| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,606.05 |
$10,303 |
2.0× |
| Abdomen 1 View (74018) |
$281.75 |
$805 |
2.5× |
| Abdomen 2 views (74019) |
$329.70 |
$942 |
2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,072.05 |
$3,063 |
2.1× |
| Adrenal Cortex & Medulla Img (78075) |
$2,182.95 |
$6,237 |
1.3× |
| Angio internal mammary (75756) |
$1,430.45 |
$4,087 |
0.4× |
| Angio pulmonary bilat (75743) |
$1,325.45 |
$3,787 |
0.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$1,527.05 |
$4,363 |
0.4× |
| Angiography extremity bilateral rs&i (75716) |
$2,854.25 |
$8,155 |
0.7× |
| Angiography extremity unilateral rs&i (75710) |
$1,822.45 |
$5,207 |
0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$1,325.45 |
$3,787 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,924.30 |
$5,498 |
0.5× |
| Ankle 2 views (73600) |
$230.30 |
$658 |
2.1× |
| Aortography thoracic serialography rs&i (75605) |
$3,629.50 |
$10,370 |
0.5× |
| Aortography thoracic w/o serialography rs&i (75600) |
$1,802.85 |
$5,151 |
0.4× |
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure |
$3,129.70 |
$8,942 |
0.4× |
| Artery X-Rays Adrenal Gland (75731) |
$1,439.20 |
$4,112 |
0.4× |
Artery X-Rays Pelvis (75736)
likely a partial charge, not the full procedure |
$2,126.25 |
$6,075 |
0.3× |
Artery X-Rays Spine (75705)
likely a partial charge, not the full procedure |
$2,125.55 |
$6,073 |
0.3× |
| Arthrogram ankle (73615) |
$486.85 |
$1,391 |
1.1× |
| Arthrogram hip (73525) |
$382.90 |
$1,094 |
0.9× |
| Arthrogram Wrist (73115) |
$637 |
$1,820 |
1.4× |
| Basic radiation dosimetry calculation (77300) |
$593.25 |
$1,695 |
3.4× |
| Bone age studies (77072) |
$163.80 |
$468 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$1,797.25 |
$5,135 |
3.5× |
| Bone Imaging Limited Area (78300) |
$743.05 |
$2,123 |
1.4× |
| Bone Imaging Multiple Areas (78305) |
$795.90 |
$2,274 |
1.5× |
| Bone Imaging Whole Body (78306) |
$1,502.90 |
$4,294 |
2.9× |
| Bone marrow imaging limited area (78102) |
$840 |
$2,400 |
1.6× |
| Bone marrow imaging; multiple areas (78103) |
$841.40 |
$2,404 |
1.6× |
| Bone marrow imaging; whole body (78104) |
$843.15 |
$2,409 |
1.6× |
| Brachytx isodose complex (77318) |
$1,158.85 |
$3,311 |
2.4× |
| Brachytx isodose intermed (77317) |
$829.85 |
$2,371 |
1.7× |
| Brachytx Isodose Plan Simple (77316) |
$628.60 |
$1,796 |
1.3× |
| Brain Flow Imaging Only (78610) |
$490.35 |
$1,401 |
0.7× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) |
$1,422.05 |
$4,063 |
2.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,165.15 |
$3,329 |
2.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$1,697.15 |
$4,849 |
1.7× |
| Cardiac Shunt Detection (78428) |
$261.10 |
$746 |
0.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$618.10 |
$1,766 |
0.9× |
| Cerebrospinal Fluid Scan (78630) |
$1,630.30 |
$4,658 |
2.3× |
| Chest 1 view (71045) |
$331.80 |
$948 |
3.0× |
| Chest 2 views (71046) |
$397.95 |
$1,137 |
3.6× |
| Chest 3 views (71047) |
$439.25 |
$1,255 |
3.9× |
| Chest 4 or more views (71048) |
$480.20 |
$1,372 |
3.6× |
| Cholecystography Oral Contrast (74290) |
$221.90 |
$634 |
1.0× |
| Cisternography Positive Contrast Rs&I (70015) |
$773.50 |
$2,210 |
0.8× |
| Clavicle complete (73000) |
$329 |
$940 |
2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,908.55 |
$5,453 |
14.2× |
| Continuing medical physics consltj pr wk (77336) |
$391.65 |
$1,119 |
2.3× |
| Contrast Exam Abdominl Aorta (75625) |
$1,939 |
$5,540 |
0.5× |
| Contrast X-Ray Bladder (74430) |
$441.35 |
$1,261 |
1.0× |
| Contrast X-Ray Of Elbow (73085) |
$266.35 |
$761 |
0.6× |
| Contrast X-Ray Of Knee Joint (73580) |
$748.30 |
$2,138 |
1.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,037 |
$5,820 |
4.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,890.35 |
$5,401 |
6.2× |
| CT abdomen w contrast (74160) |
$2,543.45 |
$7,267 |
11.3× |
| CT abdomen w wo contrast (74170) |
$2,833.60 |
$8,096 |
12.6× |
| CT abdomen w/o contrast (74150) |
$2,042.60 |
$5,836 |
15.2× |
| CT Angio Abdomen and Pelvis (74174) |
$984.90 |
$2,814 |
2.2× |
| CT Angio Chest (71275) |
$1,578.85 |
$4,511 |
7.0× |
| CT Angio Head (70496) |
$1,014.30 |
$2,898 |
4.5× |
| CT angio hrt w/3d image (75574) |
$1,030.75 |
$2,945 |
2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,552.60 |
$4,436 |
6.9× |
| CT Angio Neck (70498) |
$1,267.35 |
$3,621 |
5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,578.85 |
$4,511 |
7.0× |
| CT cervical spine w/ contrast (72126) |
$2,002.70 |
$5,722 |
4.5× |
| CT cervical spine w/o contrast (72125) |
$1,927.10 |
$5,506 |
14.3× |
| CT cervical spine w/wo cont (72127) |
$2,091.60 |
$5,976 |
9.3× |
| CT chest w contrast (71260) |
$2,531.20 |
$7,232 |
11.2× |
| CT chest w/wo contrast (71270) |
$2,579.85 |
$7,371 |
11.4× |
| CT head/brain with contrast (70460) |
$1,642.55 |
$4,693 |
7.3× |
| CT head/brain without and with contrast (70470) |
$1,906.80 |
$5,448 |
8.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$824.95 |
$2,357 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$479.15 |
$1,369 |
4.3× |
| CT hrt w/3d image congen (75573) |
$824.95 |
$2,357 |
1.8× |
| CT iac w contrast (70481) |
$1,754.20 |
$5,012 |
7.8× |
| CT l-spine w&w/o contrast (72133) |
$2,605.75 |
$7,445 |
11.6× |
| CT lower ext w/o (73700) |
$1,931.65 |
$5,519 |
14.4× |
| CT lower extremity w/contrast material (73701) |
$2,280.95 |
$6,517 |
10.1× |
| CT lumbar spine w contrast (72132) |
$2,493.75 |
$7,125 |
5.6× |
| CT lumbar spine w/o contrast (72131) |
$2,411.15 |
$6,889 |
17.9× |
| CT maxillofacial w contrast (70487) |
$1,669.15 |
$4,769 |
7.4× |
| CT maxillofacial wo contrast (70486) |
$1,390.90 |
$3,974 |
10.3× |
| CT neck tissue combo (70492) |
$2,074.45 |
$5,927 |
9.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,975.75 |
$5,645 |
8.8× |
| CT orbits w/o contrast (70480) |
$1,632.40 |
$4,664 |
12.1× |
| CT pelvis w&w/o contrast (72194) |
$2,341.85 |
$6,691 |
10.4× |
| CT pelvis w/o contrast (72192) |
$1,924.30 |
$5,498 |
14.3× |
| CT scan of leg combo (73702) |
$2,906.40 |
$8,304 |
12.9× |
| CT scans face/jaw combo (70488) |
$2,009 |
$5,740 |
8.9× |
| CT soft tissue neck w contrast (70491) |
$1,853.95 |
$5,297 |
8.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,614.55 |
$4,613 |
12.0× |
| CT thoracic spine w contrast (72129) |
$2,493.75 |
$7,125 |
11.1× |
| CT thoracic spine w/o contrast (72128) |
$2,365.65 |
$6,759 |
17.6× |
| CT thoracic spine w/wo cont (72130) |
$2,605.75 |
$7,445 |
11.6× |
| CT thorax w/o contrast (71250) |
$2,067.10 |
$5,906 |
15.4× |
| CT upper ext wo (73200) |
$1,807.05 |
$5,163 |
13.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,596.30 |
$7,418 |
11.5× |
| CT upper extremity with contrast (73201) |
$2,014.25 |
$5,755 |
4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,054.15 |
$5,869 |
9.1× |
| Cta Abdomen (74175) |
$1,766.10 |
$5,046 |
7.8× |
| CTA pelvis (72191) |
$1,578.85 |
$4,511 |
7.0× |
| Dilation ureters/urethra rs&i (74485) |
$1,807.05 |
$5,163 |
0.7× |
| Discography Cerv/Thor Spine (72285) |
$1,544.20 |
$4,412 |
0.6× |
| Diskography lumbar (72295) |
$1,548.75 |
$4,425 |
0.6× |
| Dxa Bone Density Axial (77080) |
$328.30 |
$938 |
2.4× |
| Dxa bone density study (77085) |
$315.35 |
$901 |
2.3× |
| Echo exam uterus (76831) |
$368.90 |
$1,054 |
1.2× |
| Echo Guide For Artery Repair (76936) |
$712.25 |
$2,035 |
2.6× |
| Echograp Trans R Pros Study (76873) |
$366.10 |
$1,046 |
2.7× |
| Esophageal Motility Study (78258) |
$1,062.95 |
$3,037 |
2.1× |
| Esophagram (74220) |
$487.90 |
$1,394 |
2.2× |
| Fetal Biophys Profile W/Nst (76818) |
$527.80 |
$1,508 |
3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$479.50 |
$1,370 |
3.6× |
| Fluoroscopy up to 1 hr (76000) |
$369.60 |
$1,056 |
1.2× |
| Follow-Up Angiography (75898) |
$651 |
$1,860 |
0.2× |
| Foot 2 views (73620) |
$275.10 |
$786 |
2.5× |
| Forearm 2 views (73090) |
$334.95 |
$957 |
3.0× |
| Gastric emptying imaging study (78264) |
$1,340.15 |
$3,829 |
2.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,340.15 |
$3,829 |
2.6× |
| Gastric Mucosa Imaging (78261) |
$676.55 |
$1,933 |
1.3× |
| Gastroesophageal Reflux Exam (78262) |
$923.65 |
$2,639 |
1.8× |
| Gated Heart Planar Single (78472) |
$740.60 |
$2,116 |
1.4× |
| Gated Heart, Multiple (78473) |
$1,247.75 |
$3,565 |
2.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$1,474.55 |
$4,213 |
2.1× |
| Hand 2 views (73120) |
$297.85 |
$851 |
2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$3,031.35 |
$8,661 |
3.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$2,692.55 |
$7,693 |
3.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$2,592.10 |
$7,406 |
2.9× |
| Heart first pass single,planar (78481) |
$955.85 |
$2,731 |
1.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$1,995 |
$5,700 |
0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$1,325.45 |
$3,787 |
0.3× |
| Hepatobil Syst Image W/Drug (78227) |
$1,333.85 |
$3,811 |
1.9× |
| Hepatobiliary System Imaging (78226) |
$1,212.75 |
$3,465 |
2.4× |
| Ht Musc Image Planar Mult (78454) |
$1,309.70 |
$3,742 |
0.8× |
| Ht Muscle Image Spect Sing (78451) |
$1,510.60 |
$4,316 |
0.9× |
| Hysterosalpingogram (74740) |
$428.75 |
$1,225 |
1.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$103.60 |
$296 |
0.9× |
| Infant hip ultrasound, limited static exam (76886) |
$98 |
$280 |
0.9× |
| Infusion Ivp (74410) |
$759.85 |
$2,171 |
3.4× |
| Interstitial radiation source applic complex (77778) |
$2,399.95 |
$6,857 |
2.7× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,410.85 |
$4,031 |
1.6× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$852.25 |
$2,435 |
1.2× |
| Intracavitary radiation source applic simple (77761) |
$716.45 |
$2,047 |
1.0× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$10,035.20 |
$28,672 |
1.1× |
| Joint Survey Single View (77077) |
$212.80 |
$608 |
1.6× |
| K Flow/Funct Image W/Drug (78708) |
$1,415.75 |
$4,045 |
2.0× |
| K Flow/Funct Image W/O Drug (78707) |
$1,341.20 |
$3,832 |
1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) |
$302.75 |
$865 |
0.6× |
| Kidney Imaging Morphol (78700) |
$392.70 |
$1,122 |
0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$686 |
$1,960 |
1.3× |
| Knee 3 Views (73562) |
$383.25 |
$1,095 |
3.4× |
| Leveen/Shunt Patency Exam (78291) |
$596.40 |
$1,704 |
1.2× |
| Liver & Spleen Imaging Static Only (78215) |
$1,246 |
$3,560 |
2.4× |
| Liver imaging static only (78201) |
$1,038.80 |
$2,968 |
1.5× |
| Liver imaging w/vascular flow (78202) |
$1,238.65 |
$3,539 |
1.8× |
| Lung Perf&Ventilat Diferentl (78598) |
$525.35 |
$1,501 |
0.8× |
| Lung perfusion differential (78597) |
$375.20 |
$1,072 |
0.7× |
| Lung Ventilat&Perfus Imaging (78582) |
$525.35 |
$1,501 |
0.8× |
| Lung Ventilation Imaging (78579) |
$1,025.15 |
$2,929 |
2.0× |
| Lymph System Imaging (78195) |
$1,484.35 |
$4,241 |
2.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) |
$1,751.05 |
$5,003 |
0.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$2,178.75 |
$6,225 |
0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$2,178.75 |
$6,225 |
0.5× |
| Magnetic Image Jaw Joint (70336) |
$1,855.70 |
$5,302 |
6.0× |
| Mammary ductogram or galactogram multiple (77054) |
$449.75 |
$1,285 |
1.5× |
| Mammary ductogram or galactogram single (77053) |
$359.45 |
$1,027 |
1.2× |
| Meckels Divert Exam (78290) |
$416.50 |
$1,190 |
0.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,168.65 |
$3,339 |
2.4× |
| Mra Head W/O & W/Contrast Material (70546) |
$1,391.60 |
$3,976 |
3.1× |
| MRA head w/o contrast (70544) |
$829.15 |
$2,369 |
2.7× |
| MRA head with contrast (70545) |
$995.40 |
$2,844 |
2.2× |
| MRA neck w contrast (70548) |
$1,856.75 |
$5,305 |
4.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,292.15 |
$6,549 |
5.1× |
| MRA neck w/o contrast (70547) |
$1,650.25 |
$4,715 |
5.4× |
| MRI abdomen w contrast (74182) |
$2,022.65 |
$5,779 |
4.5× |
| MRI abdomen w/o contrast (74181) |
$1,922.90 |
$5,494 |
6.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,955.80 |
$5,588 |
1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,544.85 |
$7,271 |
5.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,888.60 |
$5,396 |
1.9× |
| MRI brain functional w/o physician admnistration (70554) |
$460.60 |
$1,316 |
1.5× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,796.20 |
$5,132 |
5.9× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$1,356.25 |
$3,875 |
4.4× |
| MRI cardiac w/o cont stress (75559) |
$1,198.75 |
$3,425 |
1.7× |
| MRI cardiac w/o contrast (75557) |
$788.55 |
$2,253 |
2.6× |
| MRI cervical spine w contrast (72142) |
$2,317.35 |
$6,621 |
5.2× |
| MRI cervical spine w/o cont (72141) |
$2,272.20 |
$6,492 |
7.4× |
| MRI chest w/o contrast (71550) |
$1,729.70 |
$4,942 |
5.6× |
| MRI chest with contrast (71551) |
$1,806 |
$5,160 |
1.8× |
| MRI chest wo w contrast (71552) |
$2,481.15 |
$7,089 |
5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,091.25 |
$5,975 |
4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,389.45 |
$6,827 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,799.70 |
$5,142 |
5.9× |
| MRI lumbar spine w contrast (72149) |
$2,561.30 |
$7,318 |
5.7× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,036.25 |
$8,675 |
6.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,912.05 |
$5,463 |
6.2× |
| MRI orbit face neck w contrast (70542) |
$1,979.60 |
$5,656 |
4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,811.90 |
$8,034 |
6.3× |
| MRI pelvis w contrast (72196) |
$2,572.15 |
$7,349 |
5.7× |
| MRI pelvis w/o & w contrast (72197) |
$3,046.05 |
$8,703 |
6.8× |
| MRI pelvis w/o contrast (72195) |
$2,098.95 |
$5,997 |
6.8× |
| MRI spectroscopy (76390) |
$746.20 |
$2,132 |
6.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,194.15 |
$6,269 |
7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$2,017.05 |
$5,763 |
4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,639.75 |
$4,685 |
5.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,395.05 |
$6,843 |
5.3× |
| MRI, abdomen, combo (74183) |
$2,801.40 |
$8,004 |
6.2× |
| MRI, dorsal spine combo (72157) |
$2,950.50 |
$8,430 |
6.6× |
| MRI, dorsal spine contrast (72147) |
$2,268.70 |
$6,482 |
5.1× |
| MRI, joint upper extrem (73221) |
$1,808.45 |
$5,167 |
5.9× |
| MRI, joint upper extrem combo (73223) |
$2,619.75 |
$7,485 |
5.8× |
| MRI, lumbar spine combo (72158) |
$2,895.55 |
$8,273 |
6.5× |
| Myelogram cervical (72240) |
$845.60 |
$2,416 |
0.8× |
| Myelogram Lumbar (72265) |
$679 |
$1,940 |
0.7× |
| Myelography thoracic (72255) |
$660.10 |
$1,886 |
0.7× |
| Myelograpy 2/more regions rs&i (72270) |
$861.70 |
$2,462 |
0.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$1,309.70 |
$3,742 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,334.85 |
$6,671 |
1.4× |
| Neck soft tissue (70360) |
$297.50 |
$850 |
2.7× |
| Nm csf leak detection (78650) |
$1,309.70 |
$3,742 |
0.8× |
| Nm myocard infarct spect (78469) |
$656.60 |
$1,876 |
0.9× |
| Nonvascular Shunt X-Ray (75809) |
$192.15 |
$549 |
1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,014.55 |
$8,613 |
1.7× |
| Nuclear Rx Intra-Arterial (79445) |
$463.40 |
$1,324 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$1,579.90 |
$4,514 |
5.3× |
| Parathyroid Planar Imaging (78070) |
$1,180.55 |
$3,373 |
2.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,298.15 |
$3,709 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$327.95 |
$937 |
2.4× |
| Peritoneogram Rs&I (74190) |
$444.85 |
$1,271 |
0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,461.60 |
$4,176 |
0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,327.55 |
$3,793 |
2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$539.70 |
$1,542 |
4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$531.30 |
$1,518 |
0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$364 |
$1,040 |
3.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$297.15 |
$849 |
2.7× |
| Radex elbow complete minimum 3 views (73080) |
$383.25 |
$1,095 |
3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$603.05 |
$1,723 |
4.5× |
| Radex fingr minimum 2 views (73140) |
$192.85 |
$551 |
1.7× |
| Radex foot complete minimum 3 views (73630) |
$364 |
$1,040 |
3.3× |
| Radex Hand Minimum 3 Views (73130) |
$406.35 |
$1,161 |
3.6× |
| Radex lower extremity infant minimum 2 views (73592) |
$245.70 |
$702 |
2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$477.75 |
$1,365 |
3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$466.90 |
$1,334 |
4.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) |
$297.50 |
$850 |
2.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$366.10 |
$1,046 |
3.3× |
| Radex shoulder complete minimum 2 views (73030) |
$383.25 |
$1,095 |
3.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$312.90 |
$894 |
2.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) |
$961.10 |
$2,746 |
4.3× |
| Radex Spine 1 View Specify Level (72020) |
$330.75 |
$945 |
3.0× |
| Radex Sternum Minimum 2 Views (71120) |
$407.05 |
$1,163 |
3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$386.05 |
$1,103 |
3.4× |
| Radex Toe Minimum 2 Views (73660) |
$235.55 |
$673 |
2.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$163.10 |
$466 |
1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$341.60 |
$976 |
3.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$677.95 |
$1,937 |
5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,587.25 |
$24,535 |
0.9× |
| Radiation treatment delivery level 1 (77402) |
$436.45 |
$1,247 |
3.3× |
| Radiation treatment delivery level 2 (77407) |
$558.60 |
$1,596 |
1.1× |
| Radiation treatment delivery level 3 (77412) |
$679.35 |
$1,941 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$627.20 |
$1,792 |
4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$416.15 |
$1,189 |
3.1× |
| Radiologic exam colon double contrast study (74280) |
$1,032.85 |
$2,951 |
4.6× |
| Radiologic exam colon single contrast study (74270) |
$1,001 |
$2,860 |
4.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$487.90 |
$1,394 |
2.2× |
| Radiologic exam knee complete 4/more views (73564) |
$424.55 |
$1,213 |
3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$399 |
$1,140 |
3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$619.85 |
$1,771 |
2.7× |
| Radiologic exam swallow function contrast study (74230) |
$521.85 |
$1,491 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$624.05 |
$1,783 |
2.8× |
| Radiologic examination femur 1 view (73551) |
$256.20 |
$732 |
2.3× |
| Radiologic examination femur minimum 2 views (73552) |
$341.60 |
$976 |
3.1× |
| Radiologic examination knee 1/2 views (73560) |
$305.90 |
$874 |
2.7× |
| Radiologic Examination Osseous Survey Limited (77074) |
$518.70 |
$1,482 |
3.9× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$256.55 |
$733 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$368.55 |
$1,053 |
3.3× |
| Renal Cyst Study (74470) |
$633.50 |
$1,810 |
0.9× |
| Ribs bilateral 3 views (71110) |
$501.55 |
$1,433 |
3.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$743.05 |
$2,123 |
1.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$960.40 |
$2,744 |
1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$2,210.95 |
$6,317 |
3.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$2,085.30 |
$5,958 |
3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$2,397.50 |
$6,850 |
3.4× |
| Rp Therapy Intravenous Administration (79101) |
$4,878.30 |
$13,938 |
16.3× |
| Salivary Gland Imaging (78230) |
$511.35 |
$1,461 |
1.0× |
| Scapula (73010) |
$354.20 |
$1,012 |
2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$90.30 |
$258 |
3.9× |
| Sella turcica (70240) |
$197.05 |
$563 |
1.8× |
| Shoulder 1 view (73020) |
$227.50 |
$650 |
2.0× |
| Shoulder Arthrography (73040) |
$508.55 |
$1,453 |
1.1× |
| Sialogram (70390) |
$306.95 |
$877 |
1.0× |
| Skull less than 4 views (70250) |
$369.25 |
$1,055 |
2.7× |
| Special dosimetry (77331) |
$469 |
$1,340 |
2.7× |
| Special Physics Consult (77370) |
$785.40 |
$2,244 |
4.5× |
| Special teletherapy port plan (77321) |
$760.20 |
$2,172 |
1.6× |
| Special treatment procedure (77470) |
$1,788.15 |
$5,109 |
2.5× |
| Speech evaluation, complex (70371) |
$750.05 |
$2,143 |
2.4× |
| Spleen Imaging (78185) |
$596.40 |
$1,704 |
1.2× |
| Stereotactic Body Radiation Delivery (77373) |
$6,065.50 |
$17,330 |
2.6× |
| Sternoclavicular joints (71130) |
$282.10 |
$806 |
2.5× |
| Superior sagittal sinus venogram (75870) |
$892.50 |
$2,550 |
0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$328.30 |
$938 |
2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$937.65 |
$2,679 |
1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$420.70 |
$1,202 |
0.9× |
| Testicular Imaging W/Flow (78761) |
$541.10 |
$1,546 |
1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,179.15 |
$3,369 |
2.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$925.75 |
$2,645 |
1.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$673.05 |
$1,923 |
3.9× |
| Thoracic spine 2 views (72070) |
$368.55 |
$1,053 |
2.7× |
| Thoracic spine 3 views (72072) |
$501.55 |
$1,433 |
3.7× |
| Thoracolumbar 2 views (72080) |
$396.20 |
$1,132 |
3.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$400.05 |
$1,143 |
0.8× |
| Thyroid Met Imaging Body (78018) |
$1,346.10 |
$3,846 |
1.9× |
| Thyroid Uptake Measurement (78012) |
$321.30 |
$918 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$789.60 |
$2,256 |
1.5× |
| Tx Devices Design & Construction Complex (77334) |
$914.20 |
$2,612 |
1.9× |
| Tx devices design & construction intermediate (77333) |
$419.30 |
$1,198 |
2.4× |
| Tx devices design & construction simple (77332) |
$417.90 |
$1,194 |
2.4× |
| Ultrasound Breast Limited (76642) |
$259 |
$740 |
2.3× |
| Ultrasound Elastography Parenchyma (76981) |
$148.05 |
$423 |
1.1× |
| Ultrasound Exam Aaa Screen (76706) |
$172.20 |
$492 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$574.70 |
$1,642 |
4.3× |
| Unlisted magnetic resonance procedure (76498) |
$99.40 |
$284 |
0.9× |
| Unlisted us procedure (76999) |
$127.75 |
$365 |
1.1× |
| Upper gi w/o kub (74240) |
$465.15 |
$1,329 |
2.1× |
| Urethrocystogram voiding (74455) |
$631.75 |
$1,805 |
2.1× |
| Urethrocystography retrograde (74450) |
$415.10 |
$1,186 |
1.4× |
| Us breast unilateral complete (76641) |
$346.15 |
$989 |
2.6× |
| Us chest (76604) |
$404.95 |
$1,157 |
3.0× |
| Us complete joint (76881) |
$539 |
$1,540 |
4.0× |
| Us exam, pelvic, limited (76857) |
$320.60 |
$916 |
2.4× |
| Us head (76506) |
$322 |
$920 |
2.4× |
| Us kidney transplant (76776) |
$665 |
$1,900 |
4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$354.90 |
$1,014 |
2.6× |
| Us ob detailed single fetus (76811) |
$464.10 |
$1,326 |
1.5× |
| Us ob limited 1 or more fetuses (76815) |
$331.10 |
$946 |
2.5× |
| Us ob transvaginal (76817) |
$382.90 |
$1,094 |
2.8× |
| Us pelvic non ob complete (76856) |
$706.30 |
$2,018 |
5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$436.45 |
$1,247 |
3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$192.50 |
$550 |
1.4× |
| Us retroperitoneal complete (76770) |
$580.30 |
$1,658 |
4.3× |
| Us retroperitoneal limited (76775) |
$451.50 |
$1,290 |
3.4× |
| Us scrotum and contents (76870) |
$690.90 |
$1,974 |
5.1× |
| Us spinal canal and contents (76800) |
$318.50 |
$910 |
2.4× |
| Us thyroid (76536) |
$381.50 |
$1,090 |
2.8× |
| Us transrectal (76872) |
$641.90 |
$1,834 |
4.8× |
| Vascular Flow Imaging (78445) |
$485.80 |
$1,388 |
0.9× |
| Vein X-Ray Chest (75827) |
$1,424.15 |
$4,069 |
0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$1,304.80 |
$3,728 |
0.3× |
| Vein X-Ray Skull Epidural (75872) |
$892.50 |
$2,550 |
1.1× |
| Vein X-Ray Spleen/Liver (75810) |
$1,325.45 |
$3,787 |
0.3× |
| Venogram Sinus/Jugular (75860) |
$1,634.85 |
$4,671 |
0.4× |
| Venography Adrenal Unilateral (75840) |
$1,325.45 |
$3,787 |
0.3× |
| Venography caval inferior serialography rs&i (75825) |
$1,806.35 |
$5,161 |
0.4× |
| Venography extremity bilateral rs&i (75822) |
$1,119.65 |
$3,199 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$1,001 |
$2,860 |
0.5× |
| Venography Orbital Rs&I (75880) |
$1,064 |
$3,040 |
1.3× |
| Venography Renal Bilateral (75833) |
$1,383.90 |
$3,954 |
0.3× |
| Venography Renal Unilateral (75831) |
$1,338.75 |
$3,825 |
0.3× |
| Venous sampling by catheter (75893) |
$3,629.50 |
$10,370 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$95.55 |
$273 |
0.9× |
| Wrist 2 views (73100) |
$304.50 |
$870 |
2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$317.80 |
$908 |
2.8× |
| X-ray antegrade pyelogram tube (74425) |
$576.10 |
$1,646 |
1.3× |
| X-Ray Aorta Leg Arteries (75630) |
$2,310.35 |
$6,601 |
0.6× |
| X-Ray Bend Only L-S Spine (72120) |
$417.90 |
$1,194 |
3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$300.30 |
$858 |
2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$303.10 |
$866 |
2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$393.05 |
$1,123 |
2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$510.30 |
$1,458 |
3.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$260.75 |
$745 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$428.05 |
$1,223 |
3.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$470.75 |
$1,345 |
3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$557.90 |
$1,594 |
4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$613.90 |
$1,754 |
4.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$674.45 |
$1,927 |
5.0× |
| X-Ray Exam L-S Spine Bending (72114) |
$781.20 |
$2,232 |
5.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$437.50 |
$1,250 |
3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$689.85 |
$1,971 |
5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$557.90 |
$1,594 |
4.1× |
| X-ray eye for foreign body (70030) |
$195.65 |
$559 |
1.7× |
| X-ray humerus (73060) |
$383.25 |
$1,095 |
3.4× |
| X-ray IV pyelogram (ivp) (74400) |
$736.05 |
$2,103 |
3.3× |
| X-ray IV pyelogram+tomography (74415) |
$850.50 |
$2,430 |
3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$268.45 |
$767 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$317.80 |
$908 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$441.35 |
$1,261 |
3.3× |
| X-ray nose-rectum child f.b. (76010) |
$318.50 |
$910 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$588.70 |
$1,682 |
4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$411.25 |
$1,175 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$411.60 |
$1,176 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$627.20 |
$1,792 |
5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$700.35 |
$2,001 |
5.2× |
| X-ray thoracic spine 4 vw (72074) |
$570.85 |
$1,631 |
4.2× |
| X-Ray Tmj Unilat (70328) |
$289.80 |
$828 |
2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$736.40 |
$2,104 |
1.6× |
| X-Rays Bone Length Studies (77073) |
$408.80 |
$1,168 |
3.0× |
| X-Rays Bone Survey Complete (77075) |
$1,027.25 |
$2,935 |
7.6× |
| Xr c-spine 4 or 5 views (72050) |
$577.50 |
$1,650 |
4.3× |
| Xr facial bones less than 3 views (70140) |
$323.05 |
$923 |
2.9× |
| XR Mastoids < 3 Views Bilateral (70120) |
$98 |
$280 |
0.7× |
| Xr orbits complete 4 views (70200) |
$412.30 |
$1,178 |
3.1× |
| Xr Tomogram Single Plane (76100) |
$448.70 |
$1,282 |
3.3× |