| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,629.02 |
$16,572.55 |
4.5× |
| Abdomen 2 views (74019) |
$225.01 |
$562.51 |
2.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$719.82 |
$1,799.53 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$4,590.14 |
$11,475.34 |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$2,295.08 |
$5,737.69 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,563.76 |
$6,409.39 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,608.06 |
$4,020.15 |
0.5× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,795.64 |
$6,989.10 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$976.83 |
$2,442.06 |
0.3× |
| Ankle 2 views (73600) |
$282.68 |
$706.68 |
3.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$750.75 |
$1,876.86 |
2.0× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,795.64 |
$6,989.10 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,563.76 |
$6,409.39 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,563.76 |
$6,409.39 |
0.8× |
| Arthrogram hip (73525) |
$660.35 |
$1,650.87 |
1.8× |
| Arthrogram shoulder (73040) |
$660.35 |
$1,650.87 |
1.8× |
| Basic radiation dosimetry calculation (77300) |
$287.06 |
$717.64 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$753.78 |
$1,884.44 |
1.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$733.81 |
$1,834.52 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$853.97 |
$2,134.92 |
2.0× |
| Bone age studies (77072) |
$189.93 |
$474.81 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$973.17 |
$2,432.91 |
2.3× |
| Bone survey complete (77075) |
$443.03 |
$1,107.56 |
4.0× |
| Brachytx isodose complex (77318) |
$984.04 |
$2,460.08 |
2.5× |
| Brachytx isodose intermed (77317) |
$774.04 |
$1,935.08 |
2.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$487 |
$1,217.48 |
1.2× |
| Brain image w/flow 4 + views (78606) |
$660.17 |
$1,650.42 |
1.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$545.67 |
$1,364.16 |
1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,169.52 |
$10,423.80 |
2.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$921.92 |
$2,304.78 |
2.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$666.70 |
$1,666.73 |
1.2× |
| Cervical spine 2 or 3 views (72040) |
$310.62 |
$776.53 |
3.4× |
| Chest 1 view (71045) |
$255.78 |
$639.43 |
2.8× |
| Chest 3 views (71047) |
$266.32 |
$665.79 |
2.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$508.44 |
$1,271.10 |
2.7× |
| Cineradiography/videoradiography (76120) |
$199.05 |
$497.62 |
1.8× |
| Clavicle complete (73000) |
$281.90 |
$704.76 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$266.46 |
$666.13 |
2.4× |
| Continuing medical physics consltj pr wk (77336) |
$586.41 |
$1,466.01 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,732.50 |
$6,831.25 |
7.4× |
| CT abdomen and pelvis without contrast (74176) |
$1,639.51 |
$4,098.76 |
6.5× |
| CT abdomen w contrast (74160) |
$2,494.08 |
$6,235.18 |
13.5× |
| CT abdomen w wo contrast (74170) |
$2,595.89 |
$6,489.71 |
14.0× |
| CT abdomen w/o contrast (74150) |
$1,592.14 |
$3,980.33 |
14.4× |
| CT angio hrt w/3d image (75574) |
$2,338.10 |
$5,845.23 |
6.4× |
| CT angiography upper extremity lt (73206) |
$2,956.79 |
$7,391.97 |
16.0× |
| CT c-spine w/o contrast (72125) |
$1,696.22 |
$4,240.53 |
15.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,896.21 |
$7,240.52 |
15.7× |
| CT cervical spine with contrast (72126) |
$2,580.42 |
$6,451.04 |
7.0× |
| CT chest w/wo contrast (71270) |
$2,078.69 |
$5,196.72 |
11.2× |
| CT chest with contrast (71260) |
$2,580.42 |
$6,451.04 |
13.9× |
| CT head/brain with contrast (70460) |
$1,811.08 |
$4,527.70 |
9.8× |
| CT head/brain without and with contrast (70470) |
$2,032.72 |
$5,081.78 |
11.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,281.62 |
$3,204.03 |
3.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$515.01 |
$1,287.52 |
5.6× |
| CT iac w contrast (70481) |
$1,811.08 |
$4,527.70 |
9.8× |
| CT limited/localized follow up study (76380) |
$1,696.22 |
$4,240.53 |
18.5× |
| CT lower ext w/o (73700) |
$1,950.65 |
$4,876.61 |
17.7× |
| CT lower extremity w wo contrast (73702) |
$3,449.70 |
$8,624.23 |
18.6× |
| CT lower extremity with contrast (73701) |
$2,378.44 |
$5,946.10 |
12.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,896.21 |
$7,240.52 |
15.7× |
| CT lumbar spine w/o contrast (72131) |
$1,696.22 |
$4,240.53 |
15.4× |
| CT lumbar spine with contrast (72132) |
$2,580.42 |
$6,451.04 |
7.0× |
| CT maxillofacial w contrast (70487) |
$1,811.08 |
$4,527.70 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$1,190.50 |
$2,976.25 |
10.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,458.63 |
$3,646.57 |
7.9× |
| CT neck soft tissue w contrast (70491) |
$1,811.08 |
$4,527.70 |
9.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,608.25 |
$4,020.61 |
8.7× |
| CT orbits w/o contrast (70480) |
$1,190.50 |
$2,976.25 |
10.8× |
| CT pelvis w & w/o contrast (72194) |
$2,896.21 |
$7,240.52 |
15.7× |
| CT pelvis w/o contrast (72192) |
$1,613.23 |
$4,033.07 |
14.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,032.72 |
$5,081.78 |
11.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,190.50 |
$2,976.25 |
10.8× |
| CT thoracic spine w/contrast (72129) |
$2,723.48 |
$6,808.68 |
14.7× |
| CT thoracic spine w/o contrast (72128) |
$1,696.22 |
$4,240.53 |
15.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,896.21 |
$7,240.52 |
15.7× |
| CT thorax w/o contrast (71250) |
$1,696.22 |
$4,240.53 |
15.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,202.54 |
$8,006.36 |
17.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,950.65 |
$4,876.61 |
17.7× |
| CT upper extremity with contrast (73201) |
$2,967.48 |
$7,418.70 |
8.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,956.79 |
$7,391.97 |
16.0× |
| Cta Abdomen (74175) |
$2,956.79 |
$7,391.97 |
16.0× |
| CTA abdomen pelvis (74174) |
$5,913.57 |
$14,783.92 |
16.1× |
| CTA chest (71275) |
$2,956.79 |
$7,391.97 |
16.0× |
| Cta Head (70496) |
$2,075.24 |
$5,188.08 |
11.2× |
| CTA lwr ext w&w/o contrast (73706) |
$3,400.30 |
$8,500.76 |
18.4× |
| Cta Neck (70498) |
$2,075.24 |
$5,188.08 |
11.2× |
| Cta Pelvis (72191) |
$2,956.79 |
$7,391.97 |
16.0× |
| Cystography minimum 3 views rs&i (74430) |
$797.26 |
$1,993.14 |
2.2× |
| Diskography lumbar (72295) |
$1,071.71 |
$2,679.26 |
0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$400.90 |
$1,002.25 |
3.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$411.73 |
$1,029.31 |
3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$344.53 |
$861.31 |
3.8× |
| Dxa bone density study axial skeleton (77085) |
$495.58 |
$1,238.94 |
4.5× |
| Echoencephalography real time imaging (76506) |
$605.80 |
$1,514.48 |
5.5× |
| Esophagus (74220) |
$508.44 |
$1,271.10 |
2.7× |
| Fetal biophysical profile non-stress testing (76818) |
$185.56 |
$463.89 |
1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$607.09 |
$1,517.71 |
5.5× |
| Fluoroscopy up to 1 hr (76000) |
$262.28 |
$655.70 |
1.0× |
| Foot 2 views (73620) |
$282.68 |
$706.68 |
3.1× |
| Forearm 2 views (73090) |
$282.68 |
$706.68 |
3.1× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$1,047.74 |
$2,619.33 |
1.8× |
| Gated Heart Planar Single (78472) |
$1,199.11 |
$2,997.76 |
2.8× |
| Hand 2 views (73120) |
$282.68 |
$706.68 |
2.6× |
| Hand 3 views (73130) |
$282.68 |
$706.68 |
3.1× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,014.08 |
$2,535.18 |
1.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,387.57 |
$3,468.91 |
1.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,341.10 |
$5,852.75 |
3.2× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$1,387.57 |
$3,468.91 |
3.4× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$1,014.08 |
$2,535.18 |
2.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,056.55 |
$2,641.37 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$960.49 |
$2,401.22 |
2.3× |
| Ht muscle image spect sing (78451) |
$2,402.15 |
$6,005.37 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$294.25 |
$735.62 |
3.2× |
| Hysterosalpingogram (74740) |
$555.49 |
$1,388.71 |
2.2× |
| Interstitial radiation source applic complex (77778) |
$877.08 |
$2,192.70 |
1.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$165.85 |
$414.61 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,090.06 |
$2,725.13 |
1.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$963.38 |
$2,408.44 |
1.7× |
| Knee 3 views (73562) |
$282.68 |
$706.68 |
3.1× |
| Liver & spleen imaging static only (78215) |
$648.40 |
$1,620.98 |
1.5× |
| Lung perf&ventilat diferentl (78598) |
$1,166.53 |
$2,916.32 |
2.0× |
| Lung perfusion differential (78597) |
$1,030.76 |
$2,576.88 |
2.4× |
| Lung Ventilation Imaging (78579) |
$729.25 |
$1,823.12 |
1.7× |
| Lymphoscintigraphy (78195) |
$698.50 |
$1,746.23 |
1.2× |
| Mammary ductogram or galactogram multiple (77054) |
$593.71 |
$1,484.26 |
2.4× |
| Mammary ductogram or galactogram single (77053) |
$516.37 |
$1,290.91 |
2.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$165.85 |
$414.61 |
1.8× |
| Meckels Diverticulum (78290) |
$698.50 |
$1,746.23 |
1.7× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$474.12 |
$1,185.28 |
1.2× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,628.51 |
$4,071.26 |
4.1× |
| Mr safety determination physician/other qhp (76016) |
$551.20 |
$1,378 |
6.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$551.20 |
$1,378 |
8.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$551.20 |
$1,378 |
18.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$551.20 |
$1,378 |
5.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$551.20 |
$1,378 |
2.2× |
| MRA head w & w/o contrast (70546) |
$3,682.49 |
$9,206.22 |
10.0× |
| MRA head w/o contrast (70544) |
$2,927.40 |
$7,318.50 |
11.6× |
| MRA head with contrast (70545) |
$2,591.40 |
$6,478.48 |
7.0× |
| MRA neck w contrast (70548) |
$3,250.65 |
$8,126.62 |
8.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,578.74 |
$8,946.83 |
9.7× |
| MRA neck w/o contrast (70547) |
$1,853.34 |
$4,633.33 |
7.4× |
| MRI abdomen w contrast (74182) |
$3,033.02 |
$7,582.53 |
8.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI abdomen w/o contrast (74181) |
$2,731.42 |
$6,828.53 |
10.9× |
| MRI any jnt lwr ext with con lt (73722) |
$4,549.53 |
$11,373.80 |
5.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,549.53 |
$11,373.80 |
5.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,390.83 |
$5,977.07 |
9.5× |
| MRI c-spine with contrast (72142) |
$2,702.68 |
$6,756.70 |
7.3× |
| MRI cardiac w/o contrast (75557) |
$2,177.48 |
$5,443.68 |
8.7× |
| MRI cervical spine w/o contrast (72141) |
$2,731.42 |
$6,828.53 |
10.9× |
| MRI chest w/o & w/contrast material (71552) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI chest w/o contrast (71550) |
$2,731.42 |
$6,828.53 |
10.9× |
| MRI chest with contrast (71551) |
$3,033.02 |
$7,582.53 |
3.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,390.46 |
$8,476.14 |
9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,549.53 |
$11,373.80 |
12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,097.12 |
$10,242.80 |
16.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,518.24 |
$6,295.59 |
10.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,906.84 |
$7,267.10 |
7.9× |
| MRI orbit/face/neck w/contrast (70542) |
$2,591.40 |
$6,478.48 |
7.0× |
| MRI pelvis w contrast (72196) |
$3,033.02 |
$7,582.53 |
8.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI pelvis w/o contrast (72195) |
$2,731.42 |
$6,828.53 |
10.9× |
| MRI scan of arm joint before and after contrast (73223) |
$5,008.70 |
$12,521.75 |
13.6× |
| MRI scan of leg joint before and after contrast (73723) |
$5,008.70 |
$12,521.75 |
13.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,033.02 |
$7,582.53 |
8.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,417.91 |
$6,044.77 |
6.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,339.14 |
$8,347.84 |
9.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,731.42 |
$6,828.53 |
10.9× |
| MRI tmj (70336) |
$4,097.12 |
$10,242.80 |
16.3× |
| MRI upper ext joint w/o contrast (73221) |
$3,669.18 |
$9,172.94 |
14.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,971.90 |
$12,429.72 |
13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,097.12 |
$10,242.80 |
16.3× |
| Myelogram Cervical (72240) |
$759.30 |
$1,898.24 |
0.9× |
| Myelogram Lumbar (72265) |
$759.30 |
$1,898.24 |
0.9× |
| Myelogram thoracic (72255) |
$759.30 |
$1,898.24 |
0.9× |
| Myelography 2 or more regions (72270) |
$843.24 |
$2,108.10 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,115.62 |
$5,289.03 |
1.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$6,757.89 |
$16,894.71 |
7.5× |
| Neck soft tissue (70360) |
$297.28 |
$743.20 |
3.2× |
| Nm cisternogram (78630) |
$712.30 |
$1,780.73 |
1.2× |
| Nm csf leak detection (78650) |
$712.30 |
$1,780.73 |
0.5× |
| Nm gastric emptying study (78264) |
$698.50 |
$1,746.23 |
1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,471.87 |
$13,679.67 |
3.7× |
| Nuclear medicine study of digestive tracts (78299) |
$694.93 |
$1,737.32 |
1.6× |
| Nuclear medicine study of kidney and blood flow (78701) |
$583.32 |
$1,458.28 |
1.4× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$838.19 |
$2,095.46 |
2.0× |
| Nuclear Rx Oral Admin (79005) |
$1,235.28 |
$3,088.19 |
5.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$376.37 |
$940.91 |
3.4× |
| Osseous survey infant (77076) |
$316.57 |
$791.42 |
2.9× |
| Osseous survey limited (77074) |
$316.57 |
$791.42 |
2.9× |
| Parathyrd planar w/spect&CT (78072) |
$1,949.34 |
$4,873.33 |
3.4× |
| Parathyrd planar w/wo subtrj (78071) |
$2,136.22 |
$5,340.54 |
5.1× |
| Parathyroid imaging (78070) |
$553.96 |
$1,384.88 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$245.81 |
$614.51 |
2.2× |
| Peritoneogram rs&i (74190) |
$565.74 |
$1,414.34 |
1.0× |
| PET image w/CT, skull-thigh (78815) |
$4,928.82 |
$12,322.05 |
3.3× |
| PET imaging for CT attenuation whole body (78816) |
$5,273.84 |
$13,184.59 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,971.90 |
$12,429.72 |
13.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$644.37 |
$1,610.92 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,030.76 |
$2,576.88 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$511.68 |
$1,279.19 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$204.84 |
$512.09 |
2.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$245.81 |
$614.51 |
2.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$471.72 |
$1,179.29 |
4.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$245.81 |
$614.51 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$484.96 |
$1,212.39 |
4.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$11,065.01 |
$27,662.51 |
1.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$551.68 |
$1,379.19 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$361.32 |
$903.29 |
3.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$475.94 |
$1,189.83 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$432.62 |
$1,081.54 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$235.05 |
$587.61 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$235.05 |
$587.61 |
2.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$218.41 |
$546.02 |
2.4× |
| Radiologic exam colon single contrast study (74270) |
$508.44 |
$1,271.10 |
2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$485.04 |
$1,212.59 |
2.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$508.44 |
$1,271.10 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$457.60 |
$1,143.98 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$262.73 |
$656.80 |
2.9× |
| Radiological examination surgical specimen (76098) |
$467.90 |
$1,169.73 |
0.8× |
| Ribs bilateral 3 views (71110) |
$368.72 |
$921.78 |
3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,122.98 |
$2,807.44 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,805.19 |
$4,512.97 |
3.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,148.50 |
$2,871.24 |
2.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,516.02 |
$3,790.04 |
1.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,667.62 |
$4,169.04 |
1.1× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,263.34 |
$3,158.35 |
0.9× |
| Rp Therapy Intravenous Administration (79101) |
$769.53 |
$1,923.81 |
3.1× |
| Sacroiliac Joints < 3 Views (72200) |
$245.81 |
$614.51 |
2.2× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$605.80 |
$1,514.48 |
2.4× |
| Scanogram (77073) |
$165.85 |
$414.61 |
1.5× |
| Scapula complete (73010) |
$282.68 |
$706.68 |
2.6× |
| Screening digital breast tomosynthesis (77063) |
$16 |
$40 |
0.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$514.79 |
$1,286.96 |
4.7× |
| Sialogram (70390) |
$799.43 |
$1,998.57 |
3.2× |
| Simulation intermediate (77285) |
$1,979.23 |
$4,948.06 |
5.0× |
| Small bowel series (74250) |
$629.94 |
$1,574.83 |
3.4× |
| Spec medical radj physics consltj (77370) |
$636.35 |
$1,590.87 |
4.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$877.44 |
$2,193.58 |
2.2× |
| Special dosimetry (77331) |
$112.72 |
$281.80 |
0.8× |
| Special treatment procedure (77470) |
$1,949.06 |
$4,872.64 |
3.3× |
| Spine thoracic 3 views (72072) |
$245.81 |
$614.51 |
2.2× |
| Stereotactic body radiation delivery (77373) |
$11,065.01 |
$27,662.51 |
5.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$104.82 |
$262.03 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$524.97 |
$1,312.42 |
1.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$336.28 |
$840.70 |
0.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,296.44 |
$5,741.10 |
5.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,195.12 |
$2,987.78 |
8.4× |
| Therapeutic Enema (74283) |
$204.83 |
$512.07 |
1.1× |
| Thoracolumbar 2 views (72080) |
$245.81 |
$614.51 |
2.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,218.82 |
$3,047.04 |
2.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$697.20 |
$1,742.99 |
1.7× |
| Thyroid uptake measurement (78012) |
$305.26 |
$763.15 |
0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$782.04 |
$1,955.08 |
1.9× |
| Tmj unilateral (70328) |
$162.24 |
$405.59 |
1.8× |
| Treatment device intermediate (77333) |
$407.70 |
$1,019.23 |
2.9× |
| Treatment devices simple (77332) |
$265.83 |
$664.57 |
1.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,814.46 |
$4,536.14 |
3.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$850.74 |
$2,126.84 |
2.0× |
| Tx devices design & construction complex (77334) |
$733.84 |
$1,834.59 |
1.9× |
| Ultrasound elastography first target lesion (76982) |
$140.68 |
$351.68 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$606.92 |
$1,517.30 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$400.90 |
$1,002.25 |
3.6× |
| Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$2,081.05 |
$5,202.62 |
22.7× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED (78699) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$1,608.76 |
$4,021.90 |
14.9× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$694.93 |
$1,737.32 |
1.6× |
| Unlisted Ultrasound Procedure (76999) |
$467.90 |
$1,169.73 |
5.1× |
| Upper Extremity Infant (73092) |
$282.09 |
$705.21 |
2.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$600.22 |
$1,500.55 |
1.4× |
| Urethrocystography retrograde rs&i (74450) |
$797.26 |
$1,993.14 |
3.2× |
| Urethrocystography voiding (74455) |
$797.26 |
$1,993.14 |
3.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$797.26 |
$1,993.14 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$238.16 |
$595.38 |
2.2× |
| Us breast unilateral complete (76641) |
$436.18 |
$1,090.46 |
4.0× |
| Us breast unilateral limited (76642) |
$656.14 |
$1,640.33 |
7.1× |
| Us chest (76604) |
$605.80 |
$1,514.48 |
5.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$381.53 |
$953.81 |
3.5× |
| Us guided compression repair (76936) |
$763.14 |
$1,907.84 |
3.4× |
| Us infant hips dynamic (76885) |
$545.22 |
$1,363.03 |
5.9× |
| Us kidney transplant (76776) |
$607.09 |
$1,517.71 |
5.5× |
| Us ob detailed single fetus (76811) |
$577.06 |
$1,442.64 |
2.3× |
| Us ob transvaginal (76817) |
$511.33 |
$1,278.32 |
4.6× |
| Us pelvic non ob complete (76856) |
$790.10 |
$1,975.25 |
7.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$376.37 |
$940.91 |
3.4× |
| Us pregnancy ltd (76815) |
$376.37 |
$940.91 |
3.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$376.37 |
$940.91 |
3.4× |
| Us retroperitoneal complete (76770) |
$698.61 |
$1,746.52 |
6.3× |
| Us retroperitoneal limited (76775) |
$607.09 |
$1,517.71 |
5.5× |
| Us scrotum and contents (76870) |
$607.09 |
$1,517.71 |
5.5× |
| Us soft tissue head/neck (76536) |
$757.89 |
$1,894.71 |
6.9× |
| Us spinal canal and contents (76800) |
$576.15 |
$1,440.37 |
5.2× |
| Us transrectal (76872) |
$1,280.30 |
$3,200.73 |
11.6× |
| Us transrectal prostate volume (76873) |
$261.47 |
$653.67 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$547.56 |
$1,368.90 |
5.0× |
| Us, eye b-scan (76512) |
$785.41 |
$1,963.52 |
7.1× |
| Venogram extremity bilateral (75822) |
$902.72 |
$2,256.79 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,681.68 |
$4,204.19 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$1,400.11 |
$3,500.26 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$849.74 |
$2,124.33 |
0.5× |
| Venography Renal Bilateral (75833) |
$1,608.06 |
$4,020.15 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$177.91 |
$444.77 |
1.9× |
| Wrist 2 views (73100) |
$282.68 |
$706.68 |
3.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$414.33 |
$1,035.81 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$487.62 |
$1,219.05 |
5.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$282.68 |
$706.68 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$743.20 |
$1,857.98 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$242.28 |
$605.69 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$282.68 |
$706.68 |
3.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$341.44 |
$853.60 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$307.27 |
$768.17 |
3.3× |
| X-ray exam hip uni 4/> views (73503) |
$360.52 |
$901.29 |
3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$335.08 |
$837.68 |
3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$679.27 |
$1,698.17 |
6.2× |
| X-ray exam of femur 1 (73551) |
$189.67 |
$474.16 |
2.1× |
| X-ray eye for foreign body (70030) |
$285.86 |
$714.64 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$227.62 |
$569.04 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$282.68 |
$706.68 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,343.20 |
$3,358 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$282.68 |
$706.68 |
3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$408.48 |
$1,021.20 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$368.72 |
$921.78 |
4.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$340.81 |
$852.02 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$342.32 |
$855.80 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$425.65 |
$1,064.11 |
3.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$385.56 |
$963.89 |
3.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$247.73 |
$619.32 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$369.90 |
$924.74 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$799.43 |
$1,998.57 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$797.26 |
$1,993.14 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$294.25 |
$735.62 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$540.77 |
$1,351.92 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$282.68 |
$706.68 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$432.62 |
$1,081.54 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$245.81 |
$614.51 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$230.04 |
$575.10 |
2.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$245.81 |
$614.51 |
2.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$411.48 |
$1,028.70 |
3.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$282.68 |
$706.68 |
3.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$282.68 |
$706.68 |
3.1× |
| Xr c-spine 6 or more views (72052) |
$377.98 |
$944.94 |
3.4× |
| Xr chest 4+ views (71048) |
$337.15 |
$842.86 |
3.1× |
| Xr finger(s) 2+ views (73140) |
$276.54 |
$691.34 |
3.0× |
| Xr shoulder 1 view (73020) |
$193.75 |
$484.36 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$360.52 |
$901.29 |
3.3× |
| Xr tibia/fibula 2 views (73590) |
$282.68 |
$706.68 |
3.1× |
| Xr tmj bilateral (70330) |
$223.46 |
$558.65 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$262.19 |
$655.46 |
2.9× |