| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,703.76 |
$11,759.41 |
3.6× |
| Abdomen 2 views (74019) |
$362.01 |
$905.04 |
3.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$976.07 |
$2,440.17 |
2.6× |
| Angiography extremity bilateral rs&i (75716) |
$3,540.96 |
$8,852.42 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$1,681.82 |
$4,204.55 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,180.66 |
$12,951.65 |
1.0× |
| Ankle 2 views (73600) |
$369.91 |
$924.78 |
4.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$496.56 |
$1,241.40 |
1.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,856.41 |
$9,641.02 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$4,726.62 |
$11,816.56 |
1.6× |
| Arthrogram elbow (73085) |
$405.67 |
$1,014.18 |
1.2× |
| Arthrogram hip (73525) |
$808.73 |
$2,021.82 |
2.4× |
| Arthrogram shoulder (73040) |
$715.17 |
$1,787.92 |
2.1× |
| Arthrogram wrist (73115) |
$757.94 |
$1,894.84 |
2.3× |
| Arthrography knee lt (73580) |
$535.04 |
$1,337.60 |
1.6× |
| Basic radiation dosimetry calculation (77300) |
$722.08 |
$1,805.20 |
5.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,290.30 |
$3,225.73 |
3.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,015.84 |
$2,539.61 |
2.7× |
| Bone &/joint imaging whole body (78306) |
$1,562.29 |
$3,905.73 |
4.1× |
| Bone age studies (77072) |
$192.34 |
$480.83 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$1,562.29 |
$3,905.73 |
4.1× |
| Bone Marrow Imaging Limited Area (78102) |
$953.90 |
$2,384.76 |
2.5× |
| Bone survey complete (77075) |
$680.63 |
$1,701.58 |
6.8× |
| Brain image w/flow 4 + views (78606) |
$1,566.06 |
$3,915.16 |
3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,959.12 |
$4,897.78 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$327.50 |
$818.73 |
3.9× |
| Chest 1 view (71045) |
$396.54 |
$991.35 |
4.8× |
| Chest 3 views (71047) |
$204.83 |
$512.07 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$451.78 |
$1,129.44 |
2.7× |
| Clavicle complete (73000) |
$236.59 |
$591.48 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$352.14 |
$880.34 |
3.5× |
| Continuing medical physics consltj pr wk (77336) |
$776.28 |
$1,940.72 |
6.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,863.60 |
$14,658.99 |
17.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,904.46 |
$9,761.14 |
17.1× |
| CT abdomen w contrast (74160) |
$2,293.90 |
$5,734.76 |
13.7× |
| CT abdomen w wo contrast (74170) |
$2,884.44 |
$7,211.09 |
17.2× |
| CT abdomen w/o contrast (74150) |
$2,038.34 |
$5,095.86 |
20.4× |
| CT angiography upper extremity lt (73206) |
$1,522.10 |
$3,805.26 |
9.1× |
| CT c-spine w/o contrast (72125) |
$1,888.09 |
$4,720.22 |
18.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,436.28 |
$3,590.70 |
8.6× |
| CT cervical spine with contrast (72126) |
$1,760.84 |
$4,402.10 |
5.3× |
| CT chest w/wo contrast (71270) |
$1,965.38 |
$4,913.45 |
11.7× |
| CT chest with contrast (71260) |
$1,645.36 |
$4,113.39 |
9.8× |
| CT colonography screening (74263) |
$330.89 |
$827.22 |
1.5× |
| CT head/brain with contrast (70460) |
$1,290.30 |
$3,225.73 |
7.7× |
| CT head/brain without and with contrast (70470) |
$1,659.24 |
$4,148.09 |
9.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$193.12 |
$482.79 |
2.3× |
| CT iac w contrast (70481) |
$1,633.58 |
$4,083.96 |
9.7× |
| CT limited/localized follow up study (76380) |
$140.12 |
$350.30 |
1.7× |
| CT lower ext w/o (73700) |
$1,391.43 |
$3,478.58 |
13.9× |
| CT lower extremity w wo contrast (73702) |
$1,039.72 |
$2,599.32 |
6.2× |
| CT lower extremity with contrast (73701) |
$1,561.56 |
$3,903.90 |
9.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,728.42 |
$4,321.06 |
10.3× |
| CT lumbar spine w/o contrast (72131) |
$2,026.74 |
$5,066.85 |
20.3× |
| CT lumbar spine with contrast (72132) |
$2,063.70 |
$5,159.24 |
6.2× |
| CT maxillofacial w contrast (70487) |
$1,670.08 |
$4,175.20 |
10.0× |
| CT maxillofacial w/o contrast (70486) |
$1,568.10 |
$3,920.26 |
15.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,086.36 |
$5,215.90 |
12.4× |
| CT neck soft tissue w contrast (70491) |
$2,117.94 |
$5,294.86 |
12.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,425.44 |
$3,563.60 |
8.5× |
| CT orbits w/o contrast (70480) |
$1,337.64 |
$3,344.10 |
13.4× |
| CT pelvis w & w/o contrast (72194) |
$2,979.15 |
$7,447.86 |
17.8× |
| CT pelvis w/o contrast (72192) |
$1,867.20 |
$4,668.01 |
18.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,466.86 |
$3,667.16 |
8.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,745.06 |
$4,362.65 |
17.5× |
| CT thoracic spine w/contrast (72129) |
$1,655.74 |
$4,139.35 |
9.9× |
| CT thoracic spine w/o contrast (72128) |
$2,117.94 |
$5,294.86 |
21.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,806.20 |
$4,515.51 |
10.8× |
| CT thorax w/o contrast (71250) |
$1,529.01 |
$3,822.53 |
15.3× |
| CT unlisted procedure (76497) |
$114.72 |
$286.79 |
1.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,214.32 |
$3,035.81 |
7.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,334.68 |
$3,336.68 |
13.4× |
| CT upper extremity with contrast (73201) |
$1,563.55 |
$3,908.86 |
4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,221.23 |
$3,053.08 |
7.3× |
| Cta Abdomen (74175) |
$1,826.94 |
$4,567.34 |
10.9× |
| CTA abdomen pelvis (74174) |
$3,653.90 |
$9,134.74 |
11.0× |
| CTA chest (71275) |
$1,826.94 |
$4,567.34 |
10.9× |
| Cta Head (70496) |
$1,595.11 |
$3,987.78 |
9.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,221.23 |
$3,053.08 |
7.3× |
| Cta Neck (70498) |
$1,532.96 |
$3,832.40 |
9.1× |
| Cta Pelvis (72191) |
$1,826.94 |
$4,567.34 |
10.9× |
| Cystography minimum 3 views rs&i (74430) |
$441.92 |
$1,104.81 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$455.72 |
$1,139.32 |
4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$257.68 |
$644.20 |
3.1× |
| Echoencephalography real time imaging (76506) |
$625.84 |
$1,564.61 |
6.3× |
| Esophagus (74220) |
$434.19 |
$1,085.48 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$742.80 |
$1,856.99 |
7.4× |
| Fluoroscopy up to 1 hr (76000) |
$279.86 |
$699.65 |
1.2× |
| Foot 2 views (73620) |
$295.92 |
$739.78 |
3.6× |
| Forearm 2 views (73090) |
$287.88 |
$719.71 |
3.5× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$290.98 |
$727.45 |
1.3× |
| Gastric mucosa imaging (78261) |
$683.30 |
$1,708.26 |
1.8× |
| Gated Heart Planar Single (78472) |
$2,423.76 |
$6,059.40 |
6.3× |
| Hand 2 views (73120) |
$242.81 |
$607.02 |
2.4× |
| Hand 3 views (73130) |
$325.12 |
$812.81 |
3.9× |
| Heart Infarct Image (78466) |
$433.30 |
$1,083.24 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,089.05 |
$5,222.63 |
4.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,324.24 |
$3,310.60 |
3.5× |
| Ht muscle image spect sing (78451) |
$3,201.07 |
$8,002.67 |
2.6× |
| Humerus Min 2 Views Left (73060) |
$238.63 |
$596.57 |
2.9× |
| Hysterosalpingogram (74740) |
$538.11 |
$1,345.28 |
2.4× |
| Kidney imaging morphology (78700) |
$558.44 |
$1,396.11 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,335.66 |
$3,339.14 |
2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,854.54 |
$4,636.36 |
3.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,438.28 |
$3,595.68 |
2.8× |
| Knee 3 views (73562) |
$154.50 |
$386.24 |
1.9× |
| Liver & spleen imaging static only (78215) |
$574.48 |
$1,436.18 |
1.5× |
| Liver imaging static only (78201) |
$558.44 |
$1,396.11 |
1.1× |
| Lung Ventilation Imaging (78579) |
$935.36 |
$2,338.40 |
2.4× |
| Lymphoscintigraphy (78195) |
$1,695.72 |
$4,239.32 |
3.3× |
| Mammary ductogram or galactogram multiple (77054) |
$471.41 |
$1,178.52 |
2.1× |
| Mammary ductogram or galactogram single (77053) |
$353.26 |
$883.16 |
1.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$148.96 |
$372.40 |
1.8× |
| Meckels Diverticulum (78290) |
$853.36 |
$2,133.41 |
2.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$18,711.05 |
$46,777.62 |
52.3× |
| Mr safety determination physician/other qhp (76016) |
$120.54 |
$301.35 |
1.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$81.32 |
$203.28 |
1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$32.08 |
$80.19 |
1.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$125.66 |
$314.15 |
1.4× |
| Mr safety med physics xm customization plng&mntr (76017) |
$330.89 |
$827.22 |
1.5× |
| MRA head w & w/o contrast (70546) |
$3,060.02 |
$7,650.04 |
9.2× |
| MRA head w/o contrast (70544) |
$2,164.31 |
$5,410.77 |
9.5× |
| MRA head with contrast (70545) |
$2,022.42 |
$5,056.06 |
6.1× |
| MRA neck w contrast (70548) |
$1,907.34 |
$4,768.34 |
5.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,910.08 |
$7,275.19 |
8.7× |
| MRA neck w/o contrast (70547) |
$2,281.70 |
$5,704.24 |
10.0× |
| MRI abdomen w contrast (74182) |
$2,015.36 |
$5,038.40 |
6.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,411.50 |
$11,028.76 |
13.2× |
| MRI abdomen w/o contrast (74181) |
$2,838.58 |
$7,096.45 |
12.4× |
| MRI any jnt lwr ext with con lt (73722) |
$2,015.36 |
$5,038.40 |
2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,197.84 |
$5,494.59 |
2.9× |
| MRI breast w/o contrast unilat (77046) |
$2,064.12 |
$5,160.28 |
9.1× |
| MRI c-spine with contrast (72142) |
$3,680.52 |
$9,201.31 |
11.0× |
| MRI cardiac w/o contrast (75557) |
$2,865.15 |
$7,162.87 |
12.6× |
| MRI cervical spine w/o contrast (72141) |
$3,063.96 |
$7,659.92 |
13.4× |
| MRI chest w/o & w/contrast material (71552) |
$2,582.94 |
$6,457.35 |
7.7× |
| MRI chest w/o contrast (71550) |
$2,520.42 |
$6,301.06 |
11.1× |
| MRI chest with contrast (71551) |
$2,022.42 |
$5,056.06 |
2.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,062.49 |
$7,656.22 |
9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,743.36 |
$6,858.42 |
8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,741.82 |
$6,854.55 |
12.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,220.52 |
$5,551.32 |
9.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,618.38 |
$9,045.95 |
10.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,853.94 |
$4,634.83 |
5.6× |
| MRI pelvis w contrast (72196) |
$2,094.28 |
$5,235.70 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,411.50 |
$11,028.76 |
13.2× |
| MRI pelvis w/o contrast (72195) |
$3,176.44 |
$7,941.08 |
13.9× |
| MRI scan of arm joint before and after contrast (73223) |
$3,423.04 |
$8,557.61 |
10.3× |
| MRI scan of leg joint before and after contrast (73723) |
$3,765.36 |
$9,413.40 |
11.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,765.36 |
$9,413.40 |
11.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,173.38 |
$10,433.44 |
12.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,251.68 |
$10,629.19 |
12.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,737.74 |
$9,344.35 |
11.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,213.50 |
$13,033.76 |
15.6× |
| MRI thoracic spine w/o contrast (72146) |
$3,063.96 |
$7,659.92 |
13.4× |
| MRI tmj (70336) |
$1,581.19 |
$3,952.96 |
6.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,844.24 |
$7,110.59 |
12.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,343.14 |
$8,357.85 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,004.50 |
$5,011.25 |
8.8× |
| Myelogram Cervical (72240) |
$1,559.61 |
$3,899.02 |
2.1× |
| Myelogram Lumbar (72265) |
$1,425.44 |
$3,563.59 |
1.9× |
| Myelogram thoracic (72255) |
$1,434.30 |
$3,585.76 |
1.9× |
| Myelography 2 or more regions (72270) |
$2,556.92 |
$6,392.30 |
3.4× |
| Myocardial Spect Multiple Studies (78452) |
$3,401.19 |
$8,502.97 |
2.7× |
| Neck soft tissue (70360) |
$321.56 |
$803.91 |
3.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$500.12 |
$1,250.30 |
1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$579.58 |
$1,448.94 |
1.5× |
| Nm bone marrow multiple (78103) |
$899.48 |
$2,248.70 |
2.4× |
| Nm bone marrow wb (78104) |
$1,160.90 |
$2,902.26 |
3.0× |
| Nm gastric emptying study (78264) |
$1,584 |
$3,959.99 |
4.1× |
| Nm gastroesophageal reflux study (78262) |
$657.01 |
$1,642.52 |
1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,823.40 |
$12,058.48 |
3.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,097.74 |
$2,744.34 |
0.9× |
| Nuclear medicine of heart pumping function (78473) |
$1,776.18 |
$4,440.45 |
4.6× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,011.16 |
$2,527.89 |
0.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$732.52 |
$1,831.31 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$4,722.42 |
$11,806.06 |
21.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$615.43 |
$1,538.58 |
6.2× |
| Osseous survey infant (77076) |
$261.38 |
$653.47 |
2.6× |
| Osseous survey limited (77074) |
$130.62 |
$326.54 |
1.3× |
| Parathyroid imaging (78070) |
$1,660.22 |
$4,150.54 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$278.16 |
$695.40 |
2.8× |
| PET image w/CT, skull-thigh (78815) |
$2,175.16 |
$5,437.90 |
1.6× |
| PET imaging CT for attenuation limited area (78814) |
$1,996.80 |
$4,991.99 |
1.5× |
| PET imaging for CT attenuation whole body (78816) |
$2,175.16 |
$5,437.90 |
1.6× |
| PET imaging limited area chest head/neck (78811) |
$2,175.16 |
$5,437.90 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,730.02 |
$6,825.06 |
8.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$872.77 |
$2,181.93 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,199.54 |
$2,998.85 |
2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$346.43 |
$866.07 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$517.28 |
$1,293.21 |
6.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$547.46 |
$1,368.66 |
5.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$426.14 |
$1,065.34 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$210.10 |
$525.26 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,764.68 |
$4,411.70 |
3.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$440.56 |
$1,101.40 |
4.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$389.84 |
$974.59 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$337.34 |
$843.36 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$240.68 |
$601.68 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$357.08 |
$892.70 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$379.46 |
$948.66 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$523.71 |
$1,309.27 |
3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$257.01 |
$642.53 |
1.5× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$456.71 |
$1,141.77 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$843.40 |
$2,108.51 |
5.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$668.31 |
$1,670.77 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$186.41 |
$466.03 |
2.2× |
| Radiological examination surgical specimen (76098) |
$1,135.61 |
$2,839.03 |
2.2× |
| Ribs bilateral 3 views (71110) |
$464.30 |
$1,160.76 |
4.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,299.86 |
$3,249.65 |
3.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,420.86 |
$3,552.16 |
2.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,207.51 |
$3,018.78 |
2.3× |
| Rp Therapy Intravenous Administration (79101) |
$2,574.44 |
$6,436.08 |
11.5× |
| Sacroiliac Joints < 3 Views (72200) |
$215.69 |
$539.24 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$652.84 |
$1,632.12 |
2.9× |
| Scanogram (77073) |
$638.11 |
$1,595.28 |
6.4× |
| Scapula complete (73010) |
$314.83 |
$787.07 |
3.2× |
| Screening digital breast tomosynthesis (77063) |
$47.89 |
$119.73 |
2.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$532.68 |
$1,331.69 |
5.3× |
| Simulation intermediate (77285) |
$1,177.19 |
$2,942.98 |
3.3× |
| Small bowel series (74250) |
$444.86 |
$1,112.16 |
2.7× |
| Spec medical radj physics consltj (77370) |
$188.78 |
$471.96 |
1.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,395.48 |
$3,488.70 |
3.9× |
| Special dosimetry (77331) |
$333.40 |
$833.50 |
2.6× |
| Special treatment procedure (77470) |
$947 |
$2,367.50 |
1.8× |
| Spine thoracic 3 views (72072) |
$499.13 |
$1,247.82 |
5.0× |
| Spleen imaging only (78185) |
$524.63 |
$1,311.57 |
1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$867.14 |
$2,167.86 |
2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$235.89 |
$589.72 |
0.7× |
| Testicular Imaging With Vascular Flow (78761) |
$493.44 |
$1,233.60 |
1.3× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,896.27 |
$7,240.68 |
8.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,196.56 |
$2,991.40 |
9.3× |
| Therapeutic Enema (74283) |
$410.26 |
$1,025.66 |
2.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,282.42 |
$3,206.06 |
2.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$965.36 |
$2,413.40 |
2.5× |
| Thyroid uptake measurement (78012) |
$385.12 |
$962.80 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,416.54 |
$3,541.36 |
3.7× |
| Tmj unilateral (70328) |
$218.12 |
$545.31 |
2.6× |
| Treatment device intermediate (77333) |
$1,296.20 |
$3,240.52 |
10.1× |
| Treatment devices simple (77332) |
$899.60 |
$2,248.99 |
7.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,716.36 |
$4,290.90 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$700.17 |
$1,750.42 |
1.8× |
| Tx devices design & construction complex (77334) |
$2,352.72 |
$5,881.80 |
6.6× |
| Ultrasound elastography first target lesion (76982) |
$155.50 |
$388.74 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$777.54 |
$1,943.84 |
7.8× |
| Unlisted magnetic resonance procedure (76498) |
$2,308.34 |
$5,770.87 |
27.8× |
| Unlisted Ultrasound Procedure (76999) |
$433.02 |
$1,082.55 |
5.2× |
| Upper Extremity Infant (73092) |
$297.88 |
$744.70 |
3.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$657.01 |
$1,642.52 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$757.60 |
$1,893.98 |
3.3× |
| Urethrocystography voiding (74455) |
$593.84 |
$1,484.62 |
2.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$968.69 |
$2,421.72 |
5.8× |
| Us abdl aorta screen aaa (76706) |
$261.16 |
$652.91 |
2.6× |
| Us breast unilateral limited (76642) |
$605.03 |
$1,512.58 |
7.3× |
| Us chest (76604) |
$582.26 |
$1,455.66 |
5.8× |
| Us compl joint r-t w/image documentation (76881) |
$572.99 |
$1,432.47 |
5.7× |
| Us elastography parenchyma (76981) |
$155.50 |
$388.74 |
1.6× |
| Us ob transvaginal (76817) |
$608.43 |
$1,521.08 |
6.1× |
| Us pelvic non ob complete (76856) |
$1,014.77 |
$2,536.92 |
10.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$677.76 |
$1,694.39 |
6.8× |
| Us pregnancy ltd (76815) |
$467.25 |
$1,168.13 |
4.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$673.74 |
$1,684.34 |
6.7× |
| Us retroperitoneal complete (76770) |
$679.66 |
$1,699.14 |
6.8× |
| Us retroperitoneal limited (76775) |
$328.26 |
$820.63 |
3.3× |
| Us scrotum and contents (76870) |
$956.86 |
$2,392.16 |
9.6× |
| Us soft tissue head/neck (76536) |
$789.16 |
$1,972.89 |
7.9× |
| Us transrectal (76872) |
$525.76 |
$1,314.40 |
5.3× |
| Us xtr non-vasc lmtd (76882) |
$336.36 |
$840.88 |
3.4× |
| Vascular flow imaging (78445) |
$368.30 |
$920.74 |
1.0× |
| Venogram extremity bilateral (75822) |
$1,590.01 |
$3,975.02 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$748.30 |
$1,870.77 |
0.2× |
| Venography extremity unilateral rs&i (75820) |
$901.38 |
$2,253.44 |
0.6× |
| Wrist 2 views (73100) |
$446.86 |
$1,117.15 |
5.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$440.82 |
$1,102.05 |
4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$285.08 |
$712.68 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$303.94 |
$759.84 |
3.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$882.61 |
$2,206.53 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$376.80 |
$942 |
4.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$297.33 |
$743.32 |
3.6× |
| X-ray exam hip uni 1 view (73501) |
$528.86 |
$1,322.14 |
6.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$251.51 |
$628.78 |
3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$410.35 |
$1,025.88 |
4.1× |
| X-ray exam of femur 1 (73551) |
$194.44 |
$486.11 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$274.12 |
$685.30 |
2.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$95.66 |
$239.16 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$315.66 |
$789.14 |
3.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$274.22 |
$685.54 |
3.3× |
| X-ray IV pyelogram+drip infusn (74410) |
$672.11 |
$1,680.27 |
4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$179.64 |
$449.08 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$180.24 |
$450.60 |
1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$189.36 |
$473.38 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$424.16 |
$1,060.40 |
5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$353.98 |
$884.95 |
3.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$426.13 |
$1,065.33 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$339.33 |
$848.32 |
4.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$144.98 |
$362.46 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$536.17 |
$1,340.43 |
5.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$229.43 |
$573.57 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$430.08 |
$1,075.20 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$383.72 |
$959.28 |
4.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$468.54 |
$1,171.36 |
4.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$724.06 |
$1,810.14 |
7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$222.90 |
$557.26 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$353.12 |
$882.80 |
4.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$347.22 |
$868.06 |
4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$297.88 |
$744.70 |
3.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$239.68 |
$599.20 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$440.92 |
$1,102.31 |
4.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$547.46 |
$1,368.66 |
5.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$362.02 |
$905.04 |
4.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$241.66 |
$604.14 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$382.72 |
$956.82 |
4.6× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$146.96 |
$367.40 |
1.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$395.50 |
$988.76 |
4.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$482.36 |
$1,205.89 |
4.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$315.85 |
$789.62 |
3.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$325.65 |
$814.12 |
3.9× |
| Xr arthrogram ankle (73615) |
$686.40 |
$1,716 |
2.1× |
| Xr c-spine 6 or more views (72052) |
$682.62 |
$1,706.53 |
6.8× |
| Xr chest 4+ views (71048) |
$209.60 |
$524 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$431.06 |
$1,077.67 |
5.2× |
| Xr optic foramina (70190) |
$68.22 |
$170.56 |
0.8× |
| Xr shoulder 1 view (73020) |
$404.42 |
$1,011.07 |
4.9× |
| Xr spine cervical 4 or 5 views (72050) |
$459.68 |
$1,149.19 |
4.6× |
| Xr tibia/fibula 2 views (73590) |
$237.86 |
$594.64 |
2.9× |
| Xr tmj bilateral (70330) |
$309.73 |
$774.32 |
3.7× |
| Xray knee 1 or 2 views rt (73560) |
$320.94 |
$802.35 |
3.9× |