| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,033.50 |
$4,067 |
1.6× |
| Abdomen 2 views (74019) |
$49.50 |
$99 |
0.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$950 |
$1,900 |
2.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$1,712.50 |
$3,425 |
0.6× |
| Angiography extremity bilateral rs&i (75716) |
$1,816.50 |
$3,633 |
0.6× |
| Angiography extremity unilateral rs&i (75710) |
$1,816.50 |
$3,633 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$2,578.50 |
$5,157 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,843.50 |
$7,687 |
1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,843.50 |
$7,687 |
1.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,033.50 |
$6,067 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,847 |
$7,694 |
1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,847 |
$7,694 |
1.3× |
| Ankle 2 views (73600) |
$81 |
$162 |
1.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$464.50 |
$929 |
1.5× |
| Aortogram thoracic (75605) |
$2,578.50 |
$5,157 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,078.25 |
$4,156.50 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$1,816.50 |
$3,633 |
0.6× |
| Artery X-Rays Adrenal Gland (75731) |
$3,847 |
$7,694 |
1.3× |
| Arthrogram elbow (73085) |
$629 |
$1,258 |
2.0× |
| Arthrogram hip (73525) |
$629 |
$1,258 |
2.0× |
| Arthrogram shoulder (73040) |
$629 |
$1,258 |
2.0× |
| Arthrogram wrist (73115) |
$622 |
$1,244 |
2.0× |
| Arthrography knee lt (73580) |
$629 |
$1,258 |
2.0× |
| Basic radiation dosimetry calculation (77300) |
$407.50 |
$815 |
3.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$497.50 |
$995 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,024 |
$2,048 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$1,362 |
$2,724 |
3.8× |
| Bone age studies (77072) |
$88.50 |
$177 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$1,531 |
$3,062 |
4.2× |
| Bone survey complete (77075) |
$632 |
$1,264 |
6.7× |
| Brachytx isodose complex (77318) |
$865 |
$1,730 |
2.6× |
| Brachytx isodose intermed (77317) |
$550.50 |
$1,101 |
1.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$446 |
$892 |
1.3× |
| Brain image w/flow 4 + views (78606) |
$834 |
$1,668 |
1.7× |
| Brain imaging < 4 static views w vascular flow (78601) |
$834 |
$1,668 |
2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$5,042.50 |
$10,085 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$111 |
$222 |
1.4× |
| Chest 1 view (71045) |
$361.50 |
$723 |
4.6× |
| Chest 3 views (71047) |
$197.50 |
$395 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$318 |
$636 |
2.0× |
| Clavicle complete (73000) |
$77 |
$154 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,025 |
$2,050 |
10.8× |
| Continuing medical physics consltj pr wk (77336) |
$711.50 |
$1,423 |
5.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,320.50 |
$6,641 |
10.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,070 |
$4,140 |
9.6× |
| CT abdomen w contrast (74160) |
$1,627.25 |
$3,254.50 |
10.2× |
| CT abdomen w wo contrast (74170) |
$1,644 |
$3,288 |
10.3× |
| CT abdomen w/o contrast (74150) |
$1,039 |
$2,078 |
11.0× |
| CT angiography upper extremity lt (73206) |
$1,363 |
$2,726 |
8.6× |
| CT c-spine w/o contrast (72125) |
$1,329 |
$2,658 |
14.0× |
| CT cervical spine w&w/o contrast (72127) |
$1,899 |
$3,798 |
12.0× |
| CT cervical spine with contrast (72126) |
$1,596.50 |
$3,193 |
5.1× |
| CT chest w/wo contrast (71270) |
$1,817 |
$3,634 |
11.4× |
| CT chest with contrast (71260) |
$1,437.50 |
$2,875 |
9.0× |
| CT head/brain with contrast (70460) |
$1,333 |
$2,666 |
8.4× |
| CT head/brain without and with contrast (70470) |
$1,646 |
$3,292 |
10.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$50 |
$100 |
0.6× |
| CT iac w contrast (70481) |
$1,333 |
$2,666 |
8.4× |
| CT lower ext w/o (73700) |
$639.50 |
$1,279 |
6.8× |
| CT lower extremity w wo contrast (73702) |
$908 |
$1,816 |
5.7× |
| CT lower extremity with contrast (73701) |
$908 |
$1,816 |
5.7× |
| CT lumbar spine w & w/o contrast (72133) |
$1,644 |
$3,288 |
10.3× |
| CT lumbar spine w/o contrast (72131) |
$1,329 |
$2,658 |
14.0× |
| CT lumbar spine with contrast (72132) |
$1,596.50 |
$3,193 |
5.1× |
| CT maxillofacial w contrast (70487) |
$1,333 |
$2,666 |
8.4× |
| CT maxillofacial w/o contrast (70486) |
$317 |
$634 |
3.3× |
| CT maxillofacial w/wo contrast (70488) |
$453.50 |
$907 |
2.9× |
| CT neck soft tissue w contrast (70491) |
$1,056.50 |
$2,113 |
6.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,597.50 |
$3,195 |
10.1× |
| CT orbits w/o contrast (70480) |
$963.50 |
$1,927 |
10.2× |
| CT pelvis w & w/o contrast (72194) |
$1,644 |
$3,288 |
10.3× |
| CT pelvis w/o contrast (72192) |
$1,025 |
$2,050 |
10.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,506 |
$3,012 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$963.50 |
$1,927 |
10.2× |
| CT thoracic spine w/contrast (72129) |
$1,595.50 |
$3,191 |
10.0× |
| CT thoracic spine w/o contrast (72128) |
$1,329 |
$2,658 |
14.0× |
| CT thoracic spine w/wo contrast (72130) |
$673.50 |
$1,347 |
4.2× |
| CT thorax w/o contrast (71250) |
$1,025 |
$2,050 |
10.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$908 |
$1,816 |
5.7× |
| CT upper extremity w/o contrast rt (73200) |
$639.50 |
$1,279 |
6.8× |
| CT upper extremity with contrast (73201) |
$908 |
$1,816 |
2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,363 |
$2,726 |
8.6× |
| Cta Abdomen (74175) |
$909 |
$1,818 |
5.7× |
| CTA abdomen pelvis (74174) |
$805.25 |
$1,610.50 |
2.5× |
| CTA chest (71275) |
$1,252.75 |
$2,505.50 |
7.9× |
| Cta Head (70496) |
$950.50 |
$1,901 |
6.0× |
| CTA lwr ext w&w/o contrast (73706) |
$909 |
$1,818 |
5.7× |
| Cta Neck (70498) |
$950.50 |
$1,901 |
6.0× |
| Cta Pelvis (72191) |
$909 |
$1,818 |
5.7× |
| Cystography minimum 3 views rs&i (74430) |
$464.50 |
$929 |
1.5× |
| Diskogram cervical (72285) |
$2,285 |
$4,570 |
1.3× |
| Diskography lumbar (72295) |
$4,960 |
$9,920 |
2.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$99.25 |
$198.50 |
1.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$124.50 |
$249 |
1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$153 |
$306 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$211.50 |
$423 |
2.2× |
| Echo exam of eye (76529) |
$137 |
$274 |
1.7× |
| Echo exam of fetal heart (76825) |
$542.75 |
$1,085.50 |
1.1× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$253 |
$506 |
1.2× |
| Echoencephalography real time imaging (76506) |
$503.50 |
$1,007 |
5.3× |
| Esophagus (74220) |
$236.75 |
$473.50 |
1.5× |
| Fetal biophysical profile non-stress testing (76818) |
$132.50 |
$265 |
1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$535 |
$1,070 |
5.7× |
| Fluoroscopy up to 1 hr (76000) |
$255.75 |
$511.50 |
1.2× |
| Foot 2 views (73620) |
$35.50 |
$71 |
0.5× |
| Forearm 2 views (73090) |
$72 |
$144 |
0.9× |
| Gated Heart Planar Single (78472) |
$1,703.50 |
$3,407 |
4.7× |
| Hand 2 views (73120) |
$35.50 |
$71 |
0.4× |
| Hand 3 views (73130) |
$72.50 |
$145 |
0.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,120.50 |
$2,241 |
1.8× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$1,120.50 |
$2,241 |
1.8× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$1,120.50 |
$2,241 |
1.8× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$324.50 |
$649 |
0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,106 |
$2,212 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,106 |
$2,212 |
3.1× |
| Ht muscle image spect sing (78451) |
$2,020.75 |
$4,041.50 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$66.50 |
$133 |
0.8× |
| Hysterosalpingogram (74740) |
$420.50 |
$841 |
1.9× |
| Interstitial radiation source applic complex (77778) |
$1,581 |
$3,162 |
2.5× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,693 |
$3,386 |
2.7× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,185.50 |
$2,371 |
2.4× |
| Intracavitary radiation source applic simple (77761) |
$848 |
$1,696 |
1.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$652.50 |
$1,305 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,684.50 |
$3,369 |
3.4× |
| Knee 3 views (73562) |
$82.50 |
$165 |
1.0× |
| Liver & spleen imaging static only (78215) |
$1,179 |
$2,358 |
3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,261 |
$2,522 |
3.5× |
| Lung perfusion differential (78597) |
$1,797.50 |
$3,595 |
5.0× |
| Lymphoscintigraphy (78195) |
$950 |
$1,900 |
1.9× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$100.50 |
$201 |
1.3× |
| Meckels Diverticulum (78290) |
$950 |
$1,900 |
2.6× |
| Mlc imrt design & construction per imrt plan (77338) |
$446 |
$892 |
1.3× |
| Mr safety determination physician/other qhp (76016) |
$107 |
$214 |
1.4× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$72 |
$144 |
1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$30 |
$60 |
1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$111.50 |
$223 |
1.3× |
| Mr safety med physics xm customization plng&mntr (76017) |
$293.50 |
$587 |
1.4× |
| MRA head w & w/o contrast (70546) |
$2,487.50 |
$4,975 |
7.9× |
| MRA head w/o contrast (70544) |
$1,768 |
$3,536 |
8.2× |
| MRA neck w contrast (70548) |
$1,978.50 |
$3,957 |
6.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,487.50 |
$4,975 |
7.9× |
| MRA neck w/o contrast (70547) |
$1,768 |
$3,536 |
8.2× |
| MRI abdomen w contrast (74182) |
$1,713 |
$3,426 |
5.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,432.50 |
$4,865 |
7.7× |
| MRI abdomen w/o contrast (74181) |
$1,713 |
$3,426 |
7.9× |
| MRI any jnt lwr ext with con lt (73722) |
$1,978.50 |
$3,957 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,978.50 |
$3,957 |
2.8× |
| MRI breast w/o contrast bilateral (77047) |
$858 |
$1,716 |
4.0× |
| MRI breast w/o contrast unilat (77046) |
$858 |
$1,716 |
4.0× |
| MRI c-spine with contrast (72142) |
$719.50 |
$1,439 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$1,713 |
$3,426 |
7.9× |
| MRI chest w/o & w/contrast material (71552) |
$2,017.50 |
$4,035 |
6.4× |
| MRI chest w/o contrast (71550) |
$1,713 |
$3,426 |
7.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,978.50 |
$3,957 |
6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,978.50 |
$3,957 |
6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,713 |
$3,426 |
7.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,713 |
$3,426 |
7.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,432.50 |
$4,865 |
7.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,978.50 |
$3,957 |
6.3× |
| MRI pelvis w contrast (72196) |
$1,978.50 |
$3,957 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,432.50 |
$4,865 |
7.7× |
| MRI pelvis w/o contrast (72195) |
$1,713 |
$3,426 |
7.9× |
| MRI scan of arm joint before and after contrast (73223) |
$2,432.50 |
$4,865 |
7.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,432.50 |
$4,865 |
7.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,432.50 |
$4,865 |
7.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$719.50 |
$1,439 |
2.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,432.50 |
$4,865 |
7.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$719.50 |
$1,439 |
2.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,432.50 |
$4,865 |
7.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,713 |
$3,426 |
7.9× |
| MRI tmj (70336) |
$1,713 |
$3,426 |
7.9× |
| MRI upper ext joint w/o contrast (73221) |
$1,713 |
$3,426 |
7.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,432.50 |
$4,865 |
7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,713 |
$3,426 |
7.9× |
| Myocardial Spect Multiple Studies (78452) |
$2,263.50 |
$4,527 |
1.9× |
| Neck soft tissue (70360) |
$109.50 |
$219 |
1.4× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$720 |
$1,440 |
2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$552 |
$1,104 |
1.5× |
| Nm adrenal scan (78075) |
$1,714 |
$3,428 |
1.5× |
| Nm bone marrow wb (78104) |
$1,362 |
$2,724 |
3.8× |
| Nm gastric emptying study (78264) |
$1,684.50 |
$3,369 |
4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,474 |
$4,948 |
2.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$1,888 |
$3,776 |
1.5× |
| Nuclear medicine of heart pumping function (78473) |
$2,406.50 |
$4,813 |
6.6× |
| Nuclear medicine study of digestive tracts (78299) |
$497.50 |
$995 |
1.4× |
| Nuclear medicine study of endocrine organs (78099) |
$497.50 |
$995 |
1.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$318 |
$636 |
0.9× |
| Nuclear Rx Oral Admin (79005) |
$484.50 |
$969 |
2.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$306 |
$612 |
3.2× |
| Osseous survey infant (77076) |
$317 |
$634 |
3.3× |
| Parathyrd planar w/spect&CT (78072) |
$652.50 |
$1,305 |
1.3× |
| Parathyrd planar w/wo subtrj (78071) |
$497.50 |
$995 |
1.4× |
| Parathyroid imaging (78070) |
$497.50 |
$995 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$36 |
$72 |
0.4× |
| PET image w/CT, skull-thigh (78815) |
$4,413.50 |
$8,827 |
3.4× |
| PET imaging for CT attenuation whole body (78816) |
$4,502 |
$9,004 |
3.5× |
| Pr MRI brain w/o dye (70557) |
$1,713 |
$3,426 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,432.50 |
$4,865 |
7.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,816.50 |
$3,633 |
0.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$3,847 |
$7,694 |
1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,019 |
$2,038 |
2.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,797.50 |
$3,595 |
3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$666 |
$1,332 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$49.50 |
$99 |
0.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$633.50 |
$1,267 |
6.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$53 |
$106 |
0.6× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$722.50 |
$1,445 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$165.50 |
$331 |
1.8× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$504.50 |
$1,009 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$67.50 |
$135 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$112.50 |
$225 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$133.75 |
$267.50 |
1.7× |
| Radiologic exam colon single contrast study (74270) |
$411 |
$822 |
2.6× |
| Radiologic exam teeth prtl exam < full mouth (70310) |
$296 |
$592 |
1.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$354.50 |
$709 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$52 |
$104 |
0.7× |
| Radiological examination surgical specimen (76098) |
$666 |
$1,332 |
1.3× |
| Review by radiologist of adrenal gland vein image (75840) |
$1,816.50 |
$3,633 |
0.6× |
| Ribs bilateral 3 views (71110) |
$74.50 |
$149 |
0.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,714 |
$3,428 |
3.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,714 |
$3,428 |
3.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$1,766.50 |
$3,533 |
1.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$1,716 |
$3,432 |
1.5× |
| Rp Therapy Intravenous Administration (79101) |
$323.50 |
$647 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$132.50 |
$265 |
1.4× |
| Scanogram (77073) |
$157.50 |
$315 |
1.7× |
| Scapula complete (73010) |
$36 |
$72 |
0.4× |
| Screening digital breast tomosynthesis (77063) |
$23.50 |
$47 |
1.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$313 |
$626 |
3.3× |
| Sialogram (70390) |
$518.50 |
$1,037 |
2.4× |
| Simulation intermediate (77285) |
$1,220.50 |
$2,441 |
3.6× |
| Small bowel series (74250) |
$443.75 |
$887.50 |
2.8× |
| Spec medical radj physics consltj (77370) |
$661 |
$1,322 |
5.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$457.50 |
$915 |
1.3× |
| Special dosimetry (77331) |
$326 |
$652 |
2.7× |
| Special treatment procedure (77470) |
$1,863.50 |
$3,727 |
3.7× |
| Spine thoracic 3 views (72072) |
$61.50 |
$123 |
0.6× |
| Stereotactic body radiation delivery (77373) |
$2,513.50 |
$5,027 |
1.6× |
| Superior sagittal sinus venogram (75870) |
$3,847 |
$7,694 |
1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,322.50 |
$2,645 |
3.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$976 |
$1,952 |
2.9× |
| Testicular Imaging With Vascular Flow (78761) |
$889.50 |
$1,779 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,626 |
$3,252 |
4.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$813.50 |
$1,627 |
6.7× |
| Thoracolumbar 2 views (72080) |
$61.50 |
$123 |
0.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,274 |
$4,548 |
4.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$497.50 |
$995 |
1.4× |
| Thyroid uptake measurement (78012) |
$497.50 |
$995 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$687 |
$1,374 |
1.9× |
| Treatment device intermediate (77333) |
$593 |
$1,186 |
4.9× |
| Treatment devices simple (77332) |
$559.50 |
$1,119 |
4.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,283 |
$4,566 |
4.6× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$552 |
$1,104 |
1.5× |
| Tx devices design & construction complex (77334) |
$915.50 |
$1,831 |
2.7× |
| Ultrasound elastography first target lesion (76982) |
$406.50 |
$813 |
4.3× |
| Ultrasound, abdomen limited (76705) |
$527.50 |
$1,055 |
5.6× |
| Umbilical-artery Doppler (OB) (76820) |
$103 |
$206 |
1.1× |
| Unlisted fluoroscopic procedure (76496) |
$110 |
$220 |
1.4× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$318 |
$636 |
0.9× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED (78199) |
$318 |
$636 |
0.9× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$497.50 |
$995 |
1.4× |
| Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED (78399) |
$318 |
$636 |
0.9× |
| Unlisted Ultrasound Procedure (76999) |
$100.88 |
$201.75 |
1.3× |
| Upper Extremity Infant (73092) |
$83.50 |
$167 |
0.9× |
| Urethrocystography retrograde rs&i (74450) |
$296 |
$592 |
1.4× |
| Urethrocystography voiding (74455) |
$316.50 |
$633 |
1.5× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$719.50 |
$1,439 |
4.5× |
| Us abdl aorta screen aaa (76706) |
$339.50 |
$679 |
3.6× |
| Us breast unilateral complete (76641) |
$204.75 |
$409.50 |
2.2× |
| Us breast unilateral limited (76642) |
$141.25 |
$282.50 |
1.8× |
| Us chest (76604) |
$152 |
$304 |
1.6× |
| Us elastography parenchyma (76981) |
$406.50 |
$813 |
4.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$500.50 |
$1,001 |
5.3× |
| Us guided compression repair (76936) |
$379 |
$758 |
1.9× |
| Us infant hips dynamic (76885) |
$107 |
$214 |
1.4× |
| Us kidney transplant (76776) |
$420.50 |
$841 |
4.4× |
| Us ob detailed single fetus (76811) |
$296 |
$592 |
1.4× |
| Us ob transvaginal (76817) |
$159 |
$318 |
1.7× |
| Us pelvic non ob complete (76856) |
$178.50 |
$357 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$87 |
$174 |
0.9× |
| Us pregnancy ltd (76815) |
$116 |
$232 |
1.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$202.50 |
$405 |
2.1× |
| Us retroperitoneal complete (76770) |
$413 |
$826 |
4.4× |
| Us retroperitoneal limited (76775) |
$119.25 |
$238.50 |
1.3× |
| Us scrotum and contents (76870) |
$297.50 |
$595 |
3.1× |
| Us soft tissue head/neck (76536) |
$90.50 |
$181 |
1.0× |
| Us spinal canal and contents (76800) |
$280 |
$560 |
3.0× |
| Us transrectal (76872) |
$431.50 |
$863 |
4.6× |
| Us transrectal prostate volume (76873) |
$282.50 |
$565 |
3.0× |
| Us xtr non-vasc lmtd (76882) |
$297.50 |
$595 |
3.1× |
| Us, eye b-scan (76512) |
$165 |
$330 |
1.7× |
| Venogram extremity bilateral (75822) |
$1,933 |
$3,866 |
1.4× |
| Venography caval inferior serialography rs&i (75825) |
$1,547 |
$3,094 |
0.5× |
| Venography caval superior serialography rs&i (75827) |
$913.50 |
$1,827 |
0.6× |
| Venography extremity unilateral rs&i (75820) |
$760 |
$1,520 |
0.5× |
| Venography Renal Bilateral (75833) |
$2,603.50 |
$5,207 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$2,603.50 |
$5,207 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,547 |
$3,094 |
0.5× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$2,578.50 |
$5,157 |
0.5× |
| Wrist 2 views (73100) |
$69.50 |
$139 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$411.75 |
$823.50 |
4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$117 |
$234 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$71 |
$142 |
0.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$599 |
$1,198 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$72.50 |
$145 |
0.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$32 |
$64 |
0.4× |
| X-ray exam hip uni 1 view (73501) |
$84.75 |
$169.50 |
1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$118 |
$236 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$72.50 |
$145 |
0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$161 |
$322 |
1.7× |
| X-ray exam of femur 1 (73551) |
$45 |
$90 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$77.50 |
$155 |
0.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$71 |
$142 |
0.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,497 |
$2,994 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$72.75 |
$145.50 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$432 |
$864 |
2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$51 |
$102 |
0.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$187 |
$374 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$46.50 |
$93 |
0.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$138.25 |
$276.50 |
1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$103.50 |
$207 |
1.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$83.50 |
$167 |
0.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$103.50 |
$207 |
1.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$188 |
$376 |
2.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$49 |
$98 |
0.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$153.25 |
$306.50 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$51.50 |
$103 |
0.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$524.50 |
$1,049 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$55.50 |
$111 |
0.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$49 |
$98 |
0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$60.75 |
$121.50 |
0.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$57 |
$114 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$36 |
$72 |
0.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$100.50 |
$201 |
1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$82 |
$164 |
1.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$104.50 |
$209 |
1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$70 |
$140 |
0.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$90.38 |
$180.75 |
1.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$43 |
$86 |
0.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$59.50 |
$119 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$128 |
$256 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$59 |
$118 |
0.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$39.32 |
$78.62 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$90.75 |
$181.50 |
1.2× |
| Xr arthrogram ankle (73615) |
$629 |
$1,258 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$70 |
$140 |
0.7× |
| Xr chest 4+ views (71048) |
$148 |
$296 |
1.6× |
| Xr finger(s) 2+ views (73140) |
$62.50 |
$125 |
0.8× |
| Xr shoulder 1 view (73020) |
$48 |
$96 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$80 |
$160 |
0.8× |
| Xr tibia/fibula 2 views (73590) |
$70.50 |
$141 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$75 |
$150 |
1.0× |