| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,743.42 |
$9,358.54 |
2.8× |
| Abdomen 2 views (74019) |
$253.46 |
$633.65 |
2.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$668.80 |
$1,672 |
1.7× |
| Angiography extremity bilateral rs&i (75716) |
$4,431.18 |
$11,077.95 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$1,932.30 |
$4,830.75 |
0.6× |
| Angiography internal mammary rs&i (75756) |
$420.28 |
$1,050.70 |
0.1× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$1,736.60 |
$4,341.50 |
0.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,768.46 |
$9,421.15 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,057.92 |
$2,644.80 |
0.3× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$302.86 |
$757.15 |
0.1× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$2,434.66 |
$6,086.65 |
0.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$503.88 |
$1,259.70 |
0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,076.92 |
$2,692.30 |
0.4× |
| Ankle 2 views (73600) |
$346.18 |
$865.45 |
4.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$434.34 |
$1,085.85 |
1.3× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$2,085.06 |
$5,212.65 |
0.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,184.24 |
$5,460.60 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$3,972.90 |
$9,932.25 |
1.3× |
| Artery X-Rays Adrenal Gland (75731) |
$233.70 |
$584.25 |
0.1× |
| Arthrogram elbow (73085) |
$250.80 |
$627 |
0.7× |
| Arthrogram hip (73525) |
$363.66 |
$909.15 |
1.1× |
| Arthrogram shoulder (73040) |
$352.64 |
$881.60 |
1.1× |
| Arthrogram wrist (73115) |
$375.44 |
$938.60 |
1.1× |
| Arthrography knee lt (73580) |
$372.40 |
$931 |
1.1× |
| Basic radiation dosimetry calculation (77300) |
$325.60 |
$814 |
2.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$670.32 |
$1,675.80 |
1.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$592.42 |
$1,481.05 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$919.60 |
$2,299 |
2.4× |
| Bone age studies (77072) |
$124.26 |
$310.65 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$1,236.52 |
$3,091.30 |
3.2× |
| Bone Marrow Imaging Limited Area (78102) |
$441.94 |
$1,104.85 |
1.1× |
| Bone survey complete (77075) |
$459.04 |
$1,147.60 |
4.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$457.52 |
$1,143.80 |
1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,211.76 |
$8,029.40 |
2.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$609.14 |
$1,522.85 |
1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,668.20 |
$4,170.50 |
5.0× |
| Cardiac shunt detection (78428) |
$505.40 |
$1,263.50 |
1.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$471.58 |
$1,178.95 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$204.44 |
$511.10 |
2.4× |
| Chest 1 view (71045) |
$218.40 |
$546 |
2.6× |
| Chest 3 views (71047) |
$338.40 |
$846 |
4.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$327.18 |
$817.95 |
1.9× |
| Clavicle complete (73000) |
$183.16 |
$457.90 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$40.66 |
$101.65 |
0.4× |
| Continuing medical physics consltj pr wk (77336) |
$364.35 |
$910.88 |
2.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,895.82 |
$4,739.55 |
5.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,338.74 |
$3,346.85 |
5.8× |
| CT abdomen w contrast (74160) |
$1,057.16 |
$2,642.90 |
6.3× |
| CT abdomen w wo contrast (74170) |
$1,307.20 |
$3,268 |
7.7× |
| CT abdomen w/o contrast (74150) |
$954.18 |
$2,385.45 |
9.5× |
| CT angio hrt w/3d image (75574) |
$1,264.26 |
$3,160.65 |
3.8× |
| CT angiography upper extremity lt (73206) |
$1,372.94 |
$3,432.35 |
8.1× |
| CT c-spine w/o contrast (72125) |
$902.88 |
$2,257.20 |
9.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,302.26 |
$3,255.65 |
7.7× |
| CT cervical spine with contrast (72126) |
$959.88 |
$2,399.70 |
2.9× |
| CT chest w/wo contrast (71270) |
$1,237.66 |
$3,094.15 |
7.3× |
| CT chest with contrast (71260) |
$1,123.66 |
$2,809.15 |
6.7× |
| CT head/brain with contrast (70460) |
$1,210.30 |
$3,025.75 |
7.2× |
| CT head/brain without and with contrast (70470) |
$1,280.98 |
$3,202.45 |
7.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,271.48 |
$3,178.70 |
3.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$74.48 |
$186.20 |
0.9× |
| CT hrt w/3d image congen (75573) |
$1,131.64 |
$2,829.10 |
3.4× |
| CT iac w contrast (70481) |
$1,049.94 |
$2,624.85 |
6.2× |
| CT limited/localized follow up study (76380) |
$120.08 |
$300.20 |
1.4× |
| CT lower ext w/o (73700) |
$883.12 |
$2,207.80 |
8.8× |
| CT lower extremity w wo contrast (73702) |
$1,127.84 |
$2,819.60 |
6.7× |
| CT lower extremity with contrast (73701) |
$1,084.52 |
$2,711.30 |
6.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,207.80 |
$5,519.50 |
13.1× |
| CT lumbar spine w/o contrast (72131) |
$1,010.42 |
$2,526.05 |
10.0× |
| CT lumbar spine with contrast (72132) |
$1,030.18 |
$2,575.45 |
3.1× |
| CT maxillofacial w contrast (70487) |
$882.74 |
$2,206.85 |
5.2× |
| CT maxillofacial w/o contrast (70486) |
$878.94 |
$2,197.35 |
8.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,170.40 |
$2,926 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$1,011.18 |
$2,527.95 |
6.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,132.02 |
$2,830.05 |
6.7× |
| CT orbits w/o contrast (70480) |
$949.24 |
$2,373.10 |
9.4× |
| CT pelvis w & w/o contrast (72194) |
$1,222.84 |
$3,057.10 |
7.2× |
| CT pelvis w/o contrast (72192) |
$964.44 |
$2,411.10 |
9.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,083.38 |
$2,708.45 |
6.4× |
| CT soft tissue neck w/o contrast (70490) |
$847.02 |
$2,117.55 |
8.4× |
| CT thoracic spine w/contrast (72129) |
$970.90 |
$2,427.25 |
5.8× |
| CT thoracic spine w/o contrast (72128) |
$1,013.08 |
$2,532.70 |
10.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,233.10 |
$3,082.75 |
7.3× |
| CT thorax w/o contrast (71250) |
$927.58 |
$2,318.95 |
9.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,242.98 |
$3,107.45 |
7.4× |
| CT upper extremity w/o contrast rt (73200) |
$3,412.02 |
$8,530.05 |
33.9× |
| CT upper extremity with contrast (73201) |
$993.32 |
$2,483.30 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,610.06 |
$4,025.15 |
9.5× |
| Cta Abdomen (74175) |
$1,460.34 |
$3,650.85 |
8.7× |
| CTA abdomen pelvis (74174) |
$2,248.46 |
$5,621.15 |
6.7× |
| CTA chest (71275) |
$1,478.20 |
$3,695.50 |
8.8× |
| Cta Head (70496) |
$1,196.24 |
$2,990.60 |
7.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,529.50 |
$3,823.75 |
9.1× |
| Cta Neck (70498) |
$1,124.04 |
$2,810.10 |
6.7× |
| Cta Pelvis (72191) |
$1,460.34 |
$3,650.85 |
8.7× |
| Cystography minimum 3 views rs&i (74430) |
$400.14 |
$1,000.35 |
1.2× |
| Diskogram cervical (72285) |
$180.50 |
$451.25 |
0.1× |
| Diskography lumbar (72295) |
$1,703.54 |
$4,258.85 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$300.58 |
$751.45 |
3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$203.30 |
$508.25 |
2.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$224.96 |
$562.40 |
2.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$68.78 |
$171.95 |
0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$108.30 |
$270.75 |
1.3× |
| Echo exam of fetal heart (76825) |
$343.14 |
$857.85 |
0.7× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$362.52 |
$906.30 |
1.6× |
| Echoencephalography real time imaging (76506) |
$240.16 |
$600.40 |
2.4× |
| Esophagus (74220) |
$286.90 |
$717.25 |
1.7× |
| Fetal biophysical profile non-stress testing (76818) |
$245.48 |
$613.70 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$308.18 |
$770.45 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$207.10 |
$517.75 |
0.9× |
| Foot 2 views (73620) |
$367.08 |
$917.70 |
4.4× |
| Forearm 2 views (73090) |
$380.76 |
$951.90 |
4.5× |
| Gated Heart Planar Single (78472) |
$973.94 |
$2,434.85 |
2.5× |
| Hand 2 views (73120) |
$390.26 |
$975.65 |
3.9× |
| Hand 3 views (73130) |
$430.54 |
$1,076.35 |
5.1× |
| Heart Infarct Image (78466) |
$384.94 |
$962.35 |
1.0× |
| Heart infarct image w ef (78468) |
$359.48 |
$898.70 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,185.98 |
$2,964.95 |
2.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,153.30 |
$2,883.25 |
3.0× |
| Ht muscle image spect sing (78451) |
$2,183.10 |
$5,457.75 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$380.76 |
$951.90 |
4.5× |
| Hysterosalpingogram (74740) |
$444.60 |
$1,111.50 |
1.9× |
| Kidney imaging morphology (78700) |
$584.82 |
$1,462.05 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,032.84 |
$2,582.10 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,270.34 |
$3,175.85 |
2.4× |
| Knee 3 views (73562) |
$424.84 |
$1,062.10 |
5.1× |
| Liver & spleen imaging static only (78215) |
$567.34 |
$1,418.35 |
1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$588.62 |
$1,471.55 |
1.5× |
| Liver imaging static only (78201) |
$476.14 |
$1,190.35 |
0.9× |
| Liver imaging w/vascular flow (78202) |
$294.12 |
$735.30 |
0.6× |
| Lung perf&ventilat diferentl (78598) |
$786.98 |
$1,967.45 |
1.5× |
| Lung perfusion differential (78597) |
$1,068.56 |
$2,671.40 |
2.8× |
| Lung Ventilation Imaging (78579) |
$370.12 |
$925.30 |
1.0× |
| Lymphoscintigraphy (78195) |
$1,065.90 |
$2,664.75 |
2.0× |
| Mammary ductogram or galactogram multiple (77054) |
$289.44 |
$723.60 |
1.3× |
| Mammary ductogram or galactogram single (77053) |
$572.64 |
$1,431.60 |
2.5× |
| Meckels Diverticulum (78290) |
$500.08 |
$1,250.20 |
1.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,696.70 |
$6,741.74 |
7.5× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$67.64 |
$169.10 |
1.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$27.74 |
$69.35 |
1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$104.50 |
$261.25 |
1.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$275.50 |
$688.75 |
1.2× |
| MRA head w & w/o contrast (70546) |
$1,064 |
$2,660 |
3.2× |
| MRA head w/o contrast (70544) |
$796.86 |
$1,992.15 |
3.5× |
| MRA head with contrast (70545) |
$789.26 |
$1,973.15 |
2.4× |
| MRA neck w contrast (70548) |
$908.58 |
$2,271.45 |
2.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,324.68 |
$3,311.70 |
3.9× |
| MRA neck w/o contrast (70547) |
$905.16 |
$2,262.90 |
3.9× |
| MRI abdomen w contrast (74182) |
$999.02 |
$2,497.55 |
3.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,876.60 |
$7,191.50 |
8.6× |
| MRI abdomen w/o contrast (74181) |
$986.48 |
$2,466.20 |
4.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,269.96 |
$3,174.90 |
1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,127.46 |
$2,818.65 |
1.5× |
| MRI breast w/o contrast bilateral (77047) |
$861.46 |
$2,153.65 |
3.8× |
| MRI c-spine with contrast (72142) |
$1,259.32 |
$3,148.30 |
3.8× |
| MRI cardiac w/o cont stress (75559) |
$763.80 |
$1,909.50 |
1.5× |
| MRI cardiac w/o contrast (75557) |
$1,090.22 |
$2,725.55 |
4.8× |
| MRI cervical spine w/o contrast (72141) |
$1,018.02 |
$2,545.05 |
4.4× |
| MRI chest w/o & w/contrast material (71552) |
$1,344.25 |
$3,360.62 |
4.0× |
| MRI chest w/o contrast (71550) |
$1,045.38 |
$2,613.45 |
4.6× |
| MRI chest with contrast (71551) |
$1,033.60 |
$2,584 |
1.4× |
| MRI fetal sngl/1st gestation (74712) |
$330.60 |
$826.50 |
1.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$998.26 |
$2,495.65 |
3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$846.26 |
$2,115.65 |
2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,035.50 |
$2,588.75 |
4.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,160.14 |
$2,900.35 |
5.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,336.08 |
$3,340.20 |
4.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,160.14 |
$2,900.35 |
3.5× |
| MRI pelvis w contrast (72196) |
$846.26 |
$2,115.65 |
2.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,252.48 |
$3,131.20 |
3.7× |
| MRI pelvis w/o contrast (72195) |
$931.76 |
$2,329.40 |
4.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,260.08 |
$3,150.20 |
3.8× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,668.20 |
$4,170.50 |
2.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,825.30 |
$7,063.25 |
8.4× |
| MRI spectroscopy (76390) |
$440.04 |
$1,100.10 |
5.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,460.34 |
$3,650.85 |
4.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,466.04 |
$3,665.10 |
4.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,537.48 |
$3,843.70 |
4.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,294.66 |
$3,236.65 |
3.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,443.62 |
$3,609.05 |
4.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,017.26 |
$2,543.15 |
4.4× |
| MRI tmj (70336) |
$785.46 |
$1,963.65 |
3.4× |
| MRI upper ext joint w/o contrast (73221) |
$2,257.96 |
$5,644.90 |
9.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,333.42 |
$3,333.55 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$998.26 |
$2,495.65 |
4.4× |
| Myelogram Cervical (72240) |
$555.56 |
$1,388.90 |
0.7× |
| Myelogram Lumbar (72265) |
$623.96 |
$1,559.90 |
0.8× |
| Myelogram thoracic (72255) |
$427.88 |
$1,069.70 |
0.6× |
| Myelography 2 or more regions (72270) |
$632.70 |
$1,581.75 |
0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,755.60 |
$4,389 |
1.4× |
| Myocardial infarct spect (78469) |
$625.86 |
$1,564.65 |
1.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,672.54 |
$6,681.35 |
2.1× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$3,950.48 |
$9,876.20 |
1.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$4,828.66 |
$12,071.65 |
2.3× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$4,828.66 |
$12,071.65 |
3.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$2,353.34 |
$5,883.35 |
2.8× |
| Neck soft tissue (70360) |
$161.50 |
$403.75 |
1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$92.72 |
$231.80 |
0.2× |
| Nm bone marrow multiple (78103) |
$432.06 |
$1,080.15 |
1.1× |
| Nm bone marrow wb (78104) |
$210.52 |
$526.30 |
0.5× |
| Nm cisternogram (78630) |
$1,078.44 |
$2,696.10 |
2.1× |
| Nm csf leak detection (78650) |
$284.62 |
$711.55 |
0.2× |
| Nm gastric emptying study (78264) |
$889.96 |
$2,224.90 |
2.3× |
| Nm gastroesophageal reflux study (78262) |
$453.72 |
$1,134.30 |
1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,482.48 |
$13,706.21 |
4.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$2,018.18 |
$5,045.45 |
1.5× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$2,034.52 |
$5,086.30 |
1.5× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$1,921.66 |
$4,804.15 |
1.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$584.82 |
$1,462.05 |
1.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$501.60 |
$1,254 |
1.3× |
| Nuclear Rx Oral Admin (79005) |
$720.48 |
$1,801.20 |
3.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$322.62 |
$806.55 |
3.2× |
| Osseous survey infant (77076) |
$184.68 |
$461.70 |
1.8× |
| Osseous survey limited (77074) |
$247.38 |
$618.45 |
2.5× |
| Parathyrd planar w/spect&CT (78072) |
$555.56 |
$1,388.90 |
1.1× |
| Parathyrd planar w/wo subtrj (78071) |
$674.12 |
$1,685.30 |
1.8× |
| Parathyroid imaging (78070) |
$798.38 |
$1,995.95 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$192.28 |
$480.70 |
1.9× |
| PET image w/CT, skull-thigh (78815) |
$3,981.64 |
$9,954.10 |
2.9× |
| PET imaging CT for attenuation limited area (78814) |
$2,261.76 |
$5,654.40 |
1.6× |
| PET imaging for CT attenuation whole body (78816) |
$3,818.62 |
$9,546.55 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,206.88 |
$3,017.20 |
3.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$843.22 |
$2,108.05 |
0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$590.14 |
$1,475.35 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$898.70 |
$2,246.75 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$391.40 |
$978.50 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$265.62 |
$664.05 |
2.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$142.12 |
$355.30 |
1.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$82.08 |
$205.20 |
0.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$265.62 |
$664.05 |
2.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$18,599.22 |
$46,498.05 |
2.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$561.71 |
$1,404.28 |
1.1× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$211.34 |
$528.35 |
2.2× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$345.58 |
$863.94 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.56 |
$533.90 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$185.82 |
$464.55 |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$327.18 |
$817.95 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$328.32 |
$820.80 |
3.9× |
| Radiologic exam colon single contrast study (74270) |
$368.98 |
$922.45 |
2.2× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$93.86 |
$234.65 |
0.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$451.44 |
$1,128.60 |
2.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$380.38 |
$950.95 |
2.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$456.76 |
$1,141.90 |
5.5× |
| Radiological examination surgical specimen (76098) |
$411.84 |
$1,029.60 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$936.32 |
$2,340.80 |
0.3× |
| Ribs bilateral 3 views (71110) |
$292.98 |
$732.45 |
2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$454.86 |
$1,137.15 |
1.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$726.56 |
$1,816.40 |
1.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,314.42 |
$3,286.05 |
2.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,232.88 |
$5,582.20 |
1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,533.46 |
$6,333.65 |
1.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,232.88 |
$5,582.20 |
1.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$902.90 |
$2,257.24 |
4.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$402.04 |
$1,005.10 |
1.8× |
| Rp Therapy Intravenous Administration (79101) |
$542.26 |
$1,355.65 |
2.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$424.84 |
$1,062.10 |
1.9× |
| Scapula complete (73010) |
$182.02 |
$455.05 |
1.8× |
| Screening digital breast tomosynthesis (77063) |
$87.36 |
$218.40 |
3.7× |
| Sialogram (70390) |
$129.96 |
$324.90 |
0.6× |
| Simulation intermediate (77285) |
$648.80 |
$1,622.01 |
1.8× |
| Small bowel series (74250) |
$321.86 |
$804.65 |
1.9× |
| Spec medical radj physics consltj (77370) |
$588.08 |
$1,470.20 |
4.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$724.71 |
$1,811.78 |
2.0× |
| Special dosimetry (77331) |
$391.12 |
$977.80 |
3.0× |
| Special treatment procedure (77470) |
$1,665.56 |
$4,163.90 |
3.1× |
| Speech evaluation complex (70371) |
$176.32 |
$440.80 |
0.8× |
| Spine thoracic 3 views (72072) |
$258.02 |
$645.05 |
2.6× |
| Stereotactic body radiation delivery (77373) |
$7,951.06 |
$19,877.65 |
4.6× |
| Superior sagittal sinus venogram (75870) |
$841.70 |
$2,104.25 |
0.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$211.34 |
$528.35 |
2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,629.60 |
$4,074.01 |
4.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,116.23 |
$2,790.58 |
3.1× |
| Testicular Imaging With Vascular Flow (78761) |
$239.02 |
$597.55 |
0.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,037.53 |
$2,593.82 |
2.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$649.60 |
$1,624.01 |
5.0× |
| Therapeutic Enema (74283) |
$300.96 |
$752.40 |
1.8× |
| Thoracolumbar 2 views (72080) |
$169.48 |
$423.70 |
2.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$901.74 |
$2,254.35 |
1.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$341.24 |
$853.10 |
0.9× |
| Thyroid uptake measurement (78012) |
$210.90 |
$527.25 |
0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$650.56 |
$1,626.40 |
1.7× |
| Treatment device intermediate (77333) |
$569.70 |
$1,424.26 |
4.4× |
| Treatment devices simple (77332) |
$755.08 |
$1,887.69 |
5.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,858.96 |
$4,647.40 |
3.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$606.48 |
$1,516.20 |
1.6× |
| Tx devices design & construction complex (77334) |
$1,032.34 |
$2,580.84 |
2.9× |
| Ultrasound elastography first target lesion (76982) |
$307.42 |
$768.55 |
3.1× |
| Ultrasound, abdomen limited (76705) |
$415.72 |
$1,039.30 |
4.1× |
| Umbilical-artery Doppler (OB) (76820) |
$238.64 |
$596.60 |
2.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$66.12 |
$165.30 |
0.8× |
| Unlisted magnetic resonance procedure (76498) |
$941.64 |
$2,354.10 |
11.3× |
| Upper Extremity Infant (73092) |
$59.28 |
$148.20 |
0.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$467.78 |
$1,169.45 |
1.2× |
| Urethrocystography retrograde rs&i (74450) |
$360.62 |
$901.55 |
1.6× |
| Urethrocystography voiding (74455) |
$463.98 |
$1,159.95 |
2.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$492.10 |
$1,230.25 |
2.9× |
| Us abdl aorta screen aaa (76706) |
$364.80 |
$912 |
3.6× |
| Us breast unilateral complete (76641) |
$259.54 |
$648.85 |
2.6× |
| Us breast unilateral limited (76642) |
$628.90 |
$1,572.25 |
7.5× |
| Us chest (76604) |
$565.06 |
$1,412.65 |
5.6× |
| Us elastography parenchyma (76981) |
$307.42 |
$768.55 |
3.1× |
| Us fetal nuchal translucency 1st gestation (76813) |
$221.92 |
$554.80 |
2.2× |
| Us guided compression repair (76936) |
$290.32 |
$725.80 |
1.4× |
| Us infant hips dynamic (76885) |
$259.54 |
$648.85 |
3.1× |
| Us infant hips limited static (76886) |
$211.66 |
$529.15 |
2.5× |
| Us kidney transplant (76776) |
$470.06 |
$1,175.15 |
4.7× |
| Us ob detailed single fetus (76811) |
$552.14 |
$1,380.35 |
2.4× |
| Us ob transvaginal (76817) |
$337.06 |
$842.65 |
3.4× |
| Us pelvic non ob complete (76856) |
$504.26 |
$1,260.65 |
5.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$318.44 |
$796.10 |
3.2× |
| Us pregnancy ltd (76815) |
$335.54 |
$838.85 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$271.50 |
$678.75 |
2.7× |
| Us retroperitoneal complete (76770) |
$472.72 |
$1,181.80 |
4.7× |
| Us retroperitoneal limited (76775) |
$191.04 |
$477.60 |
1.9× |
| Us scrotum and contents (76870) |
$355.30 |
$888.25 |
3.5× |
| Us soft tissue head/neck (76536) |
$415.72 |
$1,039.30 |
4.1× |
| Us spinal canal and contents (76800) |
$221.92 |
$554.80 |
2.2× |
| Us transrectal (76872) |
$501.60 |
$1,254 |
5.0× |
| Us xtr non-vasc lmtd (76882) |
$259.16 |
$647.90 |
2.6× |
| Us, eye b-scan (76512) |
$254.98 |
$637.45 |
2.5× |
| Venogram extremity bilateral (75822) |
$1,604.74 |
$4,011.85 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$1,426.14 |
$3,565.35 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$1,084.90 |
$2,712.25 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$1,318.22 |
$3,295.55 |
0.9× |
| Venography Renal Bilateral (75833) |
$377.72 |
$944.30 |
0.1× |
| Venography renal unilateral selective rs&i (75831) |
$648.28 |
$1,620.70 |
0.2× |
| Venography venous sinus/jugular cath rs&i (75860) |
$744.80 |
$1,862 |
0.2× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$250.42 |
$626.05 |
0.0× |
| Wrist 2 views (73100) |
$346.94 |
$867.35 |
4.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$316.54 |
$791.35 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$133.38 |
$333.45 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$294.12 |
$735.30 |
3.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$572.66 |
$1,431.65 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$173.66 |
$434.15 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$205.58 |
$513.95 |
2.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$265.62 |
$664.05 |
2.6× |
| X-ray exam hip uni 1 view (73501) |
$140.60 |
$351.50 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$311.60 |
$779 |
3.7× |
| X-ray exam hip uni 4/> views (73503) |
$311.60 |
$779 |
3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$214.70 |
$536.75 |
2.1× |
| X-ray exam of femur 1 (73551) |
$102.60 |
$256.50 |
1.2× |
| X-ray eye for foreign body (70030) |
$56.62 |
$141.55 |
0.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$205.58 |
$513.95 |
2.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$179.74 |
$449.35 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$427.88 |
$1,069.70 |
5.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$161.88 |
$404.70 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$508.44 |
$1,271.10 |
5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$110.58 |
$276.45 |
1.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$71.82 |
$179.55 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$211.66 |
$529.15 |
2.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$356.82 |
$892.05 |
3.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$201.40 |
$503.50 |
2.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$163.40 |
$408.50 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$108.68 |
$271.70 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$197.22 |
$493.05 |
2.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$240.92 |
$602.30 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$392.92 |
$982.30 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$234.08 |
$585.20 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$292.22 |
$730.55 |
2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$336.68 |
$841.70 |
3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$190 |
$475 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$177.84 |
$444.60 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$394.06 |
$985.15 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$206.72 |
$516.80 |
2.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$159.98 |
$399.95 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$270.18 |
$675.45 |
2.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$178.98 |
$447.45 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$207.48 |
$518.70 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$114 |
$285 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$171.38 |
$428.45 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$133 |
$332.50 |
1.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$238.64 |
$596.60 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$149.34 |
$373.35 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$419.14 |
$1,047.85 |
5.0× |
| Xr arthrogram ankle (73615) |
$352.26 |
$880.65 |
1.0× |
| Xr c-spine 6 or more views (72052) |
$282.34 |
$705.85 |
2.8× |
| Xr chest 4+ views (71048) |
$466.08 |
$1,165.20 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$160.74 |
$401.85 |
1.9× |
| Xr shoulder 1 view (73020) |
$194.18 |
$485.45 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$262.96 |
$657.40 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$369.36 |
$923.40 |
4.4× |
| Xr tmj bilateral (70330) |
$157.32 |
$393.30 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$362.52 |
$906.30 |
4.3× |