| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,301.90 |
$11,458 |
3.8× |
| Abdomen 2 views (74019) |
$304.15 |
$553 |
2.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,134.10 |
$2,062 |
2.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$6,223.80 |
$11,316 |
1.6× |
| Angiography extremity bilateral rs&i (75716) |
$6,454.25 |
$11,735 |
1.7× |
| Angiography extremity unilateral rs&i (75710) |
$21,150.78 |
— |
5.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,663.90 |
$10,298 |
0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,223.80 |
$11,316 |
1.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,148.65 |
$7,543 |
1.1× |
| Angiography Spinal Selective Rs&I (75705) |
$6,131.40 |
$11,148 |
0.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,148.65 |
$7,543 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$379.50 |
$690 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,020.70 |
$3,674 |
0.5× |
| Ankle 2 views (73600) |
$9,121.30 |
— |
87.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$560.45 |
$1,019 |
1.3× |
| Aortogram thoracic (75605) |
$4,027.65 |
$7,323 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,941.85 |
$7,167 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$4,148.65 |
$7,543 |
1.1× |
| Arthrogram hip (73525) |
$1,450.90 |
$2,638 |
3.5× |
| Arthrogram shoulder (73040) |
$1,555.40 |
$2,828 |
3.7× |
| Arthrography knee lt (73580) |
$1,005.40 |
$1,828 |
2.4× |
| Basic radiation dosimetry calculation (77300) |
$606.65 |
$1,103 |
3.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$810.70 |
$1,474 |
1.7× |
| Bone &/joint imaging whole body (78306) |
$1,348.60 |
$2,452 |
2.8× |
| Bone age studies (77072) |
$253.55 |
$461 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$1,377.20 |
$2,504 |
2.9× |
| Bone survey complete (77075) |
$391.60 |
$712 |
3.1× |
| Brachytx isodose complex (77318) |
$1,680.80 |
$3,056 |
3.7× |
| Brachytx isodose intermed (77317) |
$1,167.10 |
$2,122 |
2.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$850.30 |
$1,546 |
1.9× |
| Brain image w/flow 4 + views (78606) |
$3,078.35 |
$5,597 |
4.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$3,440.80 |
$6,256 |
7.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,517.50 |
$11,850 |
3.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,914.55 |
$3,481 |
4.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,375 |
$2,500 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$749.10 |
— |
7.2× |
| Chest 1 view (71045) |
$26,076.85 |
— |
249.9× |
| Chest 3 views (71047) |
$380.60 |
$692 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$679.80 |
$1,236 |
3.2× |
| Clavicle complete (73000) |
$699.32 |
— |
6.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$575.30 |
$1,046 |
4.6× |
| Continuing medical physics consltj pr wk (77336) |
$520.85 |
$947 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,879.90 |
$3,418 |
4.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,380.50 |
— |
8.3× |
| CT abdomen w contrast (74160) |
$1,275.45 |
$2,319 |
6.1× |
| CT abdomen w wo contrast (74170) |
$1,401.40 |
$2,548 |
6.7× |
| CT abdomen w/o contrast (74150) |
$1,105.50 |
— |
8.8× |
| CT angio hrt w/3d image (75574) |
$1,361.25 |
$2,475 |
3.3× |
| CT angiography upper extremity lt (73206) |
$1,079.65 |
$1,963 |
5.1× |
| CT c-spine w/o contrast (72125) |
$1,097.80 |
$1,996 |
8.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$347.05 |
$631 |
1.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,268.30 |
$2,306 |
6.0× |
| CT cervical spine with contrast (72126) |
$1,158.85 |
$2,107 |
2.8× |
| CT chest w/wo contrast (71270) |
$1,596.10 |
$2,902 |
7.6× |
| CT chest with contrast (71260) |
$1,439.90 |
$2,618 |
6.8× |
| CT colonography screening (74263) |
$2,418.35 |
$4,397 |
8.5× |
| CT colonography w/dye (74262) |
$1,021.90 |
$1,858 |
4.9× |
| CT colonography w/o cntrst (74261) |
$889.35 |
$1,617 |
7.1× |
| CT head/brain with contrast (70460) |
$993.85 |
$1,807 |
4.7× |
| CT head/brain without and with contrast (70470) |
$1,264.45 |
$2,299 |
6.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,099.45 |
$1,999 |
2.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$151.25 |
$275 |
1.4× |
| CT iac w contrast (70481) |
$999.10 |
— |
4.8× |
| CT limited/localized follow up study (76380) |
$446.60 |
$812 |
4.3× |
| CT lower ext w/o (73700) |
$1,222.10 |
$2,222 |
9.8× |
| CT lower extremity w wo contrast (73702) |
$1,508.65 |
$2,743 |
7.2× |
| CT lower extremity with contrast (73701) |
$1,309 |
$2,380 |
6.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,291.95 |
$2,349 |
6.1× |
| CT lumbar spine w/o contrast (72131) |
$1,021.90 |
$1,858 |
8.2× |
| CT lumbar spine with contrast (72132) |
$1,124.75 |
$2,045 |
2.7× |
| CT maxillofacial w contrast (70487) |
$993.85 |
$1,807 |
4.7× |
| CT maxillofacial w/o contrast (70486) |
$880 |
$1,600 |
7.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,100 |
$2,000 |
5.2× |
| CT neck soft tissue w contrast (70491) |
$1,221 |
$2,220 |
5.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,045.55 |
$1,901 |
5.0× |
| CT orbits w/o contrast (70480) |
$757.35 |
— |
6.0× |
| CT pelvis w & w/o contrast (72194) |
$1,235.30 |
$2,246 |
5.9× |
| CT pelvis w/o contrast (72192) |
$981.75 |
$1,785 |
7.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,342.55 |
$2,441 |
6.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,109.35 |
$2,017 |
8.9× |
| CT thoracic spine w/contrast (72129) |
$1,103.30 |
$2,006 |
5.2× |
| CT thoracic spine w/o contrast (72128) |
$1,007.05 |
$1,831 |
8.0× |
| CT thoracic spine w/wo contrast (72130) |
$1,451.45 |
$2,639 |
6.9× |
| CT thorax w/o contrast (71250) |
$1,712.70 |
— |
13.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,163.25 |
$2,115 |
5.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,007.05 |
$1,831 |
8.0× |
| CT upper extremity with contrast (73201) |
$1,057.65 |
$1,923 |
2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,132.45 |
$2,059 |
5.4× |
| Cta Abdomen (74175) |
$1,594.45 |
$2,899 |
7.6× |
| CTA abdomen pelvis (74174) |
$1,969.55 |
$3,581 |
4.7× |
| CTA chest (71275) |
$1,728.10 |
$3,142 |
8.2× |
| Cta Head (70496) |
$3,507.71 |
— |
16.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,341.25 |
$6,075 |
8.0× |
| CTA lwr ext w&w/o contrast (73706) |
$1,403.60 |
$2,552 |
6.7× |
| Cta Neck (70498) |
$3,516.89 |
— |
16.7× |
| Cta Pelvis (72191) |
$1,112.65 |
$2,023 |
5.3× |
| Cystography minimum 3 views rs&i (74430) |
$864.60 |
$1,572 |
2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$568.70 |
$1,034 |
4.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$3,456.75 |
— |
27.6× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$597.85 |
$1,087 |
4.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$418.55 |
$761 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$242 |
$440 |
2.3× |
| Echo exam of fetal heart (76825) |
$3,456.75 |
— |
5.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,695.10 |
$3,082 |
5.9× |
| Echoencephalography real time imaging (76506) |
$256.85 |
$467 |
2.0× |
| Esophagus (74220) |
$543.40 |
$988 |
2.6× |
| Fetal biophysical profile non-stress testing (76818) |
$409.75 |
$745 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$309.10 |
$562 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$589.05 |
— |
2.1× |
| Foot 2 views (73620) |
$237.60 |
$432 |
2.3× |
| Forearm 2 views (73090) |
$942.98 |
— |
9.0× |
| Gated Heart Planar Single (78472) |
$1,547.70 |
$2,814 |
3.2× |
| Hand 2 views (73120) |
$415.80 |
— |
3.3× |
| Hand 3 views (73130) |
$515.35 |
— |
4.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$3,482.60 |
$6,332 |
4.2× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,583.70 |
$8,334 |
5.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,620.30 |
$2,946 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,620.30 |
$2,946 |
3.4× |
| Ht muscle image spect sing (78451) |
$2,978.80 |
$5,416 |
1.9× |
| Humerus Min 2 Views Left (73060) |
$262.90 |
— |
2.5× |
| Hysterosalpingogram (74740) |
$2,068 |
$3,760 |
7.2× |
| Kidney imaging morphology (78700) |
$1,152.80 |
$2,096 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,177.55 |
$2,141 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,240.80 |
$2,256 |
1.9× |
| Knee 3 views (73562) |
$309.38 |
— |
3.0× |
| Liver & spleen imaging static only (78215) |
$972.95 |
$1,769 |
2.0× |
| Lung perf&ventilat diferentl (78598) |
$1,301.30 |
$2,366 |
2.0× |
| Lung perfusion differential (78597) |
$885.50 |
$1,610 |
1.8× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$6,325 |
$11,500 |
1.7× |
| Lymphoscintigraphy (78195) |
$1,051.05 |
$1,911 |
1.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$71.50 |
$130 |
0.7× |
| Meckels Diverticulum (78290) |
$1,418.45 |
$2,579 |
3.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,206.70 |
$2,194 |
2.7× |
| Mr safety determination physician/other qhp (76016) |
$205.70 |
$374 |
2.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$205.70 |
$374 |
2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$75.35 |
$137 |
2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$205.70 |
$374 |
1.8× |
| Mr safety med physics xm customization plng&mntr (76017) |
$205.70 |
$374 |
0.7× |
| MRA head w & w/o contrast (70546) |
$2,507.54 |
— |
6.0× |
| MRA head w/o contrast (70544) |
$2,070.62 |
— |
7.2× |
| MRA head with contrast (70545) |
$1,450.90 |
$2,638 |
3.5× |
| MRA neck w contrast (70548) |
$1,675.85 |
$3,047 |
4.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,157.10 |
$3,922 |
5.2× |
| MRA neck w/o contrast (70547) |
$1,519.65 |
$2,763 |
5.3× |
| MRI abdomen w contrast (74182) |
$1,495.45 |
$2,719 |
3.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,209.90 |
$4,018 |
5.3× |
| MRI abdomen w/o contrast (74181) |
$1,349.15 |
$2,453 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,928.30 |
$3,506 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,849.10 |
$3,362 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,924.45 |
$3,499 |
6.7× |
| MRI c-spine with contrast (72142) |
$1,566.95 |
$2,849 |
3.7× |
| MRI cardiac w/o contrast (75557) |
$952.05 |
$1,731 |
3.3× |
| MRI cervical spine w/o contrast (72141) |
$1,508.65 |
$2,743 |
5.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,451.35 |
$4,457 |
5.9× |
| MRI chest w/o contrast (71550) |
$1,047.20 |
$1,904 |
3.7× |
| MRI fetal sngl/1st gestation (74712) |
$1,056 |
$1,920 |
3.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$762.85 |
$1,387 |
1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,582.35 |
$2,877 |
3.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,498.20 |
$2,724 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,099.45 |
$1,999 |
3.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,783.65 |
$3,243 |
4.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,319.45 |
$2,399 |
3.2× |
| MRI pelvis w contrast (72196) |
$1,384.90 |
$2,518 |
3.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,915.10 |
$3,482 |
4.6× |
| MRI pelvis w/o contrast (72195) |
$1,260.05 |
$2,291 |
4.4× |
| MRI scan of arm joint before and after contrast (73223) |
$2,060.85 |
$3,747 |
4.9× |
| MRI scan of leg joint before and after contrast (73723) |
$2,561.35 |
$4,657 |
6.1× |
| MRI spectroscopy (76390) |
$2,745.05 |
$4,991 |
26.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,921.70 |
$3,494 |
4.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,566.95 |
$2,849 |
3.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,958 |
$3,560 |
4.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,566.95 |
$2,849 |
3.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,948.65 |
$3,543 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,508.65 |
$2,743 |
5.3× |
| MRI tmj (70336) |
$1,519.65 |
$2,763 |
5.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,675.85 |
— |
5.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,783.65 |
$3,243 |
4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,164.35 |
$2,117 |
4.1× |
| Myelogram Cervical (72240) |
$2,951.30 |
$5,366 |
3.1× |
| Myelogram Lumbar (72265) |
$2,755.50 |
$5,010 |
2.9× |
| Myelography 2 or more regions (72270) |
$2,675.20 |
$4,864 |
2.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$5,276.70 |
$9,594 |
3.4× |
| Myocardial Spect Multiple Studies (78452) |
$3,397.35 |
$6,177 |
2.2× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$5,987.30 |
$10,886 |
3.5× |
| Neck soft tissue (70360) |
$213.40 |
$388 |
2.0× |
| Nm cisternogram (78630) |
$3,366 |
$6,120 |
5.2× |
| Nm gastric emptying study (78264) |
$1,058.75 |
$1,925 |
2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,512.65 |
$10,023 |
3.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,155.55 |
$2,101 |
2.4× |
| Nuclear Rx Oral Admin (79005) |
$1,454.20 |
$2,644 |
5.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$515.90 |
— |
4.1× |
| Osseous survey infant (77076) |
$391.60 |
$712 |
3.1× |
| Parathyrd planar w/spect&CT (78072) |
$1,222.10 |
$2,222 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$36,883.59 |
— |
294.3× |
| Perineogram (74775) |
$476.85 |
$867 |
1.7× |
| Peritoneogram rs&i (74190) |
$1,081.30 |
$1,966 |
1.7× |
| PET image w/CT, skull-thigh (78815) |
$5,541.25 |
$10,075 |
3.2× |
| PET imaging CT for attenuation limited area (78814) |
$5,171.65 |
$9,403 |
3.0× |
| PET imaging for CT attenuation whole body (78816) |
$6,024.15 |
$10,953 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,212.35 |
— |
5.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$6,245.25 |
$11,355 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$797.50 |
$1,450 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,647.80 |
$2,996 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,883.50 |
— |
2.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$180.40 |
$328 |
1.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$365.75 |
$665 |
2.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$328.90 |
$598 |
2.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,483.50 |
$29,970 |
1.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,472.90 |
$2,678 |
2.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$494.45 |
$899 |
4.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,918.40 |
$3,488 |
4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$365.75 |
$665 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$18,478.34 |
— |
177.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$218.35 |
$397 |
1.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$590.70 |
— |
5.7× |
| Radiologic exam colon single contrast study (74270) |
$807.95 |
$1,469 |
3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$580.80 |
$1,056 |
2.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$634.15 |
$1,153 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$607.75 |
$1,105 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$450.45 |
— |
4.3× |
| Radiological examination surgical specimen (76098) |
$21,067.54 |
— |
32.2× |
| Ribs bilateral 3 views (71110) |
$437.80 |
$796 |
3.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$790.90 |
$1,438 |
1.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,045.45 |
$3,719 |
3.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,813.35 |
$3,297 |
2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,830.30 |
$5,146 |
1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$5,845.40 |
$10,628 |
3.4× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,561.90 |
$4,658 |
1.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$574.75 |
$1,045 |
2.1× |
| Rp Therapy Intravenous Administration (79101) |
$1,075.80 |
$1,956 |
3.8× |
| Sacroiliac Joints < 3 Views (72200) |
$218.35 |
$397 |
1.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,364.55 |
$2,481 |
4.8× |
| Scanogram (77073) |
$404.25 |
$735 |
3.2× |
| Scapula complete (73010) |
$237.60 |
$432 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$82.50 |
$150 |
3.5× |
| Small bowel series (74250) |
$655.60 |
$1,192 |
3.1× |
| Spec medical radj physics consltj (77370) |
$1,146.20 |
$2,084 |
7.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$2,341.35 |
$4,257 |
5.2× |
| Special dosimetry (77331) |
$734.80 |
$1,336 |
4.6× |
| Special treatment procedure (77470) |
$3,072.30 |
$5,586 |
4.6× |
| Spine thoracic 3 views (72072) |
$216.15 |
$393 |
1.7× |
| Stereotactic body radiation delivery (77373) |
$12,338.15 |
$22,433 |
5.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,617 |
$2,940 |
3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,110.45 |
$2,019 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$3,150.95 |
$5,729 |
7.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,388.75 |
$2,525 |
8.6× |
| Thoracolumbar 2 views (72080) |
$173.80 |
$316 |
1.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,083.50 |
$1,970 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$960.30 |
$1,746 |
2.0× |
| Tmj unilateral (70328) |
$173.80 |
$316 |
1.7× |
| Treatment device intermediate (77333) |
$855.25 |
$1,555 |
5.3× |
| Treatment devices simple (77332) |
$823.35 |
$1,497 |
5.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,166.90 |
$5,758 |
4.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,326.05 |
$2,411 |
2.8× |
| Tx devices design & construction complex (77334) |
$3,132.25 |
$5,695 |
7.0× |
| Ultrasound, abdomen limited (76705) |
$725.45 |
— |
5.8× |
| Umbilical-artery Doppler (OB) (76820) |
$322.30 |
$586 |
2.6× |
| Unlisted fluoroscopic procedure (76496) |
$176.28 |
$320.50 |
1.7× |
| Upper Extremity Infant (73092) |
$216.15 |
$393 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$520.30 |
$946 |
1.8× |
| Urethrocystography voiding (74455) |
$660 |
$1,200 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$810.70 |
$1,474 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$288.75 |
$525 |
2.3× |
| Us breast unilateral complete (76641) |
$320.10 |
$582 |
2.6× |
| Us breast unilateral limited (76642) |
$297.55 |
$541 |
2.9× |
| Us chest (76604) |
$391.60 |
$712 |
3.1× |
| Us compl joint r-t w/image documentation (76881) |
$308.55 |
$561 |
2.5× |
| Us elastography parenchyma (76981) |
$222.75 |
$405 |
1.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$471.35 |
$857 |
3.8× |
| Us guided compression repair (76936) |
$631.95 |
$1,149 |
2.4× |
| Us infant hips dynamic (76885) |
$178.75 |
$325 |
1.7× |
| Us kidney transplant (76776) |
$379.50 |
$690 |
3.0× |
| Us ob detailed single fetus (76811) |
$912.45 |
$1,659 |
3.2× |
| Us ob transvaginal (76817) |
$695.75 |
$1,265 |
5.6× |
| Us pelvic non ob complete (76856) |
$1,103.85 |
— |
8.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$310.75 |
$565 |
2.5× |
| Us pregnancy ltd (76815) |
$593.72 |
— |
4.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$542.85 |
$987 |
4.3× |
| Us retroperitoneal complete (76770) |
$501.05 |
$911 |
4.0× |
| Us retroperitoneal limited (76775) |
$478.50 |
— |
3.8× |
| Us scrotum and contents (76870) |
$525.25 |
$955 |
4.2× |
| Us soft tissue head/neck (76536) |
$543.95 |
$989 |
4.3× |
| Us spinal canal and contents (76800) |
$526.35 |
$957 |
4.2× |
| Us transrectal (76872) |
$7,177.50 |
— |
57.3× |
| Us xtr non-vasc lmtd (76882) |
$272.80 |
— |
2.2× |
| Venogram extremity bilateral (75822) |
$2,081.20 |
$3,784 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$6,131.40 |
$11,148 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$1,845.80 |
$3,356 |
1.0× |
| Venography extremity unilateral rs&i (75820) |
$1,426.15 |
$2,593 |
0.8× |
| Venography Renal Bilateral (75833) |
$6,208.40 |
$11,288 |
1.6× |
| Venography renal unilateral selective rs&i (75831) |
$4,148.65 |
$7,543 |
1.1× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,081.20 |
$3,784 |
0.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,594.15 |
$8,353 |
0.7× |
| Wrist 2 views (73100) |
$818.40 |
— |
7.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$402.60 |
$732 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$237.60 |
$432 |
2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$764.50 |
— |
7.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$807.95 |
$1,469 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$700.98 |
— |
6.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$547.25 |
— |
5.2× |
| X-ray exam hip uni 1 view (73501) |
$237.60 |
— |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$260.70 |
— |
2.5× |
| X-ray exam hip uni 4/> views (73503) |
$250.25 |
$455 |
2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$364.10 |
$662 |
2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$400.40 |
$728 |
3.2× |
| X-ray exam of femur 1 (73551) |
$237.60 |
$432 |
2.3× |
| X-ray eye for foreign body (70030) |
$237.60 |
$432 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$311.85 |
$567 |
2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$178.75 |
$325 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$7,323.65 |
— |
70.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$213.40 |
$388 |
2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$180.40 |
$328 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$293.70 |
$534 |
2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$256.85 |
$467 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$151.80 |
$276 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$274.45 |
$499 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$446.05 |
$811 |
3.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$211.75 |
$385 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$237.60 |
$432 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$178.75 |
$325 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$293.70 |
$534 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$304.15 |
$553 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$756.25 |
$1,375 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$598.15 |
— |
5.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$382.25 |
$695 |
3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$466.95 |
$849 |
3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$237.60 |
$432 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$261.80 |
$476 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$345.12 |
— |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$365.75 |
$665 |
3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$365.75 |
$665 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$237.60 |
$432 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$30,072.47 |
— |
288.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$289.30 |
$526 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$237.60 |
$432 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$261.25 |
$475 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$218.35 |
$397 |
1.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$213.40 |
$388 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$345.12 |
— |
3.3× |
| Xr c-spine 6 or more views (72052) |
$446.05 |
$811 |
3.6× |
| Xr chest 4+ views (71048) |
$384.45 |
$699 |
3.1× |
| Xr finger(s) 2+ views (73140) |
$237.60 |
— |
2.3× |
| Xr shoulder 1 view (73020) |
$42,146.32 |
— |
404.0× |
| Xr spine cervical 4 or 5 views (72050) |
$425.70 |
$774 |
3.4× |
| Xr tibia/fibula 2 views (73590) |
$311.58 |
— |
3.0× |
| Xr tmj bilateral (70330) |
$237.60 |
$432 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$440.55 |
— |
4.2× |