| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,763.10 |
$8,233 |
3.9× |
| Abdomen 1 View (74018) |
$396.90 |
$567 |
4.3× |
| Abdomen 2 views (74019) |
$519.40 |
$742 |
4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,350.30 |
$1,929 |
3.2× |
| Adrenal Cortex & Medulla Img (78075) |
$3,778.60 |
$5,398 |
2.7× |
| Angio internal mammary (75756) |
$1,988 |
$2,840 |
0.6× |
| Angio pulmonary bilat (75743) |
$7,009.10 |
$10,013 |
2.1× |
| Angiography extremity bilateral rs&i (75716) |
$4,183.20 |
$5,976 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$6,422.50 |
$9,175 |
1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,675.20 |
$9,536 |
2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,020.90 |
$2,887 |
0.6× |
| Ankle 2 views (73600) |
$386.40 |
$552 |
4.1× |
| Aortography thoracic serialography rs&i (75605) |
$6,809.60 |
$9,728 |
1.1× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,616.90 |
$5,167 |
1.1× |
| Artery X-Rays Abdomen (75726) |
$3,462.20 |
$4,946 |
0.6× |
| Artery X-Rays Adrenal Gland (75731) |
$2,905 |
$4,150 |
0.9× |
| Artery X-Rays Pelvis (75736) |
$4,306.40 |
$6,152 |
0.7× |
| Artery X-Rays Spine (75705) |
$5,770.10 |
$8,243 |
1.0× |
| Arthrogram ankle (73615) |
$1,136.80 |
$1,624 |
3.0× |
| Arthrogram hip (73525) |
$1,407.70 |
$2,011 |
3.8× |
| Arthrogram Wrist (73115) |
$1,440.60 |
$2,058 |
3.9× |
| Basic radiation dosimetry calculation (77300) |
$601.30 |
$859 |
4.2× |
| Bone age studies (77072) |
$462 |
$660 |
4.1× |
| Bone Imaging 3 Phase (78315) |
$1,804.60 |
$2,578 |
4.2× |
| Bone Imaging Whole Body (78306) |
$1,559.60 |
$2,228 |
3.6× |
| Bone survey infant (77076) |
$1,250.20 |
$1,786 |
11.2× |
| Brachytx isodose complex (77318) |
$4,649.40 |
$6,642 |
11.6× |
| Brachytx isodose intermed (77317) |
$4,071.20 |
$5,816 |
10.1× |
| Brachytx Isodose Plan Simple (77316) |
$3,780.70 |
$5,401 |
9.4× |
| Brain Flow Imaging Only (78610) |
$1,101.80 |
$1,574 |
1.9× |
| Brain Image W/Flow < 4 Views (78601) |
$2,256.80 |
$3,224 |
5.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,342.10 |
$6,203 |
11.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$4,594.80 |
$6,564 |
5.5× |
| Cardiac Shunt Detection (78428) |
$2,124.50 |
$3,035 |
5.0× |
| Cat Scan Follow-Up Study (76380) |
$1,053.50 |
$1,505 |
11.3× |
| Cerebrospinal Fluid Scan (78630) |
$2,645.30 |
$3,779 |
4.5× |
| Chest 1 view (71045) |
$537.60 |
$768 |
5.8× |
| Chest 2 views (71046) |
$674.10 |
$963 |
7.2× |
| Chest 3 views (71047) |
$900.20 |
$1,286 |
9.7× |
| Chest 4 or more views (71048) |
$966 |
$1,380 |
8.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$245.70 |
$351 |
2.2× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) |
$440.30 |
$629 |
3.9× |
| Clavicle complete (73000) |
$547.40 |
$782 |
5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$781.20 |
$1,116 |
7.0× |
Continuing medical physics consltj pr wk (77336)
range across 2 matching MRF lines |
$681.10–$52,603.51 |
$973–$75,147.87 |
varies |
| Contrast Exam Abdominl Aorta (75625) |
$4,842.60 |
$6,918 |
1.4× |
| Contrast X-Ray Bladder (74430) |
$921.20 |
$1,316 |
2.5× |
| Contrast X-Ray Of Elbow (73085) |
$765.80 |
$1,094 |
2.0× |
| Contrast X-Ray Of Knee Joint (73580) |
$2,560.60 |
$3,658 |
6.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,105.70 |
$10,151 |
19.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,802 |
$6,860 |
18.8× |
| CT abdomen w contrast (74160) |
$3,201.10 |
$4,573 |
17.0× |
| CT abdomen w wo contrast (74170) |
$3,658.90 |
$5,227 |
19.5× |
| CT abdomen w/o contrast (74150) |
$2,576 |
$3,680 |
23.0× |
| CT Angio Abdomen and Pelvis (74174) |
$5,420.10 |
$7,743 |
14.5× |
| CT Angio Chest (71275) |
$3,502.80 |
$5,004 |
18.6× |
| CT Angio Head (70496) |
$3,656.10 |
$5,223 |
19.5× |
| CT angio hrt w/3d image (75574) |
$3,641.40 |
$5,202 |
9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$3,359.30 |
$4,799 |
17.9× |
| CT Angio Neck (70498) |
$3,808 |
$5,440 |
20.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$3,026.10 |
$4,323 |
16.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) |
$2,937.20 |
$4,196 |
15.6× |
| CT cervical spine w/ contrast (72126) |
$3,497.20 |
$4,996 |
9.4× |
| CT cervical spine w/o contrast (72125) |
$3,168.20 |
$4,526 |
28.3× |
| CT cervical spine w/wo cont (72127) |
$4,095.70 |
$5,851 |
21.8× |
| CT chest w contrast (71260) |
$3,173.80 |
$4,534 |
16.9× |
| CT chest w/wo contrast (71270) |
$3,416 |
$4,880 |
18.2× |
| CT head/brain with contrast (70460) |
$2,921.80 |
$4,174 |
15.5× |
| CT head/brain without and with contrast (70470) |
$3,756.90 |
$5,367 |
20.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,439.10 |
$4,913 |
9.2× |
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines |
$56–$539.70 |
$80–$771 |
varies |
| CT iac w contrast (70481) |
$3,572.10 |
$5,103 |
19.0× |
| CT l-spine w&w/o contrast (72133) |
$3,717 |
$5,310 |
19.8× |
| CT lower ext w/o (73700) |
$2,622.90 |
$3,747 |
23.4× |
| CT lower extremity w/contrast material (73701) |
$2,975.70 |
$4,251 |
15.8× |
| CT lumbar spine w contrast (72132) |
$3,506.30 |
$5,009 |
9.4× |
| CT lumbar spine w/o contrast (72131) |
$3,083.50 |
$4,405 |
27.5× |
| CT maxillofacial w contrast (70487) |
$3,161.20 |
$4,516 |
16.8× |
| CT maxillofacial wo contrast (70486) |
$2,606.10 |
$3,723 |
23.3× |
| CT neck tissue combo (70492) |
$3,704.40 |
$5,292 |
19.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$3,813.60 |
$5,448 |
20.3× |
| CT orbits w/o contrast (70480) |
$3,287.90 |
$4,697 |
29.3× |
| CT pelvis w&w/o contrast (72194) |
$3,318 |
$4,740 |
17.7× |
| CT pelvis w/o contrast (72192) |
$2,156.70 |
$3,081 |
19.3× |
| CT scan of leg combo (73702) |
$3,378.90 |
$4,827 |
18.0× |
| CT scans face/jaw combo (70488) |
$3,656.10 |
$5,223 |
19.5× |
| CT soft tissue neck w contrast (70491) |
$3,250.80 |
$4,644 |
17.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,566.20 |
$3,666 |
22.9× |
| CT thoracic spine w contrast (72129) |
$2,947 |
$4,210 |
15.7× |
| CT thoracic spine w/o contrast (72128) |
$2,811.90 |
$4,017 |
25.1× |
| CT thoracic spine w/wo cont (72130) |
$3,208.80 |
$4,584 |
17.1× |
| CT thorax w/o contrast (71250) |
$2,611 |
$3,730 |
23.3× |
| CT unlisted procedure (76497) |
$1,941.10 |
$2,773 |
20.8× |
| CT upper ext wo (73200) |
$2,563.40 |
$3,662 |
22.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,768.10 |
$5,383 |
20.0× |
| CT upper extremity with contrast (73201) |
$2,812.60 |
$4,018 |
7.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,889.90 |
$5,557 |
20.7× |
| Cta Abdomen (74175) |
$4,312.70 |
$6,161 |
22.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$7,464.10 |
$10,663 |
20.0× |
| CTA pelvis (72191) |
$3,382.40 |
$4,832 |
18.0× |
| Diskography lumbar (72295) |
$2,509.50 |
$3,585 |
1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$387.80 |
$554 |
3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$987.70 |
$1,411 |
8.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,052.10 |
$1,503 |
9.4× |
| Dxa Bone Density Axial (77080) |
$637 |
$910 |
5.7× |
| Dxa bone density study (77085) |
$550.20 |
$786 |
4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$368.20 |
$526 |
3.9× |
| Echo exam of fetal heart (76825) |
$1,170.40 |
$1,672 |
2.0× |
| Echo exam uterus (76831) |
$1,399.30 |
$1,999 |
5.5× |
| Echo Guide For Artery Repair (76936) |
$721 |
$1,030 |
3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$952 |
$1,360 |
3.7× |
| Echograp Trans R Pros Study (76873) |
$2,104.90 |
$3,007 |
18.8× |
| Esophageal Motility Study (78258) |
$1,381.10 |
$1,973 |
3.2× |
| Esophagram (74220) |
$828.10 |
$1,183 |
4.4× |
| Fetal Biophys Profile W/Nst (76818) |
$1,409.80 |
$2,014 |
12.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,120.70 |
$1,601 |
10.0× |
| Fluoroscopy up to 1 hr (76000) |
$1,040.90 |
$1,487 |
4.1× |
| Follow-Up Angiography (75898) |
$1,761.20 |
$2,516 |
0.5× |
| Foot 2 views (73620) |
$324.10 |
$463 |
3.5× |
| Forearm 2 views (73090) |
$515.90 |
$737 |
5.5× |
| Gastric emptying imaging study (78264) |
$1,519.70 |
$2,171 |
3.5× |
| Gastroesophageal Reflux Exam (78262) |
$1,055.60 |
$1,508 |
2.5× |
| Gated Heart Planar Single (78472) |
$1,413.30 |
$2,019 |
3.3× |
| GI Endoscopic US S&I (76975) |
$1,530.90 |
$2,187 |
6.0× |
| Hand 2 views (73120) |
$521.50 |
$745 |
4.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$6,818 |
$9,740 |
9.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,899 |
$5,570 |
1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$3,462.20 |
$4,946 |
1.0× |
| Hepatobil Syst Image W/Drug (78227) |
$1,878.10 |
$2,683 |
3.2× |
| Hepatobiliary System Imaging (78226) |
$1,537.90 |
$2,197 |
3.6× |
| Ht Musc Image Planar Mult (78454) |
$3,557.40 |
$5,082 |
2.6× |
| Ht Muscle Image Spect Sing (78451) |
$4,057.90 |
$5,797 |
2.9× |
| Hyperthermia external generated superficial (77600) |
$6,412 |
$9,160 |
15.5× |
| Hysterosalpingogram (74740) |
$1,134.70 |
$1,621 |
4.4× |
| Image fusion (77399) |
$1,124.20 |
$1,606 |
7.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$1,275.40 |
$1,822 |
13.7× |
| Infant hip ultrasound, limited static exam (76886) |
$1,087.80 |
$1,554 |
11.7× |
| Joint Survey Single View (77077) |
$485.10 |
$693 |
4.3× |
| K Flow/Funct Image W/Drug (78708) |
$1,810.20 |
$2,586 |
3.1× |
| K Flow/Funct Image W/O Drug (78707) |
$1,483.30 |
$2,119 |
2.5× |
| Knee 3 Views (73562) |
$598.50 |
$855 |
6.4× |
| Liver & Spleen Imaging Static Only (78215) |
$1,417.50 |
$2,025 |
3.3× |
| Lung Perf&Ventilat Diferentl (78598) |
$2,110.50 |
$3,015 |
3.6× |
| Lung perfusion differential (78597) |
$2,088.10 |
$2,983 |
4.9× |
| Lung Ventilation Imaging (78579) |
$1,782.90 |
$2,547 |
4.2× |
| Lymph System Imaging (78195) |
$1,640.10 |
$2,343 |
2.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) |
$1,635.90 |
$2,337 |
1.0× |
| Lymphangiography extremity only unilateral rs&i (75801) |
$1,558.20 |
$2,226 |
2.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$2,283.40 |
$3,262 |
0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$898.10 |
$1,283 |
0.3× |
| Magnetic Image Jaw Joint (70336) |
$3,850 |
$5,500 |
15.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) |
$5,653.90 |
$8,077 |
30.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) |
$5,490.80 |
$7,844 |
9.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) |
$6,161.40 |
$8,802 |
32.8× |
| Magnetic Resonance Elastography (76391) |
$493.50 |
$705 |
1.9× |
| Meckels Divert Exam (78290) |
$1,836.10 |
$2,623 |
4.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,744.70 |
$3,921 |
6.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$65.10 |
$93 |
2.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$214.20 |
$306 |
2.1× |
| Mr safety implt pos&/immoblj (76019) |
$133 |
$190 |
2.1× |
| Mra Head W/O & W/Contrast Material (70546) |
$5,710.60 |
$8,158 |
15.3× |
| MRA head w/o contrast (70544) |
$3,946.60 |
$5,638 |
15.4× |
| MRA head with contrast (70545) |
$4,889.50 |
$6,985 |
13.1× |
| MRA neck w contrast (70548) |
$3,843 |
$5,490 |
10.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,370.10 |
$6,243 |
11.7× |
| MRA neck w/o contrast (70547) |
$3,378.90 |
$4,827 |
13.2× |
| MRI abdomen w contrast (74182) |
$3,770.20 |
$5,386 |
10.1× |
| MRI abdomen w/o contrast (74181) |
$3,700.20 |
$5,286 |
14.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,038.30 |
$5,769 |
4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,428.90 |
$6,327 |
11.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,827.60 |
$5,468 |
4.6× |
| MRI brain functional w/o physician admnistration (70554) |
$3,640 |
$5,200 |
14.2× |
| MRI brain functional w/physician admnistration (70555) |
$4,162.20 |
$5,946 |
16.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,491.60 |
$4,988 |
13.7× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$3,670.10 |
$5,243 |
14.4× |
| MRI cardiac w/o contrast (75557) |
$3,834.60 |
$5,478 |
15.0× |
| MRI cervical spine w contrast (72142) |
$4,534.60 |
$6,478 |
12.1× |
| MRI cervical spine w/o cont (72141) |
$4,171.30 |
$5,959 |
16.3× |
| MRI chest w/o contrast (71550) |
$2,934.40 |
$4,192 |
11.5× |
| MRI chest with contrast (71551) |
$3,717.70 |
$5,311 |
4.4× |
| MRI chest wo w contrast (71552) |
$4,372.20 |
$6,246 |
11.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,678.50 |
$5,255 |
9.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,053 |
$5,790 |
10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,432.80 |
$4,904 |
13.4× |
| MRI lumbar spine w contrast (72149) |
$4,172.70 |
$5,961 |
11.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$5,142.90 |
$7,347 |
13.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,151 |
$5,930 |
16.2× |
| MRI orbit face neck w contrast (70542) |
$4,818.10 |
$6,883 |
12.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$5,085.50 |
$7,265 |
13.6× |
| MRI pelvis w contrast (72196) |
$3,948 |
$5,640 |
10.6× |
| MRI pelvis w/o & w contrast (72197) |
$4,765.60 |
$6,808 |
12.7× |
| MRI pelvis w/o contrast (72195) |
$3,615.50 |
$5,165 |
14.1× |
| MRI spectroscopy (76390) |
$2,207.10 |
$3,153 |
23.7× |
| MRI thoracic spine w/o contrast (72146) |
$3,809.40 |
$5,442 |
14.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$3,628.10 |
$5,183 |
9.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,502.10 |
$5,003 |
13.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$4,088 |
$5,840 |
10.9× |
| MRI, abdomen, combo (74183) |
$4,385.50 |
$6,265 |
11.7× |
| MRI, dorsal spine combo (72157) |
$4,696.30 |
$6,709 |
12.6× |
| MRI, dorsal spine contrast (72147) |
$4,101.30 |
$5,859 |
11.0× |
| MRI, joint upper extrem (73221) |
$3,591.70 |
$5,131 |
14.0× |
| MRI, joint upper extrem combo (73223) |
$4,323.90 |
$6,177 |
11.6× |
| MRI, lumbar spine combo (72158) |
$4,706.80 |
$6,724 |
12.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,990.10 |
$2,843 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,929.40 |
$7,042 |
3.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$3,881.50 |
$5,545 |
2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) |
$6,054.30 |
$8,649 |
2.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) |
$7,398.30 |
$10,569 |
3.1× |
| N-invas est c ffr sw aly CTA (75580) |
$2,646 |
$3,780 |
2.9× |
| Neck soft tissue (70360) |
$378 |
$540 |
4.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$544.60 |
$778 |
1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$880.60 |
$1,258 |
2.1× |
| Nm csf leak detection (78650) |
$4,918.90 |
$7,027 |
3.5× |
| Nonvascular Shunt X-Ray (75809) |
$523.60 |
$748 |
4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$7,774.90 |
$11,107 |
5.2× |
| Nuclear Rx Intra-Arterial (79445) |
$1,043 |
$1,490 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$1,552.60 |
$2,218 |
6.2× |
| Ob us nuchal meas 1 gest (76813) |
$940.80 |
$1,344 |
8.4× |
| Panoramic X-ray of jaws (70355) |
$692.30 |
$989 |
7.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,504.30 |
$2,149 |
2.6× |
| Parathyroid Planar Imaging (78070) |
$1,803.90 |
$2,577 |
4.2× |
| Pelvis 1 or 2 views (72170) |
$576.10 |
$823 |
5.1× |
| Peritoneogram Rs&I (74190) |
$739.90 |
$1,057 |
1.3× |
| Pet Image Skull-Thigh (78812) |
$5,630.10 |
$8,043 |
3.7× |
| Pet Image W/Ct Lmtd (78814) |
$6,235.60 |
$8,908 |
4.1× |
| PET image w/CT, full body (78816) |
$6,563.90 |
$9,377 |
4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$6,563.90 |
$9,377 |
4.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$5,712 |
$8,160 |
4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,871 |
$5,530 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,236.90 |
$1,767 |
2.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) |
$2,093.70 |
$2,991 |
2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$620.20 |
$886 |
5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,332.10 |
$1,903 |
2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$541.80 |
$774 |
5.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$468.30 |
$669 |
5.0× |
| Radex elbow complete minimum 3 views (73080) |
$577.50 |
$825 |
6.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$897.40 |
$1,282 |
8.0× |
| Radex fingr minimum 2 views (73140) |
$458.50 |
$655 |
4.9× |
| Radex foot complete minimum 3 views (73630) |
$594.30 |
$849 |
6.4× |
| Radex Hand Minimum 3 Views (73130) |
$547.40 |
$782 |
5.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$478.80 |
$684 |
5.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$531.30 |
$759 |
4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$716.10 |
$1,023 |
7.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$659.40 |
$942 |
7.1× |
| Radex shoulder complete minimum 2 views (73030) |
$623 |
$890 |
6.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$266.70 |
$381 |
2.9× |
| Radex Spine 1 View Specify Level (72020) |
$450.10 |
$643 |
4.8× |
| Radex Sternum Minimum 2 Views (71120) |
$538.30 |
$769 |
5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$803.60 |
$1,148 |
8.6× |
| Radex Toe Minimum 2 Views (73660) |
$436.10 |
$623 |
4.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$451.50 |
$645 |
4.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$492.80 |
$704 |
5.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,067.10 |
$2,953 |
18.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$25,706.80 |
$36,724 |
3.3× |
| Radiation treatment delivery level 1 (77402) |
$602.70 |
$861 |
5.5× |
| Radiation treatment delivery level 2 (77407) |
$774.20 |
$1,106 |
1.9× |
| Radiation treatment delivery level 3 (77412) |
$1,086.40 |
$1,552 |
1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$719.60 |
$1,028 |
6.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$574 |
$820 |
5.1× |
| Radiologic exam colon double contrast study (74280) |
$1,260 |
$1,800 |
6.7× |
| Radiologic exam colon single contrast study (74270) |
$1,225.70 |
$1,751 |
6.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$855.40 |
$1,222 |
4.6× |
| Radiologic exam knee complete 4/more views (73564) |
$724.50 |
$1,035 |
6.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$687.40 |
$982 |
6.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$790.30 |
$1,129 |
4.2× |
| Radiologic exam swallow function contrast study (74230) |
$666.40 |
$952 |
3.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,048.60 |
$1,498 |
5.6× |
| Radiologic examination femur 1 view (73551) |
$426.30 |
$609 |
4.6× |
| Radiologic examination femur minimum 2 views (73552) |
$566.30 |
$809 |
6.1× |
| Radiologic examination knee 1/2 views (73560) |
$556.50 |
$795 |
6.0× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,142.40 |
$1,632 |
10.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$536.90 |
$767 |
5.8× |
| Renal Cyst Study (74470) |
$940.80 |
$1,344 |
1.6× |
| Ribs bilateral 3 views (71110) |
$787.50 |
$1,125 |
7.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,706.20 |
$3,866 |
6.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$2,998.80 |
$4,284 |
5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,396.80 |
$3,424 |
4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,655.80 |
$3,794 |
4.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$4,685.80 |
$6,694 |
3.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$2,795.80 |
$3,994 |
2.0× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$2,400.30 |
$3,429 |
9.6× |
| Rp Therapy Intravenous Administration (79101) |
$1,248.80 |
$1,784 |
5.0× |
| Rp Therapy Unlisted Procedure (79999) |
$549.50 |
$785 |
2.2× |
| Salivary Gland Imaging (78230) |
$975.10 |
$1,393 |
2.3× |
| Scapula (73010) |
$500.50 |
$715 |
4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$125.30 |
$179 |
5.4× |
| Shoulder 1 view (73020) |
$415.10 |
$593 |
4.5× |
| Shoulder Arthrography (73040) |
$1,299.20 |
$1,856 |
3.5× |
| Sialogram (70390) |
$1,460.20 |
$2,086 |
5.7× |
| Skull less than 4 views (70250) |
$484.40 |
$692 |
4.3× |
| Special teletherapy port plan (77321) |
$1,458.80 |
$2,084 |
3.6× |
| Special treatment procedure (77470) |
$2,496.20 |
$3,566 |
4.2× |
| Srs Multisource (77371) |
$65,189.60 |
$93,128 |
8.3× |
| Stereotactic Body Radiation Delivery (77373) |
$8,648.50 |
$12,355 |
4.5× |
| Sternoclavicular joints (71130) |
$706.30 |
$1,009 |
7.6× |
| Superior sagittal sinus venogram (75870) |
$1,862 |
$2,660 |
0.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$282.80 |
$404 |
2.6× |
| Tbs technical calculation only (77091) |
$196 |
$280 |
2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,180.50 |
$3,115 |
5.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,352.70 |
$3,361 |
5.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$3,812.90 |
$5,447 |
9.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,143.10 |
$1,633 |
7.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$519.40 |
$742 |
2.8× |
| Thoracic spine 2 views (72070) |
$697.90 |
$997 |
6.2× |
| Thoracic spine 3 views (72072) |
$778.40 |
$1,112 |
6.9× |
| Thoracolumbar 2 views (72080) |
$649.60 |
$928 |
7.0× |
| Thyroid Met Imaging Body (78018) |
$1,974 |
$2,820 |
3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$959 |
$1,370 |
2.2× |
| Tx Devices Design & Construction Complex (77334) |
$1,405.60 |
$2,008 |
3.5× |
| Ultrasound Breast Limited (76642) |
$438.90 |
$627 |
4.7× |
| Ultrasound elastography first target lesion (76982) |
$482.30 |
$689 |
4.3× |
| Ultrasound Elastography Parenchyma (76981) |
$482.30 |
$689 |
4.3× |
| Ultrasound Exam Aaa Screen (76706) |
$852.60 |
$1,218 |
7.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$3,213 |
$4,590 |
8.6× |
| Ultrasound, abdomen limited (76705) |
$1,604.40 |
$2,292 |
14.3× |
| Umbilical-artery Doppler (OB) (76820) |
$969.50 |
$1,385 |
8.7× |
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines |
$76.30–$5,055.40 |
$109–$7,222 |
varies |
Unlisted fluoroscopic procedure (76496)
range across 9 matching MRF lines |
$877.80–$26,511.80 |
$1,254–$37,874 |
varies |
| Unlisted magnetic resonance procedure (76498) |
$2,110.50 |
$3,015 |
22.6× |
| Unlisted us procedure (76999) |
$105 |
$150 |
1.1× |
| Upper gi w/o kub (74240) |
$822.50 |
$1,175 |
4.4× |
| Urethrocystogram voiding (74455) |
$897.40 |
$1,282 |
3.5× |
| Urethrocystography retrograde (74450) |
$839.30 |
$1,199 |
3.3× |
| Us breast unilateral complete (76641) |
$532 |
$760 |
4.7× |
| Us chest (76604) |
$1,039.50 |
$1,485 |
9.3× |
| Us complete joint (76881) |
$1,269.80 |
$1,814 |
11.3× |
| Us exam, pelvic, limited (76857) |
$862.40 |
$1,232 |
7.7× |
| Us head (76506) |
$1,406.30 |
$2,009 |
12.6× |
| Us kidney transplant (76776) |
$1,237.60 |
$1,768 |
11.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$774.90 |
$1,107 |
6.9× |
| Us ob detailed single fetus (76811) |
$1,360.80 |
$1,944 |
5.3× |
| Us ob limited 1 or more fetuses (76815) |
$718.90 |
$1,027 |
6.4× |
| Us ob transvaginal (76817) |
$749 |
$1,070 |
6.7× |
| Us pelvic non ob complete (76856) |
$1,509.90 |
$2,157 |
13.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$940.80 |
$1,344 |
8.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$830.90 |
$1,187 |
7.4× |
| Us retroperitoneal complete (76770) |
$1,474.20 |
$2,106 |
13.2× |
| Us retroperitoneal limited (76775) |
$1,313.20 |
$1,876 |
11.7× |
| Us scrotum and contents (76870) |
$1,376.90 |
$1,967 |
12.3× |
| Us spinal canal and contents (76800) |
$1,559.60 |
$2,228 |
13.9× |
| Us thyroid (76536) |
$1,343.30 |
$1,919 |
12.0× |
| Us transrectal (76872) |
$1,085 |
$1,550 |
9.7× |
| Vein X-Ray Chest (75827) |
$2,644.60 |
$3,778 |
1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$2,452.80 |
$3,504 |
0.7× |
| Vein X-Ray Spleen/Liver (75810) |
$1,512.70 |
$2,161 |
0.4× |
| Venogram Sinus/Jugular (75860) |
$2,597 |
$3,710 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$3,923.50 |
$5,605 |
1.2× |
| Venography extremity bilateral rs&i (75822) |
$2,265.20 |
$3,236 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,736 |
$2,480 |
1.0× |
| Venography Orbital Rs&I (75880) |
$1,353.10 |
$1,933 |
2.0× |
| Venography Renal Bilateral (75833) |
$3,885 |
$5,550 |
1.1× |
| Venography Renal Unilateral (75831) |
$3,749.20 |
$5,356 |
1.1× |
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure |
$2,668.40 |
$3,812 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$411.60 |
$588 |
4.4× |
| Wrist 2 views (73100) |
$399.70 |
$571 |
4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$764.40 |
$1,092 |
8.2× |
| X-ray antegrade pyelogram tube (74425) |
$1,262.80 |
$1,804 |
3.4× |
| X-Ray Aorta Leg Arteries (75630) |
$4,862.90 |
$6,947 |
1.4× |
| X-Ray Bend Only L-S Spine (72120) |
$637 |
$910 |
5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$367.50 |
$525 |
3.9× |
| X-Ray Exam Breast Specimen (76098) |
$790.30 |
$1,129 |
1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$613.20 |
$876 |
6.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$746.90 |
$1,067 |
6.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$823.20 |
$1,176 |
7.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$497 |
$710 |
5.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$522.90 |
$747 |
5.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$1,071 |
$1,530 |
9.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$896 |
$1,280 |
8.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$940.80 |
$1,344 |
8.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$987.70 |
$1,411 |
8.8× |
| X-Ray Exam L-S Spine Bending (72114) |
$1,169 |
$1,670 |
10.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$665.70 |
$951 |
7.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$985.60 |
$1,408 |
8.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$782.60 |
$1,118 |
7.0× |
| X-ray eye for foreign body (70030) |
$379.40 |
$542 |
4.1× |
| X-ray humerus (73060) |
$619.50 |
$885 |
6.6× |
| X-ray IV pyelogram (ivp) (74400) |
$1,164.80 |
$1,664 |
6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$524.30 |
$749 |
5.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$481.60 |
$688 |
5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$651.70 |
$931 |
5.8× |
| X-ray nose-rectum child f.b. (76010) |
$406 |
$580 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$988.40 |
$1,412 |
8.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$690.90 |
$987 |
6.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$744.10 |
$1,063 |
8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$840.70 |
$1,201 |
9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$812 |
$1,160 |
7.2× |
| X-Ray Stress View (77071) |
$367.50 |
$525 |
3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,158.50 |
$1,655 |
3.1× |
| X-Rays Bone Length Studies (77073) |
$770.70 |
$1,101 |
6.9× |
| X-Rays Bone Survey Complete (77075) |
$1,484 |
$2,120 |
13.2× |
| Xr c-spine 4 or 5 views (72050) |
$943.60 |
$1,348 |
8.4× |
| Xr facial bones less than 3 views (70140) |
$408.10 |
$583 |
4.4× |
| Xr orbits complete 4 views (70200) |
$828.10 |
$1,183 |
7.4× |