| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,432 |
$8,432 |
6.1× |
| Abdomen 2 views (74019) |
$3,154 |
$3,154 |
30.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$7,226 |
$7,226 |
18.0× |
| Acute venous thrombus image (78456) |
$3,126 |
$3,126 |
2.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$8,732 |
$8,732 |
2.8× |
| Angiography extremity bilateral rs&i (75716) |
$8,870 |
$8,870 |
2.8× |
| Angiography extremity unilateral rs&i (75710) |
$11,078.50 |
$11,078.50 |
3.5× |
| Angiography internal mammary rs&i (75756) |
$6,481 |
$6,481 |
2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$11,697 |
$11,697 |
2.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$9,305 |
$9,305 |
2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,469 |
$6,469 |
2.0× |
| Angiography Spinal Selective Rs&I (75705) |
$6,907 |
$6,907 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$13,906 |
$13,906 |
2.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$5,713 |
$5,713 |
1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$7,155.50 |
$7,155.50 |
2.3× |
| Ankle 2 views (73600) |
$842.50 |
$842.50 |
9.6× |
| Antegrade urography radiological supvj & interpj (74425) |
$3,890 |
$3,890 |
11.1× |
| Aortogram thoracic (75605) |
$12,196 |
$12,196 |
2.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$8,605.50 |
$8,605.50 |
2.7× |
| Aortography abdominal serialography rs&i (75625) |
$7,075 |
$7,075 |
2.2× |
| Artery X-Rays Adrenal Gland (75731) |
$6,632 |
$6,632 |
2.1× |
| Arthrogram elbow (73085) |
$2,209 |
$2,209 |
6.3× |
| Arthrogram hip (73525) |
$3,636 |
$3,636 |
10.4× |
| Arthrogram shoulder (73040) |
$2,223 |
$2,223 |
6.3× |
| Arthrogram wrist (73115) |
$1,820 |
$1,820 |
5.2× |
| Arthrography knee lt (73580) |
$1,463 |
$1,463 |
4.2× |
| Basic radiation dosimetry calculation (77300) |
$2,552 |
$2,552 |
18.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$6,925 |
$6,925 |
17.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$5,270 |
$5,270 |
13.1× |
| Bone &/joint imaging whole body (78306) |
$8,040 |
$8,040 |
20.0× |
| Bone age studies (77072) |
$1,067 |
$1,067 |
10.2× |
| Bone Imaging 3 Phase (78315) |
$8,680 |
$8,680 |
21.6× |
| Bone survey complete (77075) |
$3,671 |
$3,671 |
35.0× |
| Brachytx isodose complex (77318) |
$7,838 |
$7,838 |
20.8× |
| Brachytx isodose intermed (77317) |
$5,189 |
$5,189 |
13.8× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$4,013 |
$4,013 |
10.7× |
| Brain image w/flow 4 + views (78606) |
$5,704 |
$5,704 |
10.5× |
| Brain imaging < 4 static views w vascular flow (78601) |
$4,175 |
$4,175 |
10.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$3,448 |
$3,448 |
6.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$20,887 |
$20,887 |
14.5× |
| Brain Imaging Vascular Flow Only (78610) |
$4,301 |
$4,301 |
7.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$5,865 |
$5,865 |
10.8× |
| Cervical spine 2 or 3 views (72040) |
$1,229.50 |
$1,229.50 |
14.1× |
| Chest 1 view (71045) |
$1,164 |
$1,164 |
13.3× |
| Chest 3 views (71047) |
$2,442 |
$2,442 |
27.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,847 |
$1,847 |
10.5× |
| Cisternography Positive Contrast Rs&I (70015) |
$5,971 |
$5,971 |
7.6× |
| Clavicle complete (73000) |
$1,084 |
$1,084 |
12.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$11,839.50 |
$11,839.50 |
112.7× |
| Continuing medical physics consltj pr wk (77336) |
$3,173 |
$3,173 |
23.5× |
| Corpora cavernosography (74445) |
$2,646 |
$2,646 |
25.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$13,093 |
$13,093 |
37.4× |
| CT abdomen and pelvis without contrast (74176) |
$11,648.50 |
$11,648.50 |
48.6× |
| CT abdomen w contrast (74160) |
$14,083 |
$14,083 |
79.9× |
| CT abdomen w wo contrast (74170) |
$17,313 |
$17,313 |
98.3× |
| CT abdomen w/o contrast (74150) |
$13,267.50 |
$13,267.50 |
126.3× |
| CT angio hrt w/3d image (75574) |
$9,472.50 |
$9,472.50 |
27.0× |
| CT angiography upper extremity lt (73206) |
$12,551 |
$12,551 |
71.2× |
| CT c-spine w/o contrast (72125) |
$16,523 |
$16,523 |
157.3× |
| CT cervical spine w&w/o contrast (72127) |
$22,399 |
$22,399 |
127.1× |
| CT cervical spine with contrast (72126) |
$17,247 |
$17,247 |
49.2× |
| CT chest w/wo contrast (71270) |
$18,165 |
$18,165 |
103.1× |
| CT chest with contrast (71260) |
$11,352.50 |
$11,352.50 |
64.4× |
| CT colonography screening (74263) |
$2,723 |
$2,723 |
11.4× |
| CT colonography w/o cntrst (74261) |
$2,982 |
$2,982 |
28.4× |
| CT head/brain with contrast (70460) |
$11,163 |
$11,163 |
63.4× |
| CT head/brain without and with contrast (70470) |
$13,087 |
$13,087 |
74.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$9,472.50 |
$9,472.50 |
27.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$158 |
$158 |
1.8× |
| CT hrt w/3d image congen (75573) |
$9,472.50 |
$9,472.50 |
27.0× |
| CT iac w contrast (70481) |
$11,110 |
$11,110 |
63.1× |
| CT limited/localized follow up study (76380) |
$2,957 |
$2,957 |
33.8× |
| CT lower ext w/o (73700) |
$11,071 |
$11,071 |
105.4× |
| CT lower extremity w wo contrast (73702) |
$11,259 |
$11,259 |
63.9× |
| CT lower extremity with contrast (73701) |
$11,713 |
$11,713 |
66.5× |
| CT lumbar spine w & w/o contrast (72133) |
$16,101.50 |
$16,101.50 |
91.4× |
| CT lumbar spine w/o contrast (72131) |
$16,029 |
$16,029 |
152.6× |
| CT lumbar spine with contrast (72132) |
$16,813 |
$16,813 |
48.0× |
| CT maxillofacial w contrast (70487) |
$10,565 |
$10,565 |
60.0× |
| CT maxillofacial w/o contrast (70486) |
$9,852 |
$9,852 |
93.8× |
| CT maxillofacial w/wo contrast (70488) |
$12,194 |
$12,194 |
69.2× |
| CT neck soft tissue w contrast (70491) |
$11,659 |
$11,659 |
66.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$11,840 |
$11,840 |
67.2× |
| CT orbits w/o contrast (70480) |
$10,814 |
$10,814 |
103.0× |
| CT pelvis w & w/o contrast (72194) |
$14,038.50 |
$14,038.50 |
79.7× |
| CT pelvis w/o contrast (72192) |
$11,130.50 |
$11,130.50 |
106.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$1,192 |
$1,192 |
13.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$12,876 |
$12,876 |
73.1× |
| CT soft tissue neck w/o contrast (70490) |
$11,459 |
$11,459 |
109.1× |
| CT thoracic spine w/contrast (72129) |
$15,282 |
$15,282 |
86.7× |
| CT thoracic spine w/o contrast (72128) |
$14,957 |
$14,957 |
142.4× |
| CT thoracic spine w/wo contrast (72130) |
$16,425 |
$16,425 |
93.2× |
| CT thorax w/o contrast (71250) |
$10,676.50 |
$10,676.50 |
101.7× |
| CT unlisted procedure (76497) |
$3,329 |
$3,329 |
38.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$11,505 |
$11,505 |
65.3× |
| CT upper extremity w/o contrast rt (73200) |
$7,721 |
$7,721 |
73.5× |
| CT upper extremity with contrast (73201) |
$9,926 |
$9,926 |
28.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$14,884 |
$14,884 |
84.5× |
| Cta Abdomen (74175) |
$8,668 |
$8,668 |
49.2× |
| CTA abdomen pelvis (74174) |
$21,765 |
$21,765 |
62.1× |
| CTA chest (71275) |
$11,817 |
$11,817 |
67.1× |
| Cta Head (70496) |
$12,267 |
$12,267 |
69.6× |
| CTA lwr ext w&w/o contrast (73706) |
$15,685 |
$15,685 |
89.0× |
| Cta Neck (70498) |
$11,676 |
$11,676 |
66.3× |
| Cta Pelvis (72191) |
$14,100 |
$14,100 |
80.0× |
| Cystography minimum 3 views rs&i (74430) |
$2,621.50 |
$2,621.50 |
7.5× |
| Dacryocystography (70170) |
$1,592 |
$1,592 |
6.6× |
| Diskogram cervical (72285) |
$3,982 |
$3,982 |
2.0× |
| Diskography lumbar (72295) |
$3,403 |
$3,403 |
1.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,470.50 |
$1,470.50 |
14.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$3,275 |
$3,275 |
31.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$339 |
$339 |
3.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,934 |
$1,934 |
18.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$736 |
$736 |
8.4× |
| Dxa bone density study axial skeleton (77085) |
$1,586 |
$1,586 |
15.1× |
| Echo exam of eye (76529) |
$1,841 |
$1,841 |
21.1× |
| Echo exam of fetal heart (76825) |
$1,892 |
$1,892 |
3.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$2,028 |
$2,028 |
8.5× |
| Echoencephalography real time imaging (76506) |
$6,212 |
$6,212 |
59.2× |
| Esophagus (74220) |
$3,574 |
$3,574 |
20.3× |
| Fetal biophysical profile non-stress testing (76818) |
$3,154.50 |
$3,154.50 |
30.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,479 |
$2,479 |
23.6× |
| Fluoroscopy up to 1 hr (76000) |
$3,991 |
$3,991 |
16.7× |
| Foot 2 views (73620) |
$821.50 |
$821.50 |
9.4× |
| Forearm 2 views (73090) |
$348 |
$348 |
4.0× |
| Gastrointestinal Protein Loss (78282) |
$2,305 |
$2,305 |
5.7× |
| Gated Heart Planar Single (78472) |
$6,460 |
$6,460 |
16.1× |
| Hand 2 views (73120) |
$377 |
$377 |
3.6× |
| Hand 3 views (73130) |
$1,146.50 |
$1,146.50 |
13.1× |
| Heart Infarct Image (78466) |
$6,972 |
$6,972 |
17.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$7,259 |
$7,259 |
13.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,460 |
$4,460 |
11.1× |
| Ht muscle image spect sing (78451) |
$19,074 |
$19,074 |
14.7× |
| Humerus Min 2 Views Left (73060) |
$1,503 |
$1,503 |
17.2× |
| Hysterosalpingogram (74740) |
$3,930 |
$3,930 |
16.4× |
| Interstitial radiation source applic complex (77778) |
$14,230 |
$14,230 |
20.3× |
| Intracavitary Radiation Source Applic Complex (77763) |
$11,291 |
$11,291 |
16.1× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$8,171 |
$8,171 |
14.7× |
| Intracavitary radiation source applic simple (77761) |
$11,291 |
$11,291 |
20.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$1,978 |
$1,978 |
18.8× |
| Kidney imaging morphology (78700) |
$4,253 |
$4,253 |
10.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$9,095 |
$9,095 |
16.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$7,642 |
$7,642 |
14.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$13,244 |
$13,244 |
24.3× |
| Knee 3 views (73562) |
$1,046 |
$1,046 |
12.0× |
| Liver & spleen imaging static only (78215) |
$6,543 |
$6,543 |
16.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$6,549 |
$6,549 |
16.3× |
| Liver imaging static only (78201) |
$3,588 |
$3,588 |
6.6× |
| Liver imaging w/vascular flow (78202) |
$6,863 |
$6,863 |
12.6× |
| Lung perf&ventilat diferentl (78598) |
$13,317 |
$13,317 |
24.4× |
| Lung Ventilation Imaging (78579) |
$8,274 |
$8,274 |
20.6× |
| Lymphoscintigraphy (78195) |
$5,987 |
$5,987 |
11.0× |
| Mammary ductogram or galactogram multiple (77054) |
$4,027 |
$4,027 |
16.8× |
| Mammary ductogram or galactogram single (77053) |
$1,836 |
$1,836 |
7.7× |
| Meckels Diverticulum (78290) |
$9,893 |
$9,893 |
24.6× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$515 |
$515 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$7,389 |
$7,389 |
19.6× |
| MRA head w & w/o contrast (70546) |
$12,709 |
$12,709 |
36.3× |
| MRA head w/o contrast (70544) |
$11,181 |
$11,181 |
46.6× |
| MRA head with contrast (70545) |
$11,401 |
$11,401 |
32.5× |
| MRA neck w contrast (70548) |
$12,709 |
$12,709 |
36.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$15,315 |
$15,315 |
43.7× |
| MRA neck w/o contrast (70547) |
$11,181 |
$11,181 |
46.6× |
| MRI abdomen w contrast (74182) |
$14,121 |
$14,121 |
40.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$17,086 |
$17,086 |
48.8× |
| MRI abdomen w/o contrast (74181) |
$13,217 |
$13,217 |
55.1× |
| MRI any jnt lwr ext with con lt (73722) |
$12,704 |
$12,704 |
16.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$14,624 |
$14,624 |
18.6× |
| MRI bone marrow blood supply (77084) |
$8,742 |
$8,742 |
36.5× |
| MRI c-spine with contrast (72142) |
$14,708 |
$14,708 |
42.0× |
| MRI cardiac w/o contrast (75557) |
$7,102 |
$7,102 |
29.6× |
| MRI cervical spine w/o contrast (72141) |
$12,874 |
$12,874 |
53.7× |
| MRI chest w/o & w/contrast material (71552) |
$14,709 |
$14,709 |
42.0× |
| MRI chest w/o contrast (71550) |
$12,691 |
$12,691 |
52.9× |
| MRI chest with contrast (71551) |
$10,595 |
$10,595 |
13.5× |
| MRI fetal sngl/1st gestation (74712) |
$7,254 |
$7,254 |
30.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$14,329 |
$14,329 |
40.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$14,624 |
$14,624 |
41.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$10,834 |
$10,834 |
45.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$15,428 |
$15,428 |
64.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$15,707 |
$15,707 |
44.8× |
| MRI orbit/face/neck w/contrast (70542) |
$12,709 |
$12,709 |
36.3× |
| MRI pelvis w contrast (72196) |
$14,172 |
$14,172 |
40.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$16,230 |
$16,230 |
46.3× |
| MRI pelvis w/o contrast (72195) |
$13,529 |
$13,529 |
56.4× |
| MRI scan of arm joint before and after contrast (73223) |
$5,048 |
$5,048 |
14.4× |
| MRI scan of leg joint before and after contrast (73723) |
$15,625 |
$15,625 |
44.6× |
| MRI spectroscopy (76390) |
$9,252 |
$9,252 |
105.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$17,369 |
$17,369 |
49.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$14,581 |
$14,581 |
41.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$17,222 |
$17,222 |
49.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$14,581 |
$14,581 |
41.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$17,175 |
$17,175 |
49.0× |
| MRI thoracic spine w/o contrast (72146) |
$12,730 |
$12,730 |
53.1× |
| MRI tmj (70336) |
$12,479 |
$12,479 |
52.1× |
| MRI upper ext joint w/o contrast (73221) |
$10,994 |
$10,994 |
45.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$15,625 |
$15,625 |
44.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$10,834 |
$10,834 |
45.2× |
| Myelogram Cervical (72240) |
$10,137 |
$10,137 |
12.9× |
| Myelogram Lumbar (72265) |
$8,922 |
$8,922 |
11.3× |
| Myelogram thoracic (72255) |
$8,419 |
$8,419 |
10.7× |
| Myelography 2 or more regions (72270) |
$10,622 |
$10,622 |
13.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$19,894 |
$19,894 |
15.3× |
| Myocardial infarct spect (78469) |
$7,430 |
$7,430 |
13.6× |
| Myocardial Spect Multiple Studies (78452) |
$16,870 |
$16,870 |
13.0× |
| Neck soft tissue (70360) |
$906.50 |
$906.50 |
10.4× |
| Nm adrenal scan (78075) |
$4,980 |
$4,980 |
3.8× |
| Nm bone marrow multiple (78103) |
$3,209 |
$3,209 |
8.0× |
| Nm cisternogram (78630) |
$6,410 |
$6,410 |
11.8× |
| Nm csf leak detection (78650) |
$4,724 |
$4,724 |
3.6× |
| Nm gastric emptying study (78264) |
$7,183 |
$7,183 |
17.9× |
| Nm gastroesophageal reflux study (78262) |
$2,247 |
$2,247 |
5.6× |
| Nm whole blood volume (78122) |
$1,035 |
$1,035 |
1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,052 |
$10,052 |
7.2× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$19,715.50 |
$19,715.50 |
13.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$11,787 |
$11,787 |
9.1× |
| Nuclear medicine of heart pumping function (78473) |
$14,099 |
$14,099 |
35.1× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$21,655 |
$21,655 |
15.1× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$19,715.50 |
$19,715.50 |
13.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$9,606 |
$9,606 |
7.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$4,418 |
$4,418 |
11.0× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,482 |
$3,482 |
8.7× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$2,473 |
$2,473 |
4.5× |
| Nuclear Rx Oral Admin (79005) |
$6,214 |
$6,214 |
26.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,782 |
$1,782 |
17.0× |
| Orthopantogram (70355) |
$911 |
$911 |
10.4× |
| Osseous survey infant (77076) |
$1,731.50 |
$1,731.50 |
16.5× |
| Osseous survey limited (77074) |
$2,895 |
$2,895 |
27.6× |
| Parathyrd planar w/wo subtrj (78071) |
$3,455 |
$3,455 |
8.6× |
| Parathyroid imaging (78070) |
$7,670 |
$7,670 |
19.1× |
| Pelvis 1 or 2 views (72170) |
$1,321 |
$1,321 |
12.6× |
| Peritoneogram rs&i (74190) |
$749 |
$749 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$22,586 |
$22,586 |
15.7× |
| PET imaging CT for attenuation limited area (78814) |
$18,968 |
$18,968 |
13.2× |
| PET imaging for CT attenuation whole body (78816) |
$21,863 |
$21,863 |
15.2× |
| PET imaging limited area chest head/neck (78811) |
$22,881.50 |
$22,881.50 |
17.6× |
| PET whole body (78813) |
$19,894 |
$19,894 |
13.8× |
| Platelet survival study (78191) |
$5,538 |
$5,538 |
13.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$15,625 |
$15,625 |
44.6× |
| Pr red cell survival study (78130) |
$4,201 |
$4,201 |
10.5× |
| Pr sono bone density measure,peripheral (76977) |
$589 |
$589 |
5.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$7,488 |
$7,488 |
2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$7,183 |
$7,183 |
17.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$11,863 |
$11,863 |
21.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$6,275.50 |
$6,275.50 |
11.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$2,394 |
$2,394 |
27.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,951.50 |
$2,951.50 |
28.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$7,951 |
$7,951 |
75.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,807 |
$1,807 |
17.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$3,689 |
$3,689 |
6.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$2,514 |
$2,514 |
24.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$3,031 |
$3,031 |
7.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,310.50 |
$1,310.50 |
12.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$2,009 |
$2,009 |
23.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,230 |
$1,230 |
14.1× |
| Radiologic exam colon single contrast study (74270) |
$5,336 |
$5,336 |
30.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$3,574 |
$3,574 |
20.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,574 |
$3,574 |
20.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,587 |
$2,587 |
14.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,878 |
$1,878 |
21.5× |
| Radiological examination surgical specimen (76098) |
$914 |
$914 |
1.7× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$3,417.50 |
$3,417.50 |
14.6× |
| Ribs bilateral 3 views (71110) |
$1,900.50 |
$1,900.50 |
18.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$7,114 |
$7,114 |
17.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$12,548 |
$12,548 |
23.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$10,590 |
$10,590 |
19.4× |
| Rp therapy intra-arterial particulate admn (79445) |
$927 |
$927 |
4.0× |
| Rp Therapy Intravenous Administration (79101) |
$3,581 |
$3,581 |
15.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$4,071 |
$4,071 |
17.0× |
| Salivary gland function study (78232) |
$4,631 |
$4,631 |
11.5× |
| Salivary gland imaging serial images (78231) |
$3,985 |
$3,985 |
9.9× |
| Scanogram (77073) |
$3,729 |
$3,729 |
35.5× |
| Scapula complete (73010) |
$723 |
$723 |
6.9× |
| Sella turcica (70240) |
$956.50 |
$956.50 |
10.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$2,265 |
$2,265 |
21.6× |
| Sialogram (70390) |
$2,993 |
$2,993 |
12.5× |
| Simulation intermediate (77285) |
$5,424 |
$5,424 |
14.4× |
| Small bowel series (74250) |
$4,625 |
$4,625 |
26.2× |
| Spec medical radj physics consltj (77370) |
$2,788 |
$2,788 |
20.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$3,539 |
$3,539 |
9.4× |
| Special dosimetry (77331) |
$1,525 |
$1,525 |
11.3× |
| Special treatment procedure (77470) |
$10,523 |
$10,523 |
19.0× |
| Speech evaluation complex (70371) |
$1,681 |
$1,681 |
7.0× |
| Spine thoracic 3 views (72072) |
$1,738 |
$1,738 |
16.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,049 |
$4,049 |
10.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,998 |
$2,998 |
8.0× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$3,099 |
$3,099 |
12.9× |
| Testicular Imaging With Vascular Flow (78761) |
$4,098 |
$4,098 |
10.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$6,956 |
$6,956 |
18.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$5,025 |
$5,025 |
37.2× |
| Therapeutic Enema (74283) |
$3,334 |
$3,334 |
18.9× |
| Thoracolumbar 2 views (72080) |
$1,144 |
$1,144 |
13.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,947 |
$6,947 |
12.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$5,936 |
$5,936 |
14.8× |
| Thyroid uptake measurement (78012) |
$4,828 |
$4,828 |
12.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,272 |
$4,272 |
10.6× |
| Tmj unilateral (70328) |
$2,052 |
$2,052 |
23.5× |
| Tomogram (76100) |
$4,626 |
$4,626 |
44.0× |
| Treatment device intermediate (77333) |
$3,553 |
$3,553 |
26.3× |
| Treatment devices simple (77332) |
$1,785 |
$1,785 |
13.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$13,572 |
$13,572 |
24.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$11,960 |
$11,960 |
29.8× |
| Tx devices design & construction complex (77334) |
$7,389 |
$7,389 |
19.6× |
| Ultrasound elastography first target lesion (76982) |
$427 |
$427 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$4,371 |
$4,371 |
41.6× |
| Umbilical-artery Doppler (OB) (76820) |
$604 |
$604 |
5.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$3,112.50 |
$3,112.50 |
35.6× |
| Unlisted fluoroscopic procedure (76496) |
$1,821 |
$1,821 |
20.8× |
| Unlisted magnetic resonance procedure (76498) |
$4,070 |
$4,070 |
46.6× |
| Unlisted Ultrasound Procedure (76999) |
$279 |
$279 |
3.2× |
| Upper Extremity Infant (73092) |
$538.50 |
$538.50 |
5.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$3,815 |
$3,815 |
9.5× |
| Urethrocystography retrograde rs&i (74450) |
$8,077.50 |
$8,077.50 |
33.7× |
| Urethrocystography voiding (74455) |
$4,098 |
$4,098 |
17.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$11,967 |
$11,967 |
67.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$7,907 |
$7,907 |
44.9× |
| Us abdl aorta screen aaa (76706) |
$3,183 |
$3,183 |
30.3× |
| Us breast unilateral complete (76641) |
$2,687 |
$2,687 |
25.6× |
| Us breast unilateral limited (76642) |
$1,345 |
$1,345 |
15.4× |
| Us chest (76604) |
$2,739.50 |
$2,739.50 |
26.1× |
| Us compl joint r-t w/image documentation (76881) |
$2,558 |
$2,558 |
24.4× |
| Us elastography parenchyma (76981) |
$1,615 |
$1,615 |
15.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$1,425 |
$1,425 |
13.6× |
| Us infant hips dynamic (76885) |
$2,363 |
$2,363 |
27.0× |
| Us infant hips limited static (76886) |
$1,828 |
$1,828 |
20.9× |
| Us kidney transplant (76776) |
$3,234 |
$3,234 |
30.8× |
| Us ob detailed single fetus (76811) |
$2,158 |
$2,158 |
9.0× |
| Us ob transvaginal (76817) |
$2,261 |
$2,261 |
21.5× |
| Us pelvic non ob complete (76856) |
$5,453 |
$5,453 |
51.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,160.50 |
$2,160.50 |
20.6× |
| Us pregnancy ltd (76815) |
$3,695 |
$3,695 |
35.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,588.50 |
$2,588.50 |
24.6× |
| Us retroperitoneal complete (76770) |
$4,194.50 |
$4,194.50 |
39.9× |
| Us retroperitoneal limited (76775) |
$2,942 |
$2,942 |
28.0× |
| Us scrotum and contents (76870) |
$4,137.50 |
$4,137.50 |
39.4× |
| Us soft tissue head/neck (76536) |
$3,178 |
$3,178 |
30.3× |
| Us spinal canal and contents (76800) |
$3,714 |
$3,714 |
35.4× |
| Us transrectal (76872) |
$3,737 |
$3,737 |
35.6× |
| Us transrectal prostate volume (76873) |
$2,701 |
$2,701 |
25.7× |
| Us xtr non-vasc lmtd (76882) |
$1,705.50 |
$1,705.50 |
16.2× |
| Vascular flow imaging (78445) |
$2,087 |
$2,087 |
5.2× |
| Vasogram (74440) |
$2,277 |
$2,277 |
9.5× |
| Venogram extremity bilateral (75822) |
$5,338 |
$5,338 |
3.4× |
| Venography caval inferior serialography rs&i (75825) |
$7,063.50 |
$7,063.50 |
2.2× |
| Venography caval superior serialography rs&i (75827) |
$6,418 |
$6,418 |
4.1× |
| Venography extremity unilateral rs&i (75820) |
$2,164 |
$2,164 |
1.4× |
| Venography Renal Bilateral (75833) |
$6,540 |
$6,540 |
2.1× |
| Venography renal unilateral selective rs&i (75831) |
$5,631 |
$5,631 |
1.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$6,319.50 |
$6,319.50 |
2.0× |
| Vertebral fracture assessment via dxa (77086) |
$1,586 |
$1,586 |
18.1× |
| Wrist 2 views (73100) |
$348 |
$348 |
4.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,549 |
$1,549 |
14.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,310.50 |
$1,310.50 |
15.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,202.50 |
$1,202.50 |
13.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$6,749 |
$6,749 |
38.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$348 |
$348 |
4.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,744 |
$1,744 |
19.9× |
| X-ray exam hip uni 1 view (73501) |
$3,606 |
$3,606 |
41.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$3,974 |
$3,974 |
45.5× |
| X-ray exam of femur 1 (73551) |
$937 |
$937 |
10.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$5,438 |
$5,438 |
30.9× |
| X-ray eye for foreign body (70030) |
$1,517 |
$1,517 |
17.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,946 |
$1,946 |
18.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,310.50 |
$1,310.50 |
15.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,080 |
$1,080 |
12.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,947 |
$2,947 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$985.50 |
$985.50 |
11.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$5,723 |
$5,723 |
32.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$791 |
$791 |
9.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,150 |
$2,150 |
20.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,397 |
$1,397 |
16.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$935 |
$935 |
10.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,947 |
$1,947 |
18.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,174 |
$2,174 |
20.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$254 |
$254 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,158.50 |
$1,158.50 |
13.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,158.50 |
$1,158.50 |
13.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,310.50 |
$1,310.50 |
12.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,334.50 |
$1,334.50 |
12.7× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$7,017 |
$7,017 |
12.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,782.50 |
$2,782.50 |
7.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,158.50 |
$1,158.50 |
13.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$3,675 |
$3,675 |
35.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,286 |
$2,286 |
21.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,418.50 |
$1,418.50 |
13.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,091.50 |
$1,091.50 |
12.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,326.50 |
$1,326.50 |
15.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,366.50 |
$1,366.50 |
15.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$650 |
$650 |
7.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,820.50 |
$1,820.50 |
17.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,254 |
$1,254 |
11.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$947 |
$947 |
10.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,249 |
$1,249 |
14.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,310.50 |
$1,310.50 |
15.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,144 |
$1,144 |
10.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$3,269 |
$3,269 |
31.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$979 |
$979 |
11.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,128 |
$1,128 |
12.9× |
| Xr arthrogram ankle (73615) |
$1,754 |
$1,754 |
5.0× |
| Xr c-spine 6 or more views (72052) |
$1,991 |
$1,991 |
19.0× |
| Xr chest 4+ views (71048) |
$2,491 |
$2,491 |
23.7× |
| Xr Cholecystography Oral Contrast (74290) |
$2,644 |
$2,644 |
15.0× |
| Xr finger(s) 2+ views (73140) |
$979 |
$979 |
11.2× |
| Xr internal auditory meati complete (70134) |
$2,116 |
$2,116 |
3.9× |
| Xr myelogram posterior fossa (70010) |
$1,030 |
$1,030 |
2.9× |
| Xr optic foramina (70190) |
$1,766 |
$1,766 |
20.2× |
| Xr shoulder 1 view (73020) |
$348 |
$348 |
4.0× |
| Xr spine cervical 4 or 5 views (72050) |
$2,055 |
$2,055 |
19.6× |
| Xr tibia/fibula 2 views (73590) |
$1,870 |
$1,870 |
21.4× |
| Xr tmj bilateral (70330) |
$1,398.50 |
$1,398.50 |
16.0× |
| Xray knee 1 or 2 views rt (73560) |
$787.50 |
$787.50 |
9.0× |