| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,988 |
$27,470 |
5.4× |
| Abdomen 1 View (74018) |
$488.40 |
$1,221 |
3.8× |
| Abdomen 2 views (74019) |
$662.80 |
$1,657 |
4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$2,272 |
$5,680 |
3.9× |
| Angio internal mammary (75756) |
$5,059.20 |
$12,648 |
1.1× |
| Angio pulmonary bilat (75743) |
$5,254.40 |
$13,136 |
1.1× |
| Angiography extremity bilateral rs&i (75716) |
$8,661.20 |
$21,653 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$6,606.80 |
$16,517 |
1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,048.40 |
$12,621 |
1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,952.40 |
$4,881 |
0.4× |
| Ankle 2 views (73600) |
$547.20 |
$1,368 |
4.3× |
| Aortography thoracic serialography rs&i (75605) |
$6,173.20 |
$15,433 |
0.8× |
| Artery X-Rays Abdomen (75726) |
$7,612 |
$19,030 |
0.9× |
| Artery X-Rays Adrenal Gland (75731) |
$4,605.60 |
$11,514 |
1.0× |
| Artery X-Rays Pelvis (75736) |
$9,208.80 |
$23,022 |
1.1× |
| Artery X-Rays Spine (75705) |
$9,794.80 |
$24,487 |
1.2× |
| Arthrogram ankle (73615) |
$1,616 |
$4,040 |
3.1× |
| Arthrogram hip (73525) |
$1,854.40 |
$4,636 |
3.6× |
| Arthrogram Wrist (73115) |
$897.20 |
$2,243 |
1.7× |
| Basic radiation dosimetry calculation (77300) |
$1,305.60 |
$3,264 |
6.6× |
| Bone age studies (77072) |
$1,418.80 |
$3,547 |
9.2× |
| Bone Imaging 3 Phase (78315) |
$4,818.80 |
$12,047 |
8.2× |
| Bone Imaging Whole Body (78306) |
$3,759.60 |
$9,399 |
6.4× |
| Bone marrow imaging; whole body (78104) |
$2,123.60 |
$5,309 |
3.6× |
| Bone survey infant (77076) |
$583.20 |
$1,458 |
3.8× |
| Brachytx isodose complex (77318) |
$8,762.40 |
$21,906 |
15.9× |
| Brain imaging < 4 static views (78600) |
$1,282 |
$3,205 |
2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,677.20 |
$6,693 |
1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,757.20 |
$14,393 |
11.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) |
$5,536 |
$13,840 |
4.8× |
| Cardiac Shunt Detection (78428) |
$1,440.40 |
$3,601 |
2.4× |
| Cat Scan Follow-Up Study (76380) |
$224 |
$560 |
1.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,894.80 |
$4,737 |
2.4× |
| Chest 1 view (71045) |
$526 |
$1,315 |
4.1× |
| Chest 2 views (71046) |
$540.40 |
$1,351 |
4.2× |
| Chest 3 views (71047) |
$560.80 |
$1,402 |
4.4× |
| Chest 4 or more views (71048) |
$808.40 |
$2,021 |
5.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$815.20 |
$2,038 |
5.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$3,162.40 |
$7,906 |
2.7× |
| Clavicle complete (73000) |
$592.40 |
$1,481 |
4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$330.80 |
$827 |
2.2× |
| Continuing medical physics consltj pr wk (77336) |
$1,308 |
$3,270 |
6.6× |
| Contrast Exam Abdominl Aorta (75625) |
$6,808.40 |
$17,021 |
1.5× |
| Contrast X-Ray Bladder (74430) |
$1,112 |
$2,780 |
2.2× |
| Contrast X-Ray Of Elbow (73085) |
$815.60 |
$2,039 |
1.6× |
| Contrast X-Ray Of Knee Joint (73580) |
$2,288 |
$5,720 |
4.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,709.60 |
$19,274 |
15.0× |
| CT abdomen and pelvis without contrast (74176) |
$5,534.80 |
$13,837 |
15.8× |
| CT abdomen w contrast (74160) |
$4,077.60 |
$10,194 |
15.8× |
| CT abdomen w wo contrast (74170) |
$4,992.40 |
$12,481 |
19.4× |
| CT abdomen w/o contrast (74150) |
$3,466 |
$8,665 |
22.5× |
| CT Angio Abdomen and Pelvis (74174) |
$9,926.80 |
$24,817 |
19.3× |
| CT Angio Chest (71275) |
$7,082.40 |
$17,706 |
27.5× |
| CT Angio Head (70496) |
$7,053.20 |
$17,633 |
27.3× |
| CT angio hrt w/3d image (75574) |
$4,244.40 |
$10,611 |
8.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$5,923.60 |
$14,809 |
23.0× |
| CT Angio Neck (70498) |
$6,675.20 |
$16,688 |
25.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$4,932.40 |
$12,331 |
19.1× |
| CT cervical spine w/ contrast (72126) |
$4,815.60 |
$12,039 |
9.4× |
| CT cervical spine w/o contrast (72125) |
$4,018 |
$10,045 |
26.1× |
| CT cervical spine w/wo cont (72127) |
$5,297.60 |
$13,244 |
20.5× |
| CT chest w contrast (71260) |
$4,050.40 |
$10,126 |
15.7× |
| CT chest w/wo contrast (71270) |
$4,966.80 |
$12,417 |
19.3× |
| CT colonography screening (74263) |
$1,562.80 |
$3,907 |
4.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$2,016 |
$5,040 |
13.1× |
| CT head/brain with contrast (70460) |
$3,444.80 |
$8,612 |
13.4× |
| CT head/brain without and with contrast (70470) |
$3,883.20 |
$9,708 |
15.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$5,230 |
$13,075 |
10.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$478 |
$1,195 |
3.7× |
| CT iac w contrast (70481) |
$5,545.60 |
$13,864 |
21.5× |
| CT l-spine w&w/o contrast (72133) |
$5,943.60 |
$14,859 |
23.0× |
| CT lower ext w/o (73700) |
$3,482 |
$8,705 |
22.6× |
| CT lower extremity w/contrast material (73701) |
$4,492 |
$11,230 |
17.4× |
| CT lumbar spine w contrast (72132) |
$5,218 |
$13,045 |
10.2× |
| CT lumbar spine w/o contrast (72131) |
$4,608.80 |
$11,522 |
30.0× |
| CT maxillofacial w contrast (70487) |
$3,818 |
$9,545 |
14.8× |
| CT maxillofacial wo contrast (70486) |
$3,384.80 |
$8,462 |
22.0× |
| CT neck tissue combo (70492) |
$3,987.60 |
$9,969 |
15.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$6,530 |
$16,325 |
25.3× |
| CT orbits w/o contrast (70480) |
$4,687.20 |
$11,718 |
30.5× |
| CT pelvis w&w/o contrast (72194) |
$5,440 |
$13,600 |
21.1× |
| CT pelvis w/o contrast (72192) |
$4,457.20 |
$11,143 |
29.0× |
| CT scan of leg combo (73702) |
$5,188.40 |
$12,971 |
20.1× |
| CT scans face/jaw combo (70488) |
$4,433.20 |
$11,083 |
17.2× |
| CT soft tissue neck w contrast (70491) |
$3,727.20 |
$9,318 |
14.4× |
| CT soft tissue neck w/o contrast (70490) |
$3,654 |
$9,135 |
23.8× |
| CT thoracic spine w contrast (72129) |
$4,795.20 |
$11,988 |
18.6× |
| CT thoracic spine w/o contrast (72128) |
$4,457.20 |
$11,143 |
29.0× |
| CT thoracic spine w/wo cont (72130) |
$5,202.40 |
$13,006 |
20.2× |
| CT thorax w/o contrast (71250) |
$3,340.80 |
$8,352 |
21.7× |
| CT upper ext wo (73200) |
$3,577.60 |
$8,944 |
23.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,071.60 |
$10,179 |
15.8× |
| CT upper extremity with contrast (73201) |
$3,686.80 |
$9,217 |
7.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,757.20 |
$19,393 |
30.1× |
| Cta Abdomen (74175) |
$7,091.60 |
$17,729 |
27.5× |
| CTA pelvis (72191) |
$4,878.80 |
$12,197 |
18.9× |
| Dxa Bone Density Axial (77080) |
$617.60 |
$1,544 |
4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$375.60 |
$939 |
2.9× |
| Echo Guide For Artery Repair (76936) |
$327.20 |
$818 |
1.0× |
| Echograp Trans R Pros Study (76873) |
$803.60 |
$2,009 |
5.2× |
| Esophageal Motility Study (78258) |
$1,370 |
$3,425 |
2.3× |
| Esophagram (74220) |
$1,013.60 |
$2,534 |
3.9× |
| Fluoroscopy up to 1 hr (76000) |
$1,565.60 |
$3,914 |
4.5× |
| Follow-Up Angiography (75898) |
$4,145.60 |
$10,364 |
0.9× |
| Foot 2 views (73620) |
$560.40 |
$1,401 |
4.4× |
| Forearm 2 views (73090) |
$611.60 |
$1,529 |
4.8× |
| Gastric emptying imaging study (78264) |
$3,682 |
$9,205 |
6.3× |
| Gastroesophageal Reflux Exam (78262) |
$834.80 |
$2,087 |
1.4× |
| Gated Heart Planar Single (78472) |
$3,836.40 |
$9,591 |
6.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$4,881.20 |
$12,203 |
6.1× |
| Hand 2 views (73120) |
$658 |
$1,645 |
4.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) |
$12,908.40 |
$32,271 |
12.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) |
$10,500.40 |
$26,251 |
10.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) |
$7,264.40 |
$18,161 |
7.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$6,794 |
$16,985 |
1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) |
$4,301.20 |
$10,753 |
0.9× |
| Hepatobil Syst Image W/Drug (78227) |
$3,947.20 |
$9,868 |
4.9× |
| Hepatobiliary System Imaging (78226) |
$2,160.80 |
$5,402 |
3.7× |
| Ht Muscle Image Spect Sing (78451) |
$4,808 |
$12,020 |
2.5× |
| Hysterosalpingogram (74740) |
$1,272.80 |
$3,182 |
3.6× |
| Image fusion (77399) |
$359.20 |
$898 |
1.8× |
| Infant hip ultrasound, limited static exam (76886) |
$668 |
$1,670 |
5.2× |
| Interstitial radiation source applic complex (77778) |
$3,290.80 |
$8,227 |
3.2× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) |
$10,312.80 |
$25,782 |
1.0× |
| K Flow/Funct Image W/Drug (78708) |
$3,201.20 |
$8,003 |
4.0× |
| K Flow/Funct Image W/O Drug (78707) |
$2,266 |
$5,665 |
2.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) |
$1,934.80 |
$4,837 |
3.3× |
| Knee 3 Views (73562) |
$774.40 |
$1,936 |
6.1× |
| Lung Ventilat&Perfus Imaging (78582) |
$4,488 |
$11,220 |
5.6× |
| Lung Ventilation Imaging (78579) |
$2,271.60 |
$5,679 |
3.9× |
| Lymph System Imaging (78195) |
$3,900 |
$9,750 |
4.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) |
$2,994 |
$7,485 |
1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$3,391.60 |
$8,479 |
0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) |
$2,216.40 |
$5,541 |
0.5× |
| Magnetic Image Jaw Joint (70336) |
$3,028 |
$7,570 |
8.6× |
| Magnetic Resonance Elastography (76391) |
$1,795.20 |
$4,488 |
5.1× |
| Meckels Divert Exam (78290) |
$1,612.80 |
$4,032 |
2.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$6,845.20 |
$17,113 |
12.4× |
| Mr safety determination physician/other qhp (76016) |
$862.80 |
$2,157 |
6.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$251.60 |
$629 |
5.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$902.80 |
$2,257 |
6.5× |
| Mr safety implt pos&/immoblj (76019) |
$582 |
$1,455 |
6.7× |
| Mr safety med physics xm customization plng&mntr (76017) |
$2,367.60 |
$5,919 |
6.7× |
| Mra Head W/O & W/Contrast Material (70546) |
$6,249.60 |
$15,624 |
12.2× |
| MRA head w/o contrast (70544) |
$4,710 |
$11,775 |
13.4× |
| MRA head with contrast (70545) |
$5,912 |
$14,780 |
11.5× |
| MRA neck w contrast (70548) |
$5,266.80 |
$13,167 |
10.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$6,442 |
$16,105 |
12.6× |
| MRA neck w/o contrast (70547) |
$4,361.60 |
$10,904 |
12.4× |
| MRI abdomen w contrast (74182) |
$4,988.40 |
$12,471 |
9.7× |
| MRI abdomen w/o contrast (74181) |
$4,336.80 |
$10,842 |
12.4× |
| MRI any jt lower extrem w/contrast material (73722) |
$5,511.20 |
$13,778 |
4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$8,134.40 |
$20,336 |
15.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,124 |
$12,810 |
4.4× |
| MRI brain functional w/o physician admnistration (70554) |
$1,190 |
$2,975 |
3.4× |
| MRI brain functional w/physician admnistration (70555) |
$3,633.20 |
$9,083 |
10.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$3,191.20 |
$7,978 |
9.1× |
| MRI cardiac w/o contrast (75557) |
$5,480 |
$13,700 |
15.6× |
| MRI cervical spine w contrast (72142) |
$4,653.60 |
$11,634 |
9.1× |
| MRI cervical spine w/o cont (72141) |
$4,512.80 |
$11,282 |
12.9× |
| MRI chest w/o contrast (71550) |
$3,664.80 |
$9,162 |
10.4× |
| MRI chest with contrast (71551) |
$6,302 |
$15,755 |
5.5× |
| MRI chest wo w contrast (71552) |
$6,672.80 |
$16,682 |
13.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,748 |
$9,370 |
7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,402.40 |
$13,506 |
10.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,650.80 |
$9,127 |
10.4× |
| MRI lumbar spine w contrast (72149) |
$4,836.80 |
$12,092 |
9.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$6,580 |
$16,450 |
12.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,613.20 |
$14,033 |
16.0× |
| MRI orbit face neck w contrast (70542) |
$6,394.80 |
$15,987 |
12.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$6,791.60 |
$16,979 |
13.2× |
| MRI pelvis w contrast (72196) |
$4,808.80 |
$12,022 |
9.4× |
| MRI pelvis w/o & w contrast (72197) |
$6,319.20 |
$15,798 |
12.3× |
| MRI pelvis w/o contrast (72195) |
$4,006.40 |
$10,016 |
11.4× |
| MRI thoracic spine w/o contrast (72146) |
$4,500.40 |
$11,251 |
12.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$4,603.60 |
$11,509 |
9.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,764.40 |
$9,411 |
10.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$5,462 |
$13,655 |
10.6× |
| MRI, abdomen, combo (74183) |
$6,458.80 |
$16,147 |
12.6× |
| MRI, dorsal spine combo (72157) |
$6,664.80 |
$16,662 |
13.0× |
| MRI, dorsal spine contrast (72147) |
$4,887.60 |
$12,219 |
9.5× |
| MRI, joint upper extrem (73221) |
$4,506.40 |
$11,266 |
12.8× |
| MRI, joint upper extrem combo (73223) |
$6,387.60 |
$15,969 |
12.4× |
| MRI, lumbar spine combo (72158) |
$6,292.40 |
$15,731 |
12.3× |
| Myocardial Spect Multiple Studies (78452) |
$6,450 |
$16,125 |
3.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) |
$4,539.60 |
$11,349 |
2.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$4,314 |
$10,785 |
2.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) |
$4,314 |
$10,785 |
1.3× |
| N-invas est c ffr sw aly CTA (75580) |
$5,894.80 |
$14,737 |
4.7× |
| Neck soft tissue (70360) |
$533.60 |
$1,334 |
4.2× |
| Nonvascular Shunt X-Ray (75809) |
$170.80 |
$427 |
1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$20,116 |
$50,290 |
9.9× |
| Nuclear Rx Intra-Arterial (79445) |
$1,730.40 |
$4,326 |
5.0× |
| Nuclear Rx Oral Admin (79005) |
$2,186.80 |
$5,467 |
6.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) |
$233.20 |
$583 |
1.5× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) |
$348.80 |
$872 |
2.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$360.40 |
$901 |
1.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$333.20 |
$833 |
2.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) |
$34.80 |
$87 |
0.8× |
| Panoramic X-ray of jaws (70355) |
$406 |
$1,015 |
3.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$2,818.80 |
$7,047 |
3.5× |
| Parathyroid Planar Imaging (78070) |
$1,993.60 |
$4,984 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$546 |
$1,365 |
3.6× |
| Peritoneogram Rs&I (74190) |
$917.20 |
$2,293 |
1.1× |
| Pet Image Skull-Thigh (78812) |
$3,235.20 |
$8,088 |
1.5× |
| Pet Image W/Ct Lmtd (78814) |
$4,290 |
$10,725 |
2.0× |
| PET image w/CT, full body (78816) |
$8,469.60 |
$21,174 |
4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$7,785.20 |
$19,463 |
3.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$2,050.40 |
$5,126 |
1.1× |
| PET whole body (78813) |
$3,292 |
$8,230 |
1.6× |
| Proton trmt simple w/comp (77522) |
$10,425.60 |
$26,064 |
5.7× |
| Proton tx delivery complex (77525) |
$14,480 |
$36,200 |
7.9× |
| Proton tx delivery intermediate (77523) |
$13,611.20 |
$34,028 |
7.4× |
| Proton tx delivery simple w/o compensation (77520) |
$7,240 |
$18,100 |
8.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$4,948.40 |
$12,371 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,205.20 |
$8,013 |
5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,720.80 |
$4,302 |
2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$732.80 |
$1,832 |
5.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$534.40 |
$1,336 |
4.2× |
| Radex elbow complete minimum 3 views (73080) |
$629.60 |
$1,574 |
4.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$868.80 |
$2,172 |
5.6× |
| Radex fingr minimum 2 views (73140) |
$448.40 |
$1,121 |
3.5× |
| Radex foot complete minimum 3 views (73630) |
$716.80 |
$1,792 |
5.6× |
| Radex Hand Minimum 3 Views (73130) |
$722 |
$1,805 |
5.6× |
| Radex lower extremity infant minimum 2 views (73592) |
$485.20 |
$1,213 |
3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$585.60 |
$1,464 |
4.6× |
| Radex Ribs Unilateral 2 Views (71100) |
$774 |
$1,935 |
6.0× |
| Radex shoulder complete minimum 2 views (73030) |
$715.60 |
$1,789 |
5.6× |
| Radex Sinuses Paransl < 3 Views (70210) |
$278 |
$695 |
2.2× |
| Radex Spine 1 View Specify Level (72020) |
$527.60 |
$1,319 |
4.1× |
| Radex Sternum Minimum 2 Views (71120) |
$646 |
$1,615 |
5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$495.20 |
$1,238 |
3.9× |
| Radex Toe Minimum 2 Views (73660) |
$465.60 |
$1,164 |
3.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$594.40 |
$1,486 |
3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$731.20 |
$1,828 |
5.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$905.60 |
$2,264 |
5.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$26,762 |
$66,905 |
2.5× |
| Radiation treatment delivery level 1 (77402) |
$1,025.60 |
$2,564 |
6.8× |
| Radiation treatment delivery level 2 (77407) |
$1,428 |
$3,570 |
2.5× |
| Radiation treatment delivery level 3 (77412) |
$2,168.40 |
$5,421 |
2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$638.40 |
$1,596 |
4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$758 |
$1,895 |
4.9× |
| Radiologic exam colon single contrast study (74270) |
$1,682 |
$4,205 |
6.5× |
| Radiologic exam knee complete 4/more views (73564) |
$889.60 |
$2,224 |
5.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$666.40 |
$1,666 |
4.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,055.60 |
$2,639 |
4.1× |
| Radiologic exam swallow function contrast study (74230) |
$1,140.40 |
$2,851 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,870.40 |
$4,676 |
7.2× |
| Radiologic examination femur minimum 2 views (73552) |
$597.20 |
$1,493 |
4.7× |
| Radiologic examination knee 1/2 views (73560) |
$477.60 |
$1,194 |
3.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$696 |
$1,740 |
5.4× |
| Renal Cyst Study (74470) |
$1,663.60 |
$4,159 |
2.1× |
| Ribs bilateral 3 views (71110) |
$876 |
$2,190 |
5.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$1,582.40 |
$3,956 |
2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$9,644.80 |
$24,112 |
12.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$4,800 |
$12,000 |
6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$5,477.60 |
$13,694 |
6.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$11,574 |
$28,935 |
5.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$6,075.20 |
$15,188 |
3.2× |
| Rp Therapy Intravenous Administration (79101) |
$1,135.60 |
$2,839 |
3.3× |
| Salivary Gland Imaging Serial Images (78231) |
$908.40 |
$2,271 |
1.5× |
| Scapula (73010) |
$792.40 |
$1,981 |
5.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$88.80 |
$222 |
3.8× |
| Shoulder 1 view (73020) |
$547.60 |
$1,369 |
4.3× |
| Shoulder Arthrography (73040) |
$1,555.20 |
$3,888 |
3.0× |
| Skull less than 4 views (70250) |
$609.60 |
$1,524 |
4.0× |
| Special dosimetry (77331) |
$1,385.20 |
$3,463 |
7.0× |
| Special Physics Consult (77370) |
$2,987.60 |
$7,469 |
15.1× |
| Special teletherapy port plan (77321) |
$2,792 |
$6,980 |
5.1× |
| Special treatment procedure (77470) |
$4,144.40 |
$10,361 |
5.1× |
| Spleen Imaging (78185) |
$1,425.60 |
$3,564 |
2.4× |
| Stereotactic Body Radiation Delivery (77373) |
$19,936 |
$49,840 |
7.6× |
| Sternoclavicular joints (71130) |
$506.80 |
$1,267 |
4.0× |
| Superior sagittal sinus venogram (75870) |
$1,952.40 |
$4,881 |
0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$4,995.20 |
$12,488 |
9.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,288.80 |
$3,222 |
2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$4,514.80 |
$11,287 |
8.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$3,398 |
$8,495 |
6.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,303.20 |
$5,758 |
11.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) |
$1,054.40 |
$2,636 |
4.1× |
| Thoracic spine 2 views (72070) |
$729.20 |
$1,823 |
4.7× |
| Thoracic spine 3 views (72072) |
$878.40 |
$2,196 |
5.7× |
| Thoracolumbar 2 views (72080) |
$841.20 |
$2,103 |
6.6× |
| Thyroid Met Imaging Body (78018) |
$3,778.40 |
$9,446 |
4.7× |
| Thyroid Uptake Measurement (78012) |
$1,001.60 |
$2,504 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,899.60 |
$4,749 |
3.2× |
| Tx Devices Design & Construction Complex (77334) |
$2,359.60 |
$5,899 |
4.3× |
| Tx devices design & construction intermediate (77333) |
$1,331.20 |
$3,328 |
6.7× |
| Tx devices design & construction simple (77332) |
$1,105.60 |
$2,764 |
5.6× |
| Ultrasound Breast Limited (76642) |
$669.60 |
$1,674 |
5.2× |
| Ultrasound Elastography Parenchyma (76981) |
$647.20 |
$1,618 |
4.2× |
| Ultrasound Exam Aaa Screen (76706) |
$1,184.80 |
$2,962 |
7.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$1,043.20 |
$2,608 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$968.40 |
$2,421 |
6.3× |
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines |
$2,808–$3,167.60 |
$7,020–$7,919 |
varies |
| Unlisted fluoroscopic procedure (76496) |
$481.20 |
$1,203 |
3.8× |
Unlisted magnetic resonance procedure (76498)
range across 3 matching MRF lines |
$3,806.80–$8,479.60 |
$9,517–$21,199 |
varies |
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999)
range across 2 matching MRF lines |
$568–$1,002.40 |
$1,420–$2,506 |
varies |
| Unlisted us procedure (76999) |
$2,091.20 |
$5,228 |
16.3× |
| Upper gi w/o kub (74240) |
$1,584 |
$3,960 |
6.1× |
| Ureteral Reflux Study (78740) |
$591.20 |
$1,478 |
1.0× |
| Urethrocystogram voiding (74455) |
$1,529.20 |
$3,823 |
4.4× |
| Urethrocystography retrograde (74450) |
$1,260.80 |
$3,152 |
3.6× |
| Us breast unilateral complete (76641) |
$734 |
$1,835 |
4.8× |
| Us chest (76604) |
$1,082 |
$2,705 |
7.0× |
| Us complete joint (76881) |
$1,156 |
$2,890 |
7.5× |
| Us exam, pelvic, limited (76857) |
$962.40 |
$2,406 |
6.3× |
| Us kidney transplant (76776) |
$1,595.60 |
$3,989 |
10.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$832.40 |
$2,081 |
5.4× |
| Us ob detailed single fetus (76811) |
$1,387.20 |
$3,468 |
4.0× |
| Us ob limited 1 or more fetuses (76815) |
$671.60 |
$1,679 |
4.4× |
| Us ob transvaginal (76817) |
$704.80 |
$1,762 |
4.6× |
| Us pelvic non ob complete (76856) |
$1,178 |
$2,945 |
7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$774.80 |
$1,937 |
5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$752 |
$1,880 |
4.9× |
| Us retroperitoneal complete (76770) |
$1,312.80 |
$3,282 |
8.5× |
| Us retroperitoneal limited (76775) |
$950.80 |
$2,377 |
6.2× |
| Us scrotum and contents (76870) |
$1,096.40 |
$2,741 |
7.1× |
| Us thyroid (76536) |
$1,119.20 |
$2,798 |
7.3× |
| Us transrectal (76872) |
$461.60 |
$1,154 |
3.0× |
| Vein X-Ray Chest (75827) |
$5,492 |
$13,730 |
2.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) |
$2,395.20 |
$5,988 |
0.5× |
| Vein X-Ray Spleen/Liver (75810) |
$2,035.60 |
$5,089 |
0.4× |
| Venogram Sinus/Jugular (75860) |
$6,018.40 |
$15,046 |
1.3× |
| Venography caval inferior serialography rs&i (75825) |
$5,546.80 |
$13,867 |
1.2× |
| Venography extremity bilateral rs&i (75822) |
$3,458 |
$8,645 |
1.5× |
| Venography extremity unilateral rs&i (75820) |
$2,691.60 |
$6,729 |
1.2× |
| Venography Renal Bilateral (75833) |
$5,634.40 |
$14,086 |
1.2× |
| Venography Renal Unilateral (75831) |
$5,489.20 |
$13,723 |
1.2× |
| Venous sampling by catheter (75893) |
$7,440.80 |
$18,602 |
0.9× |
| Wrist 2 views (73100) |
$556.80 |
$1,392 |
4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$541.60 |
$1,354 |
4.2× |
| X-ray antegrade pyelogram tube (74425) |
$884.80 |
$2,212 |
1.7× |
| X-Ray Aorta Leg Arteries (75630) |
$7,840 |
$19,600 |
1.7× |
| X-Ray Bend Only L-S Spine (72120) |
$827.20 |
$2,068 |
5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$522.40 |
$1,306 |
4.1× |
| X-Ray Exam Breast Specimen (76098) |
$833.60 |
$2,084 |
1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$426.40 |
$1,066 |
3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$543.60 |
$1,359 |
3.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$815.60 |
$2,039 |
5.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$601.60 |
$1,504 |
4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$688 |
$1,720 |
5.4× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$907.20 |
$2,268 |
5.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,140.80 |
$2,852 |
7.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,409.20 |
$3,523 |
9.2× |
| X-Ray Exam L-S Spine Bending (72114) |
$1,260.80 |
$3,152 |
8.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$690 |
$1,725 |
5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,234.40 |
$3,086 |
8.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$795.60 |
$1,989 |
5.2× |
| X-ray eye for foreign body (70030) |
$478.80 |
$1,197 |
3.7× |
| X-ray humerus (73060) |
$616.80 |
$1,542 |
4.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$492.40 |
$1,231 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$507.60 |
$1,269 |
4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$709.20 |
$1,773 |
4.6× |
| X-ray nose-rectum child f.b. (76010) |
$473.20 |
$1,183 |
3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,098.40 |
$2,746 |
7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$701.20 |
$1,753 |
4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$796 |
$1,990 |
6.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$954.80 |
$2,387 |
7.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$696.40 |
$1,741 |
4.5× |
| X-Ray Stress View (77071) |
$362.40 |
$906 |
2.8× |
| X-Ray Tmj Unilat (70328) |
$215.20 |
$538 |
1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$1,190 |
$2,975 |
2.3× |
| X-Rays Bone Length Studies (77073) |
$736.40 |
$1,841 |
4.8× |
| X-Rays Bone Survey Complete (77075) |
$1,573.20 |
$3,933 |
10.2× |
| Xr c-spine 4 or 5 views (72050) |
$951.60 |
$2,379 |
6.2× |
| Xr facial bones less than 3 views (70140) |
$544.40 |
$1,361 |
4.3× |
| Xr orbits complete 4 views (70200) |
$699.60 |
$1,749 |
4.5× |