| 3-D radiotherapy plan dose-volume histograms (77295) |
$12,905 |
$12,905 |
8.8× |
| Abdomen 2 views (74019) |
$2,438 |
$2,438 |
22.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$8,348 |
$8,348 |
19.8× |
| Angiography extremity bilateral rs&i (75716) |
$20,745 |
$20,745 |
6.2× |
| Angiography extremity unilateral rs&i (75710) |
$21,488 |
$21,488 |
6.5× |
| Angiography internal mammary rs&i (75756) |
$25,248 |
$25,248 |
7.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$20,745 |
$20,745 |
3.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$25,248 |
$25,248 |
7.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$25,248 |
$25,248 |
7.6× |
| Angiography Spinal Selective Rs&I (75705) |
$44,053 |
$44,053 |
7.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$24,150 |
$24,150 |
4.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$9,834 |
$9,834 |
3.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$20,745 |
$20,745 |
6.2× |
| Ankle 2 views (73600) |
$1,343 |
$1,343 |
14.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,763 |
$2,763 |
7.5× |
| Aortogram thoracic (75605) |
$20,698 |
$20,698 |
3.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$21,488 |
$21,488 |
6.5× |
| Aortography abdominal serialography rs&i (75625) |
$21,488 |
$21,488 |
6.5× |
| Arthrogram elbow (73085) |
$2,678 |
$2,678 |
7.3× |
| Arthrogram hip (73525) |
$2,678 |
$2,678 |
7.3× |
| Arthrogram shoulder (73040) |
$2,678 |
$2,678 |
7.3× |
| Arthrogram wrist (73115) |
$1,462 |
$1,462 |
4.0× |
| Arthrography knee lt (73580) |
$2,678 |
$2,678 |
7.3× |
| Basic radiation dosimetry calculation (77300) |
$2,406 |
$2,406 |
17.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$8,366.23 |
$8,366.23 |
19.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$9,048.11 |
$9,048.11 |
21.5× |
| Bone &/joint imaging whole body (78306) |
$8,366.23 |
$8,366.23 |
19.8× |
| Bone age studies (77072) |
$1,540 |
$1,540 |
14.0× |
| Bone Imaging 3 Phase (78315) |
$8,366.23 |
$8,366.23 |
19.8× |
| Bone survey complete (77075) |
$8,329 |
$8,329 |
75.5× |
| Brachytx isodose complex (77318) |
$20,970 |
$20,970 |
53.1× |
| Brachytx isodose intermed (77317) |
$17,943 |
$17,943 |
45.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$14,706 |
$14,706 |
37.2× |
| Brain image w/flow 4 + views (78606) |
$8,264.22 |
$8,264.22 |
14.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$37,412 |
$37,412 |
24.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$10,754 |
$10,754 |
29.2× |
| Cardiac shunt detection (78428) |
$10,085.45 |
$10,085.45 |
23.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,910 |
$4,910 |
8.6× |
| Cervical spine 2 or 3 views (72040) |
$1,751 |
$1,751 |
19.1× |
| Chest 1 view (71045) |
$816 |
$816 |
8.9× |
| Chest 3 views (71047) |
$1,486 |
$1,486 |
16.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,732 |
$2,732 |
14.8× |
| Clavicle complete (73000) |
$1,603 |
$1,603 |
17.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$190 |
$190 |
1.7× |
| Continuing medical physics consltj pr wk (77336) |
$3,323 |
$3,323 |
23.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$22,184 |
$22,184 |
60.3× |
| CT abdomen and pelvis without contrast (74176) |
$22,183 |
$22,183 |
88.1× |
| CT abdomen w contrast (74160) |
$14,169 |
$14,169 |
76.6× |
| CT abdomen w wo contrast (74170) |
$14,468 |
$14,468 |
78.2× |
| CT abdomen w/o contrast (74150) |
$11,693 |
$11,693 |
106.0× |
| CT angio hrt w/3d image (75574) |
$8,248 |
$8,248 |
22.4× |
| CT angiography upper extremity lt (73206) |
$15,133 |
$15,133 |
81.8× |
| CT c-spine w/o contrast (72125) |
$13,186 |
$13,186 |
119.6× |
| CT cervical spine w&w/o contrast (72127) |
$16,372 |
$16,372 |
88.5× |
| CT cervical spine with contrast (72126) |
$15,034 |
$15,034 |
40.9× |
| CT chest w/wo contrast (71270) |
$18,599 |
$18,599 |
100.5× |
| CT chest with contrast (71260) |
$13,157 |
$13,157 |
71.1× |
| CT colonography screening (74263) |
$12,263.50 |
$12,263.50 |
48.7× |
| CT colonography w/dye (74262) |
$5,499 |
$5,499 |
29.7× |
| CT colonography w/o cntrst (74261) |
$4,632 |
$4,632 |
42.0× |
| CT head/brain with contrast (70460) |
$13,089 |
$13,089 |
70.7× |
| CT head/brain without and with contrast (70470) |
$15,227 |
$15,227 |
82.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,823 |
$3,823 |
10.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$319 |
$319 |
3.5× |
| CT hrt w/3d image congen (75573) |
$3,823 |
$3,823 |
10.4× |
| CT iac w contrast (70481) |
$11,879 |
$11,879 |
64.2× |
| CT limited/localized follow up study (76380) |
$6,797 |
$6,797 |
74.0× |
| CT lower ext w/o (73700) |
$10,026 |
$10,026 |
90.9× |
| CT lower extremity w wo contrast (73702) |
$17,049 |
$17,049 |
92.1× |
| CT lower extremity with contrast (73701) |
$12,276 |
$12,276 |
66.3× |
| CT lumbar spine w & w/o contrast (72133) |
$13,648 |
$13,648 |
73.8× |
| CT lumbar spine w/o contrast (72131) |
$10,439 |
$10,439 |
94.7× |
| CT lumbar spine with contrast (72132) |
$11,372 |
$11,372 |
30.9× |
| CT maxillofacial w contrast (70487) |
$11,087 |
$11,087 |
59.9× |
| CT maxillofacial w/o contrast (70486) |
$8,692 |
$8,692 |
78.8× |
| CT maxillofacial w/wo contrast (70488) |
$13,186 |
$13,186 |
71.3× |
| CT neck soft tissue w contrast (70491) |
$11,759 |
$11,759 |
63.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$10,724 |
$10,724 |
58.0× |
| CT orbits w/o contrast (70480) |
$10,393 |
$10,393 |
94.2× |
| CT pelvis w & w/o contrast (72194) |
$18,203 |
$18,203 |
98.4× |
| CT pelvis w/o contrast (72192) |
$10,063 |
$10,063 |
91.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$13,586 |
$13,586 |
73.4× |
| CT soft tissue neck w/o contrast (70490) |
$11,481 |
$11,481 |
104.1× |
| CT thoracic spine w/contrast (72129) |
$15,169 |
$15,169 |
82.0× |
| CT thoracic spine w/o contrast (72128) |
$13,544 |
$13,544 |
122.8× |
| CT thoracic spine w/wo contrast (72130) |
$16,622 |
$16,622 |
89.8× |
| CT thorax w/o contrast (71250) |
$11,911 |
$11,911 |
108.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$15,656 |
$15,656 |
84.6× |
| CT upper extremity w/o contrast rt (73200) |
$10,908 |
$10,908 |
98.9× |
| CT upper extremity with contrast (73201) |
$13,550 |
$13,550 |
36.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$11,571.50 |
$11,571.50 |
62.5× |
| Cta Abdomen (74175) |
$16,049 |
$16,049 |
86.7× |
| CTA abdomen pelvis (74174) |
$25,492 |
$25,492 |
69.3× |
| CTA chest (71275) |
$6,293 |
$6,293 |
34.0× |
| Cta Head (70496) |
$19,049 |
$19,049 |
103.0× |
| CTA lwr ext w&w/o contrast (73706) |
$11,846 |
$11,846 |
64.0× |
| Cta Neck (70498) |
$8,291 |
$8,291 |
44.8× |
| Cta Pelvis (72191) |
$18,203 |
$18,203 |
98.4× |
| Cystography minimum 3 views rs&i (74430) |
$1,462 |
$1,462 |
4.0× |
| Diskography lumbar (72295) |
$20,698 |
$20,698 |
10.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,098 |
$1,098 |
10.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,098 |
$1,098 |
10.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,303 |
$1,303 |
11.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$3,583 |
$3,583 |
32.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$3,167 |
$3,167 |
34.5× |
| Dxa bone density study axial skeleton (77085) |
$1,507 |
$1,507 |
13.7× |
| Echo exam of fetal heart (76825) |
$2,981 |
$2,981 |
5.2× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,981 |
$2,981 |
11.8× |
| Echoencephalography real time imaging (76506) |
$3,960 |
$3,960 |
35.9× |
| Esophageal motility (78258) |
$7,455 |
$7,455 |
17.7× |
| Esophagus (74220) |
$2,313 |
$2,313 |
12.5× |
| Fetal biophysical profile non-stress testing (76818) |
$2,496 |
$2,496 |
22.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,197.50 |
$1,197.50 |
10.9× |
| Fluoroscopy up to 1 hr (76000) |
$1,592 |
$1,592 |
6.3× |
| Foot 2 views (73620) |
$1,343 |
$1,343 |
14.6× |
| Forearm 2 views (73090) |
$1,603 |
$1,603 |
17.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$10,734.42 |
$10,734.42 |
18.7× |
| Gated Heart Planar Single (78472) |
$11,002.49 |
$11,002.49 |
26.1× |
| Hand 2 views (73120) |
$1,532 |
$1,532 |
13.9× |
| Hand 3 views (73130) |
$1,637 |
$1,637 |
17.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$8,810 |
$8,810 |
12.0× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$8,810 |
$8,810 |
12.0× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$8,810 |
$8,810 |
12.0× |
| Heart Infarct Image (78466) |
$6,001 |
$6,001 |
14.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$21,907 |
$21,907 |
6.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$9,480 |
$9,480 |
16.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$9,480 |
$9,480 |
22.5× |
| Ht muscle image spect sing (78451) |
$8,346 |
$8,346 |
6.1× |
| Humerus Min 2 Views Left (73060) |
$1,558 |
$1,558 |
17.0× |
| Hysterosalpingogram (74740) |
$4,315 |
$4,315 |
17.1× |
| Interstitial radiation source applic complex (77778) |
$5,340 |
$5,340 |
7.3× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$61,206 |
$61,206 |
7.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$17,044 |
$17,044 |
29.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$17,044 |
$17,044 |
29.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$8,366.23 |
$8,366.23 |
14.6× |
| Knee 3 views (73562) |
$1,791 |
$1,791 |
19.5× |
| Liver & spleen imaging static only (78215) |
$9,546.37 |
$9,546.37 |
22.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$11,795 |
$11,795 |
28.0× |
| Liver imaging static only (78201) |
$2,429 |
$2,429 |
4.2× |
| Liver imaging w/vascular flow (78202) |
$11,795 |
$11,795 |
20.6× |
| Lung perf&ventilat diferentl (78598) |
$13,369.22 |
$13,369.22 |
23.3× |
| Lung perfusion differential (78597) |
$2,433.31 |
$2,433.31 |
5.8× |
| Lung Ventilation Imaging (78579) |
$2,433.31 |
$2,433.31 |
5.8× |
| Lymphoscintigraphy (78195) |
$8,563 |
$8,563 |
15.0× |
| Mammary ductogram or galactogram multiple (77054) |
$4,140 |
$4,140 |
16.4× |
| Mammary ductogram or galactogram single (77053) |
$4,633 |
$4,633 |
18.4× |
| Meckels Diverticulum (78290) |
$11,159.26 |
$11,159.26 |
26.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$9,903 |
$9,903 |
25.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$77 |
$77 |
2.5× |
| MRA head w & w/o contrast (70546) |
$14,074.50 |
$14,074.50 |
38.2× |
| MRA head w/o contrast (70544) |
$12,025.50 |
$12,025.50 |
47.8× |
| MRA head with contrast (70545) |
$13,903 |
$13,903 |
37.8× |
| MRA neck w contrast (70548) |
$12,612 |
$12,612 |
34.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$14,074.50 |
$14,074.50 |
38.2× |
| MRA neck w/o contrast (70547) |
$12,025.50 |
$12,025.50 |
47.8× |
| MRI abdomen w contrast (74182) |
$15,090 |
$15,090 |
41.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$15,202.50 |
$15,202.50 |
41.3× |
| MRI abdomen w/o contrast (74181) |
$12,366 |
$12,366 |
49.1× |
| MRI any jnt lwr ext with con lt (73722) |
$13,455 |
$13,455 |
16.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$13,455 |
$13,455 |
16.3× |
| MRI breast w/o contrast bilateral (77047) |
$12,796 |
$12,796 |
50.8× |
| MRI c-spine with contrast (72142) |
$13,599.50 |
$13,599.50 |
37.0× |
| MRI cervical spine w/o contrast (72141) |
$11,683 |
$11,683 |
46.4× |
| MRI chest w/o & w/contrast material (71552) |
$16,560.50 |
$16,560.50 |
45.0× |
| MRI chest w/o contrast (71550) |
$11,305 |
$11,305 |
44.9× |
| MRI chest with contrast (71551) |
$15,659 |
$15,659 |
18.9× |
| MRI fetal sngl/1st gestation (74712) |
$11,308 |
$11,308 |
44.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$13,455 |
$13,455 |
36.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$13,455 |
$13,455 |
36.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$11,308 |
$11,308 |
44.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$12,835.50 |
$12,835.50 |
51.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$14,881 |
$14,881 |
40.4× |
| MRI orbit/face/neck w/contrast (70542) |
$15,606 |
$15,606 |
42.4× |
| MRI pelvis w contrast (72196) |
$14,502 |
$14,502 |
39.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$13,828.50 |
$13,828.50 |
37.6× |
| MRI pelvis w/o contrast (72195) |
$10,783 |
$10,783 |
42.8× |
| MRI scan of arm joint before and after contrast (73223) |
$15,149 |
$15,149 |
41.2× |
| MRI scan of leg joint before and after contrast (73723) |
$14,502 |
$14,502 |
39.4× |
| MRI spectroscopy (76390) |
$7,183 |
$7,183 |
78.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$14,535 |
$14,535 |
39.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,822 |
$14,822 |
40.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$17,990.50 |
$17,990.50 |
48.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$14,822 |
$14,822 |
40.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$15,348.50 |
$15,348.50 |
41.7× |
| MRI thoracic spine w/o contrast (72146) |
$10,783 |
$10,783 |
42.8× |
| MRI tmj (70336) |
$10,786.50 |
$10,786.50 |
42.9× |
| MRI upper ext joint w/o contrast (73221) |
$13,455 |
$13,455 |
53.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$13,455 |
$13,455 |
36.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$11,308 |
$11,308 |
44.9× |
| Myelogram Cervical (72240) |
$5,085 |
$5,085 |
6.1× |
| Myelogram Lumbar (72265) |
$5,085 |
$5,085 |
6.1× |
| Myelogram thoracic (72255) |
$5,085 |
$5,085 |
6.1× |
| Myelography 2 or more regions (72270) |
$5,085 |
$5,085 |
6.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$37,412 |
$37,412 |
27.4× |
| Myocardial Spect Multiple Studies (78452) |
$27,076 |
$27,076 |
19.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,138 |
$3,138 |
3.5× |
| Neck soft tissue (70360) |
$1,715 |
$1,715 |
18.7× |
| Nm bone marrow wb (78104) |
$13,893.25 |
$13,893.25 |
32.9× |
| Nm cisternogram (78630) |
$7,543 |
$7,543 |
13.2× |
| Nm csf leak detection (78650) |
$6,684 |
$6,684 |
4.9× |
| Nm gastric emptying study (78264) |
$8,945.02 |
$8,945.02 |
21.2× |
| Nm gastroesophageal reflux study (78262) |
$9,555 |
$9,555 |
22.7× |
| Nm peritoneal-venous shunt patency (78291) |
$7,418.04 |
$7,418.04 |
17.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$18,912 |
$18,912 |
13.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$8,346 |
$8,346 |
6.1× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$37,412 |
$37,412 |
24.8× |
| Nuclear Rx Oral Admin (79005) |
$10,835.06 |
$10,835.06 |
44.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,273 |
$1,273 |
11.5× |
| Osseous survey infant (77076) |
$3,571 |
$3,571 |
32.4× |
| Osseous survey limited (77074) |
$2,797 |
$2,797 |
25.4× |
| Parathyroid imaging (78070) |
$9,654 |
$9,654 |
22.9× |
| Pelvis 1 or 2 views (72170) |
$1,525 |
$1,525 |
13.8× |
| Perineogram (74775) |
$4,315 |
$4,315 |
17.1× |
| Peritoneogram rs&i (74190) |
$8,129 |
$8,129 |
14.1× |
| PET image w/CT, skull-thigh (78815) |
$41,864 |
$41,864 |
27.8× |
| PET imaging CT for attenuation limited area (78814) |
$37,412 |
$37,412 |
24.8× |
| PET imaging for CT attenuation whole body (78816) |
$37,412 |
$37,412 |
24.8× |
| PET imaging limited area chest head/neck (78811) |
$37,412 |
$37,412 |
27.4× |
| PET whole body (78813) |
$37,412 |
$37,412 |
24.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$11,308 |
$11,308 |
30.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$20,698 |
$20,698 |
6.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$4,489 |
$4,489 |
1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$7,014.27 |
$7,014.27 |
16.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$13,369.22 |
$13,369.22 |
23.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,850 |
$2,850 |
4.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,628 |
$1,628 |
17.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$4,200 |
$4,200 |
38.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,827 |
$1,827 |
16.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$2,472 |
$2,472 |
22.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$4,200 |
$4,200 |
38.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$59,861 |
$59,861 |
7.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$5,749 |
$5,749 |
9.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$2,950 |
$2,950 |
27.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$3,756 |
$3,756 |
9.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$2,376 |
$2,376 |
21.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,563 |
$1,563 |
17.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,438 |
$2,438 |
22.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,023 |
$1,023 |
11.1× |
| Radiologic exam colon single contrast study (74270) |
$3,880 |
$3,880 |
21.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$2,313 |
$2,313 |
12.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$5,103 |
$5,103 |
27.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$5,103 |
$5,103 |
27.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,132.50 |
$2,132.50 |
23.2× |
| Radiological examination surgical specimen (76098) |
$2,678 |
$2,678 |
4.6× |
| Review by radiologist of adrenal gland vein image (75840) |
$10,130 |
$10,130 |
3.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$24,999 |
$24,999 |
7.5× |
| Ribs bilateral 3 views (71110) |
$2,669 |
$2,669 |
24.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$8,366.23 |
$8,366.23 |
19.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$27,076 |
$27,076 |
47.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$27,076 |
$27,076 |
47.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$16,732.44 |
$16,732.44 |
12.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$16,732.44 |
$16,732.44 |
12.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$13,444.39 |
$13,444.39 |
54.6× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,793.31 |
$1,793.31 |
7.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,814 |
$2,814 |
11.2× |
| Scanogram (77073) |
$1,453 |
$1,453 |
13.2× |
| Scapula complete (73010) |
$1,549 |
$1,549 |
14.0× |
| Screening digital breast tomosynthesis (77063) |
$127.50 |
$127.50 |
5.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$676 |
$676 |
6.1× |
| Sialogram (70390) |
$2,275 |
$2,275 |
9.0× |
| Simulation intermediate (77285) |
$9,438 |
$9,438 |
23.9× |
| Small bowel series (74250) |
$3,630 |
$3,630 |
19.6× |
| Spec medical radj physics consltj (77370) |
$6,550 |
$6,550 |
46.2× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$10,752 |
$10,752 |
27.2× |
| Special dosimetry (77331) |
$5,646 |
$5,646 |
39.8× |
| Special treatment procedure (77470) |
$24,050 |
$24,050 |
41.3× |
| Speech evaluation complex (70371) |
$4,467 |
$4,467 |
17.7× |
| Spine thoracic 3 views (72072) |
$2,188 |
$2,188 |
19.8× |
| Splenoportograpy rs&i (75810) |
$21,488 |
$21,488 |
6.5× |
| Stereotactic body radiation delivery (77373) |
$22,784 |
$22,784 |
12.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$2,330.22 |
$2,330.22 |
21.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$21,098 |
$21,098 |
53.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$9,785 |
$9,785 |
24.8× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,462 |
$1,462 |
5.8× |
| Testicular Imaging With Vascular Flow (78761) |
$8,022 |
$8,022 |
19.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$10,921 |
$10,921 |
27.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$5,785 |
$5,785 |
40.8× |
| Therapeutic Enema (74283) |
$2,642 |
$2,642 |
14.3× |
| Thoracolumbar 2 views (72080) |
$1,751 |
$1,751 |
19.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$13,258 |
$13,258 |
23.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$5,111.44 |
$5,111.44 |
12.1× |
| Thyroid uptake measurement (78012) |
$4,166.46 |
$4,166.46 |
9.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$7,208 |
$7,208 |
17.1× |
| Tomogram (76100) |
$4,194 |
$4,194 |
38.0× |
| Treatment device intermediate (77333) |
$4,712 |
$4,712 |
33.2× |
| Treatment devices simple (77332) |
$2,770 |
$2,770 |
19.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$15,779 |
$15,779 |
27.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$8,366.23 |
$8,366.23 |
19.8× |
| Tx devices design & construction complex (77334) |
$6,067 |
$6,067 |
15.4× |
| Ultrasound, abdomen limited (76705) |
$2,219 |
$2,219 |
20.1× |
| Umbilical-artery Doppler (OB) (76820) |
$1,359 |
$1,359 |
12.3× |
| Upper Extremity Infant (73092) |
$1,453 |
$1,453 |
13.2× |
| Urethrocystography retrograde rs&i (74450) |
$1,462 |
$1,462 |
5.8× |
| Urethrocystography voiding (74455) |
$2,678 |
$2,678 |
10.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$4,539 |
$4,539 |
24.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$5,163 |
$5,163 |
27.9× |
| Us abdl aorta screen aaa (76706) |
$2,997 |
$2,997 |
27.2× |
| Us breast unilateral complete (76641) |
$810 |
$810 |
7.3× |
| Us breast unilateral limited (76642) |
$810 |
$810 |
8.8× |
| Us chest (76604) |
$1,206 |
$1,206 |
10.9× |
| Us compl joint r-t w/image documentation (76881) |
$2,354 |
$2,354 |
21.3× |
| Us elastography parenchyma (76981) |
$4,433 |
$4,433 |
40.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,672.50 |
$1,672.50 |
15.2× |
| Us guided compression repair (76936) |
$3,251 |
$3,251 |
14.3× |
| Us infant hips dynamic (76885) |
$3,226 |
$3,226 |
35.1× |
| Us kidney transplant (76776) |
$6,397 |
$6,397 |
58.0× |
| Us ob detailed single fetus (76811) |
$1,475.50 |
$1,475.50 |
5.9× |
| Us ob transvaginal (76817) |
$2,196 |
$2,196 |
19.9× |
| Us pelvic non ob complete (76856) |
$3,026 |
$3,026 |
27.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,135.50 |
$2,135.50 |
19.4× |
| Us pregnancy ltd (76815) |
$1,369 |
$1,369 |
12.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,002 |
$2,002 |
18.2× |
| Us retroperitoneal complete (76770) |
$3,592 |
$3,592 |
32.6× |
| Us retroperitoneal limited (76775) |
$2,969.50 |
$2,969.50 |
26.9× |
| Us scrotum and contents (76870) |
$3,967 |
$3,967 |
36.0× |
| Us soft tissue head/neck (76536) |
$3,880 |
$3,880 |
35.2× |
| Us spinal canal and contents (76800) |
$2,231 |
$2,231 |
20.2× |
| Us transrectal (76872) |
$3,117 |
$3,117 |
28.3× |
| Us xtr non-vasc lmtd (76882) |
$798.50 |
$798.50 |
7.2× |
| Vascular flow imaging (78445) |
$4,454.26 |
$4,454.26 |
10.6× |
| Venogram extremity bilateral (75822) |
$8,542 |
$8,542 |
5.1× |
| Venography caval inferior serialography rs&i (75825) |
$24,150 |
$24,150 |
7.3× |
| Venography caval superior serialography rs&i (75827) |
$8,737 |
$8,737 |
5.3× |
| Venography extremity unilateral rs&i (75820) |
$7,767 |
$7,767 |
4.7× |
| Venography Renal Bilateral (75833) |
$24,699 |
$24,699 |
7.4× |
| Venography renal unilateral selective rs&i (75831) |
$24,699 |
$24,699 |
7.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$20,745 |
$20,745 |
6.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$20,745 |
$20,745 |
3.5× |
| Vertebral fracture assessment via dxa (77086) |
$1,005 |
$1,005 |
10.9× |
| Wrist 2 views (73100) |
$1,218 |
$1,218 |
13.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,642 |
$2,642 |
24.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,995 |
$1,995 |
21.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,820 |
$1,820 |
19.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$4,762 |
$4,762 |
25.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,464 |
$1,464 |
15.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,762 |
$1,762 |
19.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$4,200 |
$4,200 |
38.1× |
| X-ray exam hip uni 1 view (73501) |
$914 |
$914 |
10.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,827 |
$1,827 |
19.9× |
| X-ray exam hip uni 4/> views (73503) |
$2,105 |
$2,105 |
19.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,105 |
$2,105 |
19.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,380 |
$2,380 |
21.6× |
| X-ray exam of femur 1 (73551) |
$914 |
$914 |
10.0× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,806 |
$3,806 |
20.6× |
| X-ray eye for foreign body (70030) |
$723 |
$723 |
7.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$2,532 |
$2,532 |
23.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$2,275 |
$2,275 |
24.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,762 |
$1,762 |
19.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$11,471 |
$11,471 |
5.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,762 |
$1,762 |
19.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,002 |
$2,002 |
18.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$1,498 |
$1,498 |
16.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,105 |
$2,105 |
19.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,261 |
$4,261 |
38.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,415 |
$1,415 |
12.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,970 |
$1,970 |
21.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,570 |
$1,570 |
17.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,389 |
$2,389 |
21.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,338 |
$2,338 |
21.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,678 |
$2,678 |
4.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,052 |
$1,052 |
11.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,669 |
$2,669 |
24.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,061 |
$3,061 |
27.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,055 |
$2,055 |
18.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,820 |
$1,820 |
19.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,055 |
$2,055 |
22.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,523 |
$2,523 |
27.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,144 |
$1,144 |
12.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,595 |
$2,595 |
23.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,937 |
$1,937 |
17.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,626 |
$1,626 |
17.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,970 |
$1,970 |
21.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,127 |
$2,127 |
23.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,720 |
$1,720 |
15.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,498 |
$1,498 |
16.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,637 |
$1,637 |
17.8× |
| Xr arthrogram ankle (73615) |
$2,678 |
$2,678 |
7.3× |
| Xr c-spine 6 or more views (72052) |
$3,023 |
$3,023 |
27.4× |
| Xr chest 4+ views (71048) |
$1,486 |
$1,486 |
13.5× |
| Xr finger(s) 2+ views (73140) |
$1,532 |
$1,532 |
16.7× |
| Xr shoulder 1 view (73020) |
$1,189 |
$1,189 |
13.0× |
| Xr spine cervical 4 or 5 views (72050) |
$2,631 |
$2,631 |
23.9× |
| Xr tibia/fibula 2 views (73590) |
$1,626 |
$1,626 |
17.7× |
| Xr tmj bilateral (70330) |
$2,906 |
$2,906 |
31.7× |
| Xray knee 1 or 2 views rt (73560) |
$1,563 |
$1,563 |
17.0× |