| Angiography extremity bilateral rs&i (75716) |
$1,789.57 |
$2,671 |
0.5× |
| Angiography extremity unilateral rs&i (75710) |
$857.26 |
$1,279.50 |
0.3× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,753.70 |
$4,110 |
0.5× |
| Aortography abdominal serialography rs&i (75625) |
$944.70 |
$1,410 |
0.3× |
| Continuing medical physics consltj pr wk (77336) |
$506.52 |
$756 |
3.6× |
| Cystography minimum 3 views rs&i (74430) |
$245.89 |
$367 |
0.7× |
| Fluoroscopy up to 1 hr (76000) |
$280.06 |
$418 |
1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,112.77 |
$7,631 |
3.5× |
| PET image w/CT, skull-thigh (78815) |
$4,970.06 |
$7,418 |
3.3× |
| Radiation treatment delivery level 2 (77407) |
$2,398.26 |
$3,579.50 |
5.9× |
| Radiation treatment delivery level 3 (77412) |
$921.92 |
$1,376 |
1.6× |
| Radiologic exam chest 2 views (71046) |
$108.54 |
$162 |
1.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,187.24 |
$1,772 |
4.8× |
| Special Physics Consult (77370) |
$629.13 |
$939 |
4.4× |
| Stereotactic Body Radiation Delivery (77373) |
$8,053.40 |
$12,020 |
4.3× |
| Tbs technical calculation only (77091) |
$172.86 |
$258 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$290.78 |
$434 |
2.6× |
| Unlisted fluoroscopic procedure (76496) |
$865.64 |
$1,292 |
9.4× |
| Us breast unilateral limited (76642) |
$217.75 |
$325 |
2.4× |
| Us chest (76604) |
$214.40 |
$320 |
1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$162.14 |
$242 |
1.5× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$582.90 |
$870 |
5.3× |
| Us ob limited (76815) |
$230.48 |
$344 |
2.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$163.48 |
$244 |
1.5× |
| Us retroperitoneal complete (76770) |
$323.61 |
$483 |
2.9× |
| Us retroperitoneal limited (76775) |
$178.22 |
$266 |
1.6× |
| Us soft tissue head/neck (76536) |
$300.83 |
$449 |
2.7× |
| Us, eye b-scan (76512) |
$180.90 |
$270 |
1.6× |
| Venogram extremity bilateral (75822) |
$753.75 |
$1,125 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$2,248.52 |
$3,356 |
0.7× |
| X-ray retrograde pyelogram (74420) |
$368.50 |
$550 |
1.0× |