| 3-D radiotherapy plan dose-volume histograms (77295) |
$25,237.22 |
$38,826.50 |
18.2× |
| Abdomen 2 views (74019) |
$401.70 |
$618 |
3.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$726.70 |
$1,118 |
1.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$6,385.60 |
$9,824 |
2.0× |
| Angiography extremity bilateral rs&i (75716) |
$1,814.15 |
$2,791 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$2,399.80 |
$3,692 |
0.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,670.25 |
$7,185 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,176.85 |
$3,349 |
0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,020.20 |
$3,108 |
0.6× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,227.55 |
$3,427 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,747.85 |
$2,689 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$4,894.50 |
$7,530 |
1.5× |
| Ankle 2 views (73600) |
$338.98 |
$521.50 |
3.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$320.45 |
$493 |
0.9× |
| Aortogram thoracic (75605) |
$3,443.70 |
$5,298 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,028 |
$3,120 |
0.6× |
| Aortography abdominal serialography rs&i (75625) |
$1,824.55 |
$2,807 |
0.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,746.30 |
$7,302 |
1.5× |
| Artery X-Rays Adrenal Gland (75731) |
$5,101.20 |
$7,848 |
1.6× |
| Arthrogram elbow (73085) |
$1,202.50 |
$1,850 |
3.4× |
| Arthrogram hip (73525) |
$1,049.10 |
$1,614 |
3.0× |
| Arthrogram shoulder (73040) |
$1,113.45 |
$1,713 |
3.2× |
| Arthrogram wrist (73115) |
$1,359.80 |
$2,092 |
3.9× |
| Arthrography knee lt (73580) |
$1,329.90 |
$2,046 |
3.8× |
| Basic radiation dosimetry calculation (77300) |
$19,621.58 |
$30,187.04 |
145.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,104.02 |
$1,698.50 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$1,922.38 |
$2,957.50 |
4.8× |
| Bone age studies (77072) |
$141.05 |
$217 |
1.3× |
| Bone Imaging 3 Phase (78315) |
$1,842.75 |
$2,835 |
4.6× |
| Bone survey complete (77075) |
$410.15 |
$631 |
3.9× |
| Brachytx isodose complex (77318) |
$3,701.75 |
$5,695 |
9.9× |
| Brachytx isodose intermed (77317) |
$2,380.30 |
$3,662 |
6.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$2,083.90 |
$3,206 |
5.6× |
| Brain image w/flow 4 + views (78606) |
$661.70 |
$1,018 |
1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,036.20 |
$7,748 |
3.5× |
| Brain Imaging Vascular Flow Only (78610) |
$1,582.10 |
$2,434 |
2.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,912 |
$4,480 |
8.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,114.75 |
$1,715 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$274.30 |
$422 |
3.1× |
| Chest 1 view (71045) |
$302.90 |
$466 |
3.5× |
| Chest 3 views (71047) |
$434.85 |
$669 |
5.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$578.50 |
$890 |
3.3× |
| Clavicle complete (73000) |
$276.25 |
$425 |
3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$435.50 |
$670 |
4.2× |
| Continuing medical physics consltj pr wk (77336) |
$17,397.58 |
$26,765.50 |
129.2× |
| Corpora cavernosography (74445) |
$514.15 |
$791 |
4.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,795.35 |
$5,839 |
10.9× |
| CT abdomen and pelvis without contrast (74176) |
$3,290.95 |
$5,063 |
13.8× |
| CT abdomen w contrast (74160) |
$2,106.65 |
$3,241 |
12.0× |
| CT abdomen w wo contrast (74170) |
$1,982.50 |
$3,050 |
11.3× |
| CT abdomen w/o contrast (74150) |
$1,344.85 |
$2,069 |
12.8× |
| CT angio hrt w/3d image (75574) |
$1,419.60 |
$2,184 |
4.1× |
| CT angiography upper extremity lt (73206) |
$1,133.60 |
$1,744 |
6.5× |
| CT c-spine w/o contrast (72125) |
$2,039.70 |
$3,138 |
19.5× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$687.70 |
$1,058 |
3.9× |
| CT cervical spine w&w/o contrast (72127) |
$2,600 |
$4,000 |
14.8× |
| CT cervical spine with contrast (72126) |
$2,210.65 |
$3,401 |
6.3× |
| CT chest w/wo contrast (71270) |
$1,892.80 |
$2,912 |
10.8× |
| CT chest with contrast (71260) |
$1,688.70 |
$2,598 |
9.6× |
| CT head/brain with contrast (70460) |
$1,863.55 |
$2,867 |
10.6× |
| CT head/brain without and with contrast (70470) |
$2,091.70 |
$3,218 |
11.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$815.10 |
$1,254 |
2.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$65 |
$100 |
0.7× |
| CT hrt w/3d image congen (75573) |
$1,989.65 |
$3,061 |
5.7× |
| CT iac w contrast (70481) |
$1,056.90 |
$1,626 |
6.0× |
| CT limited/localized follow up study (76380) |
$553.80 |
$852 |
6.4× |
| CT lower ext w/o (73700) |
$1,745.90 |
$2,686 |
16.7× |
| CT lower extremity w wo contrast (73702) |
$1,857.70 |
$2,858 |
10.6× |
| CT lower extremity with contrast (73701) |
$1,779.05 |
$2,737 |
10.1× |
| CT lumbar spine w & w/o contrast (72133) |
$2,174.25 |
$3,345 |
12.4× |
| CT lumbar spine w/o contrast (72131) |
$1,828.45 |
$2,813 |
17.5× |
| CT lumbar spine with contrast (72132) |
$1,962.35 |
$3,019 |
5.6× |
| CT maxillofacial w contrast (70487) |
$2,016.95 |
$3,103 |
11.5× |
| CT maxillofacial w/o contrast (70486) |
$1,229.15 |
$1,891 |
11.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,179.45 |
$3,353 |
12.4× |
| CT neck soft tissue w contrast (70491) |
$1,846.65 |
$2,841 |
10.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,906.45 |
$2,933 |
10.9× |
| CT orbits w/o contrast (70480) |
$979.55 |
$1,507 |
9.4× |
| CT pelvis w & w/o contrast (72194) |
$2,136.55 |
$3,287 |
12.2× |
| CT pelvis w/o contrast (72192) |
$1,846 |
$2,840 |
17.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,019.55 |
$3,107 |
11.5× |
| CT soft tissue neck w/o contrast (70490) |
$953.55 |
$1,467 |
9.1× |
| CT thoracic spine w/contrast (72129) |
$2,131.35 |
$3,279 |
12.1× |
| CT thoracic spine w/o contrast (72128) |
$2,011.10 |
$3,094 |
19.2× |
| CT thoracic spine w/wo contrast (72130) |
$2,644.85 |
$4,069 |
15.1× |
| CT thorax w/o contrast (71250) |
$1,430 |
$2,200 |
13.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,311.70 |
$2,018 |
7.5× |
| CT upper extremity w/o contrast rt (73200) |
$889.85 |
$1,369 |
8.5× |
| CT upper extremity with contrast (73201) |
$993.85 |
$1,529 |
2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,712.10 |
$2,634 |
9.7× |
| Cta Abdomen (74175) |
$1,337.70 |
$2,058 |
7.6× |
| CTA abdomen pelvis (74174) |
$3,305.90 |
$5,086 |
9.5× |
| CTA chest (71275) |
$1,984.45 |
$3,053 |
11.3× |
| Cta Head (70496) |
$2,513.55 |
$3,867 |
14.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,819.70 |
$4,338 |
8.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,174.55 |
$1,807 |
6.7× |
| Cta Neck (70498) |
$1,931.80 |
$2,972 |
11.0× |
| Cta Pelvis (72191) |
$1,979.90 |
$3,046 |
11.3× |
| Cystography minimum 3 views rs&i (74430) |
$388.70 |
$598 |
1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$424.45 |
$653 |
4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$846.30 |
$1,302 |
8.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$198.90 |
$306 |
1.9× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$85.15 |
$131 |
0.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$464.10 |
$714 |
4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$184.60 |
$284 |
2.1× |
| Dxa bone density study axial skeleton (77085) |
$590.20 |
$908 |
5.6× |
| Echo exam of fetal heart (76825) |
$982.15 |
$1,511 |
1.8× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$842.40 |
$1,296 |
3.5× |
| Echoencephalography real time imaging (76506) |
$366.60 |
$564 |
3.5× |
| Esophagus (74220) |
$395.20 |
$608 |
2.2× |
| Fetal biophysical profile non-stress testing (76818) |
$611.65 |
$941 |
5.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$504.40 |
$776 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$488.15 |
$751 |
2.0× |
| Foot 2 views (73620) |
$220.35 |
$339 |
2.5× |
| Forearm 2 views (73090) |
$316.55 |
$487 |
3.6× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$463.45 |
$713 |
1.9× |
| Gastrointestinal Protein Loss (78282) |
$387.40 |
$596 |
1.0× |
| Gated Heart Planar Single (78472) |
$1,058.20 |
$1,628 |
2.6× |
| Hand 2 views (73120) |
$147.55 |
$227 |
1.4× |
| Hand 3 views (73130) |
$217.10 |
$334 |
2.5× |
| Heart Infarct Image (78466) |
$906.10 |
$1,394 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,309.58 |
$3,553.20 |
4.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,132.68 |
$3,281.05 |
5.3× |
| Ht muscle image spect sing (78451) |
$2,800.52 |
$4,308.50 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$236.60 |
$364 |
2.7× |
| Hysterosalpingogram (74740) |
$609.70 |
$938 |
2.6× |
| Interstitial radiation source applic complex (77778) |
$12,721.80 |
$19,572 |
18.2× |
| Intracavitary Radiation Source Applic Complex (77763) |
$4,949.75 |
$7,615 |
7.1× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$17,138.55 |
$26,367 |
31.0× |
| Intracavitary radiation source applic simple (77761) |
$7,306 |
$11,240 |
13.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,504.75 |
$2,315 |
2.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,504.75 |
$2,315 |
2.8× |
| Knee 3 views (73562) |
$315.25 |
$485 |
3.6× |
| Liver & spleen imaging static only (78215) |
$917.80 |
$1,412 |
2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,045.55 |
$3,147 |
5.1× |
| Liver imaging static only (78201) |
$1,069.90 |
$1,646 |
2.0× |
| Liver imaging w/vascular flow (78202) |
$2,022.15 |
$3,111 |
3.7× |
| Lung perfusion differential (78597) |
$1,501.50 |
$2,310 |
3.7× |
| Lymphoscintigraphy (78195) |
$9,491.14 |
$14,601.75 |
17.5× |
| Meckels Diverticulum (78290) |
$1,021.80 |
$1,572 |
2.6× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$663 |
$1,020 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$21,941.54 |
$33,756.22 |
58.5× |
| Mr elastography (76391) |
$1,138.15 |
$1,751 |
4.8× |
| MRA head w & w/o contrast (70546) |
$2,608.45 |
$4,013 |
7.5× |
| MRA head w/o contrast (70544) |
$2,028 |
$3,120 |
8.5× |
| MRA head with contrast (70545) |
$2,289.95 |
$3,523 |
6.6× |
| MRA neck w contrast (70548) |
$1,450.80 |
$2,232 |
4.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,130.05 |
$3,277 |
6.1× |
| MRA neck w/o contrast (70547) |
$895.05 |
$1,377 |
3.7× |
| MRI abdomen w contrast (74182) |
$1,739.40 |
$2,676 |
5.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,340.35 |
$5,139 |
9.6× |
| MRI abdomen w/o contrast (74181) |
$1,283.10 |
$1,974 |
5.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,831.05 |
$2,817 |
2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,349.10 |
$3,614 |
3.0× |
| MRI bone marrow blood supply (77084) |
$1,383.20 |
$2,128 |
5.8× |
| MRI breast w/o contrast bilateral (77047) |
$1,994.85 |
$3,069 |
8.3× |
| MRI breast w/o contrast unilat (77046) |
$1,701.70 |
$2,618 |
7.1× |
| MRI c-spine with contrast (72142) |
$2,713.75 |
$4,175 |
7.8× |
| MRI cardiac w/o contrast (75557) |
$2,222.35 |
$3,419 |
9.3× |
| MRI cervical spine w/o contrast (72141) |
$2,560.35 |
$3,939 |
10.7× |
| MRI chest w/o & w/contrast material (71552) |
$1,801.80 |
$2,772 |
5.2× |
| MRI chest w/o contrast (71550) |
$1,123.85 |
$1,729 |
4.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,922.05 |
$2,957 |
5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,706.90 |
$2,626 |
4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,356.55 |
$2,087 |
5.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,511.90 |
$2,326 |
6.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,852.52 |
$4,388.50 |
8.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,714.05 |
$2,637 |
4.9× |
| MRI pelvis w contrast (72196) |
$2,056.60 |
$3,164 |
5.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,204.15 |
$3,391 |
6.3× |
| MRI pelvis w/o contrast (72195) |
$1,327.95 |
$2,043 |
5.6× |
| MRI scan of arm joint before and after contrast (73223) |
$2,603.90 |
$4,006 |
7.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,799.55 |
$4,307 |
3.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,226.90 |
$3,426 |
6.4× |
| MRI spectroscopy (76390) |
$2,471.30 |
$3,802 |
28.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,143.40 |
$4,836 |
9.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,600 |
$4,000 |
7.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,971.80 |
$4,572 |
8.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,527.20 |
$3,888 |
7.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,737.80 |
$4,212 |
7.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,371.85 |
$3,649 |
9.9× |
| MRI tmj (70336) |
$2,516.15 |
$3,871 |
10.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,216.50 |
$3,410 |
9.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,325.70 |
$3,578 |
6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,160.25 |
$1,785 |
4.9× |
| Myelogram Cervical (72240) |
$2,554.50 |
$3,930 |
3.3× |
| Myelogram Lumbar (72265) |
$2,572.70 |
$3,958 |
3.3× |
| Myelogram thoracic (72255) |
$2,187.90 |
$3,366 |
2.8× |
| Myelography 2 or more regions (72270) |
$2,070.25 |
$3,185 |
2.6× |
| Myocardial infarct spect (78469) |
$783.25 |
$1,205 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$3,731.65 |
$5,741 |
2.9× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,997.80 |
$4,612 |
3.5× |
| Neck soft tissue (70360) |
$320.45 |
$493 |
3.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$1,006.85 |
$1,549 |
2.6× |
| Nm cisternogram (78630) |
$1,147.25 |
$1,765 |
2.1× |
| Nm gastric emptying study (78264) |
$1,580.15 |
$2,431 |
3.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$23,142.27 |
$35,603.50 |
16.7× |
| Nuclear medicine of heart pumping function (78473) |
$2,445.30 |
$3,762 |
6.1× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,117.35 |
$1,719 |
2.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,137.50 |
$1,750 |
2.1× |
| Nuclear Rx Oral Admin (79005) |
$2,112.18 |
$3,249.50 |
9.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$343.20 |
$528 |
3.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$137.15 |
$211 |
1.0× |
| Orthopantogram (70355) |
$531.70 |
$818 |
6.1× |
| Osseous survey infant (77076) |
$121.55 |
$187 |
1.2× |
| Osseous survey limited (77074) |
$335.40 |
$516 |
3.2× |
| Parathyrd planar w/wo subtrj (78071) |
$1,078.35 |
$1,659 |
2.7× |
| Parathyroid imaging (78070) |
$943.15 |
$1,451 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$250.90 |
$386 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$5,251.02 |
$8,078.50 |
3.7× |
| PET imaging CT for attenuation limited area (78814) |
$4,509.70 |
$6,938 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$3,894.48 |
$5,991.50 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,385.50 |
$3,670 |
6.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,896.10 |
$5,994 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$906.42 |
$1,394.50 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$816.40 |
$1,256 |
1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$707.85 |
$1,089 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$247.65 |
$381 |
2.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$436.80 |
$672 |
4.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$358.15 |
$551 |
3.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$250.25 |
$385 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$677.30 |
$1,042 |
6.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$13,773.50 |
$21,190 |
1.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$11,873.55 |
$18,267 |
21.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$5,870.72 |
$9,031.88 |
57.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$16,089.45 |
$24,753 |
41.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$358.80 |
$552 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$335.40 |
$516 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$627.90 |
$966 |
6.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$397.80 |
$612 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$424.45 |
$653 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$610.35 |
$939 |
3.5× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$538.20 |
$828 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$702.98 |
$1,081.50 |
4.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$363.35 |
$559 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$284.05 |
$437 |
3.3× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$175.50 |
$270 |
2.0× |
| Radiological examination surgical specimen (76098) |
$342.55 |
$527 |
0.6× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,100.15 |
$3,231 |
0.7× |
| Ribs bilateral 3 views (71110) |
$231.40 |
$356 |
2.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$646.75 |
$995 |
1.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,168.05 |
$1,797 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,496.95 |
$2,303 |
2.8× |
| Rp Therapy Intravenous Administration (79101) |
$41,075.12 |
$63,192.50 |
175.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$591.50 |
$910 |
2.5× |
| Scanogram (77073) |
$270.40 |
$416 |
2.6× |
| Scapula complete (73010) |
$192.40 |
$296 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$59.80 |
$92 |
2.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,066 |
$1,640 |
10.2× |
| Sialogram (70390) |
$642.20 |
$988 |
2.7× |
| Simulation intermediate (77285) |
$894.40 |
$1,376 |
2.4× |
| Small bowel series (74250) |
$527.80 |
$812 |
3.0× |
| Spec medical radj physics consltj (77370) |
$24,274.48 |
$37,345.35 |
180.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,828.45 |
$2,813 |
4.9× |
| Special dosimetry (77331) |
$492.70 |
$758 |
3.7× |
| Special treatment procedure (77470) |
$24,896.30 |
$38,302.01 |
45.0× |
| Spine thoracic 3 views (72072) |
$309.40 |
$476 |
3.0× |
| Stereotactic body radiation delivery (77373) |
$33,221.50 |
$51,110 |
18.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$23,686.40 |
$36,440.62 |
63.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,731.60 |
$2,664 |
4.6× |
| Testicular Imaging With Vascular Flow (78761) |
$815.10 |
$1,254 |
2.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$20,240.70 |
$31,139.54 |
54.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$19,307.92 |
$29,704.50 |
143.4× |
| Thoracolumbar 2 views (72080) |
$127.40 |
$196 |
1.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$746.20 |
$1,148 |
1.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$521.30 |
$802 |
1.3× |
| Thyroid uptake measurement (78012) |
$565.50 |
$870 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$910 |
$1,400 |
2.3× |
| Tmj unilateral (70328) |
$129.35 |
$199 |
1.5× |
| Tomogram (76100) |
$1,240.20 |
$1,908 |
11.8× |
| Treatment device intermediate (77333) |
$768.30 |
$1,182 |
5.7× |
| Treatment devices simple (77332) |
$680.55 |
$1,047 |
5.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,885.68 |
$4,439.50 |
5.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$482.95 |
$743 |
1.2× |
| Tx devices design & construction complex (77334) |
$19,656.22 |
$30,240.35 |
52.4× |
| Ultrasound elastography first target lesion (76982) |
$544.70 |
$838 |
5.2× |
| Ultrasound scan of cornea to determine thickness (76514) |
$20.15 |
$31 |
0.7× |
| Ultrasound scan to determine eye length and lens power (76519) |
$79.95 |
$123 |
0.8× |
| Ultrasound, abdomen limited (76705) |
$486.20 |
$748 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$414.70 |
$638 |
4.0× |
| Unlisted magnetic resonance procedure (76498) |
$1,077.05 |
$1,657 |
12.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$3,370.90 |
$5,186 |
33.0× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$1,088.10 |
$1,674 |
2.7× |
| Upper Extremity Infant (73092) |
$515.45 |
$793 |
4.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$831.35 |
$1,279 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$587.60 |
$904 |
2.5× |
| Urethrocystography voiding (74455) |
$410.15 |
$631 |
1.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,110.85 |
$1,709 |
6.3× |
| Us abdl aorta screen aaa (76706) |
$483.60 |
$744 |
4.6× |
| Us breast unilateral complete (76641) |
$274.30 |
$422 |
2.6× |
| Us breast unilateral limited (76642) |
$252.20 |
$388 |
2.9× |
| Us chest (76604) |
$263.90 |
$406 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$317.85 |
$489 |
3.0× |
| Us elastography parenchyma (76981) |
$388.70 |
$598 |
3.7× |
| Us fetal nuchal translucency 1st gestation (76813) |
$414.70 |
$638 |
4.0× |
| Us guided compression repair (76936) |
$815.10 |
$1,254 |
3.8× |
| Us infant hips dynamic (76885) |
$427.05 |
$657 |
4.9× |
| Us infant hips limited static (76886) |
$313.30 |
$482 |
3.6× |
| Us kidney transplant (76776) |
$658.45 |
$1,013 |
6.3× |
| Us ob detailed single fetus (76811) |
$843.05 |
$1,297 |
3.5× |
| Us ob transvaginal (76817) |
$483.60 |
$744 |
4.6× |
| Us pelvic non ob complete (76856) |
$701.35 |
$1,079 |
6.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$248.30 |
$382 |
2.4× |
| Us pregnancy ltd (76815) |
$406.90 |
$626 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$623.35 |
$959 |
6.0× |
| Us retroperitoneal complete (76770) |
$359.45 |
$553 |
3.4× |
| Us retroperitoneal limited (76775) |
$544.70 |
$838 |
5.2× |
| Us scrotum and contents (76870) |
$722.15 |
$1,111 |
6.9× |
| Us soft tissue head/neck (76536) |
$351 |
$540 |
3.4× |
| Us spinal canal and contents (76800) |
$347.75 |
$535 |
3.3× |
| Us transrectal (76872) |
$552.50 |
$850 |
5.3× |
| Us transrectal prostate volume (76873) |
$683.80 |
$1,052 |
6.5× |
| Us xtr non-vasc lmtd (76882) |
$471.25 |
$725 |
4.5× |
| Us, eye b-scan (76512) |
$205.40 |
$316 |
2.0× |
| Venogram extremity bilateral (75822) |
$984.75 |
$1,515 |
0.6× |
| Venography caval inferior serialography rs&i (75825) |
$1,834.95 |
$2,823 |
0.6× |
| Venography caval superior serialography rs&i (75827) |
$1,779.70 |
$2,738 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$911.95 |
$1,403 |
0.6× |
| Venography Renal Bilateral (75833) |
$7,118.80 |
$10,952 |
2.3× |
| Venography renal unilateral selective rs&i (75831) |
$3,595.80 |
$5,532 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,372.50 |
$3,650 |
0.8× |
| Wrist 2 views (73100) |
$214.50 |
$330 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$390.65 |
$601 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$330.85 |
$509 |
3.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$384.80 |
$592 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$602.55 |
$927 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$200.20 |
$308 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$267.15 |
$411 |
3.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$541.45 |
$833 |
5.2× |
| X-ray exam hip uni 1 view (73501) |
$219.05 |
$337 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$270.40 |
$416 |
3.1× |
| X-ray exam hip uni 4/> views (73503) |
$525.20 |
$808 |
5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$427.70 |
$658 |
4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$607.10 |
$934 |
5.8× |
| X-ray exam of femur 1 (73551) |
$256.75 |
$395 |
2.9× |
| X-ray eye for foreign body (70030) |
$419.25 |
$645 |
4.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$338.65 |
$521 |
3.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$188.50 |
$290 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$266.50 |
$410 |
3.1× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$13,179.40 |
$20,276 |
6.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$227.50 |
$350 |
2.6× |
| X-ray IV pyelogram+drip infusn (74410) |
$976.30 |
$1,502 |
5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$154.70 |
$238 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$417.30 |
$642 |
4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$148.85 |
$229 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$130 |
$200 |
1.5× |
| 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) |
$357.50 |
$550 |
3.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$386.75 |
$595 |
3.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$248.95 |
$383 |
2.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$118.30 |
$182 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$278.85 |
$429 |
2.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$324.35 |
$499 |
3.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$969.80 |
$1,492 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$265.20 |
$408 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$324.35 |
$499 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$347.75 |
$535 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$204.75 |
$315 |
2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$204.75 |
$315 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$297.70 |
$458 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$308.75 |
$475 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$294.45 |
$453 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$384.80 |
$592 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$258.70 |
$398 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$187.85 |
$289 |
2.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$352.30 |
$542 |
4.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$176.80 |
$272 |
2.0× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$184.60 |
$284 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$189.80 |
$292 |
1.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$449.80 |
$692 |
4.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$144.30 |
$222 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$280.15 |
$431 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$377 |
$580 |
3.6× |
| Xr chest 4+ views (71048) |
$566.80 |
$872 |
5.4× |
| Xr finger(s) 2+ views (73140) |
$280.80 |
$432 |
3.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$330.20 |
$508 |
3.2× |
| Xr optic foramina (70190) |
$318.50 |
$490 |
3.7× |
| Xr shoulder 1 view (73020) |
$198.25 |
$305 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$576.55 |
$887 |
5.5× |
| Xr tibia/fibula 2 views (73590) |
$241.80 |
$372 |
2.8× |
| Xr tmj bilateral (70330) |
$213.85 |
$329 |
2.5× |
| Xray knee 1 or 2 views rt (73560) |
$277.55 |
$427 |
3.2× |