| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,094 |
$6,188 |
2.3× |
| Abdomen 1 View (74018) |
$215.50 |
$431 |
2.6× |
| Abdomen 2 views (74019) |
$282 |
$564 |
2.8× |
| Ankle 2 views (73600) |
$180.50 |
$361 |
2.2× |
| Arthrogram hip (73525) |
$730.50 |
$1,461 |
2.2× |
| Arthrogram Wrist (73115) |
$617 |
$1,234 |
1.8× |
| Basic radiation dosimetry calculation (77300) |
$318 |
$636 |
2.5× |
| Bone age studies (77072) |
$222.50 |
$445 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$1,148 |
$2,296 |
3.0× |
| Bone Imaging Whole Body (78306) |
$1,164.50 |
$2,329 |
3.0× |
| Chest 1 view (71045) |
$152.50 |
$305 |
1.8× |
| Chest 2 views (71046) |
$195 |
$390 |
2.3× |
| Clavicle complete (73000) |
$230.50 |
$461 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$264.50 |
$529 |
2.6× |
| Continuing medical physics consltj pr wk (77336) |
$426 |
$852 |
3.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,415.50 |
$6,831 |
10.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,379.50 |
$4,759 |
10.3× |
| CT abdomen w contrast (74160) |
$1,730.50 |
$3,461 |
10.2× |
| CT abdomen w wo contrast (74170) |
$2,030.50 |
$4,061 |
12.0× |
| CT abdomen w/o contrast (74150) |
$1,330.50 |
$2,661 |
13.2× |
| CT Angio Abdomen and Pelvis (74174) |
$3,226.50 |
$6,453 |
9.6× |
| CT Angio Chest (71275) |
$2,014 |
$4,028 |
11.9× |
| CT Angio Head (70496) |
$2,080 |
$4,160 |
12.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,693.50 |
$3,387 |
10.0× |
| CT Angio Neck (70498) |
$2,001.50 |
$4,003 |
11.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$1,605.50 |
$3,211 |
9.5× |
| CT cervical spine w/o contrast (72125) |
$1,478 |
$2,956 |
14.7× |
| CT chest w contrast (71260) |
$1,468 |
$2,936 |
8.7× |
| CT chest w/wo contrast (71270) |
$1,541.50 |
$3,083 |
9.1× |
| CT head/brain without and with contrast (70470) |
$1,583.50 |
$3,167 |
9.4× |
| CT iac w contrast (70481) |
$1,449 |
$2,898 |
8.6× |
| CT lower ext w/o (73700) |
$1,084 |
$2,168 |
10.8× |
| CT lower extremity w/contrast material (73701) |
$1,367 |
$2,734 |
8.1× |
| CT lumbar spine w contrast (72132) |
$2,288.50 |
$4,577 |
6.8× |
| CT lumbar spine w/o contrast (72131) |
$1,459.50 |
$2,919 |
14.5× |
| CT maxillofacial w contrast (70487) |
$1,464.50 |
$2,929 |
8.7× |
| CT maxillofacial wo contrast (70486) |
$1,183.50 |
$2,367 |
11.7× |
| CT neck tissue combo (70492) |
$1,691.50 |
$3,383 |
10.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,892 |
$3,784 |
11.2× |
| CT orbits w/o contrast (70480) |
$1,096 |
$2,192 |
10.9× |
| CT pelvis w&w/o contrast (72194) |
$1,483 |
$2,966 |
8.8× |
| CT pelvis w/o contrast (72192) |
$1,195 |
$2,390 |
11.9× |
| CT scan of leg combo (73702) |
$1,435.50 |
$2,871 |
8.5× |
| CT scans face/jaw combo (70488) |
$1,392.50 |
$2,785 |
8.2× |
| CT soft tissue neck w contrast (70491) |
$1,605.50 |
$3,211 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,312.50 |
$2,625 |
13.0× |
| CT thoracic spine w contrast (72129) |
$1,705.50 |
$3,411 |
10.1× |
| CT thoracic spine w/o contrast (72128) |
$1,365 |
$2,730 |
13.5× |
| CT thorax w/o contrast (71250) |
$1,164 |
$2,328 |
11.5× |
| CT upper ext wo (73200) |
$1,149.50 |
$2,299 |
11.4× |
| CT upper extremity with contrast (73201) |
$1,666 |
$3,332 |
5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,090 |
$4,180 |
12.4× |
| Cta Abdomen (74175) |
$2,194 |
$4,388 |
13.0× |
| Dxa Bone Density Axial (77080) |
$381.50 |
$763 |
3.8× |
| Esophagram (74220) |
$382 |
$764 |
2.3× |
| Fetal Biophys Profile W/Nst (76818) |
$283.50 |
$567 |
2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$339 |
$678 |
3.4× |
| Fluoroscopy up to 1 hr (76000) |
$615 |
$1,230 |
2.7× |
| Foot 2 views (73620) |
$221.50 |
$443 |
2.6× |
| Forearm 2 views (73090) |
$228 |
$456 |
2.7× |
| Gastric emptying imaging study (78264) |
$968 |
$1,936 |
2.5× |
| Hepatobil Syst Image W/Drug (78227) |
$1,023 |
$2,046 |
2.0× |
| Hepatobiliary System Imaging (78226) |
$793.50 |
$1,587 |
2.1× |
| Hysterosalpingogram (74740) |
$389 |
$778 |
1.7× |
| K Flow/Funct Image W/Drug (78708) |
$1,138 |
$2,276 |
2.2× |
| Knee 3 Views (73562) |
$250 |
$500 |
3.0× |
| Lymph System Imaging (78195) |
$901.50 |
$1,803 |
1.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$513.50 |
$1,027 |
1.4× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,179 |
$4,358 |
6.5× |
| MRA head w/o contrast (70544) |
$1,754.50 |
$3,509 |
7.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,709 |
$5,418 |
8.1× |
| MRA neck w/o contrast (70547) |
$1,641 |
$3,282 |
7.1× |
| MRI abdomen w/o contrast (74181) |
$2,089.50 |
$4,179 |
9.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,004.50 |
$4,009 |
2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,328.50 |
$4,657 |
6.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,080 |
$4,160 |
2.8× |
| MRI cervical spine w contrast (72142) |
$2,137.50 |
$4,275 |
6.4× |
| MRI cervical spine w/o cont (72141) |
$2,035.50 |
$4,071 |
8.8× |
| MRI chest w/o contrast (71550) |
$1,825 |
$3,650 |
7.9× |
| MRI chest wo w contrast (71552) |
$2,308 |
$4,616 |
6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,599.50 |
$5,199 |
7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,876 |
$3,752 |
8.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,534.50 |
$5,069 |
7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$2,877 |
$5,754 |
8.6× |
| MRI pelvis w/o & w contrast (72197) |
$2,518 |
$5,036 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$1,859.50 |
$3,719 |
8.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,737.50 |
$3,475 |
7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,912.50 |
$3,825 |
8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,308 |
$4,616 |
6.9× |
| MRI, abdomen, combo (74183) |
$2,671.50 |
$5,343 |
7.9× |
| MRI, dorsal spine combo (72157) |
$2,404.50 |
$4,809 |
7.1× |
| MRI, joint upper extrem (73221) |
$1,813.50 |
$3,627 |
7.9× |
| MRI, joint upper extrem combo (73223) |
$2,520.50 |
$5,041 |
7.5× |
| MRI, lumbar spine combo (72158) |
$2,609.50 |
$5,219 |
7.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,612.50 |
$5,225 |
2.1× |
| Neck soft tissue (70360) |
$221 |
$442 |
2.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,345.50 |
$6,691 |
2.5× |
| Parathyroid Planar Imaging (78070) |
$881 |
$1,762 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$192.50 |
$385 |
1.9× |
| Pet Image W/Ct Lmtd (78814) |
$3,432 |
$6,864 |
2.5× |
| PET image w/CT, full body (78816) |
$3,610 |
$7,220 |
2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,481.50 |
$6,963 |
2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$757.50 |
$1,515 |
2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$389.50 |
$779 |
3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$253.50 |
$507 |
3.0× |
| Radex Calcaneus Minimum 2 Views (73650) |
$222.50 |
$445 |
2.7× |
| Radex elbow complete minimum 3 views (73080) |
$281.50 |
$563 |
3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$299.50 |
$599 |
3.0× |
| Radex fingr minimum 2 views (73140) |
$181.50 |
$363 |
2.2× |
| Radex foot complete minimum 3 views (73630) |
$284.50 |
$569 |
3.4× |
| Radex Hand Minimum 3 Views (73130) |
$280 |
$560 |
3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$259.50 |
$519 |
3.1× |
| Radex shoulder complete minimum 2 views (73030) |
$268 |
$536 |
3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$277.50 |
$555 |
3.3× |
| Radex Toe Minimum 2 Views (73660) |
$204.50 |
$409 |
2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$214 |
$428 |
2.6× |
| Radiation treatment delivery level 1 (77402) |
$359.50 |
$719 |
3.7× |
| Radiation treatment delivery level 3 (77412) |
$568.50 |
$1,137 |
1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$296.50 |
$593 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$296 |
$592 |
2.9× |
| Radiologic exam colon double contrast study (74280) |
$680.50 |
$1,361 |
4.0× |
| Radiologic exam knee complete 4/more views (73564) |
$294 |
$588 |
2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$496.50 |
$993 |
2.9× |
| Radiologic exam swallow function contrast study (74230) |
$389 |
$778 |
2.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$561 |
$1,122 |
3.3× |
| Radiologic examination femur minimum 2 views (73552) |
$210 |
$420 |
2.5× |
| Radiologic examination knee 1/2 views (73560) |
$252 |
$504 |
3.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$276 |
$552 |
3.3× |
| Ribs bilateral 3 views (71110) |
$326.50 |
$653 |
3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$1,991.50 |
$3,983 |
3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$47.50 |
$95 |
2.0× |
| Shoulder 1 view (73020) |
$166.50 |
$333 |
2.0× |
| Shoulder Arthrography (73040) |
$887.50 |
$1,775 |
2.6× |
| Skull less than 4 views (70250) |
$249 |
$498 |
2.5× |
| Special Physics Consult (77370) |
$596.50 |
$1,193 |
4.6× |
| Stereotactic Body Radiation Delivery (77373) |
$3,854.50 |
$7,709 |
2.2× |
| Sternoclavicular joints (71130) |
$175 |
$350 |
2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$992 |
$1,984 |
2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$1,119.50 |
$2,239 |
3.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$563.50 |
$1,127 |
4.3× |
| Thoracic spine 2 views (72070) |
$274.50 |
$549 |
2.7× |
| Thoracic spine 3 views (72072) |
$240.50 |
$481 |
2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$915.50 |
$1,831 |
2.4× |
| Tx Devices Design & Construction Complex (77334) |
$853 |
$1,706 |
2.4× |
| Tx devices design & construction intermediate (77333) |
$611 |
$1,222 |
4.7× |
| Tx devices design & construction simple (77332) |
$443.50 |
$887 |
3.4× |
| Ultrasound Breast Limited (76642) |
$238.50 |
$477 |
2.8× |
| Ultrasound Exam Aaa Screen (76706) |
$330 |
$660 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$453.50 |
$907 |
4.5× |
| Upper gi w/o kub (74240) |
$454 |
$908 |
2.7× |
| Urethrocystogram voiding (74455) |
$522.50 |
$1,045 |
2.3× |
| Us breast unilateral complete (76641) |
$292.50 |
$585 |
2.9× |
| Us chest (76604) |
$344.50 |
$689 |
3.4× |
| Us complete joint (76881) |
$431.50 |
$863 |
4.3× |
| Us head (76506) |
$458 |
$916 |
4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$369 |
$738 |
3.7× |
| Us ob limited 1 or more fetuses (76815) |
$339 |
$678 |
3.4× |
| Us ob transvaginal (76817) |
$418 |
$836 |
4.1× |
| Us pelvic non ob complete (76856) |
$495.50 |
$991 |
4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$405 |
$810 |
4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$355.50 |
$711 |
3.5× |
| Us retroperitoneal complete (76770) |
$507 |
$1,014 |
5.0× |
| Us retroperitoneal limited (76775) |
$388.50 |
$777 |
3.9× |
| Us scrotum and contents (76870) |
$484 |
$968 |
4.8× |
| Us spinal canal and contents (76800) |
$166 |
$332 |
1.6× |
| Us thyroid (76536) |
$486.50 |
$973 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$229.50 |
$459 |
2.7× |
| X-Ray Exam Breast Specimen (76098) |
$125.50 |
$251 |
0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$321.50 |
$643 |
3.2× |
| X-Ray Exam Hip Uni 1 View (73501) |
$131.50 |
$263 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$269.50 |
$539 |
3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$356 |
$712 |
3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$295.50 |
$591 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$354.50 |
$709 |
3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$348 |
$696 |
4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$520 |
$1,040 |
5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$295.50 |
$591 |
2.9× |
| X-ray humerus (73060) |
$210 |
$420 |
2.5× |
| X-ray IV pyelogram (ivp) (74400) |
$777 |
$1,554 |
4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$356 |
$712 |
3.5× |
| X-ray nose-rectum child f.b. (76010) |
$487.50 |
$975 |
5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$259 |
$518 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$231.50 |
$463 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$344.50 |
$689 |
4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$354.50 |
$709 |
3.5× |
| X-Rays Bone Length Studies (77073) |
$294 |
$588 |
2.9× |
| X-Rays Bone Survey Complete (77075) |
$1,100.50 |
$2,201 |
10.9× |
| Xr c-spine 4 or 5 views (72050) |
$435 |
$870 |
4.3× |