| 3-D radiotherapy plan dose-volume histograms (77295) |
$2.30 |
$2.30 |
0.0× |
| Abdomen 2 views (74019) |
$1,418.30 |
$1,418.30 |
13.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$8,944.19 |
$8,944.19 |
22.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,545.91 |
$5,545.91 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$5,691.24 |
$5,691.24 |
1.8× |
| Angiography extremity unilateral rs&i (75710) |
$5,283.71 |
$5,283.71 |
1.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$14,403.74 |
$14,403.74 |
2.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,856.37 |
$5,856.37 |
1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,866.37 |
$5,866.37 |
1.8× |
| Angiography Spinal Selective Rs&I (75705) |
$14,403.74 |
$14,403.74 |
2.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$14,403.74 |
$14,403.74 |
2.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,302.71 |
$3,302.71 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,133.75 |
$4,133.75 |
1.3× |
| Ankle 2 views (73600) |
$947.58 |
$947.58 |
10.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,856.82 |
$1,856.82 |
5.3× |
| Aortogram thoracic (75605) |
$14,403.74 |
$14,403.74 |
2.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,691.24 |
$5,691.24 |
1.8× |
| Aortography abdominal serialography rs&i (75625) |
$5,508.26 |
$5,508.26 |
1.7× |
| Artery X-Rays Adrenal Gland (75731) |
$5,866.37 |
$5,866.37 |
1.8× |
| Arthrogram elbow (73085) |
$2,905.60 |
$2,905.60 |
8.3× |
| Arthrogram hip (73525) |
$2,083.76 |
$2,083.76 |
5.9× |
| Arthrogram shoulder (73040) |
$2,893.32 |
$2,893.32 |
8.3× |
| Arthrogram wrist (73115) |
$2,083.76 |
$2,083.76 |
5.9× |
| Arthrography knee lt (73580) |
$2,996.06 |
$2,996.06 |
8.5× |
| Basic radiation dosimetry calculation (77300) |
$2.30 |
$2.30 |
0.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$5,290.50 |
$5,290.50 |
13.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$6,086.53 |
$6,086.53 |
15.2× |
| Bone &/joint imaging whole body (78306) |
$8,696.74 |
$8,696.74 |
21.7× |
| Bone age studies (77072) |
$1,057.98 |
$1,057.98 |
10.1× |
| Bone Imaging 3 Phase (78315) |
$9,276.63 |
$9,276.63 |
23.1× |
| Bone Marrow Imaging Limited Area (78102) |
$3,317.88 |
$3,317.88 |
8.3× |
| Bone survey complete (77075) |
$2,864.19 |
$2,864.19 |
27.3× |
| Brain image w/flow 4 + views (78606) |
$7,100.20 |
$7,100.20 |
13.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3.99 |
$3.99 |
0.0× |
| Brain Imaging Vascular Flow Only (78610) |
$5,141.43 |
$5,141.43 |
9.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$8,540.84 |
$8,540.84 |
24.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,336.44 |
$4,336.44 |
8.0× |
| Cervical spine 2 or 3 views (72040) |
$1,386.09 |
$1,386.09 |
15.9× |
| Chest 1 view (71045) |
$1,082.50 |
$1,082.50 |
12.4× |
| Chest 3 views (71047) |
$1,401.43 |
$1,401.43 |
16.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,362.80 |
$2,362.80 |
13.4× |
| Clavicle complete (73000) |
$950.64 |
$950.64 |
10.9× |
Complete single session course of cranial lesion surgery using radiation (77371)
likely a partial charge, not the full procedure |
$2.30 |
$2.30 |
0.0× |
| Continuing medical physics consltj pr wk (77336) |
$2.30 |
$2.30 |
0.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$23,033.29 |
$23,033.29 |
65.7× |
| CT abdomen and pelvis without contrast (74176) |
$16,341.48 |
$16,341.48 |
68.2× |
| CT abdomen w contrast (74160) |
$10,165.02 |
$10,165.02 |
57.7× |
| CT abdomen w wo contrast (74170) |
$12,387.28 |
$12,387.28 |
70.3× |
| CT abdomen w/o contrast (74150) |
$9,035.91 |
$9,035.91 |
86.0× |
| CT angiography upper extremity lt (73206) |
$13,702.22 |
$13,702.22 |
77.8× |
| CT c-spine w/o contrast (72125) |
$9,410.73 |
$9,410.73 |
89.6× |
| CT cervical spine w&w/o contrast (72127) |
$12,134.30 |
$12,134.30 |
68.9× |
| CT cervical spine with contrast (72126) |
$9,702.75 |
$9,702.75 |
27.7× |
| CT chest w/wo contrast (71270) |
$11,176.98 |
$11,176.98 |
63.4× |
| CT chest with contrast (71260) |
$8,200.41 |
$8,200.41 |
46.5× |
| CT head/brain with contrast (70460) |
$8,946.91 |
$8,946.91 |
50.8× |
| CT head/brain without and with contrast (70470) |
$10,919.29 |
$10,919.29 |
62.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$140.27 |
$140.27 |
1.6× |
| CT iac w contrast (70481) |
$9,912.02 |
$9,912.02 |
56.3× |
| CT limited/localized follow up study (76380) |
$3,017.16 |
$3,017.16 |
34.5× |
| CT lower ext w/o (73700) |
$6,402.91 |
$6,402.91 |
61.0× |
| CT lower extremity w wo contrast (73702) |
$10,180.63 |
$10,180.63 |
57.8× |
| CT lower extremity with contrast (73701) |
$6,777.73 |
$6,777.73 |
38.5× |
| CT lumbar spine w & w/o contrast (72133) |
$9,749.60 |
$9,749.60 |
55.3× |
| CT lumbar spine w/o contrast (72131) |
$8,002.07 |
$8,002.07 |
76.2× |
| CT lumbar spine with contrast (72132) |
$8,567.40 |
$8,567.40 |
24.4× |
| CT maxillofacial w contrast (70487) |
$9,788.65 |
$9,788.65 |
55.6× |
| CT maxillofacial w/o contrast (70486) |
$8,659.55 |
$8,659.55 |
82.5× |
| CT maxillofacial w/wo contrast (70488) |
$11,295.68 |
$11,295.68 |
64.1× |
| CT neck soft tissue w contrast (70491) |
$7,785 |
$7,785 |
44.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$9,354.50 |
$9,354.50 |
53.1× |
| CT orbits w/o contrast (70480) |
$6,740.23 |
$6,740.23 |
64.2× |
| CT pelvis w & w/o contrast (72194) |
$10,646.01 |
$10,646.01 |
60.4× |
| CT pelvis w/o contrast (72192) |
$7,307.13 |
$7,307.13 |
69.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$9,035.91 |
$9,035.91 |
51.3× |
| CT soft tissue neck w/o contrast (70490) |
$7,785 |
$7,785 |
74.1× |
| CT thoracic spine w/contrast (72129) |
$9,035.91 |
$9,035.91 |
51.3× |
| CT thoracic spine w/o contrast (72128) |
$8,659.55 |
$8,659.55 |
82.5× |
| CT thoracic spine w/wo contrast (72130) |
$10,165.02 |
$10,165.02 |
57.7× |
| CT thorax w/o contrast (71250) |
$7,669.43 |
$7,669.43 |
73.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$12,423.21 |
$12,423.21 |
70.5× |
| CT upper extremity w/o contrast rt (73200) |
$8,180.88 |
$8,180.88 |
77.9× |
| CT upper extremity with contrast (73201) |
$9,938.57 |
$9,938.57 |
28.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$6,938.58 |
$6,938.58 |
39.4× |
| Cta Abdomen (74175) |
$11,473.70 |
$11,473.70 |
65.1× |
| CTA abdomen pelvis (74174) |
$22,764.69 |
$22,764.69 |
65.0× |
| CTA chest (71275) |
$9,979.18 |
$9,979.18 |
56.6× |
| Cta Head (70496) |
$10,859.96 |
$10,859.96 |
61.6× |
| CTA lwr ext w&w/o contrast (73706) |
$10,180.63 |
$10,180.63 |
57.8× |
| Cta Neck (70498) |
$10,813.11 |
$10,813.11 |
61.4× |
| Cta Pelvis (72191) |
$11,295.68 |
$11,295.68 |
64.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,655.95 |
$1,655.95 |
4.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$624.75 |
$624.75 |
5.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$624.75 |
$624.75 |
5.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$636.32 |
$636.32 |
6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$757.45 |
$757.45 |
8.7× |
| Dxa bone density study axial skeleton (77085) |
$423.20 |
$423.20 |
4.0× |
| Echo exam of fetal heart (76825) |
$4,908.16 |
$4,908.16 |
8.9× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$3,236.84 |
$3,236.84 |
13.5× |
| Echoencephalography real time imaging (76506) |
$2,865.76 |
$2,865.76 |
27.3× |
| Esophageal motility (78258) |
$8,820.47 |
$8,820.47 |
22.0× |
| Esophagus (74220) |
$1,711.15 |
$1,711.15 |
9.7× |
| Fetal biophysical profile non-stress testing (76818) |
$4,399.39 |
$4,399.39 |
41.9× |
| Fluoroscopy up to 1 hr (76000) |
$2,784.46 |
$2,784.46 |
11.6× |
| Foot 2 views (73620) |
$952.17 |
$952.17 |
10.9× |
| Forearm 2 views (73090) |
$1,005.85 |
$1,005.85 |
11.5× |
| Gated Heart Planar Single (78472) |
$7,453.50 |
$7,453.50 |
18.6× |
| Hand 2 views (73120) |
$1,076.37 |
$1,076.37 |
10.2× |
| Hand 3 views (73130) |
$1,166.83 |
$1,166.83 |
13.3× |
| Heart Infarct Image (78466) |
$5,850.99 |
$5,850.99 |
14.6× |
| Heart infarct image w ef (78468) |
$2,098.90 |
$2,098.90 |
3.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$7,318.40 |
$7,318.40 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$8,944.19 |
$8,944.19 |
16.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$8,944.19 |
$8,944.19 |
22.3× |
| Ht muscle image spect sing (78451) |
$15,132.09 |
$15,132.09 |
11.6× |
| Humerus Min 2 Views Left (73060) |
$1,010.44 |
$1,010.44 |
11.6× |
| Hysterosalpingogram (74740) |
$2,138.94 |
$2,138.94 |
8.9× |
| Image fusion (77399) |
$2.30 |
$2.30 |
0.0× |
| Intracavitary radiation source applic simple (77761) |
$5.97 |
$5.97 |
0.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$7,377.47 |
$7,377.47 |
13.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$8,346.42 |
$8,346.42 |
15.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$16,431.99 |
$16,431.99 |
30.1× |
| Knee 3 views (73562) |
$1,061.04 |
$1,061.04 |
12.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$7,116.59 |
$7,116.59 |
17.7× |
| Liver imaging static only (78201) |
$5,853.97 |
$5,853.97 |
10.7× |
| Liver imaging w/vascular flow (78202) |
$5,141.43 |
$5,141.43 |
9.4× |
| Lymphoscintigraphy (78195) |
$6,815.48 |
$6,815.48 |
12.5× |
| Mammary ductogram or galactogram multiple (77054) |
$1,951.10 |
$1,951.10 |
8.1× |
| Mammary ductogram or galactogram single (77053) |
$1,486.52 |
$1,486.52 |
6.2× |
| Meckels Diverticulum (78290) |
$5,766.03 |
$5,766.03 |
14.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$159.53 |
$159.53 |
5.5× |
| MRA head w & w/o contrast (70546) |
$12,768.34 |
$12,768.34 |
36.4× |
| MRA head w/o contrast (70544) |
$8,917.21 |
$8,917.21 |
37.2× |
| MRA head with contrast (70545) |
$9,505.99 |
$9,505.99 |
27.1× |
| MRA neck w contrast (70548) |
$10,119.72 |
$10,119.72 |
28.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$12,768.34 |
$12,768.34 |
36.4× |
| MRA neck w/o contrast (70547) |
$8,917.21 |
$8,917.21 |
37.2× |
| MRI abdomen w contrast (74182) |
$11,943.76 |
$11,943.76 |
34.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$13,717.85 |
$13,717.85 |
39.1× |
| MRI abdomen w/o contrast (74181) |
$10,166.57 |
$10,166.57 |
42.4× |
| MRI any jnt lwr ext with con lt (73722) |
$12,193.64 |
$12,193.64 |
15.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$12,193.64 |
$12,193.64 |
15.5× |
| MRI breast w/o contrast bilateral (77047) |
$7,008.85 |
$7,008.85 |
29.2× |
| MRI breast w/o contrast unilat (77046) |
$6,156.18 |
$6,156.18 |
25.7× |
| MRI c-spine with contrast (72142) |
$11,593.96 |
$11,593.96 |
33.1× |
| MRI cardiac w/o cont stress (75559) |
$5,145.77 |
$5,145.77 |
9.4× |
| MRI cardiac w/o contrast (75557) |
$5,261.32 |
$5,261.32 |
22.0× |
| MRI cervical spine w/o contrast (72141) |
$9,526.28 |
$9,526.28 |
39.7× |
| MRI chest w/o & w/contrast material (71552) |
$12,263.91 |
$12,263.91 |
35.0× |
| MRI chest w/o contrast (71550) |
$10,583.54 |
$10,583.54 |
44.2× |
| MRI chest with contrast (71551) |
$10,457.03 |
$10,457.03 |
13.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$12,193.64 |
$12,193.64 |
34.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$12,193.64 |
$12,193.64 |
34.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$9,034.34 |
$9,034.34 |
37.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$11,019.25 |
$11,019.25 |
46.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$12,854.23 |
$12,854.23 |
36.7× |
| MRI orbit/face/neck w/contrast (70542) |
$11,593.96 |
$11,593.96 |
33.1× |
| MRI pelvis w contrast (72196) |
$11,122.32 |
$11,122.32 |
31.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$12,702.75 |
$12,702.75 |
36.2× |
| MRI pelvis w/o contrast (72195) |
$11,281.61 |
$11,281.61 |
47.1× |
| MRI scan of arm joint before and after contrast (73223) |
$13,029.15 |
$13,029.15 |
37.2× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$6,452.88 |
$6,452.88 |
8.2× |
| MRI scan of leg joint before and after contrast (73723) |
$13,029.15 |
$13,029.15 |
37.2× |
| MRI spectroscopy (76390) |
$4,460.95 |
$4,460.95 |
51.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$12,854.23 |
$12,854.23 |
36.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$11,105.14 |
$11,105.14 |
31.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$13,116.59 |
$13,116.59 |
37.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$11,166.75 |
$11,166.75 |
31.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$13,302.44 |
$13,302.44 |
38.0× |
| MRI thoracic spine w/o contrast (72146) |
$9,855.79 |
$9,855.79 |
41.1× |
| MRI tmj (70336) |
$9,388.85 |
$9,388.85 |
39.2× |
| MRI upper ext joint w/o contrast (73221) |
$9,034.34 |
$9,034.34 |
37.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$13,029.15 |
$13,029.15 |
37.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$9,034.34 |
$9,034.34 |
37.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3.99 |
$3.99 |
0.0× |
| Myocardial infarct spect (78469) |
$9,622.46 |
$9,622.46 |
17.6× |
| Myocardial Spect Multiple Studies (78452) |
$20,552.28 |
$20,552.28 |
15.8× |
| Neck soft tissue (70360) |
$947.58 |
$947.58 |
10.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$2,665.36 |
$2,665.36 |
6.6× |
| Nm bone marrow multiple (78103) |
$6,086.53 |
$6,086.53 |
15.2× |
| Nm bone marrow wb (78104) |
$10,803.11 |
$10,803.11 |
26.9× |
| Nm cisternogram (78630) |
$5,602.18 |
$5,602.18 |
10.3× |
| Nm csf leak detection (78650) |
$5,882.29 |
$5,882.29 |
4.5× |
| Nm gastric emptying study (78264) |
$5,667.63 |
$5,667.63 |
14.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2.30 |
$2.30 |
0.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$3.99 |
$3.99 |
0.0× |
| Nuclear medicine of heart pumping function (78473) |
$13,024.24 |
$13,024.24 |
32.4× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$3.99 |
$3.99 |
0.0× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3.99 |
$3.99 |
0.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$17,725.90 |
$17,725.90 |
13.6× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$3,676.06 |
$3,676.06 |
9.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,799.54 |
$2,799.54 |
7.0× |
| Nuclear Rx Oral Admin (79005) |
$7,738.23 |
$7,738.23 |
33.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,097.50 |
$2,097.50 |
20.0× |
| Osseous survey infant (77076) |
$1,307.90 |
$1,307.90 |
12.5× |
| Osseous survey limited (77074) |
$3,365.57 |
$3,365.57 |
32.0× |
| Parathyrd planar w/spect&CT (78072) |
$11,310.61 |
$11,310.61 |
20.7× |
| Parathyrd planar w/wo subtrj (78071) |
$9,767.06 |
$9,767.06 |
24.3× |
| Parathyroid imaging (78070) |
$7,954.37 |
$7,954.37 |
19.8× |
| Pelvis 1 or 2 views (72170) |
$1,212.84 |
$1,212.84 |
11.5× |
| Peritoneogram rs&i (74190) |
$5,678.86 |
$5,678.86 |
10.3× |
| PET image w/CT, skull-thigh (78815) |
$3.99 |
$3.99 |
0.0× |
| PET imaging for CT attenuation whole body (78816) |
$3.99 |
$3.99 |
0.0× |
| PET imaging limited area chest head/neck (78811) |
$3.99 |
$3.99 |
0.0× |
| PET whole body (78813) |
$3.99 |
$3.99 |
0.0× |
| Pr heart first pass single,planar (78481) |
$2,316.56 |
$2,316.56 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$13,029.15 |
$13,029.15 |
37.2× |
| Proton trmt simple w/comp (77522) |
$2.30 |
$2.30 |
0.0× |
| Proton tx delivery complex (77525) |
$2.30 |
$2.30 |
0.0× |
| Proton tx delivery intermediate (77523) |
$2.30 |
$2.30 |
0.0× |
| Proton tx delivery simple w/o compensation (77520) |
$2.30 |
$2.30 |
0.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$5,866.37 |
$5,866.37 |
1.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,612.43 |
$3,612.43 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,920.44 |
$4,920.44 |
12.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$9,840.11 |
$9,840.11 |
18.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,744.88 |
$1,744.88 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$2,292.28 |
$2,292.28 |
26.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,672.82 |
$1,672.82 |
15.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,795.48 |
$1,795.48 |
17.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,716.99 |
$2,716.99 |
25.9× |
Radiation Delivery Stereotactic Cranial Linear (77372)
likely a partial charge, not the full procedure |
$2.30 |
$2.30 |
0.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2.30 |
$2.30 |
0.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$2.30 |
$2.30 |
0.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$2.30 |
$2.30 |
0.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,770.95 |
$1,770.95 |
16.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,005.85 |
$1,005.85 |
11.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,418.30 |
$1,418.30 |
13.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,113.17 |
$1,113.17 |
12.7× |
| Radiologic exam colon single contrast study (74270) |
$2,286.14 |
$2,286.14 |
13.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,711.15 |
$1,711.15 |
9.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,382.74 |
$2,382.74 |
13.5× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,382.74 |
$2,382.74 |
13.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,041.10 |
$1,041.10 |
11.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$1,928.88 |
$1,928.88 |
22.1× |
| Radiological examination surgical specimen (76098) |
$998.17 |
$998.17 |
1.8× |
| Review by radiologist of adrenal gland vein image (75840) |
$5,866.37 |
$5,866.37 |
1.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$5,182.52 |
$5,182.52 |
1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,815.48 |
$6,815.48 |
17.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$10,013.03 |
$10,013.03 |
18.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$13,039.16 |
$13,039.16 |
23.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$13,039.16 |
$13,039.16 |
10.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$14,161.65 |
$14,161.65 |
9.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$10,011.53 |
$10,011.53 |
7.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$2,665.36 |
$2,665.36 |
11.4× |
| Rp Therapy Intravenous Administration (79101) |
$3,872.84 |
$3,872.84 |
16.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$2,310.58 |
$2,310.58 |
9.6× |
| Scanogram (77073) |
$1,266.50 |
$1,266.50 |
12.1× |
| Scapula complete (73010) |
$880.11 |
$880.11 |
8.4× |
| Screening digital breast tomosynthesis (77063) |
$260.92 |
$260.92 |
11.2× |
| Sella turcica (70240) |
$700.70 |
$700.70 |
8.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,418.30 |
$1,418.30 |
13.5× |
| Sialogram (70390) |
$2,192.61 |
$2,192.61 |
9.1× |
| Simulation intermediate (77285) |
$2.30 |
$2.30 |
0.0× |
| Small bowel series (74250) |
$2,387.32 |
$2,387.32 |
13.5× |
| Spec medical radj physics consltj (77370) |
$2.30 |
$2.30 |
0.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2.30 |
$2.30 |
0.0× |
| Special dosimetry (77331) |
$2.30 |
$2.30 |
0.0× |
| Special treatment procedure (77470) |
$1,281.82 |
$1,281.82 |
2.3× |
| Spine thoracic 3 views (72072) |
$1,619.17 |
$1,619.17 |
15.4× |
| Spleen imaging only (78185) |
$4,986.39 |
$4,986.39 |
12.4× |
| Stereotactic body radiation delivery (77373) |
$2.30 |
$2.30 |
0.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$5.68 |
$5.68 |
0.1× |
| Testicular Imaging With Vascular Flow (78761) |
$4,898.44 |
$4,898.44 |
12.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$2.30 |
$2.30 |
0.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$2.30 |
$2.30 |
0.0× |
| Therapeutic Enema (74283) |
$2,382.74 |
$2,382.74 |
13.5× |
| Thoracolumbar 2 views (72080) |
$1,335.50 |
$1,335.50 |
15.3× |
| Thyroid carcinoma metastases img addl study (78016) |
$1,747.10 |
$1,747.10 |
4.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$7,298.45 |
$7,298.45 |
13.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$4,080.05 |
$4,080.05 |
10.2× |
| Thyroid uptake measurement (78012) |
$4,642.04 |
$4,642.04 |
11.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,642.04 |
$4,642.04 |
11.6× |
| Tomogram (76100) |
$2,433.33 |
$2,433.33 |
23.2× |
| Treatment device intermediate (77333) |
$2.30 |
$2.30 |
0.0× |
| Treatment devices simple (77332) |
$2.30 |
$2.30 |
0.0× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$11,552.92 |
$11,552.92 |
21.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$5,405.29 |
$5,405.29 |
13.5× |
| Tx devices design & construction complex (77334) |
$2.30 |
$2.30 |
0.0× |
| Ultrasound elastography first target lesion (76982) |
$3,195.08 |
$3,195.08 |
30.4× |
| Ultrasound, abdomen limited (76705) |
$3,190.46 |
$3,190.46 |
30.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$5.68 |
$5.68 |
0.1× |
| Unlisted Ultrasound Procedure (76999) |
$2,453.36 |
$2,453.36 |
28.1× |
| Upper Extremity Infant (73092) |
$768.18 |
$768.18 |
7.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$4,744.90 |
$4,744.90 |
11.8× |
| Urethrocystography retrograde rs&i (74450) |
$2,125.14 |
$2,125.14 |
8.9× |
| Urethrocystography voiding (74455) |
$2,726.19 |
$2,726.19 |
11.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,690.92 |
$2,690.92 |
15.3× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$2,643.39 |
$2,643.39 |
15.0× |
| Us breast unilateral complete (76641) |
$1,092.97 |
$1,092.97 |
10.4× |
| Us breast unilateral limited (76642) |
$1,092.97 |
$1,092.97 |
12.5× |
| Us chest (76604) |
$1,769.90 |
$1,769.90 |
16.9× |
| Us compl joint r-t w/image documentation (76881) |
$2,301.89 |
$2,301.89 |
21.9× |
| Us elastography parenchyma (76981) |
$3,195.08 |
$3,195.08 |
30.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$624.75 |
$624.75 |
5.9× |
| Us guided compression repair (76936) |
$2,059.82 |
$2,059.82 |
9.5× |
| Us infant hips dynamic (76885) |
$1,658.28 |
$1,658.28 |
19.0× |
| Us infant hips limited static (76886) |
$1,443.74 |
$1,443.74 |
16.5× |
| Us ob detailed single fetus (76811) |
$4,131.21 |
$4,131.21 |
17.2× |
| Us ob transvaginal (76817) |
$2,477.27 |
$2,477.27 |
23.6× |
| Us pelvic non ob complete (76856) |
$3,054.19 |
$3,054.19 |
29.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,390.12 |
$1,390.12 |
13.2× |
| Us pregnancy ltd (76815) |
$2,212.01 |
$2,212.01 |
21.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,761.38 |
$2,761.38 |
26.3× |
| Us retroperitoneal complete (76770) |
$2,977.36 |
$2,977.36 |
28.4× |
| Us retroperitoneal limited (76775) |
$2,430.87 |
$2,430.87 |
23.1× |
| Us scrotum and contents (76870) |
$2,277.24 |
$2,277.24 |
21.7× |
| Us soft tissue head/neck (76536) |
$2,428 |
$2,428 |
23.1× |
| Us spinal canal and contents (76800) |
$2,866.63 |
$2,866.63 |
27.3× |
| Us xtr non-vasc lmtd (76882) |
$1,346.62 |
$1,346.62 |
12.8× |
| Venogram extremity bilateral (75822) |
$5,561.25 |
$5,561.25 |
3.5× |
| Venography caval inferior serialography rs&i (75825) |
$5,866.37 |
$5,866.37 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$3,781.09 |
$3,781.09 |
2.4× |
| Venography epidural rs&i (75872) |
$5,746.77 |
$5,746.77 |
9.1× |
| Venography extremity unilateral rs&i (75820) |
$2,992.98 |
$2,992.98 |
1.9× |
| Venography Renal Bilateral (75833) |
$5,866.37 |
$5,866.37 |
1.8× |
| Venography renal unilateral selective rs&i (75831) |
$5,866.37 |
$5,866.37 |
1.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,847.97 |
$5,847.97 |
1.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$14,403.74 |
$14,403.74 |
2.6× |
| Vertebral fracture assessment via dxa (77086) |
$277.53 |
$277.53 |
3.2× |
| Wrist 2 views (73100) |
$984.36 |
$984.36 |
11.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,591.55 |
$1,591.55 |
15.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,510.29 |
$1,510.29 |
17.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,025.78 |
$1,025.78 |
11.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,130.99 |
$3,130.99 |
17.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$979.77 |
$979.77 |
11.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$979.77 |
$979.77 |
11.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,508.47 |
$2,508.47 |
23.9× |
| X-ray exam hip uni 1 view (73501) |
$1,487.29 |
$1,487.29 |
17.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,628.37 |
$1,628.37 |
18.6× |
| X-ray exam hip uni 4/> views (73503) |
$1,767.89 |
$1,767.89 |
16.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,976.41 |
$1,976.41 |
18.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,155.82 |
$2,155.82 |
20.5× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,690.63 |
$3,690.63 |
20.9× |
| X-ray eye for foreign body (70030) |
$962.91 |
$962.91 |
11.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,471.96 |
$1,471.96 |
14.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,471.96 |
$1,471.96 |
16.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,041.10 |
$1,041.10 |
11.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$6,038.09 |
$6,038.09 |
2.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$818.78 |
$818.78 |
9.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,329.35 |
$1,329.35 |
12.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$812.64 |
$812.64 |
9.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,418.30 |
$1,418.30 |
13.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,773.72 |
$2,773.72 |
26.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,166.83 |
$1,166.83 |
13.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$979.77 |
$979.77 |
11.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,448.95 |
$1,448.95 |
13.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$2,088.35 |
$2,088.35 |
19.9× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$3,612.43 |
$3,612.43 |
6.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,580.53 |
$2,580.53 |
7.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,172.98 |
$1,172.98 |
11.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,763.29 |
$1,763.29 |
16.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,286.43 |
$1,286.43 |
12.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,229.69 |
$1,229.69 |
14.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,214.37 |
$1,214.37 |
13.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,724.94 |
$1,724.94 |
19.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$818.78 |
$818.78 |
9.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,970.27 |
$1,970.27 |
18.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$956.77 |
$956.77 |
9.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,323.22 |
$1,323.22 |
15.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,212.84 |
$1,212.84 |
13.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,151.50 |
$1,151.50 |
13.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,467.34 |
$1,467.34 |
14.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,774.01 |
$1,774.01 |
16.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$795.79 |
$795.79 |
9.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,642.15 |
$1,642.15 |
18.8× |
| Xr arthrogram ankle (73615) |
$2,083.76 |
$2,083.76 |
5.9× |
| Xr c-spine 6 or more views (72052) |
$3,009.84 |
$3,009.84 |
28.7× |
| Xr chest 4+ views (71048) |
$1,484.23 |
$1,484.23 |
14.1× |
| Xr Cholecystography Oral Contrast (74290) |
$1,783.21 |
$1,783.21 |
10.1× |
| Xr finger(s) 2+ views (73140) |
$806.53 |
$806.53 |
9.2× |
| Xr internal auditory meati complete (70134) |
$1,527.15 |
$1,527.15 |
2.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$1,510.29 |
$1,510.29 |
14.4× |
| Xr optic foramina (70190) |
$775.84 |
$775.84 |
8.9× |
| Xr shoulder 1 view (73020) |
$889.31 |
$889.31 |
10.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,869.07 |
$1,869.07 |
17.8× |
| Xr tibia/fibula 2 views (73590) |
$1,005.85 |
$1,005.85 |
11.5× |
| Xr tmj bilateral (70330) |
$1,525.62 |
$1,525.62 |
17.5× |
| Xray knee 1 or 2 views rt (73560) |
$1,010.44 |
$1,010.44 |
11.6× |