| 3-D radiotherapy plan dose-volume histograms (77295) |
$16,990 |
$16,990 |
12.2× |
| Abdomen 2 views (74019) |
$1,581 |
$1,581 |
15.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,169 |
$3,169 |
7.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,730 |
$5,730 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$6,802 |
$6,802 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$6,594 |
$6,594 |
2.1× |
| Angiography internal mammary rs&i (75756) |
$4,352 |
$4,352 |
1.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,299 |
$6,299 |
1.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,428 |
$7,428 |
2.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,787 |
$5,787 |
1.8× |
| Angiography Spinal Selective Rs&I (75705) |
$4,752 |
$4,752 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,323 |
$4,323 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,158 |
$2,158 |
0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,047 |
$5,047 |
1.6× |
| Ankle 2 views (73600) |
$784 |
$784 |
9.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,190.50 |
$1,190.50 |
3.4× |
| Aortogram thoracic (75605) |
$4,325 |
$4,325 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,059 |
$7,059 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$6,225 |
$6,225 |
2.0× |
| Artery X-Rays Adrenal Gland (75731) |
$6,069 |
$6,069 |
1.9× |
| Arthrogram elbow (73085) |
$2,164 |
$2,164 |
6.2× |
| Arthrogram hip (73525) |
$2,576 |
$2,576 |
7.4× |
| Arthrogram shoulder (73040) |
$2,853 |
$2,853 |
8.1× |
| Arthrogram wrist (73115) |
$2,116 |
$2,116 |
6.0× |
| Arthrography knee lt (73580) |
$3,061 |
$3,061 |
8.7× |
| Basic radiation dosimetry calculation (77300) |
$1,169 |
$1,169 |
8.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,055 |
$3,055 |
7.6× |
| Bone &/joint imaging whole body (78306) |
$4,037 |
$4,037 |
10.1× |
| Bone age studies (77072) |
$1,086 |
$1,086 |
10.3× |
| Bone Imaging 3 Phase (78315) |
$2,789 |
$2,789 |
6.9× |
| Bone Marrow Imaging Limited Area (78102) |
$2,577 |
$2,577 |
6.4× |
| Bone survey complete (77075) |
$3,509 |
$3,509 |
33.4× |
| Brain image w/flow 4 + views (78606) |
$3,022 |
$3,022 |
5.5× |
| Brain Imaging Vascular Flow Only (78610) |
$616 |
$616 |
1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$3,586 |
$3,586 |
10.2× |
| Cervical spine 2 or 3 views (72040) |
$1,176.50 |
$1,176.50 |
13.5× |
| Chest 1 view (71045) |
$1,005 |
$1,005 |
11.5× |
| Chest 3 views (71047) |
$1,581 |
$1,581 |
18.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,803 |
$1,803 |
10.2× |
| Clavicle complete (73000) |
$1,086 |
$1,086 |
12.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$513 |
$513 |
4.9× |
| Continuing medical physics consltj pr wk (77336) |
$3,014 |
$3,014 |
22.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$14,805 |
$14,805 |
42.2× |
| CT abdomen and pelvis without contrast (74176) |
$14,805 |
$14,805 |
61.8× |
| CT abdomen w contrast (74160) |
$7,751 |
$7,751 |
44.0× |
| CT abdomen w wo contrast (74170) |
$8,666 |
$8,666 |
49.2× |
| CT abdomen w/o contrast (74150) |
$7,327 |
$7,327 |
69.8× |
| CT angio hrt w/3d image (75574) |
$3,463 |
$3,463 |
9.9× |
| CT angiography upper extremity lt (73206) |
$4,646 |
$4,646 |
26.4× |
| CT c-spine w/o contrast (72125) |
$7,286 |
$7,286 |
69.4× |
| CT cervical spine w&w/o contrast (72127) |
$7,035 |
$7,035 |
39.9× |
| CT cervical spine with contrast (72126) |
$7,643 |
$7,643 |
21.8× |
| CT chest w/wo contrast (71270) |
$7,419 |
$7,419 |
42.1× |
| CT chest with contrast (71260) |
$6,971 |
$6,971 |
39.6× |
| CT head/brain with contrast (70460) |
$6,340 |
$6,340 |
36.0× |
| CT head/brain without and with contrast (70470) |
$7,279 |
$7,279 |
41.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$6,765 |
$6,765 |
19.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$148 |
$148 |
1.7× |
| CT iac w contrast (70481) |
$5,827 |
$5,827 |
33.1× |
| CT limited/localized follow up study (76380) |
$1,439 |
$1,439 |
16.5× |
| CT lower ext w/o (73700) |
$5,388 |
$5,388 |
51.3× |
| CT lower extremity w wo contrast (73702) |
$5,607 |
$5,607 |
31.8× |
| CT lower extremity with contrast (73701) |
$5,640 |
$5,640 |
32.0× |
| CT lumbar spine w & w/o contrast (72133) |
$7,004 |
$7,004 |
39.8× |
| CT lumbar spine w/o contrast (72131) |
$6,360 |
$6,360 |
60.6× |
| CT lumbar spine with contrast (72132) |
$11,252 |
$11,252 |
32.1× |
| CT maxillofacial w contrast (70487) |
$5,347 |
$5,347 |
30.3× |
| CT maxillofacial w/o contrast (70486) |
$5,014.50 |
$5,014.50 |
47.7× |
| CT maxillofacial w/wo contrast (70488) |
$4,966.50 |
$4,966.50 |
28.2× |
| CT neck soft tissue w contrast (70491) |
$7,510 |
$7,510 |
42.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,636.50 |
$5,636.50 |
32.0× |
| CT orbits w/o contrast (70480) |
$5,776 |
$5,776 |
55.0× |
| CT pelvis w & w/o contrast (72194) |
$7,348 |
$7,348 |
41.7× |
| CT pelvis w/o contrast (72192) |
$6,902 |
$6,902 |
65.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,590 |
$5,590 |
31.7× |
| CT soft tissue neck w/o contrast (70490) |
$7,097 |
$7,097 |
67.6× |
| CT thoracic spine w/contrast (72129) |
$6,764 |
$6,764 |
38.4× |
| CT thoracic spine w/o contrast (72128) |
$7,145 |
$7,145 |
68.0× |
| CT thoracic spine w/wo contrast (72130) |
$6,351 |
$6,351 |
36.0× |
| CT thorax w/o contrast (71250) |
$6,862 |
$6,862 |
65.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$5,607 |
$5,607 |
31.8× |
| CT upper extremity w/o contrast rt (73200) |
$4,595 |
$4,595 |
43.8× |
| CT upper extremity with contrast (73201) |
$5,005 |
$5,005 |
14.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$5,284 |
$5,284 |
30.0× |
| Cta Abdomen (74175) |
$5,284 |
$5,284 |
30.0× |
| CTA abdomen pelvis (74174) |
$13,635 |
$13,635 |
38.9× |
| CTA chest (71275) |
$5,061 |
$5,061 |
28.7× |
| Cta Head (70496) |
$4,521 |
$4,521 |
25.7× |
| CTA lwr ext w&w/o contrast (73706) |
$4,646 |
$4,646 |
26.4× |
| Cta Neck (70498) |
$4,521 |
$4,521 |
25.7× |
| Cta Pelvis (72191) |
$5,284 |
$5,284 |
30.0× |
| Cystography minimum 3 views rs&i (74430) |
$2,388 |
$2,388 |
6.8× |
| Diskography lumbar (72295) |
$3,930 |
$3,930 |
2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$428 |
$428 |
4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$405 |
$405 |
3.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,096.50 |
$1,096.50 |
10.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$1,147 |
$1,147 |
13.1× |
| Dxa bone density study axial skeleton (77085) |
$854 |
$854 |
8.1× |
| Echo exam of fetal heart (76825) |
$1,809 |
$1,809 |
3.3× |
| Echoencephalography real time imaging (76506) |
$3,250 |
$3,250 |
30.9× |
| Esophagus (74220) |
$1,919 |
$1,919 |
10.9× |
| Fetal biophysical profile non-stress testing (76818) |
$1,977 |
$1,977 |
18.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,464 |
$1,464 |
13.9× |
| Fluoroscopy up to 1 hr (76000) |
$1,551.50 |
$1,551.50 |
6.5× |
| Foot 2 views (73620) |
$366 |
$366 |
4.2× |
| Forearm 2 views (73090) |
$164 |
$164 |
1.9× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$3,282 |
$3,282 |
6.0× |
| Gated Heart Planar Single (78472) |
$3,502.50 |
$3,502.50 |
8.7× |
| Hand 2 views (73120) |
$164 |
$164 |
1.6× |
| Hand 3 views (73130) |
$1,161 |
$1,161 |
13.3× |
| Heart Infarct Image (78466) |
$3,567 |
$3,567 |
8.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,733 |
$5,733 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,596 |
$4,596 |
8.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,019 |
$4,019 |
10.0× |
| Ht muscle image spect sing (78451) |
$12,617 |
$12,617 |
9.7× |
| Humerus Min 2 Views Left (73060) |
$1,005 |
$1,005 |
11.5× |
| Hysterosalpingogram (74740) |
$1,935 |
$1,935 |
8.1× |
| Interstitial radiation source applic complex (77778) |
$5,303 |
$5,303 |
7.6× |
| Intracavitary Radiation Source Applic Complex (77763) |
$2,154 |
$2,154 |
3.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$164 |
$164 |
1.6× |
| Kidney imaging morphology (78700) |
$1,810 |
$1,810 |
4.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,711 |
$1,711 |
3.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,836 |
$3,836 |
7.0× |
| Knee 3 views (73562) |
$696.50 |
$696.50 |
8.0× |
| Liver & spleen imaging static only (78215) |
$2,824 |
$2,824 |
7.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,447 |
$3,447 |
8.6× |
| Liver imaging w/vascular flow (78202) |
$3,447 |
$3,447 |
6.3× |
| Lung perf&ventilat diferentl (78598) |
$3,068 |
$3,068 |
5.6× |
| Lung perfusion differential (78597) |
$2,684 |
$2,684 |
6.7× |
| Lung Ventilation Imaging (78579) |
$908 |
$908 |
2.3× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$5,400 |
$5,400 |
3.4× |
| Lymphoscintigraphy (78195) |
$3,468 |
$3,468 |
6.4× |
| Mammary ductogram or galactogram single (77053) |
$1,229 |
$1,229 |
5.1× |
| Meckels Diverticulum (78290) |
$2,439 |
$2,439 |
6.1× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$1,050 |
$1,050 |
2.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,252 |
$2,252 |
6.0× |
| MRA head w & w/o contrast (70546) |
$7,610 |
$7,610 |
21.7× |
| MRA head w/o contrast (70544) |
$12,095 |
$12,095 |
50.5× |
| MRA head with contrast (70545) |
$8,934.50 |
$8,934.50 |
25.5× |
| MRA neck w contrast (70548) |
$8,660 |
$8,660 |
24.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$9,608 |
$9,608 |
27.4× |
| MRA neck w/o contrast (70547) |
$12,095 |
$12,095 |
50.5× |
| MRI abdomen w contrast (74182) |
$8,245 |
$8,245 |
23.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$12,095 |
$12,095 |
34.5× |
| MRI abdomen w/o contrast (74181) |
$10,293 |
$10,293 |
42.9× |
| MRI any jnt lwr ext with con lt (73722) |
$5,891 |
$5,891 |
7.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,616 |
$4,616 |
5.9× |
| MRI bone marrow blood supply (77084) |
$11,956 |
$11,956 |
49.9× |
| MRI breast w/o contrast bilateral (77047) |
$3,838 |
$3,838 |
16.0× |
| MRI breast w/o contrast unilat (77046) |
$3,047 |
$3,047 |
12.7× |
| MRI c-spine with contrast (72142) |
$9,331 |
$9,331 |
26.6× |
| MRI cervical spine w/o contrast (72141) |
$8,764 |
$8,764 |
36.6× |
| MRI chest w/o & w/contrast material (71552) |
$10,435 |
$10,435 |
29.8× |
| MRI chest w/o contrast (71550) |
$8,445 |
$8,445 |
35.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$9,196 |
$9,196 |
26.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,834 |
$3,834 |
10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,375 |
$3,375 |
14.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$9,667 |
$9,667 |
40.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$10,690 |
$10,690 |
30.5× |
| MRI orbit/face/neck w/contrast (70542) |
$10,267 |
$10,267 |
29.3× |
| MRI pelvis w contrast (72196) |
$10,293 |
$10,293 |
29.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$12,095 |
$12,095 |
34.5× |
| MRI pelvis w/o contrast (72195) |
$9,373 |
$9,373 |
39.1× |
| MRI scan of arm joint before and after contrast (73223) |
$7,031 |
$7,031 |
20.1× |
| MRI scan of leg joint before and after contrast (73723) |
$6,592 |
$6,592 |
18.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$9,150 |
$9,150 |
26.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$9,833 |
$9,833 |
28.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$11,002 |
$11,002 |
31.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$10,189 |
$10,189 |
29.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$11,409 |
$11,409 |
32.6× |
| MRI thoracic spine w/o contrast (72146) |
$9,988 |
$9,988 |
41.7× |
| MRI tmj (70336) |
$9,530.50 |
$9,530.50 |
39.8× |
| MRI upper ext joint w/o contrast (73221) |
$7,453 |
$7,453 |
31.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$10,753 |
$10,753 |
30.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$8,282 |
$8,282 |
34.6× |
| Myelogram Cervical (72240) |
$2,989 |
$2,989 |
3.8× |
| Myelogram Lumbar (72265) |
$4,490 |
$4,490 |
5.7× |
| Myelogram thoracic (72255) |
$3,670 |
$3,670 |
4.7× |
| Myelography 2 or more regions (72270) |
$7,134 |
$7,134 |
9.1× |
| Myocardial Spect Multiple Studies (78452) |
$8,129.50 |
$8,129.50 |
6.3× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$12,530 |
$12,530 |
5.7× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$9,776 |
$9,776 |
4.4× |
| Neck soft tissue (70360) |
$1,049 |
$1,049 |
12.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$612 |
$612 |
1.5× |
| Nm adrenal scan (78075) |
$3,244 |
$3,244 |
2.5× |
| Nm cisternogram (78630) |
$3,528 |
$3,528 |
6.5× |
| Nm gastric emptying study (78264) |
$4,316 |
$4,316 |
10.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$22,672 |
$22,672 |
16.3× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$10,495 |
$10,495 |
7.3× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$4,826 |
$4,826 |
3.7× |
| Nuclear medicine of heart pumping function (78473) |
$2,155 |
$2,155 |
5.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$4,826 |
$4,826 |
3.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,251 |
$2,251 |
5.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$3,023 |
$3,023 |
7.5× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$2,856 |
$2,856 |
7.1× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$2,813 |
$2,813 |
5.2× |
| Nuclear Rx Oral Admin (79005) |
$2,293 |
$2,293 |
9.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$1,259 |
$1,259 |
12.0× |
| Orthopantogram (70355) |
$948 |
$948 |
10.8× |
| Osseous survey infant (77076) |
$1,466 |
$1,466 |
14.0× |
| Osseous survey limited (77074) |
$200 |
$200 |
1.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,148 |
$1,148 |
2.9× |
| Parathyroid imaging (78070) |
$1,308 |
$1,308 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$1,398 |
$1,398 |
13.3× |
| PET image w/CT, skull-thigh (78815) |
$14,691 |
$14,691 |
10.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$7,122 |
$7,122 |
20.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$8,772 |
$8,772 |
2.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$4,445 |
$4,445 |
1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,224 |
$3,224 |
8.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,144 |
$2,144 |
3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,246 |
$1,246 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,310 |
$1,310 |
12.5× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$2,047 |
$2,047 |
19.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$12,034 |
$12,034 |
1.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,540.50 |
$1,540.50 |
2.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,406.50 |
$1,406.50 |
13.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,452.50 |
$1,452.50 |
3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,900 |
$1,900 |
18.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,118 |
$1,118 |
12.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$2,006 |
$2,006 |
19.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,267 |
$1,267 |
14.5× |
| Radiologic exam colon single contrast study (74270) |
$2,532 |
$2,532 |
14.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,292 |
$1,292 |
7.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,416 |
$3,416 |
19.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,866 |
$2,866 |
16.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$789 |
$789 |
9.0× |
| Radiological examination surgical specimen (76098) |
$400 |
$400 |
0.7× |
| Review by radiologist of adrenal gland vein image (75840) |
$6,069 |
$6,069 |
1.9× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$5,789 |
$5,789 |
1.8× |
| Ribs bilateral 3 views (71110) |
$1,608 |
$1,608 |
15.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,149 |
$3,149 |
7.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,106 |
$4,106 |
7.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,392 |
$5,392 |
9.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$6,110 |
$6,110 |
4.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$983 |
$983 |
4.2× |
| Salivary gland function study (78232) |
$4,316 |
$4,316 |
10.7× |
| Salivary gland imaging (78230) |
$4,316 |
$4,316 |
10.7× |
| Salivary gland imaging serial images (78231) |
$4,316 |
$4,316 |
10.7× |
| Scanogram (77073) |
$1,065 |
$1,065 |
10.1× |
| Scapula complete (73010) |
$1,138 |
$1,138 |
10.8× |
| Screening digital breast tomosynthesis (77063) |
$89.50 |
$89.50 |
3.8× |
| Sella turcica (70240) |
$955 |
$955 |
10.9× |
| Sialogram (70390) |
$1,758 |
$1,758 |
7.3× |
| Simulation intermediate (77285) |
$1,752 |
$1,752 |
4.7× |
| Small bowel series (74250) |
$2,310 |
$2,310 |
13.1× |
| Spec medical radj physics consltj (77370) |
$2,715 |
$2,715 |
20.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,507 |
$1,507 |
4.0× |
| Special dosimetry (77331) |
$1,078 |
$1,078 |
8.0× |
| Special treatment procedure (77470) |
$2,346 |
$2,346 |
4.2× |
| Spine thoracic 3 views (72072) |
$1,354 |
$1,354 |
12.9× |
| Stereotactic body radiation delivery (77373) |
$2,912 |
$2,912 |
1.6× |
| Superior sagittal sinus venogram (75870) |
$4,594 |
$4,594 |
1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,752 |
$1,752 |
4.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,169 |
$1,169 |
3.1× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$2,332 |
$2,332 |
9.7× |
| Testicular Imaging With Vascular Flow (78761) |
$2,672 |
$2,672 |
6.7× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,752 |
$1,752 |
4.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,169 |
$1,169 |
8.7× |
| Therapeutic Enema (74283) |
$3,129 |
$3,129 |
17.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,108 |
$4,108 |
7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$830 |
$830 |
2.1× |
| Tomogram (76100) |
$1,810 |
$1,810 |
17.2× |
| Treatment device intermediate (77333) |
$1,685 |
$1,685 |
12.5× |
| Treatment devices simple (77332) |
$1,461 |
$1,461 |
10.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,253 |
$5,253 |
9.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,087 |
$2,087 |
5.2× |
| Tx devices design & construction complex (77334) |
$3,218 |
$3,218 |
8.6× |
| Ultrasound, abdomen limited (76705) |
$1,419.50 |
$1,419.50 |
13.5× |
| Umbilical-artery Doppler (OB) (76820) |
$470 |
$470 |
4.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$348 |
$348 |
4.0× |
| Upper Extremity Infant (73092) |
$662 |
$662 |
6.3× |
| Urethrocystography retrograde rs&i (74450) |
$3,146 |
$3,146 |
13.1× |
| Urethrocystography voiding (74455) |
$3,146 |
$3,146 |
13.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$3,090 |
$3,090 |
17.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$2,583.50 |
$2,583.50 |
14.7× |
| Us abdl aorta screen aaa (76706) |
$386.50 |
$386.50 |
3.7× |
| Us breast unilateral complete (76641) |
$756 |
$756 |
7.2× |
| Us breast unilateral limited (76642) |
$648 |
$648 |
7.4× |
| Us chest (76604) |
$1,037 |
$1,037 |
9.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,731 |
$1,731 |
16.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$445 |
$445 |
4.2× |
| Us guided compression repair (76936) |
$2,194 |
$2,194 |
10.1× |
| Us kidney transplant (76776) |
$2,152 |
$2,152 |
20.5× |
| Us ob detailed single fetus (76811) |
$580 |
$580 |
2.4× |
| Us ob transvaginal (76817) |
$643 |
$643 |
6.1× |
| Us pelvic non ob complete (76856) |
$1,818 |
$1,818 |
17.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,205 |
$1,205 |
11.5× |
| Us pregnancy ltd (76815) |
$1,977 |
$1,977 |
18.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$643 |
$643 |
6.1× |
| Us retroperitoneal complete (76770) |
$1,909 |
$1,909 |
18.2× |
| Us retroperitoneal limited (76775) |
$2,152 |
$2,152 |
20.5× |
| Us scrotum and contents (76870) |
$1,830 |
$1,830 |
17.4× |
| Us soft tissue head/neck (76536) |
$1,375 |
$1,375 |
13.1× |
| Us transrectal (76872) |
$3,361 |
$3,361 |
32.0× |
| Us transrectal prostate volume (76873) |
$431 |
$431 |
4.1× |
| Us xtr non-vasc lmtd (76882) |
$1,111 |
$1,111 |
10.6× |
| Venogram extremity bilateral (75822) |
$2,481 |
$2,481 |
1.6× |
| Venogram orbital (75880) |
$3,064 |
$3,064 |
4.9× |
| Venography caval inferior serialography rs&i (75825) |
$6,660 |
$6,660 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$5,082 |
$5,082 |
3.2× |
| Venography epidural rs&i (75872) |
$4,323 |
$4,323 |
6.9× |
| Venography extremity unilateral rs&i (75820) |
$2,929 |
$2,929 |
1.9× |
| Venography Renal Bilateral (75833) |
$5,316 |
$5,316 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$6,069 |
$6,069 |
1.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,594 |
$4,594 |
1.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,089 |
$4,089 |
0.7× |
| Vertebral fracture assessment via dxa (77086) |
$557 |
$557 |
6.4× |
| Wrist 2 views (73100) |
$164 |
$164 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$2,106 |
$2,106 |
20.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$846 |
$846 |
9.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,185 |
$1,185 |
13.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,129 |
$3,129 |
17.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$164 |
$164 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,347 |
$1,347 |
15.4× |
| X-ray exam hip uni 1 view (73501) |
$1,075 |
$1,075 |
12.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,075 |
$1,075 |
12.3× |
| X-ray exam hip uni 4/> views (73503) |
$1,191 |
$1,191 |
11.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,429 |
$1,429 |
13.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,545 |
$1,545 |
14.7× |
| X-ray exam of femur 1 (73551) |
$673 |
$673 |
7.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,574 |
$3,574 |
20.3× |
| X-ray eye for foreign body (70030) |
$350 |
$350 |
4.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,669 |
$1,669 |
15.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$751 |
$751 |
8.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$655 |
$655 |
7.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,042 |
$1,042 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$451 |
$451 |
5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,413 |
$1,413 |
16.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$164 |
$164 |
1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,232 |
$1,232 |
14.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$662 |
$662 |
7.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,418.50 |
$1,418.50 |
13.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,705 |
$1,705 |
16.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,425 |
$1,425 |
13.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,029 |
$1,029 |
11.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,174 |
$1,174 |
13.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,636 |
$1,636 |
15.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,297 |
$1,297 |
12.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,858 |
$2,858 |
8.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,326 |
$1,326 |
15.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$164 |
$164 |
1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,026 |
$2,026 |
19.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,408 |
$1,408 |
13.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,219 |
$1,219 |
13.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,243 |
$1,243 |
14.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,596 |
$1,596 |
18.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$953.50 |
$953.50 |
10.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,900 |
$1,900 |
18.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,052 |
$1,052 |
10.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$760 |
$760 |
8.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$908 |
$908 |
10.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,093 |
$1,093 |
12.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,005 |
$1,005 |
9.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,005 |
$1,005 |
11.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,232.50 |
$1,232.50 |
14.1× |
| Xr arthrogram ankle (73615) |
$2,209 |
$2,209 |
6.3× |
| Xr c-spine 6 or more views (72052) |
$2,391 |
$2,391 |
22.8× |
| Xr chest 4+ views (71048) |
$2,006 |
$2,006 |
19.1× |
| Xr Cholecystography Oral Contrast (74290) |
$1,892 |
$1,892 |
10.7× |
| Xr finger(s) 2+ views (73140) |
$905 |
$905 |
10.4× |
| Xr myelogram posterior fossa (70010) |
$4,187 |
$4,187 |
11.9× |
| Xr optic foramina (70190) |
$942 |
$942 |
10.8× |
| Xr shoulder 1 view (73020) |
$1,065 |
$1,065 |
12.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,727 |
$1,727 |
16.4× |
| Xr tibia/fibula 2 views (73590) |
$1,268 |
$1,268 |
14.5× |
| Xr tmj bilateral (70330) |
$1,449 |
$1,449 |
16.6× |
| Xray knee 1 or 2 views rt (73560) |
$705.50 |
$705.50 |
8.1× |