| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,280.60 |
$11,403 |
1.7× |
| Abdomen 2 views (74019) |
$164.20 |
$821 |
1.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$450 |
$2,250 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$1,259.60 |
$6,298 |
0.4× |
| Angiography extremity unilateral rs&i (75710) |
$1,059.40 |
$5,297 |
0.3× |
| Angiography internal mammary rs&i (75756) |
$1,019.20 |
$5,096 |
0.3× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,881.80 |
$9,409 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,274.20 |
$6,371 |
0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,019.20 |
$5,096 |
0.3× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$1,881.80 |
$9,409 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,987.80 |
$9,939 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$407.60 |
$2,038 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,128.80 |
$5,644 |
0.4× |
| Ankle 2 views (73600) |
$217.30 |
$1,086.50 |
2.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$257.20 |
$1,286 |
0.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,881.80 |
$9,409 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,150.40 |
$5,752 |
0.4× |
| Aortography abdominal serialography rs&i (75625) |
$1,150.40 |
$5,752 |
0.4× |
| Arthrogram elbow (73085) |
$235.80 |
$1,179 |
0.7× |
| Arthrogram hip (73525) |
$353.60 |
$1,768 |
1.1× |
| Arthrogram shoulder (73040) |
$235.80 |
$1,179 |
0.7× |
| Arthrogram wrist (73115) |
$193.20 |
$966 |
0.6× |
| Arthrography knee lt (73580) |
$237.80 |
$1,189 |
0.7× |
| Basic radiation dosimetry calculation (77300) |
$260.40 |
$1,302 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$114 |
$570 |
0.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$437.40 |
$2,187 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$745.20 |
$3,726 |
1.9× |
| Bone age studies (77072) |
$106.20 |
$531 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$745.20 |
$3,726 |
1.9× |
| Bone survey complete (77075) |
$403.40 |
$2,017 |
4.0× |
| Brachytx isodose complex (77318) |
$1,546.20 |
$7,731 |
4.3× |
| Brachytx isodose intermed (77317) |
$829 |
$4,145 |
2.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$679.20 |
$3,396 |
1.9× |
| Brain image w/flow 4 + views (78606) |
$488.60 |
$2,443 |
0.9× |
| Brain imaging < 4 static views w vascular flow (78601) |
$310.60 |
$1,553 |
0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$741.80 |
$3,709 |
0.5× |
| Brain Imaging Vascular Flow Only (78610) |
$246.80 |
$1,234 |
0.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$656.40 |
$3,282 |
2.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$315.40 |
$1,577 |
0.6× |
| Cervical spine 2 or 3 views (72040) |
$93.40 |
$467 |
1.1× |
| Chest 1 view (71045) |
$95.80 |
$479 |
1.1× |
| Chest 3 views (71047) |
$270.80 |
$1,354 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$396 |
$1,980 |
2.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$391.80 |
$1,959 |
0.5× |
| Clavicle complete (73000) |
$260.40 |
$1,302 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$70.20 |
$351 |
0.7× |
| Continuing medical physics consltj pr wk (77336) |
$273.60 |
$1,368 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,628.80 |
$8,144 |
4.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,056.60 |
$5,283 |
4.6× |
| CT abdomen w contrast (74160) |
$797.20 |
$3,986 |
4.7× |
| CT abdomen w wo contrast (74170) |
$996.40 |
$4,982 |
5.9× |
| CT abdomen w/o contrast (74150) |
$637.60 |
$3,188 |
6.3× |
| CT angio hrt w/3d image (75574) |
$757.80 |
$3,789 |
2.3× |
| CT angiography upper extremity lt (73206) |
$417.80 |
$2,089 |
2.5× |
| CT c-spine w/o contrast (72125) |
$755.40 |
$3,777 |
7.5× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$698.80 |
$3,494 |
4.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,180.20 |
$5,901 |
7.0× |
| CT cervical spine with contrast (72126) |
$944 |
$4,720 |
2.8× |
| CT chest w/wo contrast (71270) |
$796.80 |
$3,984 |
4.7× |
| CT chest with contrast (71260) |
$637.20 |
$3,186 |
3.8× |
| CT head/brain with contrast (70460) |
$576.80 |
$2,884 |
3.4× |
| CT head/brain without and with contrast (70470) |
$694.60 |
$3,473 |
4.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$510.40 |
$2,552 |
1.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$33.60 |
$168 |
0.4× |
| CT hrt w/3d image congen (75573) |
$424 |
$2,120 |
1.3× |
| CT iac w contrast (70481) |
$281 |
$1,405 |
1.7× |
| CT limited/localized follow up study (76380) |
$170.60 |
$853 |
2.0× |
| CT lower ext w/o (73700) |
$862.50 |
$4,312.50 |
8.6× |
| CT lower extremity w wo contrast (73702) |
$915.40 |
$4,577 |
5.4× |
| CT lower extremity with contrast (73701) |
$976 |
$4,880 |
5.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,000.20 |
$5,001 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$640 |
$3,200 |
6.4× |
| CT lumbar spine with contrast (72132) |
$800 |
$4,000 |
2.4× |
| CT maxillofacial w contrast (70487) |
$677.80 |
$3,389 |
4.0× |
| CT maxillofacial w/o contrast (70486) |
$609.20 |
$3,046 |
6.1× |
| CT maxillofacial w/wo contrast (70488) |
$722 |
$3,610 |
4.3× |
| CT neck soft tissue w contrast (70491) |
$276.60 |
$1,383 |
1.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$310.40 |
$1,552 |
1.8× |
| CT orbits w/o contrast (70480) |
$230.20 |
$1,151 |
2.3× |
| CT pelvis w & w/o contrast (72194) |
$1,032.40 |
$5,162 |
6.1× |
| CT pelvis w/o contrast (72192) |
$660.60 |
$3,303 |
6.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$230.80 |
$1,154 |
2.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$338.20 |
$1,691 |
2.0× |
| CT soft tissue neck w/o contrast (70490) |
$214.20 |
$1,071 |
2.1× |
| CT thoracic spine w/contrast (72129) |
$395.80 |
$1,979 |
2.3× |
| CT thoracic spine w/o contrast (72128) |
$316.60 |
$1,583 |
3.1× |
| CT thoracic spine w/wo contrast (72130) |
$494.80 |
$2,474 |
2.9× |
| CT thorax w/o contrast (71250) |
$509.80 |
$2,549 |
5.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$832.20 |
$4,161 |
4.9× |
| CT upper extremity w/o contrast rt (73200) |
$532.80 |
$2,664 |
5.3× |
| CT upper extremity with contrast (73201) |
$666 |
$3,330 |
2.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$766.40 |
$3,832 |
4.5× |
| Cta Abdomen (74175) |
$638.20 |
$3,191 |
3.8× |
| CTA abdomen pelvis (74174) |
$831 |
$4,155 |
2.5× |
| CTA chest (71275) |
$822.40 |
$4,112 |
4.9× |
| Cta Head (70496) |
$424.40 |
$2,122 |
2.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$424.40 |
$2,122 |
1.3× |
| CTA lwr ext w&w/o contrast (73706) |
$640.60 |
$3,203 |
3.8× |
| Cta Neck (70498) |
$423 |
$2,115 |
2.5× |
| Cta Pelvis (72191) |
$255.20 |
$1,276 |
1.5× |
| Cystography minimum 3 views rs&i (74430) |
$496.60 |
$2,483 |
1.5× |
| Diskogram cervical (72285) |
$837.20 |
$4,186 |
0.4× |
| Diskography lumbar (72295) |
$890 |
$4,450 |
0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$92.80 |
$464 |
0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$92.80 |
$464 |
0.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$57 |
$285 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$152.20 |
$761 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$94 |
$470 |
1.1× |
| Echo exam of fetal heart (76825) |
$251 |
$1,255 |
0.5× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$251 |
$1,255 |
1.1× |
| Echoencephalography real time imaging (76506) |
$104.20 |
$521 |
1.0× |
| Esophageal motility (78258) |
$225 |
$1,125 |
0.6× |
| Esophagus (74220) |
$337.60 |
$1,688 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$276 |
$1,380 |
2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$218.80 |
$1,094 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$351 |
$1,755 |
1.5× |
| Foot 2 views (73620) |
$79.10 |
$395.50 |
0.9× |
| Forearm 2 views (73090) |
$216.70 |
$1,083.50 |
2.6× |
| Gated Heart Planar Single (78472) |
$696.60 |
$3,483 |
1.8× |
| Hand 2 views (73120) |
$247.40 |
$1,237 |
2.5× |
| Hand 3 views (73130) |
$287.20 |
$1,436 |
3.4× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$907.80 |
$4,539 |
1.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,078.60 |
$5,393 |
1.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,205.40 |
$6,027 |
1.8× |
| Heart Infarct Image (78466) |
$349.40 |
$1,747 |
0.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$1,019.20 |
$5,096 |
0.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$889.60 |
$4,448 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$738 |
$3,690 |
1.9× |
| Ht muscle image spect sing (78451) |
$794 |
$3,970 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$229.60 |
$1,148 |
2.7× |
| Hysterosalpingogram (74740) |
$461 |
$2,305 |
2.0× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$104 |
$520 |
1.0× |
| Kidney imaging morphology (78700) |
$315 |
$1,575 |
0.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$519 |
$2,595 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$477 |
$2,385 |
0.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$477 |
$2,385 |
0.9× |
| Knee 3 views (73562) |
$312.70 |
$1,563.50 |
3.7× |
| Liver & spleen imaging static only (78215) |
$247.40 |
$1,237 |
0.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$371 |
$1,855 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$857.60 |
$4,288 |
1.6× |
| Lung perfusion differential (78597) |
$649 |
$3,245 |
1.7× |
| Lung Ventilation Imaging (78579) |
$198.80 |
$994 |
0.5× |
| Lymphoscintigraphy (78195) |
$608.40 |
$3,042 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$220.20 |
$1,101 |
1.0× |
| Meckels Diverticulum (78290) |
$172.40 |
$862 |
0.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,117.40 |
$5,587 |
3.1× |
| Mr elastography (76391) |
$1,336.20 |
$6,681 |
5.8× |
| Mr safety determination physician/other qhp (76016) |
$74 |
$370 |
0.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$50 |
$250 |
0.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$20.60 |
$103 |
0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$77.20 |
$386 |
0.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$472.20 |
$2,361 |
2.1× |
| MRA head w & w/o contrast (70546) |
$441.60 |
$2,208 |
1.3× |
| MRA head w/o contrast (70544) |
$282.60 |
$1,413 |
1.2× |
| MRA head with contrast (70545) |
$353.20 |
$1,766 |
1.1× |
| MRA neck w contrast (70548) |
$327.40 |
$1,637 |
1.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$409 |
$2,045 |
1.2× |
| MRA neck w/o contrast (70547) |
$261.80 |
$1,309 |
1.1× |
| MRI abdomen w contrast (74182) |
$896.40 |
$4,482 |
2.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,120.60 |
$5,603 |
3.3× |
| MRI abdomen w/o contrast (74181) |
$717.20 |
$3,586 |
3.1× |
| MRI any jnt lwr ext with con lt (73722) |
$864 |
$4,320 |
1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$784 |
$3,920 |
1.0× |
| MRI breast w/o contrast bilateral (77047) |
$281.80 |
$1,409 |
1.2× |
| MRI breast w/o contrast unilat (77046) |
$207.60 |
$1,038 |
0.9× |
| MRI c-spine with contrast (72142) |
$784.80 |
$3,924 |
2.3× |
| MRI cardiac w/o contrast (75557) |
$457.80 |
$2,289 |
2.0× |
| MRI cervical spine w/o contrast (72141) |
$623.20 |
$3,116 |
2.7× |
| MRI chest w/o & w/contrast material (71552) |
$564.20 |
$2,821 |
1.7× |
| MRI chest w/o contrast (71550) |
$361.20 |
$1,806 |
1.6× |
| MRI chest with contrast (71551) |
$451.40 |
$2,257 |
0.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$829.40 |
$4,147 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$574.80 |
$2,874 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$460 |
$2,300 |
2.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$346.40 |
$1,732 |
1.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$541.20 |
$2,706 |
1.6× |
| MRI orbit/face/neck w/contrast (70542) |
$433 |
$2,165 |
1.3× |
| MRI pelvis w contrast (72196) |
$809 |
$4,045 |
2.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,011.40 |
$5,057 |
3.0× |
| MRI pelvis w/o contrast (72195) |
$647.20 |
$3,236 |
2.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,088.80 |
$5,444 |
3.2× |
| MRI scan of leg joint before and after contrast (73723) |
$1,080 |
$5,400 |
3.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$980.80 |
$4,904 |
2.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$839 |
$4,195 |
2.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,000.80 |
$5,004 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$342 |
$1,710 |
1.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$427.40 |
$2,137 |
1.3× |
| MRI thoracic spine w/o contrast (72146) |
$273.60 |
$1,368 |
1.2× |
| MRI tmj (70336) |
$282.60 |
$1,413 |
1.2× |
| MRI upper ext joint w/o contrast (73221) |
$627.20 |
$3,136 |
2.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,036.80 |
$5,184 |
3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$663.60 |
$3,318 |
2.9× |
| Myocardial infarct spect (78469) |
$611 |
$3,055 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,418.20 |
$7,091 |
1.1× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$952 |
$4,760 |
1.2× |
| Neck soft tissue (70360) |
$200.40 |
$1,002 |
2.4× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$457 |
$2,285 |
1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$128.80 |
$644 |
0.3× |
| Nm adrenal scan (78075) |
$680 |
$3,400 |
0.5× |
| Nm bone marrow wb (78104) |
$641.20 |
$3,206 |
1.7× |
| Nm cisternogram (78630) |
$298.20 |
$1,491 |
0.6× |
| Nm csf leak detection (78650) |
$715.60 |
$3,578 |
0.6× |
| Nm gastric emptying study (78264) |
$658.20 |
$3,291 |
1.7× |
| Nm gastroesophageal reflux study (78262) |
$579.80 |
$2,899 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,950.20 |
$14,751 |
2.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$388.20 |
$1,941 |
1.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$616.80 |
$3,084 |
1.6× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$533.60 |
$2,668 |
1.0× |
| Nuclear Rx Oral Admin (79005) |
$407.60 |
$2,038 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$307.20 |
$1,536 |
3.1× |
| Orthopantogram (70355) |
$98 |
$490 |
1.2× |
| Osseous survey infant (77076) |
$172.60 |
$863 |
1.7× |
| Osseous survey limited (77074) |
$135 |
$675 |
1.3× |
| Parathyrd planar w/wo subtrj (78071) |
$603 |
$3,015 |
1.6× |
| Parathyroid imaging (78070) |
$526.40 |
$2,632 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$173 |
$865 |
1.7× |
| Peritoneogram rs&i (74190) |
$279.60 |
$1,398 |
0.5× |
| PET image w/CT, skull-thigh (78815) |
$1,446.60 |
$7,233 |
1.1× |
| PET imaging CT for attenuation limited area (78814) |
$741.80 |
$3,709 |
0.5× |
| PET imaging for CT attenuation whole body (78816) |
$1,899.60 |
$9,498 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$719 |
$3,595 |
2.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,019.20 |
$5,096 |
0.3× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$901.40 |
$4,507 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$310 |
$1,550 |
0.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$218.40 |
$1,092 |
0.4× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$952 |
$4,760 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$327.60 |
$1,638 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$154.60 |
$773 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$182.80 |
$914 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$250.80 |
$1,254 |
2.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$149.80 |
$749 |
1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$313 |
$1,565 |
3.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$11,496.60 |
$57,483 |
1.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$338 |
$1,690 |
0.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$171.40 |
$857 |
1.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$227.20 |
$1,136 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$104 |
$520 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$135.40 |
$677 |
1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$265.40 |
$1,327 |
2.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$184 |
$920 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$463 |
$2,315 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$447.80 |
$2,239 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$434 |
$2,170 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$319 |
$1,595 |
3.8× |
| Radiological examination surgical specimen (76098) |
$347.80 |
$1,739 |
0.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,019.20 |
$5,096 |
0.3× |
| Ribs bilateral 3 views (71110) |
$313 |
$1,565 |
3.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$969.40 |
$4,847 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$969.40 |
$4,847 |
1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$969.40 |
$4,847 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$969.40 |
$4,847 |
0.7× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$969.40 |
$4,847 |
0.8× |
| Rp therapy intra-arterial particulate admn (79445) |
$281.80 |
$1,409 |
1.3× |
| Rp Therapy Intravenous Administration (79101) |
$211.20 |
$1,056 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$88.80 |
$444 |
0.9× |
| Salivary gland imaging (78230) |
$660.60 |
$3,303 |
1.7× |
| Salivary gland imaging serial images (78231) |
$660.60 |
$3,303 |
1.7× |
| Scanogram (77073) |
$83.60 |
$418 |
0.8× |
| Scapula complete (73010) |
$151.20 |
$756 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$34.40 |
$172 |
1.5× |
| Simulation intermediate (77285) |
$474.80 |
$2,374 |
1.3× |
| Small bowel series (74250) |
$426 |
$2,130 |
2.5× |
| Spec medical radj physics consltj (77370) |
$245 |
$1,225 |
1.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$274.80 |
$1,374 |
0.8× |
| Special dosimetry (77331) |
$186.40 |
$932 |
1.4× |
| Special treatment procedure (77470) |
$844.60 |
$4,223 |
1.6× |
| Spine thoracic 3 views (72072) |
$247 |
$1,235 |
2.5× |
| Stereotactic body radiation delivery (77373) |
$6,280 |
$31,400 |
3.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$186.80 |
$934 |
1.9× |
| Tbs Technical Calculation Only (77091) |
$134.40 |
$672 |
1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,091.60 |
$5,458 |
3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$598.80 |
$2,994 |
1.7× |
| Testicular Imaging With Vascular Flow (78761) |
$268.40 |
$1,342 |
0.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$910.10 |
$4,550.50 |
2.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$369.40 |
$1,847 |
2.9× |
| Therapeutic Enema (74283) |
$131.20 |
$656 |
0.8× |
| Thoracolumbar 2 views (72080) |
$165.60 |
$828 |
2.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$789.80 |
$3,949 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$505.80 |
$2,529 |
1.3× |
| Tmj unilateral (70328) |
$46.60 |
$233 |
0.6× |
| Treatment device intermediate (77333) |
$352.80 |
$1,764 |
2.7× |
| Treatment devices simple (77332) |
$351.80 |
$1,759 |
2.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,275.80 |
$6,379 |
2.4× |
| Tx devices design & construction complex (77334) |
$679 |
$3,395 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$361.20 |
$1,806 |
3.6× |
| Umbilical-artery Doppler (OB) (76820) |
$155 |
$775 |
1.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$56.20 |
$281 |
0.7× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$362 |
$1,810 |
0.9× |
| Unlisted Ultrasound Procedure (76999) |
$81.60 |
$408 |
1.0× |
| Upper Extremity Infant (73092) |
$174.20 |
$871 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$236.40 |
$1,182 |
1.0× |
| Urethrocystography voiding (74455) |
$490 |
$2,450 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$344.40 |
$1,722 |
2.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$343 |
$1,715 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$239.80 |
$1,199 |
2.4× |
| Us breast unilateral complete (76641) |
$307.10 |
$1,535.50 |
3.1× |
| Us breast unilateral limited (76642) |
$226.70 |
$1,133.50 |
2.7× |
| Us chest (76604) |
$198.20 |
$991 |
2.0× |
| Us compl joint r-t w/image documentation (76881) |
$286 |
$1,430 |
2.8× |
| Us elastography parenchyma (76981) |
$122.40 |
$612 |
1.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$91.40 |
$457 |
0.9× |
| Us guided compression repair (76936) |
$142.20 |
$711 |
0.7× |
| Us infant hips dynamic (76885) |
$226.20 |
$1,131 |
2.7× |
| Us infant hips limited static (76886) |
$61.80 |
$309 |
0.7× |
| Us kidney transplant (76776) |
$211.80 |
$1,059 |
2.1× |
| Us ob detailed single fetus (76811) |
$343.40 |
$1,717 |
1.5× |
| Us ob transvaginal (76817) |
$377.40 |
$1,887 |
3.8× |
| Us pelvic non ob complete (76856) |
$433.40 |
$2,167 |
4.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$234.80 |
$1,174 |
2.3× |
| Us pregnancy ltd (76815) |
$275.40 |
$1,377 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$304.80 |
$1,524 |
3.0× |
| Us retroperitoneal complete (76770) |
$415.80 |
$2,079 |
4.1× |
| Us retroperitoneal limited (76775) |
$213.80 |
$1,069 |
2.1× |
| Us scrotum and contents (76870) |
$435 |
$2,175 |
4.3× |
| Us soft tissue head/neck (76536) |
$330.20 |
$1,651 |
3.3× |
| Us spinal canal and contents (76800) |
$250.80 |
$1,254 |
2.5× |
| Us transrectal (76872) |
$252.80 |
$1,264 |
2.5× |
| Us xtr non-vasc lmtd (76882) |
$274.20 |
$1,371 |
2.7× |
| Venogram extremity bilateral (75822) |
$525.40 |
$2,627 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$1,016.20 |
$5,081 |
0.3× |
| Venography caval superior serialography rs&i (75827) |
$953.20 |
$4,766 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$398 |
$1,990 |
0.3× |
| Venography Renal Bilateral (75833) |
$735.20 |
$3,676 |
0.2× |
| Venography renal unilateral selective rs&i (75831) |
$607 |
$3,035 |
0.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,019.20 |
$5,096 |
0.3× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$1,881.80 |
$9,409 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$142.60 |
$713 |
1.7× |
| Wrist 2 views (73100) |
$221.70 |
$1,108.50 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$298.40 |
$1,492 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$161.40 |
$807 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$273.60 |
$1,368 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$630 |
$3,150 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$231.20 |
$1,156 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$251.20 |
$1,256 |
3.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$269.20 |
$1,346 |
2.7× |
| X-ray exam hip uni 1 view (73501) |
$139.80 |
$699 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$185.60 |
$928 |
2.2× |
| X-ray exam hip uni 4/> views (73503) |
$247 |
$1,235 |
2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$258.20 |
$1,291 |
2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$437.80 |
$2,189 |
4.4× |
| X-ray eye for foreign body (70030) |
$41.60 |
$208 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$241.80 |
$1,209 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$52 |
$260 |
0.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$300.20 |
$1,501 |
3.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$909.20 |
$4,546 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$261.10 |
$1,305.50 |
3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$63.80 |
$319 |
0.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$361.30 |
$1,806.50 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$43.20 |
$216 |
0.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$111.80 |
$559 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$168 |
$840 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$292.40 |
$1,462 |
2.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$149.80 |
$749 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$200 |
$1,000 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$125 |
$625 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$253.80 |
$1,269 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$251.60 |
$1,258 |
2.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$846.20 |
$4,231 |
1.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$498.40 |
$2,492 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$226 |
$1,130 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$249.20 |
$1,246 |
2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$353.80 |
$1,769 |
3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$159.40 |
$797 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$181.60 |
$908 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$346.60 |
$1,733 |
4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$245 |
$1,225 |
2.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$39.20 |
$196 |
0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$158.60 |
$793 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$76.60 |
$383 |
0.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$61.80 |
$309 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$99 |
$495 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$77.80 |
$389 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$202.60 |
$1,013 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$202.60 |
$1,013 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$176.80 |
$884 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$241.30 |
$1,206.50 |
2.9× |
| Xr arthrogram ankle (73615) |
$248.80 |
$1,244 |
0.7× |
| Xr c-spine 6 or more views (72052) |
$159.20 |
$796 |
1.6× |
| Xr chest 4+ views (71048) |
$297.60 |
$1,488 |
3.0× |
| Xr Cholecystography Oral Contrast (74290) |
$145.40 |
$727 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$201.30 |
$1,006.50 |
2.4× |
| Xr shoulder 1 view (73020) |
$175.70 |
$878.50 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$124.80 |
$624 |
1.2× |
| Xr tibia/fibula 2 views (73590) |
$271.60 |
$1,358 |
3.2× |
| Xr tmj bilateral (70330) |
$224.20 |
$1,121 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$248.70 |
$1,243.50 |
3.0× |