| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,477.60 |
$10,796 |
4.9× |
| Abdomen 1 View (74018) |
$294.60 |
$491 |
3.6× |
| Abdomen 2 views (74019) |
$382.80 |
$638 |
3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$530.40 |
$884 |
1.4× |
| Angio internal mammary (75756) |
$2,537.40 |
$4,229 |
0.8× |
| Angio pulmonary bilat (75743) |
$7,443 |
$12,405 |
2.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$7,443 |
$12,405 |
2.5× |
| Angiography extremity bilateral rs&i (75716) |
$3,673.20 |
$6,122 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,145.80 |
$5,243 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,169.80 |
$5,283 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,169.80 |
$5,283 |
1.1× |
| Ankle 2 views (73600) |
$279 |
$465 |
3.4× |
| Aortography thoracic serialography rs&i (75605) |
$8,924.40 |
$14,874 |
1.7× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,145.80 |
$5,243 |
1.1× |
| Artery X-Rays Abdomen (75726) |
$9,673.20 |
$16,122 |
1.8× |
| Artery X-Rays Adrenal Gland (75731) |
$2,537.40 |
$4,229 |
0.8× |
| Artery X-Rays Pelvis (75736) |
$7,443 |
$12,405 |
1.4× |
| Artery X-Rays Spine (75705) |
$8,924.40 |
$14,874 |
1.7× |
| Arthrogram ankle (73615) |
$1,273.20 |
$2,122 |
3.9× |
| Arthrogram hip (73525) |
$676.80 |
$1,128 |
2.1× |
| Arthrogram Wrist (73115) |
$1,473 |
$2,455 |
4.5× |
| Basic radiation dosimetry calculation (77300) |
$1,314 |
$2,190 |
10.3× |
| Bone age studies (77072) |
$234.60 |
$391 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$2,283.60 |
$3,806 |
6.0× |
| Bone Imaging Limited Area (78300) |
$723 |
$1,205 |
1.9× |
| Bone Imaging Multiple Areas (78305) |
$1,804.20 |
$3,007 |
4.8× |
| Bone Imaging Whole Body (78306) |
$1,148.40 |
$1,914 |
3.0× |
| Bone survey infant (77076) |
$222 |
$370 |
2.2× |
| Brachytx isodose complex (77318) |
$2,717.40 |
$4,529 |
7.7× |
| Brachytx isodose intermed (77317) |
$1,655.40 |
$2,759 |
4.7× |
| Brachytx Isodose Plan Simple (77316) |
$657.60 |
$1,096 |
1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,207.60 |
$5,346 |
2.4× |
| Cardiac Shunt Detection (78428) |
$831 |
$1,385 |
2.2× |
| Cat Scan Follow-Up Study (76380) |
$404.40 |
$674 |
4.9× |
| Cerebrospinal Fluid Scan (78630) |
$937.80 |
$1,563 |
1.8× |
| Chest 1 view (71045) |
$372 |
$620 |
4.5× |
| Chest 2 views (71046) |
$60.60 |
$101 |
0.7× |
| Chest 3 views (71047) |
$321.60 |
$536 |
3.9× |
| Chest 4 or more views (71048) |
$536.40 |
$894 |
5.4× |
| Cholecystography Oral Contrast (74290) |
$313.20 |
$522 |
1.9× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,370.40 |
$2,284 |
1.8× |
| Clavicle complete (73000) |
$225 |
$375 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$240.60 |
$401 |
2.4× |
| Continuing medical physics consltj pr wk (77336) |
$927.60 |
$1,546 |
7.3× |
| Contrast Exam Abdominl Aorta (75625) |
$3,145.80 |
$5,243 |
1.1× |
| Contrast X-Ray Bladder (74430) |
$260.40 |
$434 |
0.8× |
| Contrast X-Ray Of Elbow (73085) |
$1,273.20 |
$2,122 |
3.9× |
| Contrast X-Ray Of Knee Joint (73580) |
$1,273.20 |
$2,122 |
3.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,212.40 |
$5,354 |
9.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,743.60 |
$2,906 |
7.7× |
| CT abdomen w contrast (74160) |
$1,151.40 |
$1,919 |
6.9× |
| CT abdomen w wo contrast (74170) |
$1,426.80 |
$2,378 |
8.6× |
| CT abdomen w/o contrast (74150) |
$1,151.40 |
$1,919 |
11.6× |
| CT Angio Abdomen and Pelvis (74174) |
$2,196.60 |
$3,661 |
6.7× |
| CT Angio Chest (71275) |
$937.20 |
$1,562 |
5.6× |
| CT Angio Head (70496) |
$1,191.60 |
$1,986 |
7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$766.80 |
$1,278 |
4.6× |
| CT Angio Neck (70498) |
$895.20 |
$1,492 |
5.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$632.40 |
$1,054 |
3.8× |
| CT cervical spine w/ contrast (72126) |
$1,299.60 |
$2,166 |
3.9× |
| CT cervical spine w/o contrast (72125) |
$1,251 |
$2,085 |
12.6× |
| CT cervical spine w/wo cont (72127) |
$1,359 |
$2,265 |
8.2× |
| CT chest w contrast (71260) |
$964.80 |
$1,608 |
5.8× |
| CT chest w/wo contrast (71270) |
$1,297.20 |
$2,162 |
7.8× |
| CT head/brain with contrast (70460) |
$1,135.80 |
$1,893 |
6.8× |
| CT head/brain without and with contrast (70470) |
$1,193.40 |
$1,989 |
7.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$225 |
$225 |
2.7× |
| CT iac w contrast (70481) |
$1,026 |
$1,710 |
6.2× |
| CT l-spine w&w/o contrast (72133) |
$1,582.20 |
$2,637 |
9.5× |
| CT lower ext w/o (73700) |
$974.40 |
$1,624 |
9.9× |
| CT lower extremity w/contrast material (73701) |
$1,121.40 |
$1,869 |
6.8× |
| CT lumbar spine w contrast (72132) |
$1,512.60 |
$2,521 |
4.6× |
| CT lumbar spine w/o contrast (72131) |
$1,139.40 |
$1,899 |
11.5× |
| CT maxillofacial w contrast (70487) |
$1,269 |
$2,115 |
7.6× |
| CT maxillofacial wo contrast (70486) |
$1,351.20 |
$2,252 |
13.7× |
| CT neck tissue combo (70492) |
$1,375.80 |
$2,293 |
8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,074.60 |
$1,791 |
6.5× |
| CT orbits w/o contrast (70480) |
$976.80 |
$1,628 |
9.9× |
| CT pelvis w&w/o contrast (72194) |
$1,471.80 |
$2,453 |
8.9× |
| CT pelvis w/o contrast (72192) |
$1,111.80 |
$1,853 |
11.2× |
| CT scan of leg combo (73702) |
$1,288.80 |
$2,148 |
7.8× |
| CT scans face/jaw combo (70488) |
$1,459.80 |
$2,433 |
8.8× |
| CT soft tissue neck w contrast (70491) |
$1,317 |
$2,195 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,153.20 |
$1,922 |
11.7× |
| CT thoracic spine w contrast (72129) |
$1,010.40 |
$1,684 |
6.1× |
| CT thoracic spine w/o contrast (72128) |
$960.60 |
$1,601 |
9.7× |
| CT thoracic spine w/wo cont (72130) |
$1,056.60 |
$1,761 |
6.4× |
| CT thorax w/o contrast (71250) |
$704.40 |
$1,174 |
7.1× |
| CT upper ext wo (73200) |
$774 |
$1,290 |
7.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,023 |
$1,705 |
6.2× |
| CT upper extremity with contrast (73201) |
$890.40 |
$1,484 |
2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$816.60 |
$1,361 |
4.9× |
| Cta Abdomen (74175) |
$1,290 |
$2,150 |
7.8× |
| CTA pelvis (72191) |
$1,105.80 |
$1,843 |
6.7× |
| Dilation ureters/urethra rs&i (74485) |
$1,470 |
$2,450 |
0.7× |
| Discography Cerv/Thor Spine (72285) |
$6,629.40 |
$11,049 |
3.6× |
| Diskography lumbar (72295) |
$6,628.20 |
$11,047 |
3.6× |
| Dxa Bone Density Axial (77080) |
$210.60 |
$351 |
2.1× |
| Dxa bone density study (77085) |
$204 |
$340 |
2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$241.20 |
$402 |
2.9× |
| Echo exam uterus (76831) |
$159.60 |
$266 |
0.7× |
| Echo Guide For Artery Repair (76936) |
$1,573.80 |
$2,623 |
7.7× |
| Echograp Trans R Pros Study (76873) |
$69 |
$115 |
0.7× |
| Esophagram (74220) |
$726.60 |
$1,211 |
4.4× |
| Fetal Biophys Profile W/Nst (76818) |
$69 |
$115 |
0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$804 |
$1,340 |
8.1× |
| Fluoroscopy up to 1 hr (76000) |
$505.20 |
$842 |
2.2× |
| Follow-Up Angiography (75898) |
$5,172.60 |
$8,621 |
1.7× |
| Foot 2 views (73620) |
$276 |
$460 |
3.4× |
| Forearm 2 views (73090) |
$265.20 |
$442 |
3.2× |
| Gastric emptying imaging study (78264) |
$1,550.40 |
$2,584 |
4.1× |
| Gastroesophageal Reflux Exam (78262) |
$1,021.80 |
$1,703 |
2.7× |
| Gated Heart Planar Single (78472) |
$2,193 |
$3,655 |
5.8× |
| Hand 2 views (73120) |
$250.80 |
$418 |
2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$1,252.80 |
$2,088 |
1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$1,252.80 |
$2,088 |
1.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$7,443 |
$12,405 |
2.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$3,169.80 |
$5,283 |
1.1× |
| Hepatobil Syst Image W/Drug (78227) |
$1,650.60 |
$2,751 |
3.2× |
| Hepatobiliary System Imaging (78226) |
$1,650.60 |
$2,751 |
4.4× |
| Ht Musc Image Planar Mult (78454) |
$1,255.20 |
$2,092 |
1.0× |
| Ht Muscle Image Spect Sing (78451) |
$2,176.80 |
$3,628 |
1.8× |
| Hysterosalpingogram (74740) |
$479.40 |
$799 |
2.1× |
| Image fusion (77399) |
$505.20 |
$842 |
4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$483.60 |
$806 |
5.9× |
| Interstitial radiation source applic complex (77778) |
$3,532.80 |
$5,888 |
5.4× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,054.40 |
$3,424 |
3.1× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,378.20 |
$2,297 |
2.6× |
| Intracavitary radiation source applic simple (77761) |
$1,156.20 |
$1,927 |
2.2× |
| K Flow/Funct Image W/Drug (78708) |
$2,642.40 |
$4,404 |
5.1× |
| K Flow/Funct Image W/O Drug (78707) |
$2,025.60 |
$3,376 |
3.9× |
| Kidney Imaging Morphol (78700) |
$508.20 |
$847 |
1.3× |
| Knee 3 Views (73562) |
$496.80 |
$828 |
6.0× |
| Liver & Spleen Imaging Static Only (78215) |
$1,735.80 |
$2,893 |
4.6× |
| Liver imaging static only (78201) |
$910.80 |
$1,518 |
1.8× |
| Lung perfusion differential (78597) |
$3,013.20 |
$5,022 |
8.0× |
| Lung Ventilat&Perfus Imaging (78582) |
$3,013.20 |
$5,022 |
5.9× |
| Lung Ventilation Imaging (78579) |
$3,013.20 |
$5,022 |
8.0× |
| Lymph System Imaging (78195) |
$1,408.20 |
$2,347 |
2.7× |
| Mammary ductogram or galactogram single (77053) |
$973.20 |
$1,622 |
4.3× |
| Meckels Divert Exam (78290) |
$930.60 |
$1,551 |
2.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,753.20 |
$2,922 |
4.9× |
| Myelogram cervical (72240) |
$2,095.80 |
$3,493 |
2.8× |
| Myelogram Lumbar (72265) |
$1,894.80 |
$3,158 |
2.6× |
| Myelography thoracic (72255) |
$1,381.20 |
$2,302 |
1.9× |
| Myelograpy 2/more regions rs&i (72270) |
$2,514.60 |
$4,191 |
3.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$831 |
$1,385 |
2.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,200 |
$2,000 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$8,106 |
$13,510 |
6.6× |
| N-invas est c ffr sw aly CTA (75580) |
$2,914.20 |
$4,857 |
3.6× |
| Neck soft tissue (70360) |
$261 |
$435 |
3.2× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$6,450 |
$10,750 |
17.7× |
| Nonvascular Shunt X-Ray (75809) |
$226.20 |
$377 |
2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,926.60 |
$8,211 |
3.8× |
| Nuclear Rx Intra-Arterial (79445) |
$1,227 |
$2,045 |
5.6× |
| Nuclear Rx Oral Admin (79005) |
$1,372.80 |
$2,288 |
6.2× |
| Parathyroid Planar Imaging (78070) |
$433.20 |
$722 |
1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,275 |
$2,125 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$319.20 |
$532 |
3.2× |
| Peritoneogram Rs&I (74190) |
$1,447.20 |
$2,412 |
2.8× |
| Pet Image W/Ct Lmtd (78814) |
$2,762.40 |
$4,604 |
2.0× |
| PET image w/CT, full body (78816) |
$3,082.20 |
$5,137 |
2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,237 |
$5,395 |
2.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$7,443 |
$12,405 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,013.20 |
$5,022 |
8.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$412.20 |
$687 |
4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$832.20 |
$1,387 |
1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$436.20 |
$727 |
5.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$280.80 |
$468 |
3.4× |
| Radex elbow complete minimum 3 views (73080) |
$383.40 |
$639 |
4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$502.20 |
$837 |
5.1× |
| Radex fingr minimum 2 views (73140) |
$348 |
$580 |
4.2× |
| Radex foot complete minimum 3 views (73630) |
$210.60 |
$351 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$399 |
$665 |
4.8× |
| Radex lower extremity infant minimum 2 views (73592) |
$171.60 |
$286 |
2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$440.40 |
$734 |
4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$369 |
$615 |
4.5× |
| Radex Ribs Unilateral 2 Views (71100) |
$425.40 |
$709 |
5.2× |
| Radex shoulder complete minimum 2 views (73030) |
$475.20 |
$792 |
5.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$333 |
$555 |
4.0× |
| Radex Spine 1 View Specify Level (72020) |
$320.40 |
$534 |
3.9× |
| Radex Sternum Minimum 2 Views (71120) |
$375 |
$625 |
4.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$372.60 |
$621 |
4.5× |
| Radex Toe Minimum 2 Views (73660) |
$282 |
$470 |
3.4× |
| Radex upper extremity infant minimum 2 views (73092) |
$158.40 |
$264 |
1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$382.80 |
$638 |
4.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$17,715.60 |
$29,526 |
2.5× |
| Radiation treatment delivery level 1 (77402) |
$651 |
$1,085 |
6.7× |
| Radiation treatment delivery level 2 (77407) |
$2,645.40 |
$4,409 |
7.2× |
| Radiation treatment delivery level 3 (77412) |
$6,897 |
$11,495 |
13.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$404.40 |
$674 |
4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$412.20 |
$687 |
4.2× |
| Radiologic exam colon double contrast study (74280) |
$863.40 |
$1,439 |
5.2× |
| Radiologic exam colon single contrast study (74270) |
$661.80 |
$1,103 |
4.0× |
| Radiologic exam knee complete 4/more views (73564) |
$509.40 |
$849 |
5.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$353.40 |
$589 |
3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$618.60 |
$1,031 |
3.7× |
| Radiologic exam swallow function contrast study (74230) |
$226.80 |
$378 |
1.4× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) |
$188.40 |
$314 |
0.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$679.80 |
$1,133 |
4.1× |
| Radiologic examination femur 1 view (73551) |
$171.60 |
$286 |
2.1× |
| Radiologic examination femur minimum 2 views (73552) |
$322.80 |
$538 |
3.9× |
| Radiologic examination knee 1/2 views (73560) |
$304.80 |
$508 |
3.7× |
| Radiologic Examination Osseous Survey Limited (77074) |
$387 |
$645 |
3.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$320.40 |
$534 |
3.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$456.60 |
$761 |
1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$456.60 |
$761 |
1.3× |
| Renal Cyst Study (74470) |
$466.20 |
$777 |
0.9× |
| Ribs bilateral 3 views (71110) |
$640.20 |
$1,067 |
6.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$675.60 |
$1,126 |
1.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,642.80 |
$2,738 |
4.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,319 |
$3,865 |
4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,500.20 |
$4,167 |
4.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,850.40 |
$3,084 |
1.5× |
| Rp Therapy Intravenous Administration (79101) |
$1,390.80 |
$2,318 |
6.3× |
| Scapula (73010) |
$319.20 |
$532 |
3.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$32.40 |
$54 |
1.4× |
| Sella turcica (70240) |
$196.80 |
$328 |
2.4× |
| Shoulder 1 view (73020) |
$194.40 |
$324 |
2.4× |
| Shoulder Arthrography (73040) |
$1,272.60 |
$2,121 |
3.9× |
| Sialogram (70390) |
$332.40 |
$554 |
1.5× |
| Skull less than 4 views (70250) |
$189 |
$315 |
1.9× |
| Special dosimetry (77331) |
$729.60 |
$1,216 |
5.7× |
| Special Physics Consult (77370) |
$874.20 |
$1,457 |
6.9× |
| Special teletherapy port plan (77321) |
$2,155.20 |
$3,592 |
6.1× |
| Special treatment procedure (77470) |
$3,436.80 |
$5,728 |
6.6× |
| Stereotactic Body Radiation Delivery (77373) |
$4,057.20 |
$6,762 |
2.4× |
| Sternoclavicular joints (71130) |
$126 |
$210 |
1.5× |
| Superior sagittal sinus venogram (75870) |
$2,300.40 |
$3,834 |
0.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) |
$159 |
$265 |
1.9× |
| Tbs technical calculation only (77091) |
$159 |
$265 |
1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,875 |
$3,125 |
5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$618.60 |
$1,031 |
1.7× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,331.40 |
$2,219 |
5.9× |
| Testicular Imaging W/Flow (78761) |
$1,254.60 |
$2,091 |
3.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$4,801.80 |
$8,003 |
13.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$4,111.20 |
$6,852 |
11.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,820.60 |
$4,701 |
22.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$443.40 |
$739 |
2.7× |
| Thoracic spine 2 views (72070) |
$417.60 |
$696 |
4.2× |
| Thoracic spine 3 views (72072) |
$473.40 |
$789 |
4.8× |
| Thoracolumbar 2 views (72080) |
$58.20 |
$97 |
0.7× |
| Thyroid Met Imaging Body (78018) |
$2,322 |
$3,870 |
4.5× |
| Thyroid Uptake Measurement (78012) |
$1,444.80 |
$2,408 |
3.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,444.80 |
$2,408 |
3.8× |
| Tx Devices Design & Construction Complex (77334) |
$4,256.40 |
$7,094 |
12.0× |
| Tx devices design & construction intermediate (77333) |
$986.40 |
$1,644 |
7.8× |
Tx devices design & construction simple (77332)
range across 6 matching MRF lines |
$970.20–$125,963.40 |
$1,617–$209,939 |
varies |
| Ultrasound Breast Limited (76642) |
$177.60 |
$296 |
2.2× |
| Ultrasound Exam Aaa Screen (76706) |
$258.60 |
$431 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$278.40 |
$464 |
2.8× |
| Unlisted Dx Radiographic Procedure (76499) |
$235.80 |
$393 |
2.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$1,709.40 |
$2,849 |
17.7× |
| Unlisted us procedure (76999) |
$856.80 |
$1,428 |
10.4× |
| Upper gi w/o kub (74240) |
$661.80 |
$1,103 |
4.0× |
| Ureteral Reflux Study (78740) |
$702 |
$1,170 |
1.9× |
| Urethrocystogram voiding (74455) |
$335.40 |
$559 |
1.5× |
| Urethrocystography retrograde (74450) |
$279.60 |
$466 |
1.2× |
| Us breast unilateral complete (76641) |
$93 |
$155 |
0.9× |
| Us chest (76604) |
$691.20 |
$1,152 |
7.0× |
| Us complete joint (76881) |
$69 |
$115 |
0.7× |
| Us exam, pelvic, limited (76857) |
$1,181.40 |
$1,969 |
11.9× |
| Us head (76506) |
$70.20 |
$117 |
0.7× |
| Us kidney transplant (76776) |
$795 |
$1,325 |
8.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$901.20 |
$1,502 |
9.1× |
| Us ob detailed single fetus (76811) |
$567 |
$945 |
2.5× |
| Us ob limited 1 or more fetuses (76815) |
$819.60 |
$1,366 |
8.3× |
| Us ob transvaginal (76817) |
$263.40 |
$439 |
2.7× |
| Us pelvic non ob complete (76856) |
$223.80 |
$373 |
2.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$253.20 |
$422 |
2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$189 |
$315 |
1.9× |
| Us retroperitoneal complete (76770) |
$1,092 |
$1,820 |
11.0× |
| Us retroperitoneal limited (76775) |
$910.20 |
$1,517 |
9.2× |
| Us scrotum and contents (76870) |
$1,277.40 |
$2,129 |
12.9× |
| Us spinal canal and contents (76800) |
$825.60 |
$1,376 |
8.3× |
| Us thyroid (76536) |
$710.40 |
$1,184 |
7.2× |
| Us transrectal (76872) |
$1,489.20 |
$2,482 |
15.1× |
| Vein X-Ray Chest (75827) |
$1,176 |
$1,960 |
0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$3,169.80 |
$5,283 |
1.1× |
| Vein X-Ray Skull Epidural (75872) |
$3,169.80 |
$5,283 |
5.3× |
| Vein X-Ray Spleen/Liver (75810) |
$3,169.80 |
$5,283 |
1.1× |
| Venogram Sinus/Jugular (75860) |
$2,988.60 |
$4,981 |
1.0× |
| Venography Adrenal Unilateral (75840) |
$7,443 |
$12,405 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,537.40 |
$4,229 |
0.8× |
| Venography extremity bilateral rs&i (75822) |
$1,443 |
$2,405 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$2,460.60 |
$4,101 |
1.7× |
| Venography Orbital Rs&I (75880) |
$2,537.40 |
$4,229 |
4.3× |
| Venography Renal Bilateral (75833) |
$3,169.80 |
$5,283 |
1.1× |
| Venography Renal Unilateral (75831) |
$3,169.80 |
$5,283 |
1.1× |
| Venous sampling by catheter (75893) |
$8,924.40 |
$14,874 |
1.7× |
| Vertebral fracture assessment via dxa (77086) |
$163.20 |
$272 |
2.0× |
| Wrist 2 views (73100) |
$277.20 |
$462 |
3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$255.60 |
$426 |
3.1× |
| X-ray antegrade pyelogram tube (74425) |
$327.60 |
$546 |
1.0× |
| X-Ray Aorta Leg Arteries (75630) |
$3,250.80 |
$5,418 |
1.1× |
| X-Ray Bend Only L-S Spine (72120) |
$250.80 |
$418 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$258.60 |
$431 |
3.1× |
| X-Ray Exam Breast Specimen (76098) |
$1,072.80 |
$1,788 |
2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$280.20 |
$467 |
3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$280.20 |
$467 |
2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$382.80 |
$638 |
3.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$163.20 |
$272 |
2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$304.80 |
$508 |
3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$319.80 |
$533 |
3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$511.20 |
$852 |
5.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$537 |
$895 |
5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$537 |
$895 |
5.4× |
| X-Ray Exam L-S Spine Bending (72114) |
$969 |
$1,615 |
9.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$572.40 |
$954 |
7.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,249.20 |
$2,082 |
12.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$552 |
$920 |
5.6× |
| X-ray eye for foreign body (70030) |
$288.60 |
$481 |
3.5× |
| X-ray humerus (73060) |
$328.80 |
$548 |
4.0× |
| X-ray IV pyelogram (ivp) (74400) |
$795.60 |
$1,326 |
4.8× |
| X-ray IV pyelogram+tomography (74415) |
$1,326.60 |
$2,211 |
8.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$136.80 |
$228 |
1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$282.60 |
$471 |
3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$511.20 |
$852 |
5.2× |
| X-ray nose-rectum child f.b. (76010) |
$246 |
$410 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$786 |
$1,310 |
7.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$226.80 |
$378 |
2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$203.40 |
$339 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$405 |
$675 |
4.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$481.80 |
$803 |
5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$394.20 |
$657 |
4.0× |
| X-Ray Stress View (77071) |
$133.80 |
$223 |
1.6× |
| X-ray thoracic spine 4 vw (72074) |
$541.20 |
$902 |
5.5× |
| X-Ray Tmj Unilat (70328) |
$189.60 |
$316 |
2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$703.80 |
$1,173 |
2.1× |
| X-Rays Bone Length Studies (77073) |
$199.80 |
$333 |
2.0× |
| X-Rays Bone Survey Complete (77075) |
$577.80 |
$963 |
5.8× |
| Xr c-spine 4 or 5 views (72050) |
$1,170 |
$1,950 |
11.8× |
| Xr facial bones less than 3 views (70140) |
$252.60 |
$421 |
3.1× |
| Xr orbits complete 4 views (70200) |
$486.60 |
$811 |
4.9× |
| Xr Tomogram Single Plane (76100) |
$462 |
$770 |
4.7× |