| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,579.35 |
$8,714 |
2.0× |
| Abdomen 2 views (74019) |
$256.64 |
$867 |
2.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$573.95 |
$1,939 |
1.6× |
| Angiography extremity bilateral rs&i (75716) |
$2,450.88 |
$8,280 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$1,458.69 |
$4,928 |
0.5× |
| Angiography internal mammary rs&i (75756) |
$899.84 |
$3,040 |
0.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,514.19 |
$18,629 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,609.06 |
$5,436 |
0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,126.28 |
$3,805 |
0.4× |
| Angiography Spinal Selective Rs&I (75705) |
$5,524.55 |
$18,664 |
1.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,567.32 |
$5,295 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$611.24 |
$2,065 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,657.31 |
$5,599 |
0.6× |
| Ankle 2 views (73600) |
$180.27 |
$609 |
2.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$300.44 |
$1,015 |
0.9× |
| Aortogram thoracic (75605) |
$2,782.40 |
$9,400 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,835.50 |
$6,201 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,764.76 |
$5,962 |
0.6× |
| Basic radiation dosimetry calculation (77300) |
$193 |
$652 |
1.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$376.52 |
$1,272 |
1.0× |
| Bone &/joint imaging whole body (78306) |
$1,017.36 |
$3,437 |
2.8× |
| Bone age studies (77072) |
$50.03 |
$169 |
0.5× |
| Bone Imaging 3 Phase (78315) |
$1,454.84 |
$4,915 |
3.9× |
| Bone survey complete (77075) |
$547.01 |
$1,848 |
5.7× |
| Brachytx isodose complex (77318) |
$616.28 |
$2,082 |
1.8× |
| Brachytx isodose intermed (77317) |
$421.51 |
$1,424 |
1.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$229.11 |
$774 |
0.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$504.39 |
$1,704 |
1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,395.64 |
$4,715 |
1.1× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$134.09 |
$453 |
12.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$549.08 |
$1,855 |
1.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$301.63 |
$1,019 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$101.53 |
$343 |
1.3× |
| Chest 1 view (71045) |
$135.57 |
$458 |
1.7× |
| Chest 3 views (71047) |
$99.16 |
$335 |
1.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$485.15 |
$1,639 |
3.0× |
| Clavicle complete (73000) |
$247.16 |
$835 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$177.60 |
$600 |
1.8× |
| Continuing medical physics consltj pr wk (77336) |
$205.72 |
$695 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$807.20 |
$2,727 |
2.5× |
| CT abdomen and pelvis without contrast (74176) |
$607.40 |
$2,052 |
2.8× |
| CT abdomen w contrast (74160) |
$794.17 |
$2,683 |
4.9× |
| CT abdomen w wo contrast (74170) |
$835.91 |
$2,824 |
5.2× |
| CT abdomen w/o contrast (74150) |
$626.93 |
$2,118 |
6.5× |
| CT angio hrt w/3d image (75574) |
$862.55 |
$2,914 |
2.7× |
| CT angiography upper extremity lt (73206) |
$968.66 |
$3,272.50 |
6.0× |
| CT c-spine w/o contrast (72125) |
$1,168.02 |
$3,946 |
12.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,658.49 |
$5,603 |
10.2× |
| CT cervical spine with contrast (72126) |
$1,530.03 |
$5,169 |
4.8× |
| CT chest w/wo contrast (71270) |
$1,604.92 |
$5,422 |
9.9× |
| CT chest with contrast (71260) |
$1,410.15 |
$4,764 |
8.7× |
| CT colonography w/o cntrst (74261) |
$368.82 |
$1,246 |
3.8× |
| CT head/brain with contrast (70460) |
$1,020.61 |
$3,448 |
6.3× |
| CT head/brain without and with contrast (70470) |
$1,159.73 |
$3,918 |
7.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$586.68 |
$1,982 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$20.43 |
$69 |
0.3× |
| CT hrt w/3d image congen (75573) |
$483.08 |
$1,632 |
1.5× |
| CT iac w contrast (70481) |
$856.33 |
$2,893 |
5.3× |
| CT limited/localized follow up study (76380) |
$271.14 |
$916 |
3.4× |
| CT lower ext w/o (73700) |
$694.72 |
$2,347 |
7.2× |
| CT lower extremity w wo contrast (73702) |
$896 |
$3,027 |
5.5× |
| CT lower extremity with contrast (73701) |
$993.38 |
$3,356 |
6.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,256.23 |
$4,244 |
7.8× |
| CT lumbar spine w/o contrast (72131) |
$884.75 |
$2,989 |
9.2× |
| CT lumbar spine with contrast (72132) |
$1,158.84 |
$3,915 |
3.6× |
| CT maxillofacial w contrast (70487) |
$880.90 |
$2,976 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$667.19 |
$2,254 |
6.9× |
| CT maxillofacial w/wo contrast (70488) |
$974.14 |
$3,291 |
6.0× |
| CT neck soft tissue w contrast (70491) |
$1,220.41 |
$4,123 |
7.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,044.29 |
$3,528 |
6.5× |
| CT orbits w/o contrast (70480) |
$751.25 |
$2,538 |
7.8× |
| CT pelvis w & w/o contrast (72194) |
$726.68 |
$2,455 |
4.5× |
| CT pelvis w/o contrast (72192) |
$501.13 |
$1,693 |
5.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,281.39 |
$4,329 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,012.92 |
$3,422 |
10.5× |
| CT thoracic spine w/contrast (72129) |
$1,390.91 |
$4,699 |
8.6× |
| CT thoracic spine w/o contrast (72128) |
$1,061.76 |
$3,587 |
11.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,507.83 |
$5,094 |
9.3× |
| CT thorax w/o contrast (71250) |
$1,215.68 |
$4,107 |
12.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,028.01 |
$3,473 |
6.4× |
| CT upper extremity w/o contrast rt (73200) |
$694.72 |
$2,347 |
7.2× |
| CT upper extremity with contrast (73201) |
$1,028.01 |
$3,473 |
3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,539.50 |
$5,201 |
9.5× |
| Cta Abdomen (74175) |
$1,710.88 |
$5,780 |
10.6× |
| CTA abdomen pelvis (74174) |
$2,553.60 |
$8,627 |
7.9× |
| CTA chest (71275) |
$1,659.08 |
$5,605 |
10.3× |
| Cta Head (70496) |
$1,305.07 |
$4,409 |
8.1× |
| CTA lwr ext w&w/o contrast (73706) |
$772.27 |
$2,609 |
4.8× |
| Cta Neck (70498) |
$1,252.38 |
$4,231 |
7.7× |
| Cta Pelvis (72191) |
$1,054.06 |
$3,561 |
6.5× |
| Cystography minimum 3 views rs&i (74430) |
$265.22 |
$896 |
0.8× |
| Diskography lumbar (72295) |
$629.60 |
$2,127 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$121.36 |
$410 |
1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$84.96 |
$287 |
1.1× |
| Dxa bone density study axial skeleton (77085) |
$152.74 |
$516 |
1.6× |
| Esophagus (74220) |
$390.13 |
$1,318 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$298.37 |
$1,008 |
1.4× |
| Foot 2 views (73620) |
$181.45 |
$613 |
2.3× |
| Forearm 2 views (73090) |
$234.73 |
$793 |
2.9× |
| Gated Heart Planar Single (78472) |
$514.75 |
$1,739 |
1.4× |
| Hand 2 views (73120) |
$55.36 |
$187 |
0.6× |
| Hand 3 views (73130) |
$212.53 |
$718 |
2.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$651.80 |
$2,202 |
1.0× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$762.80 |
$2,577 |
1.2× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$847.45 |
$2,863 |
1.3× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$222.60 |
$752 |
0.6× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$198.62 |
$671 |
0.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$3,386.54 |
$11,441 |
1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,004.04 |
$3,392 |
2.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$823.18 |
$2,781 |
2.2× |
| Ht muscle image spect sing (78451) |
$1,369.30 |
$4,626 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$199.80 |
$675 |
2.5× |
| Hysterosalpingogram (74740) |
$226.74 |
$766 |
1.0× |
| Interstitial radiation source applic complex (77778) |
$914.05 |
$3,088 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$454.66 |
$1,536 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$909.02 |
$3,071 |
1.8× |
| Knee 3 views (73562) |
$97.38 |
$329 |
1.2× |
| Liver & spleen imaging static only (78215) |
$510.31 |
$1,724 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$479.52 |
$1,620 |
1.3× |
| Liver imaging static only (78201) |
$324.42 |
$1,096 |
0.6× |
| Lung perf&ventilat diferentl (78598) |
$940.40 |
$3,177 |
1.9× |
| Lung perfusion differential (78597) |
$345.14 |
$1,166 |
0.9× |
| Lung Ventilation Imaging (78579) |
$462.36 |
$1,562 |
1.3× |
| Lymphoscintigraphy (78195) |
$814.89 |
$2,753 |
1.6× |
| Meckels Diverticulum (78290) |
$422.99 |
$1,429 |
1.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$178.49 |
$603 |
0.5× |
| MRA head w & w/o contrast (70546) |
$1,736.93 |
$5,868 |
5.4× |
| MRA head w/o contrast (70544) |
$1,277.24 |
$4,315 |
5.8× |
| MRA head with contrast (70545) |
$1,456.03 |
$4,919 |
4.5× |
| MRA neck w contrast (70548) |
$1,143.45 |
$3,863 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,554.89 |
$5,253 |
4.8× |
| MRA neck w/o contrast (70547) |
$285.94 |
$966 |
1.3× |
| MRI abdomen w contrast (74182) |
$608.88 |
$2,057 |
1.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,268.36 |
$4,285 |
3.9× |
| MRI abdomen w/o contrast (74181) |
$1,183.71 |
$3,999 |
5.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,445.08 |
$4,882 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,416.96 |
$4,787 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$376.81 |
$1,273 |
1.7× |
| MRI c-spine with contrast (72142) |
$1,724.20 |
$5,825 |
5.4× |
| MRI cardiac w/o cont stress (75559) |
$181.45 |
$613 |
0.4× |
| MRI cardiac w/o contrast (75557) |
$181.45 |
$613 |
0.8× |
| MRI cervical spine w/o contrast (72141) |
$1,293.22 |
$4,369 |
5.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,039.41 |
$3,511.50 |
3.2× |
| MRI chest w/o contrast (71550) |
$1,288.79 |
$4,354 |
5.9× |
| MRI chest with contrast (71551) |
$1,122.44 |
$3,792 |
1.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,322.53 |
$4,468 |
4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,322.53 |
$4,468 |
6.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,160.62 |
$3,921 |
5.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,261.70 |
$4,262.50 |
3.9× |
| MRI orbit/face/neck w/contrast (70542) |
$403.75 |
$1,364 |
1.3× |
| MRI pelvis w contrast (72196) |
$981.69 |
$3,316.50 |
3.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,303 |
$4,402 |
4.0× |
| MRI pelvis w/o contrast (72195) |
$1,042.36 |
$3,521.50 |
4.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,560.52 |
$5,272 |
4.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,014.88 |
$6,807 |
6.3× |
| MRI spectroscopy (76390) |
$1,586.27 |
$5,359 |
19.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,637.96 |
$8,912 |
8.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,565.25 |
$5,288 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,177.08 |
$7,355 |
6.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,567.62 |
$5,296 |
4.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,177.08 |
$7,355 |
6.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,415.18 |
$4,781 |
6.4× |
| MRI tmj (70336) |
$1,215.38 |
$4,106 |
5.5× |
| MRI upper ext joint w/o contrast (73221) |
$957.27 |
$3,234 |
4.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,555.19 |
$5,254 |
4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,210.35 |
$4,089 |
5.5× |
| Myelography 2 or more regions (72270) |
$672.52 |
$2,272 |
0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,044.29 |
$3,528 |
0.9× |
| Myocardial infarct spect (78469) |
$693.24 |
$2,342 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$1,669.74 |
$5,641 |
1.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,721.24 |
$5,815 |
1.3× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$2,670.81 |
$9,023 |
1.3× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$3,264.29 |
$11,028 |
1.6× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$2,967.40 |
$10,025 |
2.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,072.12 |
$3,622 |
1.4× |
| Neck soft tissue (70360) |
$165.17 |
$558 |
2.1× |
| Nm cisternogram (78630) |
$577.80 |
$1,952 |
1.2× |
| Nm gastric emptying study (78264) |
$898.66 |
$3,036 |
2.4× |
| Nm gastroesophageal reflux study (78262) |
$557.08 |
$1,882 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,482.56 |
$8,387 |
1.9× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$1,276.36 |
$4,312 |
1.0× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$1,276.36 |
$4,312 |
1.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$785 |
$2,652 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$537.54 |
$1,816 |
2.5× |
| Parathyrd planar w/spect&CT (78072) |
$186.48 |
$630 |
0.4× |
| Parathyroid imaging (78070) |
$290.08 |
$980 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$80.81 |
$273 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$2,254.04 |
$7,615 |
1.7× |
| PET imaging for CT attenuation whole body (78816) |
$2,254.04 |
$7,615 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,739.89 |
$5,878 |
5.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,993.27 |
$6,734 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$326.79 |
$1,104 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$797.13 |
$2,693 |
1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$234.44 |
$792 |
0.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$123.44 |
$417 |
1.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$108.93 |
$368 |
1.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$4,013.47 |
$13,559 |
0.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$280.61 |
$948 |
0.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$205.13 |
$693 |
2.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$237.99 |
$804 |
0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$182.04 |
$615 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$225.26 |
$761 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$203.36 |
$687 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$338.92 |
$1,145 |
2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$342.77 |
$1,158 |
2.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$412.92 |
$1,395 |
2.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$273.51 |
$924 |
1.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$99.46 |
$336 |
1.2× |
| Radiological examination surgical specimen (76098) |
$565.36 |
$1,910 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,646.36 |
$5,562 |
0.6× |
| Ribs bilateral 3 views (71110) |
$422.40 |
$1,427 |
4.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,509.60 |
$5,100 |
3.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,465.50 |
$4,951 |
2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,509.60 |
$5,100 |
1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,714.73 |
$5,793 |
1.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,509.60 |
$5,100 |
1.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$172.28 |
$582 |
0.8× |
| Rp Therapy Intravenous Administration (79101) |
$468.57 |
$1,583 |
2.2× |
| Scanogram (77073) |
$146.23 |
$494 |
1.5× |
| Scapula complete (73010) |
$147.71 |
$499 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$16.58 |
$56 |
0.7× |
| Simulation intermediate (77285) |
$771.08 |
$2,605 |
2.2× |
| Small bowel series (74250) |
$307.55 |
$1,039 |
1.9× |
| Spec medical radj physics consltj (77370) |
$228.52 |
$772 |
1.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$759.54 |
$2,566 |
2.2× |
| Special dosimetry (77331) |
$249.83 |
$844 |
2.0× |
| Special treatment procedure (77470) |
$358.76 |
$1,212 |
0.7× |
| Spine thoracic 3 views (72072) |
$139.12 |
$470 |
1.4× |
| Stereotactic body radiation delivery (77373) |
$2,306.73 |
$7,793 |
1.4× |
| Superior sagittal sinus venogram (75870) |
$3,412.88 |
$11,530 |
1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$894.52 |
$3,022 |
2.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$456.44 |
$1,542 |
1.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$918.20 |
$3,102 |
2.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$468.28 |
$1,582 |
3.8× |
| Thoracolumbar 2 views (72080) |
$152.74 |
$516 |
1.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$522.15 |
$1,764 |
1.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$333.30 |
$1,126 |
0.9× |
| Thyroid uptake measurement (78012) |
$134.09 |
$453 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$432.76 |
$1,462 |
1.2× |
| Treatment device intermediate (77333) |
$254.56 |
$860 |
2.1× |
| Treatment devices simple (77332) |
$167.84 |
$567 |
1.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$850.12 |
$2,872 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$425.06 |
$1,436 |
1.2× |
| Tx devices design & construction complex (77334) |
$541.68 |
$1,830 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$281.50 |
$951 |
2.9× |
| Upper Extremity Infant (73092) |
$54.76 |
$185 |
0.6× |
| Urethrocystography retrograde rs&i (74450) |
$249.53 |
$843 |
1.1× |
| Urethrocystography voiding (74455) |
$317.02 |
$1,071 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$523.63 |
$1,769 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$230.29 |
$778 |
2.4× |
| Us breast unilateral complete (76641) |
$897.78 |
$3,033 |
9.3× |
| Us breast unilateral limited (76642) |
$299.41 |
$1,011.50 |
3.7× |
| Us chest (76604) |
$260.48 |
$880 |
2.7× |
| Us guided compression repair (76936) |
$401.97 |
$1,358 |
2.0× |
| Us kidney transplant (76776) |
$337.74 |
$1,141 |
3.5× |
| Us ob transvaginal (76817) |
$255.75 |
$864 |
2.7× |
| Us pelvic non ob complete (76856) |
$583.12 |
$1,970 |
6.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$64.24 |
$217 |
0.7× |
| Us pregnancy ltd (76815) |
$153.63 |
$519 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$165.76 |
$560 |
1.7× |
| Us retroperitoneal complete (76770) |
$253.38 |
$856 |
2.6× |
| Us retroperitoneal limited (76775) |
$253.38 |
$856 |
2.6× |
| Us scrotum and contents (76870) |
$488.11 |
$1,649 |
5.1× |
| Us soft tissue head/neck (76536) |
$374.74 |
$1,266 |
3.9× |
| Us transrectal (76872) |
$289.20 |
$977 |
3.0× |
| Us transrectal prostate volume (76873) |
$136.16 |
$460 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$195.36 |
$660 |
2.0× |
| Venogram extremity bilateral (75822) |
$574.84 |
$1,942 |
0.4× |
| Venography caval inferior serialography rs&i (75825) |
$1,287.31 |
$4,349 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$1,287.31 |
$4,349 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$542.28 |
$1,832 |
0.4× |
| Venography Renal Bilateral (75833) |
$3,386.54 |
$11,441 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$3,386.54 |
$11,441 |
1.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$612.72 |
$2,070 |
0.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$869.06 |
$2,936 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$92.95 |
$314 |
1.2× |
| Wrist 2 views (73100) |
$105.97 |
$358 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$267.88 |
$905 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$171.09 |
$578 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$208.68 |
$705 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$338.92 |
$1,145 |
2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$103.01 |
$348 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$242.72 |
$820 |
3.0× |
| X-ray exam hip uni 1 view (73501) |
$65.42 |
$221 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$79.63 |
$269 |
1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$325.90 |
$1,101 |
3.4× |
| X-ray eye for foreign body (70030) |
$115.74 |
$391 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$304 |
$1,027 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$243.02 |
$821 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$236.06 |
$797.50 |
2.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$381.25 |
$1,288 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$153.92 |
$520 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$122.25 |
$413 |
1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$282.98 |
$956 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$118.11 |
$399 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$248.35 |
$839 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$365.27 |
$1,234 |
3.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$186.48 |
$630 |
1.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$216.97 |
$733 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$76.96 |
$260 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$188.26 |
$636 |
2.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$429.20 |
$1,450 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$241.54 |
$816 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$354.91 |
$1,199 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$472.12 |
$1,595 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$160.73 |
$543 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$220.23 |
$744 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$268.77 |
$908 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$297.19 |
$1,004 |
3.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$139.42 |
$471 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$315.24 |
$1,065 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$148 |
$500 |
1.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$95.32 |
$322 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$137.94 |
$466 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$212.24 |
$717 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$134.98 |
$456 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$156.88 |
$530 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$267.74 |
$904.50 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$429.80 |
$1,452 |
4.5× |
| Xr chest 4+ views (71048) |
$116.63 |
$394 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$205.43 |
$694 |
2.6× |
| Xr shoulder 1 view (73020) |
$206.91 |
$699 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$338.33 |
$1,143 |
3.5× |
| Xr tibia/fibula 2 views (73590) |
$227.04 |
$767 |
2.8× |
| Xr tmj bilateral (70330) |
$128.47 |
$434 |
1.6× |
| Xray knee 1 or 2 views rt (73560) |
$221.26 |
$747.50 |
2.8× |