| 3-D radiotherapy plan dose-volume histograms (77295) |
$13,102.66 |
$24,722 |
9.9× |
| Abdomen 2 views (74019) |
$387.96 |
$732 |
3.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$411.81 |
$777 |
1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$4,724.95 |
$8,915 |
1.6× |
| Angiography extremity bilateral rs&i (75716) |
$4,380.98 |
$8,266 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$3,183.71 |
$6,007 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$366.76 |
$692 |
0.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,418.28 |
$2,676 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,208.62 |
$6,054 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$827.33 |
$1,561 |
0.3× |
| Angiography Spinal Selective Rs&I (75705) |
$3,832.96 |
$7,232 |
0.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,878.87 |
$12,979 |
1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$387.43 |
$731 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$510.92 |
$964 |
0.2× |
| Ankle 2 views (73600) |
$448.91 |
$847 |
5.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$276.13 |
$521 |
0.8× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,464.39 |
$2,763 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,009.76 |
$3,792 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$4,127.11 |
$7,787 |
1.4× |
| Artery X-Rays Adrenal Gland (75731) |
$2,362.74 |
$4,458 |
0.8× |
| Arthrogram elbow (73085) |
$301.57 |
$569 |
0.9× |
| Arthrogram hip (73525) |
$483.36 |
$912 |
1.4× |
| Arthrogram shoulder (73040) |
$703.84 |
$1,328 |
2.1× |
| Arthrogram wrist (73115) |
$679.99 |
$1,283 |
2.0× |
| Arthrography knee lt (73580) |
$584.59 |
$1,103 |
1.8× |
| Basic radiation dosimetry calculation (77300) |
$1,427.29 |
$2,693 |
11.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$498.73 |
$941 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$832.63 |
$1,571 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$6,029.81 |
$11,377 |
15.8× |
| Bone age studies (77072) |
$341.85 |
$645 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$7,155 |
$13,500 |
18.7× |
| Bone Marrow Imaging Limited Area (78102) |
$683.17 |
$1,289 |
1.8× |
| Bone survey complete (77075) |
$661.44 |
$1,248 |
6.6× |
| Brachytx isodose complex (77318) |
$857.54 |
$1,618 |
2.4× |
| Brachytx isodose intermed (77317) |
$575.05 |
$1,085 |
1.6× |
| Brain image w/flow 4 + views (78606) |
$314.82 |
$594 |
0.6× |
| Brain imaging < 4 static views (78600) |
$300.51 |
$567 |
0.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$304.22 |
$574 |
0.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$311.64 |
$588 |
0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$11,332.99 |
$21,383 |
8.3× |
| Brain Imaging Vascular Flow Only (78610) |
$321.18 |
$606 |
0.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,192.19 |
$6,023 |
9.6× |
| Cardiac shunt detection (78428) |
$834.75 |
$1,575 |
2.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,177.13 |
$2,221 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$515.16 |
$972 |
6.2× |
| Chest 1 view (71045) |
$184.44 |
$348 |
2.2× |
| Chest 3 views (71047) |
$315.88 |
$596 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$548.55 |
$1,035 |
3.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$624.87 |
$1,179 |
0.8× |
| Clavicle complete (73000) |
$400.15 |
$755 |
4.8× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$97,054.66 |
$183,122 |
13.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$235.85 |
$445 |
2.4× |
| Continuing medical physics consltj pr wk (77336) |
$181.26 |
$342 |
1.4× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$198.75 |
$375 |
1.2× |
| Corpora cavernosography (74445) |
$257.58 |
$486 |
2.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,018.15 |
$11,355 |
18.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,012.10 |
$7,570 |
17.6× |
| CT abdomen w contrast (74160) |
$3,510.72 |
$6,624 |
20.9× |
| CT abdomen w wo contrast (74170) |
$3,935.78 |
$7,426 |
23.5× |
| CT abdomen w/o contrast (74150) |
$2,836.03 |
$5,351 |
28.4× |
| CT angio hrt w/3d image (75574) |
$1,538.86 |
$2,903.50 |
4.6× |
| CT angiography upper extremity lt (73206) |
$2,523.86 |
$4,762 |
15.1× |
| CT c-spine w/o contrast (72125) |
$2,019.83 |
$3,811 |
20.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$256.52 |
$484 |
1.5× |
| CT cervical spine w&w/o contrast (72127) |
$3,237.24 |
$6,108 |
19.3× |
| CT cervical spine with contrast (72126) |
$2,859.88 |
$5,396 |
8.6× |
| CT chest w/wo contrast (71270) |
$2,354.26 |
$4,442 |
14.0× |
| CT chest with contrast (71260) |
$2,203.74 |
$4,158 |
13.1× |
| CT colonography screening (74263) |
$1,137.91 |
$2,147 |
5.0× |
| CT colonography w/dye (74262) |
$1,012.30 |
$1,910 |
6.0× |
| CT colonography w/o cntrst (74261) |
$983.15 |
$1,855 |
9.8× |
| CT head/brain with contrast (70460) |
$2,348.43 |
$4,431 |
14.0× |
| CT head/brain without and with contrast (70470) |
$2,515.38 |
$4,746 |
15.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,513.15 |
$2,855 |
4.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,024.49 |
$1,933 |
12.3× |
| CT hrt w/3d image congen (75573) |
$1,917.54 |
$3,618 |
5.8× |
| CT iac w contrast (70481) |
$2,691.34 |
$5,078 |
16.1× |
| CT limited/localized follow up study (76380) |
$150.52 |
$284 |
1.8× |
| CT lower ext w/o (73700) |
$1,735.75 |
$3,275 |
17.4× |
| CT lower extremity w wo contrast (73702) |
$2,708.83 |
$5,111 |
16.2× |
| CT lower extremity with contrast (73701) |
$2,113.11 |
$3,987 |
12.6× |
| CT lumbar spine w & w/o contrast (72133) |
$2,447.54 |
$4,618 |
14.6× |
| CT lumbar spine w/o contrast (72131) |
$1,891.04 |
$3,568 |
18.9× |
| CT lumbar spine with contrast (72132) |
$2,280.59 |
$4,303 |
6.8× |
| CT maxillofacial w contrast (70487) |
$2,444.36 |
$4,612 |
14.6× |
| CT maxillofacial w/o contrast (70486) |
$1,971.07 |
$3,719 |
19.7× |
| CT maxillofacial w/wo contrast (70488) |
$3,172.05 |
$5,985 |
18.9× |
| CT neck soft tissue w contrast (70491) |
$2,391.36 |
$4,512 |
14.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,862 |
$5,400 |
17.1× |
| CT orbits w/o contrast (70480) |
$357.75 |
$675 |
3.6× |
| CT pelvis w & w/o contrast (72194) |
$2,897.51 |
$5,467 |
17.3× |
| CT pelvis w/o contrast (72192) |
$1,647.24 |
$3,108 |
16.5× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$80.56 |
$152 |
1.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,675.44 |
$5,048 |
16.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,590 |
$3,000 |
15.9× |
| CT thoracic spine w/contrast (72129) |
$2,317.69 |
$4,373 |
13.8× |
| CT thoracic spine w/o contrast (72128) |
$1,683.81 |
$3,177 |
16.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,633.57 |
$4,969 |
15.7× |
| CT thorax w/o contrast (71250) |
$1,618.62 |
$3,054 |
16.2× |
| CT unlisted procedure (76497) |
$699.60 |
$1,320 |
8.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,468.21 |
$4,657 |
14.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,128.90 |
$2,130 |
11.3× |
| CT upper extremity with contrast (73201) |
$2,422.63 |
$4,571 |
7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,476.69 |
$4,673 |
14.8× |
| Cta Abdomen (74175) |
$2,851.40 |
$5,380 |
17.0× |
| CTA abdomen pelvis (74174) |
$4,585.03 |
$8,651 |
13.7× |
| CTA chest (71275) |
$2,768.72 |
$5,224 |
16.5× |
| Cta Head (70496) |
$2,953.16 |
$5,572 |
17.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$587.77 |
$1,109 |
1.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,523.86 |
$4,762 |
15.1× |
| Cta Neck (70498) |
$2,786.21 |
$5,257 |
16.6× |
| Cta Pelvis (72191) |
$1,958.88 |
$3,696 |
11.7× |
| Cystography minimum 3 views rs&i (74430) |
$284.61 |
$537 |
0.9× |
| Dacryocystography (70170) |
$254.93 |
$481 |
1.1× |
| Diskogram cervical (72285) |
$1,833.80 |
$3,460 |
1.0× |
| Diskography lumbar (72295) |
$1,833.80 |
$3,460 |
1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$222.60 |
$420 |
2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$303.69 |
$573 |
3.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$310.05 |
$585 |
3.1× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$198.75 |
$375 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$825.74 |
$1,558 |
8.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$161.65 |
$305 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$223.66 |
$422 |
2.2× |
| Echo exam of fetal heart (76825) |
$404.92 |
$764 |
0.8× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$263.41 |
$497 |
1.2× |
| Echoencephalography real time imaging (76506) |
$222.07 |
$419 |
2.2× |
| Esophageal motility (78258) |
$1,177.13 |
$2,221 |
3.1× |
| Esophagus (74220) |
$501.91 |
$947 |
3.0× |
| Fetal biophysical profile non-stress testing (76818) |
$1,171.30 |
$2,210 |
11.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$554.91 |
$1,047 |
5.6× |
| Fluoroscopy up to 1 hr (76000) |
$699.60 |
$1,320 |
3.1× |
| Foot 2 views (73620) |
$433.01 |
$817 |
5.2× |
| Forearm 2 views (73090) |
$374.18 |
$706 |
4.5× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$216.77 |
$409 |
1.0× |
| Functional MRI brain by phys/psych (70555) |
$712.32 |
$1,344 |
3.1× |
| Functional MRI brain by tech (70554) |
$712.32 |
$1,344 |
3.1× |
| Gastric mucosa imaging (78261) |
$1,177.13 |
$2,221 |
3.1× |
| Gastrointestinal Protein Loss (78282) |
$1,055.23 |
$1,991 |
2.8× |
| Gated Heart Planar Single (78472) |
$1,230.13 |
$2,321 |
3.2× |
| Hand 2 views (73120) |
$347.15 |
$655 |
3.5× |
| Hand 3 views (73130) |
$376.83 |
$711 |
4.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,311.55 |
$8,135 |
6.5× |
| Heart Infarct Image (78466) |
$103.35 |
$195 |
0.3× |
| Heart infarct image w ef (78468) |
$428.77 |
$809 |
0.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,690.28 |
$5,076 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,412.36 |
$10,212 |
10.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,658.90 |
$3,130 |
4.3× |
| Ht muscle image spect sing (78451) |
$2,739.04 |
$5,168 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$308.99 |
$583 |
3.7× |
| Hysterosalpingogram (74740) |
$684.23 |
$1,291 |
3.0× |
| Interstitial radiation source applic complex (77778) |
$2,248.26 |
$4,242 |
3.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$115.01 |
$217 |
1.2× |
| Kidney imaging morphology (78700) |
$615.86 |
$1,162 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$467.99 |
$883 |
0.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$6,502.57 |
$12,269 |
12.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,248.06 |
$9,902 |
10.1× |
| Knee 3 views (73562) |
$436.72 |
$824 |
5.3× |
| Liver & spleen imaging static only (78215) |
$1,369.52 |
$2,584 |
3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,021 |
$5,700 |
7.9× |
| Liver imaging static only (78201) |
$784.40 |
$1,480 |
1.5× |
| Liver imaging w/vascular flow (78202) |
$3,326.81 |
$6,277 |
6.4× |
| Lung perf&ventilat diferentl (78598) |
$678.40 |
$1,280 |
1.3× |
| Lung perfusion differential (78597) |
$490.25 |
$925 |
1.3× |
| Lung Ventilation Imaging (78579) |
$357.75 |
$675 |
0.9× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$779.63 |
$1,471 |
0.3× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$611.09 |
$1,153 |
1.0× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$1,197.80 |
$2,260 |
0.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$390.08 |
$736 |
0.1× |
| Lymphoscintigraphy (78195) |
$4,331.69 |
$8,173 |
8.3× |
| Mammary ductogram or galactogram multiple (77054) |
$464.81 |
$877 |
2.0× |
| Mammary ductogram or galactogram single (77053) |
$315.88 |
$596 |
1.4× |
| Meckels Diverticulum (78290) |
$417.64 |
$788 |
1.1× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$273.48 |
$516 |
0.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$249.63 |
$471 |
0.7× |
| Mr safety determination physician/other qhp (76016) |
$118.19 |
$223 |
1.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$80.03 |
$151 |
1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$31.27 |
$59 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$122.96 |
$232 |
1.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$307.93 |
$581 |
1.4× |
| MRA head w & w/o contrast (70546) |
$3,779.96 |
$7,132 |
11.3× |
| MRA head w/o contrast (70544) |
$2,361.68 |
$4,456 |
10.4× |
| MRA head with contrast (70545) |
$3,258.44 |
$6,148 |
9.8× |
| MRA neck w contrast (70548) |
$2,173.53 |
$4,101 |
6.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,620.32 |
$4,944 |
7.9× |
| MRA neck w/o contrast (70547) |
$723.45 |
$1,365 |
3.2× |
| MRI abdomen w contrast (74182) |
$3,759.82 |
$7,094 |
11.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,307.31 |
$8,127 |
12.9× |
| MRI abdomen w/o contrast (74181) |
$2,837.09 |
$5,353 |
12.4× |
| MRI any jnt lwr ext with con lt (73722) |
$5,008.50 |
$9,450 |
6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,073.05 |
$7,685 |
5.4× |
| MRI bone marrow blood supply (77084) |
$931.74 |
$1,758 |
4.1× |
| MRI breast w/o contrast bilateral (77047) |
$2,427.40 |
$4,580 |
10.6× |
| MRI breast w/o contrast unilat (77046) |
$2,218.05 |
$4,185 |
9.7× |
| MRI c-spine with contrast (72142) |
$3,317.27 |
$6,259 |
9.9× |
| MRI cardiac w/o cont stress (75559) |
$3,813.88 |
$7,196 |
7.3× |
| MRI cardiac w/o contrast (75557) |
$1,959.94 |
$3,698 |
8.6× |
| MRI cervical spine w/o contrast (72141) |
$2,924.54 |
$5,518 |
12.8× |
| MRI chest w/o & w/contrast material (71552) |
$3,797.45 |
$7,165 |
11.4× |
| MRI chest w/o contrast (71550) |
$1,397.61 |
$2,637 |
6.1× |
| MRI chest with contrast (71551) |
$3,008.81 |
$5,677 |
4.0× |
| MRI fetal sngl/1st gestation (74712) |
$332.84 |
$628 |
1.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,463.02 |
$6,534 |
10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,211.80 |
$6,060 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,478.28 |
$4,676 |
10.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,862 |
$5,400 |
12.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,159.97 |
$7,849 |
12.5× |
| MRI orbit/face/neck w/contrast (70542) |
$3,362.85 |
$6,345 |
10.1× |
| MRI pelvis w contrast (72196) |
$3,420.62 |
$6,454 |
10.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,972.88 |
$7,496 |
11.9× |
| MRI pelvis w/o contrast (72195) |
$2,619.26 |
$4,942 |
11.5× |
| MRI scan of arm joint before and after contrast (73223) |
$5,366.25 |
$10,125 |
16.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$4,092.66 |
$7,722 |
5.5× |
| MRI scan of leg joint before and after contrast (73723) |
$5,366.25 |
$10,125 |
16.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,651.28 |
$8,776 |
13.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,616.08 |
$4,936 |
7.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,689.86 |
$6,962 |
11.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,675.44 |
$5,048 |
8.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,848.86 |
$7,262 |
11.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,115.23 |
$3,991 |
9.3× |
| MRI tmj (70336) |
$993.22 |
$1,874 |
4.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,826.49 |
$5,333 |
12.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,865.40 |
$9,180 |
14.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,289.60 |
$4,320 |
10.0× |
| Myocardial infarct spect (78469) |
$782.28 |
$1,476 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$10,840.09 |
$20,453 |
8.8× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$4,830.42 |
$9,114 |
2.3× |
| Neck soft tissue (70360) |
$363.05 |
$685 |
4.4× |
| Nm adrenal scan (78075) |
$3,573.26 |
$6,742 |
2.9× |
| Nm bone marrow multiple (78103) |
$834.75 |
$1,575 |
2.2× |
| Nm bone marrow wb (78104) |
$946.05 |
$1,785 |
2.5× |
| Nm cisternogram (78630) |
$1,698.65 |
$3,205 |
3.3× |
| Nm csf leak detection (78650) |
$4,279.22 |
$8,074 |
3.5× |
| Nm gastric emptying study (78264) |
$6,378.02 |
$12,034 |
16.7× |
| Nm gastroesophageal reflux study (78262) |
$3,161.98 |
$5,966 |
8.3× |
| Nm peritoneal-venous shunt patency (78291) |
$905.24 |
$1,708 |
2.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,641.94 |
$3,098 |
1.2× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$11,332.99 |
$21,383 |
8.3× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$6,562.46 |
$12,382 |
5.3× |
| Nuclear medicine of heart pumping function (78473) |
$4,949.14 |
$9,338 |
13.0× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,990.37 |
$7,529 |
2.9× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$3,384.05 |
$6,385 |
2.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,664.73 |
$3,141 |
4.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$858.60 |
$1,620 |
2.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$4,473.73 |
$8,441 |
11.7× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,301.15 |
$2,455 |
2.5× |
| Nuclear Rx Oral Admin (79005) |
$3,131.77 |
$5,909 |
14.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$446.79 |
$843 |
4.5× |
| Orthopantogram (70355) |
$90.63 |
$171 |
1.1× |
| Osseous survey infant (77076) |
$109.18 |
$206 |
1.1× |
| Osseous survey limited (77074) |
$468.52 |
$884 |
4.7× |
| Parathyrd planar w/spect&CT (78072) |
$670.45 |
$1,265 |
1.3× |
| Parathyrd planar w/wo subtrj (78071) |
$508.80 |
$960 |
1.3× |
| Parathyroid imaging (78070) |
$475.94 |
$898 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$309.52 |
$584 |
3.1× |
| Perineogram (74775) |
$252.81 |
$477 |
1.1× |
| Peritoneogram rs&i (74190) |
$416.58 |
$786 |
0.8× |
| PET image w/CT, skull-thigh (78815) |
$8,677.69 |
$16,373 |
6.3× |
| PET imaging for CT attenuation whole body (78816) |
$14,432.43 |
$27,231 |
10.6× |
| Pr csf ventriculography (78635) |
$1,516.86 |
$2,862 |
2.9× |
| Pr gi endoscopic ultrasound (76975) |
$2,992.38 |
$5,646 |
13.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,805.93 |
$7,181 |
11.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,320.98 |
$6,266 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,491.11 |
$6,587 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$303.16 |
$572 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$426.65 |
$805 |
0.8× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,360.51 |
$2,567 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$611.09 |
$1,153 |
1.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$329.66 |
$622 |
4.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$599.96 |
$1,132 |
6.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$455.27 |
$859 |
4.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$211.47 |
$399 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$781.75 |
$1,475 |
7.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$598.90 |
$1,130 |
1.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$558.09 |
$1,053 |
5.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$572.40 |
$1,080 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$176.49 |
$333 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$300.51 |
$567 |
3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$467.99 |
$883 |
4.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$245.92 |
$464 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$720.80 |
$1,360 |
4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$715.50 |
$1,350 |
4.3× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$184.44 |
$348 |
0.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,431 |
$2,700 |
8.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,238.08 |
$2,336 |
7.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$349.27 |
$659 |
4.2× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$90.63 |
$171 |
1.1× |
| Radiological examination surgical specimen (76098) |
$1,950.40 |
$3,680 |
3.7× |
| Radiopharm Dacryocystography (78660) |
$1,177.13 |
$2,221 |
3.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$3,219.75 |
$6,075 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,745.40 |
$5,180 |
0.9× |
| Ribs bilateral 3 views (71110) |
$472.76 |
$892 |
4.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,504.25 |
$4,725 |
6.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,219.53 |
$2,301 |
2.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,677.45 |
$3,165 |
3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,467.04 |
$2,768 |
1.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,502.55 |
$2,835 |
1.1× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,406.62 |
$2,654 |
1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,827.44 |
$3,448 |
8.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$727.69 |
$1,373 |
3.3× |
| Rp Therapy Intravenous Administration (79101) |
$153.70 |
$290 |
0.7× |
| Sacroiliac Joints < 3 Views (72200) |
$73.67 |
$139 |
0.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$563.39 |
$1,063 |
2.5× |
| Salivary gland function study (78232) |
$1,177.13 |
$2,221 |
3.1× |
| Salivary gland imaging (78230) |
$1,177.13 |
$2,221 |
3.1× |
| Salivary gland imaging serial images (78231) |
$1,177.13 |
$2,221 |
3.1× |
| Scanogram (77073) |
$59.36 |
$112 |
0.6× |
| Scapula complete (73010) |
$461.63 |
$871 |
4.6× |
| Screening digital breast tomosynthesis (77063) |
$101.76 |
$192 |
4.4× |
| Sella turcica (70240) |
$90.63 |
$171 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$77.91 |
$147 |
0.8× |
| Sialogram (70390) |
$252.81 |
$477 |
1.1× |
| Simulation intermediate (77285) |
$2,504.25 |
$4,725 |
7.0× |
| Small bowel series (74250) |
$784.40 |
$1,480 |
4.7× |
| Spec medical radj physics consltj (77370) |
$123.49 |
$233 |
1.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$348.21 |
$657 |
1.0× |
| Special dosimetry (77331) |
$438.84 |
$828 |
3.4× |
| Special treatment procedure (77470) |
$448.91 |
$847 |
0.8× |
| Speech evaluation complex (70371) |
$252.81 |
$477 |
1.1× |
| Spine thoracic 3 views (72072) |
$573.46 |
$1,082 |
5.7× |
| Spleen imaging only (78185) |
$1,177.13 |
$2,221 |
3.1× |
| Splenoportograpy rs&i (75810) |
$442.55 |
$835 |
0.1× |
| Stereotactic body radiation delivery (77373) |
$7,154.47 |
$13,499 |
4.2× |
| Superior sagittal sinus venogram (75870) |
$2,127.95 |
$4,015 |
0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,396.55 |
$2,635 |
3.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$741.47 |
$1,399 |
2.1× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$469.05 |
$885 |
2.1× |
| Testicular Imaging With Vascular Flow (78761) |
$879.80 |
$1,660 |
2.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,718.90 |
$5,130 |
7.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,039.44 |
$3,848 |
15.9× |
| Therapeutic Enema (74283) |
$252.28 |
$476 |
1.5× |
| Thoracolumbar 2 views (72080) |
$197.16 |
$372 |
2.4× |
| Thyroid carcinoma metastases img addl study (78016) |
$930.15 |
$1,755 |
2.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,146.72 |
$7,824 |
8.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$183.38 |
$346 |
0.5× |
| Thyroid uptake measurement (78012) |
$171.72 |
$324 |
0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$810.37 |
$1,529 |
2.1× |
| Tmj unilateral (70328) |
$331.78 |
$626 |
4.0× |
| Tomogram (76100) |
$144.69 |
$273 |
1.4× |
| Treatment device intermediate (77333) |
$1,802.53 |
$3,401 |
14.0× |
| Treatment devices simple (77332) |
$1,368.46 |
$2,582 |
10.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,603.89 |
$4,913 |
5.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,248.79 |
$4,243 |
5.9× |
| Tx devices design & construction complex (77334) |
$3,151.38 |
$5,946 |
8.8× |
| Ultrasound elastography first target lesion (76982) |
$142.57 |
$269 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$1,232.78 |
$2,326 |
12.3× |
| Umbilical-artery Doppler (OB) (76820) |
$908.42 |
$1,714 |
9.1× |
| Unlisted fluoroscopic procedure (76496) |
$459.51 |
$867 |
5.5× |
| Unlisted magnetic resonance procedure (76498) |
$1,799.88 |
$3,396 |
21.6× |
| Unlisted Ultrasound Procedure (76999) |
$252.81 |
$477 |
3.0× |
| Upper Extremity Infant (73092) |
$68.37 |
$129 |
0.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,070.07 |
$2,019 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$307.40 |
$580 |
1.3× |
| Urethrocystography voiding (74455) |
$438.84 |
$828 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,404.50 |
$2,650 |
8.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$317.47 |
$599 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$274.01 |
$517 |
2.7× |
| Us breast unilateral complete (76641) |
$1,097.63 |
$2,071 |
11.0× |
| Us breast unilateral limited (76642) |
$385.31 |
$727 |
4.6× |
| Us chest (76604) |
$186.56 |
$352 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$109.18 |
$206 |
1.1× |
| Us elastography parenchyma (76981) |
$410.22 |
$774 |
4.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$665.15 |
$1,255 |
6.7× |
| Us guided compression repair (76936) |
$155.29 |
$293 |
0.8× |
| Us infant hips dynamic (76885) |
$1,658.90 |
$3,130 |
19.9× |
| Us kidney transplant (76776) |
$134.62 |
$254 |
1.3× |
| Us ob detailed single fetus (76811) |
$243.80 |
$460 |
1.1× |
| Us ob transvaginal (76817) |
$1,978.49 |
$3,733 |
19.8× |
| Us pelvic non ob complete (76856) |
$2,473.51 |
$4,667 |
24.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$492.37 |
$929 |
4.9× |
| Us pregnancy ltd (76815) |
$541.13 |
$1,021 |
5.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,905.35 |
$3,595 |
19.1× |
| Us retroperitoneal complete (76770) |
$114.48 |
$216 |
1.1× |
| Us retroperitoneal limited (76775) |
$1,058.94 |
$1,998 |
10.6× |
| Us scrotum and contents (76870) |
$1,853.94 |
$3,498 |
18.6× |
| Us soft tissue head/neck (76536) |
$1,963.65 |
$3,705 |
19.7× |
| Us spinal canal and contents (76800) |
$1,407.68 |
$2,656 |
14.1× |
| Us transrectal (76872) |
$2,939.38 |
$5,546 |
29.4× |
| Us xtr non-vasc lmtd (76882) |
$546.43 |
$1,031 |
5.5× |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm (77605) |
$2,556.72 |
$4,824 |
3.8× |
| Vascular flow imaging (78445) |
$1,177.13 |
$2,221 |
3.1× |
| Vasogram (74440) |
$252.81 |
$477 |
1.1× |
| Venogram extremity bilateral (75822) |
$3,155.62 |
$5,954 |
2.1× |
| Venogram orbital (75880) |
$414.99 |
$783 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$4,418.61 |
$8,337 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$1,981.14 |
$3,738 |
1.3× |
| Venography epidural rs&i (75872) |
$819.91 |
$1,547 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,567.74 |
$2,958 |
1.0× |
| Venography Renal Bilateral (75833) |
$8,907.18 |
$16,806 |
3.0× |
| Venography renal unilateral selective rs&i (75831) |
$7,139.10 |
$13,470 |
2.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,732.04 |
$3,268 |
0.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,951.90 |
$11,230 |
1.1× |
| Vertebral fracture assessment via dxa (77086) |
$90.63 |
$171 |
1.1× |
| Wrist 2 views (73100) |
$389.55 |
$735 |
4.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$546.43 |
$1,031 |
5.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$403.86 |
$762 |
4.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$452.62 |
$854 |
5.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,381.18 |
$2,606 |
8.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$369.94 |
$698 |
4.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$441.49 |
$833 |
5.3× |
| X-ray exam entire spi 4/5 vw (72083) |
$691.12 |
$1,304 |
6.9× |
| X-ray exam hip uni 1 view (73501) |
$217.30 |
$410 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$278.25 |
$525 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$366.23 |
$691 |
3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$753.66 |
$1,422 |
7.5× |
| X-ray exam of femur 1 (73551) |
$152.11 |
$287 |
1.8× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$930.15 |
$1,755 |
5.5× |
| X-ray eye for foreign body (70030) |
$128.26 |
$242 |
1.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$236.91 |
$447 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$130.91 |
$247 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$456.86 |
$862 |
5.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,911.71 |
$3,607 |
1.0× |
| X-ray head for orthodontia (70350) |
$90.63 |
$171 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$369.41 |
$697 |
4.4× |
| X-ray IV pyelogram+drip infusn (74410) |
$779.10 |
$1,470 |
4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$150.52 |
$284 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$489.72 |
$924 |
4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$108.12 |
$204 |
1.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$102.82 |
$194 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$460.57 |
$869 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$643.95 |
$1,215 |
6.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$500.85 |
$945 |
5.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$516.75 |
$975 |
6.2× |
| X-ray of voice box or throat (70370) |
$125.61 |
$237 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$96.46 |
$182 |
1.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$499.79 |
$943 |
5.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$534.24 |
$1,008 |
1.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$707.02 |
$1,334 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$408.63 |
$771 |
4.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$643.95 |
$1,215 |
6.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,336.66 |
$2,522 |
13.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$134.62 |
$254 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$360.40 |
$680 |
4.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$377.36 |
$712 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$67.31 |
$127 |
0.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$35.51 |
$67 |
0.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$411.28 |
$776 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$351.92 |
$664 |
3.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$221.54 |
$418 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$551.20 |
$1,040 |
6.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$64.13 |
$121 |
0.8× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$92.22 |
$174 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$418.17 |
$789 |
4.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$708.08 |
$1,336 |
7.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$248.04 |
$468 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$401.21 |
$757 |
4.8× |
| Xr arthrogram ankle (73615) |
$584.59 |
$1,103 |
1.8× |
| Xr c-spine 6 or more views (72052) |
$590.42 |
$1,114 |
5.9× |
| Xr chest 4+ views (71048) |
$328.07 |
$619 |
3.3× |
| Xr Cholecystography Oral Contrast (74290) |
$172.78 |
$326 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$233.46 |
$440.50 |
2.8× |
| Xr internal auditory meati complete (70134) |
$534.24 |
$1,008 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$73.14 |
$138 |
0.7× |
| Xr myelogram posterior fossa (70010) |
$358.28 |
$676 |
1.1× |
| Xr optic foramina (70190) |
$90.63 |
$171 |
1.1× |
| Xr shoulder 1 view (73020) |
$281.43 |
$531 |
3.4× |
| Xr spine cervical 4 or 5 views (72050) |
$532.65 |
$1,005 |
5.3× |
| Xr tibia/fibula 2 views (73590) |
$280.37 |
$529 |
3.4× |
| Xr tmj bilateral (70330) |
$497.67 |
$939 |
6.0× |
| Xray knee 1 or 2 views rt (73560) |
$369.94 |
$698 |
4.4× |