| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,765.21 |
$6,913.02 |
2.1× |
| Abdomen 2 views (74019) |
$228.54 |
$571.35 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,892.10 |
$4,730.26 |
4.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$946.80 |
$2,367 |
0.3× |
| Angiography extremity bilateral rs&i (75716) |
$2,279.02 |
$5,697.56 |
0.8× |
| Angiography extremity unilateral rs&i (75710) |
$3,579.72 |
$8,949.30 |
1.2× |
| Angiography internal mammary rs&i (75756) |
$1,414.72 |
$3,536.79 |
0.5× |
Angiography pelvic slctv/supraslctv rs&i (75736)
likely a partial charge, not the full procedure |
$1,286.54 |
$3,216.35 |
0.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,630.32 |
$9,075.80 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,522.69 |
$8,806.72 |
1.2× |
Angiography Spinal Selective Rs&I (75705)
likely a partial charge, not the full procedure |
$993.13 |
$2,482.82 |
0.2× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,882.45 |
$4,706.14 |
0.4× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$437.47 |
$1,093.68 |
0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$946.80 |
$2,367 |
0.3× |
| Ankle 2 views (73600) |
$179 |
$447.50 |
2.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$611.23 |
$1,528.08 |
1.8× |
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure |
$1,782.89 |
$4,457.22 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,016.91 |
$7,542.28 |
1.0× |
| Aortography abdominal serialography rs&i (75625) |
$2,860.08 |
$7,150.18 |
0.9× |
| Artery X-Rays Adrenal Gland (75731) |
$808.90 |
$2,022.23 |
0.3× |
| Arthrogram elbow (73085) |
$540.12 |
$1,350.31 |
1.6× |
| Arthrogram hip (73525) |
$1,286.01 |
$3,215.02 |
3.8× |
| Arthrogram shoulder (73040) |
$1,176.98 |
$2,942.44 |
3.5× |
| Arthrogram wrist (73115) |
$419.89 |
$1,049.72 |
1.3× |
| Arthrography knee lt (73580) |
$497.58 |
$1,243.96 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$320.70 |
$801.75 |
2.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,695.98 |
$4,239.96 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$1,921.59 |
$4,803.98 |
5.0× |
| Bone age studies (77072) |
$272.99 |
$682.48 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$2,003.81 |
$5,009.54 |
5.2× |
| Bone survey complete (77075) |
$1,078.92 |
$2,697.31 |
10.7× |
| Brain image w/flow 4 + views (78606) |
$2,337.74 |
$5,844.34 |
4.5× |
| Brain Imaging Minimum 4 Static Views (78605) |
$2,154.90 |
$5,387.26 |
4.1× |
| Cervical spine 2 or 3 views (72040) |
$288.05 |
$720.12 |
3.4× |
| Chest 1 view (71045) |
$281.80 |
$704.51 |
3.4× |
| Chest 3 views (71047) |
$367.07 |
$917.68 |
4.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$491.12 |
$1,227.79 |
2.9× |
| Clavicle complete (73000) |
$238.46 |
$596.15 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$62.66 |
$156.66 |
0.6× |
| Continuing medical physics consltj pr wk (77336) |
$362.44 |
$906.10 |
2.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,813.56 |
$7,033.89 |
8.4× |
| CT abdomen and pelvis without contrast (74176) |
$2,229.80 |
$5,574.50 |
9.7× |
| CT abdomen w contrast (74160) |
$1,426.94 |
$3,567.34 |
8.5× |
| CT abdomen w wo contrast (74170) |
$1,537.14 |
$3,842.85 |
9.1× |
| CT abdomen w/o contrast (74150) |
$1,357.07 |
$3,392.68 |
13.5× |
| CT angiography upper extremity lt (73206) |
$1,551.14 |
$3,877.86 |
9.2× |
| CT c-spine w/o contrast (72125) |
$870.62 |
$2,176.56 |
8.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,001.02 |
$5,002.56 |
11.9× |
| CT cervical spine with contrast (72126) |
$1,130.40 |
$2,826 |
3.4× |
| CT chest w/wo contrast (71270) |
$1,468.77 |
$3,671.93 |
8.7× |
| CT chest with contrast (71260) |
$1,322.68 |
$3,306.68 |
7.8× |
| CT colonography screening (74263) |
$1,079.43 |
$2,698.58 |
4.7× |
| CT head/brain with contrast (70460) |
$796.42 |
$1,991.06 |
4.7× |
| CT head/brain without and with contrast (70470) |
$537.25 |
$1,343.13 |
3.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$269.87 |
$674.67 |
3.2× |
| CT iac w contrast (70481) |
$360.14 |
$900.34 |
2.1× |
| CT limited/localized follow up study (76380) |
$655.45 |
$1,638.63 |
7.8× |
| CT lower ext w/o (73700) |
$220.41 |
$551.03 |
2.2× |
| CT lower extremity w wo contrast (73702) |
$580.55 |
$1,451.37 |
3.4× |
| CT lower extremity with contrast (73701) |
$540.21 |
$1,350.52 |
3.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,813.56 |
$7,033.89 |
16.7× |
| CT lumbar spine w/o contrast (72131) |
$1,292.72 |
$3,231.80 |
12.9× |
| CT lumbar spine with contrast (72132) |
$1,597.46 |
$3,993.66 |
4.8× |
| CT maxillofacial w contrast (70487) |
$360.14 |
$900.34 |
2.1× |
| CT maxillofacial w/o contrast (70486) |
$220.41 |
$551.03 |
2.2× |
| CT maxillofacial w/wo contrast (70488) |
$580.55 |
$1,451.37 |
3.4× |
| CT neck soft tissue w contrast (70491) |
$1,322.68 |
$3,306.68 |
7.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,050.70 |
$2,626.74 |
6.2× |
| CT orbits w/o contrast (70480) |
$220.41 |
$551.03 |
2.2× |
| CT pelvis w & w/o contrast (72194) |
$1,406.78 |
$3,516.95 |
8.3× |
| CT pelvis w/o contrast (72192) |
$1,024.51 |
$2,561.27 |
10.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,406.78 |
$3,516.95 |
8.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,114.90 |
$2,787.26 |
11.1× |
| CT thoracic spine w/contrast (72129) |
$940.49 |
$2,351.22 |
5.6× |
| CT thoracic spine w/o contrast (72128) |
$870.62 |
$2,176.56 |
8.7× |
| CT thoracic spine w/wo contrast (72130) |
$1,811.12 |
$4,527.79 |
10.7× |
| CT thorax w/o contrast (71250) |
$1,241.72 |
$3,104.31 |
12.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,546.59 |
$6,366.47 |
15.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,557.31 |
$3,893.27 |
15.5× |
| CT upper extremity with contrast (73201) |
$1,772.86 |
$4,432.16 |
5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,566.73 |
$3,916.82 |
9.3× |
| Cta Abdomen (74175) |
$1,566.73 |
$3,916.82 |
9.3× |
| CTA abdomen pelvis (74174) |
$3,477.80 |
$8,694.51 |
10.4× |
| CTA chest (71275) |
$1,253.64 |
$3,134.09 |
7.4× |
| Cta Head (70496) |
$1,253.64 |
$3,134.09 |
7.4× |
| CTA lwr ext w&w/o contrast (73706) |
$2,910.90 |
$7,277.24 |
17.3× |
| Cta Neck (70498) |
$1,253.64 |
$3,134.09 |
7.4× |
| Cta Pelvis (72191) |
$1,566.73 |
$3,916.82 |
9.3× |
| Cystography minimum 3 views rs&i (74430) |
$355 |
$887.50 |
1.1× |
| Diskography lumbar (72295) |
$482.55 |
$1,206.37 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$205.98 |
$514.96 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$202.45 |
$506.12 |
2.4× |
| Echo exam of fetal heart (76825) |
$320.70 |
$801.75 |
0.6× |
| Echoencephalography real time imaging (76506) |
$441.37 |
$1,103.43 |
4.4× |
| Esophagus (74220) |
$597.70 |
$1,494.25 |
3.5× |
| Fetal biophysical profile non-stress testing (76818) |
$246.31 |
$615.78 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$246.31 |
$615.78 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$493.23 |
$1,233.08 |
2.1× |
| Foot 2 views (73620) |
$216.78 |
$541.94 |
2.6× |
| Forearm 2 views (73090) |
$230.61 |
$576.52 |
2.8× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$2,786.16 |
$6,965.40 |
5.3× |
| Gated Heart Planar Single (78472) |
$2,116.32 |
$5,290.80 |
5.5× |
| Hand 2 views (73120) |
$181.02 |
$452.54 |
1.8× |
| Hand 3 views (73130) |
$258.30 |
$645.74 |
3.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,308.10 |
$5,770.25 |
4.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,707.56 |
$4,268.89 |
4.4× |
| Ht muscle image spect sing (78451) |
$2,789.52 |
$6,973.79 |
2.2× |
| Humerus Min 2 Views Left (73060) |
$235.15 |
$587.87 |
2.8× |
| Hysterosalpingogram (74740) |
$481.22 |
$1,203.05 |
2.1× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$88.44 |
$221.11 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,424.96 |
$6,062.41 |
4.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,579.28 |
$6,448.21 |
4.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,004.80 |
$12,512 |
9.6× |
| Knee 3 views (73562) |
$232.67 |
$581.68 |
2.8× |
| Liver imaging static only (78201) |
$2,066 |
$5,164.99 |
4.0× |
| Lung Ventilation Imaging (78579) |
$2,114.20 |
$5,285.48 |
5.5× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$969.03 |
$2,422.57 |
0.3× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$969.03 |
$2,422.57 |
0.6× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$727.03 |
$1,817.58 |
0.2× |
| Lymphoscintigraphy (78195) |
$885.95 |
$2,214.87 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$379.58 |
$948.96 |
1.7× |
| Mammary ductogram or galactogram single (77053) |
$379.58 |
$948.96 |
1.7× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$353.96 |
$884.89 |
4.2× |
| Meckels Diverticulum (78290) |
$1,672.36 |
$4,180.91 |
4.3× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,422.06 |
$3,555.16 |
3.9× |
| MRA head w & w/o contrast (70546) |
$2,482.12 |
$6,205.29 |
7.4× |
| MRA head w/o contrast (70544) |
$1,903.12 |
$4,757.79 |
8.3× |
| MRA head with contrast (70545) |
$2,134.14 |
$5,335.34 |
6.4× |
| MRA neck w contrast (70548) |
$2,134.14 |
$5,335.34 |
6.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,482.12 |
$6,205.29 |
7.4× |
| MRA neck w/o contrast (70547) |
$1,903.12 |
$4,757.79 |
8.3× |
| MRI abdomen w contrast (74182) |
$2,522.20 |
$6,305.50 |
7.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,899.52 |
$7,248.79 |
8.6× |
| MRI abdomen w/o contrast (74181) |
$2,026.68 |
$5,066.71 |
8.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,438.58 |
$3,596.45 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,553.20 |
$6,382.99 |
3.4× |
| MRI c-spine with contrast (72142) |
$2,522.20 |
$6,305.50 |
7.5× |
| MRI cervical spine w/o contrast (72141) |
$2,270.10 |
$5,675.26 |
9.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,899.93 |
$7,249.82 |
8.6× |
| MRI chest w/o contrast (71550) |
$2,026.68 |
$5,066.71 |
8.8× |
| MRI chest with contrast (71551) |
$2,257.71 |
$5,644.28 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,684.04 |
$6,710.08 |
8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,553.20 |
$6,382.99 |
7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,220.35 |
$5,550.88 |
9.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$462.47 |
$1,156.18 |
2.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,202.43 |
$3,006.07 |
3.6× |
| MRI orbit/face/neck w/contrast (70542) |
$739.96 |
$1,849.89 |
2.2× |
| MRI pelvis w contrast (72196) |
$2,257.71 |
$5,644.28 |
6.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,604.44 |
$6,511.11 |
7.8× |
| MRI pelvis w/o contrast (72195) |
$2,026.68 |
$5,066.71 |
8.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,899.93 |
$7,249.82 |
8.6× |
| MRI scan of leg joint before and after contrast (73723) |
$1,901.06 |
$4,752.64 |
5.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,222.28 |
$8,055.71 |
9.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,522.20 |
$6,305.50 |
7.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,899.93 |
$7,249.82 |
8.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,522.20 |
$6,305.50 |
7.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,899.93 |
$7,249.82 |
8.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,270.10 |
$5,675.26 |
9.9× |
| MRI tmj (70336) |
$2,026.68 |
$5,066.71 |
8.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,040.32 |
$5,100.81 |
8.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,532.53 |
$6,331.33 |
7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,234.98 |
$5,587.44 |
9.7× |
| Myelogram Cervical (72240) |
$1,027.69 |
$2,569.22 |
1.4× |
| Myelogram Lumbar (72265) |
$1,168.03 |
$2,920.07 |
1.5× |
| Myelogram thoracic (72255) |
$1,027.69 |
$2,569.22 |
1.4× |
| Myelography 2 or more regions (72270) |
$2,947.75 |
$7,369.37 |
3.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,407.64 |
$8,519.08 |
2.7× |
| Neck soft tissue (70360) |
$210.35 |
$525.88 |
2.5× |
| Nm adrenal scan (78075) |
$2,676.06 |
$6,690.15 |
2.1× |
| Nm cisternogram (78630) |
$2,045.87 |
$5,114.67 |
3.9× |
| Nm csf leak detection (78650) |
$2,045.87 |
$5,114.67 |
1.6× |
| Nm gastric emptying study (78264) |
$2,511.06 |
$6,277.66 |
6.5× |
| Nm peritoneal-venous shunt patency (78291) |
$1,717.10 |
$4,292.74 |
4.5× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,284.28 |
$8,210.70 |
2.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,283.50 |
$5,708.75 |
1.8× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,004.80 |
$5,012 |
1.6× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$1,968.37 |
$4,920.92 |
5.1× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$2,647.50 |
$6,618.74 |
6.9× |
| Nuclear Rx Oral Admin (79005) |
$2,097.87 |
$5,244.67 |
9.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$294.58 |
$736.45 |
2.9× |
| Osseous survey infant (77076) |
$317.96 |
$794.91 |
3.2× |
| Osseous survey limited (77074) |
$511 |
$1,277.50 |
5.1× |
| Parathyroid imaging (78070) |
$2,804.05 |
$7,010.13 |
7.3× |
| Pelvis 1 or 2 views (72170) |
$219.45 |
$548.63 |
2.2× |
| Peritoneogram rs&i (74190) |
$713.72 |
$1,784.31 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,899.93 |
$7,249.82 |
8.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,237.09 |
$5,592.73 |
5.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,239.50 |
$8,098.74 |
6.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$495.43 |
$1,238.58 |
0.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$179.77 |
$449.43 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$307.47 |
$768.68 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$255.41 |
$638.52 |
2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$615.78 |
$1,539.45 |
6.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$291.36 |
$728.39 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$206.64 |
$516.59 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$412.03 |
$1,030.08 |
4.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$449.54 |
$1,123.86 |
5.4× |
| Radiologic exam colon single contrast study (74270) |
$944 |
$2,360 |
5.6× |
| Radiologic exam upr gi trc double contrast study (74246) |
$955.48 |
$2,388.72 |
5.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$634.70 |
$1,586.75 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$428.98 |
$1,072.45 |
5.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$173.99 |
$434.97 |
2.1× |
| Radiological examination surgical specimen (76098) |
$303 |
$757.49 |
0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,477.79 |
$3,694.47 |
3.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,027.70 |
$7,569.26 |
5.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,384.14 |
$5,960.36 |
4.6× |
| Rp Therapy Intravenous Administration (79101) |
$777.20 |
$1,942.99 |
3.5× |
| Salivary gland imaging serial images (78231) |
$2,239.89 |
$5,599.72 |
5.8× |
| Scanogram (77073) |
$266.24 |
$665.62 |
2.6× |
| Scapula complete (73010) |
$277.30 |
$693.26 |
2.8× |
| Sella turcica (70240) |
$88.44 |
$221.11 |
1.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$713.31 |
$1,783.27 |
7.1× |
| Sialogram (70390) |
$288.05 |
$720.12 |
1.3× |
| Simulation intermediate (77285) |
$692.23 |
$1,730.58 |
1.9× |
| Small bowel series (74250) |
$569.82 |
$1,424.55 |
3.4× |
| Spec medical radj physics consltj (77370) |
$517.01 |
$1,292.52 |
4.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$563.70 |
$1,409.26 |
1.6× |
| Special dosimetry (77331) |
$332.27 |
$830.68 |
2.6× |
| Special treatment procedure (77470) |
$886.88 |
$2,217.21 |
1.7× |
| Spine thoracic 3 views (72072) |
$329.38 |
$823.44 |
3.3× |
| Spleen imaging only (78185) |
$1,449.27 |
$3,623.18 |
3.8× |
| Superior sagittal sinus venogram (75870) |
$1,082.59 |
$2,706.47 |
0.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$212.42 |
$531.06 |
2.2× |
| Testicular Imaging With Vascular Flow (78761) |
$2,012.32 |
$5,030.79 |
5.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$922.01 |
$2,305.03 |
2.6× |
| Ther rad simulaj-aided field setting simple (77280) |
$462.86 |
$1,157.16 |
3.6× |
| Thoracolumbar 2 views (72080) |
$319.32 |
$798.29 |
3.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,237.65 |
$5,594.13 |
4.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,817.74 |
$4,544.35 |
4.7× |
| Thyroid uptake measurement (78012) |
$1,280.42 |
$3,201.04 |
3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,175.03 |
$5,437.57 |
5.7× |
| Tmj unilateral (70328) |
$266.15 |
$665.37 |
3.2× |
| Tomogram (76100) |
$552.72 |
$1,381.82 |
5.5× |
| Treatment device intermediate (77333) |
$358.31 |
$895.77 |
2.8× |
| Treatment devices simple (77332) |
$246.72 |
$616.80 |
1.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,131.99 |
$10,329.98 |
7.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,471.37 |
$6,178.42 |
6.4× |
| Tx devices design & construction complex (77334) |
$538.08 |
$1,345.21 |
1.5× |
| Ultrasound, abdomen limited (76705) |
$439.31 |
$1,098.28 |
4.4× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$387.52 |
$968.79 |
4.6× |
| Unlisted Ultrasound Procedure (76999) |
$345.91 |
$864.77 |
4.1× |
| Upper Extremity Infant (73092) |
$243.42 |
$608.54 |
2.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,617.01 |
$4,042.52 |
4.2× |
| Urethrocystography retrograde rs&i (74450) |
$288.05 |
$720.12 |
1.3× |
| Urethrocystography voiding (74455) |
$445.92 |
$1,114.81 |
1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,223.28 |
$3,058.22 |
7.3× |
| Us breast unilateral complete (76641) |
$482.70 |
$1,206.76 |
4.8× |
| Us breast unilateral limited (76642) |
$482.70 |
$1,206.76 |
5.8× |
| Us chest (76604) |
$276.07 |
$690.17 |
2.7× |
| Us compl joint r-t w/image documentation (76881) |
$522.79 |
$1,306.97 |
5.2× |
| Us infant hips dynamic (76885) |
$569.82 |
$1,424.55 |
6.8× |
| Us infant hips limited static (76886) |
$451.54 |
$1,128.84 |
5.4× |
| Us kidney transplant (76776) |
$1,110.46 |
$2,776.16 |
11.0× |
| Us ob detailed single fetus (76811) |
$419.89 |
$1,049.72 |
1.8× |
| Us ob transvaginal (76817) |
$209.94 |
$524.85 |
2.1× |
| Us pelvic non ob complete (76856) |
$440.55 |
$1,101.38 |
4.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$273.02 |
$682.56 |
2.7× |
| Us pregnancy ltd (76815) |
$294.58 |
$736.45 |
2.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$419.89 |
$1,049.72 |
4.2× |
| Us retroperitoneal complete (76770) |
$542.62 |
$1,356.56 |
5.4× |
| Us retroperitoneal limited (76775) |
$439.31 |
$1,098.28 |
4.4× |
| Us scrotum and contents (76870) |
$387.65 |
$969.13 |
3.9× |
| Us soft tissue head/neck (76536) |
$434.76 |
$1,086.91 |
4.3× |
| Us spinal canal and contents (76800) |
$639.34 |
$1,598.34 |
6.4× |
| Us transrectal (76872) |
$628.17 |
$1,570.43 |
6.2× |
| Us xtr non-vasc lmtd (76882) |
$481.88 |
$1,204.69 |
4.8× |
| Vascular flow imaging (78445) |
$1,715.98 |
$4,289.95 |
4.5× |
| Venogram extremity bilateral (75822) |
$3,823.40 |
$9,558.51 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$1,561.10 |
$3,902.76 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$1,251.16 |
$3,127.89 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$3,823.40 |
$9,558.51 |
2.5× |
| Venography Renal Bilateral (75833) |
$5,190.18 |
$12,975.44 |
1.7× |
| Venography renal unilateral selective rs&i (75831) |
$5,319.93 |
$13,299.82 |
1.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,193.35 |
$2,983.38 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,225.83 |
$3,064.58 |
0.2× |
| Wrist 2 views (73100) |
$182.67 |
$456.67 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$665.62 |
$1,664.04 |
6.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$259.95 |
$649.87 |
3.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$319.32 |
$798.29 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,124.34 |
$2,810.86 |
6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$197.13 |
$492.83 |
2.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$315.32 |
$788.31 |
3.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$461.63 |
$1,154.07 |
4.6× |
| X-ray exam hip uni 1 view (73501) |
$179.77 |
$449.43 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$333.51 |
$833.77 |
4.0× |
| X-ray exam hip uni 4/> views (73503) |
$454.60 |
$1,136.50 |
4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$509.56 |
$1,273.90 |
5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$637.27 |
$1,593.17 |
6.3× |
| X-ray exam of femur 1 (73551) |
$274.83 |
$687.07 |
3.3× |
| X-ray eye for foreign body (70030) |
$166.14 |
$415.35 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$350.04 |
$875.11 |
3.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$228.96 |
$572.39 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$282.88 |
$707.21 |
3.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$690.16 |
$1,725.41 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$151.11 |
$377.78 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$259.54 |
$648.84 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$260.85 |
$652.12 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$173.14 |
$432.86 |
2.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$242.60 |
$606.49 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$362.44 |
$906.10 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$390.13 |
$975.32 |
3.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$246.31 |
$615.78 |
2.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$218.62 |
$546.56 |
2.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$255.41 |
$638.52 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$257.06 |
$642.65 |
2.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$948.50 |
$2,371.24 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$277.30 |
$693.26 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$284.33 |
$710.83 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$414.10 |
$1,035.25 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$254.58 |
$636.44 |
2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$235.15 |
$587.87 |
2.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$257.06 |
$642.65 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$338.06 |
$845.15 |
4.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$266.56 |
$666.39 |
3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$367.82 |
$919.54 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$207.46 |
$518.66 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$179.77 |
$449.43 |
2.1× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$173.99 |
$434.97 |
2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$232.38 |
$580.94 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$306.65 |
$766.63 |
3.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$206.43 |
$516.08 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$240.11 |
$600.27 |
2.9× |
| Xr arthrogram ankle (73615) |
$419.47 |
$1,048.68 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$416.99 |
$1,042.48 |
4.1× |
| Xr chest 4+ views (71048) |
$402.58 |
$1,006.44 |
4.0× |
| Xr Cholecystography Oral Contrast (74290) |
$339.10 |
$847.76 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$169.44 |
$423.61 |
2.0× |
| Xr internal auditory meati complete (70134) |
$184.74 |
$461.84 |
0.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$334.34 |
$835.84 |
3.3× |
| Xr optic foramina (70190) |
$166.14 |
$415.35 |
2.0× |
| Xr shoulder 1 view (73020) |
$140.10 |
$350.25 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$369.88 |
$924.70 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$264 |
$660 |
3.2× |
| Xr tmj bilateral (70330) |
$292.18 |
$730.46 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$173.14 |
$432.86 |
2.1× |