| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,016.20 |
$14,332 |
2.8× |
| Abdomen 1 View (74018) |
$387.80 |
$1,108 |
3.5× |
| Abdomen 2 views (74019) |
$430.50 |
$1,230 |
3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,737.05 |
$4,963 |
3.4× |
| Adrenal Cortex & Medulla Img (78075) |
$2,898.35 |
$8,281 |
1.7× |
| Angio internal mammary (75756) |
$1,778.35 |
$5,081 |
0.4× |
| Angio pulmonary bilat (75743) |
$4,742.15 |
$13,549 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$5,690.65 |
$16,259 |
1.4× |
| Angiography extremity unilateral rs&i (75710) |
$3,113.60 |
$8,896 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,482.60 |
$4,236 |
0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,778.35 |
$5,081 |
0.4× |
| Ankle 2 views (73600) |
$384.65 |
$1,099 |
3.4× |
| Aortography thoracic serialography rs&i (75605) |
$5,186.30 |
$14,818 |
0.7× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,141.90 |
$11,834 |
1.0× |
| Artery X-Rays Abdomen (75726) |
$5,186.30 |
$14,818 |
0.7× |
| Artery X-Rays Adrenal Gland (75731) |
$1,482.60 |
$4,236 |
0.4× |
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure |
$3,134.60 |
$8,956 |
0.4× |
| Artery X-Rays Spine (75705) |
$5,186.30 |
$14,818 |
0.7× |
| Arthrogram hip (73525) |
$551.60 |
$1,576 |
1.2× |
| Arthrogram Wrist (73115) |
$1,802.15 |
$5,149 |
4.0× |
| Basic radiation dosimetry calculation (77300) |
$1,566.25 |
$4,475 |
9.1× |
| Bone age studies (77072) |
$329.35 |
$941 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$1,703.45 |
$4,867 |
3.3× |
| Bone Imaging Limited Area (78300) |
$1,292.90 |
$3,694 |
2.5× |
| Bone Imaging Whole Body (78306) |
$1,629.60 |
$4,656 |
3.2× |
| Bone marrow imaging limited area (78102) |
$1,010.80 |
$2,888 |
2.0× |
| Bone survey infant (77076) |
$492.80 |
$1,408 |
3.7× |
| Brachytx isodose complex (77318) |
$3,232.60 |
$9,236 |
6.7× |
| Brachytx isodose intermed (77317) |
$2,460.50 |
$7,030 |
5.1× |
| Brachytx Isodose Plan Simple (77316) |
$1,637.65 |
$4,679 |
3.4× |
| Brain Image W/Flow < 4 Views (78601) |
$786.80 |
$2,248 |
1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,132.25 |
$3,235 |
1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,790.90 |
$7,974 |
1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,719.20 |
$4,912 |
3.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$2,263.10 |
$6,466 |
2.2× |
| Cardiac Shunt Detection (78428) |
$373.10 |
$1,066 |
0.7× |
| Cat Scan Follow-Up Study (76380) |
$589.05 |
$1,683 |
5.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,068.55 |
$3,053 |
1.5× |
| Cerebrospinal Fluid Scan (78630) |
$1,396.85 |
$3,991 |
2.0× |
| Chest 1 view (71045) |
$399.70 |
$1,142 |
3.6× |
| Chest 2 views (71046) |
$468.65 |
$1,339 |
4.2× |
| Chest 3 views (71047) |
$500.15 |
$1,429 |
4.5× |
| Chest 4 or more views (71048) |
$533.05 |
$1,523 |
4.0× |
| Clavicle complete (73000) |
$392 |
$1,120 |
3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$461.65 |
$1,319 |
3.4× |
| Continuing medical physics consltj pr wk (77336) |
$587.65 |
$1,679 |
3.4× |
| Contrast Exam Abdominl Aorta (75625) |
$3,113.60 |
$8,896 |
0.8× |
| Contrast X-Ray Bladder (74430) |
$476.70 |
$1,362 |
1.1× |
| Contrast X-Ray Of Knee Joint (73580) |
$812.70 |
$2,322 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,368.50 |
$3,910 |
3.0× |
| CT abdomen and pelvis without contrast (74176) |
$785.05 |
$2,243 |
2.6× |
| CT abdomen w contrast (74160) |
$557.55 |
$1,593 |
2.5× |
| CT abdomen w wo contrast (74170) |
$715.05 |
$2,043 |
3.2× |
| CT abdomen w/o contrast (74150) |
$391.30 |
$1,118 |
2.9× |
| CT Angio Abdomen and Pelvis (74174) |
$1,096.90 |
$3,134 |
2.4× |
| CT Angio Chest (71275) |
$730.80 |
$2,088 |
3.2× |
| CT Angio Head (70496) |
$844.90 |
$2,414 |
3.7× |
| CT angio hrt w/3d image (75574) |
$577.85 |
$1,651 |
1.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$730.80 |
$2,088 |
3.2× |
| CT Angio Neck (70498) |
$844.90 |
$2,414 |
3.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$731.15 |
$2,089 |
3.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) |
$1,619.10 |
$4,626 |
7.2× |
| CT cervical spine w/ contrast (72126) |
$596.75 |
$1,705 |
1.3× |
| CT cervical spine w/o contrast (72125) |
$482.30 |
$1,378 |
3.6× |
| CT cervical spine w/wo cont (72127) |
$751.10 |
$2,146 |
3.3× |
| CT chest w contrast (71260) |
$515.90 |
$1,474 |
2.3× |
| CT chest w/wo contrast (71270) |
$650.65 |
$1,859 |
2.9× |
| CT colonography screening (74263) |
$799.05 |
$2,283 |
2.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$419.30 |
$1,198 |
1.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$335.30 |
$958 |
2.5× |
| CT head/brain with contrast (70460) |
$480.55 |
$1,373 |
2.1× |
| CT head/brain without and with contrast (70470) |
$591.85 |
$1,691 |
2.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$421.75 |
$1,205 |
0.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$96.60 |
$276 |
0.9× |
| CT hrt w/3d image congen (75573) |
$540.40 |
$1,544 |
1.2× |
| CT iac w contrast (70481) |
$693.70 |
$1,982 |
3.1× |
| CT l-spine w&w/o contrast (72133) |
$650.65 |
$1,859 |
2.9× |
| CT lower ext w/o (73700) |
$401.45 |
$1,147 |
3.0× |
| CT lower extremity w/contrast material (73701) |
$499.45 |
$1,427 |
2.2× |
| CT lumbar spine w contrast (72132) |
$515.90 |
$1,474 |
1.1× |
| CT lumbar spine w/o contrast (72131) |
$415.45 |
$1,187 |
3.1× |
| CT maxillofacial w contrast (70487) |
$593.60 |
$1,696 |
2.6× |
| CT maxillofacial wo contrast (70486) |
$484.75 |
$1,385 |
3.6× |
| CT neck tissue combo (70492) |
$718.90 |
$2,054 |
3.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$806.05 |
$2,303 |
3.6× |
| CT orbits w/o contrast (70480) |
$484.75 |
$1,385 |
3.6× |
| CT pelvis w&w/o contrast (72194) |
$653.10 |
$1,866 |
2.9× |
| CT pelvis w/o contrast (72192) |
$394.45 |
$1,127 |
2.9× |
| CT scan of leg combo (73702) |
$663.95 |
$1,897 |
2.9× |
| CT scans face/jaw combo (70488) |
$741.30 |
$2,118 |
3.3× |
| CT soft tissue neck w contrast (70491) |
$571.20 |
$1,632 |
2.5× |
| CT soft tissue neck w/o contrast (70490) |
$459.20 |
$1,312 |
3.4× |
| CT thoracic spine w contrast (72129) |
$516.25 |
$1,475 |
2.3× |
| CT thoracic spine w/o contrast (72128) |
$416.50 |
$1,190 |
3.1× |
| CT thoracic spine w/wo cont (72130) |
$652.40 |
$1,864 |
2.9× |
| CT thorax w/o contrast (71250) |
$415.45 |
$1,187 |
3.1× |
| CT unlisted procedure (76497) |
$106.40 |
$304 |
1.0× |
| CT upper ext wo (73200) |
$400.40 |
$1,144 |
3.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$662.20 |
$1,892 |
2.9× |
| CT upper extremity with contrast (73201) |
$495.25 |
$1,415 |
1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$730.80 |
$2,088 |
3.2× |
| Cta Abdomen (74175) |
$730.80 |
$2,088 |
3.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,619.10 |
$4,626 |
3.6× |
| CTA pelvis (72191) |
$730.80 |
$2,088 |
3.2× |
| Discography Cerv/Thor Spine (72285) |
$1,329.30 |
$3,798 |
0.5× |
| Diskography lumbar (72295) |
$1,329.30 |
$3,798 |
0.5× |
| Dxa Bone Density Axial (77080) |
$282.10 |
$806 |
2.1× |
| Dxa bone density study (77085) |
$260.40 |
$744 |
1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$137.20 |
$392 |
1.2× |
| Echo exam uterus (76831) |
$673.40 |
$1,924 |
2.2× |
| Echo Guide For Artery Repair (76936) |
$703.15 |
$2,009 |
2.5× |
| Echograp Trans R Pros Study (76873) |
$220.50 |
$630 |
1.6× |
| Esophagram (74220) |
$565.25 |
$1,615 |
2.5× |
| Fetal Biophys Profile W/Nst (76818) |
$524.30 |
$1,498 |
3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$336 |
$960 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$499.80 |
$1,428 |
1.6× |
| Follow-Up Angiography (75898) |
$1,636.25 |
$4,675 |
0.4× |
| Foot 2 views (73620) |
$405.30 |
$1,158 |
3.6× |
| Forearm 2 views (73090) |
$384.65 |
$1,099 |
3.4× |
| Gastric emptying imaging study (78264) |
$1,292.90 |
$3,694 |
2.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,292.90 |
$3,694 |
2.5× |
| Gastroesophageal Reflux Exam (78262) |
$957.25 |
$2,735 |
1.9× |
| Gated Heart Planar Single (78472) |
$2,488.15 |
$7,109 |
4.8× |
| Gated Heart, Multiple (78473) |
$2,488.15 |
$7,109 |
4.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$1,422.05 |
$4,063 |
2.0× |
| Hand 2 views (73120) |
$384.65 |
$1,099 |
2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$2,636.20 |
$7,532 |
2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$2,636.20 |
$7,532 |
2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$2,636.20 |
$7,532 |
2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,113.60 |
$8,896 |
0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$3,113.60 |
$8,896 |
0.8× |
| Hepatobil Syst Image W/Drug (78227) |
$2,305.80 |
$6,588 |
3.3× |
| Hepatobiliary System Imaging (78226) |
$2,305.80 |
$6,588 |
4.5× |
| Ht Muscle Image Spect Sing (78451) |
$4,168.50 |
$11,910 |
2.5× |
| Hysterosalpingogram (74740) |
$762.30 |
$2,178 |
2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$444.85 |
$1,271 |
4.0× |
| Interstitial radiation source applic complex (77778) |
$1,549.80 |
$4,428 |
1.7× |
| Joint Survey Single View (77077) |
$517.30 |
$1,478 |
3.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,241.10 |
$3,546 |
1.8× |
| K Flow/Funct Image W/O Drug (78707) |
$1,084.30 |
$3,098 |
1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$586.25 |
$1,675 |
1.1× |
| Knee 3 Views (73562) |
$439.60 |
$1,256 |
3.9× |
| Leveen/Shunt Patency Exam (78291) |
$1,247.05 |
$3,563 |
2.4× |
| Liver & Spleen Imaging Static Only (78215) |
$1,544.90 |
$4,414 |
3.0× |
| Lung Perf&Ventilat Diferentl (78598) |
$1,389.85 |
$3,971 |
2.0× |
| Lung perfusion differential (78597) |
$1,463 |
$4,180 |
2.8× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,511.65 |
$4,319 |
2.2× |
| Lymph System Imaging (78195) |
$1,310.05 |
$3,743 |
1.9× |
| Magnetic Image Jaw Joint (70336) |
$1,285.20 |
$3,672 |
4.2× |
| Mammary ductogram or galactogram multiple (77054) |
$1,185.80 |
$3,388 |
3.9× |
| Mammary ductogram or galactogram single (77053) |
$665 |
$1,900 |
2.2× |
| Meckels Divert Exam (78290) |
$1,396.85 |
$3,991 |
2.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$7,547.40 |
$21,564 |
15.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,802.15 |
$5,149 |
4.0× |
| MRA head w/o contrast (70544) |
$1,178.10 |
$3,366 |
3.8× |
| MRA head with contrast (70545) |
$1,642.90 |
$4,694 |
3.7× |
| MRA neck w contrast (70548) |
$1,428 |
$4,080 |
3.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,802.15 |
$5,149 |
4.0× |
| MRA neck w/o contrast (70547) |
$1,178.10 |
$3,366 |
3.8× |
| MRI abdomen w contrast (74182) |
$1,557.85 |
$4,451 |
3.5× |
| MRI abdomen w/o contrast (74181) |
$1,285.20 |
$3,672 |
4.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,557.85 |
$4,451 |
1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,967.35 |
$5,621 |
4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,557.85 |
$4,451 |
1.5× |
| MRI Breast W/O Contrast Bilateral (77047) |
$2,925.65 |
$8,359 |
9.5× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$2,757.65 |
$7,879 |
9.0× |
| MRI cardiac w/o cont stress (75559) |
$1,477.70 |
$4,222 |
2.1× |
| MRI cardiac w/o contrast (75557) |
$1,188.60 |
$3,396 |
3.9× |
| MRI cervical spine w contrast (72142) |
$1,642.90 |
$4,694 |
3.7× |
| MRI cervical spine w/o cont (72141) |
$1,178.10 |
$3,366 |
3.8× |
| MRI chest w/o contrast (71550) |
$1,285.20 |
$3,672 |
4.2× |
| MRI chest with contrast (71551) |
$1,792 |
$5,120 |
1.8× |
| MRI chest wo w contrast (71552) |
$1,965.95 |
$5,617 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,792 |
$5,120 |
4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,967.35 |
$5,621 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,285.20 |
$3,672 |
4.2× |
| MRI lumbar spine w contrast (72149) |
$1,792 |
$5,120 |
4.0× |
| Mri Neck Spine W/O & W/Dye (72156) |
$1,803.20 |
$5,152 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,178.10 |
$3,366 |
3.8× |
| MRI orbit face neck w contrast (70542) |
$1,428 |
$4,080 |
3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,803.20 |
$5,152 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,792 |
$5,120 |
4.0× |
| MRI pelvis w/o & w contrast (72197) |
$1,967.35 |
$5,621 |
4.4× |
| MRI pelvis w/o contrast (72195) |
$1,285.20 |
$3,672 |
4.2× |
| MRI spectroscopy (76390) |
$577.15 |
$1,649 |
5.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,285.20 |
$3,672 |
4.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,792 |
$5,120 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,285.20 |
$3,672 |
4.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,967.35 |
$5,621 |
4.4× |
| MRI, abdomen, combo (74183) |
$1,967.35 |
$5,621 |
4.4× |
| MRI, dorsal spine combo (72157) |
$1,967.35 |
$5,621 |
4.4× |
| MRI, dorsal spine contrast (72147) |
$1,766.80 |
$5,048 |
3.9× |
| MRI, joint upper extrem (73221) |
$1,285.20 |
$3,672 |
4.2× |
| MRI, joint upper extrem combo (73223) |
$1,967.35 |
$5,621 |
4.4× |
| MRI, lumbar spine combo (72158) |
$1,967.35 |
$5,621 |
4.4× |
| Myelogram cervical (72240) |
$792.05 |
$2,263 |
0.8× |
| Myelogram Lumbar (72265) |
$682.85 |
$1,951 |
0.7× |
| Myelography thoracic (72255) |
$680.75 |
$1,945 |
0.7× |
| Myelograpy 2/more regions rs&i (72270) |
$1,045.10 |
$2,986 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$6,103.30 |
$17,438 |
3.7× |
| Neck soft tissue (70360) |
$327.25 |
$935 |
2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$495.60 |
$1,416 |
1.0× |
| Nm csf leak detection (78650) |
$1,247.05 |
$3,563 |
0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,157.95 |
$14,737 |
2.9× |
| Nuclear Rx Intra-Arterial (79445) |
$548.80 |
$1,568 |
1.8× |
| Nuclear Rx Oral Admin (79005) |
$1,544.20 |
$4,412 |
5.1× |
| Parathyroid Planar Imaging (78070) |
$1,292.90 |
$3,694 |
2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,292.90 |
$3,694 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$372.05 |
$1,063 |
2.8× |
| Pet Image W/Ct Lmtd (78814) |
$2,194.85 |
$6,271 |
1.2× |
| PET image w/CT, full body (78816) |
$3,387.30 |
$9,678 |
1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$2,790.90 |
$7,974 |
1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,113.60 |
$8,896 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,463 |
$4,180 |
2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$530.60 |
$1,516 |
3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$590.45 |
$1,687 |
0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$439.60 |
$1,256 |
3.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$372.05 |
$1,063 |
3.3× |
| Radex elbow complete minimum 3 views (73080) |
$439.60 |
$1,256 |
3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$489.30 |
$1,398 |
3.6× |
| Radex fingr minimum 2 views (73140) |
$329.35 |
$941 |
2.9× |
| Radex foot complete minimum 3 views (73630) |
$439.60 |
$1,256 |
3.9× |
| Radex Hand Minimum 3 Views (73130) |
$662.90 |
$1,894 |
5.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$427 |
$1,220 |
3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$501.55 |
$1,433 |
4.5× |
| Radex Ribs Unilateral 2 Views (71100) |
$474.95 |
$1,357 |
4.2× |
| Radex shoulder complete minimum 2 views (73030) |
$384.65 |
$1,099 |
3.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$730.10 |
$2,086 |
6.5× |
| Radex Spine 1 View Specify Level (72020) |
$392 |
$1,120 |
3.5× |
| Radex Sternum Minimum 2 Views (71120) |
$503.65 |
$1,439 |
4.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$744.80 |
$2,128 |
6.7× |
| Radex Toe Minimum 2 Views (73660) |
$329.35 |
$941 |
2.9× |
| Radex upper extremity infant minimum 2 views (73092) |
$427 |
$1,220 |
3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$445.90 |
$1,274 |
4.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$668.15 |
$1,909 |
5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$11,153.10 |
$31,866 |
1.2× |
| Radiation treatment delivery level 1 (77402) |
$487.55 |
$1,393 |
3.7× |
| Radiation treatment delivery level 2 (77407) |
$576.10 |
$1,646 |
1.2× |
| Radiation treatment delivery level 3 (77412) |
$657.30 |
$1,878 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$532 |
$1,520 |
4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$480.90 |
$1,374 |
3.6× |
| Radiologic exam colon double contrast study (74280) |
$1,403.50 |
$4,010 |
6.2× |
| Radiologic exam colon single contrast study (74270) |
$1,403.50 |
$4,010 |
6.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$565.25 |
$1,615 |
2.5× |
| Radiologic exam knee complete 4/more views (73564) |
$549.85 |
$1,571 |
4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$554.75 |
$1,585 |
4.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$746.20 |
$2,132 |
3.3× |
| Radiologic exam swallow function contrast study (74230) |
$565.25 |
$1,615 |
2.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,012.90 |
$2,894 |
4.5× |
| Radiologic examination femur 1 view (73551) |
$344.05 |
$983 |
3.1× |
| Radiologic examination femur minimum 2 views (73552) |
$459.20 |
$1,312 |
4.1× |
| Radiologic examination knee 1/2 views (73560) |
$405.30 |
$1,158 |
3.6× |
| Radiologic Examination Osseous Survey Limited (77074) |
$577.15 |
$1,649 |
4.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$459.20 |
$1,312 |
4.1× |
| Ribs bilateral 3 views (71110) |
$609.35 |
$1,741 |
4.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$660.80 |
$1,888 |
1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$2,364.60 |
$6,756 |
3.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,316.30 |
$6,618 |
3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,423.05 |
$6,923 |
3.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$563.15 |
$1,609 |
1.9× |
| Rp Therapy Intravenous Administration (79101) |
$1,845.90 |
$5,274 |
6.2× |
| Scapula (73010) |
$384.65 |
$1,099 |
2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$78.05 |
$223 |
3.3× |
| Shoulder 1 view (73020) |
$329.35 |
$941 |
2.9× |
| Shoulder Arthrography (73040) |
$613.20 |
$1,752 |
1.4× |
| Sialogram (70390) |
$468.65 |
$1,339 |
1.5× |
| Skull less than 4 views (70250) |
$501.55 |
$1,433 |
3.7× |
| Special dosimetry (77331) |
$533.40 |
$1,524 |
3.1× |
| Special Physics Consult (77370) |
$342.30 |
$978 |
2.0× |
| Special teletherapy port plan (77321) |
$977.55 |
$2,793 |
2.0× |
| Special treatment procedure (77470) |
$2,230.90 |
$6,374 |
3.1× |
| Speech evaluation, complex (70371) |
$650.65 |
$1,859 |
2.1× |
| Stereotactic Body Radiation Delivery (77373) |
$11,153.10 |
$31,866 |
4.8× |
| Sternoclavicular joints (71130) |
$459.20 |
$1,312 |
4.1× |
| Superior sagittal sinus venogram (75870) |
$1,322.65 |
$3,779 |
0.3× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) |
$357.70 |
$1,022 |
2.7× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) |
$357.70 |
$1,022 |
2.7× |
| Surf radj ther supfc/orthvlt treatment planning (77436) |
$357.70 |
$1,022 |
7.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$474.60 |
$1,356 |
3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,519.70 |
$4,342 |
3.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$733.60 |
$2,096 |
1.5× |
| Testicular Imaging W/Flow (78761) |
$717.50 |
$2,050 |
1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,402.80 |
$4,008 |
2.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,002.40 |
$2,864 |
2.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$940.10 |
$2,686 |
5.4× |
| Thoracic spine 2 views (72070) |
$644.70 |
$1,842 |
4.8× |
| Thoracic spine 3 views (72072) |
$718.20 |
$2,052 |
5.3× |
| Thoracolumbar 2 views (72080) |
$644.70 |
$1,842 |
5.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$543.55 |
$1,553 |
1.1× |
| Thyroid Met Imaging Body (78018) |
$1,737.40 |
$4,964 |
2.5× |
| Thyroid Uptake Measurement (78012) |
$430.15 |
$1,229 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$649.60 |
$1,856 |
1.3× |
| Tx Devices Design & Construction Complex (77334) |
$1,510.95 |
$4,317 |
3.1× |
| Tx devices design & construction intermediate (77333) |
$1,089.20 |
$3,112 |
6.3× |
| Tx devices design & construction simple (77332) |
$654.15 |
$1,869 |
3.8× |
| Ultrasound Breast Limited (76642) |
$295.05 |
$843 |
2.6× |
| Ultrasound Exam Aaa Screen (76706) |
$199.15 |
$569 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$1,036 |
$2,960 |
7.7× |
| Unlisted magnetic resonance procedure (76498) |
$166.60 |
$476 |
1.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) |
$365.40 |
$1,044 |
0.7× |
| Unlisted us procedure (76999) |
$131.95 |
$377 |
1.2× |
| Upper gi w/o kub (74240) |
$964.25 |
$2,755 |
4.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) |
$270.20 |
$772 |
24.4× |
| Urea breath test c-14 isotopic analysis (78268) |
$515.90 |
$1,474 |
5.5× |
| Ureteral Reflux Study (78740) |
$1,164.80 |
$3,328 |
2.3× |
| Urethrocystogram voiding (74455) |
$881.65 |
$2,519 |
2.9× |
| Urethrocystography retrograde (74450) |
$693.70 |
$1,982 |
2.3× |
| Us breast unilateral complete (76641) |
$393.40 |
$1,124 |
2.9× |
| Us chest (76604) |
$520.80 |
$1,488 |
3.9× |
| Us complete joint (76881) |
$684.25 |
$1,955 |
5.1× |
| Us exam, pelvic, limited (76857) |
$340.90 |
$974 |
2.5× |
| Us head (76506) |
$746.55 |
$2,133 |
5.6× |
| Us kidney transplant (76776) |
$708.75 |
$2,025 |
5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$337.40 |
$964 |
2.5× |
| Us ob detailed single fetus (76811) |
$267.75 |
$765 |
0.9× |
| Us ob limited 1 or more fetuses (76815) |
$329 |
$940 |
2.4× |
| Us ob transvaginal (76817) |
$336 |
$960 |
2.5× |
| Us pelvic non ob complete (76856) |
$757.40 |
$2,164 |
5.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$353.50 |
$1,010 |
2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$436.45 |
$1,247 |
3.2× |
| Us retroperitoneal complete (76770) |
$603.40 |
$1,724 |
4.5× |
| Us retroperitoneal limited (76775) |
$498.75 |
$1,425 |
3.7× |
| Us scrotum and contents (76870) |
$626.85 |
$1,791 |
4.7× |
| Us spinal canal and contents (76800) |
$539.35 |
$1,541 |
4.0× |
| Us thyroid (76536) |
$396.55 |
$1,133 |
2.9× |
| Us transrectal (76872) |
$396.55 |
$1,133 |
2.9× |
| Vein X-Ray Chest (75827) |
$1,425.55 |
$4,073 |
0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$6,167.35 |
$17,621 |
1.5× |
| Venogram Sinus/Jugular (75860) |
$3,113.60 |
$8,896 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$3,113.60 |
$8,896 |
0.8× |
| Venography extremity bilateral rs&i (75822) |
$1,567.30 |
$4,478 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,529.15 |
$4,369 |
0.8× |
| Venography Renal Bilateral (75833) |
$3,113.60 |
$8,896 |
0.8× |
| Venography Renal Unilateral (75831) |
$1,482.60 |
$4,236 |
0.4× |
| Venous sampling by catheter (75893) |
$5,186.30 |
$14,818 |
0.7× |
| Wrist 2 views (73100) |
$384.65 |
$1,099 |
3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$427.70 |
$1,222 |
3.8× |
| X-ray antegrade pyelogram tube (74425) |
$584.15 |
$1,669 |
1.3× |
| X-Ray Aorta Leg Arteries (75630) |
$6,801.20 |
$19,432 |
1.7× |
| X-Ray Bend Only L-S Spine (72120) |
$201.95 |
$577 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$384.65 |
$1,099 |
3.4× |
| X-Ray Exam Breast Specimen (76098) |
$723.80 |
$2,068 |
1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$260.75 |
$745 |
2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$336.35 |
$961 |
2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$503.30 |
$1,438 |
3.7× |
| X-Ray Exam Hip Uni 1 View (73501) |
$315.35 |
$901 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$459.20 |
$1,312 |
4.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$580.30 |
$1,658 |
4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$921.20 |
$2,632 |
6.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,013.60 |
$2,896 |
7.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,283.10 |
$3,666 |
9.5× |
| X-Ray Exam L-S Spine Bending (72114) |
$1,007.65 |
$2,879 |
7.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$613.55 |
$1,753 |
5.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$841.75 |
$2,405 |
6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$554.75 |
$1,585 |
4.1× |
| X-ray humerus (73060) |
$372.05 |
$1,063 |
3.3× |
| X-ray IV pyelogram (ivp) (74400) |
$1,451.10 |
$4,146 |
6.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$197.40 |
$564 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$644.70 |
$1,842 |
4.8× |
| X-ray nose-rectum child f.b. (76010) |
$491.05 |
$1,403 |
4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$610.75 |
$1,745 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$474.95 |
$1,357 |
3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$201.95 |
$577 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$506.10 |
$1,446 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$823.90 |
$2,354 |
7.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$858.55 |
$2,453 |
6.4× |
| X-ray thoracic spine 4 vw (72074) |
$718.20 |
$2,052 |
5.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$967.40 |
$2,764 |
2.2× |
| X-Rays Bone Length Studies (77073) |
$517.30 |
$1,478 |
3.8× |
| X-Rays Bone Survey Complete (77075) |
$1,153.60 |
$3,296 |
8.6× |
| Xr c-spine 4 or 5 views (72050) |
$711.20 |
$2,032 |
5.3× |
| Xr facial bones less than 3 views (70140) |
$384.65 |
$1,099 |
3.4× |
| Xr orbits complete 4 views (70200) |
$633.85 |
$1,811 |
4.7× |