| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,449 |
$6,449 |
4.4× |
| Abdomen 2 views (74019) |
$474.50 |
$474.50 |
4.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,457 |
$2,457 |
5.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$14,095 |
$14,095 |
4.2× |
| Angiography extremity bilateral rs&i (75716) |
$15,131 |
$15,131 |
4.5× |
| Angiography extremity unilateral rs&i (75710) |
$9,056 |
$9,056 |
2.7× |
| Angiography internal mammary rs&i (75756) |
$14,410 |
$14,410 |
4.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$13,147 |
$13,147 |
2.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$16,603 |
$16,603 |
4.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$10,618 |
$10,618 |
3.2× |
| Angiography Spinal Selective Rs&I (75705) |
$20,462 |
$20,462 |
3.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$15,746 |
$15,746 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,518 |
$4,518 |
1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$10,927 |
$10,927 |
3.2× |
| Ankle 2 views (73600) |
$553.50 |
$553.50 |
6.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,598 |
$1,598 |
4.3× |
| Aortogram thoracic (75605) |
$17,250 |
$17,250 |
2.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$17,741 |
$17,741 |
5.3× |
| Aortography abdominal serialography rs&i (75625) |
$11,251 |
$11,251 |
3.3× |
| Artery X-Rays Adrenal Gland (75731) |
$12,552 |
$12,552 |
3.7× |
| Arthrogram elbow (73085) |
$2,065.50 |
$2,065.50 |
5.5× |
| Arthrogram hip (73525) |
$2,634 |
$2,634 |
7.1× |
| Arthrogram shoulder (73040) |
$2,435 |
$2,435 |
6.5× |
| Arthrogram wrist (73115) |
$2,075.50 |
$2,075.50 |
5.6× |
| Arthrography knee lt (73580) |
$2,936.50 |
$2,936.50 |
7.9× |
| Basic radiation dosimetry calculation (77300) |
$855 |
$855 |
6.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,057 |
$3,057 |
7.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,275 |
$4,275 |
10.0× |
| Bone &/joint imaging whole body (78306) |
$4,340 |
$4,340 |
10.2× |
| Bone age studies (77072) |
$636 |
$636 |
5.7× |
| Bone Imaging 3 Phase (78315) |
$4,356 |
$4,356 |
10.2× |
| Bone Marrow Imaging Limited Area (78102) |
$2,983 |
$2,983 |
7.0× |
| Bone survey complete (77075) |
$2,880 |
$2,880 |
25.8× |
| Brain image w/flow 4 + views (78606) |
$1,818 |
$1,818 |
3.1× |
| Brain Imaging Minimum 4 Static Views (78605) |
$741 |
$741 |
1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,792 |
$3,792 |
2.5× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$1,932 |
$1,932 |
174.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,835 |
$4,835 |
13.0× |
| Cardiac shunt detection (78428) |
$1,510 |
$1,510 |
3.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,703 |
$2,703 |
4.7× |
| Cervical spine 2 or 3 views (72040) |
$660.38 |
$660.38 |
7.1× |
| Chest 1 view (71045) |
$386 |
$386 |
4.2× |
| Chest 3 views (71047) |
$1,029 |
$1,029 |
11.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,595 |
$1,595 |
8.5× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,916 |
$1,916 |
2.3× |
| Clavicle complete (73000) |
$617 |
$617 |
6.6× |
| Continuing medical physics consltj pr wk (77336) |
$831 |
$831 |
5.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,068 |
$6,068 |
16.3× |
| CT abdomen and pelvis without contrast (74176) |
$4,748 |
$4,748 |
18.6× |
| CT abdomen w contrast (74160) |
$6,947 |
$6,947 |
37.1× |
| CT abdomen w wo contrast (74170) |
$7,786 |
$7,786 |
41.6× |
| CT abdomen w/o contrast (74150) |
$6,134 |
$6,134 |
55.0× |
| CT angio hrt w/3d image (75574) |
$3,053 |
$3,053 |
8.2× |
| CT angiography upper extremity lt (73206) |
$3,498 |
$3,498 |
18.7× |
| CT c-spine w/o contrast (72125) |
$7,777 |
$7,777 |
69.7× |
| CT cervical spine w&w/o contrast (72127) |
$8,314 |
$8,314 |
44.4× |
| CT cervical spine with contrast (72126) |
$8,231 |
$8,231 |
22.1× |
| CT chest w/wo contrast (71270) |
$5,963 |
$5,963 |
31.9× |
| CT chest with contrast (71260) |
$5,351 |
$5,351 |
28.6× |
| CT colonography w/dye (74262) |
$5,563 |
$5,563 |
29.7× |
| CT head/brain with contrast (70460) |
$5,133 |
$5,133 |
27.4× |
| CT head/brain without and with contrast (70470) |
$6,053 |
$6,053 |
32.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,067 |
$1,067 |
11.5× |
| CT hrt w/3d image congen (75573) |
$3,065 |
$3,065 |
8.2× |
| CT iac w contrast (70481) |
$7,768 |
$7,768 |
41.5× |
| CT limited/localized follow up study (76380) |
$1,115 |
$1,115 |
12.0× |
| CT lower ext w/o (73700) |
$2,976 |
$2,976 |
26.7× |
| CT lower extremity w wo contrast (73702) |
$3,761 |
$3,761 |
20.1× |
| CT lower extremity with contrast (73701) |
$3,037 |
$3,037 |
16.2× |
| CT lumbar spine w & w/o contrast (72133) |
$10,553 |
$10,553 |
56.4× |
| CT lumbar spine w/o contrast (72131) |
$7,769 |
$7,769 |
69.6× |
| CT lumbar spine with contrast (72132) |
$8,050 |
$8,050 |
21.6× |
| CT maxillofacial w contrast (70487) |
$6,869 |
$6,869 |
36.7× |
| CT maxillofacial w/o contrast (70486) |
$2,840 |
$2,840 |
25.5× |
| CT maxillofacial w/wo contrast (70488) |
$7,430 |
$7,430 |
39.7× |
| CT neck soft tissue w contrast (70491) |
$7,177 |
$7,177 |
38.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$11,120 |
$11,120 |
59.4× |
| CT orbits w/o contrast (70480) |
$6,599 |
$6,599 |
59.2× |
| CT pelvis w & w/o contrast (72194) |
$6,613 |
$6,613 |
35.3× |
| CT pelvis w/o contrast (72192) |
$4,008 |
$4,008 |
35.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,038 |
$9,038 |
48.3× |
| CT soft tissue neck w/o contrast (70490) |
$6,744 |
$6,744 |
60.5× |
| CT thoracic spine w/contrast (72129) |
$8,180 |
$8,180 |
43.7× |
| CT thoracic spine w/o contrast (72128) |
$7,381 |
$7,381 |
66.2× |
| CT thoracic spine w/wo contrast (72130) |
$8,821 |
$8,821 |
47.1× |
| CT thorax w/o contrast (71250) |
$5,182 |
$5,182 |
46.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,418 |
$4,418 |
23.6× |
| CT upper extremity w/o contrast rt (73200) |
$3,128 |
$3,128 |
28.0× |
| CT upper extremity with contrast (73201) |
$3,929 |
$3,929 |
10.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,020 |
$4,020 |
21.5× |
| Cta Abdomen (74175) |
$5,904 |
$5,904 |
31.5× |
| CTA abdomen pelvis (74174) |
$8,375 |
$8,375 |
22.5× |
| CTA chest (71275) |
$5,143 |
$5,143 |
27.5× |
| Cta Head (70496) |
$7,084 |
$7,084 |
37.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,933 |
$2,933 |
15.7× |
| Cta Neck (70498) |
$7,093 |
$7,093 |
37.9× |
| Cta Pelvis (72191) |
$5,377 |
$5,377 |
28.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,498 |
$1,498 |
4.0× |
| Diskography lumbar (72295) |
$5,791 |
$5,791 |
2.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,278 |
$1,278 |
11.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,337 |
$1,337 |
12.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$738 |
$738 |
6.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,656 |
$1,656 |
14.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$682 |
$682 |
7.3× |
| Dxa bone density study axial skeleton (77085) |
$749 |
$749 |
6.7× |
| Echo exam of fetal heart (76825) |
$1,723 |
$1,723 |
3.0× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,643 |
$1,643 |
6.5× |
| Echoencephalography real time imaging (76506) |
$1,570 |
$1,570 |
14.1× |
| Esophagus (74220) |
$1,286 |
$1,286 |
6.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,054 |
$2,054 |
18.4× |
| Fluoroscopy up to 1 hr (76000) |
$1,662 |
$1,662 |
6.5× |
| Foot 2 views (73620) |
$604 |
$604 |
6.5× |
| Forearm 2 views (73090) |
$616 |
$616 |
6.6× |
| Gated Heart Planar Single (78472) |
$4,579 |
$4,579 |
10.7× |
| Hand 2 views (73120) |
$516.50 |
$516.50 |
4.6× |
| Hand 3 views (73130) |
$654.50 |
$654.50 |
7.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$9,386 |
$9,386 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,944 |
$3,944 |
6.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,304 |
$3,304 |
7.7× |
| Ht muscle image spect sing (78451) |
$4,791 |
$4,791 |
3.5× |
| Humerus Min 2 Views Left (73060) |
$636 |
$636 |
6.8× |
| Hysterosalpingogram (74740) |
$1,344 |
$1,344 |
5.3× |
| Interstitial radiation source applic complex (77778) |
$8,057 |
$8,057 |
10.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,487 |
$3,487 |
6.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,736 |
$3,736 |
6.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$4,943 |
$4,943 |
8.5× |
| Knee 3 views (73562) |
$646 |
$646 |
7.0× |
| Liver & spleen imaging static only (78215) |
$3,250 |
$3,250 |
7.6× |
| Liver imaging static only (78201) |
$3,112 |
$3,112 |
5.4× |
| Lung perf&ventilat diferentl (78598) |
$2,132 |
$2,132 |
3.7× |
| Lung perfusion differential (78597) |
$1,138 |
$1,138 |
2.7× |
| Lung Ventilation Imaging (78579) |
$1,349 |
$1,349 |
3.2× |
| Lymphoscintigraphy (78195) |
$3,236 |
$3,236 |
5.6× |
| Mammary ductogram or galactogram multiple (77054) |
$1,387 |
$1,387 |
5.4× |
| Mammary ductogram or galactogram single (77053) |
$1,327 |
$1,327 |
5.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$584 |
$584 |
6.3× |
| Meckels Diverticulum (78290) |
$4,674 |
$4,674 |
11.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,521 |
$3,521 |
8.8× |
| MRA head w & w/o contrast (70546) |
$5,801 |
$5,801 |
15.6× |
| MRA head w/o contrast (70544) |
$3,102 |
$3,102 |
12.2× |
| MRA head with contrast (70545) |
$3,360 |
$3,360 |
9.0× |
| MRA neck w contrast (70548) |
$3,062 |
$3,062 |
8.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,613 |
$5,613 |
15.1× |
| MRA neck w/o contrast (70547) |
$2,991 |
$2,991 |
11.7× |
| MRI abdomen w contrast (74182) |
$6,769 |
$6,769 |
18.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$9,611 |
$9,611 |
25.8× |
| MRI abdomen w/o contrast (74181) |
$4,462 |
$4,462 |
17.5× |
| MRI any jnt lwr ext with con lt (73722) |
$5,678 |
$5,678 |
6.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,114 |
$5,114 |
6.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,997 |
$1,997 |
7.8× |
| MRI breast w/o contrast unilat (77046) |
$1,463 |
$1,463 |
5.7× |
| MRI c-spine with contrast (72142) |
$4,721 |
$4,721 |
12.7× |
| MRI cardiac w/o cont stress (75559) |
$5,029 |
$5,029 |
8.6× |
| MRI cardiac w/o contrast (75557) |
$4,433 |
$4,433 |
17.4× |
| MRI cervical spine w/o contrast (72141) |
$4,006 |
$4,006 |
15.7× |
| MRI chest w/o & w/contrast material (71552) |
$6,261 |
$6,261 |
16.8× |
| MRI chest w/o contrast (71550) |
$3,217 |
$3,217 |
12.6× |
| MRI chest with contrast (71551) |
$5,268 |
$5,268 |
6.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$5,300 |
$5,300 |
14.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,455 |
$5,455 |
14.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,691 |
$4,691 |
18.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,479 |
$4,479 |
17.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,547 |
$6,547 |
17.6× |
| MRI orbit/face/neck w/contrast (70542) |
$5,693 |
$5,693 |
15.3× |
| MRI pelvis w contrast (72196) |
$6,940 |
$6,940 |
18.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,511 |
$8,511 |
22.9× |
| MRI pelvis w/o contrast (72195) |
$5,998 |
$5,998 |
23.6× |
| MRI scan of arm joint before and after contrast (73223) |
$5,505 |
$5,505 |
14.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$6,101 |
$6,101 |
7.3× |
| MRI scan of leg joint before and after contrast (73723) |
$5,817 |
$5,817 |
15.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,017 |
$6,017 |
16.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,840 |
$5,840 |
15.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,915 |
$6,915 |
18.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,449 |
$6,449 |
17.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$8,879 |
$8,879 |
23.9× |
| MRI thoracic spine w/o contrast (72146) |
$6,122 |
$6,122 |
24.0× |
| MRI tmj (70336) |
$4,682.50 |
$4,682.50 |
18.4× |
| MRI upper ext joint w/o contrast (73221) |
$4,913 |
$4,913 |
19.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,490 |
$5,490 |
14.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,003 |
$5,003 |
19.6× |
| Myelogram Cervical (72240) |
$4,891 |
$4,891 |
5.8× |
| Myelogram Lumbar (72265) |
$3,324 |
$3,324 |
4.0× |
| Myelogram thoracic (72255) |
$3,306 |
$3,306 |
4.0× |
| Myelography 2 or more regions (72270) |
$5,754 |
$5,754 |
6.9× |
| Myocardial infarct spect (78469) |
$2,874 |
$2,874 |
5.0× |
| Myocardial Spect Multiple Studies (78452) |
$9,421 |
$9,421 |
6.8× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$7,413 |
$7,413 |
3.2× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$7,413 |
$7,413 |
4.6× |
| Neck soft tissue (70360) |
$408 |
$408 |
4.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,072 |
$1,072 |
2.5× |
| Nm adrenal scan (78075) |
$3,117 |
$3,117 |
2.3× |
| Nm bone marrow multiple (78103) |
$3,035 |
$3,035 |
7.1× |
| Nm gastric emptying study (78264) |
$4,589 |
$4,589 |
10.8× |
| Nm gastroesophageal reflux study (78262) |
$3,515 |
$3,515 |
8.2× |
| Nm peritoneal-venous shunt patency (78291) |
$2,411 |
$2,411 |
5.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$7,277 |
$7,277 |
4.9× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$6,473 |
$6,473 |
4.2× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,411 |
$4,411 |
3.2× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,228 |
$4,228 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$3,010 |
$3,010 |
12.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,873 |
$1,873 |
16.8× |
| Osseous survey infant (77076) |
$2,654 |
$2,654 |
23.8× |
| Parathyrd planar w/wo subtrj (78071) |
$2,891 |
$2,891 |
6.8× |
| Parathyroid imaging (78070) |
$2,435 |
$2,435 |
5.7× |
| Pelvis 1 or 2 views (72170) |
$564.50 |
$564.50 |
5.1× |
| PET image w/CT, skull-thigh (78815) |
$6,326 |
$6,326 |
4.1× |
| PET imaging CT for attenuation limited area (78814) |
$6,075 |
$6,075 |
4.0× |
| PET imaging for CT attenuation whole body (78816) |
$6,638 |
$6,638 |
4.4× |
| Pr heart first pass single,planar (78481) |
$2,941 |
$2,941 |
5.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$6,343 |
$6,343 |
17.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$9,038 |
$9,038 |
2.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$5,269 |
$5,269 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,975 |
$2,975 |
7.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,188 |
$3,188 |
5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,389 |
$1,389 |
2.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,448 |
$1,448 |
15.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$914.90 |
$914.90 |
8.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$792.86 |
$792.86 |
7.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,827 |
$1,827 |
16.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,728 |
$16,728 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,040.50 |
$1,040.50 |
9.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$439.50 |
$439.50 |
4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$915 |
$915 |
8.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$479 |
$479 |
5.2× |
| Radiologic exam colon single contrast study (74270) |
$1,921 |
$1,921 |
10.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,559 |
$1,559 |
8.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,322 |
$1,322 |
7.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$563 |
$563 |
6.1× |
| Radiological examination surgical specimen (76098) |
$1,633 |
$1,633 |
2.8× |
| Radiopharm Dacryocystography (78660) |
$1,319 |
$1,319 |
3.1× |
| Review by radiologist of adrenal gland vein image (75840) |
$9,337 |
$9,337 |
2.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$10,876 |
$10,876 |
3.2× |
| Ribs bilateral 3 views (71110) |
$859 |
$859 |
7.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,538 |
$3,538 |
8.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,105 |
$4,105 |
7.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,256 |
$6,256 |
10.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,966 |
$3,966 |
2.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,966 |
$3,966 |
2.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,966 |
$3,966 |
2.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$3,868 |
$3,868 |
15.5× |
| Rp therapy intra-arterial particulate admn (79445) |
$2,534 |
$2,534 |
10.2× |
| Rp Therapy Intravenous Administration (79101) |
$2,440 |
$2,440 |
9.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,349 |
$1,349 |
5.3× |
| Scanogram (77073) |
$779 |
$779 |
7.0× |
| Scapula complete (73010) |
$460.50 |
$460.50 |
4.1× |
| Screening digital breast tomosynthesis (77063) |
$260 |
$260 |
11.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$891 |
$891 |
8.0× |
| Sialogram (70390) |
$2,064 |
$2,064 |
8.1× |
| Small bowel series (74250) |
$1,769 |
$1,769 |
9.5× |
| Spec medical radj physics consltj (77370) |
$779 |
$779 |
5.4× |
| Special dosimetry (77331) |
$607 |
$607 |
4.2× |
| Special treatment procedure (77470) |
$2,621 |
$2,621 |
4.4× |
| Spine thoracic 3 views (72072) |
$754.35 |
$754.35 |
6.8× |
| Spleen imaging only (78185) |
$2,155 |
$2,155 |
5.1× |
| Splenoportograpy rs&i (75810) |
$12,215 |
$12,215 |
3.6× |
| Stereotactic body radiation delivery (77373) |
$18,867 |
$18,867 |
9.9× |
| Superior sagittal sinus venogram (75870) |
$10,021 |
$10,021 |
3.0× |
| Testicular Imaging With Vascular Flow (78761) |
$1,413 |
$1,413 |
3.3× |
| Therapeutic Enema (74283) |
$2,759 |
$2,759 |
14.7× |
| Thoracolumbar 2 views (72080) |
$617.50 |
$617.50 |
6.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,096 |
$4,096 |
7.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$777 |
$777 |
1.8× |
| Thyroid uptake measurement (78012) |
$1,578 |
$1,578 |
3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,233 |
$1,233 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,341 |
$6,341 |
10.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,820 |
$1,820 |
4.3× |
| Ultrasound scan to determine eye length and lens power (76519) |
$724 |
$724 |
6.5× |
| Ultrasound, abdomen limited (76705) |
$1,848 |
$1,848 |
16.6× |
| Umbilical-artery Doppler (OB) (76820) |
$665 |
$665 |
6.0× |
| Unlisted fluoroscopic procedure (76496) |
$1,190 |
$1,190 |
12.8× |
| Unlisted magnetic resonance procedure (76498) |
$6,290 |
$6,290 |
67.7× |
| Upper Extremity Infant (73092) |
$608.50 |
$608.50 |
5.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,275 |
$1,275 |
3.0× |
| Urethrocystography retrograde rs&i (74450) |
$1,634 |
$1,634 |
6.4× |
| Urethrocystography voiding (74455) |
$1,714 |
$1,714 |
6.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,513 |
$1,513 |
8.1× |
| Us abdl aorta screen aaa (76706) |
$1,615 |
$1,615 |
14.5× |
| Us breast unilateral complete (76641) |
$1,340 |
$1,340 |
12.0× |
| Us breast unilateral limited (76642) |
$999 |
$999 |
10.8× |
| Us chest (76604) |
$1,343 |
$1,343 |
12.0× |
| Us compl joint r-t w/image documentation (76881) |
$945 |
$945 |
8.5× |
| Us infant hips dynamic (76885) |
$1,378 |
$1,378 |
14.8× |
| Us kidney transplant (76776) |
$1,121 |
$1,121 |
10.0× |
| Us ob detailed single fetus (76811) |
$1,003 |
$1,003 |
3.9× |
| Us ob transvaginal (76817) |
$1,463 |
$1,463 |
13.1× |
| Us pelvic non ob complete (76856) |
$1,639 |
$1,639 |
14.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$651 |
$651 |
5.8× |
| Us pregnancy ltd (76815) |
$1,515 |
$1,515 |
13.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,389 |
$2,389 |
21.4× |
| Us retroperitoneal complete (76770) |
$1,810 |
$1,810 |
16.2× |
| Us retroperitoneal limited (76775) |
$1,713 |
$1,713 |
15.4× |
| Us scrotum and contents (76870) |
$1,770 |
$1,770 |
15.9× |
| Us soft tissue head/neck (76536) |
$1,215 |
$1,215 |
10.9× |
| Us spinal canal and contents (76800) |
$1,583 |
$1,583 |
14.2× |
| Us transrectal (76872) |
$980 |
$980 |
8.8× |
| Us transrectal prostate volume (76873) |
$1,718 |
$1,718 |
15.4× |
| Us xtr non-vasc lmtd (76882) |
$651 |
$651 |
5.8× |
| Venogram extremity bilateral (75822) |
$5,530 |
$5,530 |
3.3× |
| Venography caval inferior serialography rs&i (75825) |
$8,515 |
$8,515 |
2.5× |
| Venography caval superior serialography rs&i (75827) |
$7,585 |
$7,585 |
4.5× |
| Venography extremity unilateral rs&i (75820) |
$4,690 |
$4,690 |
2.8× |
| Venography Renal Bilateral (75833) |
$15,893 |
$15,893 |
4.7× |
| Venography renal unilateral selective rs&i (75831) |
$9,155 |
$9,155 |
2.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$9,114 |
$9,114 |
2.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$12,320 |
$12,320 |
2.1× |
| Vertebral fracture assessment via dxa (77086) |
$451 |
$451 |
4.9× |
| Wrist 2 views (73100) |
$606.50 |
$606.50 |
6.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$608.50 |
$608.50 |
5.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$512.50 |
$512.50 |
5.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$703 |
$703 |
7.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,975 |
$1,975 |
10.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$527 |
$527 |
5.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$621 |
$621 |
6.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,720 |
$1,720 |
15.4× |
| X-ray exam hip uni 1 view (73501) |
$649 |
$649 |
7.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$704 |
$704 |
7.6× |
| X-ray exam hip uni 4/> views (73503) |
$1,722 |
$1,722 |
15.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$866 |
$866 |
7.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,970 |
$1,970 |
17.7× |
| X-ray exam of femur 1 (73551) |
$513 |
$513 |
5.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,253 |
$2,253 |
12.0× |
| X-ray eye for foreign body (70030) |
$527.50 |
$527.50 |
5.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,053 |
$1,053 |
9.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$785 |
$785 |
8.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$724.50 |
$724.50 |
7.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,476 |
$2,476 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$689.50 |
$689.50 |
7.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$690.50 |
$690.50 |
6.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$596 |
$596 |
6.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$964 |
$964 |
10.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$596 |
$596 |
5.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,112.50 |
$1,112.50 |
10.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$746 |
$746 |
8.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$470.50 |
$470.50 |
5.1× |
| X-ray of voice box or throat (70370) |
$1,479 |
$1,479 |
15.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,031 |
$1,031 |
9.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,442 |
$2,442 |
21.9× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,689 |
$2,689 |
4.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,465 |
$1,465 |
3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$568 |
$568 |
6.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$711 |
$711 |
6.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,152.76 |
$1,152.76 |
10.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$596.78 |
$596.78 |
5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$625.55 |
$625.55 |
6.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$635 |
$635 |
6.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$907 |
$907 |
9.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$513 |
$513 |
5.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$942 |
$942 |
8.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$694 |
$694 |
6.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,073 |
$1,073 |
11.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,340 |
$1,340 |
14.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$626.50 |
$626.50 |
6.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$700.33 |
$700.33 |
6.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,414 |
$1,414 |
12.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$425 |
$425 |
4.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$642.50 |
$642.50 |
6.9× |
| Xr arthrogram ankle (73615) |
$3,589 |
$3,589 |
9.6× |
| Xr c-spine 6 or more views (72052) |
$1,197 |
$1,197 |
10.7× |
| Xr chest 4+ views (71048) |
$1,074 |
$1,074 |
9.6× |
| Xr Cholecystography Oral Contrast (74290) |
$1,002 |
$1,002 |
5.4× |
| Xr finger(s) 2+ views (73140) |
$467.50 |
$467.50 |
5.0× |
| Xr shoulder 1 view (73020) |
$505 |
$505 |
5.4× |
| Xr spine cervical 4 or 5 views (72050) |
$932.42 |
$932.42 |
8.4× |
| Xr tibia/fibula 2 views (73590) |
$647 |
$647 |
7.0× |
| Xr tmj bilateral (70330) |
$3,395.12 |
$3,395.12 |
36.6× |
| Xray knee 1 or 2 views rt (73560) |
$572 |
$572 |
6.2× |