| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,322.38 |
$12,825 |
3.0× |
| Abdomen 1 View (74018) |
$228.25 |
$550 |
2.0× |
| Abdomen 2 views (74019) |
$363.13 |
$875 |
2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$1,363.69 |
$3,286 |
2.7× |
| Adrenal Cortex & Medulla Img (78075) |
$1,909.83 |
$4,602 |
1.1× |
| Angio internal mammary (75756) |
$1,606.47 |
$3,871 |
0.4× |
| Angio pulmonary bilat (75743) |
$3,372.29 |
$8,126 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$3,862.41 |
$9,307 |
1.0× |
| Angiography extremity unilateral rs&i (75710) |
$3,862.41 |
$9,307 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,428.17 |
$5,851 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,584.89 |
$3,819 |
0.4× |
| Ankle 2 views (73600) |
$298.80 |
$720 |
2.7× |
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure |
$3,406.32 |
$8,208 |
0.5× |
| Artery X-Rays Abdomen (75726) |
$3,862.41 |
$9,307 |
0.5× |
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure |
$3,372.29 |
$8,126 |
0.5× |
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure |
$2,363.01 |
$5,694 |
0.3× |
| Arthrogram ankle (73615) |
$376.82 |
$908 |
0.8× |
| Arthrogram hip (73525) |
$458.58 |
$1,105 |
1.0× |
| Arthrogram Wrist (73115) |
$440.73 |
$1,062 |
1.0× |
| Basic radiation dosimetry calculation (77300) |
$232.82 |
$561 |
1.3× |
| Bone age studies (77072) |
$279.71 |
$674 |
2.1× |
| Bone Imaging 3 Phase (78315) |
$1,573.27 |
$3,791 |
3.1× |
| Bone Imaging Limited Area (78300) |
$363.13 |
$875 |
0.7× |
| Bone Imaging Multiple Areas (78305) |
$1,296.88 |
$3,125 |
2.5× |
| Bone Imaging Whole Body (78306) |
$1,728.89 |
$4,166 |
3.4× |
| Bone marrow imaging; whole body (78104) |
$778.54 |
$1,876 |
1.5× |
| Bone survey infant (77076) |
$236.55 |
$570 |
1.8× |
| Brachytx isodose complex (77318) |
$482.65 |
$1,163 |
1.0× |
| Brachytx isodose intermed (77317) |
$648.23 |
$1,562 |
1.3× |
| Brachytx Isodose Plan Simple (77316) |
$486.80 |
$1,173 |
1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$1,424.28 |
$3,432 |
2.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$515.85 |
$1,243 |
1.1× |
| Cardiac Shunt Detection (78428) |
$407.95 |
$983 |
0.8× |
| Cat Scan Follow-Up Study (76380) |
$123.67 |
$298 |
1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$854.49 |
$2,059 |
1.2× |
| Cerebrospinal Fluid Scan (78630) |
$703.43 |
$1,695 |
1.0× |
| Chest 1 view (71045) |
$217.05 |
$523 |
1.9× |
| Chest 2 views (71046) |
$279.71 |
$674 |
2.5× |
| Chest 3 views (71047) |
$344.87 |
$831 |
3.1× |
| Chest 4 or more views (71048) |
$427.45 |
$1,030 |
3.2× |
| Cholecystography Oral Contrast (74290) |
$458.16 |
$1,104 |
2.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) |
$166 |
$400 |
1.2× |
| Clavicle complete (73000) |
$270.17 |
$651 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,369.92 |
$3,301 |
10.2× |
| Continuing medical physics consltj pr wk (77336) |
$445.71 |
$1,074 |
2.6× |
| Contrast Exam Abdominl Aorta (75625) |
$3,862.41 |
$9,307 |
1.0× |
| Contrast X-Ray Bladder (74430) |
$429.94 |
$1,036 |
1.0× |
| Contrast X-Ray Of Elbow (73085) |
$377.65 |
$910 |
0.8× |
| Contrast X-Ray Of Knee Joint (73580) |
$808.42 |
$1,948 |
1.8× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$317.48 |
$765 |
1.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,090.92 |
$7,448 |
6.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,878.86 |
$6,937 |
9.4× |
| CT abdomen w contrast (74160) |
$1,283.18 |
$3,092 |
5.7× |
| CT abdomen w wo contrast (74170) |
$1,336.72 |
$3,221 |
5.9× |
| CT abdomen w/o contrast (74150) |
$1,243.34 |
$2,996 |
9.2× |
| CT Angio Abdomen and Pelvis (74174) |
$2,577.15 |
$6,210 |
5.7× |
| CT Angio Chest (71275) |
$1,722.67 |
$4,151 |
7.6× |
| CT Angio Head (70496) |
$1,426.77 |
$3,438 |
6.3× |
| CT angio hrt w/3d image (75574) |
$2,070.02 |
$4,988 |
4.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$731.65 |
$1,763 |
3.2× |
| CT Angio Neck (70498) |
$1,498.98 |
$3,612 |
6.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$871.50 |
$2,100 |
3.9× |
| CT cervical spine w/ contrast (72126) |
$2,993.81 |
$7,214 |
6.7× |
| CT cervical spine w/o contrast (72125) |
$2,302.84 |
$5,549 |
17.1× |
| CT cervical spine w/wo cont (72127) |
$2,372.14 |
$5,716 |
10.5× |
| CT chest w contrast (71260) |
$1,682 |
$4,053 |
7.5× |
| CT chest w/wo contrast (71270) |
$2,133.10 |
$5,140 |
9.5× |
| CT colonography screening (74263) |
$751.15 |
$1,810 |
2.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$1,822.68 |
$4,392 |
8.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$1,689.88 |
$4,072 |
12.6× |
| CT head/brain with contrast (70460) |
$2,021.88 |
$4,872 |
9.0× |
| CT head/brain without and with contrast (70470) |
$2,358.86 |
$5,684 |
10.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,070.02 |
$4,988 |
4.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$186.34 |
$449 |
1.7× |
| CT hrt w/3d image congen (75573) |
$2,070.02 |
$4,988 |
4.6× |
| CT iac w contrast (70481) |
$1,881.61 |
$4,534 |
8.3× |
| CT l-spine w&w/o contrast (72133) |
$1,479.06 |
$3,564 |
6.6× |
| CT lower ext w/o (73700) |
$1,200.18 |
$2,892 |
8.9× |
| CT lower extremity w/contrast material (73701) |
$792.24 |
$1,909 |
3.5× |
| CT lumbar spine w contrast (72132) |
$1,462.46 |
$3,524 |
3.3× |
| CT lumbar spine w/o contrast (72131) |
$1,643.40 |
$3,960 |
12.2× |
| CT maxillofacial w contrast (70487) |
$1,159.51 |
$2,794 |
5.1× |
| CT maxillofacial wo contrast (70486) |
$1,486.53 |
$3,582 |
11.1× |
| CT neck tissue combo (70492) |
$1,545.05 |
$3,723 |
6.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,533.43 |
$3,695 |
6.8× |
| CT orbits w/o contrast (70480) |
$1,742.59 |
$4,199 |
13.0× |
| CT pelvis w&w/o contrast (72194) |
$1,703.58 |
$4,105 |
7.6× |
| CT pelvis w/o contrast (72192) |
$2,129.37 |
$5,131 |
15.8× |
| CT scan of leg combo (73702) |
$1,188.15 |
$2,863 |
5.3× |
| CT scans face/jaw combo (70488) |
$1,426.77 |
$3,438 |
6.3× |
| CT soft tissue neck w contrast (70491) |
$1,884.10 |
$4,540 |
8.4× |
| CT soft tissue neck w/o contrast (70490) |
$904.29 |
$2,179 |
6.7× |
| CT thoracic spine w contrast (72129) |
$1,447.11 |
$3,487 |
6.4× |
| CT thoracic spine w/o contrast (72128) |
$1,590.28 |
$3,832 |
11.8× |
| CT thoracic spine w/wo cont (72130) |
$2,035.58 |
$4,905 |
9.0× |
| CT thorax w/o contrast (71250) |
$1,734.29 |
$4,179 |
12.9× |
| CT upper ext wo (73200) |
$1,245.42 |
$3,001 |
9.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,195.62 |
$2,881 |
5.3× |
| CT upper extremity with contrast (73201) |
$1,295.22 |
$3,121 |
2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,807.74 |
$4,356 |
8.0× |
| Cta Abdomen (74175) |
$1,417.23 |
$3,415 |
6.3× |
| CTA pelvis (72191) |
$1,263.26 |
$3,044 |
5.6× |
| Dilation ureters/urethra rs&i (74485) |
$1,891.57 |
$4,558 |
0.7× |
| Discography Cerv/Thor Spine (72285) |
$1,881.61 |
$4,534 |
0.7× |
| Diskography lumbar (72295) |
$1,881.61 |
$4,534 |
0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$149.40 |
$360 |
1.1× |
| Dxa Bone Density Axial (77080) |
$220.78 |
$532 |
1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$125.75 |
$303 |
1.1× |
| Echo exam uterus (76831) |
$191.32 |
$461 |
0.6× |
| Esophagram (74220) |
$443.22 |
$1,068 |
2.0× |
| Fetal Biophys Profile W/Nst (76818) |
$351.92 |
$848 |
2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$256.89 |
$619 |
1.9× |
| Fluoroscopy up to 1 hr (76000) |
$848.26 |
$2,044 |
2.8× |
| Follow-Up Angiography (75898) |
$605.07 |
$1,458 |
0.1× |
| Foot 2 views (73620) |
$261.87 |
$631 |
2.3× |
| Forearm 2 views (73090) |
$135.29 |
$326 |
1.2× |
| Gastric emptying imaging study (78264) |
$1,179.02 |
$2,841 |
2.3× |
| Gastroesophageal Reflux Exam (78262) |
$863.20 |
$2,080 |
1.7× |
| Gated Heart Planar Single (78472) |
$537.01 |
$1,294 |
1.0× |
| Hand 2 views (73120) |
$269.34 |
$649 |
2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$801.37 |
$1,931 |
0.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$606.32 |
$1,461 |
0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$471.44 |
$1,136 |
0.5× |
| Heart first pass single,planar (78481) |
$600.92 |
$1,448 |
0.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$3,406.32 |
$8,208 |
0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$3,406.32 |
$8,208 |
0.8× |
| Hepatobil Syst Image W/Drug (78227) |
$1,465.37 |
$3,531 |
2.1× |
| Hepatobiliary System Imaging (78226) |
$1,465.37 |
$3,531 |
2.8× |
| Ht Musc Image Planar Mult (78454) |
$2,743.57 |
$6,611 |
1.6× |
| Ht Muscle Image Spect Sing (78451) |
$2,743.57 |
$6,611 |
1.6× |
| Hysterosalpingogram (74740) |
$761.53 |
$1,835 |
2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$171.40 |
$413 |
1.5× |
| Infant hip ultrasound, limited static exam (76886) |
$171.40 |
$413 |
1.5× |
| Interstitial radiation source applic complex (77778) |
$1,082.74 |
$2,609 |
1.2× |
| Intracavitary radiation source applic simple (77761) |
$538.67 |
$1,298 |
0.8× |
| K Flow/Funct Image Multiple (78709) |
$1,939.71 |
$4,674 |
2.8× |
| K Flow/Funct Image W/Drug (78708) |
$1,939.71 |
$4,674 |
2.8× |
| K Flow/Funct Image W/O Drug (78707) |
$1,939.71 |
$4,674 |
2.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$643.25 |
$1,550 |
1.3× |
| Knee 3 Views (73562) |
$304.61 |
$734 |
2.7× |
| Liver & Spleen Imaging Static Only (78215) |
$754.06 |
$1,817 |
1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$670.23 |
$1,615 |
1.3× |
| Lung Ventilat&Perfus Imaging (78582) |
$1,523.05 |
$3,670 |
2.2× |
| Lung Ventilation Imaging (78579) |
$1,188.15 |
$2,863 |
2.3× |
| Lymph System Imaging (78195) |
$1,844.68 |
$4,445 |
2.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) |
$533.69 |
$1,286 |
0.3× |
| Lymphangiography extremity only unilateral rs&i (75801) |
$421.64 |
$1,016 |
0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$1,606.47 |
$3,871 |
0.4× |
| Magnetic Image Jaw Joint (70336) |
$2,312.80 |
$5,573 |
7.5× |
| Mammary ductogram or galactogram multiple (77054) |
$483.06 |
$1,164 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$392.18 |
$945 |
1.3× |
| Meckels Divert Exam (78290) |
$754.06 |
$1,817 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$698.45 |
$1,683 |
1.5× |
| Mra Head W/O & W/Contrast Material (70546) |
$2,616.58 |
$6,305 |
5.8× |
| MRA head w/o contrast (70544) |
$2,616.58 |
$6,305 |
8.5× |
| MRA head with contrast (70545) |
$2,276.69 |
$5,486 |
5.1× |
| MRA neck w contrast (70548) |
$2,188.30 |
$5,273 |
4.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,520.30 |
$6,073 |
5.6× |
| MRA neck w/o contrast (70547) |
$1,509.36 |
$3,637 |
4.9× |
| MRI abdomen w contrast (74182) |
$2,302.84 |
$5,549 |
5.1× |
| MRI abdomen w/o contrast (74181) |
$2,302.84 |
$5,549 |
7.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,713.95 |
$4,130 |
1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,134.76 |
$5,144 |
4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,635.52 |
$3,941 |
1.6× |
| MRI bone marrow blood supply (77084) |
$1,953.82 |
$4,708 |
6.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$2,029.35 |
$4,890 |
6.6× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$2,029.35 |
$4,890 |
6.6× |
| MRI cardiac w/o contrast (75557) |
$443.64 |
$1,069 |
1.4× |
| MRI cervical spine w contrast (72142) |
$1,594.02 |
$3,841 |
3.6× |
| MRI cervical spine w/o cont (72141) |
$3,007.92 |
$7,248 |
9.8× |
| MRI chest w/o contrast (71550) |
$2,387.08 |
$5,752 |
7.8× |
| MRI chest with contrast (71551) |
$1,684.07 |
$4,058 |
1.7× |
| MRI chest wo w contrast (71552) |
$1,684.07 |
$4,058 |
3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,374.07 |
$3,311 |
3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,965.03 |
$4,735 |
4.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,374.07 |
$3,311 |
4.5× |
| MRI lumbar spine w contrast (72149) |
$2,552.25 |
$6,150 |
5.7× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,391.53 |
$10,582 |
9.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,804.01 |
$4,347 |
5.9× |
| MRI orbit face neck w contrast (70542) |
$1,274.05 |
$3,070 |
2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,431.75 |
$3,450 |
3.2× |
| MRI pelvis w contrast (72196) |
$1,458.73 |
$3,515 |
3.3× |
| MRI pelvis w/o & w contrast (72197) |
$2,472.57 |
$5,958 |
5.5× |
| MRI pelvis w/o contrast (72195) |
$1,681.17 |
$4,051 |
5.5× |
| MRI spectroscopy (76390) |
$2,441.86 |
$5,884 |
21.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,972.50 |
$4,753 |
6.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,400.63 |
$3,375 |
3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,400.63 |
$3,375 |
4.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$2,338.94 |
$5,636 |
5.2× |
| MRI, abdomen, combo (74183) |
$2,763.07 |
$6,658 |
6.2× |
| MRI, dorsal spine combo (72157) |
$2,899.61 |
$6,987 |
6.5× |
| MRI, dorsal spine contrast (72147) |
$1,597.75 |
$3,850 |
3.6× |
| MRI, joint upper extrem (73221) |
$2,303.67 |
$5,551 |
7.5× |
| MRI, joint upper extrem combo (73223) |
$1,935.15 |
$4,663 |
4.3× |
| MRI, lumbar spine combo (72158) |
$4,544.25 |
$10,950 |
10.1× |
| Myelogram cervical (72240) |
$800.12 |
$1,928 |
0.8× |
| Myelogram Lumbar (72265) |
$878.56 |
$2,117 |
0.9× |
| Myelography thoracic (72255) |
$720.03 |
$1,735 |
0.7× |
| Myelograpy 2/more regions rs&i (72270) |
$712.56 |
$1,717 |
0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$556.93 |
$1,342 |
1.1× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) |
$575.61 |
$1,387 |
0.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) |
$2,743.57 |
$6,611 |
1.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,988.30 |
$12,020 |
3.0× |
| Neck soft tissue (70360) |
$337.40 |
$813 |
3.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$190.07 |
$458 |
0.4× |
| Nm csf leak detection (78650) |
$854.49 |
$2,059 |
0.5× |
| Nm myocard infarct spect (78469) |
$1,164.49 |
$2,806 |
1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$7,782.91 |
$18,754 |
4.4× |
Nuclear Rx Intra-Arterial (79445)
range across 2 matching MRF lines |
$769.41–$1,039.99 |
$1,854–$2,506 |
varies |
| Nuclear Rx Oral Admin (79005) |
$524.98 |
$1,265 |
1.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,718.93 |
$4,142 |
2.5× |
| Parathyroid Planar Imaging (78070) |
$1,259.11 |
$3,034 |
2.4× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,332.57 |
$3,211 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$266.02 |
$641 |
2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,406.32 |
$8,208 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,584.06 |
$3,817 |
3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$454.43 |
$1,095 |
3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$392.18 |
$945 |
0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$351.51 |
$847 |
3.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$290.92 |
$701 |
2.6× |
| Radex elbow complete minimum 3 views (73080) |
$304.61 |
$734 |
2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$424.55 |
$1,023 |
3.2× |
| Radex fingr minimum 2 views (73140) |
$238.63 |
$575 |
2.1× |
| Radex foot complete minimum 3 views (73630) |
$300.88 |
$725 |
2.7× |
| Radex Hand Minimum 3 Views (73130) |
$320.80 |
$773 |
2.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$175.96 |
$424 |
1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$565.65 |
$1,363 |
4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$288.01 |
$694 |
2.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) |
$146.50 |
$353 |
1.3× |
| Radex Ribs Unilateral 2 Views (71100) |
$454.01 |
$1,094 |
4.1× |
| Radex shoulder complete minimum 2 views (73030) |
$319.55 |
$770 |
2.9× |
| Radex Sinuses Paransl < 3 Views (70210) |
$361.88 |
$872 |
3.2× |
| Radex Spine 1 View Specify Level (72020) |
$175.96 |
$424 |
1.6× |
| Radex Sternum Minimum 2 Views (71120) |
$249 |
$600 |
2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$314.16 |
$757 |
2.8× |
| Radex Toe Minimum 2 Views (73660) |
$183.85 |
$443 |
1.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$185.51 |
$447 |
1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$377.65 |
$910 |
3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$462.31 |
$1,114 |
3.4× |
| Radiation treatment delivery level 1 (77402) |
$250.66 |
$604 |
1.9× |
| Radiation treatment delivery level 2 (77407) |
$337.40 |
$813 |
0.7× |
| Radiation treatment delivery level 3 (77412) |
$449.86 |
$1,084 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$424.55 |
$1,023 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$376.82 |
$908 |
2.8× |
| Radiologic exam colon double contrast study (74280) |
$756.96 |
$1,824 |
3.4× |
| Radiologic exam colon single contrast study (74270) |
$539.92 |
$1,301 |
2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$218.29 |
$526 |
1.0× |
| Radiologic exam knee complete 4/more views (73564) |
$353.17 |
$851 |
2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$396.74 |
$956 |
3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$544.07 |
$1,311 |
2.4× |
| Radiologic exam swallow function contrast study (74230) |
$692.64 |
$1,669 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$545.73 |
$1,315 |
2.4× |
| Radiologic examination femur 1 view (73551) |
$382.63 |
$922 |
3.4× |
| Radiologic examination femur minimum 2 views (73552) |
$382.63 |
$922 |
3.4× |
| Radiologic examination knee 1/2 views (73560) |
$249.83 |
$602 |
2.2× |
| Radiologic Examination Osseous Survey Limited (77074) |
$614.20 |
$1,480 |
4.6× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$160.19 |
$386 |
1.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$135.29 |
$326 |
1.2× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) |
$345.70 |
$833 |
0.5× |
| Renal Cyst Study (74470) |
$411.68 |
$992 |
0.6× |
| Ribs bilateral 3 views (71110) |
$562.74 |
$1,356 |
4.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$397.16 |
$957 |
0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$397.16 |
$957 |
0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$1,658.34 |
$3,996 |
2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$943.30 |
$2,273 |
1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$993.10 |
$2,393 |
1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,370.33 |
$3,302 |
0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$1,559.16 |
$3,757 |
0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$1,370.33 |
$3,302 |
0.8× |
| Salivary Gland Function Study (78232) |
$863.20 |
$2,080 |
1.7× |
| Scapula (73010) |
$273.90 |
$660 |
2.0× |
| Shoulder 1 view (73020) |
$242.78 |
$585 |
2.2× |
| Shoulder Arthrography (73040) |
$552.37 |
$1,331 |
1.2× |
| Sialogram (70390) |
$360.22 |
$868 |
1.2× |
| Skull less than 4 views (70250) |
$274.73 |
$662 |
2.0× |
| Special dosimetry (77331) |
$655.70 |
$1,580 |
3.8× |
| Special Physics Consult (77370) |
$686.41 |
$1,654 |
4.0× |
| Special teletherapy port plan (77321) |
$339.06 |
$817 |
0.7× |
| Special treatment procedure (77470) |
$996 |
$2,400 |
1.4× |
| Stereotactic Body Radiation Delivery (77373) |
$4,994.53 |
$12,035 |
2.2× |
| Sternoclavicular joints (71130) |
$293.82 |
$708 |
2.6× |
| Superior sagittal sinus venogram (75870) |
$547.80 |
$1,320 |
0.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$126.58 |
$305 |
1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$527.88 |
$1,272 |
1.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$336.15 |
$810 |
0.7× |
| Testicular Imaging W/Flow (78761) |
$670.23 |
$1,615 |
1.3× |
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines |
$620.84–$1,379.88 |
$1,496–$3,325 |
varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$979.82 |
$2,361 |
2.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$620.84 |
$1,496 |
3.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$188.83 |
$455 |
0.8× |
| Thoracic spine 2 views (72070) |
$421.64 |
$1,016 |
3.1× |
| Thoracic spine 3 views (72072) |
$473.93 |
$1,142 |
3.5× |
| Thoracolumbar 2 views (72080) |
$460.24 |
$1,109 |
4.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$372.26 |
$897 |
0.7× |
| Thyroid Met Imaging Body (78018) |
$1,329.66 |
$3,204 |
1.9× |
| Thyroid Uptake Measurement (78012) |
$476.84 |
$1,149 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$835.40 |
$2,013 |
1.6× |
| Tx Devices Design & Construction Complex (77334) |
$698.45 |
$1,683 |
1.5× |
| Tx devices design & construction intermediate (77333) |
$244.44 |
$589 |
1.4× |
| Tx devices design & construction simple (77332) |
$370.18 |
$892 |
2.1× |
| Ultrasound Breast Limited (76642) |
$280.96 |
$677 |
2.5× |
| Ultrasound Exam Aaa Screen (76706) |
$607.98 |
$1,465 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$526.22 |
$1,268 |
3.9× |
| Umbilical-artery Doppler (OB) (76820) |
$149.40 |
$360 |
1.1× |
| Upper gi w/o kub (74240) |
$461.90 |
$1,113 |
2.0× |
| Ureteral Reflux Study (78740) |
$956.99 |
$2,306 |
1.9× |
| Urethrocystogram voiding (74455) |
$769.41 |
$1,854 |
2.5× |
| Urethrocystography retrograde (74450) |
$769.41 |
$1,854 |
2.5× |
| Us breast unilateral complete (76641) |
$280.96 |
$677 |
2.1× |
| Us chest (76604) |
$653.63 |
$1,575 |
4.9× |
| Us complete joint (76881) |
$574.36 |
$1,384 |
4.3× |
| Us exam, pelvic, limited (76857) |
$568.55 |
$1,370 |
4.2× |
| Us head (76506) |
$599.68 |
$1,445 |
4.5× |
| Us kidney transplant (76776) |
$1,006.79 |
$2,426 |
7.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$172.23 |
$415 |
1.3× |
| Us ob detailed single fetus (76811) |
$256.06 |
$617 |
0.8× |
| Us ob limited 1 or more fetuses (76815) |
$273.90 |
$660 |
2.0× |
| Us ob transvaginal (76817) |
$307.52 |
$741 |
2.3× |
| Us pelvic non ob complete (76856) |
$848.26 |
$2,044 |
6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$547.39 |
$1,319 |
4.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$354 |
$853 |
2.6× |
| Us retroperitoneal complete (76770) |
$808.01 |
$1,947 |
6.0× |
| Us retroperitoneal limited (76775) |
$395.91 |
$954 |
2.9× |
| Us scrotum and contents (76870) |
$751.98 |
$1,812 |
5.6× |
| Us spinal canal and contents (76800) |
$554.03 |
$1,335 |
4.1× |
| Us thyroid (76536) |
$796.80 |
$1,920 |
5.9× |
| Us transrectal (76872) |
$691.81 |
$1,667 |
5.1× |
| Vascular Flow Imaging (78445) |
$507.96 |
$1,224 |
1.0× |
| Vein X-Ray Chest (75827) |
$1,962.12 |
$4,728 |
1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$1,081.49 |
$2,606 |
0.3× |
| Vein X-Ray Spleen/Liver (75810) |
$2,446.01 |
$5,894 |
0.6× |
| Venogram Sinus/Jugular (75860) |
$2,194.52 |
$5,288 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$3,065.61 |
$7,387 |
0.8× |
| Venography extremity bilateral rs&i (75822) |
$1,075.27 |
$2,591 |
0.5× |
| Venography extremity unilateral rs&i (75820) |
$859.88 |
$2,072 |
0.4× |
| Venography Renal Bilateral (75833) |
$2,446.01 |
$5,894 |
0.6× |
| Venography Renal Unilateral (75831) |
$4,456.69 |
$10,739 |
1.1× |
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure |
$2,625.71 |
$6,327 |
0.4× |
| Wrist 2 views (73100) |
$313.74 |
$756 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$304.20 |
$733 |
2.7× |
| X-ray antegrade pyelogram tube (74425) |
$421.23 |
$1,015 |
0.9× |
| X-Ray Aorta Leg Arteries (75630) |
$3,862.41 |
$9,307 |
1.0× |
| X-Ray Bend Only L-S Spine (72120) |
$476.42 |
$1,148 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$255.64 |
$616 |
2.3× |
| X-Ray Exam Breast Specimen (76098) |
$514.19 |
$1,239 |
0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$241.12 |
$581 |
2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$585.15 |
$1,410 |
4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$241.12 |
$581 |
1.8× |
| X-Ray Exam Hip Uni 1 View (73501) |
$275.98 |
$665 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$405.87 |
$978 |
3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$405.87 |
$978 |
3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$275.98 |
$665 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$405.87 |
$978 |
3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$219.12 |
$528 |
1.6× |
| X-Ray Exam L-S Spine Bending (72114) |
$765.68 |
$1,845 |
5.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$331.17 |
$798 |
3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$572.70 |
$1,380 |
4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$205.43 |
$495 |
1.5× |
| X-ray eye for foreign body (70030) |
$441.15 |
$1,063 |
3.9× |
| X-ray humerus (73060) |
$135.29 |
$326 |
1.2× |
| X-ray IV pyelogram (ivp) (74400) |
$843.70 |
$2,033 |
3.7× |
| X-ray IV pyelogram+tomography (74415) |
$1,029.62 |
$2,481 |
4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$369.35 |
$890 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$289.26 |
$697 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$425.38 |
$1,025 |
3.2× |
| X-ray nose-rectum child f.b. (76010) |
$296.31 |
$714 |
2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$737.46 |
$1,777 |
5.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$322.46 |
$777 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$268.51 |
$647 |
2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$457.75 |
$1,103 |
4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$349.02 |
$841 |
2.6× |
| X-ray thoracic spine 4 vw (72074) |
$563.99 |
$1,359 |
4.2× |
| X-Ray Tmj Unilat (70328) |
$81.34 |
$196 |
0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$421.23 |
$1,015 |
0.9× |
| X-Rays Bone Length Studies (77073) |
$368.11 |
$887 |
2.7× |
| X-Rays Bone Survey Complete (77075) |
$503.40 |
$1,213 |
3.7× |
| Xr c-spine 4 or 5 views (72050) |
$447.37 |
$1,078 |
3.3× |
| Xr facial bones less than 3 views (70140) |
$297.14 |
$716 |
2.7× |
| XR Mastoids < 3 Views Bilateral (70120) |
$88.81 |
$214 |
0.7× |
| Xr orbits complete 4 views (70200) |
$552.37 |
$1,331 |
4.1× |