| 3-D radiotherapy plan dose-volume histograms (77295) |
$20,979 |
$20,979 |
15.5× |
| Abdomen 2 views (74019) |
$990 |
$990 |
9.7× |
| Acute gi blood loss imaging (78278) |
$2,932 |
$2,932 |
7.5× |
| Angiography extremity bilateral rs&i (75716) |
$8,525 |
$8,525 |
2.8× |
| Angiography extremity unilateral rs&i (75710) |
$5,897 |
$5,897 |
1.9× |
| Angiography internal mammary rs&i (75756) |
$7,237 |
$7,237 |
2.3× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$10,022.50 |
$10,022.50 |
1.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,208 |
$7,208 |
2.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,849 |
$4,849 |
1.6× |
| Angiography Spinal Selective Rs&I (75705) |
$4,834 |
$4,834 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$11,471 |
$11,471 |
2.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,494 |
$1,494 |
0.5× |
| Ankle 2 views (73600) |
$851 |
$851 |
10.0× |
| Aortogram thoracic (75605) |
$7,254.50 |
$7,254.50 |
1.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,914 |
$5,914 |
1.9× |
| Aortography abdominal serialography rs&i (75625) |
$7,774 |
$7,774 |
2.5× |
| Arthrogram hip (73525) |
$1,216 |
$1,216 |
3.6× |
| Basic dosimetry (77300) |
$1,842 |
$1,842 |
14.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,949 |
$4,949 |
12.7× |
| Bone &/joint imaging whole body (78306) |
$4,266 |
$4,266 |
10.9× |
| Bone age studies (77072) |
$395 |
$395 |
3.9× |
| Bone Imaging 3 Phase (78315) |
$6,937 |
$6,937 |
17.8× |
| Bone survey complete (77075) |
$2,796 |
$2,796 |
27.4× |
| Bone survey infant (77076) |
$2,429 |
$2,429 |
23.8× |
| Bowel imaging (78290) |
$4,577 |
$4,577 |
11.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$3,923 |
$3,923 |
10.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$2,459 |
$2,459 |
4.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$20,353 |
$20,353 |
14.6× |
| Brain imaging, minimum 4 static views; Non-Facility (78605) |
$1,333 |
$1,333 |
2.5× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$5,156 |
$5,156 |
13.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,914 |
$1,914 |
3.6× |
| Cervical spine 2 or 3 views (72040) |
$1,440 |
$1,440 |
17.0× |
| Chest 1 view (71045) |
$811 |
$811 |
9.6× |
| Chest xray 3 views (71047) |
$1,156 |
$1,156 |
13.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,070 |
$2,070 |
12.1× |
| Clavicle complete (73000) |
$1,106 |
$1,106 |
13.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$545 |
$545 |
5.3× |
| Continuing medical physics consltj pr wk (77336) |
$1,662 |
$1,662 |
12.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$21,334 |
$21,334 |
62.7× |
| CT abdomen and pelvis without contrast (74176) |
$12,973 |
$12,973 |
55.7× |
| CT abdomen w contrast (74160) |
$8,511 |
$8,511 |
49.7× |
| CT abdomen w wo contrast (74170) |
$10,668 |
$10,668 |
62.3× |
| CT abdomen w/o contrast (74150) |
$4,889 |
$4,889 |
47.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,861 |
$3,861 |
22.6× |
| CT angiography upper extremity lt (73206) |
$3,861 |
$3,861 |
22.6× |
| CT c-spine w/contrast (72126) |
$8,511 |
$8,511 |
25.0× |
| CT c-spine w/o contrast (72125) |
$7,214 |
$7,214 |
70.7× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$3,563 |
$3,563 |
20.8× |
| CT cervical spine w&w/o contrast (72127) |
$10,668 |
$10,668 |
62.3× |
| CT chest w contrast (71260) |
$8,396 |
$8,396 |
49.1× |
| CT chest w/wo contrast (71270) |
$10,549 |
$10,549 |
61.6× |
| CT head/brain with contrast (70460) |
$7,535 |
$7,535 |
44.0× |
| CT head/brain without and with contrast (70470) |
$9,691 |
$9,691 |
56.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$9,877 |
$9,877 |
29.0× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$850 |
$850 |
10.0× |
| CT hrt w/3d image congen (75573) |
$9,877 |
$9,877 |
29.0× |
| CT iac w contrast (70481) |
$7,971 |
$7,971 |
46.6× |
| CT limited/localized follow up study (76380) |
$3,641 |
$3,641 |
42.9× |
| CT lower ext w/o (73700) |
$6,173 |
$6,173 |
60.5× |
| CT lower extremity w wo contrast (73702) |
$9,622 |
$9,622 |
56.2× |
| CT lower extremity w/contrast material (73701) |
$7,470 |
$7,470 |
43.6× |
| CT lumbar spine w & w/o contrast (72133) |
$10,668 |
$10,668 |
62.3× |
| CT lumbar spine w/contrast (72132) |
$8,511 |
$8,511 |
25.0× |
| CT lumbar spine w/o contrast (72131) |
$7,214 |
$7,214 |
70.7× |
| CT maxillofacial w contrast (70487) |
$7,971 |
$7,971 |
46.6× |
| CT maxillofacial w/wo contrast (70488) |
$10,127 |
$10,127 |
59.2× |
| CT maxillofacial wo contrast (70486) |
$6,673 |
$6,673 |
65.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$10,127 |
$10,127 |
59.2× |
| CT orbits w/o contrast (70480) |
$6,673 |
$6,673 |
65.4× |
| CT pelvis w/o contrast (72192) |
$7,214 |
$7,214 |
70.7× |
| CT pelvis w/wo contrast (72194) |
$10,668 |
$10,668 |
62.3× |
| CT scan of arm combo (73202) |
$9,622 |
$9,622 |
56.2× |
| CT soft tissue neck w contrast (70491) |
$7,971 |
$7,971 |
46.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$10,127 |
$10,127 |
59.2× |
| CT soft tissue neck w/o contrast (70490) |
$6,673 |
$6,673 |
65.4× |
| CT thoracic spine w/contrast (72129) |
$8,396 |
$8,396 |
49.1× |
| CT thoracic spine w/o contrast (72128) |
$6,673 |
$6,673 |
65.4× |
| CT thoracic spine w/wo contrast (72130) |
$10,549 |
$10,549 |
61.6× |
| CT thorax w/o contrast (71250) |
$6,673 |
$6,673 |
65.4× |
| CT upper ext wo (73200) |
$6,173 |
$6,173 |
60.5× |
| CT upper extremity with contrast (73201) |
$7,470 |
$7,470 |
21.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$4,142 |
$4,142 |
24.2× |
| Cta Abdomen (74175) |
$9,622 |
$9,622 |
56.2× |
| CTA abdomen pelvis (74174) |
$19,237 |
$19,237 |
56.5× |
| CTA chest (71275) |
$9,622 |
$9,622 |
56.2× |
| Cta Head (70496) |
$7,038 |
$7,038 |
41.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$16,650 |
$16,650 |
48.9× |
| Cta Neck (70498) |
$9,622 |
$9,622 |
56.2× |
| Cta Pelvis (72191) |
$9,622 |
$9,622 |
56.2× |
| Cystography minimum 3 views rs&i (74430) |
$2,061 |
$2,061 |
6.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,659 |
$1,659 |
16.3× |
| Esophagus (74220) |
$2,070 |
$2,070 |
12.1× |
| Facial bones min 3 views (70150) |
$1,527 |
$1,527 |
15.0× |
| Fetal biophysical profile non-stress testing (76818) |
$2,889 |
$2,889 |
28.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,805 |
$2,805 |
27.5× |
| Fluoroscopy up to 1 hr (76000) |
$2,140 |
$2,140 |
9.2× |
| Foot 2 views (73620) |
$897 |
$897 |
10.6× |
| Forearm 2 views (73090) |
$1,005 |
$1,005 |
11.8× |
| Hand 2 views (73120) |
$848 |
$848 |
8.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$4,383 |
$4,383 |
6.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$12,982 |
$12,982 |
4.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,639 |
$4,639 |
1.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$9,354 |
$9,354 |
17.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$9,354 |
$9,354 |
24.0× |
| Hysterosalpingogram (74740) |
$2,087 |
$2,087 |
9.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$5,518 |
$5,518 |
10.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$6,867 |
$6,867 |
13.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,234 |
$1,234 |
2.3× |
| Knee 3 views (73562) |
$1,123 |
$1,123 |
13.2× |
| Liver & spleen imaging static only (78215) |
$4,152 |
$4,152 |
10.6× |
| Lung ventilation imaging (78579) |
$6,450 |
$6,450 |
16.5× |
| Lymphoscintigraphy (78195) |
$4,605 |
$4,605 |
8.7× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$9,345 |
$9,345 |
12.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$9,345 |
$9,345 |
27.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$10,648 |
$10,648 |
31.3× |
| Magnetic Resonance Elastography (76391) |
$624 |
$624 |
2.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$18,386 |
$18,386 |
50.3× |
| Mr safety determination physician/other qhp (76016) |
$218 |
$218 |
2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$26 |
$26 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$228 |
$228 |
2.5× |
| Mr safety implt pos&/immoblj (76019) |
$148 |
$148 |
2.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$598 |
$598 |
2.6× |
| MRA head w & w/o contrast (70546) |
$11,523 |
$11,523 |
33.9× |
| MRA head w/o contrast (70544) |
$7,847 |
$7,847 |
33.7× |
| MRA head with contrast (70545) |
$9,345 |
$9,345 |
27.5× |
| MRA neck w contrast (70548) |
$7,565 |
$7,565 |
22.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$9,738 |
$9,738 |
28.6× |
| MRA neck w/o contrast (70547) |
$6,701 |
$6,701 |
28.8× |
| MRI abdomen w contrast (74182) |
$9,738 |
$9,738 |
28.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$11,042 |
$11,042 |
32.4× |
| MRI abdomen w/o contrast (74181) |
$8,869 |
$8,869 |
38.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$9,345 |
$9,345 |
12.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$10,648 |
$10,648 |
31.3× |
| MRI breast w/o contrast bilateral (77047) |
$9,390 |
$9,390 |
40.3× |
| MRI c-spine with contrast (72142) |
$9,731 |
$9,731 |
28.6× |
| MRI cervical spine w/o contrast (72141) |
$8,879 |
$8,879 |
38.1× |
| MRI chest w/o & w/contrast material (71552) |
$10,324 |
$10,324 |
30.3× |
| MRI chest w/o contrast (71550) |
$7,622 |
$7,622 |
32.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$9,345 |
$9,345 |
27.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$10,648 |
$10,648 |
31.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$8,473 |
$8,473 |
36.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,147 |
$7,147 |
30.7× |
| MRI orbit face neck w contrast (70542) |
$8,019 |
$8,019 |
23.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,173 |
$10,173 |
29.9× |
| MRI pelvis w/contrast (72196) |
$9,345 |
$9,345 |
27.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$10,663 |
$10,663 |
31.3× |
| MRI pelvis w/o contrast (72195) |
$8,473 |
$8,473 |
36.4× |
| MRI spectroscopy (76390) |
$5,759 |
$5,759 |
67.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$11,037 |
$11,037 |
32.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$9,731 |
$9,731 |
28.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,037 |
$11,037 |
32.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$9,731 |
$9,731 |
28.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$11,037 |
$11,037 |
32.4× |
| MRI temporomandibular joint (70336) |
$8,473 |
$8,473 |
36.4× |
| MRI thoracic spine w/o contrast (72146) |
$8,879 |
$8,879 |
38.1× |
| MRI up ext w/o contrast (73218) |
$8,473 |
$8,473 |
36.4× |
| MRI upper ext joint w/o contrast (73221) |
$8,473 |
$8,473 |
36.4× |
| MRI, joint upper extrem combo (73223) |
$10,648 |
$10,648 |
31.3× |
| Myelogram Cervical (72240) |
$4,231 |
$4,231 |
5.5× |
| Myelogram Lumbar (72265) |
$4,947 |
$4,947 |
6.5× |
| Myelogram thoracic (72255) |
$3,185 |
$3,185 |
4.2× |
| Myelography 2 or more regions (72270) |
$6,351 |
$6,351 |
8.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$9,975 |
$9,975 |
7.9× |
| Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or… (78492) |
$9,975 |
$9,975 |
7.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$4,018 |
$4,018 |
3.2× |
| Myocardial Perfusion Planar Multiple Studies (78454) |
$4,018 |
$4,018 |
3.2× |
| Myocardial Spect Multiple Studies (78452) |
$13,036 |
$13,036 |
10.3× |
| Myocardial spect single study at rest or stress (78451) |
$6,002 |
$6,002 |
4.8× |
| Neck soft tissue (70360) |
$1,005 |
$1,005 |
11.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$831 |
$831 |
2.1× |
| Nm cisternogram (78630) |
$2,143.50 |
$2,143.50 |
4.0× |
| Nm csf leak detection (78650) |
$1,935 |
$1,935 |
1.5× |
| Nm gastric emptying study (78264) |
$9,017 |
$9,017 |
23.1× |
| Nonvascular shunt X-ray (75809) |
$957 |
$957 |
9.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$24,861 |
$24,861 |
18.4× |
| Nuclear Rx Oral Admin (79005) |
$10,079 |
$10,079 |
44.3× |
| Parathyrd planar w/spect&CT (78072) |
$4,947 |
$4,947 |
9.3× |
| Parathyroid Planar Imaging (78070) |
$3,580 |
$3,580 |
9.2× |
| Pelvis 1 or 2 views (72170) |
$1,047 |
$1,047 |
10.3× |
| PET image w/CT, skull-thigh (78815) |
$19,687 |
$19,687 |
14.1× |
| PET imaging CT for attenuation limited area (78814) |
$19,687 |
$19,687 |
14.1× |
| PET imaging for CT attenuation whole body (78816) |
$19,687 |
$19,687 |
14.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$7,788 |
$7,788 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,577 |
$4,577 |
11.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$10,081 |
$10,081 |
19.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,108.50 |
$3,108.50 |
5.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,079 |
$1,079 |
12.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$990 |
$990 |
11.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,294 |
$1,294 |
15.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$645 |
$645 |
6.3× |
| Radex fingr minimum 2 views (73140) |
$889 |
$889 |
10.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,098 |
$1,098 |
12.9× |
| Radex Hand Minimum 3 Views (73130) |
$995 |
$995 |
11.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$391 |
$391 |
4.6× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$645 |
$645 |
6.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$645 |
$645 |
6.3× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,233 |
$1,233 |
12.1× |
| Radex Humerus Minimum 2 Views (73060) |
$1,005 |
$1,005 |
11.8× |
| Radex Kne 1/2 Views (73560) |
$786 |
$786 |
9.3× |
| Radex Kne Compl 4/More Views (73564) |
$2,038 |
$2,038 |
20.0× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,610 |
$1,610 |
15.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,069 |
$1,069 |
12.6× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,172 |
$1,172 |
13.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,095 |
$1,095 |
12.9× |
| Radex Toe Minimum 2 Views (73660) |
$891 |
$891 |
10.5× |
| Radex upper extremity infant minimum 2 views (73092) |
$1,020 |
$1,020 |
10.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,294 |
$1,294 |
15.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,233 |
$1,233 |
12.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$62,014 |
$62,014 |
8.6× |
| Radiation treatment delivery level 1 (77402) |
$8,294.28 |
$8,294.28 |
83.3× |
| Radiation treatment delivery level 2 (77407) |
$12,221.75 |
$12,221.75 |
32.5× |
| Radiation treatment delivery level 3 (77412) |
$10,566.38 |
$10,566.38 |
19.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,062 |
$1,062 |
12.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,635 |
$1,635 |
16.0× |
| Radiologic exam chest 2 views (71046) |
$1,152 |
$1,152 |
13.6× |
| Radiologic exam colon single contrast study (74270) |
$2,717 |
$2,717 |
15.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,012 |
$3,012 |
17.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,569 |
$2,569 |
15.0× |
| Radiologic examination femur 1 view (73551) |
$391 |
$391 |
4.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,265 |
$1,265 |
14.9× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$1,419 |
$1,419 |
13.9× |
| Radiological examination surgical specimen (76098) |
$610 |
$610 |
1.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$1,224 |
$1,224 |
3.3× |
| Ribs bilateral 3 views (71110) |
$1,605 |
$1,605 |
15.7× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$2,561 |
$2,561 |
6.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$4,941 |
$4,941 |
12.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,992 |
$4,992 |
9.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,391 |
$6,391 |
12.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,066 |
$6,066 |
11.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$5,617 |
$5,617 |
4.4× |
| Rp Therapy Intravenous Administration (79101) |
$1,358 |
$1,358 |
6.0× |
| Scapula (73010) |
$1,106 |
$1,106 |
10.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$102 |
$102 |
4.4× |
| Shoulder 1 view (73020) |
$748 |
$748 |
8.8× |
| Small bowel series (74250) |
$2,036 |
$2,036 |
11.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,336 |
$2,336 |
6.4× |
| Special dosimetry (77331) |
$1,953 |
$1,953 |
14.9× |
| Special Physics Consult (77370) |
$2,240 |
$2,240 |
17.1× |
| Special treatment procedure (77470) |
$7,353 |
$7,353 |
13.6× |
| Spine thoracic 3 views (72072) |
$1,928 |
$1,928 |
18.9× |
| Stereotactic Body Radiation Delivery (77373) |
$47,835 |
$47,835 |
27.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$11,957 |
$11,957 |
32.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$5,215 |
$5,215 |
14.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,610 |
$2,610 |
19.9× |
| Thoracolumbar 2 views (72080) |
$1,197 |
$1,197 |
14.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,606 |
$6,606 |
12.5× |
| Thyroid imaging w/blood flow (78013) |
$4,237 |
$4,237 |
10.9× |
| Thyroid uptake measurement (78012) |
$5,918 |
$5,918 |
15.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$5,918 |
$5,918 |
15.2× |
| Tomogram (76100) |
$2,508 |
$2,508 |
24.6× |
| Treatment device complex (77334) |
$3,309 |
$3,309 |
9.1× |
| Treatment device intermediate (77333) |
$1,907 |
$1,907 |
14.5× |
| Treatment devices simple (77332) |
$1,368 |
$1,368 |
10.4× |
| Ultrasound breast complete (76641) |
$931 |
$931 |
9.1× |
| Ultrasound elastography first target lesion (76982) |
$1,092 |
$1,092 |
10.7× |
| Ultrasound Exam Aaa Screen (76706) |
$2,033 |
$2,033 |
19.9× |
| Ultrasound, abdomen limited (76705) |
$2,889 |
$2,889 |
28.3× |
| Umbilical-artery Doppler (OB) (76820) |
$899 |
$899 |
8.8× |
| Ureteral reflux study (78740) |
$995 |
$995 |
2.6× |
| Urethrocystogram voiding (74455) |
$2,398 |
$2,398 |
10.3× |
| Urethrocystography retrograde rs&i (74450) |
$980 |
$980 |
4.2× |
| Us breast unilateral limited (76642) |
$931 |
$931 |
11.0× |
| Us chest (76604) |
$1,499 |
$1,499 |
14.7× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) |
$3,585 |
$3,585 |
17.0× |
| Us elastography parenchyma (76981) |
$606 |
$606 |
5.9× |
| Us encephalogram (76506) |
$2,771 |
$2,771 |
27.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$3,484.50 |
$3,484.50 |
34.2× |
| Us ob detailed single fetus (76811) |
$4,121 |
$4,121 |
17.7× |
| Us ob limited (76815) |
$1,622 |
$1,622 |
15.9× |
| Us ob transvaginal (76817) |
$3,491 |
$3,491 |
34.2× |
| Us pelvic non ob complete (76856) |
$2,999 |
$2,999 |
29.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,425 |
$2,425 |
23.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,860 |
$1,860 |
18.2× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,650 |
$1,650 |
16.2× |
| Us retroperitoneal complete (76770) |
$3,140 |
$3,140 |
30.8× |
| Us retroperitoneal limited (76775) |
$2,033 |
$2,033 |
19.9× |
| Us scrotum and contents (76870) |
$2,867 |
$2,867 |
28.1× |
| Us soft tissue head/neck (76536) |
$2,470 |
$2,470 |
24.2× |
| Us spinal canal and contents (76800) |
$754 |
$754 |
7.4× |
| Us,transplanted kidney, real time/ doppler (76776) |
$1,244 |
$1,244 |
12.2× |
| Venogram extremity bilateral (75822) |
$10,929 |
$10,929 |
7.1× |
| Venogram Extremity Unilateral (75820) |
$5,851 |
$5,851 |
3.8× |
| Venography caval inferior serialography rs&i (75825) |
$7,286.50 |
$7,286.50 |
2.4× |
| Venography caval superior serialography rs&i (75827) |
$4,467 |
$4,467 |
2.9× |
| Venography renal unilateral selective rs&i (75831) |
$4,639 |
$4,639 |
1.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,639 |
$4,639 |
1.5× |
| Venous sampling by catheter (75893) |
$5,026 |
$5,026 |
0.9× |
| Wrist 2 views (73100) |
$833 |
$833 |
9.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,784 |
$1,784 |
17.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,233 |
$1,233 |
14.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,508 |
$3,508 |
20.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$833 |
$833 |
9.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$391 |
$391 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$645 |
$645 |
6.3× |
| X-ray exam of femur 2/> (73552) |
$391 |
$391 |
4.6× |
| X-ray eye for foreign body (70030) |
$1,267 |
$1,267 |
14.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,075 |
$1,075 |
12.7× |
| X-ray leg, infant (73592) |
$940 |
$940 |
11.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,727 |
$1,727 |
16.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,075 |
$2,075 |
20.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,544 |
$1,544 |
15.1× |
| X-ray retrograde pyelogram (74420) |
$3,718 |
$3,718 |
10.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,510 |
$1,510 |
17.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,739 |
$1,739 |
17.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,606 |
$2,606 |
25.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,156 |
$1,156 |
11.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,166 |
$1,166 |
13.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,619 |
$1,619 |
19.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,668 |
$1,668 |
16.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,187 |
$1,187 |
11.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$958 |
$958 |
11.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$793 |
$793 |
9.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,131 |
$1,131 |
13.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,441 |
$1,441 |
14.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$2,449 |
$2,449 |
24.0× |
| Xr bone length studies (77073) |
$1,506.50 |
$1,506.50 |
14.8× |
| Xr c-spine 4 or 5 views (72050) |
$2,043 |
$2,043 |
20.0× |
| Xr c-spine 6 or more views (72052) |
$2,204 |
$2,204 |
21.6× |
| Xr chest 4+ views (71048) |
$1,368 |
$1,368 |
13.4× |
| Xr urogram antegrade (74425) |
$1,406 |
$1,406 |
4.1× |