| 3-D radiotherapy plan dose-volume histograms (77295) |
$13,693 |
$13,693 |
9.5× |
| Abdomen 2 views (74019) |
$2,706 |
$2,706 |
24.8× |
| Acute gi blood loss imaging (78278) |
$2,961 |
$2,961 |
7.1× |
| Angio Adrenal Bilat Select (75733) |
$18,229 |
$18,229 |
5.5× |
| Angiography extremity bilateral rs&i (75716) |
$18,229 |
$18,229 |
5.5× |
| Angiography extremity unilateral rs&i (75710) |
$18,229 |
$18,229 |
5.5× |
| Angiography internal mammary rs&i (75756) |
$5,886 |
$5,886 |
1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$18,229 |
$18,229 |
3.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$16,911.50 |
$16,911.50 |
5.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$18,229 |
$18,229 |
5.5× |
| Angiography Spinal Selective Rs&I (75705) |
$18,229 |
$18,229 |
3.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$18,229 |
$18,229 |
3.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,142 |
$5,142 |
1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$10,849 |
$10,849 |
3.3× |
| Ankle 2 views (73600) |
$671 |
$671 |
7.4× |
| Aortogram thoracic (75605) |
$18,229 |
$18,229 |
3.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$18,229 |
$18,229 |
5.5× |
| Aortography abdominal serialography rs&i (75625) |
$18,229 |
$18,229 |
5.5× |
| Artery X-Rays Adrenal Gland (75731) |
$18,229 |
$18,229 |
5.5× |
| Arthrogram ankle (73615) |
$2,462 |
$2,462 |
6.8× |
| Arthrogram elbow (73085) |
$2,462 |
$2,462 |
6.8× |
| Arthrogram hip (73525) |
$2,462 |
$2,462 |
6.8× |
| Arthrogram knee (73580) |
$2,462 |
$2,462 |
6.8× |
| Arthrogram shoulder (73040) |
$2,462 |
$2,462 |
6.8× |
| Arthrogram wrist (73115) |
$2,462 |
$2,462 |
6.8× |
| Basic dosimetry (77300) |
$2,108 |
$2,108 |
15.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$15,313 |
$15,313 |
36.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,078 |
$4,078 |
9.8× |
| Bone &/joint imaging whole body (78306) |
$7,951 |
$7,951 |
19.0× |
| Bone age studies (77072) |
$1,318 |
$1,318 |
12.1× |
| Bone Imaging 3 Phase (78315) |
$5,948 |
$5,948 |
14.2× |
| Bone survey complete (77075) |
$5,719 |
$5,719 |
52.4× |
| Bone survey infant (77076) |
$21,805 |
$21,805 |
199.7× |
| Bowel imaging (78290) |
$7,529 |
$7,529 |
18.0× |
| Brachytx isodose complex (77318) |
$5,201 |
$5,201 |
13.3× |
| Brachytx isodose intermed (77317) |
$5,178 |
$5,178 |
13.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$2,258 |
$2,258 |
5.8× |
| Brain imaging < 4 static views (78600) |
$5,494 |
$5,494 |
13.2× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$3,230 |
$3,230 |
7.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,799 |
$3,799 |
6.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$9,461 |
$9,461 |
6.3× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$7,673 |
$7,673 |
18.4× |
| Cardiac shunt detection (78428) |
$2,637 |
$2,637 |
6.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,472 |
$2,472 |
4.4× |
| Cervical spine 2 or 3 views (72040) |
$2,048 |
$2,048 |
22.5× |
| Chest 1 view (71045) |
$905 |
$905 |
10.0× |
| Chest xray 3 views (71047) |
$2,597 |
$2,597 |
28.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,376 |
$3,376 |
18.4× |
| Clavicle complete (73000) |
$1,372 |
$1,372 |
15.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$12,174 |
$12,174 |
111.5× |
| Continuing medical physics consltj pr wk (77336) |
$1,441 |
$1,441 |
10.3× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$1,570 |
$1,570 |
8.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$28,567 |
$28,567 |
78.4× |
| CT abdomen and pelvis without contrast (74176) |
$25,352 |
$25,352 |
101.7× |
| CT abdomen w contrast (74160) |
$14,761 |
$14,761 |
80.6× |
| CT abdomen w wo contrast (74170) |
$16,435 |
$16,435 |
89.7× |
| CT abdomen w/o contrast (74150) |
$13,646 |
$13,646 |
125.0× |
| CT angio hrt w/3d image (75574) |
$14,411 |
$14,411 |
39.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,312 |
$2,312 |
12.6× |
| CT angiography upper extremity lt (73206) |
$10,770 |
$10,770 |
58.8× |
| CT c-spine w/contrast (72126) |
$13,235 |
$13,235 |
36.3× |
| CT c-spine w/o contrast (72125) |
$12,133 |
$12,133 |
111.1× |
| CT cervical spine w&w/o contrast (72127) |
$14,245 |
$14,245 |
77.8× |
| CT chest w contrast (71260) |
$13,458 |
$13,458 |
73.5× |
| CT chest w/wo contrast (71270) |
$16,371 |
$16,371 |
89.4× |
| CT head/brain with contrast (70460) |
$13,387 |
$13,387 |
73.1× |
| CT head/brain without and with contrast (70470) |
$19,140 |
$19,140 |
104.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,448 |
$3,448 |
9.5× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$3,448 |
$3,448 |
37.9× |
| CT hrt w/3d image congen (75573) |
$3,448 |
$3,448 |
9.5× |
| CT iac w contrast (70481) |
$15,801 |
$15,801 |
86.3× |
| CT limited/localized follow up study (76380) |
$10,941 |
$10,941 |
120.4× |
| CT lower ext w/o (73700) |
$13,056 |
$13,056 |
119.6× |
| CT lower extremity w wo contrast (73702) |
$18,290 |
$18,290 |
99.9× |
| CT lower extremity w/contrast material (73701) |
$13,985 |
$13,985 |
76.3× |
| CT lumbar spine w & w/o contrast (72133) |
$14,245 |
$14,245 |
77.8× |
| CT lumbar spine w/contrast (72132) |
$13,235 |
$13,235 |
36.3× |
| CT lumbar spine w/o contrast (72131) |
$12,133 |
$12,133 |
111.1× |
| CT maxillofacial w contrast (70487) |
$14,545 |
$14,545 |
79.4× |
| CT maxillofacial w/wo contrast (70488) |
$15,515 |
$15,515 |
84.7× |
| CT maxillofacial wo contrast (70486) |
$10,937 |
$10,937 |
100.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$25,004 |
$25,004 |
136.5× |
| CT orbits w/o contrast (70480) |
$9,220 |
$9,220 |
84.5× |
| CT pelvis w/o contrast (72192) |
$11,721 |
$11,721 |
107.4× |
| CT pelvis w/wo contrast (72194) |
$13,111 |
$13,111 |
71.6× |
| CT scan of arm combo (73202) |
$18,290 |
$18,290 |
99.9× |
| CT soft tissue neck w contrast (70491) |
$12,754 |
$12,754 |
69.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$15,515 |
$15,515 |
84.7× |
| CT soft tissue neck w/o contrast (70490) |
$11,701 |
$11,701 |
107.2× |
| CT thoracic spine w/contrast (72129) |
$12,335 |
$12,335 |
67.3× |
| CT thoracic spine w/o contrast (72128) |
$10,456 |
$10,456 |
95.8× |
| CT thoracic spine w/wo contrast (72130) |
$17,434 |
$17,434 |
95.2× |
| CT thorax w/o contrast (71250) |
$12,174 |
$12,174 |
111.5× |
| CT upper ext wo (73200) |
$12,868 |
$12,868 |
117.9× |
| CT upper extremity with contrast (73201) |
$13,985 |
$13,985 |
38.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$4,618 |
$4,618 |
25.2× |
| Cta Abdomen (74175) |
$16,232 |
$16,232 |
88.6× |
| CTA abdomen pelvis (74174) |
$19,148 |
$19,148 |
52.6× |
| CTA chest (71275) |
$17,813 |
$17,813 |
97.2× |
| Cta Head (70496) |
$21,046 |
$21,046 |
114.9× |
| Cta Neck (70498) |
$5,490 |
$5,490 |
30.0× |
| Cta Pelvis (72191) |
$14,418 |
$14,418 |
78.7× |
| Cystography minimum 3 views rs&i (74430) |
$2,512 |
$2,512 |
6.9× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$9,299 |
$9,299 |
4.3× |
| Diskogram cervical (72285) |
$14,215 |
$14,215 |
7.0× |
| Diskography lumbar (72295) |
$14,215 |
$14,215 |
7.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,102 |
$1,102 |
10.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,647 |
$1,647 |
15.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$2,203 |
$2,203 |
20.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$2,457 |
$2,457 |
22.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,753 |
$1,753 |
7.0× |
| Esophagus (74220) |
$2,280 |
$2,280 |
12.4× |
| Facial bones min 3 views (70150) |
$2,663 |
$2,663 |
24.4× |
| Fetal biophysical profile non-stress testing (76818) |
$5,029 |
$5,029 |
46.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$3,789 |
$3,789 |
34.7× |
| Fetal Echo (76825) |
$11,267 |
$11,267 |
19.7× |
| Fluoroscopy up to 1 hr (76000) |
$1,884 |
$1,884 |
7.6× |
| Foot 2 views (73620) |
$725 |
$725 |
8.0× |
| Forearm 2 views (73090) |
$1,700 |
$1,700 |
18.7× |
| Hand 2 views (73120) |
$725 |
$725 |
6.6× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$4,065 |
$4,065 |
5.6× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,065 |
$4,065 |
5.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$4,065 |
$4,065 |
5.6× |
| Heart Infarct Image (78466) |
$4,897 |
$4,897 |
11.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$18,229 |
$18,229 |
5.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$18,229 |
$18,229 |
5.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,351 |
$5,351 |
9.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,351 |
$5,351 |
12.8× |
| Hysterosalpingogram (74740) |
$2,875 |
$2,875 |
11.5× |
| Interstitial radiation source applic complex (77778) |
$12,391 |
$12,391 |
17.0× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,646 |
$2,646 |
3.6× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,646 |
$2,646 |
4.6× |
| Intracavitary Radiation Source Applic Simple (77761) |
$2,646 |
$2,646 |
4.6× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$749 |
$749 |
6.9× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) |
$1,061 |
$1,061 |
2.5× |
| Kidney imaging morphology (78700) |
$3,421 |
$3,421 |
8.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,537 |
$4,537 |
8.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,769 |
$4,769 |
8.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,680 |
$2,680 |
4.7× |
| Knee 3 views (73562) |
$1,445 |
$1,445 |
15.9× |
| Liver & spleen imaging static only (78215) |
$6,161 |
$6,161 |
14.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,385 |
$2,385 |
5.7× |
| Liver imaging static only (78201) |
$4,602 |
$4,602 |
8.1× |
| Liver imaging w/vascular flow (78202) |
$10,464 |
$10,464 |
18.5× |
| Lung perf&ventilat diferentl (78598) |
$7,684 |
$7,684 |
13.6× |
| Lung perfusion differential (78597) |
$6,590 |
$6,590 |
15.8× |
| Lung ventilation imaging (78579) |
$7,650 |
$7,650 |
18.3× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$9,595 |
$9,595 |
2.9× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$1,892 |
$1,892 |
2.9× |
| Lymphoscintigraphy (78195) |
$5,938 |
$5,938 |
10.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$14,811 |
$14,811 |
18.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$13,491 |
$13,491 |
37.0× |
| Mammary ductogram or galactogram multiple (77054) |
$2,109 |
$2,109 |
8.5× |
| Mammary ductogram or galactogram single (77053) |
$2,200 |
$2,200 |
8.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$385 |
$385 |
4.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,854 |
$4,854 |
12.4× |
| MRA head w & w/o contrast (70546) |
$8,239 |
$8,239 |
22.6× |
| MRA head w/o contrast (70544) |
$5,152 |
$5,152 |
20.7× |
| MRA head with contrast (70545) |
$5,494 |
$5,494 |
15.1× |
| MRA neck w contrast (70548) |
$5,494 |
$5,494 |
15.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$8,239 |
$8,239 |
22.6× |
| MRA neck w/o contrast (70547) |
$5,152 |
$5,152 |
20.7× |
| MRI abdomen w contrast (74182) |
$15,170 |
$15,170 |
41.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$16,188 |
$16,188 |
44.4× |
| MRI abdomen w/o contrast (74181) |
$5,339 |
$5,339 |
21.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$14,811 |
$14,811 |
18.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$13,491 |
$13,491 |
37.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,622 |
$2,622 |
10.5× |
| MRI breast wo contrast unilateral (77046) |
$2,622 |
$2,622 |
10.5× |
| MRI c-spine with contrast (72142) |
$14,450 |
$14,450 |
39.7× |
| MRI cervical spine w/o contrast (72141) |
$7,840 |
$7,840 |
31.5× |
| MRI chest w/o & w/contrast material (71552) |
$13,368 |
$13,368 |
36.7× |
| MRI chest w/o contrast (71550) |
$9,216 |
$9,216 |
37.0× |
| MRI chest with contrast (71551) |
$10,787 |
$10,787 |
13.2× |
| MRI fetal sngl/1st gestation (74712) |
$9,522 |
$9,522 |
38.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$13,491 |
$13,491 |
37.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$8,428 |
$8,428 |
33.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,276 |
$5,276 |
21.2× |
| MRI orbit face neck w contrast (70542) |
$5,339 |
$5,339 |
14.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$16,188 |
$16,188 |
44.4× |
| MRI pelvis w/contrast (72196) |
$11,902 |
$11,902 |
32.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$16,188 |
$16,188 |
44.4× |
| MRI pelvis w/o contrast (72195) |
$9,523 |
$9,523 |
38.2× |
| MRI spectroscopy (76390) |
$2,064 |
$2,064 |
22.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$20,270 |
$20,270 |
55.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,370 |
$14,370 |
39.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$20,150 |
$20,150 |
55.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$14,925 |
$14,925 |
41.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$20,944 |
$20,944 |
57.5× |
| MRI temporomandibular joint (70336) |
$13,816 |
$13,816 |
55.4× |
| MRI thoracic spine w/o contrast (72146) |
$7,121 |
$7,121 |
28.6× |
| MRI up ext w/o contrast (73218) |
$8,428 |
$8,428 |
33.8× |
| MRI upper ext joint w/o contrast (73221) |
$8,428 |
$8,428 |
33.8× |
| MRI, joint upper extrem combo (73223) |
$13,491 |
$13,491 |
37.0× |
| Myelogram Cervical (72240) |
$6,500 |
$6,500 |
7.9× |
| Myelogram Lumbar (72265) |
$5,744 |
$5,744 |
7.0× |
| Myelogram thoracic (72255) |
$5,744 |
$5,744 |
7.0× |
| Myelography 2 or more regions (72270) |
$2,308 |
$2,308 |
2.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$4,795 |
$4,795 |
3.5× |
| Myocardial infarct spect (78469) |
$3,084 |
$3,084 |
5.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$9,492 |
$9,492 |
7.0× |
| Myocardial Spect Multiple Studies (78452) |
$14,560 |
$14,560 |
10.8× |
| Myocardial spect single study at rest or stress (78451) |
$1,427 |
$1,427 |
1.1× |
| N-invas est c ffr sw aly CTA (75580) |
$3,378 |
$3,378 |
3.8× |
| Neck soft tissue (70360) |
$1,585 |
$1,585 |
17.4× |
| Nm bone marrow multi (78103) |
$6,339 |
$6,339 |
15.2× |
| Nm cardiac blood pool multiple (78473) |
$4,515 |
$4,515 |
10.8× |
| Nm cisternogram (78630) |
$2,900 |
$2,900 |
5.1× |
| Nm csf leak detection (78650) |
$4,504 |
$4,504 |
3.3× |
| Nm gastric emptying study (78264) |
$7,237 |
$7,237 |
17.3× |
| Nm gastroesophageal reflux study (78262) |
$3,559 |
$3,559 |
8.5× |
| Nm kidney scan w/flow (78701) |
$4,097 |
$4,097 |
9.8× |
| Nm peritoneal-venous shunt patency (78291) |
$5,459 |
$5,459 |
13.1× |
| Noncardiac Vascular Flow Imaging (78445) |
$3,940 |
$3,940 |
9.4× |
| Nonvascular shunt X-ray (75809) |
$1,135 |
$1,135 |
10.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,675 |
$9,675 |
6.7× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,846 |
$3,846 |
9.2× |
| Nuclear Rx Oral Admin (79005) |
$7,398 |
$7,398 |
30.4× |
| Ob us nuchal meas 1 gest (76813) |
$757 |
$757 |
6.9× |
| Osseous survey limited (77074) |
$4,661 |
$4,661 |
42.7× |
| Parathyroid Planar Imaging (78070) |
$3,312 |
$3,312 |
7.9× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,681 |
$1,681 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$1,774 |
$1,774 |
16.2× |
| PET image w/CT, skull-thigh (78815) |
$9,464 |
$9,464 |
6.3× |
| PET imaging for CT attenuation whole body (78816) |
$9,464 |
$9,464 |
6.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$61,388 |
$61,388 |
45.4× |
| PET whole body (78813) |
$9,464 |
$9,464 |
6.3× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) |
$9,464 |
$9,464 |
6.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$18,229 |
$18,229 |
5.5× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,886 |
$5,886 |
1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$6,658 |
$6,658 |
15.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$9,603 |
$9,603 |
16.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,109 |
$2,109 |
3.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,299 |
$1,299 |
14.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,700 |
$1,700 |
18.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,700 |
$1,700 |
18.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,892 |
$1,892 |
20.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,966 |
$1,966 |
18.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$2,014 |
$2,014 |
18.4× |
| Radex fingr minimum 2 views (73140) |
$1,552 |
$1,552 |
17.1× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,700 |
$1,700 |
18.7× |
| Radex Hand Minimum 3 Views (73130) |
$1,618 |
$1,618 |
17.8× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$357 |
$357 |
3.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$1,867 |
$1,867 |
17.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,754 |
$1,754 |
16.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,906 |
$1,906 |
17.5× |
| Radex Humerus Minimum 2 Views (73060) |
$1,667 |
$1,667 |
18.3× |
| Radex Kne 1/2 Views (73560) |
$725 |
$725 |
8.0× |
| Radex Kne Compl 4/More Views (73564) |
$3,496 |
$3,496 |
32.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$2,424 |
$2,424 |
22.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,779 |
$1,779 |
19.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$2,061 |
$2,061 |
18.9× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,806 |
$1,806 |
19.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$694 |
$694 |
7.6× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$2,226 |
$2,226 |
20.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$2,198 |
$2,198 |
24.2× |
| Radex Toe Minimum 2 Views (73660) |
$1,700 |
$1,700 |
18.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$538 |
$538 |
4.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,699 |
$1,699 |
18.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,061 |
$2,061 |
18.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$24,767 |
$24,767 |
3.2× |
| Radiation treatment delivery level 1 (77402) |
$2,191 |
$2,191 |
20.6× |
| Radiation treatment delivery level 2 (77407) |
$2,308 |
$2,308 |
5.7× |
| Radiation treatment delivery level 3 (77412) |
$4,000 |
$4,000 |
6.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,949 |
$1,949 |
21.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$3,049 |
$3,049 |
27.9× |
| Radiologic exam chest 2 views (71046) |
$1,886 |
$1,886 |
20.8× |
| Radiologic exam colon single contrast study (74270) |
$4,186 |
$4,186 |
22.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,401 |
$3,401 |
18.6× |
| Radiologic examination femur 1 view (73551) |
$1,510 |
$1,510 |
16.6× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$725 |
$725 |
8.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,700 |
$1,700 |
18.7× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$986 |
$986 |
9.0× |
| Radiological examination surgical specimen (76098) |
$2,655 |
$2,655 |
4.7× |
| Red cell volume determination (separate procedure); single sampling Non-Facility (78120) |
$13,292 |
$13,292 |
31.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$1,132 |
$1,132 |
2.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$1,132 |
$1,132 |
2.8× |
| Renal Cyst Study (74470) |
$2,109 |
$2,109 |
3.7× |
| Ribs bilateral 3 views (71110) |
$927 |
$927 |
8.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$5,392 |
$5,392 |
12.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$7,893 |
$7,893 |
18.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$8,013 |
$8,013 |
14.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$9,974 |
$9,974 |
17.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,893 |
$7,893 |
13.9× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,394 |
$1,394 |
5.7× |
| Rp Therapy Intravenous Administration (79101) |
$6,049 |
$6,049 |
24.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,299 |
$1,299 |
5.2× |
| Salivary gland function study (78232) |
$1,388 |
$1,388 |
3.3× |
| Salivary gland imaging (78230) |
$1,281 |
$1,281 |
3.1× |
| Scapula (73010) |
$1,570 |
$1,570 |
14.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$131 |
$131 |
5.6× |
| Sella turcica (70240) |
$537 |
$537 |
5.9× |
| Shoulder 1 view (73020) |
$1,667 |
$1,667 |
18.3× |
| Sialogram (70390) |
$3,124 |
$3,124 |
12.5× |
| Simulation intermediate (77285) |
$4,047 |
$4,047 |
10.4× |
| Small bowel series (74250) |
$2,727 |
$2,727 |
14.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$3,956 |
$3,956 |
10.1× |
| Special dosimetry (77331) |
$3,439 |
$3,439 |
24.5× |
| Special Physics Consult (77370) |
$2,307 |
$2,307 |
16.4× |
| Special treatment procedure (77470) |
$6,071.50 |
$6,071.50 |
10.5× |
| Spleen imaging only (78185) |
$2,514 |
$2,514 |
6.0× |
| Splenoportograpy rs&i (75810) |
$18,229 |
$18,229 |
5.5× |
| Stereotactic Body Radiation Delivery (77373) |
$13,254 |
$13,254 |
7.1× |
| Superior sagittal sinus venogram (75870) |
$17,694 |
$17,694 |
5.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,469 |
$4,469 |
11.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,823 |
$2,823 |
7.2× |
| Testicular Imaging With Vascular Flow (78761) |
$5,699 |
$5,699 |
13.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$4,520 |
$4,520 |
11.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,501 |
$2,501 |
17.8× |
| Thoracolumbar 2 views (72080) |
$1,553 |
$1,553 |
17.1× |
| Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Non-Facility (78015) |
$9,237 |
$9,237 |
22.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$8,416 |
$8,416 |
14.8× |
| Thyroid imaging w/blood flow (78013) |
$4,581 |
$4,581 |
11.0× |
| Thyroid uptake measurement (78012) |
$2,725 |
$2,725 |
6.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$12,506 |
$12,506 |
30.0× |
| Tmj unilateral (70328) |
$725 |
$725 |
8.0× |
| Tomogram (76100) |
$2,671 |
$2,671 |
24.5× |
| Treatment device complex (77334) |
$4,854 |
$4,854 |
12.4× |
| Treatment device intermediate (77333) |
$5,513 |
$5,513 |
39.3× |
| Treatment devices simple (77332) |
$3,012 |
$3,012 |
21.5× |
| Ultrasound breast complete (76641) |
$2,040.50 |
$2,040.50 |
18.7× |
| Ultrasound Exam Aaa Screen (76706) |
$3,124 |
$3,124 |
28.6× |
| Ultrasound, abdomen limited (76705) |
$2,230 |
$2,230 |
20.4× |
| Umbilical-artery Doppler (OB) (76820) |
$2,203 |
$2,203 |
20.2× |
| Ureteral reflux study (78740) |
$5,537 |
$5,537 |
13.3× |
| Urethrocystogram voiding (74455) |
$3,226 |
$3,226 |
12.9× |
| Urethrocystography retrograde rs&i (74450) |
$2,383 |
$2,383 |
9.6× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) |
$2,512 |
$2,512 |
13.7× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) |
$5,159 |
$5,159 |
28.2× |
| Us breast unilateral limited (76642) |
$4,605 |
$4,605 |
50.7× |
| Us chest (76604) |
$1,110 |
$1,110 |
10.2× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$1,034 |
$1,034 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$902 |
$902 |
8.3× |
| Us encephalogram (76506) |
$1,647 |
$1,647 |
15.1× |
| Us infant hips w manipulation (76885) |
$3,390 |
$3,390 |
37.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$902 |
$902 |
8.3× |
| Us ob detailed single fetus (76811) |
$2,512 |
$2,512 |
10.1× |
| Us ob limited (76815) |
$2,410 |
$2,410 |
22.1× |
| Us ob transvaginal (76817) |
$1,567 |
$1,567 |
14.4× |
| Us pelvic non ob complete (76856) |
$2,957.50 |
$2,957.50 |
27.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,957.50 |
$2,957.50 |
27.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$5,370 |
$5,370 |
49.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$2,027 |
$2,027 |
18.6× |
| Us retroperitoneal complete (76770) |
$5,969 |
$5,969 |
54.7× |
| Us retroperitoneal limited (76775) |
$3,204 |
$3,204 |
29.3× |
| Us scrotum and contents (76870) |
$3,353 |
$3,353 |
30.7× |
| Us soft tissue head/neck (76536) |
$3,335 |
$3,335 |
30.5× |
| Us spinal canal and contents (76800) |
$3,793 |
$3,793 |
34.7× |
| Us transrectal (76872) |
$1,665 |
$1,665 |
15.3× |
| Us transrectal prostate volume (76873) |
$3,819 |
$3,819 |
35.0× |
| Us,transplanted kidney, real time/ doppler (76776) |
$2,464 |
$2,464 |
22.6× |
| Venogram adrenal unilat (75840) |
$18,229 |
$18,229 |
5.5× |
| Venogram extremity bilateral (75822) |
$4,769.50 |
$4,769.50 |
2.9× |
| Venogram Extremity Unilateral (75820) |
$5,885 |
$5,885 |
3.6× |
| Venography caval inferior serialography rs&i (75825) |
$18,229 |
$18,229 |
5.5× |
| Venography caval superior serialography rs&i (75827) |
$9,271 |
$9,271 |
5.6× |
| Venography Renal Bilateral (75833) |
$18,229 |
$18,229 |
5.5× |
| Venography renal unilateral selective rs&i (75831) |
$18,229 |
$18,229 |
5.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,886 |
$5,886 |
1.8× |
| Venous sampling by catheter (75893) |
$18,229 |
$18,229 |
3.1× |
| Wrist 2 views (73100) |
$459 |
$459 |
5.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,801 |
$2,801 |
25.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,008 |
$2,008 |
22.1× |
| X-ray b.e. reductn intuss (74283) |
$2,527 |
$2,527 |
13.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,438 |
$4,438 |
24.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$725 |
$725 |
8.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,756 |
$1,756 |
19.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,832 |
$1,832 |
16.8× |
| X-ray exam of femur 2/> (73552) |
$1,700 |
$1,700 |
18.7× |
| X-ray eye for foreign body (70030) |
$1,504 |
$1,504 |
16.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$725 |
$725 |
8.0× |
| X-ray IV pyelogram (ivp) (74400) |
$3,727 |
$3,727 |
20.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$506 |
$506 |
5.6× |
| X-ray leg, infant (73592) |
$1,716 |
$1,716 |
18.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,814 |
$2,814 |
25.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,105 |
$3,105 |
28.4× |
| X-ray nose-rectum child f.b. (76010) |
$725 |
$725 |
8.0× |
| X-ray optic foramen (70190) |
$560 |
$560 |
6.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,546 |
$2,546 |
23.3× |
| X-ray retrograde pyelogram (74420) |
$3,919 |
$3,919 |
10.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$725 |
$725 |
8.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,214 |
$2,214 |
20.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,337 |
$3,337 |
30.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,486 |
$1,486 |
13.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,896 |
$1,896 |
20.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,472 |
$2,472 |
27.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,814 |
$2,814 |
25.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,595 |
$1,595 |
14.6× |
| X-Ray Small Bowel Enteroclysis (74251) |
$2,111 |
$2,111 |
11.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,482 |
$1,482 |
16.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,796 |
$1,796 |
19.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,021 |
$2,021 |
22.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,028 |
$2,028 |
18.6× |
| Xr bone length studies (77073) |
$2,213 |
$2,213 |
20.3× |
| Xr c-spine 4 or 5 views (72050) |
$2,440 |
$2,440 |
22.4× |
| Xr c-spine 6 or more views (72052) |
$2,597 |
$2,597 |
23.8× |
| Xr chest 4+ views (71048) |
$3,238 |
$3,238 |
29.7× |
| Xr urogram antegrade (74425) |
$1,027 |
$1,027 |
2.8× |