| 3-D radiotherapy plan dose-volume histograms (77295) |
$9,718.45 |
$13,883.50 |
8.0× |
| Abdomen 2 views (74019) |
$696.50 |
$995 |
7.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,813.32 |
$2,590.46 |
5.2× |
| Acute venous thrombus image (78456) |
$1,463.32 |
$2,090.45 |
1.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,755.96 |
$5,365.65 |
1.4× |
| Angiography extremity bilateral rs&i (75716) |
$3,322.91 |
$4,747.02 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,304.88 |
$4,721.25 |
1.2× |
| Angiography internal mammary rs&i (75756) |
$3,304.88 |
$4,721.25 |
1.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,675.99 |
$8,108.55 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,875.66 |
$8,393.80 |
2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,652.06 |
$6,645.80 |
1.7× |
| Angiography Spinal Selective Rs&I (75705) |
$5,675.99 |
$8,108.55 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,705.13 |
$8,150.19 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,304.88 |
$4,721.25 |
1.2× |
| Ankle 2 views (73600) |
$430.65 |
$615.22 |
5.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$397.11 |
$567.30 |
1.3× |
| Aortogram thoracic (75605) |
$5,675.99 |
$8,108.55 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,889 |
$5,555.71 |
1.4× |
| Aortography abdominal serialography rs&i (75625) |
$3,304.88 |
$4,721.25 |
1.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,304.88 |
$4,721.25 |
1.2× |
| Artery X-Rays Adrenal Gland (75731) |
$3,304.88 |
$4,721.25 |
1.2× |
| Arthrogram elbow (73085) |
$1,057.70 |
$1,511 |
3.5× |
| Arthrogram hip (73525) |
$816.59 |
$1,166.55 |
2.7× |
| Arthrogram shoulder (73040) |
$1,057.21 |
$1,510.30 |
3.5× |
| Arthrogram wrist (73115) |
$925.40 |
$1,322 |
3.0× |
| Arthrography knee lt (73580) |
$1,189.09 |
$1,698.70 |
3.9× |
| Basic radiation dosimetry calculation (77300) |
$972.82 |
$1,389.75 |
8.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,926.23 |
$2,751.75 |
5.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,926.23 |
$2,751.75 |
5.5× |
| Bone &/joint imaging whole body (78306) |
$2,566.03 |
$3,665.76 |
7.3× |
| Bone age studies (77072) |
$403.76 |
$576.80 |
4.4× |
| Bone Imaging 3 Phase (78315) |
$2,827.03 |
$4,038.61 |
8.1× |
| Bone Marrow Imaging Limited Area (78102) |
$4,099.20 |
$5,856 |
11.7× |
| Bone survey complete (77075) |
$2,110.25 |
$3,014.64 |
23.1× |
| Brachytx isodose complex (77318) |
$4,385.26 |
$6,264.65 |
13.4× |
| Brachytx isodose intermed (77317) |
$3,319.96 |
$4,742.80 |
10.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$2,349.62 |
$3,356.60 |
7.2× |
| Brain image w/flow 4 + views (78606) |
$3,956.19 |
$5,651.70 |
8.3× |
| Brain imaging < 4 static views (78600) |
$428.52 |
$612.17 |
1.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$772.72 |
$1,103.88 |
2.2× |
| Brain Imaging Minimum 4 Static Views (78605) |
$772.72 |
$1,103.88 |
1.6× |
| Brain Imaging Vascular Flow Only (78610) |
$1,162.63 |
$1,660.90 |
2.4× |
| Cardiac shunt detection (78428) |
$1,592.75 |
$2,275.35 |
4.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,395.44 |
$3,422.05 |
5.0× |
| Cervical spine 2 or 3 views (72040) |
$556.21 |
$794.59 |
7.3× |
| Chest 1 view (71045) |
$647.50 |
$925 |
8.5× |
| Chest 3 views (71047) |
$682.50 |
$975 |
9.0× |
| Clavicle complete (73000) |
$411.43 |
$587.76 |
5.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,943.22 |
$4,204.60 |
32.2× |
| Continuing medical physics consltj pr wk (77336) |
$1,295.07 |
$1,850.10 |
11.0× |
| Corpora cavernosography (74445) |
$729.75 |
$1,042.50 |
8.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,046.51 |
$10,066.44 |
23.1× |
| CT abdomen and pelvis without contrast (74176) |
$6,670.88 |
$9,529.83 |
32.0× |
| CT abdomen w contrast (74160) |
$3,037.50 |
$4,339.29 |
19.8× |
| CT abdomen w wo contrast (74170) |
$3,462.48 |
$4,946.40 |
22.6× |
| CT abdomen w/o contrast (74150) |
$2,940 |
$4,200 |
32.1× |
| CT angio hrt w/3d image (75574) |
$531.92 |
$759.88 |
1.7× |
| CT angiography upper extremity lt (73206) |
$2,865.94 |
$4,094.20 |
18.7× |
| CT c-spine w/o contrast (72125) |
$2,827.02 |
$4,038.60 |
30.9× |
| CT cervical spine w&w/o contrast (72127) |
$4,690 |
$6,700 |
30.6× |
| CT cervical spine with contrast (72126) |
$4,620 |
$6,600 |
15.1× |
| CT chest w/wo contrast (71270) |
$4,182.63 |
$5,975.18 |
27.3× |
| CT chest with contrast (71260) |
$3,510.05 |
$5,014.36 |
22.9× |
| CT head/brain with contrast (70460) |
$3,552.50 |
$5,075 |
23.1× |
| CT head/brain without and with contrast (70470) |
$3,587.50 |
$5,125 |
23.4× |
| CT heart contrast eval cardiac structure&morph (75572) |
$506.42 |
$723.45 |
1.7× |
| CT heart no contrast quant eval coronry calcium (75571) |
$112.07 |
$160.10 |
1.5× |
| CT hrt w/3d image congen (75573) |
$489.86 |
$699.80 |
1.6× |
| CT iac w contrast (70481) |
$3,150 |
$4,500 |
20.5× |
| CT limited/localized follow up study (76380) |
$1,203.09 |
$1,718.70 |
15.8× |
| CT lower ext w/o (73700) |
$2,966.12 |
$4,237.31 |
32.4× |
| CT lower extremity w wo contrast (73702) |
$3,220 |
$4,600 |
21.0× |
| CT lower extremity with contrast (73701) |
$3,150 |
$4,500 |
20.5× |
| CT lumbar spine w & w/o contrast (72133) |
$4,628.14 |
$6,611.63 |
30.2× |
| CT lumbar spine w/o contrast (72131) |
$2,770.94 |
$3,958.48 |
30.3× |
| CT lumbar spine with contrast (72132) |
$4,550 |
$6,500 |
14.9× |
| CT maxillofacial w contrast (70487) |
$3,850 |
$5,500 |
25.1× |
| CT maxillofacial w/o contrast (70486) |
$1,869.03 |
$2,670.04 |
20.4× |
| CT maxillofacial w/wo contrast (70488) |
$3,920 |
$5,600 |
25.5× |
| CT neck soft tissue w contrast (70491) |
$4,009.11 |
$5,727.30 |
26.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,335.85 |
$4,765.50 |
21.7× |
| CT orbits w/o contrast (70480) |
$2,836.84 |
$4,052.63 |
31.0× |
| CT pelvis w & w/o contrast (72194) |
$4,200 |
$6,000 |
27.4× |
| CT pelvis w/o contrast (72192) |
$3,960.61 |
$5,658.02 |
43.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,060 |
$5,800 |
26.5× |
| CT soft tissue neck w/o contrast (70490) |
$3,660.43 |
$5,229.19 |
40.0× |
| CT thoracic spine w/contrast (72129) |
$5,401.21 |
$7,716.01 |
35.2× |
| CT thoracic spine w/o contrast (72128) |
$2,977.08 |
$4,252.97 |
32.5× |
| CT thoracic spine w/wo contrast (72130) |
$5,744.41 |
$8,206.30 |
37.4× |
| CT thorax w/o contrast (71250) |
$3,486.54 |
$4,980.77 |
38.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,290 |
$4,700 |
21.4× |
| CT upper extremity w/o contrast rt (73200) |
$3,201.14 |
$4,573.06 |
35.0× |
| CT upper extremity with contrast (73201) |
$3,227 |
$4,610 |
10.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,078.49 |
$5,826.42 |
26.6× |
| Cta Abdomen (74175) |
$3,760.26 |
$5,371.80 |
24.5× |
| CTA abdomen pelvis (74174) |
$8,050.06 |
$11,500.08 |
26.4× |
| CTA chest (71275) |
$4,481.68 |
$6,402.40 |
29.2× |
| Cta Head (70496) |
$3,913.74 |
$5,591.06 |
25.5× |
| CTA lwr ext w&w/o contrast (73706) |
$4,091.13 |
$5,844.47 |
26.7× |
| Cta Neck (70498) |
$3,727.81 |
$5,325.44 |
24.3× |
| Cta Pelvis (72191) |
$4,504.71 |
$6,435.30 |
29.4× |
| Cystography minimum 3 views rs&i (74430) |
$382.40 |
$546.29 |
1.3× |
| Diskogram cervical (72285) |
$2,662.10 |
$3,803 |
1.6× |
| Diskography lumbar (72295) |
$2,662.10 |
$3,803 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$306.09 |
$437.27 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$136.57 |
$195.10 |
1.8× |
| Dxa bone density study axial skeleton (77085) |
$327.22 |
$467.45 |
3.6× |
| Echo exam of eye (76529) |
$555.59 |
$793.70 |
7.3× |
| Echo exam of fetal heart (76825) |
$668.96 |
$955.65 |
1.4× |
| Echoencephalography real time imaging (76506) |
$1,692.62 |
$2,418.03 |
18.5× |
| Esophageal motility (78258) |
$2,408.25 |
$3,440.35 |
6.9× |
| Esophagus (74220) |
$1,153.22 |
$1,647.46 |
7.5× |
| Fetal biophysical profile non-stress testing (76818) |
$2,048.59 |
$2,926.56 |
22.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$2,051.55 |
$2,930.78 |
22.4× |
| Fluoroscopy up to 1 hr (76000) |
$1,684.73 |
$2,406.75 |
8.1× |
| Foot 2 views (73620) |
$464.66 |
$663.80 |
6.1× |
| Forearm 2 views (73090) |
$440.02 |
$628.60 |
5.8× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,320.54 |
$3,315.05 |
4.9× |
| Gastric mucosa imaging (78261) |
$2,531.03 |
$3,615.75 |
7.2× |
| Gated Heart Planar Single (78472) |
$3,693.45 |
$5,276.35 |
10.6× |
| Hand 2 views (73120) |
$406 |
$580 |
4.4× |
| Hand 3 views (73130) |
$414.10 |
$591.57 |
5.4× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,345.58 |
$4,779.40 |
5.5× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,051.30 |
$4,359 |
5.0× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$3,051.23 |
$4,358.90 |
5.0× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$1,176 |
$1,680 |
3.5× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$1,554.53 |
$2,220.75 |
4.6× |
| Heart Infarct Image (78466) |
$2,716.32 |
$3,880.45 |
7.8× |
| Heart infarct image w ef (78468) |
$2,716.32 |
$3,880.45 |
5.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,782.79 |
$3,975.42 |
5.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,625 |
$3,750 |
7.5× |
| Ht muscle image spect sing (78451) |
$4,284 |
$6,120 |
3.8× |
| Humerus Min 2 Views Left (73060) |
$446.64 |
$638.06 |
5.9× |
| Hysterosalpingogram (74740) |
$502.60 |
$718 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,820.16 |
$4,028.80 |
5.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$3,505.78 |
$5,008.26 |
7.4× |
| Knee 3 views (73562) |
$645.37 |
$921.95 |
8.5× |
| Liver & spleen imaging static only (78215) |
$2,517.69 |
$3,596.70 |
7.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,628.45 |
$5,183.50 |
10.4× |
| Liver imaging static only (78201) |
$2,177.49 |
$3,110.70 |
4.6× |
| Liver imaging w/vascular flow (78202) |
$2,177.49 |
$3,110.70 |
4.6× |
| Lung perf&ventilat diferentl (78598) |
$6,396.46 |
$9,137.80 |
13.5× |
| Lung perfusion differential (78597) |
$3,050.92 |
$4,358.45 |
8.7× |
| Lung Ventilation Imaging (78579) |
$3,345.58 |
$4,779.40 |
9.6× |
| Lymphoscintigraphy (78195) |
$2,476.11 |
$3,537.30 |
5.2× |
| Mammary ductogram or galactogram multiple (77054) |
$1,050.28 |
$1,500.40 |
5.0× |
| Mammary ductogram or galactogram single (77053) |
$700.63 |
$1,000.90 |
3.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$557.27 |
$796.10 |
7.3× |
| Meckels Diverticulum (78290) |
$3,275.51 |
$4,679.30 |
9.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,496.45 |
$3,566.35 |
7.6× |
| MRA head w & w/o contrast (70546) |
$2,695 |
$3,850 |
8.8× |
| MRA head w/o contrast (70544) |
$2,348.78 |
$3,355.40 |
11.3× |
| MRA head with contrast (70545) |
$2,663.15 |
$3,804.50 |
8.7× |
| MRA neck w contrast (70548) |
$2,418.50 |
$3,455 |
7.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,614.50 |
$3,735 |
8.6× |
| MRA neck w/o contrast (70547) |
$2,223.20 |
$3,176 |
10.7× |
| MRI abdomen w contrast (74182) |
$5,264.01 |
$7,520.02 |
17.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,167.50 |
$4,525 |
10.4× |
| MRI abdomen w/o contrast (74181) |
$6,511.13 |
$9,301.62 |
31.2× |
| MRI any jnt lwr ext with con lt (73722) |
$4,620 |
$6,600 |
6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,697 |
$6,710 |
6.8× |
| MRI breast w/o contrast bilateral (77047) |
$5,301.87 |
$7,574.10 |
25.4× |
| MRI breast w/o contrast unilat (77046) |
$4,569.60 |
$6,528 |
21.9× |
| MRI c-spine with contrast (72142) |
$2,940 |
$4,200 |
9.6× |
| MRI cervical spine w/o contrast (72141) |
$1,050 |
$1,500 |
5.0× |
| MRI chest w/o & w/contrast material (71552) |
$4,690 |
$6,700 |
15.4× |
| MRI chest w/o contrast (71550) |
$2,809.62 |
$4,013.75 |
13.5× |
| MRI chest with contrast (71551) |
$1,050 |
$1,500 |
1.5× |
| MRI fetal sngl/1st gestation (74712) |
$5,781.58 |
$8,259.40 |
27.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,410 |
$6,300 |
14.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,250 |
$7,500 |
17.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,080.99 |
$7,258.55 |
24.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,612.30 |
$6,589 |
22.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,745.46 |
$6,779.23 |
15.5× |
| MRI orbit/face/neck w/contrast (70542) |
$4,620 |
$6,600 |
15.1× |
| MRI pelvis w contrast (72196) |
$3,010 |
$4,300 |
9.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,040 |
$7,200 |
16.5× |
| MRI pelvis w/o contrast (72195) |
$4,916.63 |
$7,023.76 |
23.6× |
| MRI scan of arm joint before and after contrast (73223) |
$4,955.31 |
$7,079.01 |
16.2× |
| MRI scan of leg joint before and after contrast (73723) |
$4,690 |
$6,700 |
15.4× |
| MRI spectroscopy (76390) |
$421.96 |
$602.80 |
5.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,050 |
$1,500 |
3.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,905 |
$4,150 |
9.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,050 |
$1,500 |
3.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,150 |
$4,500 |
10.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,707 |
$5,295.72 |
12.1× |
| MRI thoracic spine w/o contrast (72146) |
$3,125.47 |
$4,464.96 |
15.0× |
| MRI tmj (70336) |
$4,154.22 |
$5,934.60 |
19.9× |
| MRI upper ext joint w/o contrast (73221) |
$4,630.26 |
$6,614.66 |
22.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,574.50 |
$6,535 |
15.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,357.61 |
$6,225.16 |
20.9× |
| Myocardial infarct spect (78469) |
$673.75 |
$962.50 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,713.87 |
$6,734.10 |
4.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,031.21 |
$1,473.15 |
1.4× |
| Neck soft tissue (70360) |
$262.80 |
$375.43 |
3.5× |
| Nm adrenal scan (78075) |
$2,106.58 |
$3,009.40 |
1.9× |
| Nm bone marrow multiple (78103) |
$4,900 |
$7,000 |
14.0× |
| Nm bone marrow wb (78104) |
$5,658 |
$8,082.85 |
16.2× |
| Nm cisternogram (78630) |
$4,142.88 |
$5,918.40 |
8.7× |
| Nm csf leak detection (78650) |
$3,474.21 |
$4,963.15 |
3.1× |
| Nm gastric emptying study (78264) |
$1,852.77 |
$2,646.82 |
5.3× |
| Nm gastroesophageal reflux study (78262) |
$2,408.25 |
$3,440.35 |
6.9× |
| Nm peritoneal-venous shunt patency (78291) |
$2,568.20 |
$3,668.85 |
7.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$15,723.82 |
$22,462.60 |
13.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$12,658.80 |
$18,084 |
10.1× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,688.25 |
$6,697.50 |
4.1× |
| Nuclear medicine of heart pumping function (78473) |
$4,091.05 |
$5,844.35 |
11.7× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$12,658.80 |
$18,084 |
10.1× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$11,249.95 |
$16,071.35 |
9.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$3,622.05 |
$5,174.35 |
3.2× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,744.17 |
$2,491.67 |
5.0× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$2,049.11 |
$2,927.30 |
5.9× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$2,320.54 |
$3,315.05 |
6.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,370.76 |
$3,386.80 |
6.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$2,054.78 |
$2,935.40 |
4.3× |
| Nuclear Rx Oral Admin (79005) |
$4,187.98 |
$5,982.83 |
20.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,393.90 |
$1,991.28 |
15.2× |
| Osseous survey infant (77076) |
$429.77 |
$613.96 |
4.7× |
| Osseous survey limited (77074) |
$1,239.63 |
$1,770.90 |
13.6× |
| Parathyrd planar w/spect&CT (78072) |
$3,092.46 |
$4,417.80 |
6.5× |
| Parathyrd planar w/wo subtrj (78071) |
$3,736.64 |
$5,338.05 |
10.7× |
| Parathyroid imaging (78070) |
$2,673.97 |
$3,819.95 |
7.6× |
| Pelvis 1 or 2 views (72170) |
$520.46 |
$743.51 |
5.7× |
| Peritoneogram rs&i (74190) |
$1,396.43 |
$1,994.90 |
2.9× |
| PET image w/CT, skull-thigh (78815) |
$9,211.12 |
$13,158.74 |
7.4× |
| PET imaging for CT attenuation whole body (78816) |
$9,172.24 |
$13,103.20 |
7.3× |
| PET imaging limited area chest head/neck (78811) |
$12,778.12 |
$18,254.45 |
11.3× |
| Pr csf ventriculography (78635) |
$772.72 |
$1,103.88 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,320 |
$7,600 |
17.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,304.88 |
$4,721.25 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,684.29 |
$3,834.70 |
7.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,083.45 |
$8,690.64 |
12.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,094.87 |
$1,564.10 |
2.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$591.92 |
$845.60 |
7.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,575.56 |
$2,250.80 |
17.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,692.98 |
$3,847.12 |
29.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$19,393.12 |
$27,704.45 |
3.0× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,445.47 |
$2,064.95 |
3.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$908.43 |
$1,297.75 |
10.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,202.74 |
$1,718.20 |
3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$483.97 |
$691.39 |
5.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$566.74 |
$809.63 |
7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$693.67 |
$990.95 |
7.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$665 |
$950 |
8.7× |
| Radiologic exam colon single contrast study (74270) |
$1,313.05 |
$1,875.79 |
8.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,066.88 |
$1,524.11 |
7.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,787.07 |
$2,552.96 |
11.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,149.09 |
$1,641.55 |
7.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$505.25 |
$721.79 |
6.6× |
| Radiological examination surgical specimen (76098) |
$757.61 |
$1,082.30 |
1.6× |
| Radiopharm Dacryocystography (78660) |
$863.03 |
$1,232.90 |
2.5× |
| Ribs bilateral 3 views (71110) |
$235.10 |
$335.86 |
2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,211.39 |
$4,587.70 |
9.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,078.56 |
$8,683.65 |
12.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,146.10 |
$5,923 |
8.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,992.43 |
$4,274.90 |
2.6× |
| Rp Therapy Intravenous Administration (79101) |
$1,511.16 |
$2,158.80 |
7.4× |
| Sacroiliac Joints < 3 Views (72200) |
$403.76 |
$576.80 |
4.4× |
| Salivary gland imaging (78230) |
$469.13 |
$670.19 |
1.3× |
| Scanogram (77073) |
$929.60 |
$1,328 |
10.2× |
| Scapula complete (73010) |
$403.76 |
$576.80 |
4.4× |
| Screening digital breast tomosynthesis (77063) |
$37.56 |
$53.65 |
1.6× |
| Sialogram (70390) |
$1,175.37 |
$1,679.10 |
5.6× |
| Small bowel series (74250) |
$1,612.71 |
$2,303.87 |
10.5× |
| Spec medical radj physics consltj (77370) |
$1,455.62 |
$2,079.45 |
12.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,443.51 |
$2,062.15 |
4.4× |
| Special dosimetry (77331) |
$971.32 |
$1,387.60 |
8.3× |
| Special treatment procedure (77470) |
$3,628.73 |
$5,183.90 |
7.5× |
| Spine thoracic 3 views (72072) |
$500.50 |
$715 |
5.5× |
| Spleen imaging only (78185) |
$1,695.40 |
$2,422 |
4.8× |
| Splenoportograpy rs&i (75810) |
$3,304.88 |
$4,721.25 |
1.2× |
| Stereotactic body radiation delivery (77373) |
$12,657 |
$18,081.42 |
8.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$3,152.80 |
$4,504 |
9.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,182.67 |
$3,118.10 |
6.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,560.03 |
$5,085.75 |
10.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,794.21 |
$2,563.15 |
15.3× |
| Therapeutic Enema (74283) |
$1,929.69 |
$2,756.70 |
12.6× |
| Thoracolumbar 2 views (72080) |
$467.81 |
$668.30 |
6.1× |
| Thyroid carcinoma metastases img addl study (78016) |
$554.67 |
$792.38 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,557.59 |
$3,653.70 |
5.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,875.34 |
$2,679.05 |
5.4× |
| Thyroid uptake measurement (78012) |
$816.59 |
$1,166.55 |
2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,015.02 |
$2,878.60 |
5.8× |
| Tmj unilateral (70328) |
$526.89 |
$752.70 |
6.9× |
| Treatment device intermediate (77333) |
$1,196.72 |
$1,709.60 |
10.2× |
| Treatment devices simple (77332) |
$898.03 |
$1,282.90 |
7.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,529.73 |
$6,471.04 |
9.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$3,211.39 |
$4,587.70 |
9.2× |
| Tx devices design & construction complex (77334) |
$1,496.46 |
$2,137.80 |
4.6× |
| Ultrasound, abdomen limited (76705) |
$1,086.91 |
$1,552.73 |
11.9× |
| Umbilical-artery Doppler (OB) (76820) |
$166.11 |
$237.30 |
1.8× |
| Upper Extremity Infant (73092) |
$403.76 |
$576.80 |
4.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,090.92 |
$1,558.45 |
3.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,240.09 |
$1,771.55 |
5.9× |
| Urethrocystography voiding (74455) |
$666.37 |
$951.96 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,691.62 |
$2,416.60 |
11.0× |
| Us abdl aorta screen aaa (76706) |
$810.32 |
$1,157.60 |
8.9× |
| Us breast unilateral complete (76641) |
$491.64 |
$702.35 |
5.4× |
| Us breast unilateral limited (76642) |
$728.78 |
$1,041.12 |
9.6× |
| Us chest (76604) |
$1,155.58 |
$1,650.83 |
12.6× |
| Us compl joint r-t w/image documentation (76881) |
$829.92 |
$1,185.60 |
9.1× |
| Us elastography parenchyma (76981) |
$1,227.98 |
$1,754.25 |
13.4× |
| Us guided compression repair (76936) |
$2,149.87 |
$3,071.24 |
11.4× |
| Us infant hips dynamic (76885) |
$1,374.12 |
$1,963.03 |
18.0× |
| Us infant hips limited static (76886) |
$907.94 |
$1,297.05 |
11.9× |
| Us kidney transplant (76776) |
$836.19 |
$1,194.55 |
9.1× |
| Us ob detailed single fetus (76811) |
$1,176.50 |
$1,680.72 |
5.6× |
| Us ob transvaginal (76817) |
$1,041.45 |
$1,487.78 |
11.4× |
| Us pelvic non ob complete (76856) |
$1,337.52 |
$1,910.74 |
14.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$445.24 |
$636.06 |
4.9× |
| Us pregnancy ltd (76815) |
$1,077.42 |
$1,539.17 |
11.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,179.72 |
$1,685.32 |
12.9× |
| Us retroperitoneal complete (76770) |
$1,179.33 |
$1,684.76 |
12.9× |
| Us retroperitoneal limited (76775) |
$741.66 |
$1,059.52 |
8.1× |
| Us scrotum and contents (76870) |
$1,126.35 |
$1,609.07 |
12.3× |
| Us soft tissue head/neck (76536) |
$897.99 |
$1,282.84 |
9.8× |
| Us spinal canal and contents (76800) |
$1,070.27 |
$1,528.95 |
11.7× |
| Us transrectal (76872) |
$401.63 |
$573.75 |
4.4× |
| Us xtr non-vasc lmtd (76882) |
$801.47 |
$1,144.95 |
8.8× |
| Vascular flow imaging (78445) |
$1,342.74 |
$1,918.20 |
3.8× |
| Vasogram (74440) |
$729.75 |
$1,042.50 |
3.5× |
| Venogram extremity bilateral (75822) |
$1,715 |
$2,450 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$3,981.39 |
$5,687.70 |
1.4× |
| Venography caval superior serialography rs&i (75827) |
$3,153.05 |
$4,504.35 |
2.3× |
| Venography extremity unilateral rs&i (75820) |
$1,679.41 |
$2,399.16 |
1.2× |
| Venography Renal Bilateral (75833) |
$3,325 |
$4,750 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$3,304.88 |
$4,721.25 |
1.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,304.88 |
$4,721.25 |
1.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,675.99 |
$8,108.55 |
1.2× |
| Vertebral fracture assessment via dxa (77086) |
$153.86 |
$219.80 |
2.0× |
| Wrist 2 views (73100) |
$422.56 |
$603.65 |
5.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$937.69 |
$1,339.55 |
10.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$403.76 |
$576.80 |
5.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$458.13 |
$654.47 |
6.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,564.36 |
$2,234.80 |
10.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$447.89 |
$639.84 |
5.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$446.31 |
$637.59 |
5.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$2,166.92 |
$3,095.60 |
23.7× |
| X-ray exam hip uni 1 view (73501) |
$462.89 |
$661.27 |
6.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$594.66 |
$849.51 |
7.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$853.84 |
$1,219.77 |
9.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$643.90 |
$919.86 |
7.0× |
| X-ray eye for foreign body (70030) |
$583.42 |
$833.45 |
7.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$541.52 |
$773.60 |
5.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$462.49 |
$660.70 |
6.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$466.80 |
$666.86 |
6.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$403.76 |
$576.80 |
5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$421.96 |
$602.80 |
5.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$642.65 |
$918.07 |
7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$403.76 |
$576.80 |
5.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$506.10 |
$723 |
6.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$583.63 |
$833.76 |
6.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$671.01 |
$958.58 |
7.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$687.59 |
$982.27 |
7.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$467.81 |
$668.30 |
6.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$277.48 |
$396.40 |
3.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$403.76 |
$576.80 |
4.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$675.70 |
$965.28 |
7.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$1,116.99 |
$1,595.70 |
2.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,048.55 |
$1,497.93 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$136.73 |
$195.33 |
1.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$593.24 |
$847.48 |
6.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$663.41 |
$947.73 |
7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$467.81 |
$668.30 |
5.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$420.27 |
$600.38 |
5.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$488.25 |
$697.50 |
6.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$478.58 |
$683.69 |
6.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$226.52 |
$323.60 |
3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$736.17 |
$1,051.67 |
8.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$581.52 |
$830.74 |
6.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$485.70 |
$693.86 |
6.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$427.38 |
$610.54 |
5.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$403.76 |
$576.80 |
5.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$492.49 |
$703.56 |
5.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$575.32 |
$821.89 |
6.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$310.14 |
$443.06 |
4.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$427 |
$610 |
5.6× |
| Xr arthrogram ankle (73615) |
$1,459.08 |
$2,084.40 |
4.8× |
| Xr c-spine 6 or more views (72052) |
$666.19 |
$951.70 |
7.3× |
| Xr chest 4+ views (71048) |
$713.09 |
$1,018.70 |
7.8× |
| Xr finger(s) 2+ views (73140) |
$292.43 |
$417.76 |
3.8× |
| Xr shoulder 1 view (73020) |
$411.84 |
$588.34 |
5.4× |
| Xr spine cervical 4 or 5 views (72050) |
$578.57 |
$826.53 |
6.3× |
| Xr tibia/fibula 2 views (73590) |
$462.81 |
$661.15 |
6.1× |
| Xr tmj bilateral (70330) |
$526.89 |
$752.70 |
6.9× |
| Xray knee 1 or 2 views rt (73560) |
$623.80 |
$891.14 |
8.2× |