| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,509.80 |
$9,183 |
4.0× |
| Abdomen 2 views (74019) |
$388.80 |
$648 |
3.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,113.80 |
$3,523 |
5.3× |
| Angiography extremity bilateral rs&i (75716) |
$6,365.40 |
$10,609 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$5,935.80 |
$9,893 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$3,453.60 |
$5,756 |
1.1× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,870.60 |
$11,451 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,319 |
$8,865 |
1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,676.20 |
$6,127 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,287.80 |
$8,813 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,361.40 |
$7,269 |
1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,453.60 |
$5,756 |
1.1× |
| Ankle 2 views (73600) |
$359.40 |
$599 |
4.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$876 |
$1,460 |
2.5× |
| Aortogram thoracic (75605) |
$7,266 |
$12,110 |
1.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,748.40 |
$7,914 |
1.5× |
| Aortography abdominal serialography rs&i (75625) |
$6,136.80 |
$10,228 |
1.9× |
| Arthrogram elbow (73085) |
$1,456.80 |
$2,428 |
4.2× |
| Arthrogram hip (73525) |
$1,690.20 |
$2,817 |
4.8× |
| Arthrogram shoulder (73040) |
$1,795.20 |
$2,992 |
5.1× |
| Arthrogram wrist (73115) |
$1,473.60 |
$2,456 |
4.2× |
| Arthrography knee lt (73580) |
$1,718.40 |
$2,864 |
4.9× |
| Basic radiation dosimetry calculation (77300) |
$555.60 |
$926 |
4.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,845 |
$3,075 |
4.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,762.20 |
$2,937 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$2,278.20 |
$3,797 |
5.7× |
| Bone age studies (77072) |
$289.20 |
$482 |
2.8× |
| Bone Imaging 3 Phase (78315) |
$2,823 |
$4,705 |
7.1× |
| Bone survey complete (77075) |
$637.20 |
$1,062 |
6.1× |
| Brachytx isodose complex (77318) |
$1,708.80 |
$2,848 |
4.6× |
| Brachytx isodose intermed (77317) |
$1,475.40 |
$2,459 |
3.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$984 |
$1,640 |
2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,835.60 |
$9,726 |
4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,489 |
$5,815 |
10.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,839 |
$3,065 |
3.4× |
| Cervical spine 2 or 3 views (72040) |
$426.60 |
$711 |
4.9× |
| Chest 1 view (71045) |
$250.80 |
$418 |
2.9× |
| Chest 3 views (71047) |
$456 |
$760 |
5.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,251.60 |
$2,086 |
7.1× |
| Clavicle complete (73000) |
$326.40 |
$544 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$465.60 |
$776 |
4.4× |
| Continuing medical physics consltj pr wk (77336) |
$816 |
$1,360 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,469 |
$9,115 |
15.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,900.60 |
$6,501 |
16.3× |
| CT abdomen w contrast (74160) |
$3,408 |
$5,680 |
19.4× |
| CT abdomen w wo contrast (74170) |
$3,820.80 |
$6,368 |
21.7× |
| CT abdomen w/o contrast (74150) |
$2,311.20 |
$3,852 |
22.1× |
| CT angio hrt w/3d image (75574) |
$2,576.40 |
$4,294 |
7.4× |
| CT angiography upper extremity lt (73206) |
$2,831.40 |
$4,719 |
16.1× |
| CT c-spine w/o contrast (72125) |
$2,140.80 |
$3,568 |
20.4× |
| CT cervical spine w&w/o contrast (72127) |
$3,076.20 |
$5,127 |
17.5× |
| CT cervical spine with contrast (72126) |
$2,882.40 |
$4,804 |
8.2× |
| CT chest w/wo contrast (71270) |
$2,891.40 |
$4,819 |
16.5× |
| CT chest with contrast (71260) |
$2,799 |
$4,665 |
15.9× |
| CT head/brain with contrast (70460) |
$2,466 |
$4,110 |
14.0× |
| CT head/brain without and with contrast (70470) |
$2,637 |
$4,395 |
15.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$59.40 |
$99 |
0.7× |
| CT iac w contrast (70481) |
$2,493.60 |
$4,156 |
14.2× |
| CT lower ext w/o (73700) |
$1,919.40 |
$3,199 |
18.3× |
| CT lower extremity w wo contrast (73702) |
$3,261.60 |
$5,436 |
18.6× |
| CT lower extremity with contrast (73701) |
$2,955.60 |
$4,926 |
16.8× |
| CT lumbar spine w & w/o contrast (72133) |
$2,994.60 |
$4,991 |
17.0× |
| CT lumbar spine w/o contrast (72131) |
$1,933.80 |
$3,223 |
18.5× |
| CT lumbar spine with contrast (72132) |
$2,791.20 |
$4,652 |
8.0× |
| CT maxillofacial w contrast (70487) |
$2,517.60 |
$4,196 |
14.3× |
| CT maxillofacial w/o contrast (70486) |
$1,676.40 |
$2,794 |
16.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,882.40 |
$4,804 |
16.4× |
| CT neck soft tissue w contrast (70491) |
$2,831.40 |
$4,719 |
16.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,649 |
$4,415 |
15.1× |
| CT orbits w/o contrast (70480) |
$2,170.20 |
$3,617 |
20.7× |
| CT pelvis w & w/o contrast (72194) |
$2,749.80 |
$4,583 |
15.7× |
| CT pelvis w/o contrast (72192) |
$2,084.70 |
$3,474.50 |
19.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,912.40 |
$4,854 |
16.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,549.20 |
$2,582 |
14.8× |
| CT thoracic spine w/contrast (72129) |
$2,667 |
$4,445 |
15.2× |
| CT thoracic spine w/o contrast (72128) |
$1,813.80 |
$3,023 |
17.3× |
| CT thoracic spine w/wo contrast (72130) |
$2,877.60 |
$4,796 |
16.4× |
| CT thorax w/o contrast (71250) |
$966.30 |
$1,610.50 |
9.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,749.80 |
$4,583 |
15.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,861.80 |
$3,103 |
17.8× |
| CT upper extremity with contrast (73201) |
$2,668.20 |
$4,447 |
7.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,884.20 |
$4,807 |
16.4× |
| Cta Abdomen (74175) |
$3,302.40 |
$5,504 |
18.8× |
| CTA abdomen pelvis (74174) |
$4,216.80 |
$7,028 |
12.1× |
| CTA chest (71275) |
$3,211.80 |
$5,353 |
18.3× |
| Cta Head (70496) |
$3,165.60 |
$5,276 |
18.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$6,328.80 |
$10,548 |
18.1× |
| CTA lwr ext w&w/o contrast (73706) |
$3,157.80 |
$5,263 |
18.0× |
| Cta Neck (70498) |
$3,163.20 |
$5,272 |
18.0× |
| Cta Pelvis (72191) |
$2,912.40 |
$4,854 |
16.6× |
| Cystography minimum 3 views rs&i (74430) |
$1,410 |
$2,350 |
4.0× |
| Diskogram cervical (72285) |
$4,626 |
$7,710 |
2.4× |
| Diskography lumbar (72295) |
$4,626 |
$7,710 |
2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$378.60 |
$631 |
3.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$462 |
$770 |
4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$222 |
$370 |
2.5× |
| Dxa bone density study axial skeleton (77085) |
$402.60 |
$671 |
3.8× |
| Echoencephalography real time imaging (76506) |
$449.40 |
$749 |
4.3× |
| Esophagus (74220) |
$1,231.20 |
$2,052 |
7.0× |
| Fetal biophysical profile non-stress testing (76818) |
$589.20 |
$982 |
5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$613.80 |
$1,023 |
5.9× |
| Fluoroscopy up to 1 hr (76000) |
$649.80 |
$1,083 |
2.7× |
| Foot 2 views (73620) |
$358.80 |
$598 |
4.1× |
| Forearm 2 views (73090) |
$370.20 |
$617 |
4.2× |
| Gated Heart Planar Single (78472) |
$2,232 |
$3,720 |
5.6× |
| Hand 2 views (73120) |
$360 |
$600 |
3.4× |
| Hand 3 views (73130) |
$367.80 |
$613 |
4.2× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,882 |
$6,470 |
5.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,502.40 |
$7,504 |
6.5× |
| Heart Infarct Image (78466) |
$1,861.20 |
$3,102 |
4.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,546.40 |
$4,244 |
4.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,037.80 |
$5,063 |
7.6× |
| Ht muscle image spect sing (78451) |
$5,196.60 |
$8,661 |
4.0× |
| Humerus Min 2 Views Left (73060) |
$326.40 |
$544 |
3.7× |
| Hysterosalpingogram (74740) |
$1,469.40 |
$2,449 |
6.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,280.60 |
$3,801 |
4.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,551.80 |
$4,253 |
4.7× |
| Knee 3 views (73562) |
$409.80 |
$683 |
4.7× |
| Liver & spleen imaging static only (78215) |
$1,971.60 |
$3,286 |
4.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,103 |
$3,505 |
5.3× |
| Liver imaging w/vascular flow (78202) |
$2,281.20 |
$3,802 |
4.2× |
| Lung perf&ventilat diferentl (78598) |
$2,259 |
$3,765 |
4.2× |
| Lung perfusion differential (78597) |
$2,780.40 |
$4,634 |
6.9× |
| Lung Ventilation Imaging (78579) |
$1,702.80 |
$2,838 |
4.3× |
| Lymphoscintigraphy (78195) |
$3,294 |
$5,490 |
6.1× |
| Mammary ductogram or galactogram multiple (77054) |
$951 |
$1,585 |
4.0× |
| Mammary ductogram or galactogram single (77053) |
$1,195.20 |
$1,992 |
5.0× |
| Meckels Diverticulum (78290) |
$1,935 |
$3,225 |
4.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,747.80 |
$2,913 |
4.7× |
| MRA head w & w/o contrast (70546) |
$3,871.80 |
$6,453 |
11.1× |
| MRA head w/o contrast (70544) |
$2,241.60 |
$3,736 |
9.4× |
| MRA head with contrast (70545) |
$3,232.20 |
$5,387 |
9.2× |
| MRA neck w contrast (70548) |
$3,157.80 |
$5,263 |
9.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,769.20 |
$6,282 |
10.8× |
| MRA neck w/o contrast (70547) |
$2,080.80 |
$3,468 |
8.7× |
| MRI abdomen w contrast (74182) |
$3,491.40 |
$5,819 |
10.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,626 |
$7,710 |
13.2× |
| MRI abdomen w/o contrast (74181) |
$2,162.40 |
$3,604 |
9.0× |
| MRI any jnt lwr ext with con lt (73722) |
$3,484.20 |
$5,807 |
4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,347.40 |
$5,579 |
4.3× |
| MRI breast w/o contrast bilateral (77047) |
$2,128.80 |
$3,548 |
8.9× |
| MRI breast w/o contrast unilat (77046) |
$1,740.60 |
$2,901 |
7.3× |
| MRI c-spine with contrast (72142) |
$3,392.40 |
$5,654 |
9.7× |
| MRI cardiac w/o contrast (75557) |
$2,125.20 |
$3,542 |
8.9× |
| MRI cervical spine w/o contrast (72141) |
$2,725.20 |
$4,542 |
11.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,860.40 |
$6,434 |
11.0× |
| MRI chest w/o contrast (71550) |
$2,174.40 |
$3,624 |
9.1× |
| MRI chest with contrast (71551) |
$3,222 |
$5,370 |
4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,728.40 |
$6,214 |
10.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,794.80 |
$4,658 |
11.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,118.60 |
$3,531 |
8.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,972.60 |
$6,621 |
11.4× |
| MRI orbit/face/neck w/contrast (70542) |
$2,847.60 |
$4,746 |
8.1× |
| MRI pelvis w contrast (72196) |
$4,049.40 |
$6,749 |
11.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,535.40 |
$7,559 |
13.0× |
| MRI pelvis w/o contrast (72195) |
$2,927.40 |
$4,879 |
12.2× |
| MRI scan of arm joint before and after contrast (73223) |
$3,891.60 |
$6,486 |
11.1× |
| MRI scan of leg joint before and after contrast (73723) |
$3,682.80 |
$6,138 |
10.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,461.60 |
$7,436 |
12.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,564.60 |
$5,941 |
10.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,135.80 |
$6,893 |
11.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,891.60 |
$6,486 |
11.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,216.80 |
$7,028 |
12.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,833.20 |
$4,722 |
11.9× |
| MRI tmj (70336) |
$2,016.60 |
$3,361 |
8.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,608.80 |
$4,348 |
10.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,490.80 |
$5,818 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,014.20 |
$3,357 |
8.4× |
| Myocardial infarct spect (78469) |
$2,347.80 |
$3,913 |
4.3× |
| Myocardial Spect Multiple Studies (78452) |
$6,281.40 |
$10,469 |
4.8× |
| Neck soft tissue (70360) |
$290.40 |
$484 |
3.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$934.80 |
$1,558 |
2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,418.40 |
$2,364 |
3.5× |
| Nm cisternogram (78630) |
$2,218.80 |
$3,698 |
4.1× |
| Nm gastric emptying study (78264) |
$2,223 |
$3,705 |
5.6× |
| Nm gastroesophageal reflux study (78262) |
$2,116.80 |
$3,528 |
5.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,145 |
$8,575 |
3.7× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$5,617.80 |
$9,363 |
3.9× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$3,517.20 |
$5,862 |
2.7× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,737.60 |
$2,896 |
4.3× |
| Nuclear Rx Oral Admin (79005) |
$1,197.60 |
$1,996 |
5.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$429.60 |
$716 |
4.1× |
| Osseous survey infant (77076) |
$637.20 |
$1,062 |
6.1× |
| Parathyrd planar w/spect&CT (78072) |
$3,828 |
$6,380 |
7.0× |
| Parathyrd planar w/wo subtrj (78071) |
$1,984.80 |
$3,308 |
5.0× |
| Parathyroid imaging (78070) |
$1,931.40 |
$3,219 |
4.8× |
| Pelvis 1 or 2 views (72170) |
$309.60 |
$516 |
3.0× |
| Peritoneogram rs&i (74190) |
$1,103.40 |
$1,839 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$5,816.40 |
$9,694 |
4.1× |
| PET imaging CT for attenuation limited area (78814) |
$5,634.60 |
$9,391 |
3.9× |
| PET imaging for CT attenuation whole body (78816) |
$6,714.60 |
$11,191 |
4.7× |
| PET whole body (78813) |
$6,004.20 |
$10,007 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,973.20 |
$6,622 |
11.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,304.60 |
$3,841 |
5.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,605.80 |
$4,343 |
4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,416 |
$2,360 |
2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$254.40 |
$424 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$405 |
$675 |
3.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$447.60 |
$746 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$301.20 |
$502 |
2.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,458 |
$2,430 |
2.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$747 |
$1,245 |
7.3× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,458 |
$2,430 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$365.40 |
$609 |
3.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$350.40 |
$584 |
4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$427.80 |
$713 |
4.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$373.80 |
$623 |
4.3× |
| Radiologic exam colon single contrast study (74270) |
$1,644.60 |
$2,741 |
9.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,291.80 |
$2,153 |
7.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,372.20 |
$2,287 |
7.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,361.40 |
$2,269 |
7.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$306.60 |
$511 |
3.5× |
| Radiological examination surgical specimen (76098) |
$603 |
$1,005 |
1.1× |
| Ribs bilateral 3 views (71110) |
$535.80 |
$893 |
5.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,189.40 |
$3,649 |
5.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,955 |
$4,925 |
5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,447 |
$5,745 |
2.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,766.60 |
$4,611 |
2.1× |
| Rp Therapy Intravenous Administration (79101) |
$1,367.40 |
$2,279 |
5.9× |
| Sacroiliac Joints < 3 Views (72200) |
$255.60 |
$426 |
2.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$577.20 |
$962 |
2.4× |
| Scanogram (77073) |
$363 |
$605 |
3.5× |
| Scapula complete (73010) |
$302.40 |
$504 |
2.9× |
| Screening digital breast tomosynthesis (77063) |
$54.60 |
$91 |
2.3× |
| Sialogram (70390) |
$1,324.80 |
$2,208 |
5.5× |
| Simulation intermediate (77285) |
$1,383.60 |
$2,306 |
3.7× |
| Small bowel series (74250) |
$1,259.40 |
$2,099 |
7.2× |
| Spec medical radj physics consltj (77370) |
$844.80 |
$1,408 |
6.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,076.40 |
$1,794 |
2.9× |
| Special treatment procedure (77470) |
$2,257.20 |
$3,762 |
4.1× |
| Spine thoracic 3 views (72072) |
$428.40 |
$714 |
4.1× |
| Spleen imaging only (78185) |
$1,181.40 |
$1,969 |
3.0× |
| Stereotactic body radiation delivery (77373) |
$3,778.20 |
$6,297 |
2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,003.40 |
$3,339 |
5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$970.80 |
$1,618 |
2.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,134 |
$1,890 |
4.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,879.80 |
$3,133 |
5.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$929.40 |
$1,549 |
6.9× |
| Thoracolumbar 2 views (72080) |
$355.20 |
$592 |
4.1× |
| Thyroid carcinoma metastases img addl study (78016) |
$1,996.80 |
$3,328 |
5.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,670.60 |
$4,451 |
4.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,483.20 |
$2,472 |
3.7× |
| Thyroid uptake measurement (78012) |
$1,409.40 |
$2,349 |
3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,971 |
$3,285 |
4.9× |
| Tmj unilateral (70328) |
$244.80 |
$408 |
2.8× |
| Treatment device intermediate (77333) |
$741.60 |
$1,236 |
5.5× |
| Treatment devices simple (77332) |
$620.40 |
$1,034 |
4.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,911.80 |
$9,853 |
10.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,005.20 |
$3,342 |
5.0× |
| Tx devices design & construction complex (77334) |
$1,227 |
$2,045 |
3.3× |
| Ultrasound elastography first target lesion (76982) |
$288.60 |
$481 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$1,009.80 |
$1,683 |
9.6× |
| Umbilical-artery Doppler (OB) (76820) |
$490.20 |
$817 |
4.7× |
| Upper Extremity Infant (73092) |
$192.60 |
$321 |
1.8× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,821.60 |
$3,036 |
4.5× |
| Urethrocystography retrograde rs&i (74450) |
$1,432.80 |
$2,388 |
6.0× |
| Urethrocystography voiding (74455) |
$1,521.60 |
$2,536 |
6.4× |
| Us abdl aorta screen aaa (76706) |
$354 |
$590 |
3.4× |
| Us breast unilateral complete (76641) |
$438 |
$730 |
4.2× |
| Us breast unilateral limited (76642) |
$418.80 |
$698 |
4.8× |
| Us chest (76604) |
$549.60 |
$916 |
5.2× |
| Us compl joint r-t w/image documentation (76881) |
$467.40 |
$779 |
4.5× |
| Us elastography parenchyma (76981) |
$492.60 |
$821 |
4.7× |
| Us guided compression repair (76936) |
$997.80 |
$1,663 |
4.6× |
| Us infant hips limited static (76886) |
$315 |
$525 |
3.6× |
| Us kidney transplant (76776) |
$780.60 |
$1,301 |
7.5× |
| Us ob detailed single fetus (76811) |
$777.60 |
$1,296 |
3.3× |
| Us ob transvaginal (76817) |
$641.40 |
$1,069 |
6.1× |
| Us pelvic non ob complete (76856) |
$919.20 |
$1,532 |
8.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$472.20 |
$787 |
4.5× |
| Us pregnancy ltd (76815) |
$464.40 |
$774 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$576 |
$960 |
5.5× |
| Us retroperitoneal complete (76770) |
$857.40 |
$1,429 |
8.2× |
| Us retroperitoneal limited (76775) |
$691.80 |
$1,153 |
6.6× |
| Us scrotum and contents (76870) |
$823.20 |
$1,372 |
7.9× |
| Us soft tissue head/neck (76536) |
$775.80 |
$1,293 |
7.4× |
| Us spinal canal and contents (76800) |
$895.20 |
$1,492 |
8.5× |
| Us xtr non-vasc lmtd (76882) |
$618 |
$1,030 |
5.9× |
| Venogram extremity bilateral (75822) |
$3,304.20 |
$5,507 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$4,513.80 |
$7,523 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$2,316.60 |
$3,861 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$2,383.20 |
$3,972 |
1.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,178.20 |
$5,297 |
1.0× |
| Vertebral fracture assessment via dxa (77086) |
$189.60 |
$316 |
2.2× |
| Wrist 2 views (73100) |
$282.60 |
$471 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$481.80 |
$803 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$289.80 |
$483 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$405 |
$675 |
4.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,693.80 |
$2,823 |
9.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$288 |
$480 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$323.40 |
$539 |
3.7× |
| X-ray exam hip uni 1 view (73501) |
$234 |
$390 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$343.20 |
$572 |
3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$466.20 |
$777 |
4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$498 |
$830 |
4.8× |
| X-ray exam of femur 1 (73551) |
$223.20 |
$372 |
2.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,592.40 |
$2,654 |
9.1× |
| X-ray eye for foreign body (70030) |
$277.80 |
$463 |
3.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$343.80 |
$573 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$258.60 |
$431 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$394.20 |
$657 |
4.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,785.80 |
$4,643 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$322.80 |
$538 |
3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$261.60 |
$436 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$454.80 |
$758 |
4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$331.80 |
$553 |
3.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$326.40 |
$544 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$456.60 |
$761 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$586.80 |
$978 |
5.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$299.40 |
$499 |
3.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$250.20 |
$417 |
2.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$353.40 |
$589 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$428.40 |
$714 |
4.1× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$1,469.40 |
$2,449 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,854 |
$3,090 |
5.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$370.20 |
$617 |
4.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$506.40 |
$844 |
4.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$759 |
$1,265 |
7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$379.80 |
$633 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$448.80 |
$748 |
5.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$347.40 |
$579 |
4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$471 |
$785 |
5.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$215.40 |
$359 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$416.40 |
$694 |
4.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$376.80 |
$628 |
3.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$362.40 |
$604 |
4.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$264.60 |
$441 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$279 |
$465 |
3.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$406.80 |
$678 |
3.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$435.60 |
$726 |
4.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$290.40 |
$484 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$306.60 |
$511 |
3.5× |
| Xr arthrogram ankle (73615) |
$1,510.20 |
$2,517 |
4.3× |
| Xr c-spine 6 or more views (72052) |
$678.60 |
$1,131 |
6.5× |
| Xr chest 4+ views (71048) |
$511.20 |
$852 |
4.9× |
| Xr finger(s) 2+ views (73140) |
$286.80 |
$478 |
3.3× |
| Xr shoulder 1 view (73020) |
$286.80 |
$478 |
3.3× |
| Xr spine cervical 4 or 5 views (72050) |
$593.40 |
$989 |
5.7× |
| Xr tibia/fibula 2 views (73590) |
$351 |
$585 |
4.0× |
| Xr tmj bilateral (70330) |
$332.40 |
$554 |
3.8× |
| Xray knee 1 or 2 views rt (73560) |
$347.40 |
$579 |
4.0× |