| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,649 |
$10,649 |
7.7× |
| Abdomen 2 views (74019) |
$1,460 |
$1,460 |
13.9× |
| Acute gi blood loss imaging (78278) |
$1,890 |
$1,890 |
4.7× |
| Angiography extremity bilateral rs&i (75716) |
$13,198 |
$13,198 |
4.2× |
| Angiography extremity unilateral rs&i (75710) |
$13,198 |
$13,198 |
4.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,459 |
$7,459 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,360 |
$10,360 |
3.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,602 |
$2,602 |
0.8× |
| Angiography Spinal Selective Rs&I (75705) |
$6,120 |
$6,120 |
1.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,560 |
$8,560 |
1.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$7,868 |
$7,868 |
2.5× |
| Ankle 2 views (73600) |
$995 |
$995 |
11.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,956 |
$9,956 |
3.1× |
| Aortography abdominal serialography rs&i (75625) |
$5,711 |
$5,711 |
1.8× |
| Arthrogram hip (73525) |
$2,237 |
$2,237 |
6.4× |
| Arthrogram knee (73580) |
$2,346 |
$2,346 |
6.7× |
| Arthrogram shoulder (73040) |
$2,328 |
$2,328 |
6.7× |
| Basic dosimetry (77300) |
$655 |
$655 |
4.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,879 |
$2,879 |
7.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,069 |
$4,069 |
10.1× |
| Bone &/joint imaging whole body (78306) |
$4,488 |
$4,488 |
11.2× |
| Bone age studies (77072) |
$1,058 |
$1,058 |
10.1× |
| Bone Imaging 3 Phase (78315) |
$4,620 |
$4,620 |
11.5× |
| Bone survey complete (77075) |
$3,075 |
$3,075 |
29.3× |
| Bone survey infant (77076) |
$1,213 |
$1,213 |
11.6× |
| Bowel imaging (78290) |
$2,957 |
$2,957 |
7.4× |
| Brachytx isodose complex (77318) |
$1,829 |
$1,829 |
4.9× |
| Brachytx isodose intermed (77317) |
$2,798 |
$2,798 |
7.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,525 |
$1,525 |
4.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,594 |
$3,594 |
6.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,851 |
$10,851 |
7.6× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$3,341 |
$3,341 |
8.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$7,750 |
$7,750 |
22.1× |
| Cervical spine 2 or 3 views (72040) |
$1,337 |
$1,337 |
15.3× |
| Chest 1 view (71045) |
$842 |
$842 |
9.6× |
| Chest xray 3 views (71047) |
$1,438 |
$1,438 |
16.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,648 |
$1,648 |
9.4× |
| Clavicle complete (73000) |
$1,337 |
$1,337 |
15.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$281 |
$281 |
2.7× |
| Continuing medical physics consltj pr wk (77336) |
$1,992 |
$1,992 |
14.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$20,098 |
$20,098 |
57.4× |
| CT abdomen and pelvis without contrast (74176) |
$11,436 |
$11,436 |
47.8× |
| CT abdomen w contrast (74160) |
$8,436 |
$8,436 |
47.9× |
| CT abdomen w wo contrast (74170) |
$9,052 |
$9,052 |
51.4× |
| CT abdomen w/o contrast (74150) |
$4,962 |
$4,962 |
47.3× |
| CT angio hrt w/3d image (75574) |
$8,972 |
$8,972 |
25.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$7,904 |
$7,904 |
44.9× |
| CT angiography upper extremity lt (73206) |
$6,800 |
$6,800 |
38.6× |
| CT c-spine w/contrast (72126) |
$6,764 |
$6,764 |
19.3× |
| CT c-spine w/o contrast (72125) |
$6,632 |
$6,632 |
63.2× |
| CT cervical spine w&w/o contrast (72127) |
$6,182 |
$6,182 |
35.1× |
| CT chest w contrast (71260) |
$8,531 |
$8,531 |
48.5× |
| CT chest w/wo contrast (71270) |
$8,531 |
$8,531 |
48.5× |
| CT head/brain with contrast (70460) |
$7,344 |
$7,344 |
41.7× |
| CT head/brain without and with contrast (70470) |
$8,262 |
$8,262 |
47.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$8,972 |
$8,972 |
25.6× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,534 |
$1,534 |
17.6× |
| CT hrt w/3d image congen (75573) |
$8,972 |
$8,972 |
25.6× |
| CT iac w contrast (70481) |
$8,262 |
$8,262 |
47.0× |
| CT limited/localized follow up study (76380) |
$3,123 |
$3,123 |
35.8× |
| CT lower ext w/o (73700) |
$6,104 |
$6,104 |
58.2× |
| CT lower extremity w wo contrast (73702) |
$7,470 |
$7,470 |
42.5× |
| CT lower extremity w/contrast material (73701) |
$7,644 |
$7,644 |
43.4× |
| CT lumbar spine w & w/o contrast (72133) |
$6,900 |
$6,900 |
39.2× |
| CT lumbar spine w/contrast (72132) |
$7,028 |
$7,028 |
20.1× |
| CT lumbar spine w/o contrast (72131) |
$6,415 |
$6,415 |
61.2× |
| CT maxillofacial w contrast (70487) |
$8,813.50 |
$8,813.50 |
50.1× |
| CT maxillofacial w/wo contrast (70488) |
$8,789 |
$8,789 |
49.9× |
| CT maxillofacial wo contrast (70486) |
$7,156 |
$7,156 |
68.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$9,844 |
$9,844 |
55.9× |
| CT orbits w/o contrast (70480) |
$4,972 |
$4,972 |
47.4× |
| CT pelvis w/o contrast (72192) |
$6,479 |
$6,479 |
61.8× |
| CT pelvis w/wo contrast (72194) |
$11,047 |
$11,047 |
62.8× |
| CT scan of arm combo (73202) |
$6,360 |
$6,360 |
36.1× |
| CT soft tissue neck w contrast (70491) |
$8,137 |
$8,137 |
46.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$8,789 |
$8,789 |
49.9× |
| CT soft tissue neck w/o contrast (70490) |
$5,843 |
$5,843 |
55.7× |
| CT thoracic spine w/contrast (72129) |
$6,104 |
$6,104 |
34.7× |
| CT thoracic spine w/o contrast (72128) |
$6,632 |
$6,632 |
63.2× |
| CT thoracic spine w/wo contrast (72130) |
$6,498 |
$6,498 |
36.9× |
| CT thorax w/o contrast (71250) |
$8,531 |
$8,531 |
81.3× |
| CT upper ext wo (73200) |
$5,446 |
$5,446 |
51.9× |
| CT upper extremity with contrast (73201) |
$6,360 |
$6,360 |
18.2× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$11,512 |
$11,512 |
65.4× |
| Cta Abdomen (74175) |
$9,498 |
$9,498 |
54.0× |
| CTA abdomen pelvis (74174) |
$16,786 |
$16,786 |
48.0× |
| CTA chest (71275) |
$9,406 |
$9,406 |
53.5× |
| Cta Head (70496) |
$8,705 |
$8,705 |
49.5× |
| Cta Neck (70498) |
$9,235 |
$9,235 |
52.5× |
| Cta Pelvis (72191) |
$11,488 |
$11,488 |
65.3× |
| Cystography minimum 3 views rs&i (74430) |
$1,839 |
$1,839 |
5.3× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$2,705.50 |
$2,705.50 |
1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$2,557 |
$2,557 |
24.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$2,557 |
$2,557 |
24.4× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$2,386 |
$2,386 |
22.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$2,456 |
$2,456 |
23.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,928 |
$1,928 |
8.1× |
| Esophagus (74220) |
$1,648 |
$1,648 |
9.4× |
| Facial bones min 3 views (70150) |
$1,278 |
$1,278 |
12.2× |
| Fetal biophysical profile non-stress testing (76818) |
$1,923 |
$1,923 |
18.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,608 |
$1,608 |
15.3× |
| Fetal Echo (76825) |
$2,625 |
$2,625 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$2,993 |
$2,993 |
12.5× |
| Foot 2 views (73620) |
$1,033 |
$1,033 |
11.8× |
| Forearm 2 views (73090) |
$1,058 |
$1,058 |
12.1× |
| Hand 2 views (73120) |
$1,033 |
$1,033 |
9.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$10,341 |
$10,341 |
14.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$11,008 |
$11,008 |
15.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$5,500 |
$5,500 |
1.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,501 |
$6,501 |
2.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,087 |
$3,087 |
5.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,087 |
$3,087 |
7.7× |
| Hysterosalpingogram (74740) |
$2,845 |
$2,845 |
11.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,977 |
$3,977 |
7.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,977 |
$3,977 |
7.3× |
| Knee 3 views (73562) |
$1,119 |
$1,119 |
12.8× |
| Liver & spleen imaging static only (78215) |
$3,422 |
$3,422 |
8.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,594 |
$3,594 |
9.0× |
| Lung ventilation imaging (78579) |
$6,482 |
$6,482 |
16.2× |
| Lymphoscintigraphy (78195) |
$3,731 |
$3,731 |
6.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$7,511 |
$7,511 |
9.6× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$7,511 |
$7,511 |
21.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$7,750 |
$7,750 |
22.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,996 |
$1,996 |
5.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$63 |
$63 |
2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$239 |
$239 |
2.5× |
| Mr safety implt pos&/immoblj (76019) |
$155 |
$155 |
2.6× |
| MRA head w & w/o contrast (70546) |
$4,006 |
$4,006 |
11.4× |
| MRA head w/o contrast (70544) |
$3,877 |
$3,877 |
16.2× |
| MRA head with contrast (70545) |
$3,877 |
$3,877 |
11.1× |
| MRA neck w contrast (70548) |
$3,877 |
$3,877 |
11.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,006 |
$4,006 |
11.4× |
| MRA neck w/o contrast (70547) |
$3,877 |
$3,877 |
16.2× |
| MRI abdomen w contrast (74182) |
$7,511 |
$7,511 |
21.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,750 |
$7,750 |
22.1× |
| MRI abdomen w/o contrast (74181) |
$7,511 |
$7,511 |
31.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$7,511 |
$7,511 |
9.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$7,750 |
$7,750 |
22.1× |
| MRI breast w/o contrast bilateral (77047) |
$7,750 |
$7,750 |
32.4× |
| MRI breast wo contrast unilateral (77046) |
$7,750 |
$7,750 |
32.4× |
| MRI c-spine with contrast (72142) |
$7,737 |
$7,737 |
22.1× |
| MRI cervical spine w/o contrast (72141) |
$7,737 |
$7,737 |
32.3× |
| MRI chest w/o & w/contrast material (71552) |
$7,750 |
$7,750 |
22.1× |
| MRI chest w/o contrast (71550) |
$7,511 |
$7,511 |
31.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,511 |
$7,511 |
21.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$7,750 |
$7,750 |
22.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,511 |
$7,511 |
31.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,511 |
$7,511 |
31.4× |
| MRI orbit face neck w contrast (70542) |
$7,511 |
$7,511 |
21.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,750 |
$7,750 |
22.1× |
| MRI pelvis w/contrast (72196) |
$7,511 |
$7,511 |
21.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,750 |
$7,750 |
22.1× |
| MRI pelvis w/o contrast (72195) |
$7,511 |
$7,511 |
31.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,981 |
$7,981 |
22.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,737 |
$7,737 |
22.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,981 |
$7,981 |
22.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,737 |
$7,737 |
22.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,981 |
$7,981 |
22.8× |
| MRI thoracic spine w/o contrast (72146) |
$7,737 |
$7,737 |
32.3× |
| MRI up ext w/o contrast (73218) |
$7,511 |
$7,511 |
31.4× |
| MRI upper ext joint w/o contrast (73221) |
$7,511 |
$7,511 |
31.4× |
| MRI, joint upper extrem combo (73223) |
$7,750 |
$7,750 |
22.1× |
| Myocardial Spect Multiple Studies (78452) |
$11,632 |
$11,632 |
9.0× |
| Myocardial spect single study at rest or stress (78451) |
$7,174 |
$7,174 |
5.5× |
| Neck soft tissue (70360) |
$1,058 |
$1,058 |
12.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$952 |
$952 |
2.4× |
| Nm gastric emptying study (78264) |
$3,087 |
$3,087 |
7.7× |
| Nm kidney scan w/flow (78701) |
$3,341 |
$3,341 |
8.3× |
| Nonvascular shunt X-ray (75809) |
$1,600 |
$1,600 |
15.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$22,223 |
$22,223 |
16.0× |
| Nuclear Rx Oral Admin (79005) |
$3,625 |
$3,625 |
15.5× |
| Ob us nuchal meas 1 gest (76813) |
$1,488 |
$1,488 |
14.2× |
| Osseous survey limited (77074) |
$3,075 |
$3,075 |
29.3× |
| Parathyrd planar w/spect&CT (78072) |
$9,708 |
$9,708 |
17.8× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$7,765 |
$7,765 |
19.4× |
| Pelvis 1 or 2 views (72170) |
$1,337 |
$1,337 |
12.7× |
| PET image w/CT, skull-thigh (78815) |
$11,795 |
$11,795 |
8.2× |
| PET imaging CT for attenuation limited area (78814) |
$11,341 |
$11,341 |
7.9× |
| PET imaging for CT attenuation whole body (78816) |
$11,795 |
$11,795 |
8.2× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,919 |
$5,919 |
1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,162 |
$4,162 |
10.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,261 |
$6,261 |
11.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$996 |
$996 |
1.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,278 |
$1,278 |
14.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,058 |
$1,058 |
12.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,083 |
$1,083 |
12.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$380 |
$380 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$624 |
$624 |
5.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$1,185 |
$1,185 |
11.3× |
| Radex fingr minimum 2 views (73140) |
$1,119 |
$1,119 |
12.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,119 |
$1,119 |
12.8× |
| Radex Hand Minimum 3 Views (73130) |
$1,187 |
$1,187 |
13.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$877 |
$877 |
10.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,749 |
$1,749 |
16.7× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$5,157 |
$5,157 |
49.2× |
| Radex Humerus Minimum 2 Views (73060) |
$1,329 |
$1,329 |
15.2× |
| Radex Kne 1/2 Views (73560) |
$995 |
$995 |
11.4× |
| Radex Kne Compl 4/More Views (73564) |
$1,278 |
$1,278 |
12.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,596 |
$1,596 |
15.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,278 |
$1,278 |
14.6× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$1,438 |
$1,438 |
13.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,900 |
$1,900 |
21.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$1,058 |
$1,058 |
12.1× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$1,521 |
$1,521 |
14.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,721 |
$1,721 |
19.7× |
| Radex Toe Minimum 2 Views (73660) |
$1,058 |
$1,058 |
12.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$1,083 |
$1,083 |
10.3× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,083 |
$1,083 |
12.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,185 |
$1,185 |
11.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$23,017 |
$23,017 |
3.1× |
| Radiation treatment delivery level 1 (77402) |
$2,291 |
$2,291 |
22.4× |
| Radiation treatment delivery level 2 (77407) |
$2,696 |
$2,696 |
7.0× |
| Radiation treatment delivery level 3 (77412) |
$3,120 |
$3,120 |
5.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,337 |
$1,337 |
15.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,648 |
$1,648 |
15.7× |
| Radiologic exam chest 2 views (71046) |
$1,119 |
$1,119 |
12.8× |
| Radiologic exam colon single contrast study (74270) |
$3,299 |
$3,299 |
18.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,648 |
$1,648 |
9.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,900 |
$1,900 |
10.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,900 |
$1,900 |
10.8× |
| Radiologic examination femur 1 view (73551) |
$706 |
$706 |
8.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,083 |
$1,083 |
12.4× |
| Radiological examination surgical specimen (76098) |
$1,002 |
$1,002 |
1.8× |
| Ribs bilateral 3 views (71110) |
$1,460 |
$1,460 |
13.9× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,562 |
$1,562 |
3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,869 |
$4,869 |
8.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,869 |
$4,869 |
8.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,751 |
$4,751 |
8.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,869 |
$4,869 |
3.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$845 |
$845 |
3.6× |
| Rp Therapy Intravenous Administration (79101) |
$2,987 |
$2,987 |
12.8× |
| Sacroiliac Joints < 3 Views (72200) |
$967 |
$967 |
9.2× |
| Scapula (73010) |
$1,337 |
$1,337 |
12.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$43 |
$43 |
1.8× |
| Shoulder 1 view (73020) |
$1,033 |
$1,033 |
11.8× |
| Simulation intermediate (77285) |
$2,997 |
$2,997 |
8.0× |
| Small bowel series (74250) |
$2,364 |
$2,364 |
13.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,829 |
$1,829 |
4.9× |
| Special Physics Consult (77370) |
$1,292 |
$1,292 |
9.6× |
| Special treatment procedure (77470) |
$3,423 |
$3,423 |
6.2× |
| Spine thoracic 3 views (72072) |
$1,900 |
$1,900 |
18.1× |
| Splenoportograpy rs&i (75810) |
$8,518 |
$8,518 |
2.7× |
| Stereotactic Body Radiation Delivery (77373) |
$4,480 |
$4,480 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,548 |
$3,548 |
9.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,742 |
$3,742 |
10.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,934 |
$1,934 |
14.3× |
| Thoracolumbar 2 views (72080) |
$1,738 |
$1,738 |
19.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,594 |
$3,594 |
6.6× |
| Thyroid uptake measurement (78012) |
$3,884 |
$3,884 |
9.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$5,348 |
$5,348 |
13.3× |
| Tmj unilateral (70328) |
$1,058 |
$1,058 |
12.1× |
| Treatment device complex (77334) |
$4,883 |
$4,883 |
13.0× |
| Treatment device intermediate (77333) |
$1,504 |
$1,504 |
11.2× |
| Treatment devices simple (77332) |
$1,190 |
$1,190 |
8.8× |
| Ultrasound breast complete (76641) |
$1,881 |
$1,881 |
17.9× |
| Ultrasound elastography first target lesion (76982) |
$1,011 |
$1,011 |
9.6× |
| Ultrasound Exam Aaa Screen (76706) |
$968 |
$968 |
9.2× |
| Ultrasound, abdomen limited (76705) |
$1,606 |
$1,606 |
15.3× |
| Umbilical-artery Doppler (OB) (76820) |
$2,386 |
$2,386 |
22.7× |
| Urethrocystogram voiding (74455) |
$3,473 |
$3,473 |
14.5× |
| Urethrocystography retrograde rs&i (74450) |
$3,289 |
$3,289 |
13.7× |
| Us breast unilateral limited (76642) |
$1,881 |
$1,881 |
21.5× |
| Us chest (76604) |
$1,612 |
$1,612 |
15.4× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$737 |
$737 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$1,377 |
$1,377 |
13.1× |
| Us elastography parenchyma (76981) |
$1,011 |
$1,011 |
9.6× |
| Us encephalogram (76506) |
$1,189 |
$1,189 |
11.3× |
| Us hips infant static (76886) |
$1,183 |
$1,183 |
13.5× |
| Us infant hips w manipulation (76885) |
$1,183 |
$1,183 |
13.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,183 |
$1,183 |
11.3× |
| Us ob detailed single fetus (76811) |
$2,414 |
$2,414 |
10.1× |
| Us ob limited (76815) |
$2,557 |
$2,557 |
24.4× |
| Us ob transvaginal (76817) |
$1,838 |
$1,838 |
17.5× |
| Us pelvic non ob complete (76856) |
$2,198 |
$2,198 |
21.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,578 |
$1,578 |
15.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,633 |
$1,633 |
15.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,715 |
$1,715 |
16.4× |
| Us retroperitoneal complete (76770) |
$2,437 |
$2,437 |
23.2× |
| Us retroperitoneal limited (76775) |
$1,474 |
$1,474 |
14.1× |
| Us scrotum and contents (76870) |
$1,775 |
$1,775 |
16.9× |
| Us soft tissue head/neck (76536) |
$1,339 |
$1,339 |
12.8× |
| Us spinal canal and contents (76800) |
$1,442 |
$1,442 |
13.7× |
| Us,transplanted kidney, real time/ doppler (76776) |
$764 |
$764 |
7.3× |
| Venogram extremity bilateral (75822) |
$3,405 |
$3,405 |
2.2× |
| Venogram Extremity Unilateral (75820) |
$3,874 |
$3,874 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$6,799 |
$6,799 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$6,255 |
$6,255 |
4.0× |
| Venography renal unilateral selective rs&i (75831) |
$5,799 |
$5,799 |
1.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,217 |
$5,217 |
1.6× |
| Wrist 2 views (73100) |
$995 |
$995 |
11.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,648 |
$1,648 |
15.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,213 |
$1,213 |
13.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,768 |
$3,768 |
21.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,033 |
$1,033 |
11.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,278 |
$1,278 |
14.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,550 |
$2,550 |
24.3× |
| X-ray exam of femur 2/> (73552) |
$1,408 |
$1,408 |
16.1× |
| X-ray eye for foreign body (70030) |
$2,235 |
$2,235 |
25.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$842 |
$842 |
9.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,337 |
$1,337 |
15.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,083 |
$1,083 |
12.4× |
| X-ray leg, infant (73592) |
$1,083 |
$1,083 |
12.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,648 |
$1,648 |
15.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,264 |
$2,264 |
21.6× |
| X-ray nose-rectum child f.b. (76010) |
$995 |
$995 |
11.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,438 |
$1,438 |
13.7× |
| X-ray retrograde pyelogram (74420) |
$2,364 |
$2,364 |
6.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,377 |
$1,377 |
15.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,460 |
$1,460 |
13.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,596 |
$1,596 |
15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,377 |
$1,377 |
13.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,377 |
$1,377 |
15.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,563 |
$1,563 |
17.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,065 |
$2,065 |
19.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,337 |
$1,337 |
12.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$930 |
$930 |
10.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,033 |
$1,033 |
11.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,438 |
$1,438 |
16.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,596 |
$1,596 |
15.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,964 |
$1,964 |
18.7× |
| Xr c-spine 4 or 5 views (72050) |
$1,721 |
$1,721 |
16.4× |
| Xr c-spine 6 or more views (72052) |
$1,862 |
$1,862 |
17.8× |
| Xr chest 4+ views (71048) |
$1,500 |
$1,500 |
14.3× |