| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,487.58 |
$12,479.30 |
5.0× |
| Abdomen 2 views (74019) |
$798.34 |
$1,330.56 |
7.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,910.81 |
$6,518.02 |
9.0× |
| Angiography extremity bilateral rs&i (75716) |
$7,740.74 |
$12,901.24 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,657.90 |
$11,096.50 |
1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,008.57 |
$11,680.95 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,413.90 |
$2,356.51 |
0.4× |
| Ankle 2 views (73600) |
$514.57 |
$857.61 |
5.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,956.98 |
$3,261.64 |
5.1× |
| Aortogram thoracic (75605) |
$9,281.74 |
$15,469.56 |
1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,211.27 |
$10,352.12 |
1.8× |
| Aortography abdominal serialography rs&i (75625) |
$8,133.60 |
$13,556 |
2.4× |
| Arthrogram hip (73525) |
$1,821.50 |
$3,035.82 |
4.8× |
| Arthrogram shoulder (73040) |
$1,912.86 |
$3,188.10 |
5.0× |
| Arthrogram wrist (73115) |
$1,595.64 |
$2,659.39 |
4.2× |
| Arthrography knee lt (73580) |
$1,734.29 |
$2,890.48 |
4.6× |
| Basic radiation dosimetry calculation (77300) |
$701.70 |
$1,169.50 |
4.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,773.18 |
$4,621.97 |
6.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,765.81 |
$4,609.68 |
6.3× |
| Bone &/joint imaging whole body (78306) |
$3,485.38 |
$5,808.98 |
8.0× |
| Bone age studies (77072) |
$656.66 |
$1,094.43 |
5.7× |
| Bone Imaging 3 Phase (78315) |
$3,155.55 |
$5,259.25 |
7.2× |
| Bone survey complete (77075) |
$1,677.67 |
$2,796.11 |
14.7× |
| Brain Imaging Vascular Flow Only (78610) |
$830.90 |
$1,384.83 |
1.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,041.06 |
$6,735.10 |
10.6× |
| Cervical spine 2 or 3 views (72040) |
$777.32 |
$1,295.53 |
8.2× |
| Chest 1 view (71045) |
$468.51 |
$780.85 |
4.9× |
| Chest 3 views (71047) |
$791.33 |
$1,318.88 |
8.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,171.24 |
$1,952.08 |
6.1× |
| Clavicle complete (73000) |
$506.32 |
$843.86 |
5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$158.54 |
$264.22 |
1.4× |
| Continuing medical physics consltj pr wk (77336) |
$940.84 |
$1,568.06 |
6.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,118.92 |
$15,198.20 |
23.9× |
| CT abdomen and pelvis without contrast (74176) |
$7,304.39 |
$12,173.99 |
28.0× |
| CT abdomen w contrast (74160) |
$4,286.88 |
$7,144.79 |
22.4× |
| CT abdomen w wo contrast (74170) |
$4,825.75 |
$8,042.92 |
25.2× |
| CT abdomen w/o contrast (74150) |
$3,723.74 |
$6,206.24 |
32.6× |
| CT angio hrt w/3d image (75574) |
$3,432.85 |
$5,721.42 |
9.0× |
| CT angiography upper extremity lt (73206) |
$3,723.83 |
$6,206.38 |
19.4× |
| CT c-spine w/o contrast (72125) |
$3,801.91 |
$6,336.51 |
33.3× |
| CT cervical spine w&w/o contrast (72127) |
$5,524.30 |
$9,207.18 |
28.8× |
| CT cervical spine with contrast (72126) |
$5,022.18 |
$8,370.30 |
13.2× |
| CT chest w/wo contrast (71270) |
$4,992.76 |
$8,321.28 |
26.1× |
| CT chest with contrast (71260) |
$4,443.38 |
$7,405.64 |
23.2× |
| CT head/brain with contrast (70460) |
$3,674.46 |
$6,124.10 |
19.2× |
| CT head/brain without and with contrast (70470) |
$4,095.68 |
$6,826.14 |
21.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,722.84 |
$11,204.74 |
17.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,234.28 |
$2,057.12 |
13.0× |
| CT hrt w/3d image congen (75573) |
$1,521.04 |
$2,535.06 |
4.0× |
| CT iac w contrast (70481) |
$4,054.72 |
$6,757.86 |
21.2× |
| CT limited/localized follow up study (76380) |
$2,225.89 |
$3,709.82 |
23.4× |
| CT lower ext w/o (73700) |
$3,544.12 |
$5,906.86 |
31.0× |
| CT lower extremity w wo contrast (73702) |
$4,980.16 |
$8,300.28 |
26.0× |
| CT lower extremity with contrast (73701) |
$3,755.34 |
$6,258.90 |
19.6× |
| CT lumbar spine w & w/o contrast (72133) |
$5,974.93 |
$9,958.21 |
31.2× |
| CT lumbar spine w/o contrast (72131) |
$3,999.82 |
$6,666.37 |
35.0× |
| CT lumbar spine with contrast (72132) |
$4,729.11 |
$7,881.86 |
12.4× |
| CT maxillofacial w contrast (70487) |
$3,829.94 |
$6,383.24 |
20.0× |
| CT maxillofacial w/o contrast (70486) |
$2,864.12 |
$4,773.53 |
25.1× |
| CT maxillofacial w/wo contrast (70488) |
$4,390.85 |
$7,318.08 |
22.9× |
| CT neck soft tissue w contrast (70491) |
$3,899.26 |
$6,498.76 |
20.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,053.61 |
$6,756.02 |
21.2× |
| CT orbits w/o contrast (70480) |
$3,330.99 |
$5,551.65 |
29.2× |
| CT pelvis w & w/o contrast (72194) |
$4,777.44 |
$7,962.39 |
24.9× |
| CT pelvis w/o contrast (72192) |
$3,682.13 |
$6,136.89 |
32.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,269.02 |
$7,115.02 |
22.3× |
| CT soft tissue neck w/o contrast (70490) |
$3,379.70 |
$5,632.84 |
29.6× |
| CT thoracic spine w/contrast (72129) |
$4,727.01 |
$7,878.35 |
24.7× |
| CT thoracic spine w/o contrast (72128) |
$3,952.12 |
$6,586.87 |
34.6× |
| CT thoracic spine w/wo contrast (72130) |
$4,980.16 |
$8,300.28 |
26.0× |
| CT thorax w/o contrast (71250) |
$3,544.12 |
$5,906.86 |
31.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,936.04 |
$8,226.74 |
25.8× |
| CT upper extremity w/o contrast rt (73200) |
$3,382.73 |
$5,637.88 |
29.6× |
| CT upper extremity with contrast (73201) |
$3,927.62 |
$6,546.02 |
10.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,833.10 |
$8,055.16 |
25.2× |
| Cta Abdomen (74175) |
$4,596.89 |
$7,661.48 |
24.0× |
| CTA abdomen pelvis (74174) |
$6,131.44 |
$10,219.08 |
16.1× |
| CTA chest (71275) |
$4,176.41 |
$6,960.69 |
21.8× |
| Cta Head (70496) |
$3,860.38 |
$6,433.96 |
20.1× |
| CTA lwr ext w&w/o contrast (73706) |
$4,424.05 |
$7,373.42 |
23.1× |
| Cta Neck (70498) |
$4,177.62 |
$6,962.70 |
21.8× |
| Cta Pelvis (72191) |
$4,704.94 |
$7,841.58 |
24.6× |
| Cystography minimum 3 views rs&i (74430) |
$905.49 |
$1,509.16 |
2.4× |
| Diskogram cervical (72285) |
$4,181.31 |
$6,968.85 |
2.0× |
| Diskography lumbar (72295) |
$10,763.93 |
$17,939.88 |
5.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$679.64 |
$1,132.74 |
6.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$141.16 |
$235.26 |
1.5× |
| Dxa bone density study axial skeleton (77085) |
$263.97 |
$439.95 |
2.3× |
| Echoencephalography real time imaging (76506) |
$866.62 |
$1,444.36 |
7.6× |
| Esophagus (74220) |
$1,601.93 |
$2,669.88 |
8.4× |
| Fetal biophysical profile non-stress testing (76818) |
$1,576.17 |
$2,626.95 |
13.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$987.43 |
$1,645.71 |
8.6× |
| Fluoroscopy up to 1 hr (76000) |
$843.52 |
$1,405.86 |
3.2× |
| Foot 2 views (73620) |
$484.11 |
$806.85 |
5.1× |
| Forearm 2 views (73090) |
$540.98 |
$901.63 |
5.7× |
| Gated Heart Planar Single (78472) |
$7,372.04 |
$12,286.72 |
16.9× |
| Hand 2 views (73120) |
$429.31 |
$715.52 |
3.8× |
| Hand 3 views (73130) |
$583 |
$971.67 |
6.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,566.68 |
$9,277.80 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,166.08 |
$6,943.46 |
7.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,166.08 |
$6,943.46 |
9.5× |
| Ht muscle image spect sing (78451) |
$4,371.28 |
$7,285.46 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$610.32 |
$1,017.20 |
6.4× |
| Hysterosalpingogram (74740) |
$1,815.16 |
$3,025.28 |
7.0× |
| Image fusion (77399) |
$364.77 |
$607.95 |
2.5× |
| Interstitial radiation source applic complex (77778) |
$7,928.76 |
$13,214.60 |
10.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,542.08 |
$4,236.80 |
4.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,870.86 |
$4,784.78 |
4.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$3,689.16 |
$6,148.62 |
6.2× |
| Knee 3 views (73562) |
$688.13 |
$1,146.88 |
7.2× |
| Liver & spleen imaging static only (78215) |
$3,887.70 |
$6,479.50 |
8.9× |
| Lung perfusion differential (78597) |
$3,946.01 |
$6,576.69 |
9.0× |
| Lymphoscintigraphy (78195) |
$3,298.41 |
$5,497.35 |
5.6× |
| Mammary ductogram or galactogram multiple (77054) |
$4,136.66 |
$6,894.44 |
15.9× |
| Mammary ductogram or galactogram single (77053) |
$1,515.28 |
$2,525.47 |
5.8× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$180.18 |
$300.30 |
1.9× |
| Meckels Diverticulum (78290) |
$2,511.61 |
$4,186.02 |
5.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,210.13 |
$3,683.56 |
5.4× |
| MRA head w & w/o contrast (70546) |
$5,178.98 |
$8,631.64 |
13.6× |
| MRA head w/o contrast (70544) |
$4,254.32 |
$7,090.52 |
16.3× |
| MRA head with contrast (70545) |
$4,377.22 |
$7,295.36 |
11.5× |
| MRA neck w contrast (70548) |
$2,795.24 |
$4,658.72 |
7.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,973.84 |
$6,623.07 |
10.4× |
| MRA neck w/o contrast (70547) |
$2,678.65 |
$4,464.42 |
10.3× |
| MRI abdomen w contrast (74182) |
$4,985.40 |
$8,309.01 |
13.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,748.03 |
$9,580.06 |
15.1× |
| MRI abdomen w/o contrast (74181) |
$4,628.28 |
$7,713.80 |
17.8× |
| MRI any jnt lwr ext with con lt (73722) |
$4,203.81 |
$7,006.35 |
4.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,757.25 |
$6,262.08 |
4.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,523.77 |
$2,539.61 |
5.8× |
| MRI breast w/o contrast unilat (77046) |
$1,523.77 |
$2,539.61 |
5.8× |
| MRI c-spine with contrast (72142) |
$5,471.78 |
$9,119.62 |
14.4× |
| MRI cardiac w/o contrast (75557) |
$4,001.14 |
$6,668.56 |
15.4× |
| MRI cervical spine w/o contrast (72141) |
$5,285.85 |
$8,809.74 |
20.3× |
| MRI chest w/o & w/contrast material (71552) |
$6,067.36 |
$10,112.28 |
15.9× |
| MRI chest w/o contrast (71550) |
$3,698.62 |
$6,164.36 |
14.2× |
| MRI chest with contrast (71551) |
$4,668.19 |
$7,780.31 |
5.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,781.60 |
$6,302.68 |
9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,718.60 |
$7,864.32 |
12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,984.34 |
$6,640.57 |
15.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,367.76 |
$7,279.60 |
16.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,121.98 |
$8,536.64 |
13.4× |
| MRI orbit/face/neck w/contrast (70542) |
$4,621.96 |
$7,703.26 |
12.1× |
| MRI pelvis w contrast (72196) |
$5,064.16 |
$8,440.27 |
13.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,916.11 |
$9,860.18 |
15.5× |
| MRI pelvis w/o contrast (72195) |
$4,010.61 |
$6,684.35 |
15.4× |
| MRI scan of arm joint before and after contrast (73223) |
$4,281.96 |
$7,136.60 |
11.2× |
| MRI scan of leg joint before and after contrast (73723) |
$5,170.03 |
$8,616.71 |
13.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,112.54 |
$10,187.56 |
16.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,240.68 |
$8,734.46 |
13.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,183.97 |
$10,306.62 |
16.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,378.28 |
$8,963.80 |
14.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,929.76 |
$9,882.94 |
15.6× |
| MRI thoracic spine w/o contrast (72146) |
$4,666.09 |
$7,776.82 |
17.9× |
| MRI tmj (70336) |
$4,580.98 |
$7,634.98 |
17.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,567.31 |
$5,945.52 |
13.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,401.72 |
$7,336.20 |
11.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,684.68 |
$6,141.14 |
14.1× |
| Myelogram Cervical (72240) |
$2,743.34 |
$4,572.23 |
3.2× |
| Myelogram Lumbar (72265) |
$2,939.14 |
$4,898.57 |
3.4× |
| Myelogram thoracic (72255) |
$2,377.16 |
$3,961.94 |
2.8× |
| Myelography 2 or more regions (72270) |
$7,916.16 |
$13,193.59 |
9.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,622.82 |
$6,038.02 |
2.6× |
| Myocardial Spect Multiple Studies (78452) |
$7,574.76 |
$12,624.61 |
5.4× |
| Neck soft tissue (70360) |
$556.74 |
$927.90 |
5.9× |
| Nm cisternogram (78630) |
$3,533.68 |
$5,889.48 |
6.0× |
| Nm gastric emptying study (78264) |
$3,912.91 |
$6,521.52 |
9.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,581.12 |
$15,968.53 |
6.3× |
| Nuclear medicine of heart pumping function (78473) |
$7,345.76 |
$12,242.92 |
16.8× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,448.37 |
$2,413.95 |
3.3× |
| Nuclear Rx Oral Admin (79005) |
$2,928.64 |
$4,881.06 |
11.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$472.71 |
$787.85 |
4.1× |
| Osseous survey infant (77076) |
$1,188.49 |
$1,980.81 |
10.4× |
| Osseous survey limited (77074) |
$289.98 |
$483.30 |
2.5× |
| Parathyrd planar w/spect&CT (78072) |
$1,597.89 |
$2,663.15 |
2.7× |
| Parathyroid imaging (78070) |
$3,590.43 |
$5,984.05 |
8.2× |
| Pelvis 1 or 2 views (72170) |
$712.22 |
$1,187.02 |
6.2× |
| PET image w/CT, skull-thigh (78815) |
$10,933.06 |
$18,221.76 |
7.0× |
| PET imaging CT for attenuation limited area (78814) |
$6,278.50 |
$10,464.18 |
4.0× |
| PET imaging for CT attenuation whole body (78816) |
$5,949.72 |
$9,916.21 |
3.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,056.84 |
$8,428.06 |
13.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,373.02 |
$5,621.70 |
1.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$905.94 |
$1,509.90 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,216.34 |
$3,693.90 |
5.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,084.12 |
$6,806.88 |
6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,719.57 |
$2,865.96 |
2.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$114.03 |
$190.05 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,303.60 |
$2,172.66 |
11.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$443.30 |
$738.84 |
3.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$14,117.47 |
$23,529.11 |
1.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,030.15 |
$1,716.91 |
1.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$968.24 |
$1,613.74 |
8.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$913.42 |
$1,522.37 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$975.35 |
$1,625.58 |
8.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$541.22 |
$902.04 |
5.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,083.49 |
$1,805.82 |
9.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$595.75 |
$992.91 |
6.3× |
| Radiologic exam colon single contrast study (74270) |
$1,630.29 |
$2,717.14 |
8.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$374.90 |
$624.83 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,560.95 |
$2,601.59 |
8.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,349.86 |
$2,249.76 |
7.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$643.92 |
$1,073.21 |
6.8× |
| Radiological examination surgical specimen (76098) |
$630.26 |
$1,050.43 |
1.1× |
| Ribs bilateral 3 views (71110) |
$987.43 |
$1,645.71 |
8.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,597.73 |
$2,662.88 |
3.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,485.40 |
$7,475.67 |
7.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,353.30 |
$5,588.83 |
5.7× |
| Rp Therapy Intravenous Administration (79101) |
$1,449.48 |
$2,415.81 |
5.7× |
| Sacroiliac Joints < 3 Views (72200) |
$646.46 |
$1,077.44 |
5.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$512.52 |
$854.20 |
2.0× |
| Salivary gland imaging (78230) |
$1,161.09 |
$1,935.15 |
2.7× |
| Scanogram (77073) |
$250.11 |
$416.85 |
2.2× |
| Scapula complete (73010) |
$612.28 |
$1,020.47 |
5.4× |
| Screening digital breast tomosynthesis (77063) |
$185.67 |
$309.45 |
7.9× |
| Sella turcica (70240) |
$847.72 |
$1,412.86 |
8.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,273.14 |
$2,121.90 |
11.1× |
| Simulation intermediate (77285) |
$1,166.76 |
$1,944.60 |
2.9× |
| Small bowel series (74250) |
$1,166 |
$1,943.32 |
6.1× |
| Spec medical radj physics consltj (77370) |
$334.93 |
$558.22 |
2.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,625.04 |
$2,708.40 |
4.0× |
| Special dosimetry (77331) |
$659.69 |
$1,099.48 |
4.5× |
| Special treatment procedure (77470) |
$4,625.10 |
$7,708.52 |
7.7× |
| Speech evaluation complex (70371) |
$1,151.01 |
$1,918.35 |
4.4× |
| Spine thoracic 3 views (72072) |
$1,034.68 |
$1,724.48 |
9.1× |
| Stereotactic body radiation delivery (77373) |
$2,115.10 |
$3,525.17 |
1.1× |
| Tbs Technical Calculation Only (77091) |
$225.24 |
$375.40 |
2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,763.70 |
$2,939.50 |
4.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,485.34 |
$2,475.56 |
3.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,496.71 |
$4,161.19 |
6.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,324.60 |
$2,207.68 |
9.0× |
| Thoracolumbar 2 views (72080) |
$871.86 |
$1,453.11 |
9.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,711.22 |
$6,185.38 |
6.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,109.43 |
$1,849.05 |
2.5× |
| Thyroid uptake measurement (78012) |
$1,849.86 |
$3,083.09 |
4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,226.42 |
$3,710.70 |
5.1× |
| Treatment device intermediate (77333) |
$1,712.24 |
$2,853.72 |
11.7× |
| Treatment devices simple (77332) |
$898.14 |
$1,496.89 |
6.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,170.30 |
$8,617.17 |
8.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$4,397.17 |
$7,328.62 |
10.1× |
| Tx devices design & construction complex (77334) |
$1,515.79 |
$2,526.32 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$1,056.53 |
$1,760.89 |
9.3× |
| Umbilical-artery Doppler (OB) (76820) |
$1,017.89 |
$1,696.48 |
8.9× |
| Unlisted fluoroscopic procedure (76496) |
$422.73 |
$704.55 |
4.4× |
| Upper Extremity Infant (73092) |
$389.72 |
$649.54 |
3.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,542.08 |
$4,236.80 |
5.8× |
| Urethrocystography retrograde rs&i (74450) |
$1,746.89 |
$2,911.48 |
6.7× |
| Urethrocystography voiding (74455) |
$1,558.88 |
$2,598.12 |
6.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,591.42 |
$2,652.36 |
8.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$2,320.43 |
$3,867.38 |
12.1× |
| Us abdl aorta screen aaa (76706) |
$268.44 |
$447.39 |
2.4× |
| Us breast unilateral complete (76641) |
$1,171.22 |
$1,952.04 |
10.3× |
| Us breast unilateral limited (76642) |
$1,095.10 |
$1,825.17 |
11.5× |
| Us chest (76604) |
$835.11 |
$1,391.84 |
7.3× |
| Us compl joint r-t w/image documentation (76881) |
$874.87 |
$1,458.12 |
7.7× |
| Us guided compression repair (76936) |
$1,993.76 |
$3,322.93 |
8.5× |
| Us infant hips dynamic (76885) |
$1,098.76 |
$1,831.28 |
11.6× |
| Us infant hips limited static (76886) |
$965.37 |
$1,608.95 |
10.2× |
| Us kidney transplant (76776) |
$1,093.51 |
$1,822.52 |
9.6× |
| Us ob detailed single fetus (76811) |
$625.17 |
$1,041.96 |
2.4× |
| Us ob transvaginal (76817) |
$1,077.77 |
$1,796.28 |
9.4× |
| Us pelvic non ob complete (76856) |
$1,384.50 |
$2,307.49 |
12.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$762.62 |
$1,271.04 |
6.7× |
| Us pregnancy ltd (76815) |
$772.08 |
$1,286.80 |
6.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,010.54 |
$1,684.22 |
8.8× |
| Us retroperitoneal complete (76770) |
$1,363.04 |
$2,271.74 |
11.9× |
| Us retroperitoneal limited (76775) |
$1,167.04 |
$1,945.06 |
10.2× |
| Us scrotum and contents (76870) |
$1,349.82 |
$2,249.72 |
11.8× |
| Us soft tissue head/neck (76536) |
$1,067.70 |
$1,779.50 |
9.3× |
| Us spinal canal and contents (76800) |
$696.46 |
$1,160.76 |
6.1× |
| Us xtr non-vasc lmtd (76882) |
$697.48 |
$1,162.48 |
6.1× |
| Us, eye b-scan (76512) |
$254.94 |
$424.91 |
2.2× |
| Venogram extremity bilateral (75822) |
$3,947.88 |
$6,579.80 |
2.3× |
| Venography caval inferior serialography rs&i (75825) |
$5,011.68 |
$8,352.80 |
1.5× |
| Venography caval superior serialography rs&i (75827) |
$3,420.25 |
$5,700.42 |
2.0× |
| Venography extremity unilateral rs&i (75820) |
$2,027.37 |
$3,378.96 |
1.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,612.17 |
$2,686.95 |
0.5× |
| Wrist 2 views (73100) |
$501.37 |
$835.62 |
5.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,137.65 |
$1,896.08 |
10.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$626.06 |
$1,043.42 |
6.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$642.86 |
$1,071.44 |
6.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,396.08 |
$3,993.46 |
12.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$524.71 |
$874.51 |
5.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$609.26 |
$1,015.42 |
6.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$998.55 |
$1,664.25 |
8.7× |
| X-ray exam hip uni 1 view (73501) |
$382.44 |
$637.40 |
4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$671.89 |
$1,119.82 |
7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$521.64 |
$869.40 |
4.6× |
| X-ray exam of femur 1 (73551) |
$228.06 |
$380.10 |
2.4× |
| X-ray eye for foreign body (70030) |
$1,089.01 |
$1,815.02 |
11.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$905.49 |
$1,509.16 |
7.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$650.57 |
$1,084.28 |
6.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$601.90 |
$1,003.18 |
6.3× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,291.02 |
$3,818.36 |
1.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$496.86 |
$828.10 |
5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$691.16 |
$1,151.94 |
7.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$773.14 |
$1,288.56 |
6.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$512.62 |
$854.36 |
5.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$231.83 |
$386.38 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$905.49 |
$1,509.16 |
7.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,409.71 |
$2,349.51 |
12.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,051.50 |
$1,752.50 |
9.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$595.61 |
$992.68 |
6.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$463.24 |
$772.08 |
4.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$947.51 |
$1,579.18 |
8.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$947.51 |
$1,579.18 |
8.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,041.02 |
$3,401.70 |
5.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$778.46 |
$1,297.43 |
8.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$952.76 |
$1,587.94 |
8.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,224.82 |
$2,041.37 |
10.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$947.51 |
$1,579.18 |
8.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$758.42 |
$1,264.04 |
8.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$688.13 |
$1,146.88 |
7.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$876.06 |
$1,460.12 |
9.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$663.88 |
$1,106.46 |
7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,147.10 |
$1,911.83 |
10.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$672.90 |
$1,121.50 |
5.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$431.34 |
$718.90 |
4.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$639.41 |
$1,065.68 |
6.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$777.32 |
$1,295.53 |
8.2× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$74.34 |
$123.90 |
0.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$891.83 |
$1,486.38 |
7.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,109.31 |
$1,848.85 |
9.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$448.54 |
$747.57 |
4.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$832.99 |
$1,388.31 |
8.8× |
| Xr c-spine 6 or more views (72052) |
$1,125.04 |
$1,875.06 |
9.9× |
| Xr chest 4+ views (71048) |
$878.38 |
$1,463.96 |
7.7× |
| Xr Cholecystography Oral Contrast (74290) |
$935.95 |
$1,559.92 |
4.9× |
| Xr finger(s) 2+ views (73140) |
$453.93 |
$756.55 |
4.8× |
| Xr shoulder 1 view (73020) |
$494.76 |
$824.60 |
5.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,149.18 |
$1,915.31 |
10.1× |
| Xr tibia/fibula 2 views (73590) |
$566.20 |
$943.67 |
6.0× |
| Xr tmj bilateral (70330) |
$142.62 |
$237.69 |
1.5× |
| Xray knee 1 or 2 views rt (73560) |
$549.07 |
$915.11 |
5.8× |