| 3-D radiotherapy plan dose-volume histograms (77295) |
$19,588 |
$19,588 |
13.6× |
| Abdomen 2 views (74019) |
$3,802 |
$3,802 |
34.8× |
| Acute gi blood loss imaging (78278) |
$3,371 |
$3,371 |
8.1× |
| Angiography extremity bilateral rs&i (75716) |
$26,680 |
$26,680 |
8.1× |
| Angiography extremity unilateral rs&i (75710) |
$18,323 |
$18,323 |
5.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$18,676 |
$18,676 |
3.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$14,930 |
$14,930 |
4.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$18,676 |
$18,676 |
5.7× |
| Angiography Spinal Selective Rs&I (75705) |
$18,676 |
$18,676 |
3.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$16,144 |
$16,144 |
2.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$7,101.50 |
$7,101.50 |
2.2× |
| Ankle 2 views (73600) |
$4,003 |
$4,003 |
44.0× |
| Aortogram thoracic (75605) |
$25,720 |
$25,720 |
4.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$20,164 |
$20,164 |
6.1× |
| Aortography abdominal serialography rs&i (75625) |
$39,103 |
$39,103 |
11.9× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$8,934 |
$8,934 |
2.7× |
| Artery X-Rays Adrenal Gland (75731) |
$19,882 |
$19,882 |
6.0× |
| Arthrogram knee (73580) |
$2,106 |
$2,106 |
5.8× |
| Arthrogram shoulder (73040) |
$3,857 |
$3,857 |
10.6× |
| Basic dosimetry (77300) |
$2,600.50 |
$2,600.50 |
18.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$6,391 |
$6,391 |
15.3× |
| Bone &/joint imaging whole body (78306) |
$13,951 |
$13,951 |
33.4× |
| Bone age studies (77072) |
$2,950 |
$2,950 |
27.0× |
| Bone Imaging 3 Phase (78315) |
$15,003 |
$15,003 |
35.9× |
| Bone survey complete (77075) |
$9,321 |
$9,321 |
85.4× |
| Bowel imaging (78290) |
$6,306 |
$6,306 |
15.1× |
| Brachytx isodose complex (77318) |
$5,884 |
$5,884 |
15.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$2,343 |
$2,343 |
6.0× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$2,320 |
$2,320 |
5.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$4,168 |
$4,168 |
10.0× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) |
$5,050 |
$5,050 |
6.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,050 |
$5,050 |
13.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,488 |
$2,488 |
4.4× |
| Cervical spine 2 or 3 views (72040) |
$6,101 |
$6,101 |
67.1× |
| Chest 1 view (71045) |
$1,157 |
$1,157 |
12.7× |
| Chest xray 3 views (71047) |
$3,893 |
$3,893 |
42.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,943 |
$2,943 |
16.1× |
| Clavicle complete (73000) |
$3,901.50 |
$3,901.50 |
42.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$16,122 |
$16,122 |
147.7× |
| Continuing medical physics consltj pr wk (77336) |
$2,320 |
$2,320 |
16.5× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$1,510 |
$1,510 |
8.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$42,400 |
$42,400 |
116.4× |
| CT abdomen and pelvis without contrast (74176) |
$33,005 |
$33,005 |
132.5× |
| CT abdomen w contrast (74160) |
$19,071 |
$19,071 |
104.1× |
| CT abdomen w wo contrast (74170) |
$20,334 |
$20,334 |
111.0× |
| CT abdomen w/o contrast (74150) |
$16,839 |
$16,839 |
154.2× |
| CT angio hrt w/3d image (75574) |
$2,324 |
$2,324 |
6.4× |
| CT angio lwr extr w/o&w/dye (73706) |
$15,731 |
$15,731 |
85.9× |
| CT angiography upper extremity lt (73206) |
$12,696 |
$12,696 |
69.3× |
| CT c-spine w/contrast (72126) |
$15,731 |
$15,731 |
43.2× |
| CT c-spine w/o contrast (72125) |
$14,260 |
$14,260 |
130.6× |
| CT cervical spine w&w/o contrast (72127) |
$14,260 |
$14,260 |
77.9× |
| CT chest w contrast (71260) |
$19,071 |
$19,071 |
104.1× |
| CT chest w/wo contrast (71270) |
$20,096 |
$20,096 |
109.7× |
| CT head/brain with contrast (70460) |
$9,971 |
$9,971 |
54.4× |
| CT head/brain without and with contrast (70470) |
$11,169 |
$11,169 |
61.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,324 |
$2,324 |
6.4× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$393 |
$393 |
4.3× |
| CT hrt w/3d image congen (75573) |
$2,324 |
$2,324 |
6.4× |
| CT iac w contrast (70481) |
$19,204 |
$19,204 |
104.8× |
| CT limited/localized follow up study (76380) |
$6,056 |
$6,056 |
66.6× |
| CT lower ext w/o (73700) |
$14,260 |
$14,260 |
130.6× |
| CT lower extremity w wo contrast (73702) |
$16,393 |
$16,393 |
89.5× |
| CT lower extremity w/contrast material (73701) |
$15,731 |
$15,731 |
85.9× |
| CT lumbar spine w & w/o contrast (72133) |
$15,834 |
$15,834 |
86.4× |
| CT lumbar spine w/contrast (72132) |
$15,412 |
$15,412 |
42.3× |
| CT lumbar spine w/o contrast (72131) |
$18,291 |
$18,291 |
167.5× |
| CT maxillofacial w contrast (70487) |
$15,749 |
$15,749 |
86.0× |
| CT maxillofacial w/wo contrast (70488) |
$18,078 |
$18,078 |
98.7× |
| CT maxillofacial wo contrast (70486) |
$14,010 |
$14,010 |
128.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$19,302 |
$19,302 |
105.4× |
| CT orbits w/o contrast (70480) |
$19,204 |
$19,204 |
175.9× |
| CT pelvis w/o contrast (72192) |
$16,169 |
$16,169 |
148.1× |
| CT pelvis w/wo contrast (72194) |
$22,071 |
$22,071 |
120.5× |
| CT scan of arm combo (73202) |
$12,696 |
$12,696 |
69.3× |
| CT soft tissue neck w contrast (70491) |
$16,010 |
$16,010 |
87.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$18,509 |
$18,509 |
101.0× |
| CT soft tissue neck w/o contrast (70490) |
$14,028 |
$14,028 |
128.5× |
| CT thoracic spine w/contrast (72129) |
$8,729 |
$8,729 |
47.7× |
| CT thoracic spine w/o contrast (72128) |
$7,920 |
$7,920 |
72.5× |
| CT thoracic spine w/wo contrast (72130) |
$7,238 |
$7,238 |
39.5× |
| CT thorax w/o contrast (71250) |
$16,122 |
$16,122 |
147.7× |
| CT upper ext wo (73200) |
$14,490 |
$14,490 |
132.7× |
| CT upper extremity with contrast (73201) |
$12,160 |
$12,160 |
33.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$20,334 |
$20,334 |
111.0× |
| Cta Abdomen (74175) |
$20,334 |
$20,334 |
111.0× |
| CTA abdomen pelvis (74174) |
$33,423 |
$33,423 |
91.7× |
| CTA chest (71275) |
$12,949 |
$12,949 |
70.7× |
| Cta Head (70496) |
$12,949 |
$12,949 |
70.7× |
| Cta Neck (70498) |
$12,949 |
$12,949 |
70.7× |
| Cta Pelvis (72191) |
$11,800 |
$11,800 |
64.4× |
| Cystography minimum 3 views rs&i (74430) |
$2,757 |
$2,757 |
7.6× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$3,468 |
$3,468 |
1.6× |
| Diskography lumbar (72295) |
$11,274 |
$11,274 |
5.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,395 |
$1,395 |
12.8× |
| Esophagus (74220) |
$5,724 |
$5,724 |
31.2× |
| Facial bones min 3 views (70150) |
$5,513.50 |
$5,513.50 |
50.5× |
| Fetal biophysical profile non-stress testing (76818) |
$1,070 |
$1,070 |
9.8× |
| Fluoroscopy up to 1 hr (76000) |
$2,803 |
$2,803 |
11.2× |
| Foot 2 views (73620) |
$4,003 |
$4,003 |
44.0× |
| Forearm 2 views (73090) |
$3,332 |
$3,332 |
36.7× |
| Hand 2 views (73120) |
$3,332 |
$3,332 |
30.5× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$6,732 |
$6,732 |
9.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$10,406 |
$10,406 |
14.3× |
| Heart Infarct Image (78466) |
$2,674 |
$2,674 |
6.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$18,676 |
$18,676 |
5.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$18,676 |
$18,676 |
5.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$7,859 |
$7,859 |
13.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$7,859 |
$7,859 |
18.8× |
| Hysterosalpingogram (74740) |
$6,278 |
$6,278 |
25.2× |
| Interstitial radiation source applic complex (77778) |
$6,828 |
$6,828 |
9.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,226 |
$3,226 |
5.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,226 |
$3,226 |
5.7× |
| Knee 3 views (73562) |
$264.15 |
$264.15 |
2.9× |
| Liver & spleen imaging static only (78215) |
$2,782 |
$2,782 |
6.7× |
| Liver imaging w/vascular flow (78202) |
$2,544 |
$2,544 |
4.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$14,102 |
$14,102 |
4.3× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$9,912 |
$9,912 |
3.0× |
| Lymphoscintigraphy (78195) |
$2,425 |
$2,425 |
4.3× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$9,145 |
$9,145 |
11.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$6,447 |
$6,447 |
17.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,873 |
$1,873 |
4.8× |
| MRA head w & w/o contrast (70546) |
$10,680 |
$10,680 |
29.3× |
| MRA head w/o contrast (70544) |
$7,729 |
$7,729 |
31.0× |
| MRA head with contrast (70545) |
$9,145 |
$9,145 |
25.1× |
| MRA neck w contrast (70548) |
$9,145 |
$9,145 |
25.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$10,680 |
$10,680 |
29.3× |
| MRA neck w/o contrast (70547) |
$7,729 |
$7,729 |
31.0× |
| MRI abdomen w contrast (74182) |
$4,243 |
$4,243 |
11.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$10,680 |
$10,680 |
29.3× |
| MRI abdomen w/o contrast (74181) |
$6,447 |
$6,447 |
25.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$9,145 |
$9,145 |
11.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$10,680 |
$10,680 |
29.3× |
| MRI breast w/o contrast bilateral (77047) |
$3,992 |
$3,992 |
16.0× |
| MRI c-spine with contrast (72142) |
$8,319 |
$8,319 |
22.8× |
| MRI cardiac w/o contrast (75557) |
$3,306 |
$3,306 |
13.3× |
| MRI cervical spine w/o contrast (72141) |
$7,184 |
$7,184 |
28.8× |
| MRI chest w/o & w/contrast material (71552) |
$10,680 |
$10,680 |
29.3× |
| MRI chest w/o contrast (71550) |
$6,447 |
$6,447 |
25.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,729 |
$7,729 |
21.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$6,447 |
$6,447 |
17.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,729 |
$7,729 |
31.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,205 |
$7,205 |
28.9× |
| MRI orbit face neck w contrast (70542) |
$9,145 |
$9,145 |
25.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,680 |
$10,680 |
29.3× |
| MRI pelvis w/contrast (72196) |
$7,205 |
$7,205 |
19.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$10,680 |
$10,680 |
29.3× |
| MRI pelvis w/o contrast (72195) |
$7,729 |
$7,729 |
31.0× |
| MRI spectroscopy (76390) |
$6,935 |
$6,935 |
76.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$10,300 |
$10,300 |
28.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$8,319 |
$8,319 |
22.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$10,300 |
$10,300 |
28.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$8,319 |
$8,319 |
22.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$10,300 |
$10,300 |
28.3× |
| MRI temporomandibular joint (70336) |
$7,205 |
$7,205 |
28.9× |
| MRI thoracic spine w/o contrast (72146) |
$7,205 |
$7,205 |
28.9× |
| MRI up ext w/o contrast (73218) |
$7,729 |
$7,729 |
31.0× |
| MRI upper ext joint w/o contrast (73221) |
$6,447 |
$6,447 |
25.9× |
| MRI, joint upper extrem combo (73223) |
$10,680 |
$10,680 |
29.3× |
| Myocardial Spect Multiple Studies (78452) |
$23,425 |
$23,425 |
17.3× |
| N-invas est c ffr sw aly CTA (75580) |
$3,052.17 |
$3,052.17 |
3.4× |
| Neck soft tissue (70360) |
$4,003 |
$4,003 |
44.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,600 |
$1,600 |
3.8× |
| Nm cisternogram (78630) |
$4,543 |
$4,543 |
8.0× |
| Nm gastric emptying study (78264) |
$9,838 |
$9,838 |
23.6× |
| Nonvascular shunt X-ray (75809) |
$514 |
$514 |
4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,134 |
$6,134 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$8,663 |
$8,663 |
35.6× |
| Parathyroid Planar Imaging (78070) |
$2,179 |
$2,179 |
5.2× |
| Pelvis 1 or 2 views (72170) |
$4,403 |
$4,403 |
40.3× |
| PET image w/CT, skull-thigh (78815) |
$8,965 |
$8,965 |
6.0× |
| PET imaging CT for attenuation limited area (78814) |
$8,965 |
$8,965 |
6.0× |
| PET imaging for CT attenuation whole body (78816) |
$8,965 |
$8,965 |
6.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$16,992 |
$16,992 |
5.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,292 |
$5,292 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,617 |
$2,617 |
6.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,681 |
$6,681 |
11.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,846 |
$2,846 |
5.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$4,378 |
$4,378 |
48.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$4,003 |
$4,003 |
44.0× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$4,450 |
$4,450 |
49.0× |
| Radex fingr minimum 2 views (73140) |
$2,513 |
$2,513 |
27.7× |
| Radex Foot Compl Minimum 3 Views (73630) |
$4,378 |
$4,378 |
48.2× |
| Radex Hand Minimum 3 Views (73130) |
$4,450 |
$4,450 |
49.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$791 |
$791 |
8.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$3,521 |
$3,521 |
32.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,302 |
$1,302 |
11.9× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$3,814 |
$3,814 |
34.9× |
| Radex Humerus Minimum 2 Views (73060) |
$4,134 |
$4,134 |
45.5× |
| Radex Kne 1/2 Views (73560) |
$4,546 |
$4,546 |
50.0× |
| Radex Kne Compl 4/More Views (73564) |
$5,420 |
$5,420 |
49.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$5,298 |
$5,298 |
48.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$5,196 |
$5,196 |
57.2× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$5,420 |
$5,420 |
49.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$4,595 |
$4,595 |
50.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$4,058 |
$4,058 |
44.7× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$1,380 |
$1,380 |
12.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$5,454 |
$5,454 |
60.0× |
| Radex Toe Minimum 2 Views (73660) |
$2,513 |
$2,513 |
27.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$4,134 |
$4,134 |
37.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$4,450 |
$4,450 |
49.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$32,546 |
$32,546 |
4.2× |
| Radiation treatment delivery level 1 (77402) |
$2,984 |
$2,984 |
28.0× |
| Radiation treatment delivery level 3 (77412) |
$4,171 |
$4,171 |
7.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$3,549 |
$3,549 |
39.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$3,802 |
$3,802 |
34.8× |
| Radiologic exam chest 2 views (71046) |
$3,616 |
$3,616 |
39.8× |
| Radiologic exam colon single contrast study (74270) |
$8,398 |
$8,398 |
45.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$5,724 |
$5,724 |
31.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$6,857 |
$6,857 |
37.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$8,622 |
$8,622 |
47.1× |
| Radiologic examination femur 1 view (73551) |
$5,520 |
$5,520 |
60.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$4,003 |
$4,003 |
44.0× |
| Radiological examination surgical specimen (76098) |
$2,743 |
$2,743 |
4.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$1,290 |
$1,290 |
3.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$1,290 |
$1,290 |
3.2× |
| Ribs bilateral 3 views (71110) |
$6,994 |
$6,994 |
64.1× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,747 |
$2,747 |
6.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,924 |
$5,924 |
10.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$8,542 |
$8,542 |
15.1× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,749 |
$1,749 |
7.2× |
| Scapula (73010) |
$4,538 |
$4,538 |
41.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$113 |
$113 |
4.8× |
| Shoulder 1 view (73020) |
$3,332 |
$3,332 |
36.7× |
| Small bowel series (74250) |
$7,388 |
$7,388 |
40.3× |
| Special dosimetry (77331) |
$4,966 |
$4,966 |
35.4× |
| Special Physics Consult (77370) |
$4,379 |
$4,379 |
31.2× |
| Special treatment procedure (77470) |
$6,013 |
$6,013 |
10.4× |
| Spine thoracic 3 views (72072) |
$5,806 |
$5,806 |
53.2× |
| Stereotactic Body Radiation Delivery (77373) |
$21,274 |
$21,274 |
11.4× |
| Superior sagittal sinus venogram (75870) |
$17,184 |
$17,184 |
5.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$5,884 |
$5,884 |
15.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$6,198 |
$6,198 |
15.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,844 |
$2,844 |
20.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$12,058 |
$12,058 |
21.3× |
| Thyroid uptake measurement (78012) |
$3,305 |
$3,305 |
7.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$8,763 |
$8,763 |
21.0× |
| Treatment device complex (77334) |
$5,829 |
$5,829 |
14.9× |
| Treatment devices simple (77332) |
$2,190 |
$2,190 |
15.6× |
| Ultrasound breast complete (76641) |
$5,196 |
$5,196 |
47.6× |
| Ultrasound, abdomen limited (76705) |
$2,508.50 |
$2,508.50 |
23.0× |
| Urethrocystogram voiding (74455) |
$6,544 |
$6,544 |
26.3× |
| Urethrocystography retrograde rs&i (74450) |
$3,995 |
$3,995 |
16.0× |
| Us breast unilateral limited (76642) |
$5,196 |
$5,196 |
57.2× |
| Us chest (76604) |
$1,215 |
$1,215 |
11.1× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$819 |
$819 |
3.6× |
| Us compl joint r-t w/image documentation (76881) |
$3,473 |
$3,473 |
31.8× |
| Us encephalogram (76506) |
$922 |
$922 |
8.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,737 |
$1,737 |
15.9× |
| Us ob detailed single fetus (76811) |
$1,297 |
$1,297 |
5.2× |
| Us ob limited (76815) |
$774 |
$774 |
7.1× |
| Us ob transvaginal (76817) |
$1,229 |
$1,229 |
11.3× |
| Us pelvic non ob complete (76856) |
$5,360 |
$5,360 |
49.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,374 |
$1,374 |
12.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,229 |
$1,229 |
11.3× |
| Us retroperitoneal complete (76770) |
$3,753 |
$3,753 |
34.4× |
| Us retroperitoneal limited (76775) |
$3,753 |
$3,753 |
34.4× |
| Us scrotum and contents (76870) |
$4,155 |
$4,155 |
38.1× |
| Us soft tissue head/neck (76536) |
$5,238 |
$5,238 |
48.0× |
| Us,transplanted kidney, real time/ doppler (76776) |
$751 |
$751 |
6.9× |
| Venogram extremity bilateral (75822) |
$4,992.50 |
$4,992.50 |
3.0× |
| Venogram Extremity Unilateral (75820) |
$5,314 |
$5,314 |
3.2× |
| Venography caval inferior serialography rs&i (75825) |
$18,676 |
$18,676 |
5.7× |
| Venography caval superior serialography rs&i (75827) |
$6,489 |
$6,489 |
3.9× |
| Venography renal unilateral selective rs&i (75831) |
$18,676 |
$18,676 |
5.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$7,258 |
$7,258 |
2.2× |
| Venous sampling by catheter (75893) |
$18,544 |
$18,544 |
3.2× |
| Wrist 2 views (73100) |
$3,332 |
$3,332 |
36.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$5,066 |
$5,066 |
55.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$12,494 |
$12,494 |
68.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$3,332 |
$3,332 |
36.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$3,521 |
$3,521 |
38.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$3,814 |
$3,814 |
34.9× |
| X-ray exam of femur 2/> (73552) |
$5,520 |
$5,520 |
60.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$5,513.50 |
$5,513.50 |
60.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$6,051 |
$6,051 |
55.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$10,001 |
$10,001 |
91.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$728.50 |
$728.50 |
6.7× |
| X-ray retrograde pyelogram (74420) |
$7,825 |
$7,825 |
21.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$6,306 |
$6,306 |
69.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$3,663 |
$3,663 |
33.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$5,806 |
$5,806 |
63.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$6,692 |
$6,692 |
73.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$5,751 |
$5,751 |
52.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$3,092 |
$3,092 |
28.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$5,468 |
$5,468 |
60.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$5,743 |
$5,743 |
63.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$4,271 |
$4,271 |
39.1× |
| Xr c-spine 4 or 5 views (72050) |
$8,920 |
$8,920 |
81.7× |
| Xr c-spine 6 or more views (72052) |
$9,636 |
$9,636 |
88.3× |
| Xr chest 4+ views (71048) |
$5,814 |
$5,814 |
53.3× |