.57 |
$1,613.93 |
7.6× |
| Radex Toe Minimum 2 Views (73660) |
$174.30 |
$435.75 |
2.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$631.15 |
$1,577.88 |
7.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,419.68 |
$21,049.19 |
1.2× |
| Radiation treatment delivery level 1 (77402) |
$474.78 |
$1,186.96 |
4.8× |
| Radiation treatment delivery level 2 (77407) |
$555.79 |
$1,389.48 |
1.5× |
| Radiation treatment delivery level 3 (77412) |
$638.92 |
$1,597.29 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$608.62 |
$1,521.56 |
7.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,482.35 |
$3,705.88 |
14.5× |
| Radiologic exam chest 2 views (71046) |
$471.97 |
$1,179.92 |
5.6× |
| Radiologic exam colon single contrast study (74270) |
$583.74 |
$1,459.36 |
3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$848.30 |
$2,120.74 |
5.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,760.36 |
$4,400.91 |
10.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,365.18 |
$3,412.94 |
8.0× |
| Radiologic examination femur 1 view (73551) |
$426.22 |
$1,065.56 |
5.0× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$621.28 |
$1,553.22 |
7.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$658.02 |
$1,645.04 |
7.7× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$636.01 |
$1,590.03 |
1.2× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$605.84 |
$1,514.59 |
5.9× |
| Radiological examination surgical specimen (76098) |
$136.92 |
$342.31 |
0.3× |
| Radiopharm Dacryocystography (78660) |
$2,356.34 |
$5,890.86 |
6.0× |
| Ribs bilateral 3 views (71110) |
$705.21 |
$1,763.02 |
6.9× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,225.64 |
$3,064.10 |
3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,472.24 |
$3,680.62 |
3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,325.80 |
$10,814.50 |
8.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,996.76 |
$7,491.91 |
5.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,924.07 |
$7,310.18 |
5.5× |
| Sacroiliac Joints < 3 Views (72200) |
$219.37 |
$548.42 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,472.24 |
$3,680.62 |
6.3× |
| Scapula (73010) |
$492.95 |
$1,232.38 |
4.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$66.76 |
$166.92 |
2.9× |
| Sella turcica (70240) |
$161.94 |
$404.86 |
1.9× |
| Shoulder 1 view (73020) |
$285.63 |
$714.08 |
3.4× |
| Sialogram (70390) |
$699.32 |
$1,748.32 |
3.0× |
| Simulation intermediate (77285) |
$865.68 |
$2,164.20 |
2.4× |
| Small bowel series (74250) |
$524.86 |
$1,312.14 |
3.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$804.58 |
$2,011.46 |
2.2× |
| Special dosimetry (77331) |
$653.68 |
$1,634.20 |
5.0× |
| Special Physics Consult (77370) |
$756.55 |
$1,891.38 |
5.8× |
| Special treatment procedure (77470) |
$707.42 |
$1,768.54 |
1.3× |
| Speech evaluation complex (70371) |
$899.54 |
$2,248.86 |
3.9× |
| Spine thoracic 3 views (72072) |
$807.53 |
$2,018.82 |
7.9× |
| Spleen imaging only (78185) |
$1,027.62 |
$2,569.06 |
2.6× |
| Stereotactic Body Radiation Delivery (77373) |
$1,935.02 |
$4,837.55 |
1.1× |
| Tbs technical calculation only (77091) |
$104.40 |
$261 |
1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$998.92 |
$2,497.29 |
2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$998.92 |
$2,497.29 |
2.7× |
| Temporomandibular joint arthrography, radiological supervision and interpretation Non-Facility (70332) |
$934.89 |
$2,337.22 |
4.0× |
| Testicular Imaging With Vascular Flow (78761) |
$1,810.87 |
$4,527.18 |
4.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,184.42 |
$2,961.07 |
3.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$485.84 |
$1,214.60 |
3.7× |
| Thoracolumbar 2 views (72080) |
$807.53 |
$2,018.82 |
9.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,040.15 |
$2,600.38 |
2.0× |
| Thyroid imaging w/blood flow (78013) |
$1,397.18 |
$3,492.94 |
3.6× |
| Thyroid uptake measurement (78012) |
$1,046.04 |
$2,615.08 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,117.82 |
$5,294.56 |
5.4× |
| Tmj unilateral (70328) |
$372.48 |
$931.21 |
4.4× |
| Tomogram (76100) |
$319.48 |
$798.70 |
3.1× |
| Treatment device complex (77334) |
$862 |
$2,155 |
2.4× |
| Treatment device intermediate (77333) |
$537.37 |
$1,343.43 |
4.1× |
| Treatment devices simple (77332) |
$374.68 |
$936.70 |
2.9× |
| Ultrasound bone density measurement and interpretation, peripheral site(s), any method Non-Facility (76977) |
$236.30 |
$590.74 |
2.3× |
| Ultrasound breast complete (76641) |
$785.46 |
$1,963.64 |
7.7× |
| Ultrasound elastography first target lesion (76982) |
$300.46 |
$751.16 |
2.9× |
| Ultrasound Exam Aaa Screen (76706) |
$571.96 |
$1,429.90 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$1,334.60 |
$3,336.50 |
13.1× |
| Ureteral reflux study (78740) |
$1,762.29 |
$4,405.72 |
4.5× |
| Urethrocystogram voiding (74455) |
$711.84 |
$1,779.58 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$676.50 |
$1,691.25 |
2.9× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$2,043.48 |
$5,108.71 |
11.9× |
| Us breast unilateral limited (76642) |
$673.37 |
$1,683.43 |
7.9× |
| Us chest (76604) |
$333.45 |
$833.63 |
3.3× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$929 |
$2,322.49 |
4.4× |
| Us compl joint r-t w/image documentation (76881) |
$633.07 |
$1,582.68 |
6.2× |
| Us elastography parenchyma (76981) |
$300.46 |
$751.16 |
2.9× |
| Us encephalogram (76506) |
$400.46 |
$1,001.13 |
3.9× |
| Us hips infant static (76886) |
$549.89 |
$1,374.73 |
6.5× |
| Us infant hips w manipulation (76885) |
$586.68 |
$1,466.72 |
6.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$597.73 |
$1,494.33 |
5.9× |
| Us ob detailed single fetus (76811) |
$633.07 |
$1,582.68 |
2.7× |
| Us ob limited (76815) |
$879.13 |
$2,197.82 |
8.6× |
| Us ob transvaginal (76817) |
$1,023.96 |
$2,559.88 |
10.0× |
| Us pelvic non ob complete (76856) |
$1,308.10 |
$3,270.24 |
12.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$205.38 |
$513.46 |
2.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$541.06 |
$1,352.64 |
5.3× |
| Us retroperitoneal complete (76770) |
$499.84 |
$1,249.58 |
4.9× |
| Us retroperitoneal limited (76775) |
$682.39 |
$1,705.98 |
6.7× |
| Us scrotum and contents (76870) |
$1,190.32 |
$2,975.78 |
11.7× |
| Us soft tissue head/neck (76536) |
$1,325.76 |
$3,314.40 |
13.0× |
| Us spinal canal and contents (76800) |
$1,245.52 |
$3,113.80 |
12.2× |
| Us transrectal (76872) |
$791.34 |
$1,978.33 |
7.8× |
| Venogram extremity bilateral (75822) |
$2,506.50 |
$6,266.27 |
1.6× |
| Venogram Extremity Unilateral (75820) |
$1,343.70 |
$3,359.24 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$3,603.34 |
$9,008.35 |
1.2× |
| Venography caval superior serialography rs&i (75827) |
$3,408.26 |
$8,520.65 |
2.2× |
| Venography Renal Bilateral (75833) |
$2,042.74 |
$5,106.86 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$1,482.10 |
$3,705.26 |
0.5× |
| Wrist 2 views (73100) |
$1,077.07 |
$2,692.67 |
12.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,071.80 |
$2,679.50 |
10.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$307.70 |
$769.24 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,137.32 |
$2,843.29 |
6.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,065.10 |
$2,662.74 |
12.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$372.48 |
$931.21 |
4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$426.22 |
$1,065.56 |
4.2× |
| X-ray exam of femur 2/> (73552) |
$459.34 |
$1,148.36 |
5.4× |
| X-ray eye for foreign body (70030) |
$772.76 |
$1,931.89 |
9.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$292.98 |
$732.46 |
3.5× |
| X-ray IV pyelogram (ivp) (74400) |
$1,118.18 |
$2,795.45 |
6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$558.72 |
$1,396.79 |
6.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$368.80 |
$922 |
4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$655.90 |
$1,639.73 |
6.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$956.24 |
$2,390.58 |
9.4× |
| X-ray nose-rectum child f.b. (76010) |
$273.84 |
$684.60 |
3.2× |
| X-ray optic foramen (70190) |
$903.79 |
$2,259.47 |
10.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$623.50 |
$1,558.76 |
6.1× |
| X-ray retrograde pyelogram (74420) |
$545.47 |
$1,363.68 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$633.07 |
$1,582.68 |
7.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$903.96 |
$2,259.90 |
8.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,044.56 |
$2,611.39 |
10.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$354.82 |
$887.04 |
3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$600.68 |
$1,501.68 |
7.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,146.89 |
$2,867.23 |
13.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$576.39 |
$1,440.97 |
5.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$444.62 |
$1,111.56 |
4.4× |
| X-Ray Small Bowel Enteroclysis (74251) |
$2,091.32 |
$5,228.32 |
12.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$408.57 |
$1,021.42 |
4.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$354.08 |
$885.20 |
4.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$468.90 |
$1,172.26 |
5.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$646.32 |
$1,615.81 |
6.3× |
| Xr bone length studies (77073) |
$1,246.13 |
$3,115.32 |
12.2× |
| Xr c-spine 4 or 5 views (72050) |
$1,475.92 |
$3,689.81 |
14.5× |
| Xr c-spine 6 or more views (72052) |
$1,265.40 |
$3,163.50 |
12.4× |
| Xr chest 4+ views (71048) |
$948.12 |
$2,370.31 |
9.3× |
| Xr urogram antegrade (74425) |
$532.95 |
$1,332.38 |
1.6× |