| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,539.44 |
$10,948 |
5.6× |
| Abdomen 1 View (74018) |
$662.22 |
$849 |
6.9× |
| Abdomen 2 views (74019) |
$730.08 |
$936 |
6.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,621.58 |
$3,361 |
5.9× |
| Adrenal Cortex & Medulla Img (78075) |
$3,238.56 |
$4,152 |
2.3× |
| Angio internal mammary (75756) |
$6,566.04 |
$8,418 |
1.9× |
| Angio pulmonary bilat (75743) |
$9,724.26 |
$12,467 |
2.8× |
| Angiography extremity bilateral rs&i (75716) |
$8,238.36 |
$10,562 |
2.4× |
| Angiography extremity unilateral rs&i (75710) |
$7,618.26 |
$9,767 |
2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$7,584.72 |
$9,724 |
2.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$6,477.90 |
$8,305 |
1.8× |
| Ankle 2 views (73600) |
$687.96 |
$882 |
7.1× |
| Aortography thoracic serialography rs&i (75605) |
$9,297.60 |
$11,920 |
1.5× |
| Artery X-Rays Abdomen (75726) |
$8,803.86 |
$11,287 |
1.4× |
| Artery X-Rays Pelvis (75736) |
$8,431.02 |
$10,809 |
1.4× |
| Artery X-Rays Spine (75705) |
$7,935.72 |
$10,174 |
1.3× |
| Arthrogram ankle (73615) |
$2,192.58 |
$2,811 |
5.7× |
| Arthrogram hip (73525) |
$2,574.78 |
$3,301 |
6.7× |
| Arthrogram Wrist (73115) |
$2,293.98 |
$2,941 |
5.9× |
| Basic radiation dosimetry calculation (77300) |
$862.68 |
$1,106 |
5.8× |
| Bone age studies (77072) |
$558.48 |
$716 |
4.8× |
| Bone Imaging 3 Phase (78315) |
$3,450.72 |
$4,424 |
7.8× |
| Bone Imaging Limited Area (78300) |
$2,156.70 |
$2,765 |
4.9× |
| Bone Imaging Multiple Areas (78305) |
$2,371.98 |
$3,041 |
5.3× |
| Bone Imaging Whole Body (78306) |
$3,136.38 |
$4,021 |
7.1× |
| Bone survey infant (77076) |
$1,348.62 |
$1,729 |
11.6× |
| Brachytx isodose complex (77318) |
$2,249.52 |
$2,884 |
5.4× |
| Brachytx isodose intermed (77317) |
$1,659.84 |
$2,128 |
4.0× |
| Brachytx Isodose Plan Simple (77316) |
$1,134.90 |
$1,455 |
2.7× |
| Brain Flow Imaging Only (78610) |
$1,160.64 |
$1,488 |
1.9× |
| Brain Image W/Flow < 4 Views (78601) |
$2,754.18 |
$3,531 |
6.2× |
| Brain imaging < 4 static views (78600) |
$1,237.08 |
$1,586 |
2.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,570.84 |
$4,578 |
5.9× |
| Brain Imaging Minimum 4 Static Views (78605) |
$3,162.12 |
$4,054 |
5.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,559.76 |
$9,692 |
4.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,805.70 |
$2,315 |
4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,047.46 |
$3,907 |
7.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$3,677.70 |
$4,715 |
4.2× |
| Cardiac Shunt Detection (78428) |
$1,583.40 |
$2,030 |
3.6× |
| Cardiovasc nucl exam unlisted (78499) |
$1,583.40 |
$2,030 |
3.6× |
| Cat Scan Follow-Up Study (76380) |
$1,553.76 |
$1,992 |
16.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,600.56 |
$2,052 |
2.7× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) |
$2,992.08 |
$3,836 |
5.0× |
| Cerebrospinal Fluid Scan (78630) |
$2,019.42 |
$2,589 |
3.4× |
| Chest 1 view (71045) |
$666.90 |
$855 |
6.9× |
| Chest 2 views (71046) |
$733.98 |
$941 |
7.6× |
| Chest 3 views (71047) |
$741 |
$950 |
7.7× |
| Chest 4 or more views (71048) |
$850.98 |
$1,091 |
7.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$294.06 |
$377 |
2.5× |
| Cholecystography Oral Contrast (74290) |
$386.88 |
$496 |
2.0× |
| Clavicle complete (73000) |
$570.96 |
$732 |
5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$235.56 |
$302 |
2.0× |
| Continuing medical physics consltj pr wk (77336) |
$802.62 |
$1,029 |
5.4× |
| Contrast Exam Abdominl Aorta (75625) |
$7,988.76 |
$10,242 |
2.3× |
| Contrast X-Ray Bladder (74430) |
$1,194.18 |
$1,531 |
3.1× |
| Contrast X-Ray Of Elbow (73085) |
$2,574.78 |
$3,301 |
6.7× |
| Contrast X-Ray Of Knee Joint (73580) |
$2,192.58 |
$2,811 |
5.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,045.74 |
$9,033 |
18.2× |
| CT abdomen and pelvis without contrast (74176) |
$5,210.40 |
$6,680 |
19.7× |
| CT abdomen w contrast (74160) |
$3,233.10 |
$4,145 |
16.6× |
| CT abdomen w wo contrast (74170) |
$3,591.12 |
$4,604 |
18.4× |
| CT abdomen w/o contrast (74150) |
$2,462.46 |
$3,157 |
21.2× |
| CT Angio Abdomen and Pelvis (74174) |
$5,871.06 |
$7,527 |
15.2× |
| CT Angio Chest (71275) |
$3,057.60 |
$3,920 |
15.7× |
| CT Angio Head (70496) |
$4,378.14 |
$5,613 |
22.5× |
| CT angio hrt w/3d image (75574) |
$3,913.26 |
$5,017 |
10.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$3,324.36 |
$4,262 |
17.1× |
| CT Angio Neck (70498) |
$4,020.12 |
$5,154 |
20.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$3,324.36 |
$4,262 |
17.1× |
| CT cervical spine w/ contrast (72126) |
$3,819.66 |
$4,897 |
9.9× |
| CT cervical spine w/o contrast (72125) |
$3,469.44 |
$4,448 |
29.9× |
| CT cervical spine w/wo cont (72127) |
$5,180.76 |
$6,642 |
26.6× |
| CT chest w contrast (71260) |
$3,076.32 |
$3,944 |
15.8× |
| CT chest w/wo contrast (71270) |
$3,935.10 |
$5,045 |
20.2× |
| CT head/brain with contrast (70460) |
$4,378.14 |
$5,613 |
22.5× |
| CT head/brain without and with contrast (70470) |
$5,085.60 |
$6,520 |
26.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,694.12 |
$3,454 |
7.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,379.82 |
$1,769 |
14.3× |
| CT hrt w/3d image congen (75573) |
$2,694.12 |
$3,454 |
7.0× |
| CT iac w contrast (70481) |
$4,020.12 |
$5,154 |
20.7× |
| CT l-spine w&w/o contrast (72133) |
$3,935.10 |
$5,045 |
20.2× |
| CT lower ext w/o (73700) |
$2,130.18 |
$2,731 |
18.4× |
| CT lower extremity w/contrast material (73701) |
$2,815.80 |
$3,610 |
14.5× |
| CT lumbar spine w contrast (72132) |
$3,141.84 |
$4,028 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$2,636.40 |
$3,380 |
22.7× |
| CT maxillofacial w contrast (70487) |
$4,020.12 |
$5,154 |
20.7× |
| CT maxillofacial wo contrast (70486) |
$1,506.96 |
$1,932 |
13.0× |
| CT neck tissue combo (70492) |
$4,487.34 |
$5,753 |
23.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$4,291.56 |
$5,502 |
22.0× |
| CT orbits w/o contrast (70480) |
$3,006.12 |
$3,854 |
25.9× |
| CT pelvis w&w/o contrast (72194) |
$3,591.12 |
$4,604 |
18.4× |
| CT pelvis w/o contrast (72192) |
$2,462.46 |
$3,157 |
21.2× |
| CT scan of leg combo (73702) |
$3,009.24 |
$3,858 |
15.5× |
| CT scans face/jaw combo (70488) |
$4,487.34 |
$5,753 |
23.1× |
| CT soft tissue neck w contrast (70491) |
$4,020.12 |
$5,154 |
20.7× |
| CT soft tissue neck w/o contrast (70490) |
$3,006.12 |
$3,854 |
25.9× |
| CT thoracic spine w contrast (72129) |
$3,409.38 |
$4,371 |
17.5× |
| CT thoracic spine w/o contrast (72128) |
$2,636.40 |
$3,380 |
22.7× |
| CT thoracic spine w/wo cont (72130) |
$3,935.10 |
$5,045 |
20.2× |
| CT thorax w/o contrast (71250) |
$2,811.90 |
$3,605 |
24.2× |
| CT upper ext wo (73200) |
$2,130.18 |
$2,731 |
18.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,718.26 |
$4,767 |
19.1× |
| CT upper extremity with contrast (73201) |
$2,815.80 |
$3,610 |
7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,484.22 |
$5,749 |
23.0× |
| Cta Abdomen (74175) |
$3,324.36 |
$4,262 |
17.1× |
| CTA pelvis (72191) |
$3,089.58 |
$3,961 |
15.9× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) |
$1,583.40 |
$2,030 |
2.6× |
| Dilation ureters/urethra rs&i (74485) |
$1,246.44 |
$1,598 |
0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$650.52 |
$834 |
5.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$815.10 |
$1,045 |
7.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,070.94 |
$1,373 |
9.2× |
| Dxa Bone Density Axial (77080) |
$472.68 |
$606 |
4.1× |
| Dxa bone density study (77085) |
$800.28 |
$1,026 |
6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$156.78 |
$201 |
1.6× |
| Echo exam of fetal heart (76825) |
$3,869.58 |
$4,961 |
6.4× |
| Echo exam uterus (76831) |
$819.78 |
$1,051 |
3.1× |
| Echo Guide For Artery Repair (76936) |
$2,256.54 |
$2,893 |
9.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$2,336.88 |
$2,996 |
8.8× |
| Echograp Trans R Pros Study (76873) |
$1,168.44 |
$1,498 |
10.1× |
| Esophagram (74220) |
$967.20 |
$1,240 |
5.0× |
| Fetal Biophys Profile W/Nst (76818) |
$1,240.20 |
$1,590 |
10.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,185.60 |
$1,520 |
10.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) |
$3,867.24 |
$4,958 |
14.6× |
| Fluoroscopy up to 1 hr (76000) |
$1,712.88 |
$2,196 |
6.5× |
| Follow-Up Angiography (75898) |
$3,279.12 |
$4,204 |
0.9× |
| Foot 2 views (73620) |
$570.96 |
$732 |
5.9× |
| Forearm 2 views (73090) |
$726.96 |
$932 |
7.5× |
| Gastric emptying imaging study (78264) |
$2,712.06 |
$3,477 |
6.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$2,712.06 |
$3,477 |
6.1× |
| Gastroesophageal Reflux Exam (78262) |
$2,376.66 |
$3,047 |
5.4× |
| Gated Heart Planar Single (78472) |
$2,909.40 |
$3,730 |
6.6× |
| Gated Heart, Multiple (78473) |
$3,200.34 |
$4,103 |
7.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$5,425.68 |
$6,956 |
9.0× |
| Hand 2 views (73120) |
$570.96 |
$732 |
4.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$4,564.56 |
$5,852 |
5.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$3,212.04 |
$4,118 |
4.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$2,887.56 |
$3,702 |
3.7× |
| Heart first pass single,planar (78481) |
$2,909.40 |
$3,730 |
4.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$9,923.16 |
$12,722 |
2.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$9,923.16 |
$12,722 |
2.8× |
| Hepatobil Syst Image W/Drug (78227) |
$3,326.70 |
$4,265 |
5.5× |
| Hepatobiliary System Imaging (78226) |
$3,023.28 |
$3,876 |
6.8× |
| Ht Musc Image Planar Mult (78454) |
$2,764.32 |
$3,544 |
1.9× |
| Ht Muscle Image Spect Sing (78451) |
$5,077.02 |
$6,509 |
3.5× |
| Hysterosalpingogram (74740) |
$639.60 |
$820 |
2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$846.30 |
$1,085 |
8.8× |
| Interstitial radiation source applic complex (77778) |
$6,833.58 |
$8,761 |
8.8× |
| Intracavitary Radiation Source Applic Complex (77763) |
$4,389.84 |
$5,628 |
5.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$3,050.58 |
$3,911 |
5.0× |
| Intracavitary radiation source applic simple (77761) |
$1,900.08 |
$2,436 |
3.1× |
| Joint Survey Single View (77077) |
$99.06 |
$127 |
0.9× |
| K Flow/Funct Image Multiple (78709) |
$3,450.72 |
$4,424 |
5.7× |
| K Flow/Funct Image W/Drug (78708) |
$3,136.38 |
$4,021 |
5.2× |
| K Flow/Funct Image W/O Drug (78707) |
$2,127.84 |
$2,728 |
3.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) |
$935.22 |
$1,199 |
2.1× |
| Kidney Imaging Morphol (78700) |
$1,531.14 |
$1,963 |
3.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$1,684.80 |
$2,160 |
3.8× |
| Knee 3 Views (73562) |
$809.64 |
$1,038 |
8.4× |
| Leveen/Shunt Patency Exam (78291) |
$2,190.24 |
$2,808 |
4.9× |
| Liver & Spleen Imaging Static Only (78215) |
$2,297.10 |
$2,945 |
5.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,527.20 |
$3,240 |
5.7× |
| Liver imaging static only (78201) |
$1,506.18 |
$1,931 |
2.5× |
| Liver imaging w/vascular flow (78202) |
$2,190.24 |
$2,808 |
3.6× |
| Lung Perf&Ventilat Diferentl (78598) |
$7,385.04 |
$9,468 |
12.3× |
| Lung perfusion differential (78597) |
$3,579.42 |
$4,589 |
8.1× |
| Lung Ventilat&Perfus Imaging (78582) |
$6,845.28 |
$8,776 |
11.4× |
| Lung Ventilation Imaging (78579) |
$3,290.04 |
$4,218 |
7.4× |
| Lymph System Imaging (78195) |
$2,613 |
$3,350 |
4.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$8,431.02 |
$10,809 |
2.4× |
| Magnetic Image Jaw Joint (70336) |
$3,804.06 |
$4,877 |
14.4× |
| Magnetic Resonance Elastography (76391) |
$1,893.84 |
$2,428 |
7.2× |
| Mammary ductogram or galactogram multiple (77054) |
$975 |
$1,250 |
3.7× |
| Mammary ductogram or galactogram single (77053) |
$785.46 |
$1,007 |
3.0× |
| Meckels Divert Exam (78290) |
$2,621.58 |
$3,361 |
5.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$5,283.72 |
$6,774 |
12.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$5,942.04 |
$7,618 |
15.3× |
| MRA head w/o contrast (70544) |
$3,673.02 |
$4,709 |
13.9× |
| MRA head with contrast (70545) |
$4,807.14 |
$6,163 |
12.4× |
| MRA neck w contrast (70548) |
$5,268.12 |
$6,754 |
13.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,726.76 |
$7,342 |
14.8× |
| MRA neck w/o contrast (70547) |
$4,807.92 |
$6,164 |
18.2× |
| MRI abdomen w contrast (74182) |
$5,774.34 |
$7,403 |
14.9× |
| MRI abdomen w/o contrast (74181) |
$5,470.92 |
$7,014 |
20.7× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,556.76 |
$5,842 |
5.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$6,076.20 |
$7,790 |
15.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,556.76 |
$5,842 |
5.2× |
| MRI bone marrow blood supply (77084) |
$2,848.56 |
$3,652 |
10.8× |
| MRI brain functional w/o physician admnistration (70554) |
$2,991.30 |
$3,835 |
11.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$4,165.20 |
$5,340 |
15.7× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$4,165.20 |
$5,340 |
15.7× |
| MRI cardiac w/o cont stress (75559) |
$2,877.42 |
$3,689 |
4.7× |
| MRI cardiac w/o contrast (75557) |
$2,289.30 |
$2,935 |
8.6× |
| MRI cervical spine w contrast (72142) |
$4,526.34 |
$5,803 |
11.7× |
| MRI cervical spine w/o cont (72141) |
$3,502.20 |
$4,490 |
13.2× |
| MRI chest w/o contrast (71550) |
$3,350.88 |
$4,296 |
12.7× |
| MRI chest with contrast (71551) |
$3,520.92 |
$4,514 |
4.0× |
| MRI chest wo w contrast (71552) |
$5,467.02 |
$7,009 |
14.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,352.40 |
$5,580 |
11.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$6,076.20 |
$7,790 |
15.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,141.80 |
$5,310 |
15.6× |
| MRI lumbar spine w contrast (72149) |
$4,972.50 |
$6,375 |
12.8× |
| Mri Neck Spine W/O & W/Dye (72156) |
$5,549.70 |
$7,115 |
14.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,673.02 |
$4,709 |
13.9× |
| MRI orbit face neck w contrast (70542) |
$4,807.14 |
$6,163 |
12.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$5,942.04 |
$7,618 |
15.3× |
| MRI pelvis w contrast (72196) |
$3,521.70 |
$4,515 |
9.1× |
| MRI pelvis w/o & w contrast (72197) |
$5,665.14 |
$7,263 |
14.6× |
| MRI pelvis w/o contrast (72195) |
$3,520.14 |
$4,513 |
13.3× |
| MRI spectroscopy (76390) |
$3,277.56 |
$4,202 |
33.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,249.48 |
$4,166 |
12.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$4,352.40 |
$5,580 |
11.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,960.84 |
$5,078 |
15.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$6,098.04 |
$7,818 |
15.7× |
| MRI, abdomen, combo (74183) |
$6,076.20 |
$7,790 |
15.7× |
| MRI, dorsal spine combo (72157) |
$6,098.04 |
$7,818 |
15.7× |
| MRI, dorsal spine contrast (72147) |
$3,350.88 |
$4,296 |
8.7× |
| MRI, joint upper extrem (73221) |
$4,157.40 |
$5,330 |
15.7× |
| MRI, joint upper extrem combo (73223) |
$6,076.20 |
$7,790 |
15.7× |
| MRI, lumbar spine combo (72158) |
$6,098.04 |
$7,818 |
15.7× |
| Musculoskeletal Nuclear Exam (78399) |
$1,279.98 |
$1,641 |
2.9× |
| Myelogram cervical (72240) |
$3,756.48 |
$4,816 |
4.3× |
| Myelogram Lumbar (72265) |
$3,339.18 |
$4,281 |
3.8× |
| Myelography thoracic (72255) |
$3,339.18 |
$4,281 |
3.8× |
| Myelograpy 2/more regions rs&i (72270) |
$5,792.28 |
$7,426 |
6.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$7,559.76 |
$9,692 |
5.3× |
| Myocardial Spect Multiple Studies (78452) |
$6,041.10 |
$7,745 |
4.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) |
$8,315.58 |
$10,661 |
5.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,742.52 |
$2,234 |
1.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) |
$1,742.52 |
$2,234 |
0.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) |
$1,742.52 |
$2,234 |
0.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) |
$1,742.52 |
$2,234 |
1.0× |
| Neck soft tissue (70360) |
$507.78 |
$651 |
5.3× |
| Nervous system nuclear exam (78699) |
$1,015.56 |
$1,302 |
2.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$2,467.92 |
$3,164 |
5.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,893.06 |
$2,427 |
4.3× |
| Nm csf leak detection (78650) |
$3,073.20 |
$3,940 |
2.1× |
| Nm myocard infarct spect (78469) |
$2,485.86 |
$3,187 |
4.1× |
| Nm unlisted gi procedure (78299) |
$1,401.66 |
$1,797 |
3.2× |
| Nonvascular Shunt X-Ray (75809) |
$427.44 |
$548 |
3.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$11,773.32 |
$15,094 |
7.7× |
| Nuclear medicine study of endocrine organs (78099) |
$1,387.62 |
$1,779 |
3.1× |
| Nuclear Rx Intra-Arterial (79445) |
$1,750.32 |
$2,244 |
6.8× |
| Nuclear Rx Oral Admin (79005) |
$1,831.44 |
$2,348 |
7.1× |
| Ob us nuchal meas 1 gest (76813) |
$780.78 |
$1,001 |
6.7× |
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 2 matching MRF lines |
$316.68–$347.88 |
$406–$446 |
varies |
| Optic foramina (70190) |
$251.94 |
$323 |
2.6× |
| Panoramic X-ray of jaws (70355) |
$481.26 |
$617 |
5.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$5,871.84 |
$7,528 |
9.7× |
| Parathyroid Planar Imaging (78070) |
$4,758.78 |
$6,101 |
10.7× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$5,871.84 |
$7,528 |
13.2× |
| Pelvis 1 or 2 views (72170) |
$715.26 |
$917 |
6.2× |
| Peritoneogram Rs&I (74190) |
$436.02 |
$559 |
0.7× |
| Pet Image W/Ct Lmtd (78814) |
$4,849.26 |
$6,217 |
3.1× |
| PET image w/CT, full body (78816) |
$11,061.18 |
$14,181 |
7.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$9,141.60 |
$11,720 |
5.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$8,922.42 |
$11,439 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,928.90 |
$3,755 |
6.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$1,187.94 |
$1,523 |
10.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,450.80 |
$1,860 |
2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$792.48 |
$1,016 |
8.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$458.64 |
$588 |
4.7× |
| Radex elbow complete minimum 3 views (73080) |
$667.68 |
$856 |
6.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$1,005.42 |
$1,289 |
8.7× |
| Radex fingr minimum 2 views (73140) |
$449.28 |
$576 |
4.7× |
| Radex foot complete minimum 3 views (73630) |
$726.96 |
$932 |
7.5× |
| Radex Hand Minimum 3 Views (73130) |
$667.68 |
$856 |
6.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$430.56 |
$552 |
4.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$949.26 |
$1,217 |
8.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$765.96 |
$982 |
7.9× |
| Radex Ribs Unilateral 2 Views (71100) |
$715.26 |
$917 |
7.4× |
| Radex shoulder complete minimum 2 views (73030) |
$751.92 |
$964 |
7.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$422.76 |
$542 |
4.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$1,212.90 |
$1,555 |
6.2× |
| Radex Spine 1 View Specify Level (72020) |
$675.48 |
$866 |
7.0× |
| Radex Sternum Minimum 2 Views (71120) |
$673.92 |
$864 |
7.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,185.60 |
$1,520 |
12.3× |
| Radex Toe Minimum 2 Views (73660) |
$492.96 |
$632 |
5.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$430.56 |
$552 |
3.7× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$547.56 |
$702 |
5.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,386.06 |
$1,777 |
11.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$73,929.96 |
$94,782 |
9.0× |
| Radiation treatment delivery level 1 (77402) |
$580.32 |
$744 |
5.1× |
| Radiation treatment delivery level 2 (77407) |
$580.32 |
$744 |
1.4× |
| Radiation treatment delivery level 3 (77412) |
$694.98 |
$891 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$941.46 |
$1,207 |
8.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$795.60 |
$1,020 |
6.9× |
| Radiologic exam colon double contrast study (74280) |
$2,020.20 |
$2,590 |
10.4× |
| Radiologic exam colon single contrast study (74270) |
$1,804.92 |
$2,314 |
9.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,322.88 |
$1,696 |
6.8× |
| Radiologic exam knee complete 4/more views (73564) |
$809.64 |
$1,038 |
7.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$900.90 |
$1,155 |
7.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,190.28 |
$1,526 |
6.1× |
| Radiologic exam swallow function contrast study (74230) |
$1,223.82 |
$1,569 |
6.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,290.12 |
$1,654 |
6.6× |
| Radiologic examination femur 1 view (73551) |
$570.96 |
$732 |
5.9× |
| Radiologic examination femur minimum 2 views (73552) |
$726.96 |
$932 |
7.5× |
| Radiologic examination knee 1/2 views (73560) |
$783.12 |
$1,004 |
8.1× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,576.38 |
$2,021 |
13.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$792.48 |
$1,016 |
8.2× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) |
$1,456.26 |
$1,867 |
5.6× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) |
$1,456.26 |
$1,867 |
5.6× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) |
$1,456.26 |
$1,867 |
5.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) |
$5,775.12 |
$7,404 |
13.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$2,887.56 |
$3,702 |
6.7× |
| Ribs bilateral 3 views (71110) |
$770.64 |
$988 |
6.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,141.10 |
$2,745 |
4.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,408.60 |
$4,370 |
7.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,124.64 |
$5,288 |
6.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$3,749.46 |
$4,807 |
6.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$4,990.44 |
$6,398 |
8.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$6,038.76 |
$7,742 |
4.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$6,643.26 |
$8,517 |
4.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$5,489.64 |
$7,038 |
3.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$2,502.24 |
$3,208 |
9.7× |
| Rp Therapy Intravenous Administration (79101) |
$1,750.32 |
$2,244 |
6.8× |
| Scapula (73010) |
$436.02 |
$559 |
3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$156 |
$200 |
6.7× |
| Sella turcica (70240) |
$201.24 |
$258 |
2.1× |
| Shoulder 1 view (73020) |
$392.34 |
$503 |
4.1× |
| Shoulder Arthrography (73040) |
$2,692.56 |
$3,452 |
7.0× |
| Skull less than 4 views (70250) |
$847.86 |
$1,087 |
7.3× |
| Special dosimetry (77331) |
$744.90 |
$955 |
5.0× |
| Special Physics Consult (77370) |
$1,042.86 |
$1,337 |
7.0× |
| Special teletherapy port plan (77321) |
$1,993.68 |
$2,556 |
4.8× |
| Special treatment procedure (77470) |
$3,469.44 |
$4,448 |
5.7× |
| Spleen Imaging (78185) |
$1,336.14 |
$1,713 |
3.0× |
| Stereotactic Body Radiation Delivery (77373) |
$14,401.92 |
$18,464 |
7.3× |
| Sternoclavicular joints (71130) |
$757.38 |
$971 |
7.8× |
| Superior sagittal sinus venogram (75870) |
$5,062.98 |
$6,491 |
1.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$520.26 |
$667 |
4.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,395.42 |
$1,789 |
3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,081.08 |
$1,386 |
2.6× |
| Testicular Imaging W/Flow (78761) |
$1,680.12 |
$2,154 |
3.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,989.74 |
$3,833 |
7.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$2,373.54 |
$3,043 |
5.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,446.90 |
$1,855 |
9.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$2,812.68 |
$3,606 |
14.4× |
| Thoracic spine 2 views (72070) |
$758.16 |
$972 |
6.5× |
| Thoracic spine 3 views (72072) |
$820.56 |
$1,052 |
7.1× |
| Thoracolumbar 2 views (72080) |
$690.30 |
$885 |
7.1× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) |
$2,722.98 |
$3,491 |
6.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,187.16 |
$1,522 |
2.7× |
| Thyroid Met Imaging Body (78018) |
$3,564.60 |
$4,570 |
5.9× |
| Thyroid Uptake Measurement (78012) |
$1,511.64 |
$1,938 |
3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,188.64 |
$4,088 |
7.2× |
| Tx Devices Design & Construction Complex (77334) |
$2,056.08 |
$2,636 |
4.9× |
| Tx devices design & construction intermediate (77333) |
$1,149.72 |
$1,474 |
7.7× |
| Tx devices design & construction simple (77332) |
$938.34 |
$1,203 |
6.3× |
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines |
$503.88–$553.80 |
$646–$710 |
varies |
| Ultrasound elastography first target lesion (76982) |
$1,138.02 |
$1,459 |
9.8× |
| Ultrasound Elastography Parenchyma (76981) |
$1,138.02 |
$1,459 |
9.8× |
| Ultrasound Exam Aaa Screen (76706) |
$1,185.60 |
$1,520 |
10.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$766.74 |
$983 |
2.0× |
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines |
$760.50–$836.16 |
$975–$1,072 |
varies |
| Umbilical-artery Doppler (OB) (76820) |
$1,070.94 |
$1,373 |
9.2× |
| Unlisted Dx Radiographic Procedure (76499) |
$833.82 |
$1,069 |
8.6× |
| Unlisted fluoroscopic procedure (76496) |
$3,080.22 |
$3,949 |
31.9× |
| Unlisted magnetic resonance procedure (76498) |
$203.58 |
$261 |
2.1× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) |
$1,544.40 |
$1,980 |
3.5× |
| Unlisted respiratory px dx nuclear medicine (78599) |
$1,068.60 |
$1,370 |
2.4× |
| Unlisted us procedure (76999) |
$180.96 |
$232 |
1.9× |
| Upper gi w/o kub (74240) |
$1,254.24 |
$1,608 |
6.4× |
| Ureteral Reflux Study (78740) |
$2,035.02 |
$2,609 |
4.6× |
| Urethrocystogram voiding (74455) |
$1,244.88 |
$1,596 |
4.7× |
| Urethrocystography retrograde (74450) |
$1,435.98 |
$1,841 |
5.4× |
| Us breast unilateral complete (76641) |
$553.80 |
$710 |
4.8× |
Us chest (76604)
range across 2 matching MRF lines |
$884.52–$972.66 |
$1,134–$1,247 |
varies |
| Us complete joint (76881) |
$1,116.96 |
$1,432 |
9.6× |
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines |
$1,149.72–$1,264.38 |
$1,474–$1,621 |
varies |
| Us head (76506) |
$972.66 |
$1,247 |
8.4× |
| Us kidney transplant (76776) |
$1,308.84 |
$1,678 |
11.3× |
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines |
$147.42–$747.24 |
$189–$958 |
varies |
| Us ob detailed single fetus (76811) |
$1,831.44 |
$2,348 |
6.9× |
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines |
$779.22–$856.44 |
$999–$1,098 |
varies |
| Us ob transvaginal (76817) |
$856.44 |
$1,098 |
7.4× |
| Us pelvic non ob complete (76856) |
$1,619.28 |
$2,076 |
14.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,272.18 |
$1,631 |
11.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$856.44 |
$1,098 |
7.4× |
| Us retroperitoneal complete (76770) |
$1,497.60 |
$1,920 |
12.9× |
Us retroperitoneal limited (76775)
range across 2 matching MRF lines |
$1,237.08–$1,360.32 |
$1,586–$1,744 |
varies |
| Us scrotum and contents (76870) |
$1,494.48 |
$1,916 |
12.9× |
| Us spinal canal and contents (76800) |
$828.36 |
$1,062 |
7.1× |
Us thyroid (76536)
range across 2 matching MRF lines |
$1,212.90–$1,333.80 |
$1,555–$1,710 |
varies |
| Vascular Flow Imaging (78445) |
$1,375.92 |
$1,764 |
3.1× |
| Vein X-Ray Chest (75827) |
$7,039.50 |
$9,025 |
4.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$4,158.18 |
$5,331 |
1.2× |
| Vein X-Ray Skull Epidural (75872) |
$1,290.12 |
$1,654 |
1.9× |
| Vein X-Ray Spleen/Liver (75810) |
$9,395.88 |
$12,046 |
2.7× |
| Venogram Sinus/Jugular (75860) |
$4,825.08 |
$6,186 |
1.4× |
| Venography Adrenal Unilateral (75840) |
$17,864.34 |
$22,903 |
5.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,605.82 |
$8,469 |
1.9× |
| Venography extremity bilateral rs&i (75822) |
$3,718.26 |
$4,767 |
2.1× |
| Venography extremity unilateral rs&i (75820) |
$3,080.22 |
$3,949 |
1.8× |
| Venography Renal Bilateral (75833) |
$8,182.98 |
$10,491 |
2.3× |
| Venography Renal Unilateral (75831) |
$8,004.36 |
$10,262 |
2.3× |
| Venous sampling by catheter (75893) |
$5,317.26 |
$6,817 |
0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) |
$2,889.12 |
$3,704 |
6.5× |
| Vertebral fracture assessment via dxa (77086) |
$265.98 |
$341 |
2.8× |
| Wrist 2 views (73100) |
$481.26 |
$617 |
5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$818.22 |
$1,049 |
8.5× |
| X-ray antegrade pyelogram tube (74425) |
$1,310.40 |
$1,680 |
3.4× |
| X-Ray Aorta Leg Arteries (75630) |
$9,566.70 |
$12,265 |
2.7× |
| X-Ray Bend Only L-S Spine (72120) |
$748.80 |
$960 |
6.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$568.62 |
$729 |
5.9× |
| X-Ray Exam Breast Specimen (76098) |
$339.30 |
$435 |
0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$476.58 |
$611 |
4.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$1,145.04 |
$1,468 |
9.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$1,258.92 |
$1,614 |
10.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$547.56 |
$702 |
5.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$726.96 |
$932 |
7.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$883.74 |
$1,133 |
7.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$854.10 |
$1,095 |
7.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,091.22 |
$1,399 |
9.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,326.78 |
$1,701 |
11.4× |
| X-Ray Exam L-S Spine Bending (72114) |
$1,467.18 |
$1,881 |
12.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$715.26 |
$917 |
7.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,467.18 |
$1,881 |
12.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$783.12 |
$1,004 |
6.7× |
| X-ray eye for foreign body (70030) |
$534.30 |
$685 |
5.5× |
| X-ray humerus (73060) |
$570.96 |
$732 |
5.9× |
| X-ray IV pyelogram (ivp) (74400) |
$1,242.54 |
$1,593 |
6.4× |
| X-ray IV pyelogram+tomography (74415) |
$2,028 |
$2,600 |
10.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$547.56 |
$702 |
5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$783.12 |
$1,004 |
8.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$806.52 |
$1,034 |
7.0× |
| X-ray nose-rectum child f.b. (76010) |
$746.46 |
$957 |
7.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$846.30 |
$1,085 |
7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$667.68 |
$856 |
5.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$545.22 |
$699 |
4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$653.64 |
$838 |
6.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$850.20 |
$1,090 |
8.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$964.86 |
$1,237 |
8.3× |
| X-ray thoracic spine 4 vw (72074) |
$903.24 |
$1,158 |
7.8× |
| X-Ray Tmj Unilat (70328) |
$861.90 |
$1,105 |
8.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,519.44 |
$1,948 |
3.9× |
| X-Rays Bone Length Studies (77073) |
$984.36 |
$1,262 |
8.5× |
| X-Rays Bone Survey Complete (77075) |
$1,649.70 |
$2,115 |
14.2× |
| Xr c-spine 4 or 5 views (72050) |
$939.90 |
$1,205 |
8.1× |
| Xr facial bones less than 3 views (70140) |
$601.38 |
$771 |
6.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$260.52 |
$334 |
2.2× |
| Xr orbits complete 4 views (70200) |
$794.82 |
$1,019 |
6.9× |
| Xr Tomogram Single Plane (76100) |
$587.34 |
$753 |
5.1× |