| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,713.74 |
$12,262.71 |
2.2× |
| Abdomen 2 views (74019) |
$274.36 |
$1,239.78 |
2.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$921.76 |
$4,165.19 |
2.5× |
| Acute venous thrombus image (78456) |
$1,173.81 |
$5,304.16 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$4,960.51 |
$22,415.31 |
1.7× |
| Angiography extremity unilateral rs&i (75710) |
$4,960.51 |
$22,415.31 |
1.7× |
| Angiography internal mammary rs&i (75756) |
$1,194.46 |
$5,397.49 |
0.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,558.63 |
$16,080.59 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,270.54 |
$23,816.28 |
1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,270.54 |
$23,816.28 |
1.8× |
| Angiography Spinal Selective Rs&I (75705) |
$7,351.58 |
$33,219.97 |
1.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$8,820.85 |
$39,859.26 |
1.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,691.67 |
$7,644.24 |
0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,618.12 |
$7,311.89 |
0.6× |
| Ankle 2 views (73600) |
$191.42 |
$864.96 |
2.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$495.96 |
$2,241.12 |
1.6× |
| Aortogram thoracic (75605) |
$3,558.63 |
$16,080.59 |
0.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,960.51 |
$22,415.31 |
1.7× |
| Aortography abdominal serialography rs&i (75625) |
$3,776.31 |
$17,064.22 |
1.3× |
| Arthrogram elbow (73085) |
$489.99 |
$2,214.15 |
1.5× |
| Arthrogram hip (73525) |
$694.15 |
$3,136.71 |
2.2× |
| Arthrogram shoulder (73040) |
$734.99 |
$3,321.25 |
2.3× |
| Arthrogram wrist (73115) |
$694.15 |
$3,136.71 |
2.2× |
| Arthrography knee lt (73580) |
$489.99 |
$2,214.15 |
1.5× |
| Basic radiation dosimetry calculation (77300) |
$230.64 |
$1,042.22 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$721.87 |
$3,261.97 |
2.0× |
| Bone &/joint imaging whole body (78306) |
$830.15 |
$3,751.23 |
2.3× |
| Bone age studies (77072) |
$144.86 |
$654.58 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$866.25 |
$3,914.36 |
2.4× |
| Bone Marrow Imaging Limited Area (78102) |
$433.99 |
$1,961.09 |
1.2× |
| Bone survey complete (77075) |
$413.60 |
$1,868.96 |
4.4× |
| Brachytx isodose complex (77318) |
$1,147.98 |
$5,187.43 |
3.4× |
| Brachytx isodose intermed (77317) |
$631.60 |
$2,854.06 |
1.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$163.34 |
$738.11 |
0.5× |
| Brain image w/flow 4 + views (78606) |
$527.09 |
$2,381.77 |
1.1× |
| Brain imaging < 4 static views (78600) |
$406.16 |
$1,835.33 |
1.1× |
| Brain imaging < 4 static views w vascular flow (78601) |
$406.16 |
$1,835.33 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$3,213.85 |
$14,522.58 |
2.5× |
| Cardiac shunt detection (78428) |
$829.80 |
$3,749.64 |
2.3× |
| Cervical spine 2 or 3 views (72040) |
$176.74 |
$798.64 |
2.2× |
| Chest 1 view (71045) |
$113 |
$510.61 |
1.4× |
| Chest 3 views (71047) |
$173.36 |
$783.36 |
2.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$186.12 |
$841.05 |
1.2× |
| Clavicle complete (73000) |
$351.54 |
$1,588.50 |
4.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$148.40 |
$670.59 |
1.6× |
| Continuing medical physics consltj pr wk (77336) |
$280.37 |
$1,266.94 |
2.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,573.46 |
$11,628.83 |
8.1× |
| CT abdomen and pelvis without contrast (74176) |
$2,313.14 |
$10,452.52 |
10.7× |
| CT abdomen w contrast (74160) |
$1,304.56 |
$5,894.98 |
8.2× |
| CT abdomen w wo contrast (74170) |
$1,445.42 |
$6,531.51 |
9.1× |
| CT abdomen w/o contrast (74150) |
$1,107.71 |
$5,005.46 |
11.7× |
| CT angio hrt w/3d image (75574) |
$909.12 |
$4,108.08 |
2.9× |
| CT angiography upper extremity lt (73206) |
$1,003.38 |
$4,534.02 |
6.3× |
| CT c-spine w/o contrast (72125) |
$1,262.03 |
$5,702.81 |
13.3× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$149.53 |
$675.70 |
0.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,243.73 |
$5,620.13 |
7.8× |
| CT cervical spine with contrast (72126) |
$1,462.88 |
$6,610.39 |
4.6× |
| CT chest w/wo contrast (71270) |
$1,151.63 |
$5,203.93 |
7.2× |
| CT chest with contrast (71260) |
$1,284.90 |
$5,806.13 |
8.1× |
| CT head/brain with contrast (70460) |
$962.55 |
$4,349.52 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,133.43 |
$5,121.70 |
7.1× |
| CT heart contrast eval cardiac structure&morph (75572) |
$499.09 |
$2,255.28 |
1.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48.17 |
$217.66 |
0.6× |
| CT hrt w/3d image congen (75573) |
$416.94 |
$1,884.07 |
1.3× |
| CT iac w contrast (70481) |
$1,136.05 |
$5,133.54 |
7.1× |
| CT limited/localized follow up study (76380) |
$788.18 |
$3,561.59 |
10.0× |
| CT lower ext w/o (73700) |
$1,361.54 |
$6,152.49 |
14.4× |
| CT lower extremity w wo contrast (73702) |
$962.55 |
$4,349.52 |
6.0× |
| CT lower extremity with contrast (73701) |
$885.52 |
$4,001.44 |
5.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,325.60 |
$5,990.06 |
8.3× |
| CT lumbar spine w/o contrast (72131) |
$1,092.73 |
$4,937.79 |
11.5× |
| CT lumbar spine with contrast (72132) |
$1,326.26 |
$5,993.04 |
4.2× |
| CT maxillofacial w contrast (70487) |
$950.49 |
$4,295.04 |
6.0× |
| CT maxillofacial w/o contrast (70486) |
$902.96 |
$4,080.26 |
9.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,454.36 |
$6,571.88 |
9.1× |
| CT neck soft tissue w contrast (70491) |
$953.01 |
$4,306.42 |
6.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,130.17 |
$5,106.96 |
7.1× |
| CT orbits w/o contrast (70480) |
$920.38 |
$4,158.97 |
9.7× |
| CT pelvis w & w/o contrast (72194) |
$1,140.55 |
$5,153.85 |
7.2× |
| CT pelvis w/o contrast (72192) |
$962.55 |
$4,349.52 |
10.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,401.92 |
$6,334.93 |
8.8× |
| CT soft tissue neck w/o contrast (70490) |
$928.48 |
$4,195.57 |
9.8× |
| CT thoracic spine w/contrast (72129) |
$1,217.15 |
$5,500.02 |
7.6× |
| CT thoracic spine w/o contrast (72128) |
$968.47 |
$4,376.29 |
10.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,239.97 |
$5,603.13 |
7.8× |
| CT thorax w/o contrast (71250) |
$999.95 |
$4,518.51 |
10.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,152.52 |
$5,207.95 |
7.2× |
| CT upper extremity w/o contrast rt (73200) |
$809.10 |
$3,656.11 |
8.5× |
| CT upper extremity with contrast (73201) |
$982.30 |
$4,438.79 |
3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,468.51 |
$6,635.82 |
9.2× |
| Cta Abdomen (74175) |
$1,334.50 |
$6,030.28 |
8.4× |
| CTA abdomen pelvis (74174) |
$2,978.11 |
$13,457.33 |
9.4× |
| CTA chest (71275) |
$1,164.27 |
$5,261.05 |
7.3× |
| Cta Head (70496) |
$1,369.57 |
$6,188.76 |
8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,683.16 |
$12,124.55 |
8.5× |
| CTA lwr ext w&w/o contrast (73706) |
$652.57 |
$2,948.80 |
4.1× |
| Cta Neck (70498) |
$1,313.59 |
$5,935.79 |
8.3× |
| Cta Pelvis (72191) |
$1,670.02 |
$7,546.42 |
10.5× |
| Cystography minimum 3 views rs&i (74430) |
$495.96 |
$2,241.12 |
1.6× |
| Diskography lumbar (72295) |
$4,810.62 |
$21,738.01 |
2.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$267.42 |
$1,208.40 |
2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$175.70 |
$793.92 |
2.2× |
| Dxa bone density study axial skeleton (77085) |
$256.80 |
$1,160.40 |
2.7× |
| Echoencephalography real time imaging (76506) |
$162.37 |
$733.72 |
1.7× |
| Esophagus (74220) |
$183.83 |
$830.66 |
1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$250.06 |
$1,129.95 |
2.6× |
| Fluoroscopy up to 1 hr (76000) |
$303.44 |
$1,371.19 |
1.4× |
| Foot 2 views (73620) |
$234.12 |
$1,057.96 |
3.0× |
| Forearm 2 views (73090) |
$255.04 |
$1,152.47 |
3.2× |
| Gated Heart Planar Single (78472) |
$981.76 |
$4,436.31 |
2.7× |
| Hand 2 views (73120) |
$210.70 |
$952.07 |
2.2× |
| Hand 3 views (73130) |
$257.36 |
$1,162.98 |
3.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,553.16 |
$7,018.36 |
2.5× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,173.92 |
$5,304.64 |
1.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,165.78 |
$5,267.85 |
1.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$384.88 |
$1,739.19 |
0.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,165.66 |
$5,267.31 |
2.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$806.99 |
$3,646.59 |
2.2× |
| Ht muscle image spect sing (78451) |
$3,133.31 |
$14,158.66 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$231.38 |
$1,045.56 |
2.9× |
| Hysterosalpingogram (74740) |
$688.59 |
$3,111.59 |
3.2× |
| Interstitial radiation source applic complex (77778) |
$3,739.96 |
$16,899.96 |
5.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,120.57 |
$5,063.59 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,235.87 |
$5,584.59 |
2.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,364.89 |
$6,167.61 |
2.8× |
| Knee 3 views (73562) |
$262.58 |
$1,186.51 |
3.3× |
| Liver & spleen imaging static only (78215) |
$664.19 |
$3,001.30 |
1.8× |
| Liver imaging static only (78201) |
$1,790.51 |
$8,090.88 |
3.6× |
| Lung Ventilation Imaging (78579) |
$591.37 |
$2,672.27 |
1.6× |
| Lymphoscintigraphy (78195) |
$833.52 |
$3,766.49 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$369.51 |
$1,669.71 |
1.7× |
| Mammary ductogram or galactogram single (77053) |
$437.14 |
$1,975.33 |
2.0× |
| Meckels Diverticulum (78290) |
$623.39 |
$2,816.93 |
1.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$636.96 |
$2,878.28 |
1.9× |
| Mr safety determination physician/other qhp (76016) |
$87.99 |
$397.60 |
1.1× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$59.36 |
$268.23 |
1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$24.47 |
$110.59 |
0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$91.72 |
$414.48 |
1.1× |
| Mr safety med physics xm customization plng&mntr (76017) |
$241.55 |
$1,091.52 |
1.1× |
| MRA head w & w/o contrast (70546) |
$1,785.60 |
$8,068.70 |
5.6× |
| MRA head w/o contrast (70544) |
$1,502.84 |
$6,790.96 |
6.9× |
| MRA head with contrast (70545) |
$1,682.69 |
$7,603.64 |
5.3× |
| MRA neck w contrast (70548) |
$1,222.39 |
$5,523.66 |
3.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,408.55 |
$6,364.91 |
4.5× |
| MRA neck w/o contrast (70547) |
$1,146.64 |
$5,181.36 |
5.3× |
| MRI abdomen w contrast (74182) |
$1,628.55 |
$7,359 |
5.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,901.93 |
$8,594.33 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,221.18 |
$5,518.23 |
5.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,306.13 |
$10,420.82 |
3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,637.10 |
$7,397.63 |
2.3× |
| MRI breast w/o contrast bilateral (77047) |
$1,083.86 |
$4,897.71 |
5.0× |
| MRI breast w/o contrast unilat (77046) |
$563.05 |
$2,544.29 |
2.6× |
| MRI c-spine with contrast (72142) |
$1,864.80 |
$8,426.59 |
5.9× |
| MRI cervical spine w/o contrast (72141) |
$1,615.82 |
$7,301.49 |
7.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,809.66 |
$8,177.42 |
5.7× |
| MRI chest w/o contrast (71550) |
$1,306.29 |
$5,902.79 |
6.0× |
| MRI chest with contrast (71551) |
$1,312.41 |
$5,930.45 |
1.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,806.94 |
$8,165.11 |
5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,429.90 |
$10,980.10 |
7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,946.04 |
$8,793.65 |
9.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,305.67 |
$5,899.99 |
6.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,937.78 |
$8,756.37 |
6.1× |
| MRI orbit/face/neck w/contrast (70542) |
$1,487.42 |
$6,721.30 |
4.7× |
| MRI pelvis w contrast (72196) |
$1,637.53 |
$7,399.59 |
5.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,832.76 |
$8,281.78 |
5.8× |
| MRI pelvis w/o contrast (72195) |
$1,361.97 |
$6,154.41 |
6.3× |
| MRI scan of arm joint before and after contrast (73223) |
$1,619.06 |
$7,316.12 |
5.1× |
| MRI scan of leg joint before and after contrast (73723) |
$2,689.70 |
$12,154.08 |
8.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,278.04 |
$10,293.88 |
7.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,560.75 |
$7,052.66 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,231.30 |
$10,082.70 |
7.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,487.60 |
$6,722.09 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,185.44 |
$9,875.47 |
6.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,331.95 |
$6,018.75 |
6.2× |
| MRI tmj (70336) |
$1,416.25 |
$6,399.67 |
6.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,000.39 |
$9,039.27 |
9.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,172.26 |
$9,815.92 |
6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,384.27 |
$6,255.19 |
6.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,921.67 |
$13,202.32 |
2.5× |
| Myocardial Spect Multiple Studies (78452) |
$3,174.99 |
$14,346.99 |
2.7× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,872.95 |
$8,463.42 |
0.9× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,245.70 |
$5,629 |
1.6× |
| Neck soft tissue (70360) |
$150.33 |
$679.30 |
1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$404.55 |
$1,828.06 |
1.1× |
| Nm cisternogram (78630) |
$1,465.77 |
$6,623.43 |
3.0× |
| Nm gastric emptying study (78264) |
$1,044.22 |
$4,718.57 |
2.9× |
| Nm gastroesophageal reflux study (78262) |
$623.39 |
$2,816.93 |
1.7× |
| Nm peritoneal-venous shunt patency (78291) |
$525.76 |
$2,375.79 |
1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,859.60 |
$17,440.56 |
3.1× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$1,993.04 |
$9,006.04 |
1.5× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,466.25 |
$6,625.62 |
1.2× |
| Nuclear medicine of heart pumping function (78473) |
$886.95 |
$4,007.89 |
2.4× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$1,917.66 |
$8,665.42 |
1.5× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$2,297.13 |
$10,380.17 |
1.8× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$439.84 |
$1,987.53 |
1.2× |
| Nuclear Rx Oral Admin (79005) |
$734.95 |
$3,321.05 |
3.5× |
| Orthopantogram (70355) |
$178.51 |
$806.64 |
2.3× |
| Osseous survey infant (77076) |
$170.86 |
$772.08 |
1.8× |
| Osseous survey limited (77074) |
$345.80 |
$1,562.59 |
3.6× |
| Parathyroid imaging (78070) |
$1,065.28 |
$4,813.75 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$184.57 |
$834.04 |
1.9× |
| PET image w/CT, skull-thigh (78815) |
$2,477.03 |
$11,193.07 |
1.9× |
| PET imaging CT for attenuation limited area (78814) |
$2,544.21 |
$11,496.65 |
2.0× |
| PET imaging for CT attenuation whole body (78816) |
$2,443.62 |
$11,042.12 |
1.9× |
| PET imaging limited area chest head/neck (78811) |
$1,674.63 |
$7,567.22 |
1.4× |
| PET whole body (78813) |
$2,443.62 |
$11,042.12 |
1.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,727.57 |
$12,325.20 |
8.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,370.89 |
$10,713.45 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$545.53 |
$2,465.10 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,140.66 |
$5,154.36 |
2.3× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$793.13 |
$3,583.97 |
0.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$612.08 |
$2,765.86 |
1.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$838.39 |
$3,788.47 |
10.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$514.78 |
$2,326.15 |
5.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$1,077.91 |
$4,870.79 |
11.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$286.43 |
$1,294.30 |
3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,029.57 |
$4,652.36 |
10.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$14,101.25 |
$63,720.08 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,393.22 |
$6,295.60 |
2.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,239.76 |
$5,602.19 |
13.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$1,340.51 |
$6,057.42 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$163.77 |
$740.05 |
1.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$137.88 |
$623.06 |
1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$274.36 |
$1,239.78 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$169.51 |
$765.99 |
2.1× |
| Radiologic exam colon single contrast study (74270) |
$366.67 |
$1,656.88 |
2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$317.53 |
$1,434.86 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$463.58 |
$2,094.79 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$319.71 |
$1,444.67 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$403.26 |
$1,822.20 |
5.1× |
| Radiological examination surgical specimen (76098) |
$593.18 |
$2,680.48 |
1.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$1,141.91 |
$5,160 |
0.4× |
| Ribs bilateral 3 views (71110) |
$268.86 |
$1,214.93 |
2.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,938.57 |
$8,759.91 |
3.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,315.13 |
$5,942.73 |
2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,368.84 |
$6,185.43 |
1.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$261.71 |
$1,182.62 |
1.2× |
| Rp Therapy Intravenous Administration (79101) |
$399.73 |
$1,806.28 |
1.9× |
| Scanogram (77073) |
$199.48 |
$901.39 |
2.1× |
| Scapula complete (73010) |
$221.49 |
$1,000.87 |
2.3× |
| Screening digital breast tomosynthesis (77063) |
$50.97 |
$230.32 |
2.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$137.16 |
$619.78 |
1.4× |
| Simulation intermediate (77285) |
$556.72 |
$2,515.70 |
1.6× |
| Small bowel series (74250) |
$286.07 |
$1,292.69 |
1.8× |
| Spec medical radj physics consltj (77370) |
$965.56 |
$4,363.14 |
7.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$549.87 |
$2,484.73 |
1.6× |
| Special dosimetry (77331) |
$427.10 |
$1,929.97 |
3.5× |
| Special treatment procedure (77470) |
$737.44 |
$3,332.32 |
1.5× |
| Spine thoracic 3 views (72072) |
$254.32 |
$1,149.21 |
2.7× |
| Stereotactic body radiation delivery (77373) |
$2,811.26 |
$12,703.40 |
1.7× |
| Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th… (77436) |
$31.84 |
$143.89 |
0.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$812.49 |
$3,671.44 |
2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$529.95 |
$2,394.71 |
1.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$673.26 |
$3,042.31 |
2.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$329.13 |
$1,487.24 |
2.7× |
| Thoracolumbar 2 views (72080) |
$217.54 |
$982.99 |
2.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$916.35 |
$4,140.74 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$274.14 |
$1,238.79 |
0.8× |
| Thyroid uptake measurement (78012) |
$311.66 |
$1,408.31 |
0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$552.46 |
$2,496.43 |
1.5× |
| Treatment device intermediate (77333) |
$373.40 |
$1,687.29 |
3.1× |
| Treatment devices simple (77332) |
$436.73 |
$1,973.48 |
3.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,063.35 |
$9,323.75 |
4.2× |
| Tx devices design & construction complex (77334) |
$481.17 |
$2,174.31 |
1.4× |
| Ultrasound elastography first target lesion (76982) |
$277.73 |
$1,254.98 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$314.27 |
$1,420.12 |
3.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$82.38 |
$372.27 |
1.0× |
| Urethrocystography retrograde rs&i (74450) |
$495.96 |
$2,241.12 |
2.3× |
| Urethrocystography voiding (74455) |
$495.96 |
$2,241.12 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$526.97 |
$2,381.24 |
3.3× |
| Us abdl aorta screen aaa (76706) |
$166.34 |
$751.63 |
1.8× |
| Us breast unilateral complete (76641) |
$366.72 |
$1,657.10 |
3.9× |
| Us breast unilateral limited (76642) |
$454.02 |
$2,051.62 |
5.8× |
| Us chest (76604) |
$239.90 |
$1,084.03 |
2.5× |
| Us compl joint r-t w/image documentation (76881) |
$329.09 |
$1,487.08 |
3.5× |
| Us elastography parenchyma (76981) |
$277.73 |
$1,254.98 |
2.9× |
| Us guided compression repair (76936) |
$476.01 |
$2,150.95 |
2.4× |
| Us kidney transplant (76776) |
$365.31 |
$1,650.76 |
3.9× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$109.11 |
$493.05 |
1.2× |
| Us ob transvaginal (76817) |
$331.28 |
$1,496.96 |
3.5× |
| Us pelvic non ob complete (76856) |
$266.52 |
$1,204.32 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$188.23 |
$850.55 |
2.0× |
| Us pregnancy ltd (76815) |
$194.66 |
$879.60 |
2.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$332.57 |
$1,502.80 |
3.5× |
| Us retroperitoneal complete (76770) |
$217.56 |
$983.09 |
2.3× |
| Us retroperitoneal limited (76775) |
$219.60 |
$992.34 |
2.3× |
| Us scrotum and contents (76870) |
$217.76 |
$984.01 |
2.3× |
| Us soft tissue head/neck (76536) |
$260.64 |
$1,177.77 |
2.7× |
| Us spinal canal and contents (76800) |
$163.87 |
$740.51 |
1.7× |
| Us transrectal (76872) |
$349.57 |
$1,579.62 |
3.7× |
| Us transrectal prostate volume (76873) |
$363.41 |
$1,642.14 |
3.8× |
| Us xtr non-vasc lmtd (76882) |
$273.04 |
$1,233.81 |
2.9× |
| Venogram extremity bilateral (75822) |
$1,511.12 |
$6,828.36 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$4,960.51 |
$22,415.31 |
1.7× |
| Venography caval superior serialography rs&i (75827) |
$1,194.46 |
$5,397.49 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,592.16 |
$7,194.56 |
1.1× |
| Venography Renal Bilateral (75833) |
$3,720.38 |
$16,811.47 |
1.3× |
| Venography renal unilateral selective rs&i (75831) |
$3,720.38 |
$16,811.47 |
1.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,168.50 |
$5,280.17 |
0.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$3,558.63 |
$16,080.59 |
0.7× |
| Wrist 2 views (73100) |
$208.08 |
$940.22 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$301.89 |
$1,364.15 |
3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$235.54 |
$1,064.34 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$242.16 |
$1,094.29 |
3.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$441.40 |
$1,994.59 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$204.60 |
$924.54 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$272.80 |
$1,232.68 |
3.5× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,029.57 |
$4,652.36 |
10.9× |
| X-ray exam hip uni 1 view (73501) |
$221.42 |
$1,000.52 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$468.07 |
$2,115.08 |
5.9× |
| X-ray exam hip uni 4/> views (73503) |
$468.07 |
$2,115.08 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,077.91 |
$4,870.79 |
11.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,201.74 |
$5,430.37 |
12.7× |
| X-ray exam of femur 1 (73551) |
$287.04 |
$1,297.05 |
3.6× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$218.37 |
$986.78 |
1.4× |
| X-ray eye for foreign body (70030) |
$98 |
$442.84 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$221.99 |
$1,003.10 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$128.80 |
$582.03 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$249.73 |
$1,128.47 |
3.2× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,357.47 |
$10,652.82 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$144.69 |
$653.82 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$131.12 |
$592.51 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$312.78 |
$1,413.38 |
3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$138.02 |
$623.68 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$292.63 |
$1,322.34 |
3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$219.31 |
$991.03 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$308.18 |
$1,392.61 |
3.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$117.36 |
$530.33 |
1.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$189.47 |
$856.18 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$130.71 |
$590.65 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$202.56 |
$915.34 |
2.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$239 |
$1,079.96 |
2.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$526.97 |
$2,381.24 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$182.55 |
$824.88 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$193.41 |
$873.95 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$218.37 |
$986.75 |
2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$160.47 |
$725.11 |
1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$172.84 |
$781.02 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$345.52 |
$1,561.33 |
4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$273.08 |
$1,233.98 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$99.50 |
$449.62 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$327.70 |
$1,480.78 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$183.77 |
$830.43 |
1.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$151.58 |
$684.96 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$205.45 |
$928.39 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$267.15 |
$1,207.19 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$205.63 |
$929.21 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$197.36 |
$891.82 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$238.79 |
$1,079.04 |
3.0× |
| Xr c-spine 6 or more views (72052) |
$371.14 |
$1,677.07 |
3.9× |
| Xr Cholecystography Oral Contrast (74290) |
$335.07 |
$1,514.12 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$227.53 |
$1,028.16 |
2.9× |
| Xr shoulder 1 view (73020) |
$206.74 |
$934.20 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$251.67 |
$1,137.22 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$236.99 |
$1,070.90 |
3.0× |
| Xr tmj bilateral (70330) |
$192.89 |
$871.64 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$232.86 |
$1,052.22 |
2.9× |