| 3-D radiotherapy plan dose-volume histograms (77295) |
$8,612 |
$8,612 |
5.2× |
| Abdomen 1 View (74018) |
$217 |
$217 |
2.1× |
| Abdomen 2 views (74019) |
$399 |
$399 |
3.2× |
| Angiography extremity bilateral rs&i (75716) |
$8,678 |
$8,678 |
2.3× |
| Ankle 2 views (73600) |
$217 |
$217 |
2.1× |
| Basic radiation dosimetry calculation (77300) |
$437 |
$437 |
2.7× |
| Bone age studies (77072) |
$399 |
$399 |
3.2× |
| Bone survey infant (77076) |
$399 |
$399 |
3.2× |
| Clavicle complete (73000) |
$217 |
$217 |
2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$677 |
$677 |
5.4× |
| Continuing medical physics consltj pr wk (77336) |
$1,787 |
$1,787 |
11.1× |
| Contrast X-Ray Bladder (74430) |
$880 |
$880 |
2.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,140 |
$3,140 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,278 |
$1,278 |
4.5× |
| CT abdomen w wo contrast (74170) |
$2,475 |
$2,475 |
11.8× |
| CT abdomen w/o contrast (74150) |
$1,022 |
$1,022 |
8.2× |
| CT Angio Abdomen and Pelvis (74174) |
$3,465 |
$3,465 |
8.3× |
| CT angio hrt w/3d image (75574) |
$3,220 |
$3,220 |
7.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$2,987 |
$2,987 |
14.2× |
| CT Angio Neck (70498) |
$2,405 |
$2,405 |
11.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,726 |
$2,726 |
13.0× |
| CT cervical spine w/ contrast (72126) |
$1,410 |
$1,410 |
3.4× |
| CT cervical spine w/wo cont (72127) |
$1,749 |
$1,749 |
8.3× |
| CT chest w/wo contrast (71270) |
$1,756 |
$1,756 |
8.4× |
| CT colonography screening (74263) |
$967 |
$967 |
3.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$4,041 |
$4,041 |
32.2× |
| CT head/brain with contrast (70460) |
$1,201 |
$1,201 |
5.7× |
| CT l-spine w&w/o contrast (72133) |
$1,749 |
$1,749 |
8.3× |
| CT lower ext w/o (73700) |
$1,037 |
$1,037 |
8.3× |
| CT lower extremity w/contrast material (73701) |
$1,418 |
$1,418 |
6.7× |
| CT lumbar spine w contrast (72132) |
$1,410 |
$1,410 |
3.4× |
| CT lumbar spine w/o contrast (72131) |
$1,037 |
$1,037 |
8.3× |
| CT maxillofacial w contrast (70487) |
$1,255 |
$1,255 |
6.0× |
| CT maxillofacial wo contrast (70486) |
$1,099 |
$1,099 |
8.8× |
| CT neck tissue combo (70492) |
$1,865 |
$1,865 |
8.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$1,938 |
$1,938 |
9.2× |
| CT orbits w/o contrast (70480) |
$1,239 |
$1,239 |
9.9× |
| CT pelvis w/o contrast (72192) |
$1,033 |
$1,033 |
8.2× |
| CT scans face/jaw combo (70488) |
$1,597 |
$1,597 |
7.6× |
| CT thoracic spine w contrast (72129) |
$1,422 |
$1,422 |
6.8× |
| CT thoracic spine w/o contrast (72128) |
$1,041 |
$1,041 |
8.3× |
| CT thorax w/o contrast (71250) |
$1,689.90 |
$1,689.90 |
13.5× |
| CT unlisted procedure (76497) |
$99 |
$99 |
0.9× |
| CT upper ext wo (73200) |
$1,473 |
$1,473 |
11.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,479 |
$2,479 |
11.8× |
| CT upper extremity with contrast (73201) |
$1,881 |
$1,881 |
4.5× |
| CTA pelvis (72191) |
$2,751 |
$2,751 |
13.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$399 |
$399 |
3.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$399 |
$399 |
3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$399 |
$399 |
3.2× |
| Dxa Bone Density Axial (77080) |
$399 |
$399 |
3.2× |
| Dxa bone density study (77085) |
$400 |
$400 |
3.2× |
| Echo exam of fetal heart (76825) |
$1,695 |
$1,695 |
2.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$809 |
$809 |
2.8× |
| Esophagram (74220) |
$880 |
$880 |
4.2× |
| Fetal Biophys Profile W/Nst (76818) |
$418 |
$418 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,017 |
$1,017 |
8.1× |
| Fluoroscopy up to 1 hr (76000) |
$809 |
$809 |
2.8× |
| Follow-Up Angiography (75898) |
$3,422 |
$3,422 |
0.9× |
| Foot 2 views (73620) |
$217 |
$217 |
2.1× |
| Forearm 2 views (73090) |
$217 |
$217 |
2.1× |
| Hand 2 views (73120) |
$348 |
$348 |
2.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$2,486 |
$2,486 |
3.0× |
| Hepatobiliary System Imaging (78226) |
$1,540 |
$1,540 |
3.2× |
| Ht Muscle Image Spect Sing (78451) |
$4,187 |
$4,187 |
2.7× |
| Hysterosalpingogram (74740) |
$809 |
$809 |
2.8× |
| Knee 3 Views (73562) |
$217 |
$217 |
2.1× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,125 |
$1,125 |
2.5× |
| MRA head w/o contrast (70544) |
$1,853 |
$1,853 |
6.5× |
| MRA head with contrast (70545) |
$1,982 |
$1,982 |
4.7× |
| MRA neck w contrast (70548) |
$2,028 |
$2,028 |
4.8× |
| MRI abdomen w contrast (74182) |
$2,654 |
$2,654 |
6.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,452 |
$3,452 |
8.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$1,720 |
$1,720 |
6.0× |
| MRI chest w/o contrast (71550) |
$3,245 |
$3,245 |
11.3× |
| MRI chest wo w contrast (71552) |
$4,430 |
$4,430 |
10.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,227 |
$2,227 |
5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,840 |
$2,840 |
6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,909 |
$1,909 |
6.7× |
| Mri Neck Spine W/O & W/Dye (72156) |
$2,539 |
$2,539 |
6.1× |
| MRI orbit face neck w contrast (70542) |
$2,297 |
$2,297 |
5.5× |
| MRI pelvis w/o & w contrast (72197) |
$2,819 |
$2,819 |
6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,882 |
$2,882 |
10.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$3,738 |
$3,738 |
8.9× |
| MRI, abdomen, combo (74183) |
$2,826 |
$2,826 |
6.8× |
| MRI, dorsal spine combo (72157) |
$2,546 |
$2,546 |
6.1× |
| MRI, joint upper extrem (73221) |
$1,622 |
$1,622 |
5.7× |
| MRI, joint upper extrem combo (73223) |
$3,462 |
$3,462 |
8.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,187 |
$4,187 |
2.7× |
| N-invas est c ffr sw aly CTA (75580) |
$2,393 |
$2,393 |
2.3× |
| Neck soft tissue (70360) |
$217 |
$217 |
2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,324 |
$8,324 |
5.0× |
| Ob us nuchal meas 1 gest (76813) |
$405 |
$405 |
3.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$388 |
$388 |
3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$1,578 |
$1,578 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$399 |
$399 |
3.2× |
| Pet Image Skull-Thigh (78812) |
$4,795 |
$4,795 |
2.8× |
| Pet Image W/Ct Lmtd (78814) |
$4,795 |
$4,795 |
2.8× |
| PET image w/CT, full body (78816) |
$4,795 |
$4,795 |
2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$4,795 |
$4,795 |
2.8× |
| PET whole body (78813) |
$4,795 |
$4,795 |
2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$400 |
$400 |
3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$809 |
$809 |
1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$217 |
$217 |
2.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$217 |
$217 |
2.1× |
| Radex elbow complete minimum 3 views (73080) |
$217 |
$217 |
2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$399 |
$399 |
3.2× |
| Radex fingr minimum 2 views (73140) |
$217 |
$217 |
2.1× |
| Radex foot complete minimum 3 views (73630) |
$217 |
$217 |
2.1× |
| Radex Hand Minimum 3 Views (73130) |
$406 |
$406 |
3.9× |
| Radex lower extremity infant minimum 2 views (73592) |
$217 |
$217 |
2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$399 |
$399 |
3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$217 |
$217 |
2.1× |
| Radex Ribs Unilateral 2 Views (71100) |
$217 |
$217 |
2.1× |
| Radex shoulder complete minimum 2 views (73030) |
$217 |
$217 |
2.1× |
| Radex Spine 1 View Specify Level (72020) |
$217 |
$217 |
2.1× |
| Radex Sternum Minimum 2 Views (71120) |
$217 |
$217 |
2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$217 |
$217 |
2.1× |
| Radex Toe Minimum 2 Views (73660) |
$217 |
$217 |
2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$217 |
$217 |
2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$399 |
$399 |
3.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$25,739 |
$25,739 |
2.9× |
| Radiation treatment delivery level 2 (77407) |
$1,163 |
$1,163 |
2.5× |
| Radiation treatment delivery level 3 (77412) |
$766 |
$766 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$399 |
$399 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$399 |
$399 |
3.2× |
| Radiologic exam colon double contrast study (74280) |
$880 |
$880 |
4.2× |
| Radiologic exam colon single contrast study (74270) |
$880 |
$880 |
4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$632 |
$632 |
3.0× |
| Radiologic exam knee complete 4/more views (73564) |
$388 |
$388 |
3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$399 |
$399 |
3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$399 |
$399 |
1.9× |
| Radiologic exam swallow function contrast study (74230) |
$399 |
$399 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$880 |
$880 |
4.2× |
| Radiologic examination femur 1 view (73551) |
$217 |
$217 |
2.1× |
| Radiologic examination femur minimum 2 views (73552) |
$217 |
$217 |
2.1× |
| Radiologic examination knee 1/2 views (73560) |
$300 |
$300 |
2.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$217 |
$217 |
2.1× |
| Ribs bilateral 3 views (71110) |
$399 |
$399 |
3.2× |
| Scapula (73010) |
$399 |
$399 |
3.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$57 |
$57 |
2.4× |
| Shoulder 1 view (73020) |
$217 |
$217 |
2.1× |
| Skull less than 4 views (70250) |
$399 |
$399 |
3.2× |
| Special dosimetry (77331) |
$557 |
$557 |
3.5× |
| Special Physics Consult (77370) |
$437 |
$437 |
2.7× |
| Special teletherapy port plan (77321) |
$1,462 |
$1,462 |
3.3× |
| Special treatment procedure (77470) |
$3,327 |
$3,327 |
5.0× |
| Stereotactic Body Radiation Delivery (77373) |
$12,972 |
$12,972 |
6.1× |
| Superior sagittal sinus venogram (75870) |
$8,585 |
$8,585 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,033 |
$4,033 |
9.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$2,186 |
$2,186 |
4.9× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,078 |
$1,078 |
6.7× |
| Thoracic spine 2 views (72070) |
$399 |
$399 |
3.2× |
| Thoracic spine 3 views (72072) |
$399 |
$399 |
3.2× |
| Thoracolumbar 2 views (72080) |
$217 |
$217 |
2.1× |
| Thyroid Met Imaging Body (78018) |
$1,578 |
$1,578 |
2.4× |
| Tx Devices Design & Construction Complex (77334) |
$1,285 |
$1,285 |
2.9× |
| Tx devices design & construction simple (77332) |
$437 |
$437 |
2.7× |
Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$434–$760 |
$434–$760 |
varies |
| Ultrasound Elastography Parenchyma (76981) |
$1,041 |
$1,041 |
8.3× |
| Ultrasound Exam Aaa Screen (76706) |
$399 |
$399 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$399 |
$399 |
3.2× |
| Umbilical-artery Doppler (OB) (76820) |
$399 |
$399 |
3.2× |
| Unlisted magnetic resonance procedure (76498) |
$1,958 |
$1,958 |
18.8× |
| Upper gi w/o kub (74240) |
$880 |
$880 |
4.2× |
| Urethrocystogram voiding (74455) |
$809 |
$809 |
2.8× |
| Urethrocystography retrograde (74450) |
$809 |
$809 |
2.8× |
Us breast unilateral complete (76641) range across 2 matching MRF lines |
$399–$698 |
$399–$698 |
varies |
| Us complete joint (76881) |
$399 |
$399 |
3.2× |
| Us exam, pelvic, limited (76857) |
$399 |
$399 |
3.2× |
| Us kidney transplant (76776) |
$399 |
$399 |
3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$399 |
$399 |
3.2× |
| Us ob detailed single fetus (76811) |
$399 |
$399 |
1.4× |
| Us ob limited 1 or more fetuses (76815) |
$399 |
$399 |
3.2× |
| Us ob transvaginal (76817) |
$399 |
$399 |
3.2× |
| Us pelvic non ob complete (76856) |
$399 |
$399 |
3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$399 |
$399 |
3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$399 |
$399 |
3.2× |
| Us retroperitoneal complete (76770) |
$399 |
$399 |
3.2× |
| Us retroperitoneal limited (76775) |
$399 |
$399 |
3.2× |
| Us scrotum and contents (76870) |
$399 |
$399 |
3.2× |
| Us thyroid (76536) |
$399 |
$399 |
3.2× |
| Venogram Sinus/Jugular (75860) |
$8,678 |
$8,678 |
2.3× |
| Venography extremity unilateral rs&i (75820) |
$2,133 |
$2,133 |
1.1× |
| Wrist 2 views (73100) |
$217 |
$217 |
2.1× |
| X-Ray Bend Only L-S Spine (72120) |
$399 |
$399 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$217 |
$217 |
2.1× |
| X-Ray Exam Breast Specimen (76098) |
$1,695 |
$1,695 |
2.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$217 |
$217 |
2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$399 |
$399 |
3.2× |
| X-Ray Exam Hip Uni 1 View (73501) |
$217 |
$217 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$217 |
$217 |
2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$399 |
$399 |
3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$399 |
$399 |
3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$399 |
$399 |
3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$399 |
$399 |
3.2× |
| X-Ray Exam L-S Spine Bending (72114) |
$399 |
$399 |
3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$217 |
$217 |
2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$399 |
$399 |
3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$399 |
$399 |
3.2× |
| X-ray eye for foreign body (70030) |
$217 |
$217 |
2.1× |
| X-ray humerus (73060) |
$217 |
$217 |
2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$277 |
$277 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$399 |
$399 |
3.2× |
| X-ray nose-rectum child f.b. (76010) |
$217 |
$217 |
2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$399 |
$399 |
3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$399 |
$399 |
3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$399 |
$399 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$217 |
$217 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$217 |
$217 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$399 |
$399 |
3.2× |
| X-ray thoracic spine 4 vw (72074) |
$375 |
$375 |
3.0× |
| X-Ray Tmj Unilat (70328) |
$387 |
$387 |
3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,589 |
$1,589 |
3.8× |
| X-Rays Bone Length Studies (77073) |
$399 |
$399 |
3.2× |
| X-Rays Bone Survey Complete (77075) |
$399 |
$399 |
3.2× |
| Xr c-spine 4 or 5 views (72050) |
$399 |
$399 |
3.2× |
| Xr facial bones less than 3 views (70140) |
$277 |
$277 |
2.7× |
| Xr orbits complete 4 views (70200) |
$399 |
$399 |
3.2× |