| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,208.23 |
$12,173 |
3.5× |
| Abdomen 1 View (74018) |
$157.08 |
$308 |
1.4× |
| Abdomen 2 views (74019) |
$256.02 |
$502 |
1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,216.35 |
$2,385 |
2.4× |
| Angio pulmonary bilat (75743) |
$6,008.82 |
$11,782 |
1.5× |
| Angiography extremity bilateral rs&i (75716) |
$6,008.82 |
$11,782 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$6,008.82 |
$11,782 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,462.61 |
$10,711 |
1.3× |
| Ankle 2 views (73600) |
$106.08 |
$208 |
0.9× |
| Aortography thoracic serialography rs&i (75605) |
$4,994.94 |
$9,794 |
0.7× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,941.61 |
$13,611 |
1.7× |
| Artery X-Rays Abdomen (75726) |
$6,727.92 |
$13,192 |
0.9× |
| Artery X-Rays Adrenal Gland (75731) |
$6,937.02 |
$13,602 |
1.7× |
| Artery X-Rays Pelvis (75736) |
$6,727.92 |
$13,192 |
0.9× |
| Arthrogram ankle (73615) |
$516.63 |
$1,013 |
1.2× |
| Arthrogram hip (73525) |
$776.22 |
$1,522 |
1.7× |
| Arthrogram Wrist (73115) |
$415.65 |
$815 |
0.9× |
| Basic radiation dosimetry calculation (77300) |
$466.65 |
$915 |
2.7× |
| Bone age studies (77072) |
$147.90 |
$290 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$1,099.56 |
$2,156 |
2.1× |
| Bone Imaging Limited Area (78300) |
$607.92 |
$1,192 |
1.2× |
| Bone Imaging Whole Body (78306) |
$1,040.40 |
$2,040 |
2.0× |
| Bone survey infant (77076) |
$160.14 |
$314 |
1.2× |
| Brachytx isodose complex (77318) |
$2,619.36 |
$5,136 |
5.4× |
| Brachytx Isodose Plan Simple (77316) |
$1,646.79 |
$3,229 |
3.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$955.23 |
$1,873 |
1.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$655.35 |
$1,285 |
1.3× |
| Cat Scan Follow-Up Study (76380) |
$606.39 |
$1,189 |
5.4× |
| Cerebrospinal Fluid Scan (78630) |
$1,243.89 |
$2,439 |
1.8× |
| Chest 1 view (71045) |
$93.33 |
$183 |
0.8× |
| Chest 2 views (71046) |
$147.39 |
$289 |
1.3× |
| Chest 3 views (71047) |
$188.19 |
$369 |
1.7× |
| Chest 4 or more views (71048) |
$193.80 |
$380 |
1.4× |
| Cholecystography Oral Contrast (74290) |
$295.80 |
$580 |
1.3× |
| Clavicle complete (73000) |
$112.20 |
$220 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$381.48 |
$748 |
2.8× |
| Continuing medical physics consltj pr wk (77336) |
$1,032.75 |
$2,025 |
6.0× |
| Contrast Exam Abdominl Aorta (75625) |
$6,008.82 |
$11,782 |
1.5× |
| Contrast X-Ray Bladder (74430) |
$457.98 |
$898 |
1.0× |
| Contrast X-Ray Of Knee Joint (73580) |
$565.59 |
$1,109 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,676.88 |
$3,288 |
3.7× |
| CT abdomen and pelvis without contrast (74176) |
$665.04 |
$1,304 |
2.2× |
| CT abdomen w contrast (74160) |
$1,289.79 |
$2,529 |
5.7× |
| CT abdomen w wo contrast (74170) |
$1,596.81 |
$3,131 |
7.1× |
| CT abdomen w/o contrast (74150) |
$1,069.98 |
$2,098 |
8.0× |
| CT Angio Abdomen and Pelvis (74174) |
$2,392.92 |
$4,692 |
5.3× |
| CT Angio Chest (71275) |
$1,698.81 |
$3,331 |
7.5× |
| CT Angio Head (70496) |
$1,794.18 |
$3,518 |
8.0× |
| CT angio hrt w/3d image (75574) |
$1,310.19 |
$2,569 |
2.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,433.61 |
$2,811 |
6.4× |
| CT Angio Neck (70498) |
$1,794.18 |
$3,518 |
8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,433.61 |
$2,811 |
6.4× |
| CT cervical spine w/ contrast (72126) |
$1,721.76 |
$3,376 |
3.8× |
| CT cervical spine w/o contrast (72125) |
$1,440.24 |
$2,824 |
10.7× |
| CT cervical spine w/wo cont (72127) |
$2,145.06 |
$4,206 |
9.5× |
| CT chest w contrast (71260) |
$1,333.65 |
$2,615 |
5.9× |
| CT chest w/wo contrast (71270) |
$1,662.09 |
$3,259 |
7.4× |
| CT head/brain with contrast (70460) |
$1,381.08 |
$2,708 |
6.1× |
| CT head/brain without and with contrast (70470) |
$1,722.78 |
$3,378 |
7.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,141.49 |
$4,199 |
4.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$218.79 |
$429 |
2.0× |
| CT iac w contrast (70481) |
$1,384.14 |
$2,714 |
6.1× |
| CT l-spine w&w/o contrast (72133) |
$1,661.07 |
$3,257 |
7.4× |
| CT lower ext w/o (73700) |
$937.89 |
$1,839 |
7.0× |
| CT lower extremity w/contrast material (73701) |
$1,115.37 |
$2,187 |
4.9× |
| CT lumbar spine w contrast (72132) |
$1,333.65 |
$2,615 |
3.0× |
| CT lumbar spine w/o contrast (72131) |
$1,115.37 |
$2,187 |
8.3× |
| CT maxillofacial w contrast (70487) |
$1,383.12 |
$2,712 |
6.1× |
| CT maxillofacial wo contrast (70486) |
$1,154.64 |
$2,264 |
8.6× |
| CT neck tissue combo (70492) |
$1,725.84 |
$3,384 |
7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,725.84 |
$3,384 |
7.7× |
| CT orbits w/o contrast (70480) |
$1,156.68 |
$2,268 |
8.6× |
| CT pelvis w&w/o contrast (72194) |
$1,594.26 |
$3,126 |
7.1× |
| CT pelvis w/o contrast (72192) |
$1,114.86 |
$2,186 |
8.3× |
| CT scan of leg combo (73702) |
$1,399.95 |
$2,745 |
6.2× |
| CT scans face/jaw combo (70488) |
$1,724.82 |
$3,382 |
7.6× |
| CT soft tissue neck w contrast (70491) |
$1,384.14 |
$2,714 |
6.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,156.68 |
$2,268 |
8.6× |
| CT thoracic spine w contrast (72129) |
$1,333.65 |
$2,615 |
5.9× |
| CT thoracic spine w/o contrast (72128) |
$1,115.37 |
$2,187 |
8.3× |
| CT thoracic spine w/wo cont (72130) |
$1,661.07 |
$3,257 |
7.4× |
| CT thorax w/o contrast (71250) |
$1,115.37 |
$2,187 |
8.3× |
| CT upper ext wo (73200) |
$937.89 |
$1,839 |
7.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,399.95 |
$2,745 |
6.2× |
| CT upper extremity with contrast (73201) |
$1,115.37 |
$2,187 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,632.51 |
$3,201 |
7.2× |
| Cta Abdomen (74175) |
$1,632.51 |
$3,201 |
7.2× |
| CTA pelvis (72191) |
$1,632.51 |
$3,201 |
7.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$471.75 |
$925 |
3.5× |
| Echo Guide For Artery Repair (76936) |
$1,166.88 |
$2,288 |
4.2× |
| Echograp Trans R Pros Study (76873) |
$549.27 |
$1,077 |
4.1× |
| Esophagram (74220) |
$277.95 |
$545 |
1.2× |
| Fetal Biophys Profile W/Nst (76818) |
$448.80 |
$880 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$431.46 |
$846 |
3.2× |
| Fluoroscopy up to 1 hr (76000) |
$424.32 |
$832 |
1.4× |
| Follow-Up Angiography (75898) |
$4,039.20 |
$7,920 |
1.0× |
| Foot 2 views (73620) |
$106.08 |
$208 |
0.9× |
| Forearm 2 views (73090) |
$112.20 |
$220 |
1.0× |
| Gastric emptying imaging study (78264) |
$897.09 |
$1,759 |
1.7× |
| Gated Heart Planar Single (78472) |
$1,199.52 |
$2,352 |
2.3× |
| Gated Heart, Multiple (78473) |
$2,003.79 |
$3,929 |
3.9× |
| Hand 2 views (73120) |
$147.90 |
$290 |
1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$6,042.48 |
$11,848 |
6.7× |
| Hepatobil Syst Image W/Drug (78227) |
$2,013.48 |
$3,948 |
2.9× |
| Hepatobiliary System Imaging (78226) |
$2,013.48 |
$3,948 |
3.9× |
| Ht Muscle Image Spect Sing (78451) |
$1,775.82 |
$3,482 |
1.1× |
| Hysterosalpingogram (74740) |
$561 |
$1,100 |
1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$401.88 |
$788 |
3.6× |
| Infant hip ultrasound, limited static exam (76886) |
$374.34 |
$734 |
3.3× |
| Interstitial radiation source applic complex (77778) |
$3,558.78 |
$6,978 |
4.0× |
| Joint Survey Single View (77077) |
$218.79 |
$429 |
1.6× |
| K Flow/Funct Image Multiple (78709) |
$1,115.37 |
$2,187 |
1.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,115.37 |
$2,187 |
1.6× |
| K Flow/Funct Image W/O Drug (78707) |
$1,107.21 |
$2,171 |
1.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) |
$491.64 |
$964 |
1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$876.69 |
$1,719 |
1.7× |
| Knee 3 Views (73562) |
$122.91 |
$241 |
1.1× |
| Leveen/Shunt Patency Exam (78291) |
$734.91 |
$1,441 |
1.4× |
| Liver & Spleen Imaging Static Only (78215) |
$724.71 |
$1,421 |
1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$724.71 |
$1,421 |
1.4× |
| Liver imaging w/vascular flow (78202) |
$1,166.88 |
$2,288 |
1.7× |
| Lung Perf&Ventilat Diferentl (78598) |
$1,804.38 |
$3,538 |
2.6× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,866.60 |
$3,660 |
2.7× |
| Lung Ventilation Imaging (78579) |
$998.07 |
$1,957 |
1.9× |
| Lymph System Imaging (78195) |
$1,016.94 |
$1,994 |
1.5× |
| Magnetic Image Jaw Joint (70336) |
$2,239.41 |
$4,391 |
7.3× |
| Meckels Divert Exam (78290) |
$759.39 |
$1,489 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,666.28 |
$5,228 |
5.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,644.57 |
$9,107 |
10.4× |
| MRA head w/o contrast (70544) |
$2,362.32 |
$4,632 |
7.7× |
| MRA head with contrast (70545) |
$2,362.32 |
$4,632 |
5.3× |
| MRA neck w contrast (70548) |
$2,663.22 |
$5,222 |
5.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,644.57 |
$9,107 |
10.4× |
| MRA neck w/o contrast (70547) |
$2,362.32 |
$4,632 |
7.7× |
| MRI abdomen w contrast (74182) |
$3,083.46 |
$6,046 |
6.9× |
| MRI abdomen w/o contrast (74181) |
$2,525.01 |
$4,951 |
8.2× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,076.83 |
$6,033 |
3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,694.66 |
$11,166 |
12.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,076.83 |
$6,033 |
3.1× |
| MRI Breast W/O Contrast Bilateral (77047) |
$2,311.32 |
$4,532 |
7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$2,066.52 |
$4,052 |
6.7× |
| MRI cervical spine w contrast (72142) |
$2,757.57 |
$5,407 |
6.1× |
| MRI cervical spine w/o cont (72141) |
$2,298.06 |
$4,506 |
7.5× |
| MRI chest w/o contrast (71550) |
$2,525.01 |
$4,951 |
8.2× |
| MRI chest with contrast (71551) |
$3,322.65 |
$6,515 |
3.3× |
| MRI chest wo w contrast (71552) |
$5,670.18 |
$11,118 |
12.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,076.83 |
$6,033 |
6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$3,160.47 |
$6,197 |
7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,566.32 |
$5,032 |
8.4× |
| MRI lumbar spine w contrast (72149) |
$3,028.38 |
$5,938 |
6.7× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,521.66 |
$8,866 |
10.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,297.04 |
$4,504 |
7.5× |
| MRI orbit face neck w contrast (70542) |
$2,314.38 |
$4,538 |
5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$5,182.62 |
$10,162 |
11.6× |
| MRI pelvis w contrast (72196) |
$3,234.93 |
$6,343 |
7.2× |
| MRI pelvis w/o & w contrast (72197) |
$5,705.37 |
$11,187 |
12.7× |
| MRI pelvis w/o contrast (72195) |
$2,574.99 |
$5,049 |
8.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,800.92 |
$5,492 |
9.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$3,092.64 |
$6,064 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,566.32 |
$5,032 |
8.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,093.15 |
$6,065 |
6.9× |
| MRI, abdomen, combo (74183) |
$5,705.37 |
$11,187 |
12.7× |
| MRI, dorsal spine combo (72157) |
$4,968.42 |
$9,742 |
11.1× |
| MRI, dorsal spine contrast (72147) |
$3,029.91 |
$5,941 |
6.8× |
| MRI, joint upper extrem (73221) |
$2,514.30 |
$4,930 |
8.2× |
| MRI, joint upper extrem combo (73223) |
$5,694.66 |
$11,166 |
12.7× |
| MRI, lumbar spine combo (72158) |
$4,969.95 |
$9,745 |
11.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,704.42 |
$3,342 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,865.18 |
$5,618 |
1.7× |
| Neck soft tissue (70360) |
$106.08 |
$208 |
0.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$655.35 |
$1,285 |
1.3× |
| Nonvascular Shunt X-Ray (75809) |
$195.33 |
$383 |
1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,373.18 |
$16,418 |
4.7× |
| Nuclear Rx Intra-Arterial (79445) |
$1,151.07 |
$2,257 |
3.8× |
| Nuclear Rx Oral Admin (79005) |
$763.98 |
$1,498 |
2.5× |
| Ob us nuchal meas 1 gest (76813) |
$463.59 |
$909 |
3.4× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$160.65 |
$315 |
1.2× |
| Panoramic X-ray of jaws (70355) |
$122.91 |
$241 |
1.1× |
| Parathyroid Planar Imaging (78070) |
$532.95 |
$1,045 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$147.90 |
$290 |
1.1× |
| PET image w/CT, full body (78816) |
$7,136.94 |
$13,994 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$766.53 |
$1,503 |
1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$278.46 |
$546 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$600.27 |
$1,177 |
0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$114.75 |
$225 |
1.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$102.51 |
$201 |
0.9× |
| Radex elbow complete minimum 3 views (73080) |
$122.91 |
$241 |
1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$169.83 |
$333 |
1.3× |
| Radex fingr minimum 2 views (73140) |
$91.29 |
$179 |
0.8× |
| Radex foot complete minimum 3 views (73630) |
$114.75 |
$225 |
1.0× |
| Radex Hand Minimum 3 Views (73130) |
$147.90 |
$290 |
1.3× |
| Radex lower extremity infant minimum 2 views (73592) |
$106.08 |
$208 |
0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$170.34 |
$334 |
1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$112.20 |
$220 |
1.0× |
| Radex Ribs Unilateral 2 Views (71100) |
$123.42 |
$242 |
1.1× |
| Radex shoulder complete minimum 2 views (73030) |
$122.91 |
$241 |
1.1× |
| Radex Sinuses Paransl < 3 Views (70210) |
$134.13 |
$263 |
1.2× |
| Radex Spine 1 View Specify Level (72020) |
$91.80 |
$180 |
0.8× |
| Radex Sternum Minimum 2 Views (71120) |
$140.76 |
$276 |
1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$181.05 |
$355 |
1.6× |
| Radex Toe Minimum 2 Views (73660) |
$91.29 |
$179 |
0.8× |
| Radex upper extremity infant minimum 2 views (73092) |
$147.90 |
$290 |
1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$114.75 |
$225 |
1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$482.46 |
$946 |
3.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,777.98 |
$32,898 |
1.8× |
| Radiation treatment delivery level 1 (77402) |
$546.72 |
$1,072 |
4.2× |
| Radiation treatment delivery level 3 (77412) |
$808.86 |
$1,586 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$147.90 |
$290 |
1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$278.46 |
$546 |
2.1× |
| Radiologic exam colon double contrast study (74280) |
$480.93 |
$943 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$412.59 |
$809 |
1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,105.68 |
$2,168 |
4.9× |
| Radiologic exam knee complete 4/more views (73564) |
$147.90 |
$290 |
1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$165.24 |
$324 |
1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$324.87 |
$637 |
1.4× |
| Radiologic exam swallow function contrast study (74230) |
$325.38 |
$638 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$412.08 |
$808 |
1.8× |
| Radiologic examination femur 1 view (73551) |
$153.51 |
$301 |
1.4× |
| Radiologic examination femur minimum 2 views (73552) |
$183.09 |
$359 |
1.6× |
| Radiologic examination knee 1/2 views (73560) |
$112.20 |
$220 |
1.0× |
| Radiologic Examination Osseous Survey Limited (77074) |
$216.24 |
$424 |
1.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$112.20 |
$220 |
1.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) |
$480.93 |
$943 |
1.0× |
| Ribs bilateral 3 views (71110) |
$170.34 |
$334 |
1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,047.54 |
$2,054 |
2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,775.82 |
$3,482 |
2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$1,704.42 |
$3,342 |
2.4× |
| Scapula (73010) |
$122.91 |
$241 |
0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$91.80 |
$180 |
3.9× |
| Sella turcica (70240) |
$114.24 |
$224 |
1.0× |
| Shoulder 1 view (73020) |
$102.51 |
$201 |
0.9× |
| Shoulder Arthrography (73040) |
$776.22 |
$1,522 |
1.7× |
| Skull less than 4 views (70250) |
$147.90 |
$290 |
1.1× |
| Special dosimetry (77331) |
$359.55 |
$705 |
2.1× |
| Special Physics Consult (77370) |
$1,208.19 |
$2,369 |
7.0× |
| Special teletherapy port plan (77321) |
$1,446.36 |
$2,836 |
3.0× |
| Special treatment procedure (77470) |
$3,052.86 |
$5,986 |
4.3× |
| Stereotactic Body Radiation Delivery (77373) |
$5,990.97 |
$11,747 |
2.6× |
| Sternoclavicular joints (71130) |
$150.96 |
$296 |
1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$2,892.21 |
$5,671 |
6.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,520.82 |
$2,982 |
3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,503.59 |
$4,909 |
5.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$1,606.50 |
$3,150 |
3.3× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,395.87 |
$2,737 |
8.1× |
| Thoracic spine 2 views (72070) |
$140.76 |
$276 |
1.0× |
| Thoracic spine 3 views (72072) |
$159.63 |
$313 |
1.2× |
| Thoracolumbar 2 views (72080) |
$145.35 |
$285 |
1.3× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) |
$646.68 |
$1,268 |
1.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$989.40 |
$1,940 |
1.9× |
| Thyroid Met Imaging Body (78018) |
$1,181.16 |
$2,316 |
1.7× |
| Thyroid Uptake Measurement (78012) |
$532.95 |
$1,045 |
1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,500.93 |
$2,943 |
2.9× |
| Tx Devices Design & Construction Complex (77334) |
$1,021.53 |
$2,003 |
2.1× |
| Tx devices design & construction intermediate (77333) |
$592.11 |
$1,161 |
3.4× |
| Tx devices design & construction simple (77332) |
$446.76 |
$876 |
2.6× |
| Ultrasound Breast Limited (76642) |
$474.30 |
$930 |
4.2× |
| Ultrasound Elastography Parenchyma (76981) |
$399.84 |
$784 |
3.0× |
| Ultrasound Exam Aaa Screen (76706) |
$511.53 |
$1,003 |
3.8× |
| Ultrasound, abdomen limited (76705) |
$374.34 |
$734 |
2.8× |
| Umbilical-artery Doppler (OB) (76820) |
$519.69 |
$1,019 |
3.9× |
| Unlisted magnetic resonance procedure (76498) |
$279.99 |
$549 |
2.5× |
| Unlisted us procedure (76999) |
$540.09 |
$1,059 |
4.8× |
| Upper gi w/o kub (74240) |
$298.86 |
$586 |
1.3× |
| Urethrocystogram voiding (74455) |
$561 |
$1,100 |
1.8× |
| Urethrocystography retrograde (74450) |
$361.59 |
$709 |
1.2× |
| Us bone density measurement (76977) |
$160.65 |
$315 |
1.2× |
| Us breast unilateral complete (76641) |
$595.68 |
$1,168 |
4.4× |
| Us chest (76604) |
$343.23 |
$673 |
2.6× |
| Us complete joint (76881) |
$600.27 |
$1,177 |
4.5× |
| Us exam, pelvic, limited (76857) |
$276.93 |
$543 |
2.1× |
| Us head (76506) |
$321.81 |
$631 |
2.4× |
| Us kidney transplant (76776) |
$492.66 |
$966 |
3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$164.22 |
$322 |
1.2× |
| Us ob detailed single fetus (76811) |
$920.04 |
$1,804 |
3.0× |
| Us ob limited 1 or more fetuses (76815) |
$357.51 |
$701 |
2.7× |
| Us ob transvaginal (76817) |
$411.06 |
$806 |
3.1× |
| Us pelvic non ob complete (76856) |
$402.90 |
$790 |
3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$287.64 |
$564 |
2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$252.45 |
$495 |
1.9× |
| Us retroperitoneal complete (76770) |
$519.18 |
$1,018 |
3.9× |
| Us retroperitoneal limited (76775) |
$374.34 |
$734 |
2.8× |
| Us scrotum and contents (76870) |
$361.08 |
$708 |
2.7× |
| Us spinal canal and contents (76800) |
$378.42 |
$742 |
2.8× |
| Us thyroid (76536) |
$374.34 |
$734 |
2.8× |
| Vein X-Ray Chest (75827) |
$4,069.29 |
$7,979 |
2.0× |
| Venogram Sinus/Jugular (75860) |
$5,077.56 |
$9,956 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$6,008.82 |
$11,782 |
1.5× |
| Venography extremity bilateral rs&i (75822) |
$1,984.41 |
$3,891 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,984.41 |
$3,891 |
1.0× |
| Venography Renal Bilateral (75833) |
$4,445.16 |
$8,716 |
1.1× |
| Venography Renal Unilateral (75831) |
$4,039.20 |
$7,920 |
1.0× |
| Venous sampling by catheter (75893) |
$6,727.92 |
$13,192 |
0.9× |
| Wrist 2 views (73100) |
$106.08 |
$208 |
0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$145.35 |
$285 |
1.3× |
| X-ray antegrade pyelogram tube (74425) |
$561 |
$1,100 |
1.3× |
| X-Ray Aorta Leg Arteries (75630) |
$6,008.82 |
$11,782 |
1.5× |
| X-Ray Bend Only L-S Spine (72120) |
$193.29 |
$379 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$112.20 |
$220 |
1.0× |
| X-Ray Exam Breast Specimen (76098) |
$499.80 |
$980 |
0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$202.47 |
$397 |
1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$370.77 |
$727 |
2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$412.59 |
$809 |
3.1× |
| X-Ray Exam Hip Uni 1 View (73501) |
$162.69 |
$319 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$232.56 |
$456 |
2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$297.84 |
$584 |
2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$225.93 |
$443 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$269.28 |
$528 |
2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$336.60 |
$660 |
2.5× |
| X-Ray Exam L-S Spine Bending (72114) |
$256.02 |
$502 |
1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$147.90 |
$290 |
1.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$244.29 |
$479 |
1.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$145.86 |
$286 |
1.1× |
| X-ray eye for foreign body (70030) |
$106.08 |
$208 |
0.9× |
| X-ray humerus (73060) |
$122.91 |
$241 |
1.1× |
| X-ray IV pyelogram (ivp) (74400) |
$419.22 |
$822 |
1.9× |
| X-ray IV pyelogram+tomography (74415) |
$525.30 |
$1,030 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$112.20 |
$220 |
1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$106.08 |
$208 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$145.35 |
$285 |
1.1× |
| X-ray nose-rectum child f.b. (76010) |
$312.63 |
$613 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$193.80 |
$380 |
1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$147.90 |
$290 |
1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$147.90 |
$290 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$122.91 |
$241 |
1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$169.83 |
$333 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$194.31 |
$381 |
1.4× |
| X-Ray Stress View (77071) |
$99.45 |
$195 |
0.9× |
| X-ray thoracic spine 4 vw (72074) |
$196.86 |
$386 |
1.5× |
| X-Ray Tmj Unilat (70328) |
$106.08 |
$208 |
0.9× |
| X-Rays Bone Length Studies (77073) |
$170.34 |
$334 |
1.3× |
| X-Rays Bone Survey Complete (77075) |
$311.61 |
$611 |
2.3× |
| Xr c-spine 4 or 5 views (72050) |
$194.31 |
$381 |
1.4× |
| Xr facial bones less than 3 views (70140) |
$134.13 |
$263 |
1.2× |
| Xr orbits complete 4 views (70200) |
$170.34 |
$334 |
1.3× |