| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,611.16 |
$23,379.85 |
4.0× |
| Abdomen 2 views (74019) |
$292.92 |
$1,220.51 |
2.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$890.37 |
$3,709.86 |
2.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$2,512.11 |
$10,467.12 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$2,395.34 |
$9,980.56 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$2,395.34 |
$9,980.56 |
0.8× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,512.11 |
$10,467.12 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,512.11 |
$10,467.12 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,512.11 |
$10,467.12 |
0.8× |
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure |
$2,512.11 |
$10,467.12 |
0.4× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,512.11 |
$10,467.12 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,220.78 |
$5,086.58 |
0.4× |
| Ankle 2 views (73600) |
$133.29 |
$555.38 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$507.85 |
$2,116.04 |
1.4× |
| Aortogram thoracic (75605) |
$7,145.81 |
$29,774.19 |
1.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,395.34 |
$9,980.56 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,395.34 |
$9,980.56 |
0.8× |
| Artery X-Rays Adrenal Gland (75731) |
$2,512.11 |
$10,467.12 |
0.8× |
| Arthrogram elbow (73085) |
$562.56 |
$2,344 |
1.6× |
| Arthrogram hip (73525) |
$482.06 |
$2,008.59 |
1.4× |
| Arthrogram shoulder (73040) |
$562.56 |
$2,344 |
1.6× |
| Arthrogram wrist (73115) |
$932.76 |
$3,886.48 |
2.7× |
| Arthrography knee lt (73580) |
$442.15 |
$1,842.31 |
1.3× |
| Basic radiation dosimetry calculation (77300) |
$359.84 |
$1,499.34 |
2.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$514.60 |
$2,144.16 |
1.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$886.04 |
$3,691.83 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$643.06 |
$2,679.42 |
1.6× |
| Bone age studies (77072) |
$360.10 |
$1,500.43 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$1,172.13 |
$4,883.88 |
2.9× |
| Bone survey complete (77075) |
$360.10 |
$1,500.43 |
3.4× |
| Brain image w/flow 4 + views (78606) |
$949.66 |
$3,956.93 |
1.7× |
| Brain Imaging Minimum 4 Static Views (78605) |
$949.66 |
$3,956.93 |
1.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,682.21 |
$7,009.21 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$245.99 |
$1,024.96 |
2.8× |
| Chest 1 view (71045) |
$226.42 |
$943.44 |
2.6× |
| Chest 3 views (71047) |
$355.33 |
$1,480.54 |
4.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,162 |
$4,841.66 |
6.6× |
| Clavicle complete (73000) |
$386.64 |
$1,610.98 |
4.4× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$17,573.96 |
$73,224.84 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,195.77 |
$9,149.04 |
20.9× |
| Continuing medical physics consltj pr wk (77336) |
$776.35 |
$3,234.79 |
5.7× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$302 |
$1,258.32 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,461.06 |
$22,754.40 |
15.6× |
| CT abdomen and pelvis without contrast (74176) |
$4,108.70 |
$17,119.58 |
17.1× |
| CT abdomen w contrast (74160) |
$2,264.50 |
$9,435.44 |
12.9× |
| CT abdomen w wo contrast (74170) |
$2,688.62 |
$11,202.55 |
15.3× |
| CT abdomen w/o contrast (74150) |
$2,117.60 |
$8,823.32 |
20.2× |
| CT angiography upper extremity lt (73206) |
$1,443.18 |
$6,013.28 |
8.2× |
| CT c-spine w/o contrast (72125) |
$1,991.19 |
$8,296.62 |
19.0× |
| CT cervical spine w&w/o contrast (72127) |
$3,181.12 |
$13,254.66 |
18.1× |
| CT cervical spine with contrast (72126) |
$2,121.01 |
$8,837.54 |
6.1× |
| CT chest w/wo contrast (71270) |
$2,772.22 |
$11,550.91 |
15.7× |
| CT chest with contrast (71260) |
$2,211.45 |
$9,214.38 |
12.6× |
| CT head/brain with contrast (70460) |
$2,134.24 |
$8,892.68 |
12.1× |
| CT head/brain without and with contrast (70470) |
$2,438.08 |
$10,158.68 |
13.8× |
| CT iac w contrast (70481) |
$1,991.19 |
$8,296.62 |
11.3× |
| CT limited/localized follow up study (76380) |
$567.63 |
$2,365.13 |
6.5× |
| CT lower ext w/o (73700) |
$2,792.92 |
$11,637.20 |
26.6× |
| CT lower extremity w wo contrast (73702) |
$2,933.57 |
$12,223.21 |
16.6× |
| CT lower extremity with contrast (73701) |
$3,119.37 |
$12,997.37 |
17.7× |
| CT lumbar spine w & w/o contrast (72133) |
$3,006.15 |
$12,525.63 |
17.1× |
| CT lumbar spine w/o contrast (72131) |
$2,121.01 |
$8,837.54 |
20.2× |
| CT lumbar spine with contrast (72132) |
$2,121.01 |
$8,837.54 |
6.1× |
| CT maxillofacial w contrast (70487) |
$1,991.19 |
$8,296.62 |
11.3× |
| CT maxillofacial w/o contrast (70486) |
$1,898.94 |
$7,912.26 |
18.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,307.34 |
$9,613.90 |
13.1× |
| CT neck soft tissue w contrast (70491) |
$2,121.01 |
$8,837.54 |
12.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,307.34 |
$9,613.90 |
13.1× |
| CT orbits w/o contrast (70480) |
$1,898.94 |
$7,912.26 |
18.1× |
| CT pelvis w & w/o contrast (72194) |
$2,933.57 |
$12,223.21 |
16.6× |
| CT pelvis w/o contrast (72192) |
$1,991.19 |
$8,296.62 |
19.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,772.22 |
$11,550.91 |
15.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,991.19 |
$8,296.62 |
19.0× |
| CT thoracic spine w/contrast (72129) |
$2,121.01 |
$8,837.54 |
12.0× |
| CT thoracic spine w/o contrast (72128) |
$1,991.19 |
$8,296.62 |
19.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,006.15 |
$12,525.63 |
17.1× |
| CT thorax w/o contrast (71250) |
$2,075 |
$8,645.82 |
19.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,772.22 |
$11,550.91 |
15.7× |
| CT upper extremity w/o contrast rt (73200) |
$2,107.08 |
$8,779.51 |
20.1× |
| CT upper extremity with contrast (73201) |
$2,121.01 |
$8,837.54 |
6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$981.01 |
$4,087.55 |
5.6× |
| Cta Abdomen (74175) |
$981.01 |
$4,087.55 |
5.6× |
| CTA abdomen pelvis (74174) |
$1,877.34 |
$7,822.25 |
5.4× |
| CTA chest (71275) |
$1,008.73 |
$4,203.04 |
5.7× |
| Cta Head (70496) |
$981.01 |
$4,087.55 |
5.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$427.72 |
$1,782.15 |
1.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,038.11 |
$4,325.46 |
5.9× |
| Cta Neck (70498) |
$981.01 |
$4,087.55 |
5.6× |
| Cta Pelvis (72191) |
$981.01 |
$4,087.55 |
5.6× |
| Cystography minimum 3 views rs&i (74430) |
$474.59 |
$1,977.46 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$409.99 |
$1,708.31 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$102.60 |
$427.50 |
1.2× |
| Dxa bone density study axial skeleton (77085) |
$104.89 |
$437.03 |
1.0× |
| Echo exam of fetal heart (76825) |
$696.84 |
$2,903.49 |
1.3× |
| Echoencephalography real time imaging (76506) |
$599.69 |
$2,498.71 |
5.7× |
| Esophageal motility (78258) |
$597.76 |
$2,490.66 |
1.5× |
| Esophagus (74220) |
$465.91 |
$1,941.28 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$443.48 |
$1,847.84 |
4.2× |
| Fluoroscopy up to 1 hr (76000) |
$228.97 |
$954.06 |
1.0× |
| Foot 2 views (73620) |
$459.40 |
$1,914.16 |
5.3× |
| Forearm 2 views (73090) |
$278.17 |
$1,159.03 |
3.2× |
| Gated Heart Planar Single (78472) |
$1,743.61 |
$7,265.05 |
4.3× |
| Hand 2 views (73120) |
$323.79 |
$1,349.12 |
3.1× |
| Hand 3 views (73130) |
$326.32 |
$1,359.69 |
3.7× |
| Heart Infarct Image (78466) |
$1,072.10 |
$4,467.09 |
2.7× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,512.11 |
$10,467.12 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,036.52 |
$4,318.84 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,036.52 |
$4,318.84 |
2.6× |
| Ht muscle image spect sing (78451) |
$1,731.79 |
$7,215.80 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$364.17 |
$1,517.37 |
4.2× |
| Hysterosalpingogram (74740) |
$575.58 |
$2,398.24 |
2.4× |
| Image fusion (77399) |
$842.40 |
$3,509.98 |
6.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$137.50 |
$572.91 |
1.3× |
| Kidney imaging morphology (78700) |
$896.87 |
$3,736.96 |
2.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,062.46 |
$4,426.93 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$562.56 |
$2,344 |
1.0× |
| Knee 3 views (73562) |
$477.94 |
$1,991.41 |
5.5× |
| Liver & spleen imaging static only (78215) |
$594.85 |
$2,478.56 |
1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$424.45 |
$1,768.55 |
1.1× |
| Liver imaging static only (78201) |
$886.04 |
$3,691.83 |
1.6× |
| Liver imaging w/vascular flow (78202) |
$886.04 |
$3,691.83 |
1.6× |
| Lung Ventilation Imaging (78579) |
$1,122.93 |
$4,678.89 |
2.8× |
| Lymphoscintigraphy (78195) |
$351.11 |
$1,462.97 |
0.6× |
| Mammary ductogram or galactogram single (77053) |
$498.45 |
$2,076.86 |
2.1× |
| Meckels Diverticulum (78290) |
$643.06 |
$2,679.42 |
1.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,148.77 |
$4,786.54 |
3.1× |
| MRA head w & w/o contrast (70546) |
$2,801 |
$11,670.84 |
8.0× |
| MRA head w/o contrast (70544) |
$3,192.43 |
$13,301.81 |
13.3× |
| MRA head with contrast (70545) |
$3,140.85 |
$13,086.89 |
9.0× |
| MRA neck w contrast (70548) |
$2,569.14 |
$10,704.74 |
7.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,496.13 |
$14,567.21 |
10.0× |
| MRA neck w/o contrast (70547) |
$2,230.97 |
$9,295.69 |
9.3× |
| MRI abdomen w contrast (74182) |
$2,913.55 |
$12,139.79 |
8.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,309.08 |
$13,787.83 |
9.4× |
| MRI abdomen w/o contrast (74181) |
$3,192.43 |
$13,301.81 |
13.3× |
| MRI any jnt lwr ext with con lt (73722) |
$4,612.20 |
$19,217.50 |
5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,074.80 |
$12,811.67 |
3.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,761.76 |
$7,340.68 |
7.4× |
| MRI breast w/o contrast unilat (77046) |
$1,688.68 |
$7,036.15 |
7.0× |
| MRI c-spine with contrast (72142) |
$3,609.89 |
$15,041.22 |
10.3× |
| MRI cardiac w/o contrast (75557) |
$2,737.38 |
$11,405.75 |
11.4× |
| MRI cervical spine w/o contrast (72141) |
$3,192.43 |
$13,301.81 |
13.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,192.43 |
$13,301.81 |
9.1× |
| MRI chest w/o contrast (71550) |
$3,207.86 |
$13,366.10 |
13.4× |
| MRI chest with contrast (71551) |
$1,377.96 |
$5,741.49 |
1.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,543.84 |
$10,599.35 |
7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,074.80 |
$12,811.67 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,074.80 |
$12,811.67 |
12.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,192.43 |
$13,301.81 |
13.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,019.90 |
$16,749.58 |
11.5× |
| MRI orbit/face/neck w/contrast (70542) |
$3,609.89 |
$15,041.22 |
10.3× |
| MRI pelvis w contrast (72196) |
$1,377.96 |
$5,741.49 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,019.90 |
$16,749.58 |
11.5× |
| MRI pelvis w/o contrast (72195) |
$3,074.80 |
$12,811.67 |
12.8× |
| MRI scan of arm joint before and after contrast (73223) |
$3,067.34 |
$12,780.59 |
8.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,074.80 |
$12,811.67 |
8.8× |
| MRI spectroscopy (76390) |
$2,007.78 |
$8,365.73 |
23.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,019.90 |
$16,749.58 |
11.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,609.89 |
$15,041.22 |
10.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,019.90 |
$16,749.58 |
11.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,523.94 |
$14,683.10 |
10.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,019.90 |
$16,749.58 |
11.5× |
| MRI thoracic spine w/o contrast (72146) |
$3,192.43 |
$13,301.81 |
13.3× |
| MRI tmj (70336) |
$3,040.41 |
$12,668.39 |
12.7× |
| MRI upper ext joint w/o contrast (73221) |
$3,074.80 |
$12,811.67 |
12.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,074.80 |
$12,811.67 |
8.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,074.80 |
$12,811.67 |
12.8× |
| Myocardial infarct spect (78469) |
$915.91 |
$3,816.30 |
1.7× |
| Myocardial Spect Multiple Studies (78452) |
$1,714.93 |
$7,145.53 |
1.3× |
| Neck soft tissue (70360) |
$276.28 |
$1,151.16 |
3.2× |
| Nm adrenal scan (78075) |
$1,022.99 |
$4,262.44 |
0.8× |
| Nm cisternogram (78630) |
$1,724.55 |
$7,185.63 |
3.2× |
| Nm gastric emptying study (78264) |
$1,083.43 |
$4,514.29 |
2.7× |
| Nm gastroesophageal reflux study (78262) |
$603.06 |
$2,512.75 |
1.5× |
| Nm peritoneal-venous shunt patency (78291) |
$988.46 |
$4,118.60 |
2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,249.10 |
$17,704.58 |
3.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$896.87 |
$3,736.96 |
2.2× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,031.84 |
$4,299.33 |
2.6× |
| Nuclear Rx Oral Admin (79005) |
$1,598.03 |
$6,658.46 |
6.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$306.82 |
$1,278.38 |
2.9× |
| Osseous survey infant (77076) |
$486.30 |
$2,026.22 |
4.6× |
| Osseous survey limited (77074) |
$264.45 |
$1,101.88 |
2.5× |
| Parathyrd planar w/spect&CT (78072) |
$444.83 |
$1,853.44 |
0.8× |
| Parathyrd planar w/wo subtrj (78071) |
$444.83 |
$1,853.44 |
1.1× |
| Parathyroid imaging (78070) |
$322.62 |
$1,344.26 |
0.8× |
| Pelvis 1 or 2 views (72170) |
$226.42 |
$943.44 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,883.54 |
$12,014.74 |
8.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,138.15 |
$4,742.28 |
2.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,173.58 |
$4,889.92 |
2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$327.79 |
$1,365.81 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$276.46 |
$1,151.92 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$276.46 |
$1,151.92 |
2.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$345.99 |
$1,441.62 |
3.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$335.77 |
$1,399.04 |
3.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$552.92 |
$2,303.86 |
5.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,328.50 |
$30,535.41 |
1.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$604.51 |
$2,518.81 |
1.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$462.56 |
$1,927.33 |
4.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$300.80 |
$1,253.35 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$353.98 |
$1,474.95 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$226.42 |
$943.44 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$292.92 |
$1,220.51 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$287.70 |
$1,198.71 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$625.47 |
$2,606.14 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$678.27 |
$2,826.11 |
3.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$670.68 |
$2,794.52 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$406.50 |
$1,693.76 |
4.6× |
| Radiological examination surgical specimen (76098) |
$490.37 |
$2,043.20 |
0.9× |
| Ribs bilateral 3 views (71110) |
$399.52 |
$1,664.70 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$615.83 |
$2,565.97 |
1.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,043.19 |
$4,346.63 |
1.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$925.80 |
$3,857.49 |
1.7× |
| Sacroiliac Joints < 3 Views (72200) |
$309.97 |
$1,291.55 |
3.0× |
| Salivary gland imaging serial images (78231) |
$596.55 |
$2,485.62 |
1.5× |
| Scanogram (77073) |
$316.95 |
$1,320.61 |
3.0× |
| Scapula complete (73010) |
$278.17 |
$1,159.03 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$178.47 |
$743.63 |
7.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$265.86 |
$1,107.76 |
2.5× |
| Simulation intermediate (77285) |
$1,147.79 |
$4,782.47 |
3.1× |
| Small bowel series (74250) |
$675.37 |
$2,814.04 |
3.8× |
| Spec medical radj physics consltj (77370) |
$906.51 |
$3,777.14 |
6.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$576.64 |
$2,402.65 |
1.5× |
| Special dosimetry (77331) |
$281.28 |
$1,172.02 |
2.1× |
| Special treatment procedure (77470) |
$1,118.14 |
$4,658.90 |
2.0× |
| Spine thoracic 3 views (72072) |
$150.34 |
$626.41 |
1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,144.34 |
$4,768.07 |
3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$829.04 |
$3,454.34 |
2.2× |
| Testicular Imaging With Vascular Flow (78761) |
$639.70 |
$2,665.43 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,403.29 |
$5,847.04 |
3.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$702.59 |
$2,927.46 |
5.2× |
| Thoracolumbar 2 views (72080) |
$240.32 |
$1,001.31 |
2.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$890.37 |
$3,709.86 |
1.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$443.20 |
$1,846.66 |
1.1× |
| Thyroid uptake measurement (78012) |
$388.89 |
$1,620.37 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$597.98 |
$2,491.59 |
1.5× |
| Treatment device intermediate (77333) |
$499.90 |
$2,082.93 |
3.7× |
| Treatment devices simple (77332) |
$340.83 |
$1,420.12 |
2.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,546.93 |
$6,445.55 |
2.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$741.15 |
$3,088.14 |
1.8× |
| Tx devices design & construction complex (77334) |
$809.85 |
$3,374.37 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$607.69 |
$2,532.04 |
5.8× |
| Umbilical-artery Doppler (OB) (76820) |
$350.46 |
$1,460.27 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$159 |
$662.50 |
1.8× |
| Unlisted Ultrasound Procedure (76999) |
$394.30 |
$1,642.92 |
4.5× |
| Upper Extremity Infant (73092) |
$185.60 |
$773.31 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$465.91 |
$1,941.28 |
1.9× |
| Urethrocystography voiding (74455) |
$1,269.98 |
$5,291.59 |
5.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$721.66 |
$3,006.92 |
4.1× |
| Us abdl aorta screen aaa (76706) |
$584.32 |
$2,434.68 |
5.6× |
| Us breast unilateral complete (76641) |
$485.69 |
$2,023.69 |
4.6× |
| Us breast unilateral limited (76642) |
$485.69 |
$2,023.69 |
5.6× |
| Us chest (76604) |
$434.37 |
$1,809.87 |
4.1× |
| Us compl joint r-t w/image documentation (76881) |
$352.17 |
$1,467.38 |
3.4× |
| Us elastography parenchyma (76981) |
$133.80 |
$557.48 |
1.3× |
| Us guided compression repair (76936) |
$1,166.82 |
$4,861.76 |
5.4× |
| Us infant hips dynamic (76885) |
$498.45 |
$2,076.87 |
5.7× |
| Us kidney transplant (76776) |
$612.95 |
$2,553.95 |
5.8× |
| Us ob transvaginal (76817) |
$435.38 |
$1,814.06 |
4.1× |
| Us pelvic non ob complete (76856) |
$543.92 |
$2,266.33 |
5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$489.49 |
$2,039.54 |
4.7× |
| Us pregnancy ltd (76815) |
$272.19 |
$1,134.13 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$648.70 |
$2,702.94 |
6.2× |
| Us retroperitoneal complete (76770) |
$616.60 |
$2,569.14 |
5.9× |
| Us retroperitoneal limited (76775) |
$287.70 |
$1,198.71 |
2.7× |
| Us scrotum and contents (76870) |
$460.10 |
$1,917.09 |
4.4× |
| Us soft tissue head/neck (76536) |
$440.28 |
$1,834.51 |
4.2× |
| Us spinal canal and contents (76800) |
$158.08 |
$658.68 |
1.5× |
| Us xtr non-vasc lmtd (76882) |
$175.62 |
$731.73 |
1.7× |
| Vascular flow imaging (78445) |
$758.53 |
$3,160.54 |
1.9× |
| Venogram extremity bilateral (75822) |
$890.80 |
$3,711.66 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$2,512.11 |
$10,467.12 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,374.36 |
$5,726.49 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$890.89 |
$3,712.05 |
0.6× |
| Venography Renal Bilateral (75833) |
$2,512.11 |
$10,467.12 |
0.8× |
| Venography renal unilateral selective rs&i (75831) |
$2,512.11 |
$10,467.12 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,415.82 |
$5,899.26 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,512.11 |
$10,467.12 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$85.26 |
$355.23 |
1.0× |
| Wrist 2 views (73100) |
$303.34 |
$1,263.91 |
3.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$345.08 |
$1,437.80 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$248.94 |
$1,037.26 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$346.30 |
$1,442.92 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$713.42 |
$2,972.60 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$429.90 |
$1,791.24 |
4.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$386.64 |
$1,610.98 |
4.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$552.92 |
$2,303.86 |
5.3× |
| X-ray exam hip uni 1 view (73501) |
$226.42 |
$943.44 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$278.94 |
$1,162.26 |
3.2× |
| X-ray exam hip uni 4/> views (73503) |
$418.42 |
$1,743.40 |
4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$345.99 |
$1,441.62 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$691.98 |
$2,883.24 |
6.6× |
| X-ray exam of femur 1 (73551) |
$139.78 |
$582.42 |
1.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$614.14 |
$2,558.92 |
3.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$379.46 |
$1,581.08 |
3.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$152.16 |
$633.96 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$364.17 |
$1,517.37 |
4.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,500.40 |
$6,251.65 |
0.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$248.98 |
$1,037.42 |
2.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$373.34 |
$1,555.57 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$215.02 |
$895.95 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$111.11 |
$462.96 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$270.60 |
$1,127.49 |
2.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$482.86 |
$2,011.95 |
4.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$267.18 |
$1,113.24 |
2.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$226.42 |
$943.44 |
2.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$114.78 |
$478.24 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$287.70 |
$1,198.71 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$262.87 |
$1,095.28 |
2.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$524.48 |
$2,185.34 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$292.92 |
$1,220.51 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$186.78 |
$778.25 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$399.52 |
$1,664.70 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$292.92 |
$1,220.51 |
2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$146 |
$608.32 |
1.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$397.92 |
$1,657.96 |
4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$399.52 |
$1,664.70 |
4.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$160.80 |
$670.02 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$443.48 |
$1,847.84 |
4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$267.18 |
$1,113.24 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$146 |
$608.32 |
1.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$278.35 |
$1,159.78 |
3.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$267.18 |
$1,113.24 |
3.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$287.70 |
$1,198.71 |
2.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$239.60 |
$998.35 |
2.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$214.54 |
$893.90 |
2.5× |
| Xr c-spine 6 or more views (72052) |
$235.07 |
$979.46 |
2.2× |
| Xr chest 4+ views (71048) |
$473.78 |
$1,974.06 |
4.5× |
| Xr finger(s) 2+ views (73140) |
$288.25 |
$1,201.04 |
3.3× |
| Xr shoulder 1 view (73020) |
$386.64 |
$1,610.98 |
4.4× |
| Xr spine cervical 4 or 5 views (72050) |
$491.43 |
$2,047.63 |
4.7× |
| Xr tibia/fibula 2 views (73590) |
$406.50 |
$1,693.76 |
4.6× |
| Xr tmj bilateral (70330) |
$363.08 |
$1,512.86 |
4.2× |
| Xray knee 1 or 2 views rt (73560) |
$261.77 |
$1,090.69 |
3.0× |