| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,007.60 |
$9,560 |
1.6× |
| Abdomen 2 views (74019) |
$219.87 |
$1,047 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$201.18 |
$958 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$204.75 |
$975 |
2.6× |
| Chest 1 view (71045) |
$144.48 |
$688 |
1.8× |
| Clavicle complete (73000) |
$226.80 |
$1,080 |
2.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$150.57 |
$370.82 |
1.6× |
| Echoencephalography real time imaging (76506) |
$202.23 |
$963 |
2.1× |
| Fetal biophysical profile non-stress testing (76818) |
$397.14 |
$1,891.16 |
4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,318.59 |
$6,279 |
14.0× |
| Forearm 2 views (73090) |
$169.68 |
$808 |
2.2× |
| Hand 3 views (73130) |
$157.08 |
$748 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$195.09 |
$929 |
2.5× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$6,529.74 |
$31,094 |
1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$1,293.39 |
$6,159 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$177.45 |
$845 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$118.44 |
$564 |
1.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$223.02 |
$1,062 |
2.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$242.34 |
$1,154 |
3.1× |
| Radiological examination surgical specimen (76098) |
$475.65 |
$2,265 |
1.0× |
| Ribs bilateral 3 views (71110) |
$362.04 |
$1,724 |
3.8× |
| Screening digital breast tomosynthesis (77063) |
$104.37 |
$497 |
4.5× |
| Spec medical radj physics consltj (77370) |
$309.12 |
$1,472 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$372.75 |
$1,775 |
1.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$378.84 |
$1,804 |
1.1× |
| Treatment devices simple (77332) |
$235.62 |
$1,122 |
1.9× |
| Tx devices design & construction complex (77334) |
$441.84 |
$2,104 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$300.18 |
$1,429.46 |
3.2× |
| Upper Extremity Infant (73092) |
$169.68 |
$808 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$604.38 |
$2,878 |
3.8× |
| Us breast unilateral complete (76641) |
$350.70 |
$1,670 |
3.7× |
| Us breast unilateral limited (76642) |
$350.70 |
$1,670 |
4.5× |
| Us chest (76604) |
$240.87 |
$1,147 |
2.6× |
| Us ob transvaginal (76817) |
$378.98 |
$1,804.66 |
4.0× |
| Us pelvic non ob complete (76856) |
$483.21 |
$2,301 |
5.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$304.92 |
$736.88 |
3.2× |
| Us pregnancy ltd (76815) |
$156.72 |
$746.30 |
1.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$273.04 |
$1,300.19 |
2.9× |
| Us retroperitoneal complete (76770) |
$215.77 |
$1,027.48 |
2.3× |
| Us retroperitoneal limited (76775) |
$160.99 |
$766.61 |
1.7× |
| Us scrotum and contents (76870) |
$261.78 |
$1,246.54 |
2.8× |
| Us soft tissue head/neck (76536) |
$260.70 |
$1,241.43 |
2.8× |
| Us spinal canal and contents (76800) |
$155.10 |
$738.60 |
1.6× |
| Us xtr non-vasc lmtd (76882) |
$728.91 |
$1,739.50 |
7.7× |
| Wrist 2 views (73100) |
$678.93 |
$3,233 |
8.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$314.16 |
$1,496 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$274.68 |
$1,308 |
3.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$317.52 |
$1,512 |
4.0× |
| X-ray exam hip uni 1 view (73501) |
$146.58 |
$698 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$209.79 |
$999 |
2.7× |
| X-ray exam of femur 1 (73551) |
$136.71 |
$651 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$175.77 |
$837 |
2.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$137.97 |
$657 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$192.78 |
$918 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$424.20 |
$2,020 |
5.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$181.02 |
$862 |
2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$310.59 |
$1,479 |
3.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$175.77 |
$837 |
2.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$174.72 |
$832 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$195.09 |
$929 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$175.77 |
$837 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$1,372.56 |
$6,536 |
14.5× |
| Xr shoulder 1 view (73020) |
$121.59 |
$579 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$200.55 |
$955 |
2.6× |
| Xray knee 1 or 2 views rt (73560) |
$140.07 |
$667 |
1.8× |