| 3-D radiotherapy plan dose-volume histograms (77295) |
$17,888.25 |
$23,851 |
12.9× |
| Abdomen 2 views (74019) |
$1,545.75 |
$2,061 |
14.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,834 |
$5,112 |
9.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$4,968 |
$6,624 |
1.6× |
| Angiography extremity bilateral rs&i (75716) |
$9,447.75 |
$12,597 |
3.0× |
| Angiography extremity unilateral rs&i (75710) |
$8,436 |
$11,248 |
2.7× |
| Angiography internal mammary rs&i (75756) |
$15,372.75 |
$20,497 |
4.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,345.25 |
$11,127 |
1.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$6,688.50 |
$8,918 |
2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$11,782.12 |
$15,709.50 |
3.7× |
| Angiography Spinal Selective Rs&I (75705) |
$16,156.88 |
$21,542.50 |
2.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$15,540.75 |
$20,721 |
2.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$4,560.75 |
$6,081 |
1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,893.50 |
$3,858 |
0.9× |
| Ankle 2 views (73600) |
$654 |
$872 |
7.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,581 |
$2,108 |
4.5× |
| Aortogram thoracic (75605) |
$17,874 |
$23,832 |
3.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$9,128.25 |
$12,171 |
2.9× |
| Aortography abdominal serialography rs&i (75625) |
$9,447.75 |
$12,597 |
3.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,309.38 |
$8,412.50 |
2.0× |
| Arthrogram elbow (73085) |
$2,154.75 |
$2,873 |
6.1× |
| Arthrogram hip (73525) |
$777 |
$1,036 |
2.2× |
| Arthrogram shoulder (73040) |
$1,144.88 |
$1,526.50 |
3.3× |
| Arthrogram wrist (73115) |
$936 |
$1,248 |
2.7× |
| Arthrography knee lt (73580) |
$1,320.75 |
$1,761 |
3.8× |
| Basic radiation dosimetry calculation (77300) |
$465.75 |
$621 |
3.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,003.75 |
$4,005 |
7.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,963.50 |
$2,618 |
4.9× |
| Bone &/joint imaging whole body (78306) |
$5,851.12 |
$7,801.50 |
14.6× |
| Bone age studies (77072) |
$1,246.50 |
$1,662 |
11.9× |
| Bone Imaging 3 Phase (78315) |
$2,662.88 |
$3,550.50 |
6.6× |
| Bone Marrow Imaging Limited Area (78102) |
$1,856.25 |
$2,475 |
4.6× |
| Bone survey complete (77075) |
$2,939.62 |
$3,919.50 |
28.0× |
| Brain image w/flow 4 + views (78606) |
$4,348.50 |
$5,798 |
8.0× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,452.75 |
$1,937 |
3.6× |
| Brain Imaging Minimum 4 Static Views (78605) |
$2,536.50 |
$3,382 |
4.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,901.25 |
$10,535 |
5.5× |
| Brain Imaging Vascular Flow Only (78610) |
$3,302.25 |
$4,403 |
6.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,390.25 |
$7,187 |
15.4× |
| Cardiac shunt detection (78428) |
$2,106 |
$2,808 |
5.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$2,709.75 |
$3,613 |
5.0× |
| Cervical spine 2 or 3 views (72040) |
$1,018.50 |
$1,358 |
11.7× |
| Chest 1 view (71045) |
$824.25 |
$1,099 |
9.4× |
| Chest 3 views (71047) |
$1,524 |
$2,032 |
17.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,120.50 |
$1,494 |
6.4× |
| Cisternography Positive Contrast Rs&I (70015) |
$1,275.75 |
$1,701 |
1.6× |
| Clavicle complete (73000) |
$982.12 |
$1,309.50 |
11.2× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$105,165 |
$140,220 |
14.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$372.75 |
$497 |
3.5× |
| Continuing medical physics consltj pr wk (77336) |
$813.75 |
$1,085 |
6.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,609 |
$12,812 |
27.4× |
| CT abdomen and pelvis without contrast (74176) |
$4,089.75 |
$5,453 |
17.1× |
| CT abdomen w contrast (74160) |
$6,348 |
$8,464 |
36.0× |
| CT abdomen w wo contrast (74170) |
$8,296.50 |
$11,062 |
47.1× |
| CT abdomen w/o contrast (74150) |
$4,812.75 |
$6,417 |
45.8× |
| CT angio hrt w/3d image (75574) |
$2,743.50 |
$3,658 |
7.8× |
| CT angiography upper extremity lt (73206) |
$5,448 |
$7,264 |
30.9× |
| CT c-spine w/o contrast (72125) |
$4,305.75 |
$5,741 |
41.0× |
| CT cervical spine w&w/o contrast (72127) |
$4,687.50 |
$6,250 |
26.6× |
| CT cervical spine with contrast (72126) |
$3,588.75 |
$4,785 |
10.2× |
| CT chest w/wo contrast (71270) |
$3,279 |
$4,372 |
18.6× |
| CT chest with contrast (71260) |
$5,911.12 |
$7,881.50 |
33.5× |
| CT head/brain with contrast (70460) |
$3,468.75 |
$4,625 |
19.7× |
| CT head/brain without and with contrast (70470) |
$3,740.25 |
$4,987 |
21.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,853.75 |
$3,805 |
8.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$135 |
$180 |
1.5× |
| CT iac w contrast (70481) |
$5,383.50 |
$7,178 |
30.6× |
| CT limited/localized follow up study (76380) |
$1,816.50 |
$2,422 |
20.8× |
| CT lower ext w/o (73700) |
$3,275.62 |
$4,367.50 |
31.2× |
| CT lower extremity w wo contrast (73702) |
$3,132.75 |
$4,177 |
17.8× |
| CT lower extremity with contrast (73701) |
$2,361 |
$3,148 |
13.4× |
| CT lumbar spine w & w/o contrast (72133) |
$3,586.50 |
$4,782 |
20.4× |
| CT lumbar spine w/o contrast (72131) |
$5,768.25 |
$7,691 |
54.9× |
| CT lumbar spine with contrast (72132) |
$3,659.25 |
$4,879 |
10.4× |
| CT maxillofacial w contrast (70487) |
$3,348 |
$4,464 |
19.0× |
| CT maxillofacial w/o contrast (70486) |
$3,783.75 |
$5,045 |
36.0× |
| CT maxillofacial w/wo contrast (70488) |
$3,827.25 |
$5,103 |
21.7× |
| CT neck soft tissue w contrast (70491) |
$6,512.25 |
$8,683 |
37.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,259.25 |
$5,679 |
24.2× |
| CT orbits w/o contrast (70480) |
$4,144.12 |
$5,525.50 |
39.5× |
| CT pelvis w & w/o contrast (72194) |
$4,650.75 |
$6,201 |
26.4× |
| CT pelvis w/o contrast (72192) |
$3,840.38 |
$5,120.50 |
36.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,702 |
$4,936 |
21.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,889 |
$3,852 |
27.5× |
| CT thoracic spine w/contrast (72129) |
$2,657.25 |
$3,543 |
15.1× |
| CT thoracic spine w/o contrast (72128) |
$3,386.25 |
$4,515 |
32.2× |
| CT thoracic spine w/wo contrast (72130) |
$3,097.50 |
$4,130 |
17.6× |
| CT thorax w/o contrast (71250) |
$4,612.88 |
$6,150.50 |
43.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,982.75 |
$3,977 |
16.9× |
| CT upper extremity w/o contrast rt (73200) |
$3,045.38 |
$4,060.50 |
29.0× |
| CT upper extremity with contrast (73201) |
$3,254.25 |
$4,339 |
9.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$6,558 |
$8,744 |
37.2× |
| Cta Abdomen (74175) |
$7,151.25 |
$9,535 |
40.6× |
| CTA abdomen pelvis (74174) |
$7,199.25 |
$9,599 |
20.5× |
| CTA chest (71275) |
$5,760.75 |
$7,681 |
32.7× |
| Cta Head (70496) |
$4,445.62 |
$5,927.50 |
25.2× |
| CTA lwr ext w&w/o contrast (73706) |
$3,655.12 |
$4,873.50 |
20.7× |
| Cta Neck (70498) |
$6,708 |
$8,944 |
38.1× |
| Cta Pelvis (72191) |
$5,934.38 |
$7,912.50 |
33.7× |
| Cystography minimum 3 views rs&i (74430) |
$1,722 |
$2,296 |
4.9× |
| Diskogram cervical (72285) |
$9,751.88 |
$13,002.50 |
5.0× |
| Diskography lumbar (72295) |
$9,377.25 |
$12,503 |
4.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$3,849.75 |
$5,133 |
36.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$4,308.75 |
$5,745 |
41.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,146.75 |
$1,529 |
10.9× |
| Dxa bone density study axial skeleton (77085) |
$1,017.75 |
$1,357 |
9.7× |
| Echo exam of fetal heart (76825) |
$6,398.25 |
$8,531 |
11.7× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$3,123 |
$4,164 |
13.0× |
| Echoencephalography real time imaging (76506) |
$953.62 |
$1,271.50 |
9.1× |
| Esophagus (74220) |
$1,179.75 |
$1,573 |
6.7× |
| Fetal biophysical profile non-stress testing (76818) |
$1,644.38 |
$2,192.50 |
15.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,345.50 |
$1,794 |
12.8× |
| Fluoroscopy up to 1 hr (76000) |
$1,679.25 |
$2,239 |
7.0× |
| Foot 2 views (73620) |
$633 |
$844 |
7.2× |
| Forearm 2 views (73090) |
$874.12 |
$1,165.50 |
10.0× |
| Functional MRI brain by phys/psych (70555) |
$1,107.75 |
$1,477 |
4.6× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$5,896.50 |
$7,862 |
10.8× |
| Gated Heart Planar Single (78472) |
$5,020.50 |
$6,694 |
12.5× |
| Hand 2 views (73120) |
$742.12 |
$989.50 |
7.1× |
| Hand 3 views (73130) |
$666 |
$888 |
7.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$9,447.75 |
$12,597 |
3.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,274.38 |
$3,032.50 |
4.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$7,295.25 |
$9,727 |
18.2× |
| Ht muscle image spect sing (78451) |
$8,992.88 |
$11,990.50 |
6.9× |
| Humerus Min 2 Views Left (73060) |
$645 |
$860 |
7.4× |
| Hysterosalpingogram (74740) |
$1,944.75 |
$2,593 |
8.1× |
| Kidney funcj study non-img radioisotopic study (78725) |
$3,687.75 |
$4,917 |
9.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,874.88 |
$5,166.50 |
7.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$5,080.50 |
$6,774 |
9.3× |
| Knee 3 views (73562) |
$801.75 |
$1,069 |
9.2× |
| Liver & spleen imaging static only (78215) |
$3,679.88 |
$4,906.50 |
9.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,307.75 |
$3,077 |
5.7× |
| Liver imaging static only (78201) |
$5,477.25 |
$7,303 |
10.0× |
| Liver imaging w/vascular flow (78202) |
$4,065.75 |
$5,421 |
7.5× |
| Lung Ventilation Imaging (78579) |
$1,645.12 |
$2,193.50 |
4.1× |
| Lymphoscintigraphy (78195) |
$4,832.62 |
$6,443.50 |
8.9× |
| Mammary ductogram or galactogram multiple (77054) |
$1,868.62 |
$2,491.50 |
7.8× |
| Mammary ductogram or galactogram single (77053) |
$1,419.75 |
$1,893 |
5.9× |
| Meckels Diverticulum (78290) |
$3,105.75 |
$4,141 |
7.7× |
| Mr safety determination physician/other qhp (76016) |
$338.25 |
$451 |
3.9× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$228 |
$304 |
3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$93.75 |
$125 |
3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$352.50 |
$470 |
3.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$927.75 |
$1,237 |
3.9× |
| MRA head w & w/o contrast (70546) |
$6,730.88 |
$8,974.50 |
19.2× |
| MRA head w/o contrast (70544) |
$5,404.88 |
$7,206.50 |
22.5× |
| MRA head with contrast (70545) |
$6,650.25 |
$8,867 |
19.0× |
| MRA neck w contrast (70548) |
$5,974.50 |
$7,966 |
17.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$7,824 |
$10,432 |
22.3× |
| MRA neck w/o contrast (70547) |
$4,731.75 |
$6,309 |
19.7× |
| MRI abdomen w contrast (74182) |
$3,711.75 |
$4,949 |
10.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$8,331.75 |
$11,109 |
23.8× |
| MRI abdomen w/o contrast (74181) |
$5,312.25 |
$7,083 |
22.2× |
| MRI any jnt lwr ext with con lt (73722) |
$4,920 |
$6,560 |
6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,123.75 |
$4,165 |
4.0× |
| MRI breast w/o contrast bilateral (77047) |
$4,051.50 |
$5,402 |
16.9× |
| MRI breast w/o contrast unilat (77046) |
$3,859.50 |
$5,146 |
16.1× |
| MRI c-spine with contrast (72142) |
$4,630.50 |
$6,174 |
13.2× |
| MRI cardiac w/o cont stress (75559) |
$3,742.50 |
$4,990 |
6.8× |
| MRI cardiac w/o contrast (75557) |
$4,004.25 |
$5,339 |
16.7× |
| MRI cervical spine w/o contrast (72141) |
$5,289 |
$7,052 |
22.1× |
| MRI chest w/o & w/contrast material (71552) |
$4,792.50 |
$6,390 |
13.7× |
| MRI chest w/o contrast (71550) |
$4,074 |
$5,432 |
17.0× |
| MRI chest with contrast (71551) |
$3,939 |
$5,252 |
5.0× |
| MRI fetal sngl/1st gestation (74712) |
$4,842 |
$6,456 |
20.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,252.12 |
$9,669.50 |
20.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$6,067.50 |
$8,090 |
17.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,173 |
$5,564 |
17.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,157.75 |
$6,877 |
21.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,617.88 |
$7,490.50 |
16.0× |
| MRI orbit/face/neck w/contrast (70542) |
$3,731.25 |
$4,975 |
10.6× |
| MRI pelvis w contrast (72196) |
$3,721.50 |
$4,962 |
10.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,179.50 |
$6,906 |
14.8× |
| MRI pelvis w/o contrast (72195) |
$4,621.50 |
$6,162 |
19.3× |
| MRI scan of arm joint before and after contrast (73223) |
$7,116.38 |
$9,488.50 |
20.3× |
| MRI scan of leg joint before and after contrast (73723) |
$7,308.75 |
$9,745 |
20.9× |
| MRI spectroscopy (76390) |
$2,872.50 |
$3,830 |
32.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,075.50 |
$9,434 |
20.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,691.75 |
$7,589 |
16.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,259.25 |
$9,679 |
20.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,877.25 |
$6,503 |
13.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,068 |
$9,424 |
20.2× |
| MRI thoracic spine w/o contrast (72146) |
$5,391.38 |
$7,188.50 |
22.5× |
| MRI tmj (70336) |
$2,431.88 |
$3,242.50 |
10.1× |
| MRI upper ext joint w/o contrast (73221) |
$5,780.25 |
$7,707 |
24.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,451.38 |
$7,268.50 |
15.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,459.50 |
$5,946 |
18.6× |
| Myelogram Cervical (72240) |
$4,576.88 |
$6,102.50 |
5.8× |
| Myelogram Lumbar (72265) |
$4,671.75 |
$6,229 |
5.9× |
| Myelogram thoracic (72255) |
$5,067.75 |
$6,757 |
6.4× |
| Myelography 2 or more regions (72270) |
$4,788.38 |
$6,384.50 |
6.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$7,197.75 |
$9,597 |
5.5× |
| Myocardial Spect Multiple Studies (78452) |
$11,165.25 |
$14,887 |
8.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$4,848.75 |
$6,465 |
5.6× |
| Neck soft tissue (70360) |
$623.25 |
$831 |
7.1× |
| Nm adrenal scan (78075) |
$4,093.50 |
$5,458 |
3.1× |
| Nm bone marrow multiple (78103) |
$1,856.25 |
$2,475 |
4.6× |
| Nm bone marrow wb (78104) |
$1,856.25 |
$2,475 |
4.6× |
| Nm cisternogram (78630) |
$2,523 |
$3,364 |
4.6× |
| Nm gastric emptying study (78264) |
$5,065.50 |
$6,754 |
12.6× |
| Nm peritoneal-venous shunt patency (78291) |
$3,480 |
$4,640 |
8.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$15,405 |
$20,540 |
11.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$7,878 |
$10,504 |
5.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$15,351.75 |
$20,469 |
11.8× |
| Nuclear medicine of heart pumping function (78473) |
$5,284.88 |
$7,046.50 |
13.2× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$2,499 |
$3,332 |
4.6× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$7,901.25 |
$10,535 |
5.5× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$8,352.75 |
$11,137 |
5.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$16,107.75 |
$21,477 |
12.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,649.75 |
$3,533 |
6.6× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$5,896.50 |
$7,862 |
14.7× |
| Nuclear Rx Oral Admin (79005) |
$4,049.62 |
$5,399.50 |
17.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$421.50 |
$562 |
4.0× |
| Orthopantogram (70355) |
$1,078.50 |
$1,438 |
12.3× |
| Osseous survey infant (77076) |
$3,237 |
$4,316 |
30.8× |
| Osseous survey limited (77074) |
$2,195.25 |
$2,927 |
20.9× |
| Parathyrd planar w/wo subtrj (78071) |
$2,951.25 |
$3,935 |
7.3× |
| Parathyroid imaging (78070) |
$2,638.12 |
$3,517.50 |
6.6× |
| Pelvis 1 or 2 views (72170) |
$736.50 |
$982 |
7.0× |
| Perineogram (74775) |
$1,365.75 |
$1,821 |
5.7× |
| PET image w/CT, skull-thigh (78815) |
$7,901.25 |
$10,535 |
5.5× |
| PET imaging CT for attenuation limited area (78814) |
$7,878 |
$10,504 |
5.5× |
| PET imaging for CT attenuation whole body (78816) |
$7,901.25 |
$10,535 |
5.5× |
| PET imaging limited area chest head/neck (78811) |
$6,791.25 |
$9,055 |
5.2× |
| PET whole body (78813) |
$7,901.25 |
$10,535 |
5.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$10,249.50 |
$13,666 |
29.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$9,447.75 |
$12,597 |
3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,458.25 |
$4,611 |
8.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,379.25 |
$5,839 |
8.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,415 |
$3,220 |
4.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,165.88 |
$1,554.50 |
13.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,184 |
$2,912 |
20.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,299 |
$1,732 |
12.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,923.75 |
$2,565 |
18.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$3,024.75 |
$4,033 |
28.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,177.50 |
$1,570 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,305 |
$1,740 |
12.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$849.38 |
$1,132.50 |
9.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,425.75 |
$1,901 |
13.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,015.88 |
$1,354.50 |
11.6× |
| Radiologic exam colon single contrast study (74270) |
$1,741.50 |
$2,322 |
9.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,062.75 |
$1,417 |
6.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,659.75 |
$2,213 |
9.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,659.75 |
$2,213 |
9.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$894.38 |
$1,192.50 |
10.2× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$2,024.25 |
$2,699 |
23.2× |
| Radiological examination surgical specimen (76098) |
$1,105.50 |
$1,474 |
2.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$9,447.75 |
$12,597 |
3.0× |
| Ribs bilateral 3 views (71110) |
$1,125 |
$1,500 |
10.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,260.25 |
$4,347 |
8.1× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,723.62 |
$3,631.50 |
5.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,224.25 |
$4,299 |
5.9× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,302.75 |
$1,737 |
5.6× |
| Rp Therapy Intravenous Administration (79101) |
$2,572.50 |
$3,430 |
11.0× |
| Sacroiliac Joints < 3 Views (72200) |
$591 |
$788 |
5.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,064.25 |
$1,419 |
4.4× |
| Scanogram (77073) |
$1,249.50 |
$1,666 |
11.9× |
| Scapula complete (73010) |
$581.25 |
$775 |
5.5× |
| Screening digital breast tomosynthesis (77063) |
$175.50 |
$234 |
7.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$595.50 |
$794 |
5.7× |
| Sialogram (70390) |
$1,135.50 |
$1,514 |
4.7× |
| Simulation intermediate (77285) |
$1,596.75 |
$2,129 |
4.2× |
| Small bowel series (74250) |
$876 |
$1,168 |
5.0× |
| Spec medical radj physics consltj (77370) |
$1,001.25 |
$1,335 |
7.4× |
| Special dosimetry (77331) |
$1,942.50 |
$2,590 |
14.4× |
| Special treatment procedure (77470) |
$5,939.25 |
$7,919 |
10.7× |
| Spine thoracic 3 views (72072) |
$997.50 |
$1,330 |
9.5× |
| Stereotactic body radiation delivery (77373) |
$8,445 |
$11,260 |
4.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$785.25 |
$1,047 |
2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$534.75 |
$713 |
1.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,660.25 |
$3,547 |
7.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$996 |
$1,328 |
7.4× |
| Thoracolumbar 2 views (72080) |
$686.25 |
$915 |
7.9× |
| Thyroid carcinoma metastases img addl study (78016) |
$2,238 |
$2,984 |
5.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$5,976.38 |
$7,968.50 |
11.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,167.75 |
$1,557 |
2.9× |
| Thyroid uptake measurement (78012) |
$900.75 |
$1,201 |
2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,391.75 |
$3,189 |
6.0× |
| Tmj unilateral (70328) |
$299.25 |
$399 |
3.4× |
| Tomogram (76100) |
$2,366.25 |
$3,155 |
22.5× |
| Treatment devices simple (77332) |
$384 |
$512 |
2.8× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,799.38 |
$7,732.50 |
10.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,629.75 |
$2,173 |
4.1× |
| Tx devices design & construction complex (77334) |
$4,068 |
$5,424 |
10.8× |
| Ultrasound elastography first target lesion (76982) |
$428.25 |
$571 |
4.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$683.25 |
$911 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$1,095 |
$1,460 |
10.4× |
| Umbilical-artery Doppler (OB) (76820) |
$759.75 |
$1,013 |
7.2× |
| Unlisted magnetic resonance procedure (76498) |
$9,141.75 |
$12,189 |
104.6× |
| Upper Extremity Infant (73092) |
$670.88 |
$894.50 |
6.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$2,960.25 |
$3,947 |
7.4× |
| Urethrocystography retrograde rs&i (74450) |
$1,466.62 |
$1,955.50 |
6.1× |
| Urethrocystography voiding (74455) |
$1,576.88 |
$2,102.50 |
6.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,914.12 |
$3,885.50 |
16.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$2,698.50 |
$3,598 |
15.3× |
| Us abdl aorta screen aaa (76706) |
$1,071 |
$1,428 |
10.2× |
| Us breast unilateral complete (76641) |
$883.50 |
$1,178 |
8.4× |
| Us breast unilateral limited (76642) |
$595.50 |
$794 |
6.8× |
| Us chest (76604) |
$1,028.25 |
$1,371 |
9.8× |
| Us compl joint r-t w/image documentation (76881) |
$1,869 |
$2,492 |
17.8× |
| Us elastography parenchyma (76981) |
$428.25 |
$571 |
4.1× |
| Us guided compression repair (76936) |
$1,752.75 |
$2,337 |
8.1× |
| Us infant hips dynamic (76885) |
$971.25 |
$1,295 |
11.1× |
| Us kidney transplant (76776) |
$1,466.25 |
$1,955 |
14.0× |
| Us ob detailed single fetus (76811) |
$2,664 |
$3,552 |
11.1× |
| Us ob transvaginal (76817) |
$2,388.38 |
$3,184.50 |
22.7× |
| Us pelvic non ob complete (76856) |
$1,338 |
$1,784 |
12.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,028.25 |
$1,371 |
9.8× |
| Us pregnancy ltd (76815) |
$1,064.25 |
$1,419 |
10.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$2,546.62 |
$3,395.50 |
24.2× |
| Us retroperitoneal complete (76770) |
$1,419.75 |
$1,893 |
13.5× |
| Us retroperitoneal limited (76775) |
$1,064.25 |
$1,419 |
10.1× |
| Us scrotum and contents (76870) |
$1,793.25 |
$2,391 |
17.1× |
| Us soft tissue head/neck (76536) |
$1,727.62 |
$2,303.50 |
16.5× |
| Us spinal canal and contents (76800) |
$699 |
$932 |
6.7× |
| Us transrectal (76872) |
$592.50 |
$790 |
5.6× |
| Us xtr non-vasc lmtd (76882) |
$1,363.12 |
$1,817.50 |
13.0× |
| Venogram extremity bilateral (75822) |
$2,617.50 |
$3,490 |
1.7× |
| Venography caval inferior serialography rs&i (75825) |
$8,997.75 |
$11,997 |
2.8× |
| Venography caval superior serialography rs&i (75827) |
$4,198.50 |
$5,598 |
2.7× |
| Venography epidural rs&i (75872) |
$5,838 |
$7,784 |
9.3× |
| Venography extremity unilateral rs&i (75820) |
$2,750.25 |
$3,667 |
1.7× |
| Venography Renal Bilateral (75833) |
$7,590.75 |
$10,121 |
2.4× |
| Venography renal unilateral selective rs&i (75831) |
$9,447.75 |
$12,597 |
3.0× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,816.75 |
$5,089 |
1.2× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$9,738.75 |
$12,985 |
1.7× |
| Vertebral fracture assessment via dxa (77086) |
$325.88 |
$434.50 |
3.7× |
| Wrist 2 views (73100) |
$652.50 |
$870 |
7.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,411.50 |
$1,882 |
13.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$687.75 |
$917 |
7.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,019.62 |
$1,359.50 |
11.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,029.50 |
$2,706 |
11.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$596.62 |
$795.50 |
6.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$458.25 |
$611 |
5.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$3,024.75 |
$4,033 |
28.8× |
| X-ray exam hip uni 1 view (73501) |
$510.75 |
$681 |
5.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$535.88 |
$714.50 |
6.1× |
| X-ray exam hip uni 4/> views (73503) |
$648 |
$864 |
6.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,028.25 |
$1,371 |
9.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,146 |
$1,528 |
10.9× |
| X-ray exam of femur 1 (73551) |
$405.75 |
$541 |
4.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$4,525.50 |
$6,034 |
25.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$998.25 |
$1,331 |
9.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$846.75 |
$1,129 |
9.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$681 |
$908 |
7.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,029.50 |
$2,706 |
1.0× |
| X-ray head for orthodontia (70350) |
$1,236.75 |
$1,649 |
14.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$652.50 |
$870 |
7.5× |
| X-ray IV pyelogram+drip infusn (74410) |
$789.75 |
$1,053 |
4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$793.12 |
$1,057.50 |
9.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,075.12 |
$1,433.50 |
10.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$606.75 |
$809 |
6.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,285.50 |
$1,714 |
12.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,711.50 |
$2,282 |
16.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$2,695.50 |
$3,594 |
25.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$927 |
$1,236 |
10.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$1,702.50 |
$2,270 |
19.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,014 |
$1,352 |
9.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,654.50 |
$2,206 |
15.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,565 |
$3,420 |
4.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,623 |
$2,164 |
4.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$802.88 |
$1,070.50 |
9.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$714.75 |
$953 |
6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,327.50 |
$1,770 |
12.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,244.25 |
$1,659 |
11.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,176 |
$1,568 |
13.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$799.50 |
$1,066 |
9.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,611.88 |
$3,482.50 |
29.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,662.75 |
$2,217 |
19.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$998.25 |
$1,331 |
9.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,213.88 |
$1,618.50 |
11.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$598.50 |
$798 |
6.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$670.12 |
$893.50 |
7.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$627.75 |
$837 |
7.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$997.50 |
$1,330 |
9.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$709.50 |
$946 |
8.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$908.25 |
$1,211 |
10.4× |
| Xr arthrogram ankle (73615) |
$2,026.50 |
$2,702 |
5.8× |
| Xr c-spine 6 or more views (72052) |
$1,449.75 |
$1,933 |
13.8× |
| Xr chest 4+ views (71048) |
$915 |
$1,220 |
8.7× |
| Xr finger(s) 2+ views (73140) |
$844.88 |
$1,126.50 |
9.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$1,145.25 |
$1,527 |
10.9× |
| Xr shoulder 1 view (73020) |
$474 |
$632 |
5.4× |
| Xr spine cervical 4 or 5 views (72050) |
$1,325.25 |
$1,767 |
12.6× |
| Xr tibia/fibula 2 views (73590) |
$897 |
$1,196 |
10.3× |
| Xr tmj bilateral (70330) |
$726.75 |
$969 |
8.3× |
| Xray knee 1 or 2 views rt (73560) |
$714 |
$952 |
8.2× |