| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,573.20 |
$12,866 |
1.9× |
| Abdomen 2 views (74019) |
$183.20 |
$916 |
1.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$247.60 |
$1,238 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,551.80 |
$7,759 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,696.70 |
$8,483.50 |
0.6× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,484.20 |
$12,421 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$1,362.20 |
$6,811 |
0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,345.80 |
$6,729 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,484.20 |
$12,421 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,490 |
$7,450 |
0.5× |
| Ankle 2 views (73600) |
$227.90 |
$1,139.50 |
2.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$278 |
$1,390 |
0.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,484.20 |
$12,421 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$1,467.80 |
$7,339 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$1,345.80 |
$6,729 |
0.4× |
| Arthrogram elbow (73085) |
$511.40 |
$2,557 |
1.5× |
| Arthrogram hip (73525) |
$319.20 |
$1,596 |
1.0× |
| Arthrogram shoulder (73040) |
$310.80 |
$1,554 |
0.9× |
| Arthrogram wrist (73115) |
$163.80 |
$819 |
0.5× |
| Arthrography knee lt (73580) |
$264.20 |
$1,321 |
0.8× |
| Basic radiation dosimetry calculation (77300) |
$287 |
$1,435 |
2.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$157 |
$785 |
0.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$303.20 |
$1,516 |
0.8× |
| Bone &/joint imaging whole body (78306) |
$404.60 |
$2,023 |
1.1× |
| Bone age studies (77072) |
$86.40 |
$432 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$750.40 |
$3,752 |
2.0× |
| Bone survey complete (77075) |
$243.40 |
$1,217 |
2.4× |
| Brachytx isodose complex (77318) |
$1,717.80 |
$8,589 |
4.8× |
| Brachytx isodose intermed (77317) |
$921.20 |
$4,606 |
2.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$754.60 |
$3,773 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$568.40 |
$2,842 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,081 |
$5,405 |
0.8× |
| Brain Imaging Vascular Flow Only (78610) |
$249.80 |
$1,249 |
0.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$203.60 |
$1,018 |
0.4× |
| Cervical spine 2 or 3 views (72040) |
$205 |
$1,025 |
2.4× |
| Chest 1 view (71045) |
$129.60 |
$648 |
1.5× |
| Chest 3 views (71047) |
$169.20 |
$846 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$286.20 |
$1,431 |
1.7× |
| Clavicle complete (73000) |
$265.20 |
$1,326 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$106 |
$530 |
1.1× |
| Continuing medical physics consltj pr wk (77336) |
$276.40 |
$1,382 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,272 |
$11,360 |
6.8× |
| CT abdomen and pelvis without contrast (74176) |
$1,018.20 |
$5,091 |
4.4× |
| CT abdomen w contrast (74160) |
$705.20 |
$3,526 |
4.2× |
| CT abdomen w wo contrast (74170) |
$881.60 |
$4,408 |
5.2× |
| CT abdomen w/o contrast (74150) |
$564.20 |
$2,821 |
5.6× |
| CT angio hrt w/3d image (75574) |
$568.40 |
$2,842 |
1.7× |
| CT angiography upper extremity lt (73206) |
$633.20 |
$3,166 |
3.8× |
| CT c-spine w/o contrast (72125) |
$549.20 |
$2,746 |
5.5× |
| CT cervical spine w&w/o contrast (72127) |
$858.40 |
$4,292 |
5.1× |
| CT cervical spine with contrast (72126) |
$686.60 |
$3,433 |
2.0× |
| CT chest w/wo contrast (71270) |
$788.20 |
$3,941 |
4.7× |
| CT chest with contrast (71260) |
$630.40 |
$3,152 |
3.7× |
| CT head/brain with contrast (70460) |
$823.40 |
$4,117 |
4.9× |
| CT head/brain without and with contrast (70470) |
$990.60 |
$4,953 |
5.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$455.80 |
$2,279 |
1.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$33.60 |
$168 |
0.4× |
| CT hrt w/3d image congen (75573) |
$640.60 |
$3,203 |
1.9× |
| CT iac w contrast (70481) |
$547 |
$2,735 |
3.2× |
| CT limited/localized follow up study (76380) |
$134.40 |
$672 |
1.6× |
| CT lower ext w/o (73700) |
$1,298.20 |
$6,491 |
12.9× |
| CT lower extremity w wo contrast (73702) |
$1,387.20 |
$6,936 |
8.2× |
| CT lower extremity with contrast (73701) |
$976 |
$4,880 |
5.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,032.40 |
$5,162 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$660.60 |
$3,303 |
6.6× |
| CT lumbar spine with contrast (72132) |
$825.80 |
$4,129 |
2.5× |
| CT maxillofacial w contrast (70487) |
$1,145.80 |
$5,729 |
6.8× |
| CT maxillofacial w/o contrast (70486) |
$931.40 |
$4,657 |
9.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,262.80 |
$6,314 |
7.5× |
| CT neck soft tissue w contrast (70491) |
$1,070.80 |
$5,354 |
6.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$630.60 |
$3,153 |
3.7× |
| CT orbits w/o contrast (70480) |
$522 |
$2,610 |
5.2× |
| CT pelvis w & w/o contrast (72194) |
$798.40 |
$3,992 |
4.7× |
| CT pelvis w/o contrast (72192) |
$511 |
$2,555 |
5.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,208.40 |
$6,042 |
7.2× |
| CT soft tissue neck w/o contrast (70490) |
$871.40 |
$4,357 |
8.7× |
| CT thoracic spine w/contrast (72129) |
$690.60 |
$3,453 |
4.1× |
| CT thoracic spine w/o contrast (72128) |
$552.40 |
$2,762 |
5.5× |
| CT thoracic spine w/wo contrast (72130) |
$863.20 |
$4,316 |
5.1× |
| CT thorax w/o contrast (71250) |
$504.20 |
$2,521 |
5.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,154 |
$5,770 |
6.8× |
| CT upper extremity w/o contrast rt (73200) |
$738.60 |
$3,693 |
7.3× |
| CT upper extremity with contrast (73201) |
$923 |
$4,615 |
2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,161 |
$5,805 |
6.9× |
| Cta Abdomen (74175) |
$1,020.20 |
$5,101 |
6.0× |
| CTA abdomen pelvis (74174) |
$1,181.40 |
$5,907 |
3.5× |
| CTA chest (71275) |
$1,024.20 |
$5,121 |
6.1× |
| Cta Head (70496) |
$567.60 |
$2,838 |
3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$424.40 |
$2,122 |
1.3× |
| CTA lwr ext w&w/o contrast (73706) |
$935 |
$4,675 |
5.5× |
| Cta Neck (70498) |
$514 |
$2,570 |
3.0× |
| Cta Pelvis (72191) |
$402.20 |
$2,011 |
2.4× |
| Cystography minimum 3 views rs&i (74430) |
$245.60 |
$1,228 |
0.7× |
| Diskography lumbar (72295) |
$852.80 |
$4,264 |
0.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$154.80 |
$774 |
1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$80.40 |
$402 |
1.0× |
| Echoencephalography real time imaging (76506) |
$100.80 |
$504 |
1.0× |
| Esophageal motility (78258) |
$258 |
$1,290 |
0.7× |
| Esophagus (74220) |
$376.20 |
$1,881 |
2.2× |
| Fetal biophysical profile non-stress testing (76818) |
$318.40 |
$1,592 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$253.40 |
$1,267 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$170.40 |
$852 |
0.7× |
| Foot 2 views (73620) |
$262.90 |
$1,314.50 |
3.1× |
| Forearm 2 views (73090) |
$214.30 |
$1,071.50 |
2.6× |
| Gated Heart Planar Single (78472) |
$891.60 |
$4,458 |
2.3× |
| Hand 2 views (73120) |
$227.50 |
$1,137.50 |
2.3× |
| Hand 3 views (73130) |
$243.20 |
$1,216 |
2.9× |
| Heart Infarct Image (78466) |
$353.60 |
$1,768 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,021 |
$5,105 |
2.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$421 |
$2,105 |
1.1× |
| Ht muscle image spect sing (78451) |
$748 |
$3,740 |
0.6× |
| Humerus Min 2 Views Left (73060) |
$148.60 |
$743 |
1.8× |
| Hysterosalpingogram (74740) |
$500 |
$2,500 |
2.2× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,413.20 |
$7,066 |
2.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$105.80 |
$529 |
1.1× |
| Kidney imaging morphology (78700) |
$415.40 |
$2,077 |
1.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$519 |
$2,595 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$846.20 |
$4,231 |
1.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$846.20 |
$4,231 |
1.6× |
| Knee 3 views (73562) |
$318.40 |
$1,592 |
3.8× |
| Liver & spleen imaging static only (78215) |
$276 |
$1,380 |
0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$375.40 |
$1,877 |
1.0× |
| Liver imaging static only (78201) |
$540 |
$2,700 |
1.0× |
| Lung perf&ventilat diferentl (78598) |
$439.40 |
$2,197 |
0.8× |
| Lung perfusion differential (78597) |
$309.80 |
$1,549 |
0.8× |
| Lung Ventilation Imaging (78579) |
$367.60 |
$1,838 |
1.0× |
| Lymphoscintigraphy (78195) |
$668.80 |
$3,344 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$193.80 |
$969 |
0.8× |
| Meckels Diverticulum (78290) |
$265 |
$1,325 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$615.20 |
$3,076 |
1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$20.60 |
$103 |
0.7× |
| MRA head w & w/o contrast (70546) |
$900.60 |
$4,503 |
2.7× |
| MRA head w/o contrast (70544) |
$576.40 |
$2,882 |
2.5× |
| MRA head with contrast (70545) |
$720.60 |
$3,603 |
2.1× |
| MRA neck w contrast (70548) |
$447 |
$2,235 |
1.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$558.80 |
$2,794 |
1.7× |
| MRA neck w/o contrast (70547) |
$357.60 |
$1,788 |
1.6× |
| MRI abdomen w contrast (74182) |
$566.60 |
$2,833 |
1.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$708.40 |
$3,542 |
2.1× |
| MRI abdomen w/o contrast (74181) |
$453.20 |
$2,266 |
2.0× |
| MRI any jnt lwr ext with con lt (73722) |
$557.20 |
$2,786 |
0.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$552.60 |
$2,763 |
0.7× |
| MRI breast w/o contrast bilateral (77047) |
$313 |
$1,565 |
1.4× |
| MRI breast w/o contrast unilat (77046) |
$230.60 |
$1,153 |
1.0× |
| MRI c-spine with contrast (72142) |
$629.60 |
$3,148 |
1.9× |
| MRI cervical spine w/o contrast (72141) |
$503.60 |
$2,518 |
2.2× |
| MRI chest w/o & w/contrast material (71552) |
$712.60 |
$3,563 |
2.1× |
| MRI chest w/o contrast (71550) |
$456 |
$2,280 |
2.0× |
| MRI chest with contrast (71551) |
$570 |
$2,850 |
0.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$587 |
$2,935 |
1.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$576 |
$2,880 |
1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$460.80 |
$2,304 |
2.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$439 |
$2,195 |
1.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$685.80 |
$3,429 |
2.0× |
| MRI orbit/face/neck w/contrast (70542) |
$548.80 |
$2,744 |
1.6× |
| MRI pelvis w contrast (72196) |
$624.80 |
$3,124 |
1.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$781 |
$3,905 |
2.3× |
| MRI pelvis w/o contrast (72195) |
$499.80 |
$2,499 |
2.2× |
| MRI scan of arm joint before and after contrast (73223) |
$690.60 |
$3,453 |
2.1× |
| MRI scan of leg joint before and after contrast (73723) |
$696.40 |
$3,482 |
2.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$787 |
$3,935 |
2.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$640.20 |
$3,201 |
1.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$793 |
$3,965 |
2.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$617.60 |
$3,088 |
1.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$772 |
$3,860 |
2.3× |
| MRI thoracic spine w/o contrast (72146) |
$494.20 |
$2,471 |
2.2× |
| MRI tmj (70336) |
$391.40 |
$1,957 |
1.7× |
| MRI upper ext joint w/o contrast (73221) |
$442 |
$2,210 |
1.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$733.80 |
$3,669 |
2.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$469.60 |
$2,348 |
2.0× |
| Myocardial infarct spect (78469) |
$617.60 |
$3,088 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$1,836.60 |
$9,183 |
1.5× |
| Neck soft tissue (70360) |
$236.80 |
$1,184 |
2.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$145.60 |
$728 |
0.4× |
| Nm bone marrow wb (78104) |
$746 |
$3,730 |
1.9× |
| Nm cisternogram (78630) |
$279.80 |
$1,399 |
0.5× |
| Nm gastric emptying study (78264) |
$359.60 |
$1,798 |
0.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,587 |
$7,935 |
1.2× |
| Nuclear Rx Oral Admin (79005) |
$378.20 |
$1,891 |
1.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$308.20 |
$1,541 |
3.1× |
| Osseous survey infant (77076) |
$175.80 |
$879 |
1.7× |
| Osseous survey limited (77074) |
$139 |
$695 |
1.4× |
| Parathyrd planar w/wo subtrj (78071) |
$610.20 |
$3,051 |
1.6× |
| Parathyroid imaging (78070) |
$593.60 |
$2,968 |
1.5× |
| Pelvis 1 or 2 views (72170) |
$107 |
$535 |
1.1× |
| Peritoneogram rs&i (74190) |
$596 |
$2,980 |
1.1× |
| PET image w/CT, skull-thigh (78815) |
$2,138.40 |
$10,692 |
1.6× |
| PET imaging CT for attenuation limited area (78814) |
$892.40 |
$4,462 |
0.6× |
| PET imaging for CT attenuation whole body (78816) |
$2,284.60 |
$11,423 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$720 |
$3,600 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$336.60 |
$1,683 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$374 |
$1,870 |
0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$199.20 |
$996 |
0.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$157.60 |
$788 |
1.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$186 |
$930 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$234 |
$1,170 |
2.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$152.40 |
$762 |
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) |
$12,776.20 |
$63,881 |
1.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$299.20 |
$1,496 |
0.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$190.60 |
$953 |
1.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$251.80 |
$1,259 |
0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$218 |
$1,090 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$151.20 |
$756 |
1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$296.60 |
$1,483 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$161.40 |
$807 |
1.9× |
| Radiologic exam colon single contrast study (74270) |
$517.20 |
$2,586 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$482.60 |
$2,413 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$485.20 |
$2,426 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$323.50 |
$1,617.50 |
3.9× |
| Radiological examination surgical specimen (76098) |
$305.20 |
$1,526 |
0.6× |
| Ribs bilateral 3 views (71110) |
$162.40 |
$812 |
1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$375.40 |
$1,877 |
1.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$757.40 |
$3,787 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$880.20 |
$4,401 |
1.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,275.80 |
$6,379 |
1.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$829.40 |
$4,147 |
0.7× |
| Sacroiliac Joints < 3 Views (72200) |
$117 |
$585 |
1.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$156.60 |
$783 |
0.7× |
| Scanogram (77073) |
$61.60 |
$308 |
0.6× |
| Scapula complete (73010) |
$210.80 |
$1,054 |
2.1× |
| Screening digital breast tomosynthesis (77063) |
$23 |
$115 |
1.0× |
| Simulation intermediate (77285) |
$527.80 |
$2,639 |
1.5× |
| Small bowel series (74250) |
$458.40 |
$2,292 |
2.7× |
| Spec medical radj physics consltj (77370) |
$480.80 |
$2,404 |
3.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$562.20 |
$2,811 |
1.6× |
| Special dosimetry (77331) |
$394.20 |
$1,971 |
3.0× |
| Special treatment procedure (77470) |
$1,160.80 |
$5,804 |
2.2× |
| Spine thoracic 3 views (72072) |
$112.20 |
$561 |
1.1× |
| Stereotactic body radiation delivery (77373) |
$6,978.80 |
$34,894 |
4.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$207.60 |
$1,038 |
2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$760.40 |
$3,802 |
2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$665 |
$3,325 |
1.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,011.30 |
$5,056.50 |
2.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$410.40 |
$2,052 |
3.2× |
| Thoracolumbar 2 views (72080) |
$105.60 |
$528 |
1.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$324.20 |
$1,621 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$676 |
$3,380 |
1.8× |
| Tmj unilateral (70328) |
$47.20 |
$236 |
0.6× |
| Treatment device intermediate (77333) |
$404.20 |
$2,021 |
3.1× |
| Treatment devices simple (77332) |
$353 |
$1,765 |
2.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,275.80 |
$6,379 |
2.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$267 |
$1,335 |
0.7× |
| Tx devices design & construction complex (77334) |
$754.60 |
$3,773 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$389.80 |
$1,949 |
3.9× |
| Umbilical-artery Doppler (OB) (76820) |
$352.40 |
$1,762 |
3.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$195.80 |
$979 |
2.3× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$365.80 |
$1,829 |
1.0× |
| Unlisted Ultrasound Procedure (76999) |
$94.20 |
$471 |
1.1× |
| Upper Extremity Infant (73092) |
$172 |
$860 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$264.40 |
$1,322 |
1.2× |
| Urethrocystography voiding (74455) |
$218.40 |
$1,092 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$373 |
$1,865 |
2.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$383.20 |
$1,916 |
2.3× |
| Us abdl aorta screen aaa (76706) |
$277.20 |
$1,386 |
2.8× |
| Us breast unilateral complete (76641) |
$625.90 |
$3,129.50 |
6.2× |
| Us breast unilateral limited (76642) |
$457.30 |
$2,286.50 |
5.5× |
| Us chest (76604) |
$130 |
$650 |
1.3× |
| Us compl joint r-t w/image documentation (76881) |
$233.20 |
$1,166 |
2.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$105 |
$525 |
1.0× |
| Us guided compression repair (76936) |
$308.40 |
$1,542 |
1.5× |
| Us infant hips dynamic (76885) |
$87.40 |
$437 |
1.0× |
| Us kidney transplant (76776) |
$255.40 |
$1,277 |
2.5× |
| Us ob detailed single fetus (76811) |
$396.40 |
$1,982 |
1.7× |
| Us ob transvaginal (76817) |
$334.80 |
$1,674 |
3.3× |
| Us pelvic non ob complete (76856) |
$415.80 |
$2,079 |
4.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$318 |
$1,590 |
3.2× |
| Us pregnancy ltd (76815) |
$307.60 |
$1,538 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$352.20 |
$1,761 |
3.5× |
| Us retroperitoneal complete (76770) |
$409.60 |
$2,048 |
4.1× |
| Us retroperitoneal limited (76775) |
$155.60 |
$778 |
1.5× |
| Us scrotum and contents (76870) |
$377.60 |
$1,888 |
3.8× |
| Us soft tissue head/neck (76536) |
$364.20 |
$1,821 |
3.6× |
| Us spinal canal and contents (76800) |
$296.40 |
$1,482 |
2.9× |
| Us transrectal (76872) |
$284.40 |
$1,422 |
2.8× |
| Us xtr non-vasc lmtd (76882) |
$151.40 |
$757 |
1.5× |
| Venogram extremity bilateral (75822) |
$739.80 |
$3,699 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,345.80 |
$6,729 |
0.4× |
| Venography caval superior serialography rs&i (75827) |
$820 |
$4,100 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$597.20 |
$2,986 |
0.4× |
| Venography Renal Bilateral (75833) |
$1,345.80 |
$6,729 |
0.4× |
| Venography renal unilateral selective rs&i (75831) |
$1,228.20 |
$6,141 |
0.4× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,345.80 |
$6,729 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,484.20 |
$12,421 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$188.20 |
$941 |
2.2× |
| Wrist 2 views (73100) |
$131.80 |
$659 |
1.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$296.60 |
$1,483 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$246.60 |
$1,233 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$259.80 |
$1,299 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$614.20 |
$3,071 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$225.80 |
$1,129 |
2.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$262.90 |
$1,314.50 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$77.60 |
$388 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$198.60 |
$993 |
2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$237.40 |
$1,187 |
2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$332.20 |
$1,661 |
3.3× |
| X-ray eye for foreign body (70030) |
$40.20 |
$201 |
0.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$245.60 |
$1,228 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$95 |
$475 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$305.80 |
$1,529 |
3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$265.70 |
$1,328.50 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$181.40 |
$907 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$344.30 |
$1,721.50 |
3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$88.20 |
$441 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$113 |
$565 |
1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$219.20 |
$1,096 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$389.40 |
$1,947 |
3.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$254.60 |
$1,273 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$189.40 |
$947 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$92.60 |
$463 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$106 |
$530 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$289 |
$1,445 |
2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$292.40 |
$1,462 |
0.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$215.60 |
$1,078 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$233.20 |
$1,166 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$177.40 |
$887 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$140 |
$700 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$161.20 |
$806 |
1.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$342.30 |
$1,711.50 |
4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$249.40 |
$1,247 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$68.60 |
$343 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$225.40 |
$1,127 |
2.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$161.40 |
$807 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$174.80 |
$874 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$167.40 |
$837 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$88.20 |
$441 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$106.80 |
$534 |
1.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$132.40 |
$662 |
1.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$168.20 |
$841 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$246.20 |
$1,231 |
2.9× |
| Xr arthrogram ankle (73615) |
$253.60 |
$1,268 |
0.8× |
| Xr c-spine 6 or more views (72052) |
$399 |
$1,995 |
4.0× |
| Xr chest 4+ views (71048) |
$221.60 |
$1,108 |
2.2× |
| Xr Cholecystography Oral Contrast (74290) |
$162.40 |
$812 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$208.40 |
$1,042 |
2.5× |
| Xr shoulder 1 view (73020) |
$135 |
$675 |
1.6× |
| Xr spine cervical 4 or 5 views (72050) |
$298 |
$1,490 |
3.0× |
| Xr tibia/fibula 2 views (73590) |
$276.60 |
$1,383 |
3.3× |
| Xr tmj bilateral (70330) |
$70.60 |
$353 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$234.70 |
$1,173.50 |
2.8× |