| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,531.85 |
$21,329.63 |
6.4× |
| Abdomen 2 views (74019) |
$387.54 |
$968.86 |
3.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,611.92 |
$4,029.82 |
4.2× |
| Angiography extremity bilateral rs&i (75716) |
$6,701.25 |
$16,753.12 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$2,246.40 |
$5,616.02 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,701.25 |
$16,753.12 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,701.25 |
$16,753.12 |
2.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,701.25 |
$16,753.12 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$767.97 |
$1,919.92 |
0.3× |
| Ankle 2 views (73600) |
$419.53 |
$1,048.82 |
5.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$548.27 |
$1,370.68 |
1.6× |
| Aortogram thoracic (75605) |
$6,701.25 |
$16,753.12 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,701.25 |
$16,753.12 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$6,701.25 |
$16,753.12 |
2.2× |
| Arthrogram elbow (73085) |
$1,084.20 |
$2,710.50 |
3.2× |
| Arthrogram hip (73525) |
$1,084.20 |
$2,710.50 |
3.2× |
| Arthrogram shoulder (73040) |
$1,117.06 |
$2,792.64 |
3.3× |
| Arthrogram wrist (73115) |
$1,084.20 |
$2,710.50 |
3.2× |
| Arthrography knee lt (73580) |
$1,084.20 |
$2,710.50 |
3.2× |
| Basic radiation dosimetry calculation (77300) |
$554.42 |
$1,386.06 |
4.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,739.24 |
$4,348.08 |
4.5× |
| Bone &/joint imaging whole body (78306) |
$2,229.98 |
$5,574.95 |
5.8× |
| Bone age studies (77072) |
$517.77 |
$1,294.43 |
5.1× |
| Bone Imaging 3 Phase (78315) |
$1,804.62 |
$4,511.56 |
4.7× |
| Bone survey complete (77075) |
$1,144.60 |
$2,861.49 |
11.3× |
| Brachytx isodose complex (77318) |
$1,414.78 |
$3,536.97 |
3.9× |
| Brachytx isodose intermed (77317) |
$1,182.75 |
$2,956.88 |
3.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$471.26 |
$1,178.14 |
1.3× |
| Brain image w/flow 4 + views (78606) |
$1,815.20 |
$4,537.98 |
3.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,873.70 |
$17,184.25 |
5.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$984.62 |
$2,461.54 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$541.34 |
$1,353.36 |
6.4× |
| Chest 1 view (71045) |
$389.06 |
$972.65 |
4.6× |
| Chest 3 views (71047) |
$446.61 |
$1,116.52 |
5.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$660.17 |
$1,650.42 |
3.9× |
| Cineradiography/videoradiography (76120) |
$948.68 |
$2,371.69 |
9.4× |
| Clavicle complete (73000) |
$381.22 |
$953.04 |
4.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$239.57 |
$598.92 |
2.4× |
| Continuing medical physics consltj pr wk (77336) |
$1,145.87 |
$2,864.68 |
8.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,807.42 |
$14,518.56 |
17.2× |
| CT abdomen and pelvis without contrast (74176) |
$3,831.26 |
$9,578.14 |
16.6× |
| CT abdomen w contrast (74160) |
$2,190.99 |
$5,477.48 |
12.9× |
| CT abdomen w wo contrast (74170) |
$2,843.64 |
$7,109.10 |
16.7× |
| CT abdomen w/o contrast (74150) |
$1,871.49 |
$4,678.72 |
18.5× |
| CT angio hrt w/3d image (75574) |
$1,087.76 |
$2,719.40 |
3.2× |
| CT angiography upper extremity lt (73206) |
$2,437.26 |
$6,093.14 |
14.4× |
| CT c-spine w/o contrast (72125) |
$2,590.36 |
$6,475.90 |
25.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,546.08 |
$6,365.19 |
15.0× |
| CT cervical spine with contrast (72126) |
$2,512.44 |
$6,281.11 |
7.4× |
| CT chest w/wo contrast (71270) |
$2,238.32 |
$5,595.81 |
13.2× |
| CT chest with contrast (71260) |
$1,762.24 |
$4,405.62 |
10.4× |
| CT head/brain with contrast (70460) |
$2,772.09 |
$6,930.22 |
16.3× |
| CT head/brain without and with contrast (70470) |
$3,625.26 |
$9,063.15 |
21.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,087.76 |
$2,719.40 |
3.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$156.29 |
$390.73 |
1.9× |
| CT hrt w/3d image congen (75573) |
$1,087.76 |
$2,719.40 |
3.2× |
| CT iac w contrast (70481) |
$2,623.24 |
$6,558.11 |
15.4× |
| CT limited/localized follow up study (76380) |
$1,107.78 |
$2,769.44 |
13.2× |
| CT lower ext w/o (73700) |
$1,933.38 |
$4,833.46 |
19.1× |
| CT lower extremity w wo contrast (73702) |
$2,926.48 |
$7,316.20 |
17.2× |
| CT lower extremity with contrast (73701) |
$2,251.98 |
$5,629.94 |
13.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,305.20 |
$5,762.99 |
13.6× |
| CT lumbar spine w/o contrast (72131) |
$2,296.58 |
$5,741.43 |
22.7× |
| CT lumbar spine with contrast (72132) |
$2,227.50 |
$5,568.74 |
6.6× |
| CT maxillofacial w contrast (70487) |
$2,280.35 |
$5,700.88 |
13.4× |
| CT maxillofacial w/o contrast (70486) |
$2,207.45 |
$5,518.62 |
21.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,384.50 |
$5,961.24 |
14.0× |
| CT neck soft tissue w contrast (70491) |
$2,876.80 |
$7,192 |
16.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,150.62 |
$7,876.54 |
18.6× |
| CT orbits w/o contrast (70480) |
$2,384 |
$5,959.99 |
23.6× |
| CT pelvis w & w/o contrast (72194) |
$2,209.19 |
$5,522.98 |
13.0× |
| CT pelvis w/o contrast (72192) |
$1,961.60 |
$4,904 |
19.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,738.22 |
$9,345.54 |
22.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,519.52 |
$6,298.80 |
24.9× |
| CT thoracic spine w/contrast (72129) |
$2,227.50 |
$5,568.74 |
13.1× |
| CT thoracic spine w/o contrast (72128) |
$2,296.58 |
$5,741.43 |
22.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,305.20 |
$5,762.99 |
13.6× |
| CT thorax w/o contrast (71250) |
$1,441.84 |
$3,604.60 |
14.2× |
| CT unlisted procedure (76497) |
$143.39 |
$358.47 |
1.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,236.87 |
$5,592.18 |
13.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,513.76 |
$3,784.40 |
15.0× |
| CT upper extremity with contrast (73201) |
$1,830.52 |
$4,576.32 |
5.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,213.20 |
$8,033.01 |
18.9× |
| Cta Abdomen (74175) |
$3,213.20 |
$8,033.01 |
18.9× |
| CTA abdomen pelvis (74174) |
$5,912.73 |
$14,781.83 |
17.5× |
| CTA chest (71275) |
$2,236.50 |
$5,591.24 |
13.2× |
| Cta Head (70496) |
$2,522.05 |
$6,305.13 |
14.9× |
| CTA lwr ext w&w/o contrast (73706) |
$5,599.14 |
$13,997.86 |
33.0× |
| Cta Neck (70498) |
$3,552.20 |
$8,880.49 |
20.9× |
| Cta Pelvis (72191) |
$2,967.44 |
$7,418.59 |
17.5× |
| Cystography minimum 3 views rs&i (74430) |
$693.02 |
$1,732.54 |
2.1× |
| Diskogram cervical (72285) |
$6,733.09 |
$16,832.72 |
3.6× |
| Diskography lumbar (72295) |
$6,733.09 |
$16,832.72 |
3.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$621.15 |
$1,552.87 |
6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$621.15 |
$1,552.87 |
7.4× |
| Echoencephalography real time imaging (76506) |
$256.68 |
$641.70 |
2.5× |
| Esophagus (74220) |
$632.44 |
$1,581.12 |
3.7× |
| Fetal biophysical profile non-stress testing (76818) |
$1,075.83 |
$2,689.57 |
10.6× |
| Fluoroscopy up to 1 hr (76000) |
$887.08 |
$2,217.69 |
3.8× |
| Foot 2 views (73620) |
$318.32 |
$795.80 |
3.8× |
| Forearm 2 views (73090) |
$333.38 |
$833.46 |
4.0× |
| Gated Heart Planar Single (78472) |
$2,770.13 |
$6,925.32 |
7.2× |
| Hand 2 views (73120) |
$375.31 |
$938.28 |
3.7× |
| Hand 3 views (73130) |
$549.22 |
$1,373.05 |
6.5× |
| Heart Infarct Image (78466) |
$2,044.15 |
$5,110.38 |
5.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,920.95 |
$4,802.38 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,920.95 |
$4,802.38 |
5.0× |
| Ht muscle image spect sing (78451) |
$2,822.40 |
$7,055.98 |
2.3× |
| Humerus Min 2 Views Left (73060) |
$465.70 |
$1,164.26 |
5.5× |
| Hysterosalpingogram (74740) |
$933.26 |
$2,333.15 |
4.0× |
| Interstitial radiation source applic complex (77778) |
$4,771.06 |
$11,927.64 |
7.1× |
| Kidney imaging morphology (78700) |
$1,611.92 |
$4,029.82 |
4.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,984.59 |
$4,961.48 |
3.8× |
| Knee 3 views (73562) |
$623.87 |
$1,559.68 |
7.4× |
| Liver & spleen imaging static only (78215) |
$1,686.86 |
$4,217.16 |
4.4× |
| Liver imaging static only (78201) |
$1,312.12 |
$3,280.30 |
2.5× |
| Lung Ventilation Imaging (78579) |
$2,468.96 |
$6,172.38 |
6.4× |
| Lymphoscintigraphy (78195) |
$2,975.37 |
$7,438.42 |
5.7× |
| Mammary ductogram or galactogram multiple (77054) |
$814.17 |
$2,035.42 |
3.5× |
| Mammary ductogram or galactogram single (77053) |
$814.17 |
$2,035.42 |
3.5× |
| Meckels Diverticulum (78290) |
$2,066.76 |
$5,166.89 |
5.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$10,226.94 |
$25,567.34 |
28.2× |
| Mr safety determination physician/other qhp (76016) |
$169.29 |
$423.22 |
2.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$114.12 |
$285.28 |
2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$49.27 |
$123.17 |
1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$176.40 |
$440.99 |
1.9× |
| Mr safety med physics xm customization plng&mntr (76017) |
$464.82 |
$1,162.04 |
2.0× |
| MRA head w & w/o contrast (70546) |
$2,574.64 |
$6,436.60 |
7.6× |
| MRA head w/o contrast (70544) |
$2,391.41 |
$5,978.53 |
10.4× |
| MRA head with contrast (70545) |
$2,483.02 |
$6,207.57 |
7.4× |
| MRA neck w contrast (70548) |
$2,483.02 |
$6,207.57 |
7.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,574.64 |
$6,436.60 |
7.6× |
| MRA neck w/o contrast (70547) |
$2,391.41 |
$5,978.53 |
10.4× |
| MRI abdomen w contrast (74182) |
$3,116.42 |
$7,791.05 |
9.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,211.98 |
$8,029.94 |
9.5× |
| MRI abdomen w/o contrast (74181) |
$3,028.76 |
$7,571.88 |
13.1× |
| MRI any jnt lwr ext with con lt (73722) |
$3,058.96 |
$7,647.38 |
4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,107.74 |
$7,769.34 |
4.1× |
| MRI breast w/o contrast bilateral (77047) |
$1,778.51 |
$4,446.27 |
7.7× |
| MRI breast w/o contrast unilat (77046) |
$1,778.51 |
$4,446.27 |
7.7× |
| MRI c-spine with contrast (72142) |
$3,247.96 |
$8,119.91 |
9.6× |
| MRI cervical spine w/o contrast (72141) |
$3,220.67 |
$8,051.68 |
13.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,881.22 |
$4,703.06 |
5.6× |
| MRI chest w/o contrast (71550) |
$1,698 |
$4,245.01 |
7.4× |
| MRI chest with contrast (71551) |
$1,790.40 |
$4,476 |
2.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,059.74 |
$7,649.36 |
9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,107.74 |
$7,769.34 |
9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,032.70 |
$7,581.77 |
13.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,220.67 |
$8,051.68 |
13.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,386.53 |
$8,466.32 |
10.0× |
| MRI orbit/face/neck w/contrast (70542) |
$3,312.28 |
$8,280.72 |
9.8× |
| MRI pelvis w contrast (72196) |
$3,116.42 |
$7,791.05 |
9.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,207.24 |
$8,018.10 |
9.5× |
| MRI pelvis w/o contrast (72195) |
$3,024.82 |
$7,562.06 |
13.1× |
| MRI scan of arm joint before and after contrast (73223) |
$3,134.77 |
$7,836.92 |
9.3× |
| MRI scan of leg joint before and after contrast (73723) |
$3,178.38 |
$7,945.95 |
9.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,275.26 |
$8,188.14 |
9.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,938.72 |
$7,346.81 |
8.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,028.76 |
$7,571.88 |
9.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,938.72 |
$7,346.81 |
8.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,028.76 |
$7,571.88 |
9.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,847.10 |
$7,117.76 |
12.3× |
| MRI tmj (70336) |
$2,400.90 |
$6,002.25 |
10.4× |
| MRI upper ext joint w/o contrast (73221) |
$3,032.70 |
$7,581.77 |
13.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,215.14 |
$8,037.84 |
9.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,163.30 |
$7,908.26 |
13.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$6,873.70 |
$17,184.25 |
5.5× |
| Myocardial Spect Multiple Studies (78452) |
$2,822.40 |
$7,055.98 |
2.3× |
| Neck soft tissue (70360) |
$373.34 |
$933.36 |
4.4× |
| Nm gastric emptying study (78264) |
$2,725.89 |
$6,814.72 |
7.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$11,880.94 |
$29,702.34 |
8.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,822.40 |
$7,055.98 |
2.3× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$6,754.38 |
$16,885.94 |
4.9× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,822.40 |
$7,055.98 |
2.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,975.37 |
$7,438.42 |
7.7× |
| Nuclear Rx Oral Admin (79005) |
$2,265.92 |
$5,664.81 |
10.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$631.74 |
$1,579.35 |
6.2× |
| Orthopantogram (70355) |
$509.24 |
$1,273.09 |
6.0× |
| Osseous survey infant (77076) |
$667.47 |
$1,668.68 |
6.6× |
| Osseous survey limited (77074) |
$1,106.53 |
$2,766.33 |
10.9× |
| Parathyroid imaging (78070) |
$1,238.20 |
$3,095.50 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$515.80 |
$1,289.51 |
5.1× |
| PET image w/CT, skull-thigh (78815) |
$6,754.38 |
$16,885.94 |
4.9× |
| PET imaging CT for attenuation limited area (78814) |
$6,754.38 |
$16,885.94 |
4.9× |
| PET imaging for CT attenuation whole body (78816) |
$6,754.38 |
$16,885.94 |
4.9× |
| PET imaging limited area chest head/neck (78811) |
$6,754.38 |
$16,885.94 |
5.4× |
| PET whole body (78813) |
$6,754.38 |
$16,885.94 |
4.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,215.14 |
$8,037.84 |
9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,229.98 |
$5,574.95 |
5.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,135.84 |
$7,839.58 |
6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$693.02 |
$1,732.54 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$508.22 |
$1,270.56 |
6.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$455.30 |
$1,138.24 |
4.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$568 |
$1,419.99 |
5.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$9,747.42 |
$24,368.55 |
1.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,066.62 |
$2,666.54 |
2.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$802.11 |
$2,005.27 |
8.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$934.90 |
$2,337.24 |
2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$634.47 |
$1,586.17 |
6.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$499.10 |
$1,247.74 |
5.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$499.10 |
$1,247.74 |
4.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$427.38 |
$1,068.44 |
5.1× |
| Radiologic exam colon single contrast study (74270) |
$990.76 |
$2,476.92 |
5.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$853.19 |
$2,132.97 |
5.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$890.14 |
$2,225.36 |
5.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$477.75 |
$1,194.37 |
5.7× |
| Radiological examination surgical specimen (76098) |
$784.54 |
$1,961.34 |
1.5× |
| Ribs bilateral 3 views (71110) |
$701.18 |
$1,752.96 |
6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,725.89 |
$6,814.72 |
7.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,962.02 |
$9,905.06 |
7.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,672.84 |
$4,182.10 |
3.2× |
| Rp Therapy Intravenous Administration (79101) |
$1,314.18 |
$3,285.46 |
5.8× |
| Sacroiliac Joints < 3 Views (72200) |
$1,518.84 |
$3,797.10 |
15.0× |
| Salivary gland imaging (78230) |
$962.70 |
$2,406.74 |
2.5× |
| Scanogram (77073) |
$446.61 |
$1,116.52 |
4.4× |
| Scapula complete (73010) |
$268.22 |
$670.54 |
2.7× |
| Screening digital breast tomosynthesis (77063) |
$73.24 |
$183.10 |
3.1× |
| Sella turcica (70240) |
$611.91 |
$1,529.78 |
7.3× |
| Simulation intermediate (77285) |
$1,343.94 |
$3,359.86 |
3.7× |
| Small bowel series (74250) |
$870.64 |
$2,176.61 |
5.1× |
| Spec medical radj physics consltj (77370) |
$919.91 |
$2,299.78 |
7.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,343.94 |
$3,359.86 |
3.7× |
| Special dosimetry (77331) |
$1,030.80 |
$2,577.01 |
7.9× |
| Special treatment procedure (77470) |
$2,211.51 |
$5,528.77 |
4.1× |
| Spine thoracic 3 views (72072) |
$652.98 |
$1,632.44 |
6.5× |
| Spleen imaging only (78185) |
$567.76 |
$1,419.39 |
1.5× |
| Stereotactic body radiation delivery (77373) |
$5,200.34 |
$13,000.86 |
3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,106.79 |
$10,266.98 |
11.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$769 |
$1,922.48 |
2.1× |
| Testicular Imaging With Vascular Flow (78761) |
$1,149.90 |
$2,874.76 |
3.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,834.70 |
$4,586.76 |
5.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$855.24 |
$2,138.11 |
6.6× |
| Thoracolumbar 2 views (72080) |
$508.22 |
$1,270.56 |
6.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$964.08 |
$2,410.18 |
2.5× |
| Thyroid uptake measurement (78012) |
$686.86 |
$1,717.14 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,821.36 |
$4,553.39 |
4.7× |
| Tmj unilateral (70328) |
$455.30 |
$1,138.24 |
5.4× |
| Tomogram (76100) |
$1,036.98 |
$2,592.44 |
10.2× |
| Treatment device intermediate (77333) |
$977.41 |
$2,443.52 |
7.5× |
| Treatment devices simple (77332) |
$492.80 |
$1,232 |
3.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,611.92 |
$4,029.82 |
4.2× |
| Tx devices design & construction complex (77334) |
$1,464.08 |
$3,660.20 |
4.0× |
| Ultrasound, abdomen limited (76705) |
$851.81 |
$2,129.53 |
8.4× |
| Upper Extremity Infant (73092) |
$357.62 |
$894.06 |
3.5× |
| Urethrocystography retrograde rs&i (74450) |
$990.76 |
$2,476.92 |
4.3× |
| Urethrocystography voiding (74455) |
$870.64 |
$2,176.61 |
3.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,365.51 |
$3,413.78 |
8.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,774.14 |
$4,435.34 |
10.4× |
| Us abdl aorta screen aaa (76706) |
$1,036.97 |
$2,592.43 |
10.2× |
| Us breast unilateral complete (76641) |
$702.49 |
$1,756.22 |
6.9× |
| Us breast unilateral limited (76642) |
$702.49 |
$1,756.22 |
8.3× |
| Us chest (76604) |
$611.11 |
$1,527.77 |
6.0× |
| Us compl joint r-t w/image documentation (76881) |
$657.27 |
$1,643.18 |
6.5× |
| Us elastography parenchyma (76981) |
$890.90 |
$2,227.27 |
8.8× |
| Us infant hips dynamic (76885) |
$256.68 |
$641.70 |
3.0× |
| Us infant hips limited static (76886) |
$227.66 |
$569.14 |
2.7× |
| Us kidney transplant (76776) |
$1,501.23 |
$3,753.08 |
14.8× |
| Us ob detailed single fetus (76811) |
$1,010.98 |
$2,527.44 |
4.4× |
| Us ob transvaginal (76817) |
$551.18 |
$1,377.95 |
5.4× |
| Us pelvic non ob complete (76856) |
$1,005.08 |
$2,512.70 |
9.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$931.54 |
$2,328.86 |
9.2× |
| Us pregnancy ltd (76815) |
$925.51 |
$2,313.77 |
9.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$382.19 |
$955.48 |
3.8× |
| Us retroperitoneal complete (76770) |
$916.86 |
$2,292.14 |
9.1× |
| Us retroperitoneal limited (76775) |
$848.20 |
$2,120.50 |
8.4× |
| Us scrotum and contents (76870) |
$811.53 |
$2,028.83 |
8.0× |
| Us soft tissue head/neck (76536) |
$710.47 |
$1,776.17 |
7.0× |
| Us spinal canal and contents (76800) |
$231 |
$577.49 |
2.3× |
| Us transrectal prostate volume (76873) |
$424.04 |
$1,060.09 |
4.2× |
| Us xtr non-vasc lmtd (76882) |
$377.20 |
$943.01 |
3.7× |
| Venogram extremity bilateral (75822) |
$2,428.14 |
$6,070.36 |
1.6× |
| Venography caval inferior serialography rs&i (75825) |
$6,028.32 |
$15,070.79 |
2.0× |
| Venography caval superior serialography rs&i (75827) |
$2,428.14 |
$6,070.36 |
1.6× |
| Venography extremity unilateral rs&i (75820) |
$1,135.53 |
$2,838.82 |
0.7× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,031.84 |
$5,079.60 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$651.94 |
$1,629.86 |
7.7× |
| Wrist 2 views (73100) |
$400.40 |
$1,001 |
4.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$656.29 |
$1,640.73 |
6.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$505 |
$1,262.50 |
6.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$476.81 |
$1,192.03 |
5.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,234.10 |
$3,085.24 |
7.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$304.58 |
$761.44 |
3.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$668.10 |
$1,670.25 |
7.9× |
| X-ray exam hip uni 1 view (73501) |
$407.60 |
$1,018.99 |
4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$491.24 |
$1,228.10 |
5.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$455.30 |
$1,138.24 |
4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$645.50 |
$1,613.76 |
6.4× |
| X-ray exam of femur 1 (73551) |
$516.42 |
$1,291.06 |
6.1× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$870.64 |
$2,176.61 |
5.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$502.65 |
$1,256.62 |
5.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$513.34 |
$1,283.36 |
6.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$580.66 |
$1,451.64 |
6.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,569.82 |
$3,924.54 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$352.69 |
$881.72 |
4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$608.28 |
$1,520.68 |
7.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$627.82 |
$1,569.56 |
6.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$623.87 |
$1,559.68 |
7.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$609.19 |
$1,522.98 |
7.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$617 |
$1,542.51 |
6.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$982.49 |
$2,456.22 |
9.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$882.28 |
$2,205.69 |
8.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$450.96 |
$1,127.40 |
5.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$197.12 |
$492.79 |
2.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$631.63 |
$1,579.07 |
6.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$515.80 |
$1,289.51 |
5.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$813.14 |
$2,032.85 |
2.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$731.38 |
$1,828.44 |
8.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$756.53 |
$1,891.33 |
7.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$848.88 |
$2,122.19 |
8.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$506.26 |
$1,265.66 |
5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$437.21 |
$1,093.02 |
5.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$483.39 |
$1,208.47 |
5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$541.34 |
$1,353.36 |
6.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$426.41 |
$1,066.02 |
5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$623.87 |
$1,559.68 |
6.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$440.16 |
$1,100.40 |
4.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$409.09 |
$1,022.73 |
4.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$435.24 |
$1,088.09 |
5.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$465.70 |
$1,164.26 |
5.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$511.01 |
$1,277.52 |
5.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$302.61 |
$756.53 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$484.40 |
$1,211.01 |
5.8× |
| Xr arthrogram ankle (73615) |
$1,084.20 |
$2,710.50 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$821.35 |
$2,053.37 |
8.1× |
| Xr chest 4+ views (71048) |
$693.02 |
$1,732.54 |
6.8× |
| Xr Cholecystography Oral Contrast (74290) |
$723.81 |
$1,809.52 |
4.3× |
| Xr finger(s) 2+ views (73140) |
$344.79 |
$861.98 |
4.1× |
| Xr optic foramina (70190) |
$573.94 |
$1,434.84 |
6.8× |
| Xr shoulder 1 view (73020) |
$474.34 |
$1,185.84 |
5.6× |
| Xr spine cervical 4 or 5 views (72050) |
$689.61 |
$1,724.02 |
6.8× |
| Xr tibia/fibula 2 views (73590) |
$394.18 |
$985.45 |
4.7× |
| Xr tmj bilateral (70330) |
$561.97 |
$1,404.93 |
6.7× |
| Xray knee 1 or 2 views rt (73560) |
$291.80 |
$729.49 |
3.5× |