| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,641.99 |
$9,127.62 |
3.5× |
| Abdomen 2 views (74019) |
$389.08 |
$765.06 |
3.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,580.98 |
$5,075.03 |
6.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$10,982.69 |
$21,595.47 |
3.6× |
| Angiography extremity bilateral rs&i (75716) |
$8,124.20 |
$15,974.76 |
2.7× |
| Angiography extremity unilateral rs&i (75710) |
$10,477.42 |
$20,665.52 |
3.5× |
| Angiography internal mammary rs&i (75756) |
$3,837.16 |
$7,545.08 |
1.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,118.94 |
$13,998.10 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$10,982.69 |
$21,595.47 |
3.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$7,310.90 |
$14,375.56 |
2.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,118.94 |
$13,998.10 |
1.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,000.54 |
$1,967.39 |
0.3× |
| Ankle 2 views (73600) |
$302.52 |
$593.17 |
3.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$946.50 |
$1,861.14 |
2.8× |
| Aortogram thoracic (75605) |
$7,118.94 |
$13,998.10 |
1.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,118.94 |
$13,998.10 |
2.4× |
| Aortography abdominal serialography rs&i (75625) |
$7,118.94 |
$13,998.10 |
2.4× |
| Artery X-Rays Adrenal Gland (75731) |
$10,982.69 |
$21,595.47 |
3.6× |
| Arthrogram elbow (73085) |
$1,018.62 |
$2,009.11 |
3.0× |
| Arthrogram hip (73525) |
$1,084.10 |
$2,138.27 |
3.2× |
| Arthrogram shoulder (73040) |
$1,054.85 |
$2,080.57 |
3.2× |
| Arthrogram wrist (73115) |
$852.04 |
$1,676.64 |
2.5× |
| Arthrography knee lt (73580) |
$1,042.30 |
$2,055.82 |
3.1× |
| Basic radiation dosimetry calculation (77300) |
$623.36 |
$1,222.27 |
4.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,161.24 |
$2,283.36 |
3.0× |
| Bone &/joint imaging whole body (78306) |
$1,130.55 |
$2,223.02 |
2.9× |
| Bone age studies (77072) |
$372.46 |
$732.39 |
3.7× |
| Bone Imaging 3 Phase (78315) |
$1,161.24 |
$2,283.36 |
3.0× |
| Bone Marrow Imaging Limited Area (78102) |
$1,427.07 |
$2,806.08 |
3.7× |
| Bone survey complete (77075) |
$372.46 |
$732.39 |
3.7× |
| Brain image w/flow 4 + views (78606) |
$1,300.64 |
$2,557.47 |
2.5× |
| Brain Imaging Vascular Flow Only (78610) |
$858.57 |
$1,688.22 |
1.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$858.57 |
$1,688.22 |
1.6× |
| Cervical spine 2 or 3 views (72040) |
$572.96 |
$1,123.46 |
6.9× |
| Chest 1 view (71045) |
$270.33 |
$533.20 |
3.2× |
| Chest 3 views (71047) |
$205.96 |
$404.97 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$715.72 |
$1,407.34 |
4.3× |
| Clavicle complete (73000) |
$338.88 |
$666.36 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$167.85 |
$330.04 |
1.7× |
| Continuing medical physics consltj pr wk (77336) |
$568.52 |
$1,121.35 |
4.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,009.78 |
$13,783.46 |
20.9× |
| CT abdomen and pelvis without contrast (74176) |
$4,836.73 |
$9,510.54 |
21.1× |
| CT abdomen w contrast (74160) |
$2,472.90 |
$4,862.50 |
14.7× |
| CT abdomen w wo contrast (74170) |
$3,540.66 |
$6,962.07 |
21.0× |
| CT abdomen w/o contrast (74150) |
$2,363.34 |
$4,647.08 |
23.6× |
| CT angio hrt w/3d image (75574) |
$2,883.48 |
$5,687.34 |
8.6× |
| CT angiography upper extremity lt (73206) |
$3,376.32 |
$6,645.54 |
20.1× |
| CT c-spine w/o contrast (72125) |
$2,344.36 |
$4,609.74 |
23.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,398.43 |
$4,716.08 |
14.3× |
| CT cervical spine with contrast (72126) |
$1,568.76 |
$3,084.68 |
4.7× |
| CT chest w/wo contrast (71270) |
$3,471.99 |
$6,827.04 |
20.6× |
| CT chest with contrast (71260) |
$2,630.64 |
$5,172.68 |
15.6× |
| CT head/brain with contrast (70460) |
$1,999.67 |
$3,931.99 |
11.9× |
| CT head/brain without and with contrast (70470) |
$3,087.83 |
$6,071.66 |
18.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$759.19 |
$1,492.80 |
2.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$274.60 |
$539.95 |
3.3× |
| CT iac w contrast (70481) |
$1,995.28 |
$3,923.36 |
11.9× |
| CT limited/localized follow up study (76380) |
$1,656.38 |
$3,256.98 |
19.8× |
| CT lower ext w/o (73700) |
$2,106.28 |
$4,141.62 |
21.0× |
| CT lower extremity w wo contrast (73702) |
$2,285.93 |
$4,494.87 |
13.6× |
| CT lower extremity with contrast (73701) |
$3,274.92 |
$6,445.96 |
19.5× |
| CT lumbar spine w & w/o contrast (72133) |
$3,800.63 |
$7,473.24 |
22.6× |
| CT lumbar spine w/o contrast (72131) |
$3,296.72 |
$6,482.40 |
32.9× |
| CT lumbar spine with contrast (72132) |
$3,296.72 |
$6,482.40 |
9.8× |
| CT maxillofacial w contrast (70487) |
$1,999.67 |
$3,931.99 |
11.9× |
| CT maxillofacial w/o contrast (70486) |
$1,822.90 |
$3,584.39 |
18.2× |
| CT maxillofacial w/wo contrast (70488) |
$3,105.38 |
$6,106.18 |
18.5× |
| CT neck soft tissue w contrast (70491) |
$2,211.45 |
$4,348.41 |
13.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,999.67 |
$3,931.99 |
11.9× |
| CT orbits w/o contrast (70480) |
$1,926.64 |
$3,788.38 |
19.2× |
| CT pelvis w & w/o contrast (72194) |
$3,889.76 |
$7,648.51 |
23.1× |
| CT pelvis w/o contrast (72192) |
$2,709.54 |
$5,327.83 |
27.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,211.45 |
$4,348.41 |
13.1× |
| CT soft tissue neck w/o contrast (70490) |
$2,211.45 |
$4,348.41 |
22.0× |
| CT thoracic spine w/contrast (72129) |
$1,628.66 |
$3,202.48 |
9.7× |
| CT thoracic spine w/o contrast (72128) |
$3,340.52 |
$6,568.54 |
33.3× |
| CT thoracic spine w/wo contrast (72130) |
$2,062.44 |
$4,055.42 |
12.3× |
| CT thorax w/o contrast (71250) |
$1,624.64 |
$3,201.86 |
16.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,272.76 |
$6,441.69 |
19.4× |
| CT upper extremity w/o contrast rt (73200) |
$2,069.77 |
$4,069.82 |
20.6× |
| CT upper extremity with contrast (73201) |
$2,180.77 |
$4,288.08 |
6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,615.14 |
$7,108.51 |
21.5× |
| Cta Abdomen (74175) |
$3,442.78 |
$6,769.60 |
20.5× |
| CTA abdomen pelvis (74174) |
$6,269.72 |
$12,328.25 |
18.7× |
| CTA chest (71275) |
$3,942.33 |
$7,751.88 |
23.4× |
| Cta Head (70496) |
$4,104.45 |
$8,070.66 |
24.4× |
| CTA lwr ext w&w/o contrast (73706) |
$3,376.32 |
$6,645.54 |
20.1× |
| Cta Neck (70498) |
$2,211.45 |
$4,348.41 |
13.1× |
| Cta Pelvis (72191) |
$3,140.44 |
$6,175.10 |
18.7× |
| Cystography minimum 3 views rs&i (74430) |
$723.04 |
$1,421.74 |
2.2× |
| Diskogram cervical (72285) |
$8,452.85 |
$16,621 |
4.5× |
| Diskography lumbar (72295) |
$8,452.85 |
$16,621 |
4.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$299.44 |
$588.80 |
3.0× |
| Dxa bone density study axial skeleton (77085) |
$299.44 |
$588.80 |
3.0× |
| Echoencephalography real time imaging (76506) |
$678.78 |
$1,338.81 |
6.8× |
| Esophagus (74220) |
$683.56 |
$1,344.11 |
4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$516.43 |
$1,012.60 |
5.1× |
| Fluoroscopy up to 1 hr (76000) |
$568.21 |
$1,117.28 |
2.5× |
| Foot 2 views (73620) |
$383.04 |
$751.05 |
4.6× |
| Forearm 2 views (73090) |
$178.22 |
$350.44 |
2.1× |
| Gated Heart Planar Single (78472) |
$2,315.15 |
$4,552.32 |
6.0× |
| Hand 2 views (73120) |
$316.05 |
$621.48 |
3.2× |
| Hand 3 views (73130) |
$432.37 |
$850.18 |
5.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,235.30 |
$2,428.99 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,235.30 |
$2,428.99 |
3.2× |
| Ht muscle image spect sing (78451) |
$5,204.58 |
$10,265.44 |
4.2× |
| Humerus Min 2 Views Left (73060) |
$368.10 |
$723.79 |
4.4× |
| Hysterosalpingogram (74740) |
$972.80 |
$1,912.84 |
4.2× |
| Image fusion (77399) |
$661.69 |
$1,301.09 |
5.1× |
| Interstitial radiation source applic complex (77778) |
$11,948.20 |
$23,493.96 |
17.9× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,483.14 |
$4,882.65 |
3.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,483.14 |
$4,882.65 |
4.7× |
| Intracavitary radiation source applic simple (77761) |
$2,483.14 |
$4,882.65 |
4.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$251.23 |
$494 |
2.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,316.62 |
$4,555.20 |
4.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,596.51 |
$3,139.24 |
3.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$3,130.20 |
$6,154.98 |
6.0× |
| Knee 3 views (73562) |
$311.12 |
$611.74 |
3.7× |
| Liver & spleen imaging static only (78215) |
$1,235.72 |
$2,429.82 |
3.2× |
| Lung perf&ventilat diferentl (78598) |
$1,918.34 |
$3,772.06 |
3.7× |
| Lung perfusion differential (78597) |
$1,918.34 |
$3,772.06 |
5.0× |
| Lung Ventilation Imaging (78579) |
$841.63 |
$1,654.90 |
2.2× |
| Lymphoscintigraphy (78195) |
$1,526.42 |
$3,001.42 |
2.9× |
| Mammary ductogram or galactogram multiple (77054) |
$1,121.80 |
$2,205.80 |
4.9× |
| Mammary ductogram or galactogram single (77053) |
$843.46 |
$1,658.51 |
3.7× |
| Meckels Diverticulum (78290) |
$1,060.44 |
$2,085.16 |
2.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,251.79 |
$2,461.42 |
3.5× |
| Mr safety determination physician/other qhp (76016) |
$187.18 |
$368.05 |
2.2× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$126.27 |
$248.29 |
2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$49.67 |
$97.96 |
1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$195.12 |
$383.68 |
2.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$513.85 |
$1,010.39 |
2.2× |
| MRA head w & w/o contrast (70546) |
$5,101.46 |
$10,062.05 |
15.2× |
| MRA head w/o contrast (70544) |
$4,582.68 |
$9,012.37 |
20.0× |
| MRA head with contrast (70545) |
$1,562.87 |
$3,073.56 |
4.7× |
| MRA neck w contrast (70548) |
$2,109.71 |
$4,161.16 |
6.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,892.44 |
$9,649.78 |
14.6× |
| MRA neck w/o contrast (70547) |
$2,157.07 |
$4,254.58 |
9.4× |
| MRI abdomen w contrast (74182) |
$1,741.81 |
$3,435.53 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,083.75 |
$8,031.16 |
12.2× |
| MRI abdomen w/o contrast (74181) |
$3,377.77 |
$6,662.27 |
14.8× |
| MRI any jnt lwr ext with con lt (73722) |
$2,380.90 |
$4,683.80 |
3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,716.04 |
$5,344.82 |
3.6× |
| MRI breast w/o contrast bilateral (77047) |
$3,061.54 |
$6,019.96 |
13.4× |
| MRI breast w/o contrast unilat (77046) |
$2,416.28 |
$4,751.18 |
10.6× |
| MRI c-spine with contrast (72142) |
$2,212.80 |
$4,364.49 |
6.6× |
| MRI cervical spine w/o contrast (72141) |
$3,446.03 |
$6,796.90 |
15.1× |
| MRI chest w/o & w/contrast material (71552) |
$4,626.29 |
$9,124.83 |
13.8× |
| MRI chest w/o contrast (71550) |
$4,146.96 |
$8,179.40 |
18.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$5,059.33 |
$9,920.26 |
15.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,969.45 |
$3,877.03 |
5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,643 |
$5,182.34 |
11.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,945.77 |
$5,810.20 |
12.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,128.81 |
$8,143.60 |
12.3× |
| MRI orbit/face/neck w/contrast (70542) |
$3,124.14 |
$6,162.01 |
9.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,710.38 |
$11,263.08 |
17.1× |
| MRI pelvis w/o contrast (72195) |
$4,498.08 |
$8,871.96 |
19.6× |
| MRI scan of arm joint before and after contrast (73223) |
$4,751.56 |
$9,316.78 |
14.2× |
| MRI scan of leg joint before and after contrast (73723) |
$3,887.18 |
$7,621.92 |
11.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,215.76 |
$10,287.49 |
15.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,285.29 |
$4,507.48 |
6.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,616.53 |
$9,105.58 |
13.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,230.93 |
$4,400.25 |
6.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,861.79 |
$9,589.32 |
14.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,595.14 |
$7,091.01 |
15.7× |
| MRI tmj (70336) |
$1,866.90 |
$3,675.14 |
8.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,506.45 |
$6,875.40 |
15.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,453.08 |
$12,653.10 |
19.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,151.97 |
$8,141.12 |
18.1× |
| Myelogram Cervical (72240) |
$1,976.29 |
$3,886.02 |
2.6× |
| Myelogram Lumbar (72265) |
$1,976.29 |
$3,886.02 |
2.6× |
| Myelogram thoracic (72255) |
$1,976.29 |
$3,886.02 |
2.6× |
| Myelography 2 or more regions (72270) |
$3,111.20 |
$6,117.62 |
4.1× |
| Myocardial Spect Multiple Studies (78452) |
$5,569.68 |
$10,985.56 |
4.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,162.77 |
$4,252.69 |
2.6× |
| Neck soft tissue (70360) |
$441.12 |
$867.38 |
5.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$876.41 |
$1,723.30 |
2.4× |
| Nm cisternogram (78630) |
$2,589.76 |
$5,092.30 |
5.0× |
| Nm gastric emptying study (78264) |
$2,079.99 |
$4,089.92 |
5.4× |
| Nm gastroesophageal reflux study (78262) |
$966.98 |
$1,901.38 |
2.5× |
| Nm peritoneal-venous shunt patency (78291) |
$869.34 |
$1,709.40 |
2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,641.99 |
$9,127.62 |
3.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$964.06 |
$1,895.65 |
2.5× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,015.16 |
$1,996.14 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$1,633.02 |
$3,211.04 |
7.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$224.44 |
$441.34 |
2.2× |
| Osseous survey infant (77076) |
$372.46 |
$732.39 |
3.7× |
| Osseous survey limited (77074) |
$372.46 |
$732.39 |
3.7× |
| Parathyrd planar w/wo subtrj (78071) |
$1,060.64 |
$2,085.54 |
2.8× |
| Parathyroid imaging (78070) |
$1,605.30 |
$3,156.54 |
4.2× |
| Pelvis 1 or 2 views (72170) |
$354.92 |
$697.88 |
3.5× |
| PET image w/CT, skull-thigh (78815) |
$12,919.96 |
$25,483.16 |
9.4× |
| PET imaging CT for attenuation limited area (78814) |
$12,919.96 |
$25,483.16 |
9.4× |
| PET imaging for CT attenuation whole body (78816) |
$12,399.61 |
$24,312.97 |
9.0× |
| Platelet survival study (78191) |
$1,308.76 |
$2,573.45 |
3.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,835.92 |
$7,521.40 |
11.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,251.79 |
$2,461.42 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,428.68 |
$2,809.24 |
2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$806.61 |
$1,586.06 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$219.66 |
$431.91 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$363.78 |
$715.30 |
3.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$363.78 |
$715.30 |
3.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$251.23 |
$494 |
2.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$23,308.10 |
$45,972.59 |
3.3× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$524.30 |
$1,034.13 |
1.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$271.66 |
$535.81 |
2.8× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$271.66 |
$535.81 |
0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$809.22 |
$1,591.18 |
8.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$389.99 |
$766.84 |
4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$389.08 |
$765.06 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$385.99 |
$761.32 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$708.43 |
$1,393 |
4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$720.70 |
$1,417.14 |
4.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$938.82 |
$1,851.71 |
5.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$938.82 |
$1,851.71 |
5.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$229.76 |
$450.51 |
2.8× |
| Radiological examination surgical specimen (76098) |
$1,629.68 |
$3,205.58 |
3.1× |
| Ribs bilateral 3 views (71110) |
$451.36 |
$887.53 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,421.79 |
$6,728.32 |
6.6× |
| Rp Therapy Intravenous Administration (79101) |
$1,241.56 |
$2,441.30 |
5.5× |
| Sacroiliac Joints < 3 Views (72200) |
$224.59 |
$440.38 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,334.12 |
$4,589.64 |
10.2× |
| Scanogram (77073) |
$368.39 |
$722.34 |
3.7× |
| Scapula complete (73010) |
$338.88 |
$666.36 |
3.4× |
| Screening digital breast tomosynthesis (77063) |
$20.58 |
$40.45 |
0.9× |
| Sialogram (70390) |
$806.61 |
$1,586.06 |
3.5× |
| Simulation intermediate (77285) |
$1,180.22 |
$2,320.70 |
3.3× |
| Small bowel series (74250) |
$647.07 |
$1,272.34 |
3.8× |
| Spec medical radj physics consltj (77370) |
$568.52 |
$1,121.35 |
4.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,329.20 |
$2,613.63 |
3.7× |
| Special dosimetry (77331) |
$623.36 |
$1,222.27 |
4.8× |
| Special treatment procedure (77470) |
$1,939.75 |
$3,814.16 |
3.7× |
| Spine thoracic 3 views (72072) |
$495.15 |
$973.62 |
4.9× |
| Stereotactic body radiation delivery (77373) |
$5,162.08 |
$10,181.62 |
3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,329.20 |
$2,613.63 |
3.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$595.94 |
$1,171.81 |
1.7× |
| Testicular Imaging With Vascular Flow (78761) |
$1,787.84 |
$3,515.48 |
4.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,390.35 |
$2,726.18 |
3.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$595.94 |
$1,171.81 |
4.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,095.16 |
$6,086.07 |
5.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$494.16 |
$971.67 |
1.3× |
| Thyroid uptake measurement (78012) |
$375.56 |
$738.47 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$767.16 |
$1,508.50 |
2.0× |
| Tmj unilateral (70328) |
$263.38 |
$519.48 |
3.2× |
| Tomogram (76100) |
$417.77 |
$821.46 |
4.2× |
| Treatment device intermediate (77333) |
$978.66 |
$1,924.34 |
7.6× |
| Treatment devices simple (77332) |
$869.10 |
$1,708.91 |
6.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,511.62 |
$6,904.95 |
6.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,625.72 |
$3,196.68 |
4.2× |
| Tx devices design & construction complex (77334) |
$1,069.51 |
$2,097.08 |
3.0× |
| Ultrasound elastography first target lesion (76982) |
$244.94 |
$481.64 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$863.96 |
$1,704.07 |
8.6× |
| Umbilical-artery Doppler (OB) (76820) |
$319.11 |
$629.41 |
3.2× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$168.92 |
$332.16 |
2.0× |
| Unlisted magnetic resonance procedure (76498) |
$247.68 |
$487.08 |
3.0× |
| Unlisted Ultrasound Procedure (76999) |
$1,450.14 |
$2,851.45 |
17.4× |
| Upper Extremity Infant (73092) |
$273.98 |
$539.28 |
2.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,520.56 |
$2,989.89 |
4.0× |
| Urethrocystography retrograde rs&i (74450) |
$723.04 |
$1,421.74 |
3.2× |
| Urethrocystography voiding (74455) |
$723.04 |
$1,421.74 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$946.50 |
$1,861.14 |
5.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$977.20 |
$1,921.48 |
5.8× |
| Us abdl aorta screen aaa (76706) |
$309.72 |
$609.02 |
3.1× |
| Us breast unilateral complete (76641) |
$497.55 |
$981.37 |
5.0× |
| Us breast unilateral limited (76642) |
$497.55 |
$981.37 |
6.0× |
| Us chest (76604) |
$642.70 |
$1,263.76 |
6.4× |
| Us compl joint r-t w/image documentation (76881) |
$661.46 |
$1,301.94 |
6.6× |
| Us elastography parenchyma (76981) |
$244.94 |
$481.64 |
2.4× |
| Us guided compression repair (76936) |
$374.16 |
$733.65 |
1.8× |
| Us infant hips dynamic (76885) |
$315.50 |
$620.38 |
3.8× |
| Us infant hips limited static (76886) |
$283.37 |
$557.20 |
3.4× |
| Us ob transvaginal (76817) |
$1,405.18 |
$2,763.03 |
14.0× |
| Us pelvic non ob complete (76856) |
$947.56 |
$1,868.96 |
9.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$442.58 |
$870.26 |
4.4× |
| Us pregnancy ltd (76815) |
$663.15 |
$1,303.96 |
6.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$493.72 |
$970.80 |
4.9× |
| Us retroperitoneal complete (76770) |
$946.50 |
$1,861.14 |
9.4× |
| Us retroperitoneal limited (76775) |
$471 |
$928.99 |
4.7× |
| Us scrotum and contents (76870) |
$471 |
$928.99 |
4.7× |
| Us soft tissue head/neck (76536) |
$706.47 |
$1,393.44 |
7.0× |
| Us spinal canal and contents (76800) |
$387.09 |
$761.14 |
3.9× |
| Us transrectal (76872) |
$493.72 |
$970.80 |
4.9× |
| Us transrectal prostate volume (76873) |
$493.72 |
$970.80 |
4.9× |
| Us xtr non-vasc lmtd (76882) |
$278.37 |
$547.46 |
2.8× |
| Venogram extremity bilateral (75822) |
$3,837.16 |
$7,545.08 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$10,982.69 |
$21,595.47 |
3.6× |
| Venography caval superior serialography rs&i (75827) |
$3,837.16 |
$7,545.08 |
2.5× |
| Venography extremity unilateral rs&i (75820) |
$2,249.95 |
$4,424.12 |
1.5× |
| Wrist 2 views (73100) |
$416.30 |
$818.58 |
5.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$759.56 |
$1,493.52 |
7.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$379.77 |
$746.76 |
4.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$464.49 |
$913.34 |
5.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,459.20 |
$2,869.26 |
8.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$342.80 |
$674.08 |
4.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$366.63 |
$720.92 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$219.66 |
$431.91 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$219.66 |
$431.91 |
2.6× |
| X-ray exam hip uni 4/> views (73503) |
$363.78 |
$715.30 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$363.78 |
$715.30 |
3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$693.52 |
$1,363.70 |
6.9× |
| X-ray exam of femur 1 (73551) |
$440.20 |
$868.25 |
5.3× |
| X-ray eye for foreign body (70030) |
$371.08 |
$730.38 |
4.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$660.22 |
$1,298.22 |
6.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$444.05 |
$873.15 |
5.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$394.36 |
$775.46 |
4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$366.63 |
$720.92 |
4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$470.35 |
$924.86 |
5.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$666.08 |
$1,309.73 |
6.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,270.82 |
$2,506.55 |
15.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$412.06 |
$811.06 |
4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$744.94 |
$1,464.78 |
7.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$768.31 |
$1,510.74 |
7.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$709.46 |
$1,395.02 |
7.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$614.94 |
$1,209.17 |
7.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$251.23 |
$494 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$392.92 |
$772.61 |
3.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$403.78 |
$794.06 |
4.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,128.71 |
$2,226.25 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$333.03 |
$656.87 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$430.60 |
$849.31 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$619.34 |
$1,217.81 |
6.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$429.44 |
$844.40 |
4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$422.14 |
$830.06 |
5.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$368.10 |
$723.79 |
4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$666.08 |
$1,309.73 |
8.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$414.82 |
$815.66 |
5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$730.33 |
$1,436.07 |
7.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$479.10 |
$942.06 |
4.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$309.66 |
$608.89 |
3.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$204.84 |
$404.02 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$185.50 |
$364.74 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$162.13 |
$318.79 |
1.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$584.65 |
$1,153.15 |
5.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$341.80 |
$672.10 |
4.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$423.60 |
$832.94 |
5.1× |
| Xr arthrogram ankle (73615) |
$1,209.22 |
$2,377.72 |
3.6× |
| Xr c-spine 6 or more views (72052) |
$749.32 |
$1,473.42 |
7.5× |
| Xr chest 4+ views (71048) |
$406.99 |
$798.01 |
4.1× |
| Xr Cholecystography Oral Contrast (74290) |
$493.72 |
$970.80 |
2.9× |
| Xr finger(s) 2+ views (73140) |
$338.88 |
$666.36 |
4.1× |
| Xr shoulder 1 view (73020) |
$513.46 |
$1,010.64 |
6.1× |
| Xr spine cervical 4 or 5 views (72050) |
$727.42 |
$1,430.34 |
7.3× |
| Xr tibia/fibula 2 views (73590) |
$461.58 |
$907.62 |
5.5× |
| Xr tmj bilateral (70330) |
$872.04 |
$1,714.70 |
10.4× |
| Xray knee 1 or 2 views rt (73560) |
$296.50 |
$583.02 |
3.6× |