| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,068.25 |
$20,455 |
2.4× |
| Abdomen 2 views (74019) |
$210.15 |
$1,401 |
2.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,300.20 |
$8,668 |
3.6× |
| Angiography extremity bilateral rs&i (75716) |
$2,617.65 |
$17,451 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,617.65 |
$17,451 |
0.9× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,340.50 |
$22,270 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,636.25 |
$17,575 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,318.20 |
$8,788 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$2,590.65 |
$17,271 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,231.30 |
$21,542 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$517.42 |
$3,449.50 |
0.2× |
| Ankle 2 views (73600) |
$232.95 |
$1,553 |
2.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$874.80 |
$5,832 |
2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,751.30 |
$18,342 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$2,621.55 |
$17,477 |
0.9× |
| Arthrogram elbow (73085) |
$409.50 |
$2,730 |
1.3× |
| Arthrogram hip (73525) |
$502.65 |
$3,351 |
1.6× |
| Arthrogram shoulder (73040) |
$490.65 |
$3,271 |
1.5× |
| Arthrogram wrist (73115) |
$409.50 |
$2,730 |
1.3× |
| Arthrography knee lt (73580) |
$394.50 |
$2,630 |
1.2× |
| Basic radiation dosimetry calculation (77300) |
$380.25 |
$2,535 |
3.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,304.25 |
$8,695 |
3.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,304.25 |
$8,695 |
3.6× |
| Bone &/joint imaging whole body (78306) |
$1,304.25 |
$8,695 |
3.6× |
| Bone age studies (77072) |
$160.35 |
$1,069 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$1,304.25 |
$8,695 |
3.6× |
| Bone Marrow Imaging Limited Area (78102) |
$1,304.25 |
$8,695 |
3.6× |
| Bone survey complete (77075) |
$462.98 |
$3,086.50 |
4.8× |
| Brachytx isodose complex (77318) |
$1,263.15 |
$8,421 |
3.7× |
| Brachytx isodose intermed (77317) |
$1,108.65 |
$7,391 |
3.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$372.15 |
$2,481 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,011.40 |
$20,076 |
2.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,068.95 |
$13,793 |
6.5× |
| Cervical spine 2 or 3 views (72040) |
$212.25 |
$1,415 |
2.7× |
| Chest 1 view (71045) |
$250.88 |
$1,672.50 |
3.2× |
| Chest 3 views (71047) |
$35.55 |
$237 |
0.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$416.40 |
$2,776 |
2.6× |
| Clavicle complete (73000) |
$221.25 |
$1,475 |
2.8× |
Complete single session course of cranial lesion surgery using radiation (77371)
unusually low: confirm this is the full procedure |
$2,212.50 |
$14,750 |
0.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$258.75 |
$1,725 |
2.7× |
| Continuing medical physics consltj pr wk (77336) |
$276.75 |
$1,845 |
2.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,897.18 |
$39,314.50 |
18.5× |
| CT abdomen and pelvis without contrast (74176) |
$3,473.10 |
$23,154 |
15.9× |
| CT abdomen w contrast (74160) |
$2,513.10 |
$16,754 |
15.7× |
| CT abdomen w wo contrast (74170) |
$2,948.92 |
$19,659.50 |
18.4× |
| CT abdomen w/o contrast (74150) |
$1,736.78 |
$11,578.50 |
18.2× |
| CT angio hrt w/3d image (75574) |
$2,403 |
$16,020 |
7.5× |
| CT angiography upper extremity lt (73206) |
$3,773.18 |
$25,154.50 |
23.5× |
| CT c-spine w/o contrast (72125) |
$1,839.15 |
$12,261 |
19.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$2,881.80 |
$19,212 |
18.0× |
| CT cervical spine w&w/o contrast (72127) |
$3,154.12 |
$21,027.50 |
19.7× |
| CT cervical spine with contrast (72126) |
$2,660.92 |
$17,739.50 |
8.3× |
| CT chest w/wo contrast (71270) |
$2,775.52 |
$18,503.50 |
17.3× |
| CT chest with contrast (71260) |
$2,365.12 |
$15,767.50 |
14.7× |
| CT colonography w/o cntrst (74261) |
$727.05 |
$4,847 |
7.6× |
| CT head/brain with contrast (70460) |
$2,698.05 |
$17,987 |
16.8× |
| CT head/brain without and with contrast (70470) |
$2,948.92 |
$19,659.50 |
18.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$276.75 |
$1,845 |
0.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$423.60 |
$2,824 |
5.3× |
| CT hrt w/3d image congen (75573) |
$2,594.85 |
$17,299 |
8.1× |
| CT iac w contrast (70481) |
$2,545.12 |
$16,967.50 |
15.9× |
| CT limited/localized follow up study (76380) |
$559.50 |
$3,730 |
7.0× |
| CT lower ext w/o (73700) |
$2,267.85 |
$15,119 |
23.7× |
| CT lower extremity w wo contrast (73702) |
$512.10 |
$3,414 |
3.2× |
| CT lower extremity with contrast (73701) |
$2,314.95 |
$15,433 |
14.4× |
| CT lumbar spine w & w/o contrast (72133) |
$3,122.48 |
$20,816.50 |
19.5× |
| CT lumbar spine w/o contrast (72131) |
$1,839.15 |
$12,261 |
19.2× |
| CT lumbar spine with contrast (72132) |
$2,660.92 |
$17,739.50 |
8.3× |
| CT maxillofacial w contrast (70487) |
$2,733.90 |
$18,226 |
17.0× |
| CT maxillofacial w/o contrast (70486) |
$1,839.15 |
$12,261 |
19.2× |
| CT maxillofacial w/wo contrast (70488) |
$3,353.40 |
$22,356 |
20.9× |
| CT neck soft tissue w contrast (70491) |
$2,365.12 |
$15,767.50 |
14.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,122.48 |
$20,816.50 |
19.5× |
| CT orbits w/o contrast (70480) |
$1,839.15 |
$12,261 |
19.2× |
| CT pelvis w & w/o contrast (72194) |
$2,602.12 |
$17,347.50 |
16.2× |
| CT pelvis w/o contrast (72192) |
$1,532.48 |
$10,216.50 |
16.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,775.52 |
$18,503.50 |
17.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,704.60 |
$11,364 |
17.8× |
| CT thoracic spine w/contrast (72129) |
$2,217.30 |
$14,782 |
13.8× |
| CT thoracic spine w/o contrast (72128) |
$1,532.48 |
$10,216.50 |
16.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,618.60 |
$24,124 |
22.6× |
| CT thorax w/o contrast (71250) |
$1,634.55 |
$10,897 |
17.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,602.12 |
$17,347.50 |
16.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,598.25 |
$10,655 |
16.7× |
| CT upper extremity with contrast (73201) |
$2,217.30 |
$14,782 |
6.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,850.60 |
$19,004 |
17.8× |
| Cta Abdomen (74175) |
$3,199.35 |
$21,329 |
19.9× |
| CTA abdomen pelvis (74174) |
$6,398.18 |
$42,654.50 |
20.1× |
| CTA chest (71275) |
$2,881.80 |
$19,212 |
18.0× |
| Cta Head (70496) |
$3,011.02 |
$20,073.50 |
18.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$5,016.45 |
$33,443 |
15.7× |
| CTA lwr ext w&w/o contrast (73706) |
$3,777 |
$25,180 |
23.5× |
| Cta Neck (70498) |
$3,011.02 |
$20,073.50 |
18.8× |
| Cta Pelvis (72191) |
$3,387.60 |
$22,584 |
21.1× |
| Cystography minimum 3 views rs&i (74430) |
$787.65 |
$5,251 |
2.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$343.35 |
$2,289 |
3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$153.15 |
$1,021 |
1.9× |
| Echoencephalography real time imaging (76506) |
$254.85 |
$1,699 |
2.7× |
| Esophagus (74220) |
$416.40 |
$2,776 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$445.35 |
$2,969 |
4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$445.35 |
$2,969 |
4.7× |
| Fluoroscopy up to 1 hr (76000) |
$444.60 |
$2,964 |
2.0× |
| Foot 2 views (73620) |
$221.25 |
$1,475 |
2.8× |
| Forearm 2 views (73090) |
$232.95 |
$1,553 |
2.9× |
| Gated Heart Planar Single (78472) |
$1,191.75 |
$7,945 |
3.3× |
| Hand 2 views (73120) |
$221.18 |
$1,474.50 |
2.3× |
| Hand 3 views (73130) |
$232.80 |
$1,552 |
2.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,373.70 |
$9,158 |
2.2× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,629.60 |
$10,864 |
2.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,969.65 |
$13,131 |
3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,531.05 |
$10,207 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,531.05 |
$10,207 |
4.2× |
| Ht muscle image spect sing (78451) |
$4,065.60 |
$27,104 |
3.4× |
| Humerus Min 2 Views Left (73060) |
$221.25 |
$1,475 |
2.8× |
| Hysterosalpingogram (74740) |
$309 |
$2,060 |
1.4× |
| Image fusion (77399) |
$226.80 |
$1,512 |
1.8× |
| Interstitial radiation source applic complex (77778) |
$3,877.05 |
$25,847 |
6.1× |
Intraop radiaj tx deliver xray single tx session (77424)
likely a partial charge, not the full procedure |
$1,233.30 |
$8,222 |
0.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,744.35 |
$11,629 |
3.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,596.75 |
$10,645 |
3.2× |
| Knee 3 views (73562) |
$221.25 |
$1,475 |
2.8× |
| Liver & spleen imaging static only (78215) |
$1,531.05 |
$10,207 |
4.2× |
| Liver imaging w/vascular flow (78202) |
$1,531.05 |
$10,207 |
3.1× |
| Lung Ventilation Imaging (78579) |
$1,165.05 |
$7,767 |
3.2× |
| Lymphoscintigraphy (78195) |
$1,347.75 |
$8,985 |
2.7× |
| Meckels Diverticulum (78290) |
$1,300.20 |
$8,668 |
3.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,280.70 |
$8,538 |
3.7× |
| Mr safety determination physician/other qhp (76016) |
$36 |
$240 |
0.5× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$23.85 |
$159 |
0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$4.95 |
$33 |
0.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$36.90 |
$246 |
0.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$97.65 |
$651 |
0.4× |
| MRA head w & w/o contrast (70546) |
$2,297.40 |
$15,316 |
7.2× |
| MRA head w/o contrast (70544) |
$1,489.65 |
$9,931 |
6.8× |
| MRA neck w contrast (70548) |
$1,536.30 |
$10,242 |
4.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,193.22 |
$14,621.50 |
6.9× |
| MRA neck w/o contrast (70547) |
$1,434.52 |
$9,563.50 |
6.6× |
| MRI abdomen w contrast (74182) |
$1,566.45 |
$10,443 |
4.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,029.72 |
$13,531.50 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$1,327.72 |
$8,851.50 |
6.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,509.68 |
$10,064.50 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,564.35 |
$10,429 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,355.10 |
$9,034 |
6.2× |
| MRI breast w/o contrast unilat (77046) |
$678.30 |
$4,522 |
3.1× |
| MRI c-spine with contrast (72142) |
$1,791.60 |
$11,944 |
5.6× |
| MRI cardiac w/o contrast (75557) |
$1,439.25 |
$9,595 |
6.6× |
| MRI cervical spine w/o contrast (72141) |
$1,623.75 |
$10,825 |
7.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,073.60 |
$13,824 |
6.5× |
| MRI chest w/o contrast (71550) |
$1,021.20 |
$6,808 |
4.7× |
| MRI chest with contrast (71551) |
$1,206.15 |
$8,041 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,206.15 |
$8,041 |
3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,627.80 |
$10,852 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,933.95 |
$12,893 |
8.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,658.32 |
$11,055.50 |
7.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,277.75 |
$15,185 |
7.1× |
| MRI orbit/face/neck w/contrast (70542) |
$1,722 |
$11,480 |
5.4× |
| MRI pelvis w contrast (72196) |
$1,842.90 |
$12,286 |
5.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,127.68 |
$14,184.50 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$1,608.68 |
$10,724.50 |
7.4× |
| MRI scan of arm joint before and after contrast (73223) |
$2,068.95 |
$13,793 |
6.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,586.30 |
$17,242 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,073.60 |
$13,824 |
6.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,482.80 |
$16,552 |
7.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,807.58 |
$12,050.50 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,482.80 |
$16,552 |
7.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$734.62 |
$4,897.50 |
2.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,077.80 |
$13,852 |
6.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,358.85 |
$9,059 |
6.2× |
| MRI tmj (70336) |
$1,179.82 |
$7,865.50 |
5.4× |
| MRI upper ext joint w/o contrast (73221) |
$1,353.15 |
$9,021 |
6.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,992.22 |
$13,281.50 |
6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,353.15 |
$9,021 |
6.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,991.20 |
$26,608 |
3.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,065.60 |
$27,104 |
3.4× |
| Neck soft tissue (70360) |
$221.25 |
$1,475 |
2.8× |
| Nm cisternogram (78630) |
$2,161.95 |
$14,413 |
4.4× |
| Nm gastric emptying study (78264) |
$1,300.20 |
$8,668 |
3.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,301.65 |
$22,011 |
2.6× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$3,991.20 |
$26,608 |
3.1× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,065.60 |
$27,104 |
3.4× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3,011.40 |
$20,076 |
2.3× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,991.20 |
$26,608 |
3.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,744.35 |
$11,629 |
4.8× |
| Nuclear Rx Oral Admin (79005) |
$808.80 |
$5,392 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$292.95 |
$1,953 |
3.1× |
| Osseous survey infant (77076) |
$226.58 |
$1,510.50 |
2.4× |
| Osseous survey limited (77074) |
$274.80 |
$1,832 |
2.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,633.65 |
$10,891 |
4.5× |
| Parathyroid imaging (78070) |
$1,184.40 |
$7,896 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$209.55 |
$1,397 |
2.2× |
| PET image w/CT, skull-thigh (78815) |
$3,011.40 |
$20,076 |
2.3× |
| PET imaging CT for attenuation limited area (78814) |
$3,011.40 |
$20,076 |
2.3× |
| PET imaging for CT attenuation whole body (78816) |
$3,011.40 |
$20,076 |
2.3× |
| PET imaging limited area chest head/neck (78811) |
$3,011.40 |
$20,076 |
2.5× |
| PET whole body (78813) |
$3,011.40 |
$20,076 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,073.60 |
$13,824 |
6.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$9,433.65 |
$62,891 |
3.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$974.55 |
$6,497 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,165.05 |
$7,767 |
3.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,699.35 |
$11,329 |
3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$325.95 |
$2,173 |
0.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$338.70 |
$2,258 |
3.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$196.65 |
$1,311 |
2.1× |
Radiation Delivery Stereotactic Cranial Linear (77372)
unusually low: confirm this is the full procedure |
$2,551.05 |
$17,007 |
0.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,212.50 |
$14,750 |
4.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,500 |
$10,000 |
16.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,912.50 |
$12,750 |
5.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$221.25 |
$1,475 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$210.15 |
$1,401 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$210.15 |
$1,401 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$237.75 |
$1,585 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$425.10 |
$2,834 |
2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$676.95 |
$4,513 |
4.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$483 |
$3,220 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$459 |
$3,060 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$232.88 |
$1,552.50 |
2.9× |
| Radiological examination surgical specimen (76098) |
$378.15 |
$2,521 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,373.40 |
$9,156 |
0.5× |
| Ribs bilateral 3 views (71110) |
$249.15 |
$1,661 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,887.35 |
$19,249 |
5.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,304.25 |
$8,695 |
2.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$174.60 |
$1,164 |
0.8× |
| Sacroiliac Joints < 3 Views (72200) |
$223.05 |
$1,487 |
2.3× |
| Scanogram (77073) |
$360.08 |
$2,400.50 |
3.8× |
| Scapula complete (73010) |
$232.95 |
$1,553 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$178.35 |
$1,189 |
7.6× |
| Simulation intermediate (77285) |
$736.95 |
$4,913 |
2.2× |
| Small bowel series (74250) |
$439.65 |
$2,931 |
2.7× |
| Spec medical radj physics consltj (77370) |
$270.90 |
$1,806 |
2.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$955.50 |
$6,370 |
2.8× |
| Special dosimetry (77331) |
$381.60 |
$2,544 |
3.1× |
| Special treatment procedure (77470) |
$1,470.90 |
$9,806 |
2.9× |
| Speech evaluation complex (70371) |
$471 |
$3,140 |
2.2× |
| Spine thoracic 3 views (72072) |
$220.80 |
$1,472 |
2.3× |
| Stereotactic body radiation delivery (77373) |
$569.40 |
$3,796 |
0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,189.35 |
$7,929 |
3.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$733.50 |
$4,890 |
2.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$888.30 |
$5,922 |
2.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$353.10 |
$2,354 |
2.9× |
| Therapeutic Enema (74283) |
$452.25 |
$3,015 |
2.8× |
| Thoracolumbar 2 views (72080) |
$220.80 |
$1,472 |
2.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,737.90 |
$11,586 |
3.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$703.50 |
$4,690 |
1.9× |
| Thyroid uptake measurement (78012) |
$624.45 |
$4,163 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,184.40 |
$7,896 |
3.2× |
| Tmj unilateral (70328) |
$35.55 |
$237 |
0.4× |
| Treatment device intermediate (77333) |
$426.30 |
$2,842 |
3.5× |
| Treatment devices simple (77332) |
$604.50 |
$4,030 |
4.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,284.35 |
$35,229 |
10.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,607.30 |
$17,382 |
7.1× |
| Tx devices design & construction complex (77334) |
$617.85 |
$4,119 |
1.8× |
| Ultrasound, abdomen limited (76705) |
$464.92 |
$3,099.50 |
4.9× |
| Umbilical-artery Doppler (OB) (76820) |
$308.85 |
$2,059 |
3.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$343.35 |
$2,289 |
4.3× |
| Upper Extremity Infant (73092) |
$419.32 |
$2,795.50 |
4.4× |
| Urethrocystography retrograde rs&i (74450) |
$787.65 |
$5,251 |
3.6× |
| Urethrocystography voiding (74455) |
$787.65 |
$5,251 |
3.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$787.65 |
$5,251 |
4.9× |
| Us abdl aorta screen aaa (76706) |
$527.18 |
$3,514.50 |
5.5× |
| Us breast unilateral complete (76641) |
$283.80 |
$1,892 |
3.0× |
| Us breast unilateral limited (76642) |
$272.02 |
$1,813.50 |
3.4× |
| Us chest (76604) |
$292.12 |
$1,947.50 |
3.1× |
| Us compl joint r-t w/image documentation (76881) |
$537.15 |
$3,581 |
5.6× |
| Us guided compression repair (76936) |
$725.10 |
$4,834 |
3.7× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$242.10 |
$1,614 |
2.5× |
| Us ob transvaginal (76817) |
$309.15 |
$2,061 |
3.2× |
| Us pelvic non ob complete (76856) |
$454.05 |
$3,027 |
4.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$391.12 |
$2,607.50 |
4.1× |
| Us pregnancy ltd (76815) |
$316.50 |
$2,110 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$358.65 |
$2,391 |
3.8× |
| Us retroperitoneal complete (76770) |
$425.32 |
$2,835.50 |
4.4× |
| Us retroperitoneal limited (76775) |
$425.32 |
$2,835.50 |
4.4× |
| Us scrotum and contents (76870) |
$423.75 |
$2,825 |
4.4× |
| Us soft tissue head/neck (76536) |
$423.75 |
$2,825 |
4.4× |
| Us spinal canal and contents (76800) |
$401.70 |
$2,678 |
4.2× |
| Us transrectal (76872) |
$445.80 |
$2,972 |
4.7× |
| Us xtr non-vasc lmtd (76882) |
$316.12 |
$2,107.50 |
3.3× |
| Venogram extremity bilateral (75822) |
$980.40 |
$6,536 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,972.25 |
$19,815 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$902.48 |
$6,016.50 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$842.25 |
$5,615 |
0.6× |
| Venography Renal Bilateral (75833) |
$3,008.40 |
$20,056 |
1.0× |
| Venography renal unilateral selective rs&i (75831) |
$6,007.50 |
$40,050 |
2.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$962.70 |
$6,418 |
0.3× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,339.55 |
$15,597 |
0.5× |
| Wrist 2 views (73100) |
$221.25 |
$1,475 |
2.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$368.02 |
$2,453.50 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$196.65 |
$1,311 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$222.22 |
$1,481.50 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$683.40 |
$4,556 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$232.95 |
$1,553 |
2.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$232.95 |
$1,553 |
2.9× |
| X-ray exam hip uni 1 view (73501) |
$209.55 |
$1,397 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$204.45 |
$1,363 |
2.6× |
| X-ray exam hip uni 4/> views (73503) |
$332.92 |
$2,219.50 |
3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$357.75 |
$2,385 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$704.10 |
$4,694 |
7.4× |
| X-ray exam of femur 1 (73551) |
$102.45 |
$683 |
1.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$647.55 |
$4,317 |
4.0× |
| X-ray eye for foreign body (70030) |
$54 |
$360 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$239.10 |
$1,594 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$239.10 |
$1,594 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$221.25 |
$1,475 |
2.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,029.90 |
$6,866 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$225.60 |
$1,504 |
2.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$874.80 |
$5,832 |
5.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$221.25 |
$1,475 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$221.25 |
$1,475 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$196.65 |
$1,311 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$239.10 |
$1,594 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$396.75 |
$2,645 |
4.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$418.80 |
$2,792 |
4.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$221.25 |
$1,475 |
2.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$72 |
$480 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$240.30 |
$1,602 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$223.05 |
$1,487 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,087.05 |
$7,247 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$236.10 |
$1,574 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$249.15 |
$1,661 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$413.48 |
$2,756.50 |
4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$209.55 |
$1,397 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$221.70 |
$1,478 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$209.55 |
$1,397 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$221.18 |
$1,474.50 |
2.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$221.18 |
$1,474.50 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$347.70 |
$2,318 |
3.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$221.25 |
$1,475 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$218.10 |
$1,454 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$211.72 |
$1,411.50 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$221.25 |
$1,475 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$220.80 |
$1,472 |
2.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$234.30 |
$1,562 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$314.55 |
$2,097 |
4.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$232.95 |
$1,553 |
2.9× |
| Xr arthrogram ankle (73615) |
$409.50 |
$2,730 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$358.50 |
$2,390 |
3.7× |
| Xr chest 4+ views (71048) |
$240 |
$1,600 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$209.55 |
$1,397 |
2.6× |
| Xr shoulder 1 view (73020) |
$314.32 |
$2,095.50 |
3.9× |
| Xr spine cervical 4 or 5 views (72050) |
$357.15 |
$2,381 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$221.25 |
$1,475 |
2.8× |
| Xr tmj bilateral (70330) |
$271.58 |
$1,810.50 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$326.40 |
$2,176 |
4.1× |