| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,309.70 |
$7,699 |
1.7× |
| Abdomen 2 views (74019) |
$318 |
$1,060 |
3.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,105.50 |
$3,685 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$2,797.20 |
$9,324 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,778.30 |
$9,261 |
0.9× |
| Angiography internal mammary rs&i (75756) |
$2,253 |
$7,510 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,426 |
$11,420 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,712.90 |
$19,043 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,761 |
$15,870 |
1.6× |
| Angiography Spinal Selective Rs&I (75705) |
$6,273.60 |
$20,912 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$7,614.90 |
$25,383 |
1.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,075.50 |
$3,585 |
0.4× |
| Ankle 2 views (73600) |
$469.88 |
$1,566.25 |
5.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$548.40 |
$1,828 |
1.6× |
| Aortogram thoracic (75605) |
$3,099.60 |
$10,332 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,255.90 |
$10,853 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$2,950.20 |
$9,834 |
1.0× |
| Artery X-Rays Adrenal Gland (75731) |
$2,142.90 |
$7,143 |
0.7× |
| Arthrogram elbow (73085) |
$553.50 |
$1,845 |
1.6× |
| Arthrogram hip (73525) |
$714 |
$2,380 |
2.1× |
| Arthrogram shoulder (73040) |
$753.30 |
$2,511 |
2.2× |
| Arthrogram wrist (73115) |
$533.70 |
$1,779 |
1.6× |
| Basic radiation dosimetry calculation (77300) |
$225.60 |
$752 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$889.80 |
$2,966 |
2.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$925.50 |
$3,085 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,358.10 |
$4,527 |
3.5× |
| Bone age studies (77072) |
$370.80 |
$1,236 |
3.7× |
| Bone Imaging 3 Phase (78315) |
$1,995 |
$6,650 |
5.2× |
| Bone Marrow Imaging Limited Area (78102) |
$803.40 |
$2,678 |
2.1× |
| Bone survey complete (77075) |
$942.90 |
$3,143 |
9.4× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,922.10 |
$6,407 |
5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,189.70 |
$17,299 |
3.8× |
| Brain Imaging Vascular Flow Only (78610) |
$1,531.20 |
$5,104 |
2.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$366.90 |
$1,223 |
1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,587 |
$5,290 |
4.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$763.80 |
$2,546 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$403.80 |
$1,346 |
4.8× |
| Chest 1 view (71045) |
$258.30 |
$861 |
3.1× |
| Chest 3 views (71047) |
$484.80 |
$1,616 |
5.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$338.10 |
$1,127 |
2.0× |
| Clavicle complete (73000) |
$489.75 |
$1,632.50 |
5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$938.10 |
$3,127 |
9.3× |
| Continuing medical physics consltj pr wk (77336) |
$318.60 |
$1,062 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,789.40 |
$9,298 |
8.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,038.20 |
$6,794 |
8.9× |
| CT abdomen w contrast (74160) |
$1,119 |
$3,730 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,474.50 |
$4,915 |
8.7× |
| CT abdomen w/o contrast (74150) |
$1,013.40 |
$3,378 |
10.1× |
| CT angio hrt w/3d image (75574) |
$1,644.30 |
$5,481 |
4.9× |
| CT angiography upper extremity lt (73206) |
$1,720.12 |
$5,733.75 |
10.2× |
| CT c-spine w/o contrast (72125) |
$1,485.30 |
$4,951 |
14.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$161.40 |
$538 |
1.0× |
| CT cervical spine w&w/o contrast (72127) |
$2,073 |
$6,910 |
12.3× |
| CT cervical spine with contrast (72126) |
$1,568.10 |
$5,227 |
4.7× |
| CT chest w/wo contrast (71270) |
$1,328.40 |
$4,428 |
7.9× |
| CT chest with contrast (71260) |
$1,218.60 |
$4,062 |
7.2× |
| CT head/brain with contrast (70460) |
$1,665.30 |
$5,551 |
9.9× |
| CT head/brain without and with contrast (70470) |
$2,001.30 |
$6,671 |
11.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,599.90 |
$5,333 |
4.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$46.80 |
$156 |
0.6× |
| CT hrt w/3d image congen (75573) |
$1,644.30 |
$5,481 |
4.9× |
| CT iac w contrast (70481) |
$1,426.80 |
$4,756 |
8.5× |
| CT limited/localized follow up study (76380) |
$76.80 |
$256 |
0.9× |
| CT lower ext w/o (73700) |
$1,167 |
$3,890 |
11.6× |
| CT lower extremity w wo contrast (73702) |
$1,408.12 |
$4,693.75 |
8.3× |
| CT lower extremity with contrast (73701) |
$1,339.12 |
$4,463.75 |
7.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,718.90 |
$9,063 |
16.1× |
| CT lumbar spine w/o contrast (72131) |
$1,154.10 |
$3,847 |
11.5× |
| CT lumbar spine with contrast (72132) |
$1,230 |
$4,100 |
3.7× |
| CT maxillofacial w contrast (70487) |
$1,315.80 |
$4,386 |
7.8× |
| CT maxillofacial w/o contrast (70486) |
$1,156.20 |
$3,854 |
11.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,382.70 |
$4,609 |
8.2× |
| CT neck soft tissue w contrast (70491) |
$1,323.60 |
$4,412 |
7.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,568.70 |
$5,229 |
9.3× |
| CT orbits w/o contrast (70480) |
$1,297.50 |
$4,325 |
12.9× |
| CT pelvis w & w/o contrast (72194) |
$1,315.80 |
$4,386 |
7.8× |
| CT pelvis w/o contrast (72192) |
$820.80 |
$2,736 |
8.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,362.60 |
$4,542 |
8.1× |
| CT soft tissue neck w/o contrast (70490) |
$992.40 |
$3,308 |
9.9× |
| CT thoracic spine w/contrast (72129) |
$1,270.50 |
$4,235 |
7.5× |
| CT thoracic spine w/o contrast (72128) |
$1,161.60 |
$3,872 |
11.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,572.90 |
$5,243 |
9.3× |
| CT thorax w/o contrast (71250) |
$938.10 |
$3,127 |
9.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,341.90 |
$4,473 |
8.0× |
| CT upper extremity w/o contrast rt (73200) |
$850.80 |
$2,836 |
8.5× |
| CT upper extremity with contrast (73201) |
$1,334.62 |
$4,448.75 |
4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,890.30 |
$6,301 |
11.2× |
| Cta Abdomen (74175) |
$1,423.80 |
$4,746 |
8.4× |
| CTA abdomen pelvis (74174) |
$2,248.80 |
$7,496 |
6.7× |
| CTA chest (71275) |
$1,636.50 |
$5,455 |
9.7× |
| Cta Head (70496) |
$1,414.50 |
$4,715 |
8.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,758.80 |
$9,196 |
8.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,677 |
$5,590 |
9.9× |
| Cta Neck (70498) |
$1,454.10 |
$4,847 |
8.6× |
| Cta Pelvis (72191) |
$1,578.60 |
$5,262 |
9.4× |
| Cystography minimum 3 views rs&i (74430) |
$628.80 |
$2,096 |
1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$441 |
$1,470 |
4.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$320.10 |
$1,067 |
3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$229.80 |
$766 |
2.7× |
| Echo exam of fetal heart (76825) |
$532.50 |
$1,775 |
1.0× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$192 |
$640 |
0.8× |
| Echoencephalography real time imaging (76506) |
$729 |
$2,430 |
7.3× |
| Esophagus (74220) |
$407.10 |
$1,357 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$2,886.30 |
$9,621 |
28.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,144.20 |
$3,814 |
11.4× |
| Fluoroscopy up to 1 hr (76000) |
$403.80 |
$1,346 |
1.8× |
| Foot 2 views (73620) |
$478.50 |
$1,595 |
5.7× |
| Forearm 2 views (73090) |
$599.85 |
$1,999.50 |
7.2× |
| Gated Heart Planar Single (78472) |
$1,474.50 |
$4,915 |
3.8× |
| Hand 2 views (73120) |
$511.50 |
$1,705 |
5.1× |
| Hand 3 views (73130) |
$583.88 |
$1,946.25 |
7.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$3,559.20 |
$11,864 |
1.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,004.30 |
$6,681 |
3.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,872.30 |
$6,241 |
4.9× |
| Ht muscle image spect sing (78451) |
$2,919.60 |
$9,732 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$535.88 |
$1,786.25 |
6.4× |
| Hysterosalpingogram (74740) |
$594.90 |
$1,983 |
2.6× |
| Kidney funcj study non-img radioisotopic study (78725) |
$629.70 |
$2,099 |
1.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,637.10 |
$5,457 |
3.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,847.40 |
$6,158 |
3.5× |
| Knee 3 views (73562) |
$565.50 |
$1,885 |
6.8× |
| Liver & spleen imaging static only (78215) |
$1,163.10 |
$3,877 |
3.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,279.50 |
$4,265 |
3.3× |
| Liver imaging static only (78201) |
$1,041 |
$3,470 |
2.0× |
| Lung perf&ventilat diferentl (78598) |
$2,106.30 |
$7,021 |
4.0× |
| Lung perfusion differential (78597) |
$2,106.30 |
$7,021 |
5.5× |
| Lung Ventilation Imaging (78579) |
$1,152.90 |
$3,843 |
3.0× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$3,776.70 |
$12,589 |
1.2× |
| Lymphoscintigraphy (78195) |
$1,576.50 |
$5,255 |
3.0× |
| Mammary ductogram or galactogram multiple (77054) |
$728.70 |
$2,429 |
3.2× |
| Mammary ductogram or galactogram single (77053) |
$549 |
$1,830 |
2.4× |
| Meckels Diverticulum (78290) |
$852.90 |
$2,843 |
2.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,492.70 |
$8,309 |
6.9× |
| Mr safety determination physician/other qhp (76016) |
$86.10 |
$287 |
1.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$58.20 |
$194 |
1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$24.60 |
$82 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$89.70 |
$299 |
1.0× |
| Mr safety med physics xm customization plng&mntr (76017) |
$235.80 |
$786 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,851.60 |
$6,172 |
5.5× |
| MRA head w/o contrast (70544) |
$1,099.50 |
$3,665 |
4.8× |
| MRA head with contrast (70545) |
$1,264.20 |
$4,214 |
3.8× |
| MRA neck w contrast (70548) |
$1,478.10 |
$4,927 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,709.70 |
$5,699 |
5.1× |
| MRA neck w/o contrast (70547) |
$1,099.50 |
$3,665 |
4.8× |
| MRI abdomen w contrast (74182) |
$1,840.20 |
$6,134 |
5.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,007.60 |
$6,692 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,348.50 |
$4,495 |
5.9× |
| MRI any jnt lwr ext with con lt (73722) |
$3,208.12 |
$10,693.75 |
4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,900.20 |
$6,334 |
2.5× |
| MRI breast w/o contrast bilateral (77047) |
$368.40 |
$1,228 |
1.6× |
| MRI breast w/o contrast unilat (77046) |
$255 |
$850 |
1.1× |
| MRI c-spine with contrast (72142) |
$1,892.10 |
$6,307 |
5.6× |
| MRI cardiac w/o cont stress (75559) |
$1,037.40 |
$3,458 |
2.0× |
| MRI cardiac w/o contrast (75557) |
$1,296.90 |
$4,323 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$1,254.30 |
$4,181 |
5.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,886.70 |
$6,289 |
5.6× |
| MRI chest w/o contrast (71550) |
$1,988.70 |
$6,629 |
8.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,471.20 |
$4,904 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,593.60 |
$5,312 |
4.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,725.75 |
$5,752.50 |
7.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,478.70 |
$4,929 |
6.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,263.50 |
$7,545 |
6.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,663.50 |
$5,545 |
5.0× |
| MRI pelvis w contrast (72196) |
$1,829.70 |
$6,099 |
5.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,539 |
$5,130 |
4.6× |
| MRI pelvis w/o contrast (72195) |
$1,128.30 |
$3,761 |
4.9× |
| MRI scan of arm joint before and after contrast (73223) |
$1,746.30 |
$5,821 |
5.2× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,587 |
$5,290 |
2.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,713.88 |
$9,046.25 |
8.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,082 |
$6,940 |
6.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,839.60 |
$6,132 |
5.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,191.80 |
$7,306 |
6.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,550.70 |
$5,169 |
4.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,889.70 |
$6,299 |
5.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,362.90 |
$4,543 |
5.9× |
| MRI tmj (70336) |
$990 |
$3,300 |
4.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,739.62 |
$5,798.75 |
7.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,490 |
$8,300 |
7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,398.90 |
$4,663 |
6.1× |
| Myocardial Spect Multiple Studies (78452) |
$3,416.70 |
$11,389 |
2.7× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,191.70 |
$10,639 |
3.9× |
| Neck soft tissue (70360) |
$242.70 |
$809 |
2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$495.90 |
$1,653 |
1.3× |
| Nm cisternogram (78630) |
$1,800.30 |
$6,001 |
3.4× |
| Nm csf leak detection (78650) |
$1,262.10 |
$4,207 |
1.0× |
| Nm gastric emptying study (78264) |
$1,270.80 |
$4,236 |
3.3× |
| Nm peritoneal-venous shunt patency (78291) |
$398.40 |
$1,328 |
1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,390.70 |
$7,969 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$1,142.70 |
$3,809 |
5.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$594.90 |
$1,983 |
5.9× |
| Osseous survey infant (77076) |
$344.10 |
$1,147 |
3.4× |
| Osseous survey limited (77074) |
$488.40 |
$1,628 |
4.9× |
| Parathyroid imaging (78070) |
$1,922.10 |
$6,407 |
5.0× |
| Pelvis 1 or 2 views (72170) |
$418.20 |
$1,394 |
4.2× |
| Peritoneogram rs&i (74190) |
$501.60 |
$1,672 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$5,206.80 |
$17,356 |
3.8× |
| PET imaging for CT attenuation whole body (78816) |
$5,727.30 |
$19,091 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,013 |
$6,710 |
6.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,713.20 |
$9,044 |
0.9× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,568.10 |
$5,227 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,068.90 |
$3,563 |
2.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,358.70 |
$4,529 |
2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$406.50 |
$1,355 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$792 |
$2,640 |
9.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$870.90 |
$2,903 |
8.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$337.20 |
$1,124 |
3.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$24,134.70 |
$80,449 |
3.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$750 |
$2,500 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$450 |
$1,500 |
4.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$570 |
$1,900 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$979.50 |
$3,265 |
9.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$250.20 |
$834 |
3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$349.80 |
$1,166 |
3.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$440.40 |
$1,468 |
5.3× |
| Radiologic exam colon single contrast study (74270) |
$490.20 |
$1,634 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$573 |
$1,910 |
3.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$559.80 |
$1,866 |
3.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$538.50 |
$1,795 |
6.4× |
| Radiological examination surgical specimen (76098) |
$587.10 |
$1,957 |
1.1× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,786.30 |
$12,621 |
1.2× |
| Ribs bilateral 3 views (71110) |
$692.10 |
$2,307 |
6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,773.30 |
$5,911 |
4.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,773.30 |
$5,911 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,295.20 |
$10,984 |
6.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$537.90 |
$1,793 |
2.4× |
| Rp Therapy Intravenous Administration (79101) |
$1,212.30 |
$4,041 |
5.4× |
| Sacroiliac Joints < 3 Views (72200) |
$344.40 |
$1,148 |
3.4× |
| Scapula complete (73010) |
$374.70 |
$1,249 |
3.7× |
| Screening digital breast tomosynthesis (77063) |
$30.30 |
$101 |
1.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$351.90 |
$1,173 |
3.5× |
| Sialogram (70390) |
$399.60 |
$1,332 |
1.7× |
| Small bowel series (74250) |
$514.50 |
$1,715 |
3.0× |
| Spec medical radj physics consltj (77370) |
$522 |
$1,740 |
4.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$537.60 |
$1,792 |
1.5× |
| Special dosimetry (77331) |
$589.80 |
$1,966 |
4.6× |
| Special treatment procedure (77470) |
$1,268.10 |
$4,227 |
2.4× |
| Spine thoracic 3 views (72072) |
$513.60 |
$1,712 |
5.1× |
| Stereotactic body radiation delivery (77373) |
$13,480.80 |
$44,936 |
7.8× |
| Superior sagittal sinus venogram (75870) |
$3,003 |
$10,010 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$592.20 |
$1,974 |
1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$387.90 |
$1,293 |
1.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$628.50 |
$2,095 |
1.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$442.50 |
$1,475 |
3.4× |
| Thoracolumbar 2 views (72080) |
$382.80 |
$1,276 |
4.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,599.90 |
$5,333 |
3.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$372.90 |
$1,243 |
1.0× |
| Thyroid uptake measurement (78012) |
$807.60 |
$2,692 |
2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,048.50 |
$3,495 |
2.7× |
| Tmj unilateral (70328) |
$71.10 |
$237 |
0.8× |
| Treatment devices simple (77332) |
$684.60 |
$2,282 |
5.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,995.80 |
$9,986 |
5.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,612.50 |
$5,375 |
4.2× |
| Tx devices design & construction complex (77334) |
$1,095.30 |
$3,651 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$623.40 |
$2,078 |
6.2× |
| Umbilical-artery Doppler (OB) (76820) |
$342 |
$1,140 |
3.4× |
| Unlisted magnetic resonance procedure (76498) |
$1,005.30 |
$3,351 |
12.0× |
| Upper Extremity Infant (73092) |
$360.90 |
$1,203 |
3.6× |
| Urethrocystography retrograde rs&i (74450) |
$469.20 |
$1,564 |
2.0× |
| Urethrocystography voiding (74455) |
$794.70 |
$2,649 |
3.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$664.20 |
$2,214 |
3.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$882.60 |
$2,942 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$697.20 |
$2,324 |
6.9× |
| Us breast unilateral limited (76642) |
$839.70 |
$2,799 |
10.0× |
| Us chest (76604) |
$419.70 |
$1,399 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$599.70 |
$1,999 |
6.0× |
| Us elastography parenchyma (76981) |
$192 |
$640 |
1.9× |
| Us infant hips dynamic (76885) |
$222.60 |
$742 |
2.7× |
| Us infant hips limited static (76886) |
$342 |
$1,140 |
4.1× |
| Us kidney transplant (76776) |
$655.20 |
$2,184 |
6.5× |
| Us ob detailed single fetus (76811) |
$1,011.90 |
$3,373 |
4.4× |
| Us ob transvaginal (76817) |
$546.90 |
$1,823 |
5.4× |
| Us pelvic non ob complete (76856) |
$716.40 |
$2,388 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$366.60 |
$1,222 |
3.6× |
| Us pregnancy ltd (76815) |
$441.60 |
$1,472 |
4.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$578.40 |
$1,928 |
5.8× |
| Us retroperitoneal complete (76770) |
$780.30 |
$2,601 |
7.8× |
| Us retroperitoneal limited (76775) |
$572.40 |
$1,908 |
5.7× |
| Us scrotum and contents (76870) |
$612.30 |
$2,041 |
6.1× |
| Us soft tissue head/neck (76536) |
$599.70 |
$1,999 |
6.0× |
| Us spinal canal and contents (76800) |
$490.20 |
$1,634 |
4.9× |
| Us transrectal (76872) |
$780.30 |
$2,601 |
7.8× |
| Us xtr non-vasc lmtd (76882) |
$527.25 |
$1,757.50 |
5.2× |
| Us, eye b-scan (76512) |
$153 |
$510 |
1.5× |
| Venogram extremity bilateral (75822) |
$1,062 |
$3,540 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,248.80 |
$7,496 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$1,770 |
$5,900 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$1,030.20 |
$3,434 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$4,015.20 |
$13,384 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,379.70 |
$4,599 |
0.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,947.20 |
$19,824 |
1.1× |
| Wrist 2 views (73100) |
$473.62 |
$1,578.75 |
5.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$559.80 |
$1,866 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$71.10 |
$237 |
0.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$571.88 |
$1,906.25 |
6.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$896.10 |
$2,987 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$492.38 |
$1,641.25 |
5.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$535.88 |
$1,786.25 |
6.4× |
| X-ray exam hip uni 1 view (73501) |
$249.90 |
$833 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$306.30 |
$1,021 |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$337.20 |
$1,124 |
3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$410.70 |
$1,369 |
4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$451.20 |
$1,504 |
4.5× |
| X-ray exam of femur 1 (73551) |
$129.75 |
$432.50 |
1.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$940.50 |
$3,135 |
5.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$519.30 |
$1,731 |
5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$314.40 |
$1,048 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$581.62 |
$1,938.75 |
6.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$461.25 |
$1,537.50 |
5.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$891 |
$2,970 |
10.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$610.50 |
$2,035 |
6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$306.30 |
$1,021 |
3.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$310.50 |
$1,035 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$440.40 |
$1,468 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$812.70 |
$2,709 |
8.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$407.40 |
$1,358 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$416.10 |
$1,387 |
5.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$99.30 |
$331 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$128.40 |
$428 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$600.30 |
$2,001 |
6.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$718.20 |
$2,394 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$475.50 |
$1,585 |
5.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$557.70 |
$1,859 |
5.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$734.70 |
$2,449 |
7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$382.50 |
$1,275 |
3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$352.80 |
$1,176 |
4.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$577.80 |
$1,926 |
6.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$561 |
$1,870 |
6.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$356.70 |
$1,189 |
4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$672.60 |
$2,242 |
6.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$325.50 |
$1,085 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$436.20 |
$1,454 |
5.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$327.90 |
$1,093 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$448.20 |
$1,494 |
4.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$585.90 |
$1,953 |
5.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$327.90 |
$1,093 |
3.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$562.50 |
$1,875 |
6.7× |
| Xr c-spine 6 or more views (72052) |
$569.70 |
$1,899 |
5.7× |
| Xr chest 4+ views (71048) |
$691.20 |
$2,304 |
6.9× |
| Xr finger(s) 2+ views (73140) |
$334.80 |
$1,116 |
4.0× |
| Xr shoulder 1 view (73020) |
$373.80 |
$1,246 |
4.5× |
| Xr spine cervical 4 or 5 views (72050) |
$537.60 |
$1,792 |
5.3× |
| Xr tibia/fibula 2 views (73590) |
$499.88 |
$1,666.25 |
6.0× |
| Xr tmj bilateral (70330) |
$71.10 |
$237 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$493.50 |
$1,645 |
5.9× |