| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,002 |
$3,500 |
1.4× |
| Abdomen 1 View (74018) |
$101.25 |
$225 |
1.1× |
| Abdomen 2 views (74019) |
$183.15 |
$407 |
1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$710.83 |
$1,786 |
1.7× |
| Adrenal Cortex & Medulla Img (78075) |
$920.97 |
$2,314 |
0.7× |
| Ankle 2 views (73600) |
$119.25 |
$265 |
1.3× |
| Arthrogram hip (73525) |
$495.92 |
$967 |
1.3× |
| Arthrogram Wrist (73115) |
$350.78 |
$684 |
1.0× |
| Basic radiation dosimetry calculation (77300) |
$212.21 |
$371 |
1.5× |
| Bone age studies (77072) |
$108 |
$240 |
1.0× |
| Bone Imaging 3 Phase (78315) |
$1,103.65 |
$2,773 |
2.6× |
| Bone Imaging Limited Area (78300) |
$446.56 |
$1,122 |
1.1× |
| Bone Imaging Multiple Areas (78305) |
$530.14 |
$1,332 |
1.3× |
| Bone Imaging Whole Body (78306) |
$959.98 |
$2,412 |
2.3× |
| Bone survey infant (77076) |
$223.65 |
$497 |
2.0× |
| Brain Flow Imaging Only (78610) |
$295.32 |
$742 |
0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$464.07 |
$1,166 |
0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,075.02 |
$5,578 |
1.4× |
| Cat Scan Follow-Up Study (76380) |
$428.98 |
$993 |
4.7× |
| Cerebrospinal Fluid Scan (78630) |
$467.65 |
$1,175 |
0.8× |
| Chest 1 view (71045) |
$108.46 |
$220 |
1.2× |
| Chest 2 views (71046) |
$227.77 |
$462 |
2.5× |
| Chest 3 views (71047) |
$234.67 |
$476 |
2.6× |
| Chest 4 or more views (71048) |
$265.23 |
$538 |
2.4× |
| Cholecystography Oral Contrast (74290) |
$198.90 |
$442 |
1.1× |
| Clavicle complete (73000) |
$159.30 |
$354 |
1.7× |
| Continuing medical physics consltj pr wk (77336) |
$394.68 |
$690 |
2.8× |
| Contrast X-Ray Bladder (74430) |
$242.55 |
$539 |
0.7× |
| Contrast X-Ray Of Knee Joint (73580) |
$286.16 |
$558 |
0.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$860.22 |
$3,186 |
2.3× |
| CT abdomen and pelvis without contrast (74176) |
$573.48 |
$2,124 |
2.3× |
| CT abdomen w contrast (74160) |
$460.08 |
$1,704 |
2.5× |
| CT abdomen w wo contrast (74170) |
$552.15 |
$2,045 |
3.0× |
| CT abdomen w/o contrast (74150) |
$368.01 |
$1,363 |
3.3× |
| CT Angio Abdomen and Pelvis (74174) |
$903.42 |
$3,346 |
2.5× |
| CT Angio Chest (71275) |
$646.11 |
$2,393 |
3.5× |
| CT Angio Head (70496) |
$637.74 |
$2,362 |
3.4× |
| CT angio hrt w/3d image (75574) |
$1,400.54 |
$3,242 |
3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$697.14 |
$2,582 |
3.8× |
| CT Angio Neck (70498) |
$700.65 |
$2,595 |
3.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$962.82 |
$3,566 |
5.2× |
| CT cervical spine w/ contrast (72126) |
$999.81 |
$3,703 |
2.7× |
| CT cervical spine w/o contrast (72125) |
$799.74 |
$2,962 |
7.3× |
| CT cervical spine w/wo cont (72127) |
$1,199.61 |
$4,443 |
6.5× |
| CT chest w contrast (71260) |
$512.73 |
$1,899 |
2.8× |
| CT chest w/wo contrast (71270) |
$615.33 |
$2,279 |
3.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$940.46 |
$2,177 |
5.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$752.11 |
$1,741 |
6.8× |
| CT head/brain with contrast (70460) |
$505.98 |
$1,874 |
2.7× |
| CT head/brain without and with contrast (70470) |
$607.23 |
$2,249 |
3.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$71.71 |
$166 |
0.8× |
| CT iac w contrast (70481) |
$825.39 |
$3,057 |
4.5× |
| CT l-spine w&w/o contrast (72133) |
$1,266.03 |
$4,689 |
6.8× |
| CT lower ext w/o (73700) |
$442.53 |
$1,639 |
4.0× |
| CT lower extremity w/contrast material (73701) |
$553.23 |
$2,049 |
3.0× |
| CT lumbar spine w contrast (72132) |
$1,055.16 |
$3,908 |
2.9× |
| CT lumbar spine w/o contrast (72131) |
$844.02 |
$3,126 |
7.7× |
| CT maxillofacial w contrast (70487) |
$828.90 |
$3,070 |
4.5× |
| CT maxillofacial wo contrast (70486) |
$663.12 |
$2,456 |
6.0× |
| CT neck tissue combo (70492) |
$667.17 |
$2,471 |
3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$990.36 |
$3,668 |
5.4× |
| CT orbits w/o contrast (70480) |
$660.15 |
$2,445 |
6.0× |
| CT pelvis w&w/o contrast (72194) |
$1,208.25 |
$4,475 |
6.5× |
| CT pelvis w/o contrast (72192) |
$805.41 |
$2,983 |
7.3× |
| CT scan of leg combo (73702) |
$663.93 |
$2,459 |
3.6× |
| CT scans face/jaw combo (70488) |
$994.68 |
$3,684 |
5.4× |
| CT soft tissue neck w contrast (70491) |
$555.93 |
$2,059 |
3.0× |
| CT soft tissue neck w/o contrast (70490) |
$444.69 |
$1,647 |
4.0× |
| CT thoracic spine w contrast (72129) |
$1,063.26 |
$3,938 |
5.7× |
| CT thoracic spine w/o contrast (72128) |
$850.50 |
$3,150 |
7.7× |
| CT thoracic spine w/wo cont (72130) |
$1,275.75 |
$4,725 |
6.9× |
| CT thorax w/o contrast (71250) |
$410.13 |
$1,519 |
3.7× |
| CT upper ext wo (73200) |
$611.28 |
$2,264 |
5.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$916.92 |
$3,396 |
5.0× |
| CT upper extremity with contrast (73201) |
$764.10 |
$2,830 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,290.38 |
$2,987 |
7.0× |
| Cta Abdomen (74175) |
$579.96 |
$2,148 |
3.1× |
| CTA pelvis (72191) |
$1,268.73 |
$4,699 |
6.9× |
| Dxa Bone Density Axial (77080) |
$204.30 |
$454 |
1.9× |
| Dxa bone density study (77085) |
$228.15 |
$507 |
2.1× |
| Echo exam uterus (76831) |
$354.43 |
$624 |
1.4× |
| Esophagram (74220) |
$196.65 |
$437 |
1.1× |
| Fetal Biophys Profile W/Nst (76818) |
$481.66 |
$848 |
4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$443.61 |
$781 |
4.0× |
| Fluoroscopy up to 1 hr (76000) |
$337.50 |
$750 |
1.3× |
| Foot 2 views (73620) |
$139.50 |
$310 |
1.5× |
| Forearm 2 views (73090) |
$144.90 |
$322 |
1.6× |
| Gastric emptying imaging study (78264) |
$854.90 |
$2,148 |
2.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,014.50 |
$2,549 |
2.4× |
| Gastroesophageal Reflux Exam (78262) |
$487.95 |
$1,226 |
1.2× |
| Gated Heart Planar Single (78472) |
$756.20 |
$1,900 |
1.8× |
| Gated Heart, Multiple (78473) |
$765.75 |
$1,924 |
1.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$1,035.99 |
$2,603 |
1.8× |
| Hand 2 views (73120) |
$103.05 |
$229 |
0.9× |
| Hepatobil Syst Image W/Drug (78227) |
$1,031.22 |
$2,591 |
1.8× |
| Hepatobiliary System Imaging (78226) |
$753.02 |
$1,892 |
1.8× |
| Ht Muscle Image Spect Sing (78451) |
$1,641.75 |
$4,125 |
1.2× |
| Hysterosalpingogram (74740) |
$238.05 |
$529 |
0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) |
$224.36 |
$395 |
2.4× |
| Infant hip ultrasound, limited static exam (76886) |
$163.58 |
$288 |
1.8× |
| Joint Survey Single View (77077) |
$87.30 |
$194 |
0.8× |
| K Flow/Funct Image Multiple (78709) |
$660.68 |
$1,660 |
1.2× |
| K Flow/Funct Image W/Drug (78708) |
$317.21 |
$797 |
0.6× |
| K Flow/Funct Image W/O Drug (78707) |
$416.71 |
$1,047 |
0.7× |
| Knee 3 Views (73562) |
$172.80 |
$384 |
1.9× |
| Leveen/Shunt Patency Exam (78291) |
$336.71 |
$846 |
0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$272.63 |
$685 |
0.6× |
| Lung Perf&Ventilat Diferentl (78598) |
$618.49 |
$1,554 |
1.1× |
| Lung perfusion differential (78597) |
$378.10 |
$950 |
0.9× |
| Lung Ventilat&Perfus Imaging (78582) |
$725.16 |
$1,822 |
1.3× |
| Lung Ventilation Imaging (78579) |
$324.77 |
$816 |
0.8× |
| Lymph System Imaging (78195) |
$674.61 |
$1,695 |
1.2× |
Magnetic Image Jaw Joint (70336)
range across 3 matching MRF lines |
$1,427.72–$2,141.81 |
$3,097–$4,646 |
varies |
| Mammary ductogram or galactogram multiple (77054) |
$243.90 |
$542 |
1.0× |
| Mammary ductogram or galactogram single (77053) |
$185.40 |
$412 |
0.7× |
| Meckels Divert Exam (78290) |
$675.41 |
$1,697 |
1.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$224.22 |
$392 |
0.6× |
| Mr safety determination physician/other qhp (76016) |
$59.85 |
$133 |
0.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$17.10 |
$38 |
0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$92.25 |
$205 |
0.9× |
| Mr safety implt pos&/immoblj (76019) |
$140.85 |
$313 |
2.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$219.15 |
$487 |
0.9× |
| Mra Head W/O & W/Contrast Material (70546) |
$581.76 |
$3,179 |
1.6× |
| MRA head w/o contrast (70544) |
$387.78 |
$2,119 |
1.5× |
| MRA head with contrast (70545) |
$484.77 |
$2,649 |
1.3× |
| MRA neck w contrast (70548) |
$840.52 |
$4,593 |
2.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,008.51 |
$5,511 |
2.7× |
| MRA neck w/o contrast (70547) |
$672.34 |
$3,674 |
2.7× |
| MRI abdomen w contrast (74182) |
$1,834.78 |
$3,980 |
5.0× |
| MRI abdomen w/o contrast (74181) |
$1,467.82 |
$3,184 |
5.8× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,377.47 |
$2,988 |
1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$1,652.69 |
$3,585 |
4.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,094.41 |
$2,374 |
1.3× |
| MRI Breast W/O Contrast Bilateral (77047) |
$828.88 |
$1,798 |
3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$526.46 |
$1,142 |
2.1× |
| MRI cervical spine w contrast (72142) |
$568.54 |
$2,170 |
1.5× |
| MRI cervical spine w/o cont (72141) |
$454.83 |
$1,736 |
1.8× |
| MRI chest w/o contrast (71550) |
$1,330.45 |
$2,886 |
5.3× |
| MRI chest with contrast (71551) |
$1,663.29 |
$3,608 |
2.0× |
| MRI chest wo w contrast (71552) |
$1,995.67 |
$4,329 |
5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,024.34 |
$2,222 |
2.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,229.03 |
$2,666 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$819.20 |
$1,777 |
3.3× |
| MRI lumbar spine w contrast (72149) |
$568.54 |
$2,170 |
1.5× |
| Mri Neck Spine W/O & W/Dye (72156) |
$682.25 |
$2,604 |
1.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,011.84 |
$2,976 |
4.0× |
| MRI orbit face neck w contrast (70542) |
$1,264.80 |
$3,720 |
3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,517.76 |
$4,464 |
4.1× |
| MRI pelvis w contrast (72196) |
$1,191.22 |
$2,584 |
3.2× |
| MRI pelvis w/o & w contrast (72197) |
$1,429.56 |
$3,101 |
3.9× |
| MRI pelvis w/o contrast (72195) |
$952.89 |
$2,067 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$454.83 |
$1,736 |
1.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) |
$1,336.90 |
$2,900 |
3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,069.52 |
$2,320 |
4.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$1,604.28 |
$3,480 |
4.4× |
| MRI, abdomen, combo (74183) |
$2,201.74 |
$4,776 |
6.0× |
| MRI, dorsal spine combo (72157) |
$682.25 |
$2,604 |
1.9× |
| MRI, dorsal spine contrast (72147) |
$568.54 |
$2,170 |
1.5× |
| MRI, joint upper extrem (73221) |
$875.44 |
$1,899 |
3.5× |
| MRI, joint upper extrem combo (73223) |
$1,313.39 |
$2,849 |
3.6× |
| MRI, lumbar spine combo (72158) |
$682.25 |
$2,604 |
1.9× |
| Myelogram cervical (72240) |
$976.05 |
$2,169 |
1.2× |
| Myelogram Lumbar (72265) |
$989.55 |
$2,199 |
1.2× |
| Myelography thoracic (72255) |
$778.05 |
$1,729 |
0.9× |
| Myelograpy 2/more regions rs&i (72270) |
$1,254.60 |
$2,788 |
1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) |
$403.97 |
$1,015 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$2,120.94 |
$5,329 |
1.6× |
| N-invas est c ffr sw aly CTA (75580) |
$3,290.38 |
$6,416 |
3.6× |
| Neck soft tissue (70360) |
$139.95 |
$311 |
1.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$209.75 |
$527 |
0.5× |
| Nonvascular Shunt X-Ray (75809) |
$228.60 |
$508 |
2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,247.10 |
$7,425 |
2.9× |
| Nuclear Rx Oral Admin (79005) |
$509.76 |
$994 |
2.1× |
| Ob us nuchal meas 1 gest (76813) |
$239.13 |
$421 |
2.2× |
| Optic foramina (70190) |
$126 |
$280 |
1.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$569.54 |
$1,431 |
1.0× |
| Parathyroid Planar Imaging (78070) |
$458.10 |
$1,151 |
1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$522.97 |
$1,314 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$111.15 |
$247 |
1.0× |
| Pet Image W/Ct Lmtd (78814) |
$1,867.44 |
$5,020 |
1.2× |
| PET image w/CT, full body (78816) |
$3,207.01 |
$8,621 |
2.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$3,188.04 |
$8,570 |
2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$458.10 |
$1,151 |
1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$221.85 |
$493 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$321.75 |
$715 |
0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$211.95 |
$471 |
2.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$105.30 |
$234 |
1.1× |
| Radex elbow complete minimum 3 views (73080) |
$216.45 |
$481 |
2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$206.10 |
$458 |
1.9× |
| Radex fingr minimum 2 views (73140) |
$117.90 |
$262 |
1.3× |
| Radex foot complete minimum 3 views (73630) |
$199.80 |
$444 |
2.2× |
| Radex Hand Minimum 3 Views (73130) |
$160.20 |
$356 |
1.7× |
| Radex lower extremity infant minimum 2 views (73592) |
$83.70 |
$186 |
0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$147.60 |
$328 |
1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$154.80 |
$344 |
1.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$176.85 |
$393 |
1.9× |
| Radex shoulder complete minimum 2 views (73030) |
$199.80 |
$444 |
2.2× |
| Radex Sinuses Paransl < 3 Views (70210) |
$124.65 |
$277 |
1.4× |
| Radex Spine 1 View Specify Level (72020) |
$148.50 |
$330 |
1.6× |
| Radex Sternum Minimum 2 Views (71120) |
$104.40 |
$232 |
1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$175.50 |
$390 |
1.9× |
| Radex Toe Minimum 2 Views (73660) |
$115.65 |
$257 |
1.3× |
| Radex upper extremity infant minimum 2 views (73092) |
$158.40 |
$352 |
1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$198.90 |
$442 |
2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$264.15 |
$587 |
2.4× |
| Radiation treatment delivery level 1 (77402) |
$255.11 |
$446 |
2.4× |
| Radiation treatment delivery level 2 (77407) |
$316.89 |
$554 |
0.8× |
| Radiation treatment delivery level 3 (77412) |
$475.33 |
$831 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$223.65 |
$497 |
2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$191.70 |
$426 |
1.7× |
| Radiologic exam colon double contrast study (74280) |
$455.85 |
$1,013 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$410.85 |
$913 |
2.2× |
| Radiologic exam knee complete 4/more views (73564) |
$263.25 |
$585 |
2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$166.50 |
$370 |
1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$271.35 |
$603 |
1.5× |
| Radiologic exam swallow function contrast study (74230) |
$276.75 |
$615 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$397.80 |
$884 |
2.1× |
| Radiologic examination femur 1 view (73551) |
$83.70 |
$186 |
0.9× |
| Radiologic examination femur minimum 2 views (73552) |
$124.20 |
$276 |
1.4× |
| Radiologic examination knee 1/2 views (73560) |
$141.75 |
$315 |
1.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$119.70 |
$266 |
1.3× |
| Ribs bilateral 3 views (71110) |
$205.65 |
$457 |
1.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$345.86 |
$869 |
0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$959.18 |
$2,410 |
1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) |
$547.25 |
$1,375 |
1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$653.12 |
$1,641 |
1.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$653.12 |
$1,641 |
0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$716.80 |
$1,801 |
0.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$424.67 |
$1,067 |
0.3× |
| Rp Therapy Intravenous Administration (79101) |
$348.73 |
$680 |
1.4× |
| Scapula (73010) |
$120.60 |
$268 |
1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$37.24 |
$49 |
1.6× |
| Sella turcica (70240) |
$81 |
$180 |
0.9× |
| Shoulder 1 view (73020) |
$144.90 |
$322 |
1.6× |
| Shoulder Arthrography (73040) |
$470.79 |
$918 |
1.3× |
| Sialogram (70390) |
$278.10 |
$618 |
1.1× |
| Skull less than 4 views (70250) |
$184.95 |
$411 |
1.7× |
| Special dosimetry (77331) |
$191.62 |
$335 |
1.4× |
| Special Physics Consult (77370) |
$518.23 |
$906 |
3.7× |
| Special teletherapy port plan (77321) |
$318.03 |
$556 |
0.8× |
| Special treatment procedure (77470) |
$566.28 |
$990 |
1.0× |
| Sternoclavicular joints (71130) |
$165.60 |
$368 |
1.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$491.35 |
$859 |
1.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$326.61 |
$571 |
0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$915.20 |
$1,600 |
2.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) |
$821.96 |
$1,437 |
2.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$482.20 |
$843 |
3.4× |
| Thoracic spine 2 views (72070) |
$221.85 |
$493 |
2.0× |
| Thoracic spine 3 views (72072) |
$229.95 |
$511 |
2.1× |
| Thoracolumbar 2 views (72080) |
$117.90 |
$262 |
1.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$386.86 |
$972 |
0.9× |
| Thyroid Met Imaging Body (78018) |
$885.55 |
$2,225 |
1.5× |
| Thyroid Uptake Measurement (78012) |
$241.19 |
$606 |
0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$526.55 |
$1,323 |
1.2× |
| Tx Devices Design & Construction Complex (77334) |
$545.69 |
$954 |
1.4× |
| Tx devices design & construction intermediate (77333) |
$464.46 |
$812 |
3.3× |
| Tx devices design & construction simple (77332) |
$207.06 |
$362 |
1.5× |
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines |
$330.01–$495.30 |
$581–$872 |
varies |
| Ultrasound Exam Aaa Screen (76706) |
$218.11 |
$384 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$506.09 |
$891 |
4.6× |
| Umbilical-artery Doppler (OB) (76820) |
$169.83 |
$299 |
1.5× |
| Upper gi w/o kub (74240) |
$299.70 |
$666 |
1.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) |
$13.53 |
$34 |
1.2× |
| Urea breath test c-14 isotopic analysis (78268) |
$113.03 |
$284 |
1.2× |
| Ureteral Reflux Study (78740) |
$335.51 |
$843 |
0.8× |
| Urethrocystogram voiding (74455) |
$362.25 |
$805 |
1.4× |
| Urethrocystography retrograde (74450) |
$319.95 |
$711 |
1.3× |
Us breast unilateral complete (76641)
range across 3 matching MRF lines |
$402.14–$603.22 |
$708–$1,062 |
varies |
| Us chest (76604) |
$337.39 |
$594 |
3.1× |
| Us complete joint (76881) |
$516.31 |
$909 |
4.7× |
| Us exam, pelvic, limited (76857) |
$435.09 |
$766 |
3.9× |
| Us head (76506) |
$294.79 |
$519 |
2.7× |
| Us kidney transplant (76776) |
$268.66 |
$473 |
2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$332.85 |
$586 |
3.0× |
| Us ob detailed single fetus (76811) |
$354.43 |
$624 |
1.4× |
| Us ob limited 1 or more fetuses (76815) |
$303.31 |
$534 |
2.8× |
| Us ob transvaginal (76817) |
$391.35 |
$689 |
3.5× |
| Us pelvic non ob complete (76856) |
$593.56 |
$1,045 |
5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$507.22 |
$893 |
4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$308.42 |
$543 |
2.8× |
| Us retroperitoneal complete (76770) |
$583.34 |
$1,027 |
5.3× |
| Us retroperitoneal limited (76775) |
$191.42 |
$337 |
1.7× |
| Us scrotum and contents (76870) |
$546.42 |
$962 |
5.0× |
| Us spinal canal and contents (76800) |
$231.18 |
$407 |
2.1× |
| Us thyroid (76536) |
$528.81 |
$931 |
4.8× |
| Us transrectal (76872) |
$341.37 |
$601 |
3.1× |
| Venography extremity unilateral rs&i (75820) |
$303.75 |
$675 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$158.85 |
$353 |
1.7× |
| Wrist 2 views (73100) |
$139.50 |
$310 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$169.65 |
$377 |
1.8× |
| X-ray antegrade pyelogram tube (74425) |
$319.05 |
$709 |
0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$175.50 |
$390 |
1.9× |
| X-Ray Exam Breast Specimen (76098) |
$116.10 |
$258 |
0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$156.15 |
$347 |
1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$224.10 |
$498 |
2.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$254.70 |
$566 |
2.3× |
| X-Ray Exam Hip Uni 1 View (73501) |
$99.45 |
$221 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$186.75 |
$415 |
2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$233.55 |
$519 |
2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$122.85 |
$273 |
1.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$200.25 |
$445 |
1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$316.80 |
$704 |
2.9× |
| X-Ray Exam L-S Spine Bending (72114) |
$383.40 |
$852 |
3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$211.50 |
$470 |
2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$343.35 |
$763 |
3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$200.70 |
$446 |
1.8× |
| X-ray eye for foreign body (70030) |
$75.60 |
$168 |
0.8× |
| X-ray humerus (73060) |
$192.60 |
$428 |
2.1× |
| X-ray IV pyelogram (ivp) (74400) |
$693.90 |
$1,542 |
3.8× |
| X-ray IV pyelogram+tomography (74415) |
$626.85 |
$1,393 |
3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$236.70 |
$526 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$168.75 |
$375 |
1.5× |
| X-ray nose-rectum child f.b. (76010) |
$61.20 |
$136 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$252.45 |
$561 |
2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$236.70 |
$526 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$143.10 |
$318 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$195.75 |
$435 |
2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$212.40 |
$472 |
1.9× |
| X-ray thoracic spine 4 vw (72074) |
$264.60 |
$588 |
2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$386.55 |
$859 |
1.1× |
| X-Rays Bone Length Studies (77073) |
$256.05 |
$569 |
2.3× |
| X-Rays Bone Survey Complete (77075) |
$221.85 |
$493 |
2.0× |
| Xr c-spine 4 or 5 views (72050) |
$291.15 |
$647 |
2.6× |
| Xr facial bones less than 3 views (70140) |
$176.40 |
$392 |
1.9× |
| Xr orbits complete 4 views (70200) |
$234 |
$520 |
2.1× |
| Xr Tomogram Single Plane (76100) |
$221.85 |
$493 |
2.0× |