| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,909.80 |
$23,380 |
3.5× |
| Abdomen 2 views (74019) |
$451.50 |
$2,150 |
4.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$516.81 |
$2,461 |
1.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,951.97 |
$14,057 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,951.97 |
$14,057 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$1,172.43 |
$5,583 |
0.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,757.53 |
$17,893 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,989.81 |
$23,761 |
1.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,022.95 |
$14,395 |
1.0× |
| Angiography Spinal Selective Rs&I (75705) |
$3,962.70 |
$18,870 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,472.08 |
$26,057.50 |
1.0× |
| Ankle 2 views (73600) |
$343.56 |
$1,636 |
3.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,951.97 |
$14,057 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,234.61 |
$10,641 |
0.7× |
| Arthrogram shoulder (73040) |
$1,320.27 |
$6,287 |
3.8× |
| Arthrogram wrist (73115) |
$1,250.55 |
$5,955 |
3.6× |
| Arthrography knee lt (73580) |
$1,541.82 |
$7,342 |
4.4× |
| Basic radiation dosimetry calculation (77300) |
$314.79 |
$1,499 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,112.37 |
$5,297 |
2.8× |
| Bone age studies (77072) |
$343.56 |
$1,636 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$1,851.36 |
$8,816 |
4.6× |
| Bone survey complete (77075) |
$840.63 |
$4,003 |
8.0× |
| Brain image w/flow 4 + views (78606) |
$1,024.59 |
$4,879 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$618.87 |
$2,947 |
7.1× |
| Chest 1 view (71045) |
$292.95 |
$1,395 |
3.4× |
| Chest 3 views (71047) |
$640.08 |
$3,048 |
7.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$738.57 |
$3,517 |
4.2× |
| Clavicle complete (73000) |
$484.05 |
$2,305 |
5.5× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$15,377.25 |
$73,225 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,331.19 |
$6,339 |
12.7× |
| Continuing medical physics consltj pr wk (77336) |
$679.35 |
$3,235 |
5.0× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$186.90 |
$890 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,885.84 |
$18,504 |
11.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,731.26 |
$13,006 |
11.4× |
| CT abdomen w contrast (74160) |
$1,963.08 |
$9,348 |
11.1× |
| CT abdomen w wo contrast (74170) |
$1,737.96 |
$8,276 |
9.9× |
| CT abdomen w/o contrast (74150) |
$1,331.19 |
$6,339 |
12.7× |
| CT angio hrt w/3d image (75574) |
$3,047.73 |
$14,513 |
8.7× |
| CT angiography upper extremity lt (73206) |
$3,338.79 |
$15,899 |
18.9× |
| CT c-spine w/o contrast (72125) |
$2,957.85 |
$14,085 |
28.2× |
| CT cervical spine w&w/o contrast (72127) |
$3,333.75 |
$15,875 |
18.9× |
| CT cervical spine with contrast (72126) |
$3,333.75 |
$15,875 |
9.5× |
| CT chest w/wo contrast (71270) |
$3,265.71 |
$15,551 |
18.5× |
| CT chest with contrast (71260) |
$3,047.73 |
$14,513 |
17.3× |
| CT head/brain with contrast (70460) |
$3,047.73 |
$14,513 |
17.3× |
| CT head/brain without and with contrast (70470) |
$3,526.74 |
$16,794 |
20.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,531.76 |
$12,056 |
7.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$456.96 |
$2,176 |
5.2× |
| CT iac w contrast (70481) |
$3,291.54 |
$15,674 |
18.7× |
| CT lower ext w/o (73700) |
$2,957.85 |
$14,085 |
28.2× |
| CT lower extremity w wo contrast (73702) |
$3,333.75 |
$15,875 |
18.9× |
| CT lower extremity with contrast (73701) |
$3,195.36 |
$15,216 |
18.1× |
| CT lumbar spine w & w/o contrast (72133) |
$3,333.75 |
$15,875 |
18.9× |
| CT lumbar spine w/o contrast (72131) |
$2,957.85 |
$14,085 |
28.2× |
| CT lumbar spine with contrast (72132) |
$3,192.63 |
$15,203 |
9.1× |
| CT maxillofacial w contrast (70487) |
$3,047.73 |
$14,513 |
17.3× |
| CT maxillofacial w/o contrast (70486) |
$2,889.81 |
$13,761 |
27.5× |
| CT maxillofacial w/wo contrast (70488) |
$3,265.71 |
$15,551 |
18.5× |
| CT neck soft tissue w contrast (70491) |
$3,047.73 |
$14,513 |
17.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,825.15 |
$18,215 |
21.7× |
| CT orbits w/o contrast (70480) |
$3,195.78 |
$15,218 |
30.4× |
| CT pelvis w & w/o contrast (72194) |
$3,837.54 |
$18,274 |
21.8× |
| CT pelvis w/o contrast (72192) |
$2,957.85 |
$14,085 |
28.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,265.71 |
$15,551 |
18.5× |
| CT soft tissue neck w/o contrast (70490) |
$2,957.85 |
$14,085 |
28.2× |
| CT thoracic spine w/contrast (72129) |
$3,192.63 |
$15,203 |
18.1× |
| CT thoracic spine w/o contrast (72128) |
$2,957.85 |
$14,085 |
28.2× |
| CT thoracic spine w/wo contrast (72130) |
$3,333.75 |
$15,875 |
18.9× |
| CT thorax w/o contrast (71250) |
$2,889.81 |
$13,761 |
27.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,128.79 |
$14,899 |
17.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,456.68 |
$11,698.50 |
23.4× |
| CT upper extremity with contrast (73201) |
$2,854.42 |
$13,592.50 |
8.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,837.54 |
$18,274 |
21.8× |
| Cta Abdomen (74175) |
$3,781.89 |
$18,009 |
21.5× |
| CTA abdomen pelvis (74174) |
$3,893.40 |
$18,540 |
11.1× |
| CTA chest (71275) |
$3,611.37 |
$17,197 |
20.5× |
| Cta Head (70496) |
$3,526.74 |
$16,794 |
20.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,246.60 |
$15,460 |
9.3× |
| CTA lwr ext w&w/o contrast (73706) |
$3,419.64 |
$16,284 |
19.4× |
| Cta Neck (70498) |
$3,121.23 |
$14,863 |
17.7× |
| Cta Pelvis (72191) |
$186.90 |
$890 |
1.1× |
| Cystography minimum 3 views rs&i (74430) |
$576.24 |
$2,744 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$384.93 |
$1,833 |
3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$148.05 |
$705 |
1.7× |
| Dxa bone density study axial skeleton (77085) |
$448.14 |
$2,134 |
4.3× |
| Echoencephalography real time imaging (76506) |
$998.97 |
$4,757 |
9.5× |
| Esophagus (74220) |
$738.57 |
$3,517 |
4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$195.72 |
$932 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$476.49 |
$2,269 |
2.0× |
| Foot 2 views (73620) |
$339.78 |
$1,618 |
3.9× |
| Forearm 2 views (73090) |
$301.77 |
$1,437 |
3.5× |
| Gated Heart Planar Single (78472) |
$1,110.48 |
$5,288 |
2.8× |
| Hand 2 views (73120) |
$297.78 |
$1,418 |
2.8× |
| Hand 3 views (73130) |
$411.18 |
$1,958 |
4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$707.28 |
$3,368 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$707.28 |
$3,368 |
1.8× |
| Ht muscle image spect sing (78451) |
$2,085.93 |
$9,933 |
1.6× |
| Humerus Min 2 Views Left (73060) |
$278.88 |
$1,328 |
3.2× |
| Hysterosalpingogram (74740) |
$894.81 |
$4,261 |
3.7× |
| Image fusion (77399) |
$737.10 |
$3,510 |
5.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,893.36 |
$9,016 |
3.5× |
| Knee 3 views (73562) |
$477.33 |
$2,273 |
5.5× |
| Liver & spleen imaging static only (78215) |
$1,571.22 |
$7,482 |
3.9× |
| Liver imaging w/vascular flow (78202) |
$530.25 |
$2,525 |
1.0× |
| Lung perfusion differential (78597) |
$1,986.81 |
$9,461 |
4.9× |
| Lymphoscintigraphy (78195) |
$832.44 |
$3,964 |
1.5× |
| Meckels Diverticulum (78290) |
$1,851.36 |
$8,816 |
4.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,005.27 |
$4,787 |
2.7× |
| Mr safety determination physician/other qhp (76016) |
$92.40 |
$440 |
1.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$62.37 |
$297 |
1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$25.62 |
$122 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$96.39 |
$459 |
1.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$253.89 |
$1,209 |
1.1× |
| MRA head w & w/o contrast (70546) |
$2,651.25 |
$12,625 |
7.6× |
| MRA head w/o contrast (70544) |
$1,137.99 |
$5,419 |
4.7× |
| MRA head with contrast (70545) |
$375.06 |
$1,786 |
1.1× |
| MRA neck w contrast (70548) |
$1,540.56 |
$7,336 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$375.06 |
$1,786 |
1.1× |
| MRA neck w/o contrast (70547) |
$1,137.99 |
$5,419 |
4.7× |
| MRI abdomen w contrast (74182) |
$2,354.94 |
$11,214 |
6.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,651.25 |
$12,625 |
7.6× |
| MRI abdomen w/o contrast (74181) |
$1,891.68 |
$9,008 |
7.9× |
| MRI any jnt lwr ext with con lt (73722) |
$2,126.88 |
$10,128 |
2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,126.88 |
$10,128 |
2.7× |
| MRI breast w/o contrast bilateral (77047) |
$1,549.80 |
$7,380 |
6.5× |
| MRI c-spine with contrast (72142) |
$2,126.88 |
$10,128 |
6.1× |
| MRI cervical spine w/o contrast (72141) |
$2,110.29 |
$10,049 |
8.8× |
| MRI chest w/o & w/contrast material (71552) |
$2,698.92 |
$12,852 |
7.7× |
| MRI chest w/o contrast (71550) |
$1,950.48 |
$9,288 |
8.1× |
| MRI chest with contrast (71551) |
$2,336.25 |
$11,125 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,126.88 |
$10,128 |
6.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,126.88 |
$10,128 |
6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,110.29 |
$10,049 |
8.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,950.48 |
$9,288 |
8.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,336.25 |
$11,125 |
6.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,110.29 |
$10,049 |
6.0× |
| MRI pelvis w contrast (72196) |
$2,548.56 |
$12,136 |
7.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,655.03 |
$12,643 |
7.6× |
| MRI pelvis w/o contrast (72195) |
$1,799.49 |
$8,569 |
7.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,336.25 |
$11,125 |
6.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,336.25 |
$11,125 |
6.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,810.64 |
$13,384 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,431.59 |
$11,579 |
6.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,863.35 |
$13,635 |
8.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,126.88 |
$10,128 |
6.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,810.64 |
$13,384 |
8.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,110.29 |
$10,049 |
8.8× |
| MRI tmj (70336) |
$1,936.62 |
$9,222 |
8.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,110.29 |
$10,049 |
8.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,336.25 |
$11,125 |
6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,110.29 |
$10,049 |
8.8× |
| Myocardial Spect Multiple Studies (78452) |
$5,097.96 |
$24,276 |
3.9× |
| Neck soft tissue (70360) |
$411.18 |
$1,958 |
4.7× |
| Nm cisternogram (78630) |
$2,954.28 |
$14,068 |
5.4× |
| Nm gastric emptying study (78264) |
$937.23 |
$4,463 |
2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,718.05 |
$17,705 |
2.7× |
| Nuclear Rx Oral Admin (79005) |
$2,032.17 |
$9,677 |
8.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$787.92 |
$3,752 |
7.5× |
| Osseous survey infant (77076) |
$692.16 |
$3,296 |
6.6× |
| Parathyroid imaging (78070) |
$1,801.17 |
$8,577 |
4.5× |
| Pelvis 1 or 2 views (72170) |
$378 |
$1,800 |
3.6× |
| Peritoneogram rs&i (74190) |
$943.74 |
$4,494 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$8,446.62 |
$40,222 |
5.9× |
| PET imaging for CT attenuation whole body (78816) |
$8,611.26 |
$41,006 |
6.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,336.25 |
$11,125 |
6.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,817.55 |
$8,655 |
4.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,677.08 |
$12,748 |
4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$423.15 |
$2,015 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$492.87 |
$2,347 |
5.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$492.87 |
$2,347 |
4.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$661.50 |
$3,150 |
6.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$650.16 |
$3,096 |
6.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$986.37 |
$4,697 |
9.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$15,377.25 |
$73,225 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$528.99 |
$2,519 |
1.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$404.67 |
$1,927 |
3.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$263.13 |
$1,253 |
0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$640.08 |
$3,048 |
6.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$381.15 |
$1,815 |
4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$589.89 |
$2,809 |
5.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$331.59 |
$1,579 |
3.8× |
| Radiologic exam colon single contrast study (74270) |
$846.93 |
$4,033 |
4.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,078.98 |
$5,138 |
6.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,044.96 |
$4,976 |
5.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$484.68 |
$2,308 |
5.5× |
| Radiological examination surgical specimen (76098) |
$675.36 |
$3,216 |
1.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,818.20 |
$13,420 |
0.9× |
| Ribs bilateral 3 views (71110) |
$851.97 |
$4,057 |
8.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,394.19 |
$6,639 |
3.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,962.87 |
$9,347 |
3.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,547.28 |
$7,368 |
2.8× |
| Rp therapy intra-arterial particulate admn (79445) |
$273.63 |
$1,303 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$381.36 |
$1,816 |
3.6× |
| Salivary gland imaging serial images (78231) |
$689.22 |
$3,282 |
1.7× |
| Scanogram (77073) |
$285.18 |
$1,358 |
2.7× |
| Scapula complete (73010) |
$419.37 |
$1,997 |
4.0× |
| Screening digital breast tomosynthesis (77063) |
$31.29 |
$149 |
1.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$922.11 |
$4,391 |
8.8× |
| Simulation intermediate (77285) |
$1,004.22 |
$4,782 |
2.7× |
| Small bowel series (74250) |
$989.94 |
$4,714 |
5.6× |
| Spec medical radj physics consltj (77370) |
$793.17 |
$3,777 |
5.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$504.63 |
$2,403 |
1.3× |
| Special dosimetry (77331) |
$246.12 |
$1,172 |
1.8× |
| Special treatment procedure (77470) |
$978.39 |
$4,659 |
1.8× |
| Spine thoracic 3 views (72072) |
$760.62 |
$3,622 |
7.2× |
| Stereotactic body radiation delivery (77373) |
$2,665.74 |
$12,694 |
1.5× |
| Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions (77438) |
$114.45 |
$545 |
1.1× |
| Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) |
$84 |
$400 |
2.2× |
| Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th… (77437) |
$114.45 |
$545 |
1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,001.28 |
$4,768 |
2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$725.34 |
$3,454 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,227.87 |
$5,847 |
3.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$614.67 |
$2,927 |
4.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,752.24 |
$8,344 |
3.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$852.60 |
$4,060 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,674.12 |
$7,972 |
4.2× |
| Treatment device intermediate (77333) |
$437.43 |
$2,083 |
3.2× |
| Treatment devices simple (77332) |
$298.20 |
$1,420 |
2.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,725.40 |
$17,740 |
6.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$408.24 |
$1,944 |
1.0× |
| Tx devices design & construction complex (77334) |
$708.54 |
$3,374 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$894.81 |
$4,261 |
8.5× |
| Umbilical-artery Doppler (OB) (76820) |
$332.85 |
$1,585 |
3.2× |
| Urethrocystography voiding (74455) |
$1,019.97 |
$4,857 |
4.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,129.06 |
$5,376.50 |
6.4× |
| Us abdl aorta screen aaa (76706) |
$276.36 |
$1,316 |
2.6× |
| Us breast unilateral complete (76641) |
$777.21 |
$3,701 |
7.4× |
| Us breast unilateral limited (76642) |
$768.18 |
$3,658 |
8.8× |
| Us chest (76604) |
$411.18 |
$1,958 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$853.44 |
$4,064 |
8.1× |
| Us guided compression repair (76936) |
$1,534.05 |
$7,305 |
7.1× |
| Us infant hips dynamic (76885) |
$716.52 |
$3,412 |
8.2× |
| Us infant hips limited static (76886) |
$787.92 |
$3,752 |
9.0× |
| Us kidney transplant (76776) |
$815.85 |
$3,885 |
7.8× |
| Us ob detailed single fetus (76811) |
$1,583.19 |
$7,539 |
6.6× |
| Us ob transvaginal (76817) |
$332.85 |
$1,585 |
3.2× |
| Us pelvic non ob complete (76856) |
$1,008.63 |
$4,803 |
9.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$681.45 |
$3,245 |
6.5× |
| Us pregnancy ltd (76815) |
$472.08 |
$2,248 |
4.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$690.48 |
$3,288 |
6.6× |
| Us retroperitoneal complete (76770) |
$951.30 |
$4,530 |
9.1× |
| Us retroperitoneal limited (76775) |
$894.81 |
$4,261 |
8.5× |
| Us scrotum and contents (76870) |
$695.94 |
$3,314 |
6.6× |
| Us soft tissue head/neck (76536) |
$892.71 |
$4,251 |
8.5× |
| Us spinal canal and contents (76800) |
$1,008.63 |
$4,803 |
9.6× |
| Us transrectal (76872) |
$936.81 |
$4,461 |
8.9× |
| Us xtr non-vasc lmtd (76882) |
$690.48 |
$3,288 |
6.6× |
| Venogram extremity bilateral (75822) |
$943.74 |
$4,494 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,099.60 |
$14,760 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$994.98 |
$4,738 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$926 |
$4,409.50 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,277.22 |
$6,082 |
0.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,796.82 |
$22,842 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$187.53 |
$893 |
2.1× |
| Wrist 2 views (73100) |
$265.65 |
$1,265 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$589.89 |
$2,809 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$611.10 |
$2,910 |
7.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$472.92 |
$2,252 |
5.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,051.26 |
$5,006 |
6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$357.84 |
$1,704 |
4.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$403.62 |
$1,922 |
4.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$986.37 |
$4,697 |
9.4× |
| X-ray exam hip uni 1 view (73501) |
$312.06 |
$1,486 |
3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$422.52 |
$2,012 |
4.8× |
| X-ray exam hip uni 4/> views (73503) |
$633.78 |
$3,018 |
6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$661.50 |
$3,150 |
6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,322.79 |
$6,299 |
12.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$642.18 |
$3,058 |
6.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$378 |
$1,800 |
4.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$472.92 |
$2,252 |
5.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$390.60 |
$1,860 |
4.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$676.41 |
$3,221 |
6.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$291.48 |
$1,388 |
3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$708.33 |
$3,373 |
6.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$937.23 |
$4,463 |
8.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$368.76 |
$1,756 |
4.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$339.78 |
$1,618 |
3.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$452.55 |
$2,155 |
4.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$588.21 |
$2,801 |
5.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$973.77 |
$4,637 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$472.71 |
$2,251 |
5.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$642.81 |
$3,061 |
6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$526.05 |
$2,505 |
5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$414.54 |
$1,974 |
4.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$484.05 |
$2,305 |
5.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$642.18 |
$3,058 |
7.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$419.37 |
$1,997 |
4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$787.92 |
$3,752 |
7.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$378 |
$1,800 |
3.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$363.72 |
$1,732 |
4.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$526.05 |
$2,505 |
6.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$411.18 |
$1,958 |
4.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$195.51 |
$931 |
1.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$787.92 |
$3,752 |
7.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$280.98 |
$1,338 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$445.62 |
$2,122 |
5.1× |
| Xr c-spine 6 or more views (72052) |
$831.81 |
$3,961 |
7.9× |
| Xr chest 4+ views (71048) |
$831.81 |
$3,961 |
7.9× |
| Xr finger(s) 2+ views (73140) |
$280.98 |
$1,338 |
3.2× |
| Xr shoulder 1 view (73020) |
$282.03 |
$1,343 |
3.2× |
| Xr spine cervical 4 or 5 views (72050) |
$794.43 |
$3,783 |
7.6× |
| Xr tibia/fibula 2 views (73590) |
$404.25 |
$1,925 |
4.6× |
| Xr tmj bilateral (70330) |
$794.22 |
$3,782 |
9.1× |
| Xray knee 1 or 2 views rt (73560) |
$409.50 |
$1,950 |
4.7× |