| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,659.50 |
$8,085 |
4.4× |
| Abdomen 2 views (74019) |
$420.42 |
$600.60 |
4.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$801.78 |
$1,145.40 |
2.2× |
| Angiography extremity bilateral rs&i (75716) |
$4,572.54 |
$6,532.20 |
1.6× |
| Angiography extremity unilateral rs&i (75710) |
$4,572.54 |
$6,532.20 |
1.6× |
| Angiography internal mammary rs&i (75756) |
$5,196.87 |
$7,424.10 |
1.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,572.54 |
$6,532.20 |
0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,260.20 |
$6,086 |
1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$4,260.20 |
$6,086 |
1.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,572.54 |
$6,532.20 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$788.83 |
$1,126.90 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,850.45 |
$2,643.50 |
0.6× |
| Ankle 2 views (73600) |
$383.25 |
$547.50 |
4.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$643.79 |
$919.70 |
2.0× |
| Aortogram thoracic (75605) |
$4,572.54 |
$6,532.20 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,572.54 |
$6,532.20 |
1.6× |
| Aortography abdominal serialography rs&i (75625) |
$4,572.54 |
$6,532.20 |
1.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,572.54 |
$6,532.20 |
1.6× |
| Arthrogram elbow (73085) |
$633.88 |
$905.55 |
2.0× |
| Arthrogram hip (73525) |
$497.14 |
$710.20 |
1.5× |
| Arthrogram shoulder (73040) |
$878.71 |
$1,255.30 |
2.7× |
| Arthrogram wrist (73115) |
$569.73 |
$813.90 |
1.8× |
| Arthrography knee lt (73580) |
$749.14 |
$1,070.20 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$487.20 |
$696 |
3.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,036.49 |
$1,480.70 |
2.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,221.43 |
$1,744.90 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$1,887.34 |
$2,696.20 |
5.1× |
| Bone age studies (77072) |
$383.25 |
$547.50 |
4.0× |
| Bone Imaging 3 Phase (78315) |
$986.02 |
$1,408.60 |
2.7× |
| Bone survey complete (77075) |
$1,261.33 |
$1,801.90 |
13.1× |
| Brachytx isodose complex (77318) |
$1,255.52 |
$1,793.60 |
3.6× |
| Brachytx isodose intermed (77317) |
$867.09 |
$1,238.70 |
2.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$726.18 |
$1,037.40 |
2.1× |
| Brain image w/flow 4 + views (78606) |
$1,192.87 |
$1,704.10 |
2.4× |
| Brain imaging < 4 static views (78600) |
$596.82 |
$852.60 |
1.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$719.39 |
$1,027.70 |
2.0× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,104.74 |
$1,578.20 |
2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$4,965.87 |
$7,094.10 |
3.8× |
| Brain Imaging Vascular Flow Only (78610) |
$400.40 |
$572 |
0.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,670.90 |
$2,387 |
4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$686.42 |
$980.60 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$455.98 |
$651.40 |
5.7× |
| Chest 1 view (71045) |
$259.63 |
$370.90 |
3.2× |
| Chest 3 views (71047) |
$480.20 |
$686 |
6.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$665.07 |
$950.10 |
4.1× |
| Clavicle complete (73000) |
$407.54 |
$582.20 |
5.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$285.53 |
$407.90 |
3.0× |
| Continuing medical physics consltj pr wk (77336) |
$1,079.05 |
$1,541.50 |
8.7× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$509.95 |
$728.50 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,277.24 |
$3,253.20 |
7.1× |
| CT abdomen and pelvis without contrast (74176) |
$1,243.66 |
$1,776.65 |
5.7× |
| CT abdomen w contrast (74160) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT abdomen w wo contrast (74170) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT abdomen w/o contrast (74150) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT angio hrt w/3d image (75574) |
$626.92 |
$895.60 |
2.0× |
| CT angiography upper extremity lt (73206) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT c-spine w/o contrast (72125) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT cervical spine with contrast (72126) |
$1,891.75 |
$2,702.50 |
5.9× |
| CT chest w/wo contrast (71270) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT chest with contrast (71260) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT colonography w/dye (74262) |
$1,774.92 |
$2,535.60 |
11.0× |
| CT colonography w/o cntrst (74261) |
$1,774.92 |
$2,535.60 |
18.5× |
| CT head/brain with contrast (70460) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT head/brain without and with contrast (70470) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$626.92 |
$895.60 |
2.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$210 |
$300 |
2.6× |
| CT hrt w/3d image congen (75573) |
$626.92 |
$895.60 |
2.0× |
| CT iac w contrast (70481) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT limited/localized follow up study (76380) |
$608.23 |
$868.90 |
7.6× |
| CT lower ext w/o (73700) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT lower extremity w wo contrast (73702) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT lower extremity with contrast (73701) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT lumbar spine w/o contrast (72131) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT lumbar spine with contrast (72132) |
$1,891.75 |
$2,702.50 |
5.9× |
| CT maxillofacial w contrast (70487) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT maxillofacial w/o contrast (70486) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT neck soft tissue w contrast (70491) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT orbits w/o contrast (70480) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT pelvis w & w/o contrast (72194) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT pelvis w/o contrast (72192) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$1,281.21 |
$1,830.30 |
16.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT thoracic spine w/contrast (72129) |
$1,891.75 |
$2,702.50 |
11.7× |
| CT thoracic spine w/o contrast (72128) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT thorax w/o contrast (71250) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT unlisted procedure (76497) |
$400.75 |
$572.50 |
5.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,277.24 |
$3,253.20 |
14.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,891.75 |
$2,702.50 |
19.7× |
| CT upper extremity with contrast (73201) |
$1,891.75 |
$2,702.50 |
5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,623.64 |
$6,605.20 |
28.7× |
| Cta Abdomen (74175) |
$2,277.24 |
$3,253.20 |
14.1× |
| CTA abdomen pelvis (74174) |
$2,195.10 |
$3,135.85 |
6.8× |
| CTA chest (71275) |
$2,277.24 |
$3,253.20 |
14.1× |
| Cta Head (70496) |
$2,277.24 |
$3,253.20 |
14.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,277.24 |
$3,253.20 |
14.1× |
| Cta Neck (70498) |
$2,277.24 |
$3,253.20 |
14.1× |
| Cta Pelvis (72191) |
$2,277.24 |
$3,253.20 |
14.1× |
| Cystography minimum 3 views rs&i (74430) |
$736.05 |
$1,051.50 |
2.3× |
| Diskogram cervical (72285) |
$2,345.56 |
$3,350.80 |
1.3× |
| Diskography lumbar (72295) |
$2,394.60 |
$3,420.85 |
1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$223.65 |
$319.50 |
2.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$276.57 |
$395.10 |
2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$154.35 |
$220.50 |
1.9× |
| Echoencephalography real time imaging (76506) |
$1,237.11 |
$1,767.30 |
12.9× |
| Esophagus (74220) |
$369.18 |
$527.40 |
2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$201.39 |
$287.70 |
2.1× |
| Fluoroscopy up to 1 hr (76000) |
$475.86 |
$679.80 |
2.2× |
| Foot 2 views (73620) |
$383.25 |
$547.50 |
4.8× |
| Forearm 2 views (73090) |
$374.92 |
$535.60 |
4.7× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) |
$312.13 |
$445.90 |
1.4× |
| Gated Heart Planar Single (78472) |
$1,706.25 |
$2,437.50 |
4.6× |
| Hand 2 views (73120) |
$383.25 |
$547.50 |
4.0× |
| Hand 3 views (73130) |
$426.16 |
$608.80 |
5.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,227.93 |
$6,039.90 |
6.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$4,572.54 |
$6,532.20 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,550.15 |
$2,214.50 |
3.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,550.15 |
$2,214.50 |
4.2× |
| Ht muscle image spect sing (78451) |
$3,876.60 |
$5,538 |
3.3× |
| Humerus Min 2 Views Left (73060) |
$335.23 |
$478.90 |
4.2× |
| Hysterosalpingogram (74740) |
$651 |
$930 |
3.0× |
| Interstitial radiation source applic complex (77778) |
$3,528.07 |
$5,040.10 |
5.5× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,109.08 |
$1,584.40 |
1.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$824.53 |
$1,177.90 |
1.6× |
| Intracavitary radiation source applic simple (77761) |
$694.89 |
$992.70 |
1.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$366.17 |
$523.10 |
3.8× |
| Kidney funcj study non-img radioisotopic study (78725) |
$969.64 |
$1,385.20 |
2.6× |
| Kidney imaging morphology (78700) |
$1,045.31 |
$1,493.30 |
2.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,504.72 |
$2,149.60 |
3.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,192.62 |
$1,703.75 |
2.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,999.76 |
$2,856.80 |
4.0× |
| Knee 3 views (73562) |
$370.37 |
$529.10 |
4.6× |
| Liver & spleen imaging static only (78215) |
$1,070.51 |
$1,529.30 |
2.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,541.75 |
$2,202.50 |
4.2× |
| Liver imaging static only (78201) |
$797.37 |
$1,139.10 |
1.6× |
| Liver imaging w/vascular flow (78202) |
$1,018.08 |
$1,454.40 |
2.0× |
| Lung perf&ventilat diferentl (78598) |
$2,574.04 |
$3,677.20 |
5.2× |
| Lung perfusion differential (78597) |
$1,073.73 |
$1,533.90 |
2.9× |
| Lung Ventilation Imaging (78579) |
$1,074.92 |
$1,535.60 |
2.9× |
| Lymphoscintigraphy (78195) |
$841.47 |
$1,202.10 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$521.29 |
$744.70 |
2.4× |
| Mammary ductogram or galactogram single (77053) |
$557.13 |
$795.90 |
2.5× |
| Meckels Diverticulum (78290) |
$1,109.08 |
$1,584.40 |
3.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,773.03 |
$2,532.90 |
5.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$43.75 |
$62.50 |
1.6× |
| MRA head w & w/o contrast (70546) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRA head w/o contrast (70544) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRA head with contrast (70545) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRA neck w contrast (70548) |
$2,988.72 |
$4,269.60 |
9.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRA neck w/o contrast (70547) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI abdomen w contrast (74182) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI abdomen w/o contrast (74181) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,741.90 |
$3,917 |
3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,741.90 |
$3,917 |
3.8× |
| MRI breast w/o contrast bilateral (77047) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI breast w/o contrast unilat (77046) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI c-spine with contrast (72142) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI cervical spine w/o contrast (72141) |
$1,849.61 |
$2,642.30 |
8.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI chest w/o contrast (71550) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI chest with contrast (71551) |
$2,988.72 |
$4,269.60 |
4.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,741.90 |
$3,917 |
8.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,741.90 |
$3,917 |
8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,741.90 |
$3,917 |
12.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,741.90 |
$3,917 |
12.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI pelvis w contrast (72196) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI pelvis w/o contrast (72195) |
$2,988.72 |
$4,269.60 |
13.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,185.07 |
$4,550.10 |
9.9× |
| MRI scan of leg joint before and after contrast (73723) |
$3,185.07 |
$4,550.10 |
9.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,988.72 |
$4,269.60 |
9.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,960.39 |
$5,657.70 |
12.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,849.61 |
$2,642.30 |
8.4× |
| MRI tmj (70336) |
$814.24 |
$1,163.20 |
3.7× |
| MRI upper ext joint w/o contrast (73221) |
$2,741.90 |
$3,917 |
12.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,185.07 |
$4,550.10 |
9.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,741.90 |
$3,917 |
12.5× |
| Myelogram Lumbar (72265) |
$4,487.98 |
$6,411.40 |
6.2× |
| Myelogram thoracic (72255) |
$4,773.02 |
$6,818.60 |
6.6× |
| Myelography 2 or more regions (72270) |
$5,039.16 |
$7,198.80 |
7.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$4,965.87 |
$7,094.10 |
4.2× |
| Myocardial Spect Multiple Studies (78452) |
$4,194.40 |
$5,992 |
3.5× |
| Neck soft tissue (70360) |
$349.16 |
$498.80 |
4.4× |
| Nm adrenal scan (78075) |
$985.18 |
$1,407.40 |
0.8× |
| Nm cisternogram (78630) |
$1,005.13 |
$1,435.90 |
2.0× |
| Nm gastric emptying study (78264) |
$1,944.46 |
$2,777.80 |
5.3× |
| Nm gastroesophageal reflux study (78262) |
$1,018.08 |
$1,454.40 |
2.8× |
| Nm peritoneal-venous shunt patency (78291) |
$740.60 |
$1,058 |
2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$5,813.15 |
$8,304.50 |
4.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,235.71 |
$1,765.30 |
3.4× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$955.50 |
$1,365 |
1.9× |
| Nuclear Rx Oral Admin (79005) |
$467.46 |
$667.80 |
2.2× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$290.40 |
$414.85 |
3.0× |
| Osseous survey infant (77076) |
$361.90 |
$517 |
3.8× |
| Osseous survey limited (77074) |
$657.86 |
$939.80 |
6.8× |
| Parathyrd planar w/wo subtrj (78071) |
$711.97 |
$1,017.10 |
1.9× |
| Parathyroid imaging (78070) |
$985.18 |
$1,407.40 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$411.95 |
$588.50 |
4.3× |
| PET image w/CT, skull-thigh (78815) |
$4,965.87 |
$7,094.10 |
3.8× |
| PET imaging for CT attenuation whole body (78816) |
$7,040.81 |
$10,058.30 |
5.4× |
| PET whole body (78813) |
$4,965.87 |
$7,094.10 |
3.8× |
| Pr csf ventriculography (78635) |
$806.05 |
$1,151.50 |
1.6× |
| Pr heart first pass single,planar (78481) |
$1,706.25 |
$2,437.50 |
3.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,185.07 |
$4,550.10 |
9.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$703.57 |
$1,005.10 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,886.01 |
$2,694.30 |
3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$621.67 |
$888.10 |
1.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$108.08 |
$154.40 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$761.53 |
$1,087.90 |
7.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$713.58 |
$1,019.40 |
7.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$582.68 |
$832.40 |
6.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,324.26 |
$11,891.80 |
1.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$604.38 |
$863.40 |
1.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$313.53 |
$447.90 |
3.3× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$451.50 |
$645 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$573.93 |
$819.90 |
6.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$313.39 |
$447.70 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$394.80 |
$564 |
4.9× |
| Radiologic exam colon single contrast study (74270) |
$938.28 |
$1,340.40 |
5.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$472.78 |
$675.40 |
2.9× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$245.42 |
$350.60 |
1.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$986.72 |
$1,409.60 |
6.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$965.02 |
$1,378.60 |
6.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$431.83 |
$616.90 |
5.4× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$352.17 |
$503.10 |
4.4× |
| Radiological examination surgical specimen (76098) |
$515.55 |
$736.50 |
1.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$4,572.54 |
$6,532.20 |
1.6× |
| Ribs bilateral 3 views (71110) |
$362.25 |
$517.50 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$875.63 |
$1,250.90 |
2.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,630.18 |
$3,757.40 |
5.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,055.34 |
$2,936.20 |
4.1× |
| Rp therapy intra-arterial particulate admn (79445) |
$613.97 |
$877.10 |
2.9× |
| Rp Therapy Intravenous Administration (79101) |
$613.97 |
$877.10 |
2.9× |
| Sacroiliac Joints < 3 Views (72200) |
$363.37 |
$519.10 |
3.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,409.31 |
$2,013.30 |
6.4× |
| Salivary gland imaging (78230) |
$695.80 |
$994 |
1.9× |
| Scanogram (77073) |
$626.08 |
$894.40 |
6.5× |
| Scapula complete (73010) |
$426.16 |
$608.80 |
4.4× |
| Screening digital breast tomosynthesis (77063) |
$59.92 |
$85.60 |
2.6× |
| Sella turcica (70240) |
$312.13 |
$445.90 |
3.9× |
| Sialogram (70390) |
$407.54 |
$582.20 |
1.9× |
| Simulation intermediate (77285) |
$2,123.52 |
$3,033.60 |
6.2× |
| Small bowel series (74250) |
$823.06 |
$1,175.80 |
5.1× |
| Spec medical radj physics consltj (77370) |
$1,114.68 |
$1,592.40 |
9.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,254.26 |
$1,791.80 |
3.6× |
| Special dosimetry (77331) |
$249.62 |
$356.60 |
2.0× |
| Special treatment procedure (77470) |
$1,675.38 |
$2,393.40 |
3.3× |
| Spine thoracic 3 views (72072) |
$649.32 |
$927.60 |
6.8× |
| Spleen imaging only (78185) |
$841.47 |
$1,202.10 |
2.3× |
| Splenoportograpy rs&i (75810) |
$564.06 |
$805.80 |
0.2× |
| Stereotactic body radiation delivery (77373) |
$4,814.53 |
$6,877.90 |
2.9× |
| Superior sagittal sinus venogram (75870) |
$4,572.54 |
$6,532.20 |
1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,214.43 |
$1,734.90 |
3.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$717.71 |
$1,025.30 |
2.1× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$571.13 |
$815.90 |
2.6× |
| Testicular Imaging With Vascular Flow (78761) |
$1,074.92 |
$1,535.60 |
2.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,913.26 |
$4,161.80 |
8.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,547.49 |
$2,210.70 |
12.5× |
| Thoracolumbar 2 views (72080) |
$564.06 |
$805.80 |
7.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,419.39 |
$2,027.70 |
2.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$793.80 |
$1,134 |
2.2× |
| Thyroid uptake measurement (78012) |
$481.39 |
$687.70 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,101.87 |
$1,574.10 |
3.0× |
| Tmj unilateral (70328) |
$265.30 |
$379 |
3.3× |
| Tomogram (76100) |
$871.22 |
$1,244.60 |
9.1× |
| Treatment device intermediate (77333) |
$505.68 |
$722.40 |
4.1× |
| Treatment devices simple (77332) |
$443.10 |
$633 |
3.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,681.91 |
$3,831.30 |
5.4× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$362.25 |
$517.50 |
1.0× |
| Tx devices design & construction complex (77334) |
$1,168.79 |
$1,669.70 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$252.74 |
$361.05 |
2.6× |
| Umbilical-artery Doppler (OB) (76820) |
$183.12 |
$261.60 |
1.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$579.74 |
$828.20 |
7.2× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$861.63 |
$1,230.90 |
2.3× |
| Unlisted Ultrasound Procedure (76999) |
$220.15 |
$314.50 |
2.8× |
| Upper Extremity Infant (73092) |
$243.74 |
$348.20 |
2.5× |
| Urethrocystography retrograde rs&i (74450) |
$679.42 |
$970.60 |
3.1× |
| Urethrocystography voiding (74455) |
$679.42 |
$970.60 |
3.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$894.04 |
$1,277.20 |
5.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,406.44 |
$2,009.20 |
8.7× |
| Us abdl aorta screen aaa (76706) |
$284.41 |
$406.30 |
3.0× |
| Us breast unilateral complete (76641) |
$639.38 |
$913.40 |
6.6× |
| Us breast unilateral limited (76642) |
$426.37 |
$609.10 |
5.3× |
| Us chest (76604) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us compl joint r-t w/image documentation (76881) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us elastography parenchyma (76981) |
$279.09 |
$398.70 |
2.9× |
| Us guided compression repair (76936) |
$1,093.54 |
$1,562.20 |
5.5× |
| Us infant hips dynamic (76885) |
$1,409.31 |
$2,013.30 |
17.6× |
| Us infant hips limited static (76886) |
$154 |
$220 |
1.9× |
| Us kidney transplant (76776) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us ob transvaginal (76817) |
$235.38 |
$336.25 |
2.4× |
| Us pelvic non ob complete (76856) |
$1,386.42 |
$1,980.60 |
14.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$524.86 |
$749.80 |
5.5× |
| Us pregnancy ltd (76815) |
$402.01 |
$574.30 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$341.98 |
$488.55 |
3.6× |
| Us retroperitoneal complete (76770) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us retroperitoneal limited (76775) |
$205.87 |
$294.10 |
2.1× |
| Us scrotum and contents (76870) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us soft tissue head/neck (76536) |
$1,237.11 |
$1,767.30 |
12.9× |
| Us spinal canal and contents (76800) |
$1,261.33 |
$1,801.90 |
13.1× |
| Us transrectal (76872) |
$1,323.77 |
$1,891.10 |
13.8× |
| Us transrectal prostate volume (76873) |
$1,323.77 |
$1,891.10 |
13.8× |
| Us xtr non-vasc lmtd (76882) |
$761.74 |
$1,088.20 |
7.9× |
| Vasogram (74440) |
$501.41 |
$716.30 |
2.3× |
| Venogram extremity bilateral (75822) |
$1,850.45 |
$2,643.50 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$4,571.98 |
$6,531.40 |
1.6× |
| Venography caval superior serialography rs&i (75827) |
$2,692.69 |
$3,846.70 |
1.9× |
| Venography epidural rs&i (75872) |
$1,850.45 |
$2,643.50 |
3.2× |
| Venography extremity unilateral rs&i (75820) |
$1,850.45 |
$2,643.50 |
1.3× |
| Venography Renal Bilateral (75833) |
$4,572.54 |
$6,532.20 |
1.6× |
| Venography renal unilateral selective rs&i (75831) |
$4,572.54 |
$6,532.20 |
1.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,572.54 |
$6,532.20 |
0.9× |
| Wrist 2 views (73100) |
$383.25 |
$547.50 |
4.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$823.06 |
$1,175.80 |
8.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$455.98 |
$651.40 |
5.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$501.41 |
$716.30 |
6.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,188.95 |
$1,698.50 |
7.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$411.95 |
$588.50 |
5.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$451.71 |
$645.30 |
5.6× |
| X-ray exam hip uni 1 view (73501) |
$204.75 |
$292.50 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$290.08 |
$414.40 |
3.6× |
| X-ray exam hip uni 4/> views (73503) |
$215.11 |
$307.30 |
2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$298.69 |
$426.70 |
3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$334.39 |
$477.70 |
3.5× |
| X-ray exam of femur 1 (73551) |
$108.08 |
$154.40 |
1.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,611.33 |
$2,301.90 |
10.0× |
| X-ray eye for foreign body (70030) |
$366.17 |
$523.10 |
4.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$548.45 |
$783.50 |
5.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$333.55 |
$476.50 |
4.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$411.95 |
$588.50 |
5.1× |
| X-ray head for orthodontia (70350) |
$98.07 |
$140.10 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$383.25 |
$547.50 |
4.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,089.06 |
$1,555.80 |
6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$504.28 |
$720.40 |
6.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$439.92 |
$628.45 |
4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$267.68 |
$382.40 |
3.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$161.32 |
$230.45 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$557.13 |
$795.90 |
5.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$760.48 |
$1,086.40 |
7.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$521.29 |
$744.70 |
5.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$370.51 |
$529.30 |
4.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$389.20 |
$556 |
4.9× |
| X-ray of voice box or throat (70370) |
$366.24 |
$523.20 |
4.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$521.29 |
$744.70 |
5.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$433.02 |
$618.60 |
4.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$894.04 |
$1,277.20 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$319.41 |
$456.30 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$557.13 |
$795.90 |
5.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$512.82 |
$732.60 |
5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$428.68 |
$612.40 |
4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$428.68 |
$612.40 |
5.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$243.46 |
$347.80 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$565.46 |
$807.80 |
7.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$399 |
$570 |
5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$536.97 |
$767.10 |
5.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$455.98 |
$651.40 |
4.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$400.40 |
$572 |
5.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$383.25 |
$547.50 |
4.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$279.96 |
$399.95 |
3.5× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) |
$191.38 |
$273.40 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$611.24 |
$873.20 |
6.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$429.94 |
$614.20 |
4.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$181.79 |
$259.70 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$426.16 |
$608.80 |
5.3× |
| Xr arthrogram ankle (73615) |
$475.86 |
$679.80 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$713.58 |
$1,019.40 |
7.4× |
| Xr chest 4+ views (71048) |
$548.45 |
$783.50 |
5.7× |
| Xr Cholecystography Oral Contrast (74290) |
$458.64 |
$655.20 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$181.79 |
$259.70 |
2.3× |
| XR Mastoids < 3 Views Bilateral (70120) |
$435.89 |
$622.70 |
4.5× |
| Xr myelogram posterior fossa (70010) |
$1,025.22 |
$1,464.60 |
3.2× |
| Xr optic foramina (70190) |
$467.46 |
$667.80 |
5.8× |
| Xr shoulder 1 view (73020) |
$294.98 |
$421.40 |
3.7× |
| Xr spine cervical 4 or 5 views (72050) |
$635.18 |
$907.40 |
6.6× |
| Xr tibia/fibula 2 views (73590) |
$420.42 |
$600.60 |
5.3× |
| Xr tmj bilateral (70330) |
$394.80 |
$564 |
4.9× |
| Xray knee 1 or 2 views rt (73560) |
$263.97 |
$377.10 |
3.3× |