| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,408.67 |
$7,769.88 |
1.9× |
| Abdomen 2 views (74019) |
$80.44 |
$259.47 |
0.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$481.96 |
$1,554.70 |
1.3× |
| Ankle 2 views (73600) |
$86.75 |
$279.83 |
1.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$322.32 |
$1,039.73 |
1.0× |
| Arthrogram elbow (73085) |
$424.63 |
$1,369.77 |
1.3× |
| Arthrogram hip (73525) |
$424.63 |
$1,369.77 |
1.3× |
| Arthrogram shoulder (73040) |
$424.63 |
$1,369.77 |
1.3× |
| Arthrogram wrist (73115) |
$424.63 |
$1,369.77 |
1.3× |
| Arthrography knee lt (73580) |
$424.63 |
$1,369.77 |
1.3× |
| Basic radiation dosimetry calculation (77300) |
$232.89 |
$751.23 |
1.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$405.35 |
$1,307.56 |
1.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$405.35 |
$1,307.56 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$584.91 |
$1,886.78 |
1.6× |
| Bone age studies (77072) |
$73.60 |
$237.40 |
0.8× |
| Bone Imaging 3 Phase (78315) |
$564.44 |
$1,820.75 |
1.5× |
| Bone survey complete (77075) |
$169.76 |
$547.59 |
1.7× |
| Brachytx isodose complex (77318) |
$449.58 |
$1,450.24 |
1.3× |
| Brachytx isodose intermed (77317) |
$417.02 |
$1,345.21 |
1.2× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$293.46 |
$946.62 |
0.8× |
| Brain image w/flow 4 + views (78606) |
$667.15 |
$2,152.07 |
1.3× |
| Brain imaging < 4 static views w vascular flow (78601) |
$667.15 |
$2,152.07 |
1.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$667.15 |
$2,152.07 |
1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,042.25 |
$6,587.90 |
1.5× |
| Brain Imaging Vascular Flow Only (78610) |
$667.15 |
$2,152.07 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$71.82 |
$231.66 |
0.9× |
| Chest 1 view (71045) |
$74.15 |
$239.18 |
0.9× |
| Chest 3 views (71047) |
$118.66 |
$382.75 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$127.46 |
$411.15 |
0.8× |
| Clavicle complete (73000) |
$71.82 |
$231.66 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$363.26 |
$1,171.80 |
3.7× |
| Continuing medical physics consltj pr wk (77336) |
$321.43 |
$1,036.85 |
2.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,268.11 |
$7,316.47 |
6.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,416.28 |
$4,568.64 |
6.3× |
| CT abdomen w contrast (74160) |
$1,064.69 |
$3,434.48 |
6.5× |
| CT abdomen w wo contrast (74170) |
$1,273.85 |
$4,109.18 |
7.7× |
| CT abdomen w/o contrast (74150) |
$845.61 |
$2,727.75 |
8.6× |
| CT angio hrt w/3d image (75574) |
$1,069.38 |
$3,449.60 |
3.3× |
| CT angiography upper extremity lt (73206) |
$440.73 |
$1,421.70 |
2.7× |
| CT c-spine w/o contrast (72125) |
$844.51 |
$2,724.22 |
8.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,254.58 |
$4,047.02 |
7.6× |
| CT cervical spine with contrast (72126) |
$1,052.63 |
$3,395.55 |
3.2× |
| CT chest w/wo contrast (71270) |
$173.60 |
$560 |
1.1× |
| CT chest with contrast (71260) |
$971.69 |
$3,134.48 |
5.9× |
| CT head/brain with contrast (70460) |
$779.88 |
$2,515.74 |
4.7× |
| CT head/brain without and with contrast (70470) |
$1,050.51 |
$3,388.72 |
6.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$57.95 |
$186.92 |
0.7× |
| CT iac w contrast (70481) |
$790.93 |
$2,551.36 |
4.8× |
| CT limited/localized follow up study (76380) |
$421.25 |
$1,358.86 |
5.2× |
| CT lower ext w/o (73700) |
$418.81 |
$1,351 |
4.3× |
| CT lower extremity w wo contrast (73702) |
$906.69 |
$2,924.79 |
5.5× |
| CT lower extremity with contrast (73701) |
$790.91 |
$2,551.31 |
4.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,232.53 |
$3,975.88 |
7.5× |
| CT lumbar spine w/o contrast (72131) |
$825.05 |
$2,661.43 |
8.4× |
| CT lumbar spine with contrast (72132) |
$867.66 |
$2,798.88 |
2.7× |
| CT maxillofacial w contrast (70487) |
$850.59 |
$2,743.82 |
5.2× |
| CT maxillofacial w/o contrast (70486) |
$812.48 |
$2,620.90 |
8.3× |
| CT maxillofacial w/wo contrast (70488) |
$1,141.51 |
$3,682.26 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$773.04 |
$2,493.67 |
4.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,273.85 |
$4,109.18 |
7.7× |
| CT orbits w/o contrast (70480) |
$845.61 |
$2,727.75 |
8.6× |
| CT pelvis w & w/o contrast (72194) |
$1,108.33 |
$3,575.24 |
6.7× |
| CT pelvis w/o contrast (72192) |
$529.20 |
$1,707.08 |
5.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,071.58 |
$3,456.69 |
6.5× |
| CT soft tissue neck w/o contrast (70490) |
$718.40 |
$2,317.41 |
7.3× |
| CT thoracic spine w/contrast (72129) |
$895.65 |
$2,889.18 |
5.4× |
| CT thoracic spine w/o contrast (72128) |
$810.35 |
$2,614.01 |
8.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,243.56 |
$4,011.48 |
7.6× |
| CT thorax w/o contrast (71250) |
$697.39 |
$2,249.64 |
7.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$440.73 |
$1,421.70 |
2.7× |
| CT upper extremity w/o contrast rt (73200) |
$341 |
$1,100 |
3.5× |
| CT upper extremity with contrast (73201) |
$604.81 |
$1,951 |
1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,571.30 |
$5,068.69 |
9.5× |
| Cta Abdomen (74175) |
$1,429.42 |
$4,611.02 |
8.7× |
| CTA abdomen pelvis (74174) |
$2,377.98 |
$7,670.90 |
7.3× |
| CTA chest (71275) |
$1,429.42 |
$4,611.02 |
8.7× |
| Cta Head (70496) |
$1,022.65 |
$3,298.86 |
6.2× |
| CTA lwr ext w&w/o contrast (73706) |
$465 |
$1,500 |
2.8× |
| Cta Neck (70498) |
$976.42 |
$3,149.72 |
5.9× |
| Cta Pelvis (72191) |
$1,253.71 |
$4,044.22 |
7.6× |
| Cystography minimum 3 views rs&i (74430) |
$322.32 |
$1,039.73 |
1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$109.01 |
$351.62 |
1.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$198.15 |
$639.17 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$163.46 |
$527.28 |
2.0× |
| Echoencephalography real time imaging (76506) |
$271.68 |
$876.36 |
2.8× |
| Esophagus (74220) |
$127.46 |
$411.15 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$344.73 |
$1,112.02 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$196.09 |
$632.54 |
0.9× |
| Foot 2 views (73620) |
$73.10 |
$235.78 |
0.9× |
| Forearm 2 views (73090) |
$73.10 |
$235.78 |
0.9× |
| Gated Heart Planar Single (78472) |
$484.57 |
$1,563.12 |
1.3× |
| Hand 2 views (73120) |
$73.10 |
$235.78 |
0.7× |
| Hand 3 views (73130) |
$73.10 |
$235.78 |
0.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,454.01 |
$4,690.33 |
2.2× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,661.73 |
$5,360.39 |
2.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,077.16 |
$6,700.50 |
3.2× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$830.86 |
$2,680.19 |
2.3× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$623.15 |
$2,010.15 |
1.7× |
| Heart Infarct Image (78466) |
$479.37 |
$1,546.35 |
1.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$505.15 |
$1,629.49 |
1.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$505.15 |
$1,629.49 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$71.82 |
$231.66 |
0.9× |
| Hysterosalpingogram (74740) |
$397.81 |
$1,283.25 |
1.8× |
| Interstitial radiation source applic complex (77778) |
$1,781.45 |
$5,746.60 |
2.7× |
| Intracavitary Radiation Source Applic Complex (77763) |
$840.99 |
$2,712.86 |
1.3× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$633.28 |
$2,042.81 |
1.2× |
| Intracavitary radiation source applic simple (77761) |
$633.18 |
$2,042.50 |
1.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$71.82 |
$231.66 |
0.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$521.84 |
$1,683.34 |
1.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$637.48 |
$2,056.36 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$755.65 |
$2,437.57 |
1.5× |
| Knee 3 views (73562) |
$94.96 |
$306.31 |
1.2× |
| Liver & spleen imaging static only (78215) |
$466.24 |
$1,503.98 |
1.2× |
| Liver imaging static only (78201) |
$537.71 |
$1,734.53 |
1.1× |
| Lung Ventilation Imaging (78579) |
$472.68 |
$1,524.77 |
1.3× |
| Lymphoscintigraphy (78195) |
$478.78 |
$1,544.43 |
0.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$93.75 |
$302.40 |
1.1× |
| Meckels Diverticulum (78290) |
$405.17 |
$1,306.97 |
1.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,065.62 |
$3,437.46 |
3.0× |
| MRA head w & w/o contrast (70546) |
$1,120.52 |
$3,614.57 |
3.4× |
| MRA head w/o contrast (70544) |
$1,151.42 |
$3,714.25 |
5.1× |
| MRA head with contrast (70545) |
$1,120.52 |
$3,614.57 |
3.4× |
| MRA neck w contrast (70548) |
$1,120.52 |
$3,614.57 |
3.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,944.41 |
$6,272.28 |
5.9× |
| MRA neck w/o contrast (70547) |
$1,035.81 |
$3,341.31 |
4.6× |
| MRI abdomen w contrast (74182) |
$1,042.10 |
$3,361.59 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,419.43 |
$4,578.80 |
4.3× |
| MRI abdomen w/o contrast (74181) |
$952.71 |
$3,073.23 |
4.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,148.55 |
$3,705 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,118.24 |
$3,607.21 |
1.5× |
| MRI c-spine with contrast (72142) |
$1,173.41 |
$3,785.19 |
3.6× |
| MRI cervical spine w/o contrast (72141) |
$1,054.72 |
$3,402.31 |
4.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,092.84 |
$3,525.27 |
3.3× |
| MRI chest w/o contrast (71550) |
$914.09 |
$2,948.66 |
4.1× |
| MRI chest with contrast (71551) |
$985.80 |
$3,179.99 |
1.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$952.71 |
$3,073.23 |
2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,079.61 |
$3,482.59 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$952.71 |
$3,073.23 |
4.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,063.05 |
$3,429.18 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,538.72 |
$4,963.60 |
4.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,300.30 |
$4,194.50 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,176.31 |
$3,794.52 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,383.09 |
$4,461.56 |
4.2× |
| MRI pelvis w/o contrast (72195) |
$1,024.39 |
$3,304.48 |
4.6× |
| MRI scan of arm joint before and after contrast (73223) |
$1,207.38 |
$3,894.76 |
3.7× |
| MRI scan of leg joint before and after contrast (73723) |
$927.21 |
$2,991 |
2.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,765.20 |
$5,694.19 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,294.78 |
$4,176.69 |
4.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$424.63 |
$1,369.77 |
1.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,134.76 |
$3,660.50 |
3.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,557.63 |
$5,024.59 |
4.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,038.46 |
$3,349.86 |
4.6× |
| MRI tmj (70336) |
$1,013.39 |
$3,268.99 |
4.5× |
| MRI upper ext joint w/o contrast (73221) |
$674.60 |
$2,176.10 |
3.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,121.11 |
$3,616.47 |
3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$674.60 |
$2,176.10 |
3.0× |
| Myocardial Spect Multiple Studies (78452) |
$1,443.45 |
$4,656.26 |
1.2× |
| Neck soft tissue (70360) |
$71.82 |
$231.66 |
0.9× |
| Nm cisternogram (78630) |
$667.15 |
$2,152.07 |
1.3× |
| Nm gastric emptying study (78264) |
$457.24 |
$1,474.94 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,712.27 |
$8,749.23 |
2.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$472.33 |
$1,523.63 |
1.3× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$478.98 |
$1,545.07 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$320.11 |
$1,032.59 |
1.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$225.58 |
$727.67 |
2.3× |
| Osseous survey infant (77076) |
$113.77 |
$366.99 |
1.2× |
| Osseous survey limited (77074) |
$113.77 |
$366.99 |
1.2× |
| Parathyrd planar w/wo subtrj (78071) |
$924.29 |
$2,981.58 |
2.5× |
| Parathyroid imaging (78070) |
$410.43 |
$1,323.94 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$71.82 |
$231.66 |
0.7× |
| PET image w/CT, skull-thigh (78815) |
$2,648.07 |
$8,542.15 |
2.0× |
| PET imaging CT for attenuation limited area (78814) |
$2,816.96 |
$9,086.94 |
2.1× |
| PET imaging for CT attenuation whole body (78816) |
$3,211.41 |
$10,359.38 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,156.42 |
$3,730.38 |
3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$399.93 |
$1,290.08 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$915.99 |
$2,954.78 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$397.81 |
$1,283.25 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$71.72 |
$231.33 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$118.92 |
$383.59 |
1.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$124 |
$400 |
1.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$88.69 |
$286.08 |
0.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$226.45 |
$730.48 |
2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,270.03 |
$23,451.68 |
1.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$480.18 |
$1,548.96 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$279.97 |
$903.11 |
2.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$409.78 |
$1,321.84 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$113.77 |
$366.99 |
1.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$71.82 |
$231.66 |
0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$89.44 |
$288.50 |
0.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$74.15 |
$239.18 |
0.9× |
| Radiologic exam colon single contrast study (74270) |
$196.05 |
$632.39 |
1.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$255.99 |
$825.77 |
1.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$255.99 |
$825.77 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$82.02 |
$264.57 |
1.0× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$71.82 |
$231.66 |
0.9× |
| Radiological examination surgical specimen (76098) |
$403.09 |
$1,300.28 |
0.8× |
| Ribs bilateral 3 views (71110) |
$113.04 |
$364.64 |
1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$478.98 |
$1,545.07 |
1.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$822.06 |
$2,651.79 |
1.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$838.82 |
$2,705.86 |
1.6× |
| Rp Therapy Intravenous Administration (79101) |
$320.11 |
$1,032.59 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$71.82 |
$231.66 |
0.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$344.73 |
$1,112.02 |
1.5× |
| Scanogram (77073) |
$86.22 |
$278.10 |
0.9× |
| Scapula complete (73010) |
$71.82 |
$231.66 |
0.7× |
| Screening digital breast tomosynthesis (77063) |
$22.85 |
$73.69 |
1.0× |
| Sella turcica (70240) |
$71.82 |
$231.66 |
0.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$141.03 |
$454.93 |
1.4× |
| Sialogram (70390) |
$397.81 |
$1,283.25 |
1.8× |
| Simulation intermediate (77285) |
$389.62 |
$1,256.81 |
1.1× |
| Small bowel series (74250) |
$127.46 |
$411.15 |
0.8× |
| Spec medical radj physics consltj (77370) |
$290.25 |
$936.28 |
2.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$509.73 |
$1,644.29 |
1.5× |
| Special dosimetry (77331) |
$222.87 |
$718.92 |
1.8× |
| Spine thoracic 3 views (72072) |
$113.77 |
$366.99 |
1.2× |
| Spleen imaging only (78185) |
$433.42 |
$1,398.11 |
1.2× |
| Stereotactic body radiation delivery (77373) |
$2,908.02 |
$9,380.68 |
1.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$501.58 |
$1,618 |
5.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$450.67 |
$1,453.75 |
1.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$244.04 |
$787.21 |
0.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$562.06 |
$1,813.09 |
1.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$300.15 |
$968.20 |
2.4× |
| Thoracolumbar 2 views (72080) |
$77.33 |
$249.44 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$588.59 |
$1,898.67 |
1.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$229.50 |
$740.31 |
0.6× |
| Thyroid uptake measurement (78012) |
$175.72 |
$566.81 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$359.06 |
$1,158.23 |
1.0× |
| Tmj unilateral (70328) |
$71.82 |
$231.66 |
0.9× |
| Tomogram (76100) |
$316.92 |
$1,022.31 |
3.2× |
| Treatment device intermediate (77333) |
$352.08 |
$1,135.71 |
2.8× |
| Treatment devices simple (77332) |
$267.16 |
$861.80 |
2.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,448.19 |
$4,671.57 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$478.98 |
$1,545.07 |
1.3× |
| Tx devices design & construction complex (77334) |
$592.74 |
$1,912.05 |
1.7× |
| Ultrasound elastography first target lesion (76982) |
$68.20 |
$219.98 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$139.50 |
$450 |
1.4× |
| Umbilical-artery Doppler (OB) (76820) |
$181.65 |
$585.94 |
1.9× |
| Unlisted magnetic resonance procedure (76498) |
$56.37 |
$181.82 |
0.7× |
| Upper Extremity Infant (73092) |
$113.77 |
$366.99 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$322.32 |
$1,039.73 |
1.4× |
| Urethrocystography voiding (74455) |
$322.32 |
$1,039.73 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$255.99 |
$825.77 |
1.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$322.32 |
$1,039.73 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$256.92 |
$828.76 |
2.6× |
| Us breast unilateral complete (76641) |
$164.41 |
$530.34 |
1.7× |
| Us breast unilateral limited (76642) |
$112.73 |
$363.62 |
1.4× |
| Us chest (76604) |
$95.55 |
$308.22 |
1.0× |
| Us compl joint r-t w/image documentation (76881) |
$335.44 |
$1,082.04 |
3.4× |
| Us infant hips dynamic (76885) |
$241.23 |
$778.15 |
3.0× |
| Us infant hips limited static (76886) |
$210.76 |
$679.87 |
2.6× |
| Us kidney transplant (76776) |
$329.06 |
$1,061.48 |
3.4× |
| Us ob detailed single fetus (76811) |
$609.42 |
$1,965.86 |
2.7× |
| Us ob transvaginal (76817) |
$139.50 |
$450 |
1.4× |
| Us pelvic non ob complete (76856) |
$321.67 |
$1,037.63 |
3.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$139.50 |
$450 |
1.4× |
| Us pregnancy ltd (76815) |
$282.02 |
$909.74 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$139.50 |
$450 |
1.4× |
| Us retroperitoneal complete (76770) |
$232.31 |
$749.38 |
2.4× |
| Us retroperitoneal limited (76775) |
$240.22 |
$774.89 |
2.4× |
| Us scrotum and contents (76870) |
$375.26 |
$1,210.49 |
3.8× |
| Us soft tissue head/neck (76536) |
$240.22 |
$774.89 |
2.4× |
| Us spinal canal and contents (76800) |
$198.15 |
$639.17 |
2.0× |
| Us transrectal (76872) |
$186.93 |
$602.98 |
1.9× |
| Us transrectal prostate volume (76873) |
$894.66 |
$2,885.99 |
9.1× |
| Us xtr non-vasc lmtd (76882) |
$139.50 |
$450 |
1.4× |
| Vascular flow imaging (78445) |
$397.83 |
$1,283.30 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$3,223.68 |
$10,398.95 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$1,034.72 |
$3,337.80 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$1,034.72 |
$3,337.80 |
0.7× |
| Wrist 2 views (73100) |
$73.10 |
$235.78 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$113.77 |
$366.99 |
1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$98.82 |
$318.75 |
1.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$364.55 |
$1,175.96 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$71.82 |
$231.66 |
0.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$212.33 |
$684.91 |
2.2× |
| X-ray exam hip uni 1 view (73501) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$87.50 |
$282.24 |
1.1× |
| X-ray exam hip uni 4/> views (73503) |
$118.78 |
$383.15 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$118.78 |
$383.15 |
1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$118.78 |
$383.15 |
1.2× |
| X-ray exam of femur 1 (73551) |
$46.77 |
$150.87 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$113.77 |
$366.99 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$86.75 |
$279.83 |
1.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,507.48 |
$4,862.82 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$71.82 |
$231.66 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$322.32 |
$1,039.73 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$106.93 |
$344.92 |
1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$86.75 |
$279.83 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$87.80 |
$283.20 |
0.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$176.64 |
$569.80 |
1.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$151.89 |
$489.96 |
1.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$84.91 |
$273.90 |
1.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$86.75 |
$279.83 |
0.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$128.37 |
$414.09 |
1.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$322.32 |
$1,039.73 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$75.44 |
$243.33 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$113.04 |
$364.64 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$64.95 |
$209.50 |
0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$78.35 |
$252.72 |
0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$91.46 |
$295.01 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$97.79 |
$315.44 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$113.77 |
$366.99 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$93.75 |
$302.40 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$47.52 |
$153.28 |
0.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$77.73 |
$250.72 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$85.17 |
$274.73 |
0.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$115.47 |
$372.48 |
1.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$71.82 |
$231.66 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$86.75 |
$279.83 |
1.1× |
| Xr arthrogram ankle (73615) |
$424.63 |
$1,369.77 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$250.27 |
$807.31 |
2.6× |
| Xr chest 4+ views (71048) |
$120.36 |
$388.25 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$73.10 |
$235.78 |
0.9× |
| Xr internal auditory meati complete (70134) |
$228.49 |
$737.05 |
0.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$71.82 |
$231.66 |
0.7× |
| Xr optic foramina (70190) |
$71.82 |
$231.66 |
0.9× |
| Xr shoulder 1 view (73020) |
$52.86 |
$170.50 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$219.69 |
$708.66 |
2.2× |
| Xr tibia/fibula 2 views (73590) |
$86.75 |
$279.83 |
1.1× |
| Xr tmj bilateral (70330) |
$86.95 |
$280.46 |
1.1× |
| Xray knee 1 or 2 views rt (73560) |
$92.35 |
$297.89 |
1.1× |