| 3-D radiotherapy plan dose-volume histograms (77295) |
$932.87 |
$6,219.16 |
0.7× |
| Abdomen 2 views (74019) |
$294.68 |
$1,964.52 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$703.05 |
$4,687 |
1.8× |
| Acute venous thrombus image (78456) |
$848.91 |
$5,659.41 |
0.7× |
| Angiography extremity bilateral rs&i (75716) |
$2,886.72 |
$19,244.82 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,886.72 |
$19,244.82 |
0.9× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,557.83 |
$17,052.20 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,822.79 |
$18,818.60 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,695.29 |
$17,968.60 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,004.50 |
$33,363.36 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$873.38 |
$5,822.52 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$673.94 |
$4,492.92 |
0.2× |
| Ankle 2 views (73600) |
$190.50 |
$1,270.04 |
2.3× |
| Antegrade urography radiological supvj & interpj (74425) |
$297.52 |
$1,983.45 |
0.9× |
| Aortogram thoracic (75605) |
$2,685.69 |
$17,904.63 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,754.38 |
$18,362.54 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,886.74 |
$19,244.88 |
0.9× |
| Arthrogram elbow (73085) |
$779.21 |
$5,194.75 |
2.3× |
| Arthrogram hip (73525) |
$779.59 |
$5,197.29 |
2.3× |
| Arthrogram shoulder (73040) |
$779.59 |
$5,197.29 |
2.3× |
| Arthrogram wrist (73115) |
$552.64 |
$3,684.26 |
1.6× |
| Arthrography knee lt (73580) |
$779.59 |
$5,197.29 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$104.39 |
$695.90 |
0.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$402 |
$2,680 |
1.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$492.80 |
$3,285.36 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$1,166.55 |
$7,777 |
3.0× |
| Bone age studies (77072) |
$148.93 |
$992.86 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$402 |
$2,680 |
1.0× |
| Bone Marrow Imaging Limited Area (78102) |
$430.05 |
$2,867 |
1.1× |
| Bone survey complete (77075) |
$563.70 |
$3,758 |
5.6× |
| Brachytx isodose complex (77318) |
$366.53 |
$2,443.50 |
1.0× |
| Brachytx isodose intermed (77317) |
$366.53 |
$2,443.50 |
1.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$104.39 |
$695.90 |
0.3× |
| Brain image w/flow 4 + views (78606) |
$612.65 |
$4,084.35 |
1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,087.40 |
$20,582.69 |
2.2× |
| Brain Imaging Vascular Flow Only (78610) |
$612.65 |
$4,084.35 |
1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$199.78 |
$1,331.89 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$158.85 |
$1,059 |
1.9× |
| Chest 1 view (71045) |
$118.20 |
$788 |
1.4× |
| Chest 3 views (71047) |
$211.80 |
$1,412 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$168.75 |
$1,125 |
1.0× |
| Cineradiography/videoradiography (76120) |
$220.94 |
$1,472.91 |
2.2× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,171.95 |
$7,813 |
1.6× |
| Clavicle complete (73000) |
$245.31 |
$1,635.40 |
2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,071.30 |
$7,142 |
10.6× |
| Continuing medical physics consltj pr wk (77336) |
$104.39 |
$695.90 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,940.45 |
$19,603 |
8.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,421.15 |
$16,141 |
10.5× |
| CT abdomen w contrast (74160) |
$1,334.40 |
$8,896 |
7.9× |
| CT abdomen w wo contrast (74170) |
$1,512.90 |
$10,086 |
9.0× |
| CT abdomen w/o contrast (74150) |
$1,214.10 |
$8,094 |
12.1× |
| CT angio hrt w/3d image (75574) |
$807.95 |
$5,386.31 |
2.4× |
| CT angiography upper extremity lt (73206) |
$1,911.05 |
$12,740.32 |
11.3× |
| CT c-spine w/o contrast (72125) |
$2,514.60 |
$16,764 |
25.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,308.04 |
$15,386.94 |
13.7× |
| CT cervical spine with contrast (72126) |
$2,621.10 |
$17,474 |
7.8× |
| CT chest w/wo contrast (71270) |
$1,422.45 |
$9,483 |
8.4× |
| CT chest with contrast (71260) |
$1,334.40 |
$8,896 |
7.9× |
| CT head/brain with contrast (70460) |
$1,290.90 |
$8,606 |
7.6× |
| CT head/brain without and with contrast (70470) |
$1,824.75 |
$12,165 |
10.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$696.60 |
$4,644 |
2.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$209.10 |
$1,394 |
2.5× |
| CT iac w contrast (70481) |
$551.40 |
$3,676 |
3.3× |
| CT limited/localized follow up study (76380) |
$317.25 |
$2,115 |
3.8× |
| CT lower ext w/o (73700) |
$1,991.48 |
$13,276.50 |
19.8× |
| CT lower extremity w wo contrast (73702) |
$1,457.46 |
$9,716.43 |
8.6× |
| CT lower extremity with contrast (73701) |
$1,841.78 |
$12,278.52 |
10.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,621.10 |
$17,474 |
15.5× |
| CT lumbar spine w/o contrast (72131) |
$2,514.60 |
$16,764 |
25.0× |
| CT lumbar spine with contrast (72132) |
$2,621.10 |
$17,474 |
7.8× |
| CT maxillofacial w contrast (70487) |
$511.35 |
$3,409 |
3.0× |
| CT maxillofacial w/o contrast (70486) |
$1,600.65 |
$10,671 |
15.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,671.60 |
$11,144 |
9.9× |
| CT neck soft tissue w contrast (70491) |
$1,543.50 |
$10,290 |
9.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,824.75 |
$12,165 |
10.8× |
| CT orbits w/o contrast (70480) |
$445.35 |
$2,969 |
4.4× |
| CT pelvis w & w/o contrast (72194) |
$1,427.40 |
$9,516 |
8.4× |
| CT pelvis w/o contrast (72192) |
$1,207.50 |
$8,050 |
12.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,773 |
$11,820 |
10.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,327.20 |
$8,848 |
13.2× |
| CT thoracic spine w/contrast (72129) |
$2,621.10 |
$17,474 |
15.5× |
| CT thoracic spine w/o contrast (72128) |
$2,514.60 |
$16,764 |
25.0× |
| CT thoracic spine w/wo contrast (72130) |
$2,404.67 |
$16,031.13 |
14.2× |
| CT thorax w/o contrast (71250) |
$1,207.95 |
$8,053 |
12.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,403.94 |
$9,359.61 |
8.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,349.24 |
$8,994.88 |
13.4× |
| CT upper extremity with contrast (73201) |
$1,292.42 |
$8,616.17 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,700.45 |
$18,003 |
16.0× |
| Cta Abdomen (74175) |
$2,424.15 |
$16,161 |
14.3× |
| CTA abdomen pelvis (74174) |
$2,552.25 |
$17,015 |
7.6× |
| CTA chest (71275) |
$2,336.85 |
$15,579 |
13.8× |
| Cta Head (70496) |
$2,161.20 |
$14,408 |
12.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$4,613.25 |
$30,755 |
13.7× |
| CTA lwr ext w&w/o contrast (73706) |
$2,144.75 |
$14,298.32 |
12.7× |
| Cta Neck (70498) |
$2,452.05 |
$16,347 |
14.5× |
| Cta Pelvis (72191) |
$2,058.14 |
$13,720.94 |
12.2× |
| Cystography minimum 3 views rs&i (74430) |
$520.46 |
$3,469.72 |
1.5× |
| Diskography lumbar (72295) |
$3,172.02 |
$21,146.83 |
1.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$93.45 |
$623 |
0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$56.25 |
$375 |
0.7× |
| Dxa bone density study axial skeleton (77085) |
$81.45 |
$543 |
0.8× |
| Echoencephalography real time imaging (76506) |
$285.75 |
$1,905 |
2.8× |
| Esophagus (74220) |
$240.75 |
$1,605 |
1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$167.10 |
$1,114 |
1.7× |
| Fluoroscopy up to 1 hr (76000) |
$217.50 |
$1,450 |
0.9× |
| Foot 2 views (73620) |
$190.50 |
$1,270.04 |
2.3× |
| Forearm 2 views (73090) |
$229.92 |
$1,532.77 |
2.7× |
| Gated Heart Planar Single (78472) |
$633.60 |
$4,224 |
1.6× |
| Hand 2 views (73120) |
$190.50 |
$1,270.04 |
1.9× |
| Hand 3 views (73130) |
$237.26 |
$1,581.70 |
2.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$660.51 |
$4,403.40 |
1.0× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$660.21 |
$4,401.40 |
1.0× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$660.51 |
$4,403.40 |
1.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,200.71 |
$14,671.42 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,354.80 |
$9,032 |
2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,162.05 |
$7,747 |
3.0× |
| Ht muscle image spect sing (78451) |
$1,431.30 |
$9,542 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$223.50 |
$1,489.98 |
2.7× |
| Hysterosalpingogram (74740) |
$397.05 |
$2,647 |
1.7× |
| Interstitial radiation source applic complex (77778) |
$898.07 |
$5,987.16 |
1.3× |
| Kidney imaging morphology (78700) |
$487.06 |
$3,247.08 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$981.02 |
$6,540.11 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,160.40 |
$7,736 |
2.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,360.50 |
$9,070 |
2.6× |
| Knee 3 views (73562) |
$184.69 |
$1,231.25 |
2.2× |
| Liver & spleen imaging static only (78215) |
$692.69 |
$4,617.90 |
1.8× |
| Lung perf&ventilat diferentl (78598) |
$322.13 |
$2,147.52 |
0.6× |
| Lung perfusion differential (78597) |
$231.18 |
$1,541.20 |
0.6× |
| Lymphoscintigraphy (78195) |
$1,036.54 |
$6,910.24 |
2.0× |
| Mammary ductogram or galactogram multiple (77054) |
$365.30 |
$2,435.31 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$365.30 |
$2,435.31 |
1.6× |
| Meckels Diverticulum (78290) |
$581.85 |
$3,879 |
1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$18.37 |
$122.45 |
0.7× |
| MRA head w & w/o contrast (70546) |
$884.40 |
$5,896 |
2.6× |
| MRA head w/o contrast (70544) |
$615.60 |
$4,104 |
2.7× |
| MRA head with contrast (70545) |
$601.50 |
$4,010 |
1.8× |
| MRA neck w contrast (70548) |
$601.50 |
$4,010 |
1.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,086.31 |
$7,242.07 |
3.2× |
| MRA neck w/o contrast (70547) |
$547.56 |
$3,650.43 |
2.4× |
| MRI abdomen w contrast (74182) |
$1,342.49 |
$8,949.91 |
4.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,626.90 |
$10,846 |
4.8× |
| MRI abdomen w/o contrast (74181) |
$1,516.80 |
$10,112 |
6.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,109.80 |
$7,398.70 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,229.55 |
$8,197 |
1.6× |
| MRI breast w/o contrast bilateral (77047) |
$2,256.48 |
$15,043.23 |
9.8× |
| MRI breast w/o contrast unilat (77046) |
$1,175.92 |
$7,839.44 |
5.1× |
| MRI c-spine with contrast (72142) |
$1,379.85 |
$9,199 |
4.1× |
| MRI cardiac w/o contrast (75557) |
$121.52 |
$810.12 |
0.5× |
| MRI cervical spine w/o contrast (72141) |
$1,607.70 |
$10,718 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,313 |
$8,753.31 |
3.9× |
| MRI chest w/o contrast (71550) |
$1,315.20 |
$8,768 |
5.7× |
| MRI chest with contrast (71551) |
$1,162.90 |
$7,752.64 |
1.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$887.97 |
$5,919.80 |
2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,453.14 |
$9,687.61 |
4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,229.55 |
$8,197 |
5.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,636.05 |
$10,907 |
7.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,791.75 |
$11,945 |
5.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,492.59 |
$9,950.57 |
4.4× |
| MRI pelvis w contrast (72196) |
$1,462.50 |
$9,750 |
4.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,631.10 |
$10,874 |
4.9× |
| MRI pelvis w/o contrast (72195) |
$1,607.70 |
$10,718 |
7.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,348.82 |
$15,658.79 |
7.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,769.12 |
$11,794.12 |
5.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,553.90 |
$17,026 |
7.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,480.80 |
$9,872 |
4.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,552.70 |
$17,018 |
7.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,379.85 |
$9,199 |
4.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,392.35 |
$15,949 |
7.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,516.80 |
$10,112 |
6.6× |
| MRI tmj (70336) |
$1,126.95 |
$7,513 |
4.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,173 |
$7,820 |
5.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,131.90 |
$7,546 |
3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,023.18 |
$6,821.16 |
4.5× |
| Myocardial Spect Multiple Studies (78452) |
$2,730.15 |
$18,201 |
2.2× |
| Neck soft tissue (70360) |
$110.68 |
$737.85 |
1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$191.55 |
$1,276.97 |
0.5× |
| Nm cisternogram (78630) |
$612.65 |
$4,084.35 |
1.2× |
| Nm gastric emptying study (78264) |
$1,076.85 |
$7,179 |
2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$932.87 |
$6,219.16 |
0.7× |
| Nuclear Rx Oral Admin (79005) |
$1,215.75 |
$8,105 |
5.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$103.77 |
$691.79 |
1.0× |
| Osseous survey infant (77076) |
$320.20 |
$2,134.70 |
3.2× |
| Osseous survey limited (77074) |
$317.82 |
$2,118.79 |
3.2× |
| Parathyrd planar w/spect&CT (78072) |
$848.91 |
$5,659.41 |
1.6× |
| Parathyrd planar w/wo subtrj (78071) |
$848.91 |
$5,659.41 |
2.2× |
| Parathyroid imaging (78070) |
$549.15 |
$3,661 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$205.50 |
$1,370 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$3,334.35 |
$22,229 |
2.4× |
| PET imaging CT for attenuation limited area (78814) |
$3,087.40 |
$20,582.69 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$3,334.35 |
$22,229 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,956.74 |
$13,044.96 |
5.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,706.06 |
$31,373.71 |
1.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,601.77 |
$10,678.49 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$475.95 |
$3,173 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$918.90 |
$6,126 |
1.8× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,818 |
$12,120 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$340.48 |
$2,269.90 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$120.58 |
$803.84 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$125.39 |
$835.92 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$117.07 |
$780.48 |
1.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$175.37 |
$1,169.15 |
1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$241.16 |
$1,607.71 |
2.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$173.08 |
$1,153.84 |
0.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$93.89 |
$625.92 |
1.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$93.89 |
$625.92 |
0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$193.96 |
$1,293.10 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$107.10 |
$714 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$283.35 |
$1,889.03 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$168.75 |
$1,125 |
2.0× |
| Radiologic exam colon single contrast study (74270) |
$383.40 |
$2,556 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$240.75 |
$1,605 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$379.65 |
$2,531 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$304.65 |
$2,031 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$239.46 |
$1,596.36 |
2.9× |
| Radiological examination surgical specimen (76098) |
$422.25 |
$2,815 |
0.8× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,421.01 |
$16,140.07 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,200.71 |
$14,671.42 |
0.7× |
| Ribs bilateral 3 views (71110) |
$345.66 |
$2,304.38 |
3.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,272.72 |
$21,818.16 |
8.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,141.45 |
$7,609.68 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$864.60 |
$5,763.96 |
1.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$730.65 |
$4,871.03 |
0.6× |
| Rp Therapy Intravenous Administration (79101) |
$919.75 |
$6,131.68 |
4.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$219.03 |
$1,460.19 |
1.0× |
| Scanogram (77073) |
$355.95 |
$2,373 |
3.5× |
| Scapula complete (73010) |
$168.48 |
$1,123.19 |
1.7× |
| Screening digital breast tomosynthesis (77063) |
$204.82 |
$1,365.50 |
8.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$515.72 |
$3,438.17 |
5.1× |
| Simulation intermediate (77285) |
$280.46 |
$1,869.75 |
0.8× |
| Small bowel series (74250) |
$287.40 |
$1,916 |
1.7× |
| Spec medical radj physics consltj (77370) |
$104.39 |
$695.90 |
0.8× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$280.46 |
$1,869.75 |
0.8× |
| Special dosimetry (77331) |
$104.39 |
$695.90 |
0.8× |
| Special treatment procedure (77470) |
$373.15 |
$2,487.64 |
0.7× |
| Spine thoracic 3 views (72072) |
$228.20 |
$1,521.35 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$280.46 |
$1,869.75 |
0.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$198.83 |
$1,325.52 |
0.6× |
| Testicular Imaging With Vascular Flow (78761) |
$714.51 |
$4,763.39 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$280.46 |
$1,869.75 |
0.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$104.39 |
$695.90 |
0.8× |
| Therapeutic Enema (74283) |
$665.88 |
$4,439.20 |
3.9× |
| Thoracolumbar 2 views (72080) |
$140.56 |
$937.05 |
1.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$789.45 |
$5,263 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$573.60 |
$3,824 |
1.5× |
| Thyroid uptake measurement (78012) |
$246.21 |
$1,641.43 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,275.30 |
$8,502 |
3.3× |
| Treatment device intermediate (77333) |
$192.27 |
$1,281.83 |
1.5× |
| Treatment devices simple (77332) |
$191.97 |
$1,279.82 |
1.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,093.15 |
$20,620.98 |
5.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,102.01 |
$7,346.75 |
2.9× |
| Tx devices design & construction complex (77334) |
$192.27 |
$1,281.83 |
0.5× |
| Ultrasound, abdomen limited (76705) |
$474.52 |
$3,163.50 |
4.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$66.24 |
$441.62 |
0.8× |
| Urethrocystography retrograde rs&i (74450) |
$454.89 |
$3,032.63 |
2.0× |
| Urethrocystography voiding (74455) |
$583.50 |
$3,890 |
2.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$540.29 |
$3,601.94 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$463.65 |
$3,091 |
4.6× |
| Us breast unilateral complete (76641) |
$516.30 |
$3,442 |
5.1× |
| Us breast unilateral limited (76642) |
$516.30 |
$3,442 |
6.2× |
| Us chest (76604) |
$159.52 |
$1,063.50 |
1.6× |
| Us guided compression repair (76936) |
$405.50 |
$2,703.34 |
1.9× |
| Us infant hips dynamic (76885) |
$299.85 |
$1,999 |
3.6× |
| Us kidney transplant (76776) |
$207.15 |
$1,381 |
2.1× |
| Us ob transvaginal (76817) |
$544.65 |
$3,631 |
5.4× |
| Us pelvic non ob complete (76856) |
$428.40 |
$2,856 |
4.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$194.85 |
$1,299 |
1.9× |
| Us pregnancy ltd (76815) |
$310.20 |
$2,068 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$331.65 |
$2,211 |
3.3× |
| Us retroperitoneal complete (76770) |
$438 |
$2,920 |
4.3× |
| Us retroperitoneal limited (76775) |
$463.65 |
$3,091 |
4.6× |
| Us scrotum and contents (76870) |
$209.70 |
$1,398 |
2.1× |
| Us soft tissue head/neck (76536) |
$357.75 |
$2,385 |
3.6× |
| Us spinal canal and contents (76800) |
$209.70 |
$1,398 |
2.1× |
| Us xtr non-vasc lmtd (76882) |
$248.18 |
$1,654.50 |
2.5× |
| Venogram extremity bilateral (75822) |
$748.47 |
$4,989.80 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,886.72 |
$19,244.82 |
0.9× |
| Venography caval superior serialography rs&i (75827) |
$911.67 |
$6,077.82 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$943.14 |
$6,287.58 |
0.6× |
| Venography renal unilateral selective rs&i (75831) |
$2,200.71 |
$14,671.42 |
0.7× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,557.83 |
$17,052.20 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$52.13 |
$347.52 |
0.6× |
| Wrist 2 views (73100) |
$160.48 |
$1,069.88 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$374.25 |
$2,495 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$163.89 |
$1,092.58 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$257.82 |
$1,718.84 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$788.03 |
$5,253.56 |
4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$205.38 |
$1,369.18 |
2.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$242.72 |
$1,618.10 |
2.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$241.16 |
$1,607.71 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$68.90 |
$459.31 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$130.80 |
$872 |
1.6× |
| X-ray exam hip uni 4/> views (73503) |
$181.89 |
$1,212.62 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$206.35 |
$1,375.66 |
2.0× |
| X-ray exam of femur 1 (73551) |
$134.10 |
$894 |
1.6× |
| X-ray eye for foreign body (70030) |
$167.72 |
$1,118.12 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$238.92 |
$1,592.83 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$146.58 |
$977.20 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$247.64 |
$1,650.88 |
3.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,195.86 |
$7,972.41 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$148.10 |
$987.34 |
1.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$351.26 |
$2,341.76 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$238.92 |
$1,592.83 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$225.94 |
$1,506.23 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$164.27 |
$1,095.10 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$156.75 |
$1,045 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$464.70 |
$3,098.02 |
4.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$306 |
$2,040 |
3.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140.56 |
$937.05 |
1.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$119.88 |
$799.19 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$229.75 |
$1,531.66 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$225.53 |
$1,503.55 |
2.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$535.31 |
$3,568.74 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$205.10 |
$1,367.32 |
2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$240.93 |
$1,606.20 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$409.78 |
$2,731.87 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$162.90 |
$1,086.02 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$160.48 |
$1,069.88 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$203.08 |
$1,353.86 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$207.60 |
$1,384 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$139.80 |
$932 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$230.70 |
$1,538 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$181.20 |
$1,208 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$124.50 |
$830 |
1.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$94.96 |
$633.04 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$189.45 |
$1,263 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$194.40 |
$1,296 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$172.76 |
$1,151.69 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$267.26 |
$1,781.76 |
3.2× |
| Xr arthrogram ankle (73615) |
$779.59 |
$5,197.29 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$276.76 |
$1,845.08 |
2.7× |
| Xr chest 4+ views (71048) |
$224.30 |
$1,495.36 |
2.2× |
| Xr finger(s) 2+ views (73140) |
$135.03 |
$900.21 |
1.6× |
| Xr shoulder 1 view (73020) |
$118.46 |
$789.70 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$279.53 |
$1,863.52 |
2.8× |
| Xr tibia/fibula 2 views (73590) |
$212.95 |
$1,419.66 |
2.5× |
| Xr tmj bilateral (70330) |
$190.31 |
$1,268.70 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$189.79 |
$1,265.28 |
2.3× |