| 3-D radiotherapy plan dose-volume histograms (77295) |
$25,780.95 |
$39,663 |
18.6× |
| Abdomen 2 views (74019) |
$318.50 |
$490 |
3.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$587.60 |
$904 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$2,842.45 |
$4,373 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$1,894.75 |
$2,915 |
0.6× |
| Angiography internal mammary rs&i (75756) |
$2,148.25 |
$3,305 |
0.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,124.55 |
$4,807 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,233.40 |
$3,436 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,615.90 |
$2,486 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$5,049.85 |
$7,769 |
0.9× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,042.30 |
$3,142 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,262.30 |
$1,942 |
0.4× |
| Ankle 2 views (73600) |
$304.20 |
$468 |
3.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$484.25 |
$745 |
1.4× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,284.10 |
$3,514 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,783.30 |
$4,282 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$1,948.05 |
$2,997 |
0.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$2,570.10 |
$3,954 |
0.8× |
| Arthrogram elbow (73085) |
$873.60 |
$1,344 |
2.5× |
| Arthrogram hip (73525) |
$813.80 |
$1,252 |
2.3× |
| Arthrogram shoulder (73040) |
$488.80 |
$752 |
1.4× |
| Arthrogram wrist (73115) |
$727.02 |
$1,118.50 |
2.1× |
| Arthrography knee lt (73580) |
$807.95 |
$1,243 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$29,936.78 |
$46,056.59 |
222.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,004.92 |
$3,084.50 |
5.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$826.80 |
$1,272 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$3,876.92 |
$5,964.50 |
9.7× |
| Bone age studies (77072) |
$181.35 |
$279 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$871 |
$1,340 |
2.2× |
| Bone survey complete (77075) |
$434.20 |
$668 |
4.1× |
| Brachytx isodose complex (77318) |
$2,479.75 |
$3,815 |
6.6× |
| Brachytx isodose intermed (77317) |
$7,907.25 |
$12,165 |
21.1× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,934.40 |
$2,976 |
5.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,002.30 |
$1,542 |
2.5× |
| Brain Imaging Vascular Flow Only (78610) |
$1,550.90 |
$2,386 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$329.55 |
$507 |
3.8× |
| Chest 1 view (71045) |
$231.40 |
$356 |
2.7× |
| Chest 3 views (71047) |
$338 |
$520 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$383.50 |
$590 |
2.2× |
| Clavicle complete (73000) |
$188.50 |
$290 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,444.95 |
$2,223 |
13.8× |
| Continuing medical physics consltj pr wk (77336) |
$23,448.42 |
$36,074.50 |
174.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,445.35 |
$6,839 |
12.7× |
| CT abdomen and pelvis without contrast (74176) |
$3,758.95 |
$5,783 |
15.7× |
| CT abdomen w contrast (74160) |
$1,275.95 |
$1,963 |
7.3× |
| CT abdomen w wo contrast (74170) |
$2,159.30 |
$3,322 |
12.3× |
| CT abdomen w/o contrast (74150) |
$1,069.90 |
$1,646 |
10.2× |
| CT angio hrt w/3d image (75574) |
$1,326.65 |
$2,041 |
3.8× |
| CT angiography upper extremity lt (73206) |
$1,347.45 |
$2,073 |
7.7× |
| CT c-spine w/o contrast (72125) |
$1,471.60 |
$2,264 |
14.1× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$585 |
$900 |
3.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,880.80 |
$4,432 |
16.4× |
| CT cervical spine with contrast (72126) |
$1,579.50 |
$2,430 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,303.90 |
$2,006 |
7.4× |
| CT chest with contrast (71260) |
$1,621.10 |
$2,494 |
9.2× |
| CT head/brain with contrast (70460) |
$1,534 |
$2,360 |
8.7× |
| CT head/brain without and with contrast (70470) |
$1,542.45 |
$2,373 |
8.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$814.45 |
$1,253 |
2.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$84.50 |
$130 |
1.0× |
| CT hrt w/3d image congen (75573) |
$1,989.65 |
$3,061 |
5.7× |
| CT iac w contrast (70481) |
$1,099.15 |
$1,691 |
6.3× |
| CT lower ext w/o (73700) |
$965.90 |
$1,486 |
9.2× |
| CT lower extremity w wo contrast (73702) |
$1,096.55 |
$1,687 |
6.2× |
| CT lower extremity with contrast (73701) |
$999.70 |
$1,538 |
5.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,842.10 |
$2,834 |
10.5× |
| CT lumbar spine w/o contrast (72131) |
$924.30 |
$1,422 |
8.8× |
| CT lumbar spine with contrast (72132) |
$1,574.30 |
$2,422 |
4.5× |
| CT maxillofacial w contrast (70487) |
$1,749.15 |
$2,691 |
10.0× |
| CT maxillofacial w/o contrast (70486) |
$1,404 |
$2,160 |
13.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,135.25 |
$3,285 |
12.2× |
| CT neck soft tissue w contrast (70491) |
$1,275.95 |
$1,963 |
7.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,582.10 |
$2,434 |
9.0× |
| CT orbits w/o contrast (70480) |
$866.45 |
$1,333 |
8.3× |
| CT pelvis w & w/o contrast (72194) |
$1,778.40 |
$2,736 |
10.1× |
| CT pelvis w/o contrast (72192) |
$1,106.95 |
$1,703 |
10.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$369.20 |
$568 |
4.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,708.85 |
$2,629 |
9.7× |
| CT soft tissue neck w/o contrast (70490) |
$754 |
$1,160 |
7.2× |
| CT thoracic spine w/contrast (72129) |
$1,190.80 |
$1,832 |
6.8× |
| CT thoracic spine w/o contrast (72128) |
$1,062.75 |
$1,635 |
10.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,810.90 |
$2,786 |
10.3× |
| CT thorax w/o contrast (71250) |
$1,505.40 |
$2,316 |
14.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,735.50 |
$2,670 |
9.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,084.20 |
$1,668 |
10.4× |
| CT upper extremity with contrast (73201) |
$1,147.25 |
$1,765 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,555.45 |
$2,393 |
8.9× |
| Cta Abdomen (74175) |
$1,332.50 |
$2,050 |
7.6× |
| CTA abdomen pelvis (74174) |
$3,344.25 |
$5,145 |
9.6× |
| CTA chest (71275) |
$2,000.70 |
$3,078 |
11.4× |
| Cta Head (70496) |
$1,707.55 |
$2,627 |
9.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,060.50 |
$3,170 |
5.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,144.65 |
$1,761 |
6.5× |
| Cta Neck (70498) |
$2,060.50 |
$3,170 |
11.7× |
| Cta Pelvis (72191) |
$1,606.15 |
$2,471 |
9.1× |
| Cystography minimum 3 views rs&i (74430) |
$393.25 |
$605 |
1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$305.50 |
$470 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$247.65 |
$381 |
2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$169.65 |
$261 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$429 |
$660 |
4.1× |
| Esophagus (74220) |
$410.80 |
$632 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$670.15 |
$1,031 |
6.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$347.10 |
$534 |
3.3× |
| Fluoroscopy up to 1 hr (76000) |
$559.65 |
$861 |
2.3× |
| Foot 2 views (73620) |
$217.10 |
$334 |
2.5× |
| Forearm 2 views (73090) |
$390 |
$600 |
4.5× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$4,936.75 |
$7,595 |
9.1× |
| Gated Heart Planar Single (78472) |
$897 |
$1,380 |
2.2× |
| Hand 2 views (73120) |
$332.48 |
$511.50 |
3.2× |
| Hand 3 views (73130) |
$302.25 |
$465 |
3.5× |
| Heart Infarct Image (78466) |
$885.95 |
$1,363 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$940.42 |
$1,446.80 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,032.52 |
$1,588.50 |
2.6× |
| Ht muscle image spect sing (78451) |
$1,924.98 |
$2,961.50 |
1.5× |
| Humerus Min 2 Views Left (73060) |
$274.95 |
$423 |
3.2× |
| Hysterosalpingogram (74740) |
$706.55 |
$1,087 |
3.0× |
| Interstitial radiation source applic complex (77778) |
$6,855.55 |
$10,547 |
9.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,164.80 |
$1,792 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,167.72 |
$1,796.50 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,658.48 |
$2,551.50 |
3.0× |
| Knee 3 views (73562) |
$255.45 |
$393 |
2.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,169.70 |
$3,338 |
5.4× |
| Lung perf&ventilat diferentl (78598) |
$1,186.90 |
$1,826 |
2.2× |
| Lymphoscintigraphy (78195) |
$14,478.86 |
$22,275.16 |
26.6× |
| Mammary ductogram or galactogram single (77053) |
$560.95 |
$863 |
2.3× |
| Meckels Diverticulum (78290) |
$835.90 |
$1,286 |
2.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$35,900.48 |
$55,231.50 |
95.7× |
| Mr elastography (76391) |
$1,617.20 |
$2,488 |
6.8× |
| MRA head w & w/o contrast (70546) |
$2,173.60 |
$3,344 |
6.2× |
| MRA head w/o contrast (70544) |
$1,593.80 |
$2,452 |
6.7× |
| MRA head with contrast (70545) |
$1,696.50 |
$2,610 |
4.9× |
| MRA neck w contrast (70548) |
$1,387.75 |
$2,135 |
4.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,997.45 |
$3,073 |
5.7× |
| MRA neck w/o contrast (70547) |
$1,293.50 |
$1,990 |
5.4× |
| MRI abdomen w/o contrast (74181) |
— |
$2,094 |
— |
| MRI any jnt lwr ext with con lt (73722) |
$1,641.90 |
$2,526 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,895.40 |
$2,916 |
2.4× |
| MRI breast w/o contrast bilateral (77047) |
$1,959.75 |
$3,015 |
8.2× |
| MRI breast w/o contrast unilat (77046) |
$1,306.50 |
$2,010 |
5.5× |
| MRI c-spine with contrast (72142) |
$2,042.30 |
$3,142 |
5.8× |
| MRI cervical spine w/o contrast (72141) |
$1,330.55 |
$2,047 |
5.6× |
| MRI chest w/o & w/contrast material (71552) |
$1,996.80 |
$3,072 |
5.7× |
| MRI chest w/o contrast (71550) |
$1,176.50 |
$1,810 |
4.9× |
| MRI chest with contrast (71551) |
$1,639.30 |
$2,522 |
2.1× |
| MRI fetal sngl/1st gestation (74712) |
$3,871.40 |
$5,956 |
16.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,553.50 |
$2,390 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,598.35 |
$2,459 |
4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,233.70 |
$1,898 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,246.70 |
$1,918 |
5.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,818.70 |
$2,798 |
5.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,660.75 |
$2,555 |
4.8× |
| MRI pelvis w contrast (72196) |
$2,439.45 |
$3,753 |
7.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,014.70 |
$4,638 |
8.6× |
| MRI pelvis w/o contrast (72195) |
$1,604.20 |
$2,468 |
6.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,096.90 |
$3,226 |
6.0× |
| MRI scan of leg joint before and after contrast (73723) |
$1,732.90 |
$2,666 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,047.50 |
$3,150 |
5.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,983.15 |
$3,051 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,074.15 |
$3,191 |
5.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,322.45 |
$3,573 |
6.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,541.50 |
$3,910 |
7.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,274 |
$1,960 |
5.3× |
| MRI tmj (70336) |
$1,201.20 |
$1,848 |
5.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,301.30 |
$2,002 |
5.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,672.45 |
$2,573 |
4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,190.15 |
$1,831 |
5.0× |
| Myelogram Cervical (72240) |
$2,397.85 |
$3,689 |
3.1× |
| Myelogram Lumbar (72265) |
$1,097.20 |
$1,688 |
1.4× |
| Myelogram thoracic (72255) |
$2,078.70 |
$3,198 |
2.6× |
| Myelography 2 or more regions (72270) |
$2,290.60 |
$3,524 |
2.9× |
| Myocardial infarct spect (78469) |
$870.68 |
$1,339.50 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,938 |
$4,520 |
2.3× |
| Neck soft tissue (70360) |
$177.45 |
$273 |
2.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$1,176.50 |
$1,810 |
3.0× |
| Nm cisternogram (78630) |
$828.10 |
$1,274 |
1.5× |
| Nm gastric emptying study (78264) |
$1,164.48 |
$1,791.50 |
2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$35,876.42 |
$55,194.50 |
25.9× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$1,574.30 |
$2,422 |
3.9× |
| Nuclear Rx Oral Admin (79005) |
$4,655.30 |
$7,162 |
19.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$494 |
$760 |
4.7× |
| Orthopantogram (70355) |
$181.35 |
$279 |
2.1× |
| Osseous survey infant (77076) |
$224.90 |
$346 |
2.1× |
| Osseous survey limited (77074) |
$471.90 |
$726 |
4.5× |
| Parathyrd planar w/spect&CT (78072) |
$1,033.82 |
$1,590.50 |
1.9× |
| Parathyrd planar w/wo subtrj (78071) |
$972.72 |
$1,496.50 |
2.4× |
| Parathyroid imaging (78070) |
$778.70 |
$1,198 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$221.65 |
$341 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$3,170.70 |
$4,878 |
2.2× |
| PET imaging for CT attenuation whole body (78816) |
$3,294.85 |
$5,069 |
2.3× |
| PET whole body (78813) |
$3,507.40 |
$5,396 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,798.55 |
$2,767 |
5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$818.35 |
$1,259 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,333.80 |
$2,052 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$478.40 |
$736 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$324.35 |
$499 |
3.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$464.75 |
$715 |
4.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$415.35 |
$639 |
4.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$278.20 |
$428 |
2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$705.25 |
$1,085 |
6.7× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$17,965.02 |
$27,638.50 |
32.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$11,438.38 |
$17,597.50 |
111.9× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$29,113.18 |
$44,789.50 |
75.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$240.50 |
$370 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$296.40 |
$456 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$386.10 |
$594 |
3.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$286.65 |
$441 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$475.15 |
$731 |
2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$646.10 |
$994 |
3.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$484.90 |
$746 |
2.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$506.35 |
$779 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$248.95 |
$383 |
2.9× |
| Radiological examination surgical specimen (76098) |
$354.90 |
$546 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$3,401.45 |
$5,233 |
1.1× |
| Ribs bilateral 3 views (71110) |
$238.55 |
$367 |
2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,698.45 |
$2,613 |
4.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,309.45 |
$3,553 |
4.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,682.52 |
$2,588.50 |
3.1× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,129.10 |
$4,814 |
2.4× |
| Rp Therapy Intravenous Administration (79101) |
$885.95 |
$1,363 |
3.8× |
| Sacroiliac Joints < 3 Views (72200) |
$161.20 |
$248 |
1.5× |
| Scanogram (77073) |
$178.75 |
$275 |
1.7× |
| Scapula complete (73010) |
$187.20 |
$288 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$77.35 |
$119 |
3.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$370.50 |
$570 |
3.5× |
| Simulation intermediate (77285) |
$1,604.20 |
$2,468 |
4.3× |
| Small bowel series (74250) |
$401.70 |
$618 |
2.3× |
| Spec medical radj physics consltj (77370) |
$17,421.62 |
$26,802.50 |
129.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,058.20 |
$1,628 |
2.8× |
| Special dosimetry (77331) |
$594.10 |
$914 |
4.4× |
| Special treatment procedure (77470) |
$36,510.93 |
$56,170.66 |
66.0× |
| Speech evaluation complex (70371) |
$477.10 |
$734 |
2.0× |
| Spine thoracic 3 views (72072) |
$250.90 |
$386 |
2.4× |
| Spleen imaging only (78185) |
$1,762.80 |
$2,712 |
4.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$17,356.62 |
$26,702.50 |
46.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,650.35 |
$2,539 |
4.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$30,055.02 |
$46,238.50 |
80.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$28,744.62 |
$44,222.50 |
213.5× |
| Thoracolumbar 2 views (72080) |
$193.05 |
$297 |
2.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,608.12 |
$4,012.50 |
4.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$498.55 |
$767 |
1.2× |
| Thyroid uptake measurement (78012) |
$472.55 |
$727 |
1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$929.82 |
$1,430.50 |
2.3× |
| Tmj unilateral (70328) |
$241.15 |
$371 |
2.8× |
| Treatment device intermediate (77333) |
$1,041.30 |
$1,602 |
7.7× |
| Treatment devices simple (77332) |
$17,651.08 |
$27,155.50 |
131.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,675.70 |
$2,578 |
3.1× |
| Tx devices design & construction complex (77334) |
$29,351.08 |
$45,155.50 |
78.3× |
| Ultrasound elastography first target lesion (76982) |
$708.50 |
$1,090 |
6.8× |
| Ultrasound, abdomen limited (76705) |
$513.50 |
$790 |
4.9× |
| Umbilical-artery Doppler (OB) (76820) |
$271.05 |
$417 |
2.6× |
| Upper Extremity Infant (73092) |
$354.90 |
$546 |
3.4× |
| Urethrocystography retrograde rs&i (74450) |
$648.70 |
$998 |
2.7× |
| Urethrocystography voiding (74455) |
$687.05 |
$1,057 |
2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$714.35 |
$1,099 |
4.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$634.40 |
$976 |
3.6× |
| Us abdl aorta screen aaa (76706) |
$204.75 |
$315 |
2.0× |
| Us breast unilateral complete (76641) |
$285.35 |
$439 |
2.7× |
| Us breast unilateral limited (76642) |
$527.80 |
$812 |
6.1× |
| Us chest (76604) |
$408.85 |
$629 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$334.10 |
$514 |
3.2× |
| Us elastography parenchyma (76981) |
$917.15 |
$1,411 |
8.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$471.90 |
$726 |
4.5× |
| Us guided compression repair (76936) |
$479.70 |
$738 |
2.2× |
| Us infant hips limited static (76886) |
$352.30 |
$542 |
4.0× |
| Us kidney transplant (76776) |
$436.15 |
$671 |
4.2× |
| Us ob detailed single fetus (76811) |
$870.35 |
$1,339 |
3.6× |
| Us ob transvaginal (76817) |
$620.75 |
$955 |
5.9× |
| Us pelvic non ob complete (76856) |
$635.05 |
$977 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$313.95 |
$483 |
3.0× |
| Us pregnancy ltd (76815) |
$472.55 |
$727 |
4.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$689 |
$1,060 |
6.6× |
| Us retroperitoneal complete (76770) |
$874.25 |
$1,345 |
8.3× |
| Us retroperitoneal limited (76775) |
$364.65 |
$561 |
3.5× |
| Us scrotum and contents (76870) |
$891.80 |
$1,372 |
8.5× |
| Us soft tissue head/neck (76536) |
$359.45 |
$553 |
3.4× |
| Us transrectal prostate volume (76873) |
$741.65 |
$1,141 |
7.1× |
| Us xtr non-vasc lmtd (76882) |
$364 |
$560 |
3.5× |
| Us, eye b-scan (76512) |
$378.95 |
$583 |
3.6× |
| Venogram extremity bilateral (75822) |
$1,250.60 |
$1,924 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,017.60 |
$3,104 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,309.10 |
$2,014 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$833.95 |
$1,283 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$2,182.05 |
$3,357 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,190.50 |
$3,370 |
0.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$5,309.20 |
$8,168 |
1.0× |
| Vertebral fracture assessment via dxa (77086) |
$158.60 |
$244 |
1.8× |
| Wrist 2 views (73100) |
$250.90 |
$386 |
2.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$278.20 |
$428 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$453.70 |
$698 |
5.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$310.05 |
$477 |
3.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$530.40 |
$816 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$185.90 |
$286 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$456.30 |
$702 |
5.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$637.65 |
$981 |
6.1× |
| X-ray exam hip uni 1 view (73501) |
$169 |
$260 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$319.80 |
$492 |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$430.30 |
$662 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$439.40 |
$676 |
4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$450.45 |
$693 |
4.3× |
| X-ray exam of femur 1 (73551) |
$223.60 |
$344 |
2.6× |
| X-ray eye for foreign body (70030) |
$160.55 |
$247 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$239.20 |
$368 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$278.20 |
$428 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$336.05 |
$517 |
3.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$13,083.85 |
$20,129 |
6.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$157.30 |
$242 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$306.15 |
$471 |
3.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$280.80 |
$432 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$179.40 |
$276 |
2.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$217.10 |
$334 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$326.30 |
$502 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$585.65 |
$901 |
5.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$218.40 |
$336 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$175.50 |
$270 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$293.80 |
$452 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$308.75 |
$475 |
2.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$278.85 |
$429 |
2.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$661.05 |
$1,017 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$195.65 |
$301 |
2.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$229.45 |
$353 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$321.75 |
$495 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$197.60 |
$304 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$205.40 |
$316 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$327.60 |
$504 |
3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$215.80 |
$332 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$356.20 |
$548 |
3.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$218.40 |
$336 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$204.10 |
$314 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$259.35 |
$399 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$193.05 |
$297 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$206.70 |
$318 |
2.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$308.10 |
$474 |
2.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$173.55 |
$267 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$330.85 |
$509 |
3.8× |
| Xr arthrogram ankle (73615) |
$1,164.15 |
$1,791 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$468 |
$720 |
4.5× |
| Xr chest 4+ views (71048) |
$484.90 |
$746 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$186.55 |
$287 |
2.1× |
| Xr shoulder 1 view (73020) |
$227.50 |
$350 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$451.10 |
$694 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$280.15 |
$431 |
3.2× |
| Xr tmj bilateral (70330) |
$362.05 |
$557 |
4.2× |
| Xray knee 1 or 2 views rt (73560) |
$229.45 |
$353 |
2.6× |