| Abdomen 2 views (74019) |
$1,289 |
$1,289 |
12.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,165 |
$4,165 |
10.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$14,091 |
$14,091 |
4.4× |
| Angiography extremity bilateral rs&i (75716) |
$14,487.50 |
$14,487.50 |
4.6× |
| Angiography extremity unilateral rs&i (75710) |
$14,355 |
$14,355 |
4.5× |
| Angiography internal mammary rs&i (75756) |
$6,502 |
$6,502 |
2.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$7,155 |
$7,155 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$16,108 |
$16,108 |
5.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$14,355 |
$14,355 |
4.5× |
| Angiography Spinal Selective Rs&I (75705) |
$5,349 |
$5,349 |
1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,400 |
$4,400 |
0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,137.50 |
$3,137.50 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$15,054 |
$15,054 |
4.7× |
| Ankle 2 views (73600) |
$797 |
$797 |
9.1× |
| Antegrade urography radiological supvj & interpj (74425) |
$1,699 |
$1,699 |
4.8× |
| Aortogram thoracic (75605) |
$14,355 |
$14,355 |
2.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$15,762 |
$15,762 |
5.0× |
| Aortography abdominal serialography rs&i (75625) |
$13,535 |
$13,535 |
4.3× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,349 |
$4,349 |
1.4× |
| Artery X-Rays Adrenal Gland (75731) |
$5,274 |
$5,274 |
1.7× |
| Arthrogram hip (73525) |
$2,723 |
$2,723 |
7.8× |
| Arthrogram shoulder (73040) |
$1,938 |
$1,938 |
5.5× |
| Arthrogram wrist (73115) |
$2,108 |
$2,108 |
6.0× |
| Arthrography knee lt (73580) |
$2,195 |
$2,195 |
6.3× |
| Basic radiation dosimetry calculation (77300) |
$1,101 |
$1,101 |
8.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,840.50 |
$2,840.50 |
7.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$3,746 |
$3,746 |
9.3× |
| Bone &/joint imaging whole body (78306) |
$4,081 |
$4,081 |
10.2× |
| Bone age studies (77072) |
$597.50 |
$597.50 |
5.7× |
| Bone Imaging 3 Phase (78315) |
$4,629 |
$4,629 |
11.5× |
| Bone survey complete (77075) |
$4,498.50 |
$4,498.50 |
42.8× |
| Brachytx isodose complex (77318) |
$2,030 |
$2,030 |
5.4× |
| Brachytx isodose intermed (77317) |
$1,635 |
$1,635 |
4.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$1,316 |
$1,316 |
3.5× |
| Brain image w/flow 4 + views (78606) |
$3,543 |
$3,543 |
6.5× |
| Cardiac shunt detection (78428) |
$4,154 |
$4,154 |
10.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,912 |
$4,912 |
9.0× |
| Cervical spine 2 or 3 views (72040) |
$1,093 |
$1,093 |
12.5× |
| Chest 1 view (71045) |
$833 |
$833 |
9.5× |
| Chest 3 views (71047) |
$1,157 |
$1,157 |
13.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$2,172 |
$2,172 |
12.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$5,787 |
$5,787 |
7.3× |
| Clavicle complete (73000) |
$766 |
$766 |
8.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,770 |
$1,770 |
16.9× |
| Continuing medical physics consltj pr wk (77336) |
$1,358 |
$1,358 |
10.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$20,826 |
$20,826 |
59.4× |
| CT abdomen and pelvis without contrast (74176) |
$13,919.50 |
$13,919.50 |
58.1× |
| CT abdomen w contrast (74160) |
$8,757 |
$8,757 |
49.7× |
| CT abdomen w wo contrast (74170) |
$10,411 |
$10,411 |
59.1× |
| CT abdomen w/o contrast (74150) |
$6,434.50 |
$6,434.50 |
61.3× |
| CT angio hrt w/3d image (75574) |
$5,800.50 |
$5,800.50 |
16.6× |
| CT angiography upper extremity lt (73206) |
$9,960 |
$9,960 |
56.5× |
| CT c-spine w/o contrast (72125) |
$7,500.50 |
$7,500.50 |
71.4× |
| CT cervical spine w&w/o contrast (72127) |
$9,498.50 |
$9,498.50 |
53.9× |
| CT cervical spine with contrast (72126) |
$8,334 |
$8,334 |
23.8× |
| CT chest w/wo contrast (71270) |
$9,963 |
$9,963 |
56.5× |
| CT chest with contrast (71260) |
$8,215 |
$8,215 |
46.6× |
| CT head/brain with contrast (70460) |
$6,548 |
$6,548 |
37.2× |
| CT head/brain without and with contrast (70470) |
$7,890 |
$7,890 |
44.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$5,216 |
$5,216 |
14.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$353 |
$353 |
4.0× |
| CT hrt w/3d image congen (75573) |
$6,069.50 |
$6,069.50 |
17.3× |
| CT iac w contrast (70481) |
$6,593.50 |
$6,593.50 |
37.4× |
| CT limited/localized follow up study (76380) |
$2,699 |
$2,699 |
30.9× |
| CT lower ext w/o (73700) |
$7,510 |
$7,510 |
71.5× |
| CT lower extremity w wo contrast (73702) |
$9,214 |
$9,214 |
52.3× |
| CT lower extremity with contrast (73701) |
$8,504 |
$8,504 |
48.3× |
| CT lumbar spine w & w/o contrast (72133) |
$9,597.50 |
$9,597.50 |
54.5× |
| CT lumbar spine w/o contrast (72131) |
$7,668 |
$7,668 |
73.0× |
| CT lumbar spine with contrast (72132) |
$8,334 |
$8,334 |
23.8× |
| CT maxillofacial w contrast (70487) |
$8,259.50 |
$8,259.50 |
46.9× |
| CT maxillofacial w/o contrast (70486) |
$5,995 |
$5,995 |
57.1× |
| CT maxillofacial w/wo contrast (70488) |
$8,298.50 |
$8,298.50 |
47.1× |
| CT neck soft tissue w contrast (70491) |
$7,668 |
$7,668 |
43.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$7,844.50 |
$7,844.50 |
44.5× |
| CT orbits w/o contrast (70480) |
$5,944 |
$5,944 |
56.6× |
| CT pelvis w & w/o contrast (72194) |
$8,062 |
$8,062 |
45.8× |
| CT pelvis w/o contrast (72192) |
$5,690.50 |
$5,690.50 |
54.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$7,844.50 |
$7,844.50 |
44.5× |
| CT soft tissue neck w/o contrast (70490) |
$6,904 |
$6,904 |
65.7× |
| CT thoracic spine w/contrast (72129) |
$7,768 |
$7,768 |
44.1× |
| CT thoracic spine w/o contrast (72128) |
$7,067 |
$7,067 |
67.3× |
| CT thoracic spine w/wo contrast (72130) |
$8,900 |
$8,900 |
50.5× |
| CT thorax w/o contrast (71250) |
$6,157 |
$6,157 |
58.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$8,456 |
$8,456 |
48.0× |
| CT upper extremity w/o contrast rt (73200) |
$6,368 |
$6,368 |
60.6× |
| CT upper extremity with contrast (73201) |
$7,312 |
$7,312 |
20.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$9,037.50 |
$9,037.50 |
51.3× |
| Cta Abdomen (74175) |
$9,441 |
$9,441 |
53.6× |
| CTA abdomen pelvis (74174) |
$19,533.50 |
$19,533.50 |
55.7× |
| CTA chest (71275) |
$9,441 |
$9,441 |
53.6× |
| Cta Head (70496) |
$8,915 |
$8,915 |
50.6× |
| CTA lwr ext w&w/o contrast (73706) |
$9,501 |
$9,501 |
53.9× |
| Cta Neck (70498) |
$7,768 |
$7,768 |
44.1× |
| Cta Pelvis (72191) |
$8,915 |
$8,915 |
50.6× |
| Cystography minimum 3 views rs&i (74430) |
$1,953 |
$1,953 |
5.6× |
| Diskogram cervical (72285) |
$8,401 |
$8,401 |
4.3× |
| Diskography lumbar (72295) |
$5,257.50 |
$5,257.50 |
2.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$405 |
$405 |
3.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$405 |
$405 |
3.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$1,719 |
$1,719 |
16.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$784 |
$784 |
7.5× |
| Dxa bone density study axial skeleton (77085) |
$784 |
$784 |
7.5× |
| Echo exam of fetal heart (76825) |
$2,742 |
$2,742 |
5.0× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$1,719 |
$1,719 |
7.2× |
| Echoencephalography real time imaging (76506) |
$2,773 |
$2,773 |
26.4× |
| Esophagus (74220) |
$1,530 |
$1,530 |
8.7× |
| Fetal biophysical profile non-stress testing (76818) |
$2,359 |
$2,359 |
22.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,818 |
$1,818 |
17.3× |
| Fluoroscopy up to 1 hr (76000) |
$1,266 |
$1,266 |
5.3× |
| Foot 2 views (73620) |
$696 |
$696 |
8.0× |
| Forearm 2 views (73090) |
$888 |
$888 |
10.2× |
| Gated Heart Planar Single (78472) |
$4,734.50 |
$4,734.50 |
11.8× |
| Hand 2 views (73120) |
$732 |
$732 |
7.0× |
| Hand 3 views (73130) |
$901 |
$901 |
10.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$13,402 |
$13,402 |
4.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,122 |
$5,122 |
9.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,595 |
$4,595 |
11.4× |
| Ht muscle image spect sing (78451) |
$7,084.50 |
$7,084.50 |
5.4× |
| Humerus Min 2 Views Left (73060) |
$888 |
$888 |
10.2× |
| Hysterosalpingogram (74740) |
$1,043 |
$1,043 |
4.4× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$1,306.50 |
$1,306.50 |
12.4× |
| Kidney imaging morphology (78700) |
$2,392 |
$2,392 |
6.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,311 |
$4,311 |
7.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,661 |
$4,661 |
8.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$6,965 |
$6,965 |
12.8× |
| Knee 3 views (73562) |
$1,149 |
$1,149 |
13.1× |
| Liver & spleen imaging static only (78215) |
$2,864 |
$2,864 |
7.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$3,754 |
$3,754 |
9.3× |
| Liver imaging static only (78201) |
$2,510 |
$2,510 |
4.6× |
| Liver imaging w/vascular flow (78202) |
$3,632.50 |
$3,632.50 |
6.7× |
| Lung perf&ventilat diferentl (78598) |
$6,181 |
$6,181 |
11.3× |
| Lung perfusion differential (78597) |
$9,995 |
$9,995 |
24.9× |
| Lung Ventilation Imaging (78579) |
$3,813 |
$3,813 |
9.5× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$12,811 |
$12,811 |
4.0× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$11,561 |
$11,561 |
18.3× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$12,811 |
$12,811 |
8.1× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$11,561 |
$11,561 |
3.6× |
| Lymphoscintigraphy (78195) |
$4,740 |
$4,740 |
8.7× |
| Mammary ductogram or galactogram single (77053) |
$1,127 |
$1,127 |
4.7× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$1,009.50 |
$1,009.50 |
11.5× |
| Meckels Diverticulum (78290) |
$3,670 |
$3,670 |
9.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,571 |
$3,571 |
9.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$122 |
$122 |
4.2× |
| MRA head w & w/o contrast (70546) |
$6,645 |
$6,645 |
19.0× |
| MRA head w/o contrast (70544) |
$6,375 |
$6,375 |
26.6× |
| MRA head with contrast (70545) |
$5,800 |
$5,800 |
16.5× |
| MRA neck w contrast (70548) |
$5,684 |
$5,684 |
16.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,956 |
$4,956 |
14.1× |
| MRA neck w/o contrast (70547) |
$6,171 |
$6,171 |
25.7× |
| MRI abdomen w contrast (74182) |
$7,613 |
$7,613 |
21.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$8,331 |
$8,331 |
23.8× |
| MRI abdomen w/o contrast (74181) |
$7,399 |
$7,399 |
30.9× |
| MRI any jnt lwr ext with con lt (73722) |
$7,611 |
$7,611 |
9.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$7,611 |
$7,611 |
9.7× |
| MRI bone marrow blood supply (77084) |
$10,183 |
$10,183 |
42.5× |
| MRI breast w/o contrast bilateral (77047) |
$5,670 |
$5,670 |
23.7× |
| MRI breast w/o contrast unilat (77046) |
$3,665 |
$3,665 |
15.3× |
| MRI c-spine with contrast (72142) |
$7,015 |
$7,015 |
20.0× |
| MRI cervical spine w/o contrast (72141) |
$6,794 |
$6,794 |
28.3× |
| MRI chest w/o & w/contrast material (71552) |
$8,025 |
$8,025 |
22.9× |
| MRI chest w/o contrast (71550) |
$6,839 |
$6,839 |
28.5× |
| MRI chest with contrast (71551) |
$7,716 |
$7,716 |
9.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,316 |
$7,316 |
20.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,316 |
$7,316 |
20.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,151 |
$7,151 |
29.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,839 |
$6,839 |
28.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,730 |
$7,730 |
22.1× |
| MRI orbit/face/neck w/contrast (70542) |
$7,285 |
$7,285 |
20.8× |
| MRI pelvis w contrast (72196) |
$7,112 |
$7,112 |
20.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,316 |
$7,316 |
20.9× |
| MRI pelvis w/o contrast (72195) |
$6,783 |
$6,783 |
28.3× |
| MRI scan of arm joint before and after contrast (73223) |
$7,733 |
$7,733 |
22.1× |
| MRI scan of leg joint before and after contrast (73723) |
$7,733 |
$7,733 |
22.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,856 |
$7,856 |
22.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,611 |
$7,611 |
21.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$8,074 |
$8,074 |
23.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$7,316 |
$7,316 |
20.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$8,074 |
$8,074 |
23.0× |
| MRI thoracic spine w/o contrast (72146) |
$7,573 |
$7,573 |
31.6× |
| MRI tmj (70336) |
$6,839 |
$6,839 |
28.5× |
| MRI upper ext joint w/o contrast (73221) |
$7,151 |
$7,151 |
29.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$8,206 |
$8,206 |
23.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$6,567 |
$6,567 |
27.4× |
| Myelogram Cervical (72240) |
$7,785 |
$7,785 |
9.9× |
| Myelogram thoracic (72255) |
$7,020 |
$7,020 |
8.9× |
| Myelography 2 or more regions (72270) |
$14,041 |
$14,041 |
17.8× |
| Myocardial Spect Multiple Studies (78452) |
$11,029.50 |
$11,029.50 |
8.5× |
| Neck soft tissue (70360) |
$1,122 |
$1,122 |
12.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,859 |
$1,859 |
4.6× |
| Nm cisternogram (78630) |
$4,923 |
$4,923 |
9.0× |
| Nm csf leak detection (78650) |
$4,087 |
$4,087 |
3.1× |
| Nm gastric emptying study (78264) |
$4,149.50 |
$4,149.50 |
10.3× |
| Nm gastroesophageal reflux study (78262) |
$3,076 |
$3,076 |
7.7× |
| Nm peritoneal-venous shunt patency (78291) |
$3,190 |
$3,190 |
7.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,244 |
$10,244 |
7.4× |
| Nuclear medicine study of kidney and blood flow (78701) |
$2,598 |
$2,598 |
6.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$2,659 |
$2,659 |
6.6× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,962 |
$3,962 |
9.9× |
| Nuclear Rx Oral Admin (79005) |
$3,771 |
$3,771 |
16.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,062.50 |
$2,062.50 |
19.6× |
| Osseous survey infant (77076) |
$2,934.50 |
$2,934.50 |
27.9× |
| Osseous survey limited (77074) |
$2,934.50 |
$2,934.50 |
27.9× |
| Parathyrd planar w/wo subtrj (78071) |
$4,374 |
$4,374 |
10.9× |
| Parathyroid imaging (78070) |
$2,671 |
$2,671 |
6.7× |
| Pelvis 1 or 2 views (72170) |
$719.50 |
$719.50 |
6.9× |
| Peritoneogram rs&i (74190) |
$1,067 |
$1,067 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$8,206 |
$8,206 |
23.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$14,776 |
$14,776 |
4.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$13,402 |
$13,402 |
4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,384 |
$3,384 |
8.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,945 |
$6,945 |
12.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,749 |
$2,749 |
5.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,428 |
$1,428 |
16.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,568 |
$2,568 |
24.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$2,030 |
$2,030 |
19.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,591 |
$1,591 |
15.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$10,055 |
$10,055 |
1.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$905 |
$905 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,208.50 |
$1,208.50 |
11.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$928 |
$928 |
10.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,361 |
$1,361 |
13.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$1,045 |
$1,045 |
12.0× |
| Radiologic exam colon single contrast study (74270) |
$2,428 |
$2,428 |
13.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$1,652 |
$1,652 |
9.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$2,505 |
$2,505 |
14.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,927 |
$1,927 |
10.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$779 |
$779 |
8.9× |
| Review by radiologist of adrenal gland vein image (75840) |
$14,776 |
$14,776 |
4.7× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$14,776 |
$14,776 |
4.7× |
| Ribs bilateral 3 views (71110) |
$1,933.50 |
$1,933.50 |
18.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,332 |
$6,332 |
15.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,923 |
$4,923 |
9.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,638 |
$5,638 |
10.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$4,437 |
$4,437 |
18.9× |
| Rp Therapy Intravenous Administration (79101) |
$4,231 |
$4,231 |
18.1× |
| Salivary gland imaging serial images (78231) |
$2,793 |
$2,793 |
7.0× |
| Scapula complete (73010) |
$1,020 |
$1,020 |
9.7× |
| Screening digital breast tomosynthesis (77063) |
$91 |
$91 |
3.9× |
| Sella turcica (70240) |
$925.50 |
$925.50 |
10.6× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$2,627.50 |
$2,627.50 |
25.0× |
| Sialogram (70390) |
$1,972 |
$1,972 |
8.2× |
| Simulation intermediate (77285) |
$2,282 |
$2,282 |
6.1× |
| Small bowel series (74250) |
$2,164 |
$2,164 |
12.3× |
| Spec medical radj physics consltj (77370) |
$1,480 |
$1,480 |
11.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,973 |
$1,973 |
5.2× |
| Special dosimetry (77331) |
$807 |
$807 |
6.0× |
| Special treatment procedure (77470) |
$3,639 |
$3,639 |
6.6× |
| Spine thoracic 3 views (72072) |
$1,136.50 |
$1,136.50 |
10.8× |
| Spleen imaging only (78185) |
$2,274 |
$2,274 |
5.7× |
| Splenoportograpy rs&i (75810) |
$10,316 |
$10,316 |
3.3× |
| Stereotactic body radiation delivery (77373) |
$17,928 |
$17,928 |
10.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,419 |
$1,419 |
3.8× |
| Testicular Imaging With Vascular Flow (78761) |
$3,169 |
$3,169 |
7.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,569 |
$2,569 |
6.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,703 |
$1,703 |
12.6× |
| Therapeutic Enema (74283) |
$3,057 |
$3,057 |
17.3× |
| Thoracolumbar 2 views (72080) |
$979.50 |
$979.50 |
11.2× |
| Thyroid carcinoma metastases img whole body (78018) |
$4,738 |
$4,738 |
8.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$2,393 |
$2,393 |
6.0× |
| Thyroid uptake measurement (78012) |
$2,466 |
$2,466 |
6.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,175 |
$4,175 |
10.4× |
| Treatment device intermediate (77333) |
$1,195 |
$1,195 |
8.9× |
| Treatment devices simple (77332) |
$1,033 |
$1,033 |
7.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$5,921 |
$5,921 |
10.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$4,473 |
$4,473 |
11.1× |
| Tx devices design & construction complex (77334) |
$1,617 |
$1,617 |
4.3× |
| Ultrasound, abdomen limited (76705) |
$2,067 |
$2,067 |
19.7× |
| Umbilical-artery Doppler (OB) (76820) |
$1,719 |
$1,719 |
16.4× |
| Unlisted Ultrasound Procedure (76999) |
$1,421 |
$1,421 |
16.3× |
| Upper Extremity Infant (73092) |
$918 |
$918 |
8.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$3,811 |
$3,811 |
9.5× |
| Urethrocystography retrograde rs&i (74450) |
$2,110 |
$2,110 |
8.8× |
| Urethrocystography voiding (74455) |
$2,047 |
$2,047 |
8.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$2,211 |
$2,211 |
12.5× |
| Us abdl aorta screen aaa (76706) |
$1,696 |
$1,696 |
16.1× |
| Us breast unilateral complete (76641) |
$670.50 |
$670.50 |
6.4× |
| Us breast unilateral limited (76642) |
$503 |
$503 |
5.8× |
| Us chest (76604) |
$1,977.50 |
$1,977.50 |
18.8× |
| Us compl joint r-t w/image documentation (76881) |
$1,632 |
$1,632 |
15.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$2,655 |
$2,655 |
25.3× |
| Us guided compression repair (76936) |
$1,413 |
$1,413 |
6.5× |
| Us infant hips dynamic (76885) |
$2,053 |
$2,053 |
23.5× |
| Us kidney transplant (76776) |
$2,991 |
$2,991 |
28.5× |
| Us ob detailed single fetus (76811) |
$2,655 |
$2,655 |
11.1× |
| Us ob transvaginal (76817) |
$878 |
$878 |
8.4× |
| Us pelvic non ob complete (76856) |
$1,303 |
$1,303 |
12.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,590.50 |
$1,590.50 |
15.1× |
| Us pregnancy ltd (76815) |
$1,982 |
$1,982 |
18.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,977.50 |
$1,977.50 |
18.8× |
| Us retroperitoneal complete (76770) |
$2,041 |
$2,041 |
19.4× |
| Us retroperitoneal limited (76775) |
$1,633 |
$1,633 |
15.5× |
| Us scrotum and contents (76870) |
$1,828 |
$1,828 |
17.4× |
| Us soft tissue head/neck (76536) |
$1,357.50 |
$1,357.50 |
12.9× |
| Us spinal canal and contents (76800) |
$2,053 |
$2,053 |
19.5× |
| Us transrectal (76872) |
$3,269 |
$3,269 |
31.1× |
| Us transrectal prostate volume (76873) |
$2,923 |
$2,923 |
27.8× |
| Us xtr non-vasc lmtd (76882) |
$903 |
$903 |
8.6× |
| Vascular flow imaging (78445) |
$1,859 |
$1,859 |
4.6× |
| Venogram extremity bilateral (75822) |
$5,170 |
$5,170 |
3.3× |
| Venography caval inferior serialography rs&i (75825) |
$15,054 |
$15,054 |
4.7× |
| Venography caval superior serialography rs&i (75827) |
$12,341 |
$12,341 |
7.8× |
| Venography extremity unilateral rs&i (75820) |
$2,494 |
$2,494 |
1.6× |
| Venography Renal Bilateral (75833) |
$12,731 |
$12,731 |
4.0× |
| Venography renal unilateral selective rs&i (75831) |
$12,211 |
$12,211 |
3.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,345 |
$5,345 |
1.7× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$12,641 |
$12,641 |
2.3× |
| Vertebral fracture assessment via dxa (77086) |
$465 |
$465 |
5.3× |
| Wrist 2 views (73100) |
$672 |
$672 |
7.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,298 |
$1,298 |
12.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$928.50 |
$928.50 |
10.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$998 |
$998 |
11.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,869 |
$2,869 |
16.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$767 |
$767 |
8.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,063 |
$1,063 |
12.2× |
| X-ray exam hip uni 1 view (73501) |
$1,428 |
$1,428 |
16.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,579 |
$1,579 |
18.1× |
| X-ray exam hip uni 4/> views (73503) |
$1,880 |
$1,880 |
17.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,030 |
$2,030 |
19.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$2,183 |
$2,183 |
20.8× |
| X-ray exam of femur 1 (73551) |
$557 |
$557 |
6.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$2,735 |
$2,735 |
15.5× |
| X-ray eye for foreign body (70030) |
$387 |
$387 |
4.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,368 |
$1,368 |
13.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,087.50 |
$1,087.50 |
12.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,035 |
$1,035 |
11.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,069 |
$3,069 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$864 |
$864 |
9.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,087.50 |
$1,087.50 |
12.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,235 |
$1,235 |
11.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$851 |
$851 |
9.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$918 |
$918 |
10.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,256 |
$1,256 |
12.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,717.50 |
$1,717.50 |
16.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,740 |
$1,740 |
16.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$894.50 |
$894.50 |
10.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$722.50 |
$722.50 |
8.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,161 |
$1,161 |
11.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$1,115.50 |
$1,115.50 |
10.6× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$2,659 |
$2,659 |
4.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,250 |
$2,250 |
6.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,202.50 |
$1,202.50 |
13.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,468 |
$1,468 |
14.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$2,402 |
$2,402 |
22.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,142 |
$1,142 |
10.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,107 |
$1,107 |
12.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,166 |
$1,166 |
13.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,540.50 |
$1,540.50 |
17.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,082 |
$1,082 |
12.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,522.50 |
$1,522.50 |
14.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$820 |
$820 |
7.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,051.50 |
$1,051.50 |
12.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$902 |
$902 |
10.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,031.50 |
$1,031.50 |
11.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$761.50 |
$761.50 |
7.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$765 |
$765 |
8.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$935 |
$935 |
10.7× |
| Xr c-spine 6 or more views (72052) |
$2,169.50 |
$2,169.50 |
20.7× |
| Xr chest 4+ views (71048) |
$1,420 |
$1,420 |
13.5× |
| Xr Cholecystography Oral Contrast (74290) |
$1,538 |
$1,538 |
8.7× |
| Xr finger(s) 2+ views (73140) |
$750 |
$750 |
8.6× |
| Xr shoulder 1 view (73020) |
$746 |
$746 |
8.5× |
| Xr spine cervical 4 or 5 views (72050) |
$1,641 |
$1,641 |
15.6× |
| Xr tibia/fibula 2 views (73590) |
$1,132 |
$1,132 |
12.9× |
| Xr tmj bilateral (70330) |
$1,298 |
$1,298 |
14.8× |
| Xray knee 1 or 2 views rt (73560) |
$888 |
$888 |
10.2× |