| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,435.29 |
$4,435.29 |
3.4× |
| Abdomen 2 views (74019) |
$401.62 |
$401.62 |
4.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,174.10 |
$3,174.10 |
8.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$11,257.93 |
$11,257.93 |
3.7× |
| Angiography extremity bilateral rs&i (75716) |
$8,357.99 |
$8,357.99 |
2.8× |
| Angiography extremity unilateral rs&i (75710) |
$8,357.99 |
$8,357.99 |
2.8× |
| Angiography internal mammary rs&i (75756) |
$4,259.14 |
$4,259.14 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,357.99 |
$8,357.99 |
1.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$8,357.99 |
$8,357.99 |
2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,423.93 |
$6,423.93 |
2.1× |
| Angiography Spinal Selective Rs&I (75705) |
$12,442.74 |
$12,442.74 |
2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$17,385.32 |
$17,385.32 |
3.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,702.05 |
$2,702.05 |
0.9× |
| Ankle 2 views (73600) |
$435.07 |
$435.07 |
5.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,305.21 |
$1,305.21 |
3.9× |
| Aortogram thoracic (75605) |
$7,216.57 |
$7,216.57 |
1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,958.91 |
$5,958.91 |
2.0× |
| Aortography abdominal serialography rs&i (75625) |
$8,403.78 |
$8,403.78 |
2.8× |
| Artery X-Rays Adrenal Gland (75731) |
$6,423.93 |
$6,423.93 |
2.1× |
| Arthrogram shoulder (73040) |
$1,286.82 |
$1,286.82 |
3.9× |
| Basic radiation dosimetry calculation (77300) |
$718.66 |
$718.66 |
5.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,781.30 |
$2,781.30 |
7.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$2,173.61 |
$2,173.61 |
5.7× |
| Bone &/joint imaging whole body (78306) |
$3,232.22 |
$3,232.22 |
8.5× |
| Bone age studies (77072) |
$415.69 |
$415.69 |
4.2× |
| Bone Imaging 3 Phase (78315) |
$3,743.04 |
$3,743.04 |
9.8× |
| Bone survey complete (77075) |
$1,185.44 |
$1,185.44 |
11.9× |
| Brachytx isodose complex (77318) |
$2,147.19 |
$2,147.19 |
6.0× |
| Brachytx isodose intermed (77317) |
$2,029.18 |
$2,029.18 |
5.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$801.46 |
$801.46 |
2.2× |
| Brain imaging < 4 static views w vascular flow (78601) |
$5,162.75 |
$5,162.75 |
13.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,980.77 |
$10,980.77 |
8.0× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$931.80 |
$931.80 |
84.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$7,944.06 |
$7,944.06 |
23.8× |
| Cervical spine 2 or 3 views (72040) |
$934.18 |
$934.18 |
11.2× |
| Chest 1 view (71045) |
$556.62 |
$556.62 |
6.7× |
| Chest 3 views (71047) |
$597.11 |
$597.11 |
7.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$854.28 |
$854.28 |
5.1× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,554.08 |
$2,554.08 |
3.4× |
| Clavicle complete (73000) |
$435.07 |
$435.07 |
5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$463.24 |
$463.24 |
4.6× |
| Continuing medical physics consltj pr wk (77336) |
$739.80 |
$739.80 |
5.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,959.56 |
$7,959.56 |
23.9× |
| CT abdomen and pelvis without contrast (74176) |
$8,018.16 |
$8,018.16 |
35.2× |
| CT abdomen w contrast (74160) |
$4,753.75 |
$4,753.75 |
28.4× |
| CT abdomen w wo contrast (74170) |
$5,801.60 |
$5,801.60 |
34.6× |
| CT abdomen w/o contrast (74150) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT angio hrt w/3d image (75574) |
$5,004.21 |
$5,004.21 |
15.0× |
| CT angiography upper extremity lt (73206) |
$5,208.08 |
$5,208.08 |
31.1× |
| CT c-spine w/o contrast (72125) |
$4,267.95 |
$4,267.95 |
42.7× |
| CT cervical spine w&w/o contrast (72127) |
$6,290.70 |
$6,290.70 |
37.5× |
| CT cervical spine with contrast (72126) |
$6,012.25 |
$6,012.25 |
18.0× |
| CT chest w/wo contrast (71270) |
$5,801.60 |
$5,801.60 |
34.6× |
| CT chest with contrast (71260) |
$4,753.75 |
$4,753.75 |
28.4× |
| CT head/brain with contrast (70460) |
$4,444.16 |
$4,444.16 |
26.5× |
| CT head/brain without and with contrast (70470) |
$5,960.97 |
$5,960.97 |
35.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,869.86 |
$3,869.86 |
11.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$384.70 |
$384.70 |
4.6× |
| CT hrt w/3d image congen (75573) |
$4,167.55 |
$4,167.55 |
12.5× |
| CT iac w contrast (70481) |
$5,501.16 |
$5,501.16 |
32.8× |
| CT limited/localized follow up study (76380) |
$1,220.03 |
$1,220.03 |
14.7× |
| CT lower ext w/o (73700) |
$3,705.90 |
$3,705.90 |
37.1× |
| CT lower extremity w wo contrast (73702) |
$4,510.21 |
$4,510.21 |
26.9× |
| CT lower extremity with contrast (73701) |
$4,811.94 |
$4,811.94 |
28.7× |
| CT lumbar spine w & w/o contrast (72133) |
$6,290.70 |
$6,290.70 |
37.5× |
| CT lumbar spine w/o contrast (72131) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT lumbar spine with contrast (72132) |
$6,034.24 |
$6,034.24 |
18.1× |
| CT maxillofacial w contrast (70487) |
$4,585.01 |
$4,585.01 |
27.3× |
| CT maxillofacial w/o contrast (70486) |
$4,118.08 |
$4,118.08 |
41.2× |
| CT maxillofacial w/wo contrast (70488) |
$5,330.80 |
$5,330.80 |
31.8× |
| CT neck soft tissue w contrast (70491) |
$4,753.75 |
$4,753.75 |
28.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,666.02 |
$5,666.02 |
33.8× |
| CT orbits w/o contrast (70480) |
$4,753.75 |
$4,753.75 |
47.6× |
| CT pelvis w & w/o contrast (72194) |
$5,345.46 |
$5,345.46 |
31.9× |
| CT pelvis w/o contrast (72192) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,801.60 |
$5,801.60 |
34.6× |
| CT soft tissue neck w/o contrast (70490) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT thoracic spine w/contrast (72129) |
$6,034.24 |
$6,034.24 |
36.0× |
| CT thoracic spine w/o contrast (72128) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT thoracic spine w/wo contrast (72130) |
$6,290.70 |
$6,290.70 |
37.5× |
| CT thorax w/o contrast (71250) |
$3,977.01 |
$3,977.01 |
39.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,206.01 |
$4,206.01 |
25.1× |
| CT upper extremity w/o contrast rt (73200) |
$3,705.90 |
$3,705.90 |
37.1× |
| CT upper extremity with contrast (73201) |
$4,753.75 |
$4,753.75 |
14.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$6,915.37 |
$6,915.37 |
41.2× |
| Cta Abdomen (74175) |
$6,451.90 |
$6,451.90 |
38.5× |
| CTA abdomen pelvis (74174) |
$12,799.40 |
$12,799.40 |
38.4× |
| CTA chest (71275) |
$6,451.90 |
$6,451.90 |
38.5× |
| Cta Head (70496) |
$6,451.90 |
$6,451.90 |
38.5× |
| CTA lwr ext w&w/o contrast (73706) |
$5,545.14 |
$5,545.14 |
33.1× |
| Cta Neck (70498) |
$5,976.53 |
$5,976.53 |
35.6× |
| Cta Pelvis (72191) |
$5,354.60 |
$5,354.60 |
31.9× |
| Cystography minimum 3 views rs&i (74430) |
$1,365.11 |
$1,365.11 |
4.1× |
| Diskography lumbar (72295) |
$4,391.25 |
$4,391.25 |
2.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$623.56 |
$623.56 |
6.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$695.77 |
$695.77 |
7.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$283.60 |
$283.60 |
2.8× |
| Echo exam of fetal heart (76825) |
$812.02 |
$812.02 |
1.6× |
| Echoencephalography real time imaging (76506) |
$1,352.78 |
$1,352.78 |
13.5× |
| Esophagus (74220) |
$863.09 |
$863.09 |
5.1× |
| Fetal biophysical profile non-stress testing (76818) |
$914.19 |
$914.19 |
9.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$914.19 |
$914.19 |
9.1× |
| Fluoroscopy up to 1 hr (76000) |
$792.66 |
$792.66 |
3.5× |
| Foot 2 views (73620) |
$435.07 |
$435.07 |
5.2× |
| Forearm 2 views (73090) |
$435.07 |
$435.07 |
5.2× |
| Gated Heart Planar Single (78472) |
$3,274.51 |
$3,274.51 |
8.6× |
| Hand 2 views (73120) |
$435.07 |
$435.07 |
4.4× |
| Hand 3 views (73130) |
$530.19 |
$530.19 |
6.4× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$6,681.10 |
$6,681.10 |
10.0× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$7,186.63 |
$7,186.63 |
10.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,727.48 |
$2,727.48 |
4.1× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,259.14 |
$4,259.14 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,502.21 |
$4,502.21 |
8.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,987.89 |
$3,987.89 |
10.4× |
| Ht muscle image spect sing (78451) |
$6,020.57 |
$6,020.57 |
4.9× |
| Humerus Min 2 Views Left (73060) |
$383.74 |
$383.74 |
4.6× |
| Hysterosalpingogram (74740) |
$1,083.28 |
$1,083.28 |
4.7× |
| Image fusion (77399) |
$1,125.61 |
$1,125.61 |
8.8× |
| Interstitial radiation source applic complex (77778) |
$5,081.72 |
$5,081.72 |
7.6× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,268.71 |
$2,268.71 |
3.4× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,865.35 |
$1,865.35 |
3.5× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$376.93 |
$376.93 |
3.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,691.47 |
$2,691.47 |
5.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,232.22 |
$3,232.22 |
6.2× |
| Knee 3 views (73562) |
$583.02 |
$583.02 |
7.0× |
| Liver & spleen imaging static only (78215) |
$3,130.07 |
$3,130.07 |
8.2× |
| Lung perf&ventilat diferentl (78598) |
$2,851.76 |
$2,851.76 |
5.5× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$11,257.93 |
$11,257.93 |
3.7× |
| Lymphoscintigraphy (78195) |
$2,497.71 |
$2,497.71 |
4.8× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$153.24 |
$153.24 |
1.8× |
| Meckels Diverticulum (78290) |
$2,474.80 |
$2,474.80 |
6.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$4,174.59 |
$4,174.59 |
11.7× |
| Mr safety determination physician/other qhp (76016) |
$285.28 |
$285.28 |
3.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$192.46 |
$192.46 |
3.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$79.35 |
$79.35 |
2.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$297.40 |
$297.40 |
3.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$783.17 |
$783.17 |
3.4× |
| MRA head w & w/o contrast (70546) |
$5,849.72 |
$5,849.72 |
17.5× |
| MRA head w/o contrast (70544) |
$5,163.08 |
$5,163.08 |
22.6× |
| MRA head with contrast (70545) |
$4,234.49 |
$4,234.49 |
12.7× |
| MRA neck w contrast (70548) |
$5,680.40 |
$5,680.40 |
17.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$7,168.71 |
$7,168.71 |
21.5× |
| MRA neck w/o contrast (70547) |
$4,600.85 |
$4,600.85 |
20.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$8,453.10 |
$8,453.10 |
25.3× |
| MRI abdomen w/o contrast (74181) |
$5,913.10 |
$5,913.10 |
25.9× |
| MRI any jnt lwr ext with con lt (73722) |
$6,283.02 |
$6,283.02 |
8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,980.05 |
$5,980.05 |
8.0× |
| MRI c-spine with contrast (72142) |
$6,283.02 |
$6,283.02 |
18.8× |
| MRI cardiac w/o cont stress (75559) |
$6,205.52 |
$6,205.52 |
11.9× |
| MRI cardiac w/o contrast (75557) |
$4,784.04 |
$4,784.04 |
21.0× |
| MRI cervical spine w/o contrast (72141) |
$5,620.12 |
$5,620.12 |
24.6× |
| MRI chest w/o & w/contrast material (71552) |
$6,865.70 |
$6,865.70 |
20.6× |
| MRI chest w/o contrast (71550) |
$4,518.54 |
$4,518.54 |
19.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,130.94 |
$3,130.94 |
9.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,763.39 |
$5,763.39 |
25.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,478.89 |
$3,478.89 |
15.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,709.77 |
$7,709.77 |
23.1× |
| MRI orbit/face/neck w/contrast (70542) |
$3,917.41 |
$3,917.41 |
11.7× |
| MRI pelvis w contrast (72196) |
$2,913.42 |
$2,913.42 |
8.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$8,366.79 |
$8,366.79 |
25.1× |
| MRI pelvis w/o contrast (72195) |
$5,097.80 |
$5,097.80 |
22.4× |
| MRI scan of arm joint before and after contrast (73223) |
$7,169.03 |
$7,169.03 |
21.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$7,944.06 |
$7,944.06 |
10.6× |
| MRI scan of leg joint before and after contrast (73723) |
$8,146.61 |
$8,146.61 |
24.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,753.53 |
$6,753.53 |
20.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,971.70 |
$5,971.70 |
17.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,968.96 |
$7,968.96 |
23.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$6,050.32 |
$6,050.32 |
18.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,665.96 |
$7,665.96 |
23.0× |
| MRI thoracic spine w/o contrast (72146) |
$5,620.12 |
$5,620.12 |
24.6× |
| MRI tmj (70336) |
$2,880.27 |
$2,880.27 |
12.6× |
| MRI upper ext joint w/o contrast (73221) |
$5,497.42 |
$5,497.42 |
24.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,738.74 |
$5,738.74 |
17.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,519.83 |
$4,519.83 |
19.8× |
| Myocardial Spect Multiple Studies (78452) |
$8,583.45 |
$8,583.45 |
6.9× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,485.91 |
$3,485.91 |
4.2× |
| Neck soft tissue (70360) |
$435.07 |
$435.07 |
5.2× |
| Nm bone marrow wb (78104) |
$1,516.59 |
$1,516.59 |
4.0× |
| Nm cisternogram (78630) |
$3,182.91 |
$3,182.91 |
6.1× |
| Nm gastric emptying study (78264) |
$3,323.82 |
$3,323.82 |
8.7× |
| Nm peritoneal-venous shunt patency (78291) |
$1,861.83 |
$1,861.83 |
4.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$16,650.81 |
$16,650.81 |
12.6× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$2,404.35 |
$2,404.35 |
6.3× |
| Nuclear Rx Oral Admin (79005) |
$2,497.71 |
$2,497.71 |
11.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$894.81 |
$894.81 |
9.0× |
| Orthopantogram (70355) |
$382.23 |
$382.23 |
4.6× |
| Osseous survey infant (77076) |
$764.46 |
$764.46 |
7.6× |
| Osseous survey limited (77074) |
$685.20 |
$685.20 |
6.9× |
| Parathyrd planar w/spect&CT (78072) |
$3,920.95 |
$3,920.95 |
7.6× |
| Parathyroid imaging (78070) |
$2,497.71 |
$2,497.71 |
6.5× |
| Pelvis 1 or 2 views (72170) |
$651.73 |
$651.73 |
6.5× |
| Peritoneogram rs&i (74190) |
$1,141.42 |
$1,141.42 |
2.2× |
| PET image w/CT, skull-thigh (78815) |
$10,964.89 |
$10,964.89 |
8.0× |
| PET imaging CT for attenuation limited area (78814) |
$4,488.11 |
$4,488.11 |
3.3× |
| PET imaging for CT attenuation whole body (78816) |
$12,712.25 |
$12,712.25 |
9.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$6,739.23 |
$6,739.23 |
20.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,340.16 |
$4,340.16 |
1.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,727.19 |
$3,727.19 |
1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,534.71 |
$2,534.71 |
6.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,521.09 |
$3,521.09 |
6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$911.54 |
$911.54 |
1.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$863.09 |
$863.09 |
10.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$752.14 |
$752.14 |
7.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$118.85 |
$118.85 |
1.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$52,555.81 |
$52,555.81 |
7.5× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,041.49 |
$2,041.49 |
3.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,199.53 |
$1,199.53 |
12.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$792.65 |
$792.65 |
7.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$453.69 |
$453.69 |
5.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$477.34 |
$477.34 |
4.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$655.25 |
$655.25 |
7.9× |
| Radiologic exam colon single contrast study (74270) |
$1,368.64 |
$1,368.64 |
8.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,123.79 |
$1,123.79 |
6.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,240.06 |
$1,240.06 |
7.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$477.34 |
$477.34 |
5.7× |
| Radiological examination surgical specimen (76098) |
$743.32 |
$743.32 |
1.4× |
| Review by radiologist of adrenal gland vein image (75840) |
$11,932.69 |
$11,932.69 |
4.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$4,097.09 |
$4,097.09 |
1.4× |
| Ribs bilateral 3 views (71110) |
$820.82 |
$820.82 |
8.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,397.81 |
$3,397.81 |
6.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,580.10 |
$3,580.10 |
6.9× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$6,055.75 |
$6,055.75 |
4.9× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,048.05 |
$1,048.05 |
4.7× |
| Rp Therapy Intravenous Administration (79101) |
$2,286.33 |
$2,286.33 |
10.3× |
| Sacroiliac Joints < 3 Views (72200) |
$602.40 |
$602.40 |
6.0× |
| Scanogram (77073) |
$669.34 |
$669.34 |
6.7× |
| Scapula complete (73010) |
$415.69 |
$415.69 |
4.2× |
| Screening digital breast tomosynthesis (77063) |
$66.93 |
$66.93 |
2.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$480.32 |
$480.32 |
4.8× |
| Simulation intermediate (77285) |
$1,993.94 |
$1,993.94 |
5.6× |
| Small bowel series (74250) |
$952.93 |
$952.93 |
5.7× |
| Spec medical radj physics consltj (77370) |
$1,012.82 |
$1,012.82 |
7.9× |
| Special dosimetry (77331) |
$1,224.19 |
$1,224.19 |
9.5× |
| Special treatment procedure (77470) |
$5,053.55 |
$5,053.55 |
9.6× |
| Spine thoracic 3 views (72072) |
$833.14 |
$833.14 |
8.3× |
| Splenoportograpy rs&i (75810) |
$8,357.99 |
$8,357.99 |
2.8× |
| Stereotactic body radiation delivery (77373) |
$24,390.53 |
$24,390.53 |
14.3× |
| Superior sagittal sinus venogram (75870) |
$1,232.99 |
$1,232.99 |
0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,641.65 |
$1,641.65 |
4.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$910.66 |
$910.66 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,441.89 |
$2,441.89 |
6.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,993.94 |
$1,993.94 |
15.5× |
| Therapeutic Enema (74283) |
$924.76 |
$924.76 |
5.5× |
| Thoracolumbar 2 views (72080) |
$479.11 |
$479.11 |
5.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,838.17 |
$3,838.17 |
7.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,599.38 |
$1,599.38 |
4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,599.38 |
$1,599.38 |
4.2× |
| Tmj unilateral (70328) |
$121.54 |
$121.54 |
1.5× |
| Treatment device intermediate (77333) |
$995.21 |
$995.21 |
7.7× |
| Treatment devices simple (77332) |
$977.58 |
$977.58 |
7.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,617.20 |
$5,617.20 |
10.8× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,844.21 |
$1,844.21 |
4.8× |
| Tx devices design & construction complex (77334) |
$1,768.49 |
$1,768.49 |
4.9× |
| Ultrasound, abdomen limited (76705) |
$173.11 |
$173.11 |
1.7× |
| Umbilical-artery Doppler (OB) (76820) |
$1,028.68 |
$1,028.68 |
10.3× |
| Unlisted fluoroscopic procedure (76496) |
$542.48 |
$542.48 |
6.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,404.35 |
$2,404.35 |
6.3× |
| Urethrocystography retrograde rs&i (74450) |
$1,224.19 |
$1,224.19 |
5.4× |
| Urethrocystography voiding (74455) |
$1,592.33 |
$1,592.33 |
7.0× |
| Us abdl aorta screen aaa (76706) |
$435.07 |
$435.07 |
4.4× |
| Us breast unilateral complete (76641) |
$230.74 |
$230.74 |
2.3× |
| Us breast unilateral limited (76642) |
$361.42 |
$361.42 |
4.3× |
| Us chest (76604) |
$480.32 |
$480.32 |
4.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$366.54 |
$366.54 |
3.7× |
| Us guided compression repair (76936) |
$1,565.91 |
$1,565.91 |
7.6× |
| Us infant hips dynamic (76885) |
$320.58 |
$320.58 |
3.9× |
| Us infant hips limited static (76886) |
$517.87 |
$517.87 |
6.2× |
| Us kidney transplant (76776) |
$1,115.62 |
$1,115.62 |
11.2× |
| Us ob detailed single fetus (76811) |
$1,430.28 |
$1,430.28 |
6.3× |
| Us ob transvaginal (76817) |
$1,114.98 |
$1,114.98 |
11.2× |
| Us pelvic non ob complete (76856) |
$192.13 |
$192.13 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$171.20 |
$171.20 |
1.7× |
| Us pregnancy ltd (76815) |
$658.78 |
$658.78 |
6.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$635.66 |
$635.66 |
6.4× |
| Us retroperitoneal complete (76770) |
$1,382.72 |
$1,382.72 |
13.8× |
| Us retroperitoneal limited (76775) |
$1,251.16 |
$1,251.16 |
12.5× |
| Us scrotum and contents (76870) |
$1,304.32 |
$1,304.32 |
13.1× |
| Us soft tissue head/neck (76536) |
$802.90 |
$802.90 |
8.0× |
| Us spinal canal and contents (76800) |
$1,072.71 |
$1,072.71 |
10.7× |
| Us xtr non-vasc lmtd (76882) |
$212.68 |
$212.68 |
2.1× |
| Us, eye b-scan (76512) |
$376.93 |
$376.93 |
3.8× |
| Venogram extremity bilateral (75822) |
$2,654.48 |
$2,654.48 |
1.8× |
| Venogram orbital (75880) |
$1,257.66 |
$1,257.66 |
2.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,423.93 |
$6,423.93 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$2,700.26 |
$2,700.26 |
1.8× |
| Venography epidural rs&i (75872) |
$2,253.14 |
$2,253.14 |
3.8× |
| Venography extremity unilateral rs&i (75820) |
$2,071.44 |
$2,071.44 |
1.4× |
| Venography Renal Bilateral (75833) |
$8,357.99 |
$8,357.99 |
2.8× |
| Venography renal unilateral selective rs&i (75831) |
$6,423.93 |
$6,423.93 |
2.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$8,436.64 |
$8,436.64 |
2.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$7,216.57 |
$7,216.57 |
1.4× |
| Wrist 2 views (73100) |
$435.07 |
$435.07 |
5.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$810.27 |
$810.27 |
8.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$620.04 |
$620.04 |
7.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$530.19 |
$530.19 |
6.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,683.93 |
$1,683.93 |
10.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$477.34 |
$477.34 |
5.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$595.36 |
$595.36 |
7.2× |
| X-ray exam hip uni 1 view (73501) |
$1,109.69 |
$1,109.69 |
13.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,109.69 |
$1,109.69 |
13.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,488.41 |
$1,488.41 |
14.9× |
| X-ray eye for foreign body (70030) |
$163.80 |
$163.80 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$951.18 |
$951.18 |
9.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$456.21 |
$456.21 |
5.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$530.19 |
$530.19 |
6.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,968.02 |
$2,968.02 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$435.07 |
$435.07 |
5.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,182.81 |
$1,182.81 |
7.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$436.83 |
$436.83 |
5.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$697.53 |
$697.53 |
7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$584.80 |
$584.80 |
7.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$479.11 |
$479.11 |
4.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$896.57 |
$896.57 |
9.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$834.92 |
$834.92 |
8.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$524.91 |
$524.91 |
6.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$338.20 |
$338.20 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$778.54 |
$778.54 |
7.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$745.08 |
$745.08 |
7.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,656.23 |
$2,656.23 |
5.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,837.18 |
$1,837.18 |
5.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$630.59 |
$630.59 |
7.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$838.44 |
$838.44 |
8.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,088.56 |
$1,088.56 |
10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$718.66 |
$718.66 |
7.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$395.10 |
$395.10 |
4.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$510.81 |
$510.81 |
6.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$912.42 |
$912.42 |
11.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$469.86 |
$469.86 |
5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$965.26 |
$965.26 |
9.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$457.97 |
$457.97 |
4.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$479.11 |
$479.11 |
5.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$472.06 |
$472.06 |
5.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$415.69 |
$415.69 |
5.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$455.36 |
$455.36 |
4.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$857.82 |
$857.82 |
8.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$435.07 |
$435.07 |
5.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$634.12 |
$634.12 |
7.6× |
| Xr c-spine 6 or more views (72052) |
$1,321.08 |
$1,321.08 |
13.2× |
| Xr chest 4+ views (71048) |
$702.81 |
$702.81 |
7.0× |
| Xr finger(s) 2+ views (73140) |
$435.07 |
$435.07 |
5.2× |
| Xr shoulder 1 view (73020) |
$435.07 |
$435.07 |
5.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,150.23 |
$1,150.23 |
11.5× |
| Xr tibia/fibula 2 views (73590) |
$395.10 |
$395.10 |
4.7× |
| Xr tmj bilateral (70330) |
$491.44 |
$491.44 |
5.9× |
| Xray knee 1 or 2 views rt (73560) |
$477.33 |
$477.33 |
5.7× |