| 3-D radiotherapy plan dose-volume histograms (77295) |
$30,210.05 |
$46,477 |
21.8× |
| Abdomen 2 views (74019) |
$302.90 |
$466 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$400.40 |
$616 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$2,641.60 |
$4,064 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$1,760.85 |
$2,709 |
0.6× |
| Angiography internal mammary rs&i (75756) |
$2,363.40 |
$3,636 |
0.7× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,253.55 |
$3,467 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,518.10 |
$3,874 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,678.95 |
$2,583 |
0.5× |
| Angiography Spinal Selective Rs&I (75705) |
$3,081.65 |
$4,741 |
0.6× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,263.95 |
$3,483 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$822.90 |
$1,266 |
0.3× |
| Ankle 2 views (73600) |
$130.65 |
$201 |
1.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$696.80 |
$1,072 |
2.0× |
| Aortogram thoracic (75605) |
$3,736.85 |
$5,749 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,401.10 |
$3,694 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,143.05 |
$3,297 |
0.7× |
| Arthrogram elbow (73085) |
$666.90 |
$1,026 |
1.9× |
| Arthrogram hip (73525) |
$745.55 |
$1,147 |
2.1× |
| Arthrogram shoulder (73040) |
$509.60 |
$784 |
1.5× |
| Arthrogram wrist (73115) |
$472.55 |
$727 |
1.4× |
| Arthrography knee lt (73580) |
$587.60 |
$904 |
1.7× |
| Basic radiation dosimetry calculation (77300) |
$31,291.98 |
$48,141.50 |
232.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,092.02 |
$3,218.50 |
5.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,757.92 |
$2,704.50 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$748.48 |
$1,151.50 |
1.9× |
| Bone age studies (77072) |
$151.45 |
$233 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$781.95 |
$1,203 |
2.0× |
| Bone survey complete (77075) |
$282.75 |
$435 |
2.7× |
| Brachytx isodose complex (77318) |
$2,479.75 |
$3,815 |
6.6× |
| Brachytx isodose intermed (77317) |
$2,372.50 |
$3,650 |
6.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$7,404.15 |
$11,391 |
19.7× |
| Brain image w/flow 4 + views (78606) |
$593.45 |
$913 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,675.75 |
$5,655 |
2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$555.75 |
$855 |
1.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$825.50 |
$1,270 |
1.5× |
| Cervical spine 2 or 3 views (72040) |
$273 |
$420 |
3.1× |
| Chest 1 view (71045) |
$182.65 |
$281 |
2.1× |
| Chest 3 views (71047) |
$264.55 |
$407 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$416.65 |
$641 |
2.4× |
| Clavicle complete (73000) |
$221.65 |
$341 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,173.90 |
$1,806 |
11.2× |
| Continuing medical physics consltj pr wk (77336) |
$28,517.26 |
$43,872.70 |
211.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,499.90 |
$3,846 |
7.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,823.90 |
$2,806 |
7.6× |
| CT abdomen w contrast (74160) |
$937.95 |
$1,443 |
5.3× |
| CT abdomen w wo contrast (74170) |
$1,119.95 |
$1,723 |
6.4× |
| CT abdomen w/o contrast (74150) |
$902.85 |
$1,389 |
8.6× |
| CT angio hrt w/3d image (75574) |
$928.85 |
$1,429 |
2.7× |
| CT angiography upper extremity lt (73206) |
$906.10 |
$1,394 |
5.2× |
| CT c-spine w/o contrast (72125) |
$962.65 |
$1,481 |
9.2× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$585 |
$900 |
3.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,729.65 |
$2,661 |
9.8× |
| CT cervical spine with contrast (72126) |
$1,100.45 |
$1,693 |
3.1× |
| CT chest w/wo contrast (71270) |
$1,045.85 |
$1,609 |
6.0× |
| CT chest with contrast (71260) |
$950.95 |
$1,463 |
5.4× |
| CT head/brain with contrast (70460) |
$898.30 |
$1,382 |
5.1× |
| CT head/brain without and with contrast (70470) |
$1,547 |
$2,380 |
8.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$638.30 |
$982 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$84.50 |
$130 |
1.0× |
| CT iac w contrast (70481) |
$560.30 |
$862 |
3.2× |
| CT limited/localized follow up study (76380) |
$642.85 |
$989 |
7.4× |
| CT lower ext w/o (73700) |
$1,061.45 |
$1,633 |
10.1× |
| CT lower extremity w wo contrast (73702) |
$1,780.35 |
$2,739 |
10.1× |
| CT lower extremity with contrast (73701) |
$1,126.45 |
$1,733 |
6.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,403.35 |
$2,159 |
8.0× |
| CT lumbar spine w/o contrast (72131) |
$812.50 |
$1,250 |
7.8× |
| CT lumbar spine with contrast (72132) |
$1,079.65 |
$1,661 |
3.1× |
| CT maxillofacial w contrast (70487) |
$948.35 |
$1,459 |
5.4× |
| CT maxillofacial w/o contrast (70486) |
$878.80 |
$1,352 |
8.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,260.35 |
$1,939 |
7.2× |
| CT neck soft tissue w contrast (70491) |
$926.90 |
$1,426 |
5.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$742.95 |
$1,143 |
4.2× |
| CT orbits w/o contrast (70480) |
$531.70 |
$818 |
5.1× |
| CT pelvis w & w/o contrast (72194) |
$1,008.80 |
$1,552 |
5.7× |
| CT pelvis w/o contrast (72192) |
$703.95 |
$1,083 |
6.7× |
| 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) |
$936 |
$1,440 |
5.3× |
| CT soft tissue neck w/o contrast (70490) |
$780.65 |
$1,201 |
7.5× |
| CT thoracic spine w/contrast (72129) |
$789.10 |
$1,214 |
4.5× |
| CT thoracic spine w/o contrast (72128) |
$722.15 |
$1,111 |
6.9× |
| CT thoracic spine w/wo contrast (72130) |
$2,354.30 |
$3,622 |
13.4× |
| CT thorax w/o contrast (71250) |
$694.85 |
$1,069 |
6.6× |
| CT unlisted procedure (76497) |
$546 |
$840 |
6.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,307.15 |
$2,011 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$716.30 |
$1,102 |
6.8× |
| CT upper extremity with contrast (73201) |
$874.25 |
$1,345 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,463.80 |
$2,252 |
8.3× |
| Cta Abdomen (74175) |
$871.65 |
$1,341 |
5.0× |
| CTA abdomen pelvis (74174) |
$2,417.35 |
$3,719 |
6.9× |
| CTA chest (71275) |
$1,134.25 |
$1,745 |
6.5× |
| Cta Head (70496) |
$1,015.30 |
$1,562 |
5.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,134.60 |
$3,284 |
6.1× |
| CTA lwr ext w&w/o contrast (73706) |
$830.70 |
$1,278 |
4.7× |
| Cta Neck (70498) |
$1,015.30 |
$1,562 |
5.8× |
| Cta Pelvis (72191) |
$772.85 |
$1,189 |
4.4× |
| Cystography minimum 3 views rs&i (74430) |
$304.20 |
$468 |
0.9× |
| Diskogram cervical (72285) |
$3,654.30 |
$5,622 |
1.9× |
| Diskography lumbar (72295) |
$2,143.70 |
$3,298 |
1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$208 |
$320 |
2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$266.50 |
$410 |
2.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$133.25 |
$205 |
1.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$201.50 |
$310 |
1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$83.85 |
$129 |
1.0× |
| Dxa bone density study axial skeleton (77085) |
$277.55 |
$427 |
2.7× |
| Echo exam of fetal heart (76825) |
$647.40 |
$996 |
1.2× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$995.80 |
$1,532 |
4.2× |
| Echoencephalography real time imaging (76506) |
$339.30 |
$522 |
3.2× |
| Esophagus (74220) |
$273.65 |
$421 |
1.6× |
| Fetal biophysical profile non-stress testing (76818) |
$330.20 |
$508 |
3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$133.25 |
$205 |
1.3× |
| Fluoroscopy up to 1 hr (76000) |
$335.40 |
$516 |
1.4× |
| Foot 2 views (73620) |
$158.60 |
$244 |
1.8× |
| Forearm 2 views (73090) |
$188.50 |
$290 |
2.2× |
| Gated Heart Planar Single (78472) |
$905.78 |
$1,393.50 |
2.3× |
| Hand 2 views (73120) |
$155.35 |
$239 |
1.5× |
| Hand 3 views (73130) |
$172.25 |
$265 |
2.0× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$4,263.35 |
$6,559 |
6.1× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$5,567.25 |
$8,565 |
8.0× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$6,559.15 |
$10,091 |
9.4× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$3,575 |
$5,500 |
9.3× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$2,026.05 |
$3,117 |
5.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$3,623.10 |
$5,574 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$728.32 |
$1,120.50 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$660.08 |
$1,015.50 |
1.6× |
| Ht muscle image spect sing (78451) |
$5,403.86 |
$8,313.63 |
4.2× |
| Humerus Min 2 Views Left (73060) |
$172.25 |
$265 |
2.0× |
| Hysterosalpingogram (74740) |
$469.30 |
$722 |
2.0× |
| Interstitial radiation source applic complex (77778) |
$8,710 |
$13,400 |
12.5× |
| Intracavitary Radiation Source Applic Complex (77763) |
$5,444.40 |
$8,376 |
7.8× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$18,852.60 |
$29,004 |
34.1× |
| Intracavitary radiation source applic simple (77761) |
$8,036.60 |
$12,364 |
14.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$356.20 |
$548 |
3.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,160.90 |
$1,786 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,203.02 |
$1,850.80 |
2.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,642.42 |
$2,526.80 |
3.0× |
| Knee 3 views (73562) |
$189.15 |
$291 |
2.2× |
| Liver & spleen imaging static only (78215) |
$876.85 |
$1,349 |
2.2× |
| Lung perf&ventilat diferentl (78598) |
$1,429.68 |
$2,199.50 |
2.6× |
| Lung perfusion differential (78597) |
$1,327.30 |
$2,042 |
3.3× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$2,444.65 |
$3,761 |
0.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$1,645.15 |
$2,531 |
0.5× |
| Lymphoscintigraphy (78195) |
$9,447.76 |
$14,535 |
17.4× |
| Meckels Diverticulum (78290) |
$1,203.48 |
$1,851.50 |
3.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$37,713 |
$58,020 |
100.6× |
| Mr elastography (76391) |
$1,703.65 |
$2,621 |
7.1× |
| MRA head w & w/o contrast (70546) |
$1,847.30 |
$2,842 |
5.3× |
| MRA head w/o contrast (70544) |
$1,534.65 |
$2,361 |
6.4× |
| MRA head with contrast (70545) |
$1,626.30 |
$2,502 |
4.7× |
| MRA neck w contrast (70548) |
$1,100.45 |
$1,693 |
3.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,149.85 |
$1,769 |
3.3× |
| MRA neck w/o contrast (70547) |
$1,000.35 |
$1,539 |
4.2× |
| MRI abdomen w contrast (74182) |
$1,451.45 |
$2,233 |
4.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,880.45 |
$2,893 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,171.95 |
$1,803 |
4.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,465.10 |
$2,254 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,545.70 |
$2,378 |
2.0× |
| MRI bone marrow blood supply (77084) |
$1,211.60 |
$1,864 |
5.1× |
| MRI breast w/o contrast bilateral (77047) |
$3,368.30 |
$5,182 |
14.1× |
| MRI breast w/o contrast unilat (77046) |
$1,453.40 |
$2,236 |
6.1× |
| MRI c-spine with contrast (72142) |
$1,582.10 |
$2,434 |
4.5× |
| MRI cardiac w/o contrast (75557) |
$494 |
$760 |
2.1× |
| MRI cervical spine w/o contrast (72141) |
$1,496.30 |
$2,302 |
6.3× |
| MRI chest w/o & w/contrast material (71552) |
$1,502.80 |
$2,312 |
4.3× |
| MRI chest w/o contrast (71550) |
$1,379.95 |
$2,123 |
5.8× |
| MRI chest with contrast (71551) |
$1,479.40 |
$2,276 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,195.35 |
$1,839 |
3.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,379.30 |
$2,122 |
3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,282.45 |
$1,973 |
5.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,004.90 |
$1,546 |
4.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,026.70 |
$3,118 |
5.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,467.70 |
$2,258 |
4.2× |
| MRI pelvis w contrast (72196) |
$2,159.30 |
$3,322 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,608.45 |
$4,013 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$2,087.15 |
$3,211 |
8.7× |
| MRI scan of arm joint before and after contrast (73223) |
$1,639.30 |
$2,522 |
4.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,697.80 |
$2,612 |
4.9× |
| MRI spectroscopy (76390) |
$1,431.30 |
$2,202 |
16.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,679.30 |
$4,122 |
7.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,738.10 |
$2,674 |
5.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,980.25 |
$4,585 |
8.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,940.25 |
$2,985 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,365.35 |
$3,639 |
6.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,690 |
$2,600 |
7.1× |
| MRI tmj (70336) |
$1,164.80 |
$1,792 |
4.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,487.85 |
$2,289 |
6.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,356.55 |
$2,087 |
3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,075.10 |
$1,654 |
4.5× |
| Myelogram Cervical (72240) |
$2,809.95 |
$4,323 |
3.6× |
| Myelogram Lumbar (72265) |
$1,213.55 |
$1,867 |
1.5× |
| Myelogram thoracic (72255) |
$2,689.70 |
$4,138 |
3.4× |
| Myelography 2 or more regions (72270) |
$2,277.60 |
$3,504 |
2.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,268.20 |
$5,028 |
2.5× |
| Myocardial infarct spect (78469) |
$862.55 |
$1,327 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$3,089.28 |
$4,752.75 |
2.4× |
| Neck soft tissue (70360) |
$144.30 |
$222 |
1.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$1,176.50 |
$1,810 |
3.0× |
| Nm cisternogram (78630) |
$3,238.95 |
$4,983 |
6.0× |
| Nm gastric emptying study (78264) |
$644.48 |
$991.50 |
1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$40,016.60 |
$61,564 |
28.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$5,718.05 |
$8,797 |
4.4× |
| Nuclear medicine of heart pumping function (78473) |
$2,117.05 |
$3,257 |
5.3× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,898.35 |
$4,459 |
2.2× |
| Nuclear Rx Oral Admin (79005) |
$6,162 |
$9,480 |
26.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$412.10 |
$634 |
3.9× |
| Orthopantogram (70355) |
$194.35 |
$299 |
2.2× |
| Osseous survey infant (77076) |
$328.90 |
$506 |
3.1× |
| Osseous survey limited (77074) |
$495.30 |
$762 |
4.7× |
| Parathyrd planar w/spect&CT (78072) |
$937.30 |
$1,442 |
1.7× |
| Parathyrd planar w/wo subtrj (78071) |
$943.80 |
$1,452 |
2.4× |
| Parathyroid imaging (78070) |
$695.50 |
$1,070 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$186.55 |
$287 |
1.8× |
| Peritoneogram rs&i (74190) |
$1,124.50 |
$1,730 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$3,196.38 |
$4,917.50 |
2.2× |
| PET imaging CT for attenuation limited area (78814) |
$8,097.70 |
$12,458 |
5.7× |
| PET imaging for CT attenuation whole body (78816) |
$2,767.38 |
$4,257.50 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,516.45 |
$2,333 |
4.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,285.45 |
$6,593 |
1.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,347.15 |
$3,611 |
0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$482.30 |
$742 |
1.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$947.38 |
$1,457.50 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$703.30 |
$1,082 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$63.70 |
$98 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$191.10 |
$294 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$163.15 |
$251 |
1.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$227.50 |
$350 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$521.95 |
$803 |
5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$36,176.66 |
$55,656.39 |
4.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$19,686.88 |
$30,287.50 |
35.6× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$14,064.16 |
$21,637.17 |
137.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$32,106.75 |
$49,395 |
83.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$154.05 |
$237 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$218.40 |
$336 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$297.70 |
$458 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$260 |
$400 |
3.0× |
| Radiologic exam colon single contrast study (74270) |
$360.10 |
$554 |
2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$568.10 |
$874 |
3.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$321.75 |
$495 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$330.20 |
$508 |
1.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$88.40 |
$136 |
1.0× |
| Radiological examination surgical specimen (76098) |
$286.65 |
$441 |
0.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,228.20 |
$3,428 |
0.7× |
| Ribs bilateral 3 views (71110) |
$163.80 |
$252 |
1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,868.10 |
$2,874 |
4.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,770.60 |
$2,724 |
3.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,498.62 |
$5,382.50 |
6.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,710.18 |
$4,169.50 |
2.1× |
| Rp therapy intra-arterial particulate admn (79445) |
$569.40 |
$876 |
2.4× |
| Rp Therapy Intravenous Administration (79101) |
$53,202.50 |
$81,850 |
227.6× |
| Sacroiliac Joints < 3 Views (72200) |
$137.15 |
$211 |
1.3× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$435.50 |
$670 |
1.8× |
| Scanogram (77073) |
$163.80 |
$252 |
1.6× |
| Scapula complete (73010) |
$124.80 |
$192 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$78.65 |
$121 |
3.4× |
| Sella turcica (70240) |
$222.95 |
$343 |
2.6× |
| Sialogram (70390) |
$506.35 |
$779 |
2.1× |
| Simulation intermediate (77285) |
$1,604.20 |
$2,468 |
4.3× |
| Small bowel series (74250) |
$393.90 |
$606 |
2.2× |
| Spec medical radj physics consltj (77370) |
$65,309.40 |
$100,476 |
485.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$900.90 |
$1,386 |
2.4× |
| Special dosimetry (77331) |
$37,254.10 |
$57,314 |
276.7× |
| Special treatment procedure (77470) |
$49,263.04 |
$75,789.29 |
89.0× |
| Spine thoracic 3 views (72072) |
$210.60 |
$324 |
2.0× |
| Splenoportograpy rs&i (75810) |
$13,742.95 |
$21,143 |
4.3× |
| Stereotactic body radiation delivery (77373) |
$75,570.62 |
$116,262.50 |
42.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$1,093.30 |
$1,682 |
10.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$31,464.55 |
$48,407 |
83.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,904.50 |
$2,930 |
5.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$31,706.38 |
$48,779.04 |
84.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$29,418.02 |
$45,258.50 |
218.5× |
| Thoracolumbar 2 views (72080) |
$135.85 |
$209 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,011.72 |
$1,556.50 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$548.60 |
$844 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$482.30 |
$742 |
1.2× |
| Tmj unilateral (70328) |
$132.60 |
$204 |
1.5× |
| Tomogram (76100) |
$1,240.20 |
$1,908 |
11.8× |
| Treatment device intermediate (77333) |
$1,041.30 |
$1,602 |
7.7× |
| Treatment devices simple (77332) |
$23,645.70 |
$36,378 |
175.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,706.90 |
$2,626 |
3.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,836.58 |
$2,825.50 |
4.6× |
| Tx devices design & construction complex (77334) |
$30,547.08 |
$46,995.50 |
81.5× |
| Ultrasound elastography first target lesion (76982) |
$708.50 |
$1,090 |
6.8× |
| Ultrasound, abdomen limited (76705) |
$477.75 |
$735 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$136.50 |
$210 |
1.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$3,792.10 |
$5,834 |
37.1× |
| Unlisted Ultrasound Procedure (76999) |
$355.55 |
$547 |
4.1× |
| Upper Extremity Infant (73092) |
$135.85 |
$209 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$379.60 |
$584 |
1.6× |
| Urethrocystography voiding (74455) |
$333.45 |
$513 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$439.40 |
$676 |
2.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$380.90 |
$586 |
2.2× |
| Us abdl aorta screen aaa (76706) |
$206.70 |
$318 |
2.0× |
| Us breast unilateral complete (76641) |
$539.50 |
$830 |
5.2× |
| Us breast unilateral limited (76642) |
$519.35 |
$799 |
6.0× |
| Us chest (76604) |
$705.90 |
$1,086 |
6.7× |
| Us compl joint r-t w/image documentation (76881) |
$622.70 |
$958 |
5.9× |
| Us elastography parenchyma (76981) |
$313.30 |
$482 |
3.0× |
| Us fetal nuchal translucency 1st gestation (76813) |
$364.65 |
$561 |
3.5× |
| Us kidney transplant (76776) |
$492.05 |
$757 |
4.7× |
| Us ob detailed single fetus (76811) |
$843.05 |
$1,297 |
3.5× |
| Us ob transvaginal (76817) |
$544.70 |
$838 |
5.2× |
| Us pelvic non ob complete (76856) |
$689 |
$1,060 |
6.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$308.10 |
$474 |
2.9× |
| Us pregnancy ltd (76815) |
$200.20 |
$308 |
1.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$689 |
$1,060 |
6.6× |
| Us retroperitoneal complete (76770) |
$566.15 |
$871 |
5.4× |
| Us retroperitoneal limited (76775) |
$456.30 |
$702 |
4.4× |
| Us scrotum and contents (76870) |
$524.55 |
$807 |
5.0× |
| Us soft tissue head/neck (76536) |
$540.80 |
$832 |
5.2× |
| Us transrectal prostate volume (76873) |
$859.95 |
$1,323 |
8.2× |
| Us xtr non-vasc lmtd (76882) |
$318.50 |
$490 |
3.0× |
| Us, eye b-scan (76512) |
$242.45 |
$373 |
2.3× |
| Venogram extremity bilateral (75822) |
$1,392.95 |
$2,143 |
0.9× |
| Venography caval inferior serialography rs&i (75825) |
$2,113.80 |
$3,252 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$1,231.10 |
$1,894 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$928.85 |
$1,429 |
0.6× |
| Venography Renal Bilateral (75833) |
$3,713.45 |
$5,713 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$2,002.65 |
$3,081 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,758.25 |
$2,705 |
0.6× |
| Vertebral fracture assessment via dxa (77086) |
$169.65 |
$261 |
1.9× |
| Wrist 2 views (73100) |
$158.60 |
$244 |
1.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$430.30 |
$662 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$249.60 |
$384 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$174.20 |
$268 |
2.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$438.10 |
$674 |
2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$182.65 |
$281 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$211.90 |
$326 |
2.4× |
| X-ray exam entire spi 4/5 vw (72083) |
$432.25 |
$665 |
4.1× |
| X-ray exam hip uni 1 view (73501) |
$66.95 |
$103 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$89.05 |
$137 |
1.0× |
| X-ray exam hip uni 4/> views (73503) |
$305.50 |
$470 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$172.25 |
$265 |
1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$308.75 |
$475 |
2.9× |
| X-ray exam of femur 1 (73551) |
$70.85 |
$109 |
0.8× |
| X-ray eye for foreign body (70030) |
$107.25 |
$165 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$198.90 |
$306 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$109.20 |
$168 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$209.30 |
$322 |
2.4× |
| 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) |
$100.10 |
$154 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$168.35 |
$259 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$278.20 |
$428 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$163.15 |
$251 |
1.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$195 |
$300 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$196.30 |
$302 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$321.10 |
$494 |
3.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$149.50 |
$230 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$126.10 |
$194 |
1.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$108.55 |
$167 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$209.30 |
$322 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$180.05 |
$277 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$585 |
$900 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$260.65 |
$401 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$143 |
$220 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$211.25 |
$325 |
2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$174.20 |
$268 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$174.20 |
$268 |
2.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$169 |
$260 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$176.15 |
$271 |
2.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$126.75 |
$195 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$167.70 |
$258 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$162.50 |
$250 |
1.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$139.75 |
$215 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$157.30 |
$242 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$120.90 |
$186 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$132.60 |
$204 |
1.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$255.45 |
$393 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$98.80 |
$152 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$170.30 |
$262 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$633.10 |
$974 |
6.0× |
| Xr chest 4+ views (71048) |
$278.20 |
$428 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$193.70 |
$298 |
2.2× |
| Xr internal auditory meati complete (70134) |
$813.80 |
$1,252 |
1.5× |
| XR Mastoids < 3 Views Bilateral (70120) |
$382.20 |
$588 |
3.7× |
| Xr shoulder 1 view (73020) |
$89.70 |
$138 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$316.55 |
$487 |
3.0× |
| Xr tibia/fibula 2 views (73590) |
$263.90 |
$406 |
3.0× |
| Xr tmj bilateral (70330) |
$199.55 |
$307 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$116.35 |
$179 |
1.3× |