| 3-D radiotherapy plan dose-volume histograms (77295) |
$10,915.53 |
$10,915.53 |
8.2× |
| Abdomen 2 views (74019) |
$695.21 |
$695.21 |
6.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$3,441.23 |
$3,441.23 |
9.0× |
| Angiography extremity bilateral rs&i (75716) |
$5,979.34 |
$5,979.34 |
2.0× |
| Angiography extremity unilateral rs&i (75710) |
$986 |
$986 |
0.3× |
| Angiography internal mammary rs&i (75756) |
$14,374.93 |
$14,374.93 |
4.7× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$5,837.69 |
$5,837.69 |
1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$7,496.62 |
$7,496.62 |
2.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$5,837.69 |
$5,837.69 |
1.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,080.90 |
$1,080.90 |
0.4× |
| Ankle 2 views (73600) |
$446.80 |
$446.80 |
5.4× |
| Antegrade urography radiological supvj & interpj (74425) |
$921.59 |
$921.59 |
2.8× |
| Aortogram thoracic (75605) |
$6,121 |
$6,121 |
1.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$6,594.71 |
$6,594.71 |
2.2× |
| Aortography abdominal serialography rs&i (75625) |
$5,979.34 |
$5,979.34 |
2.0× |
| Arthrogram hip (73525) |
$1,334.52 |
$1,334.52 |
4.0× |
| Arthrogram shoulder (73040) |
$1,626.76 |
$1,626.76 |
4.9× |
| Arthrogram wrist (73115) |
$2,303.38 |
$2,303.38 |
6.9× |
| Arthrography knee lt (73580) |
$2,751.01 |
$2,751.01 |
8.2× |
| Basic radiation dosimetry calculation (77300) |
$1,479.33 |
$1,479.33 |
11.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,203.74 |
$3,203.74 |
8.4× |
| Bone &/joint imaging whole body (78306) |
$6,278.68 |
$6,278.68 |
16.4× |
| Bone age studies (77072) |
$446.80 |
$446.80 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$6,058.05 |
$6,058.05 |
15.8× |
| Bone survey complete (77075) |
$1,071.81 |
$1,071.81 |
10.7× |
| Brain Imaging Vascular Flow Only (78610) |
$3,203.74 |
$3,203.74 |
6.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,948.45 |
$1,948.45 |
5.8× |
| Cervical spine 2 or 3 views (72040) |
$446.80 |
$446.80 |
5.4× |
| Chest 1 view (71045) |
$446.80 |
$446.80 |
5.4× |
| Chest 3 views (71047) |
$731.89 |
$731.89 |
8.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$801.40 |
$801.40 |
4.8× |
| Clavicle complete (73000) |
$428.67 |
$428.67 |
5.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$523.23 |
$523.23 |
5.2× |
| Continuing medical physics consltj pr wk (77336) |
$1,900.31 |
$1,900.31 |
14.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$8,838.15 |
$8,838.15 |
26.4× |
| CT abdomen and pelvis without contrast (74176) |
$6,499.93 |
$6,499.93 |
28.4× |
| CT abdomen w contrast (74160) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT abdomen w wo contrast (74170) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT abdomen w/o contrast (74150) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT angio hrt w/3d image (75574) |
$2,782.04 |
$2,782.04 |
8.3× |
| CT angiography upper extremity lt (73206) |
$4,473.31 |
$4,473.31 |
26.6× |
| CT c-spine w/o contrast (72125) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) |
$13,520 |
$13,520 |
80.3× |
| CT cervical spine w&w/o contrast (72127) |
$8,103.14 |
$8,103.14 |
48.2× |
| CT cervical spine with contrast (72126) |
$3,895.85 |
$3,895.85 |
11.6× |
| CT chest w/wo contrast (71270) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT chest with contrast (71260) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT head/brain with contrast (70460) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT head/brain without and with contrast (70470) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$69.47 |
$69.47 |
0.8× |
| CT iac w contrast (70481) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT limited/localized follow up study (76380) |
$1,940.11 |
$1,940.11 |
23.2× |
| CT lower ext w/o (73700) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT lower extremity w wo contrast (73702) |
$4,032.69 |
$4,032.69 |
24.0× |
| CT lower extremity with contrast (73701) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT lumbar spine w & w/o contrast (72133) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT lumbar spine w/o contrast (72131) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT lumbar spine with contrast (72132) |
$3,895.85 |
$3,895.85 |
11.6× |
| CT maxillofacial w contrast (70487) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT maxillofacial w/o contrast (70486) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT maxillofacial w/wo contrast (70488) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT neck soft tissue w contrast (70491) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$4,085.67 |
$4,085.67 |
24.3× |
| CT orbits w/o contrast (70480) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT pelvis w & w/o contrast (72194) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT pelvis w/o contrast (72192) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,419.07 |
$4,419.07 |
26.3× |
| CT soft tissue neck w/o contrast (70490) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT thoracic spine w/contrast (72129) |
$3,895.85 |
$3,895.85 |
23.2× |
| CT thoracic spine w/o contrast (72128) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT thoracic spine w/wo contrast (72130) |
$7,055.35 |
$7,055.35 |
41.9× |
| CT thorax w/o contrast (71250) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,354.71 |
$4,354.71 |
25.9× |
| CT upper extremity w/o contrast rt (73200) |
$3,250.31 |
$3,250.31 |
32.4× |
| CT upper extremity with contrast (73201) |
$3,508.03 |
$3,508.03 |
10.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,187.65 |
$7,187.65 |
42.7× |
| Cta Abdomen (74175) |
$5,249.65 |
$5,249.65 |
31.2× |
| CTA abdomen pelvis (74174) |
$5,247.87 |
$5,247.87 |
15.7× |
| CTA chest (71275) |
$4,473.31 |
$4,473.31 |
26.6× |
| Cta Head (70496) |
$4,473.31 |
$4,473.31 |
26.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$13,520 |
$13,520 |
40.4× |
| CTA lwr ext w&w/o contrast (73706) |
$4,473.31 |
$4,473.31 |
26.6× |
| Cta Neck (70498) |
$4,473.31 |
$4,473.31 |
26.6× |
| Cta Pelvis (72191) |
$4,473.31 |
$4,473.31 |
26.6× |
| Cystography minimum 3 views rs&i (74430) |
$890.16 |
$890.16 |
2.7× |
| Diskogram cervical (72285) |
$8,876.96 |
$8,876.96 |
4.7× |
| Diskography lumbar (72295) |
$6,998.37 |
$6,998.37 |
3.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$615.57 |
$615.57 |
6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$440.19 |
$440.19 |
5.3× |
| Echoencephalography real time imaging (76506) |
$1,008.21 |
$1,008.21 |
10.1× |
| Esophagus (74220) |
$882.80 |
$882.80 |
5.2× |
| Fetal biophysical profile non-stress testing (76818) |
$775.46 |
$775.46 |
7.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$916.52 |
$916.52 |
9.1× |
| Fluoroscopy up to 1 hr (76000) |
$502.72 |
$502.72 |
2.2× |
| Foot 2 views (73620) |
$446.80 |
$446.80 |
5.4× |
| Forearm 2 views (73090) |
$428.67 |
$428.67 |
5.1× |
| Gated Heart Planar Single (78472) |
$4,043.16 |
$4,043.16 |
10.5× |
| Hand 2 views (73120) |
$428.67 |
$428.67 |
4.3× |
| Hand 3 views (73130) |
$446.80 |
$446.80 |
5.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,084.76 |
$6,084.76 |
11.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$6,084.76 |
$6,084.76 |
15.9× |
| Ht muscle image spect sing (78451) |
$10,329.69 |
$10,329.69 |
8.3× |
| Humerus Min 2 Views Left (73060) |
$535.23 |
$535.23 |
6.4× |
| Hysterosalpingogram (74740) |
$1,155.99 |
$1,155.99 |
5.0× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,633.73 |
$1,633.73 |
4.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$4,825.72 |
$4,825.72 |
9.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,505.48 |
$2,505.48 |
4.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$4,825.72 |
$4,825.72 |
9.3× |
| Knee 3 views (73562) |
$535.23 |
$535.23 |
6.4× |
| Lung perf&ventilat diferentl (78598) |
$1,922.69 |
$1,922.69 |
3.7× |
| Lung Ventilation Imaging (78579) |
$1,230.43 |
$1,230.43 |
3.2× |
| Lymphoscintigraphy (78195) |
$4,999.03 |
$4,999.03 |
9.6× |
| Mammary ductogram or galactogram multiple (77054) |
$1,173.35 |
$1,173.35 |
5.1× |
| Mammary ductogram or galactogram single (77053) |
$1,104.15 |
$1,104.15 |
4.8× |
| Meckels Diverticulum (78290) |
$3,378.69 |
$3,378.69 |
8.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$9,616.16 |
$9,616.16 |
26.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$114.62 |
$114.62 |
4.1× |
| MRA head w & w/o contrast (70546) |
$4,373.64 |
$4,373.64 |
13.1× |
| MRA head w/o contrast (70544) |
$4,036.92 |
$4,036.92 |
17.6× |
| MRA head with contrast (70545) |
$3,469.64 |
$3,469.64 |
10.4× |
| MRA neck w contrast (70548) |
$4,100.74 |
$4,100.74 |
12.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,169.16 |
$5,169.16 |
15.4× |
| MRA neck w/o contrast (70547) |
$4,035.16 |
$4,035.16 |
17.6× |
| MRI abdomen w contrast (74182) |
$5,106.42 |
$5,106.42 |
15.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI abdomen w/o contrast (74181) |
$4,747.70 |
$4,747.70 |
20.7× |
| MRI any jnt lwr ext with con lt (73722) |
$5,106.42 |
$5,106.42 |
6.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$5,106.42 |
$5,106.42 |
6.8× |
| MRI breast w/o contrast bilateral (77047) |
$5,346.74 |
$5,346.74 |
23.4× |
| MRI breast w/o contrast unilat (77046) |
$5,346.74 |
$5,346.74 |
23.4× |
| MRI c-spine with contrast (72142) |
$5,106.42 |
$5,106.42 |
15.3× |
| MRI cardiac w/o cont stress (75559) |
$2,555.92 |
$2,555.92 |
4.9× |
| MRI cardiac w/o contrast (75557) |
$1,964.87 |
$1,964.87 |
8.6× |
| MRI cervical spine w/o contrast (72141) |
$2,437.58 |
$2,437.58 |
10.6× |
| MRI chest w/o & w/contrast material (71552) |
$6,219.16 |
$6,219.16 |
18.6× |
| MRI chest w/o contrast (71550) |
$3,917.62 |
$3,917.62 |
17.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,962.80 |
$3,962.80 |
11.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,309.73 |
$4,309.73 |
12.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,303.52 |
$5,303.52 |
23.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,678.19 |
$3,678.19 |
16.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$6,580.04 |
$6,580.04 |
19.7× |
| MRI pelvis w contrast (72196) |
$5,106.42 |
$5,106.42 |
15.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI pelvis w/o contrast (72195) |
$3,742.33 |
$3,742.33 |
16.3× |
| MRI scan of arm joint before and after contrast (73223) |
$6,237.23 |
$6,237.23 |
18.6× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$3,785.42 |
$3,785.42 |
5.0× |
| MRI scan of leg joint before and after contrast (73723) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,106.42 |
$5,106.42 |
15.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,106.42 |
$5,106.42 |
15.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,224.13 |
$6,224.13 |
18.6× |
| MRI thoracic spine w/o contrast (72146) |
$3,742.33 |
$3,742.33 |
16.3× |
| MRI tmj (70336) |
$4,056.68 |
$4,056.68 |
17.7× |
| MRI upper ext joint w/o contrast (73221) |
$4,749.79 |
$4,749.79 |
20.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,583.32 |
$4,583.32 |
13.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,742.33 |
$3,742.33 |
16.3× |
| Myelogram Lumbar (72265) |
$3,681.20 |
$3,681.20 |
4.9× |
| Myocardial Spect Multiple Studies (78452) |
$10,329.69 |
$10,329.69 |
8.3× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$3,948.03 |
$3,948.03 |
4.8× |
| Neck soft tissue (70360) |
$426.91 |
$426.91 |
5.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,488.05 |
$1,488.05 |
3.9× |
| Nm cisternogram (78630) |
$4,086.60 |
$4,086.60 |
7.8× |
| Nm gastric emptying study (78264) |
$4,570 |
$4,570 |
11.9× |
| Nm red cell sequestration (78140) |
$1,618.27 |
$1,618.27 |
4.2× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$8,845.97 |
$8,845.97 |
6.7× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$10,329.69 |
$10,329.69 |
8.3× |
| Nuclear medicine study of kidney and blood flow (78701) |
$3,203.74 |
$3,203.74 |
8.4× |
| Nuclear Rx Oral Admin (79005) |
$3,265.10 |
$3,265.10 |
14.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$825.19 |
$825.19 |
8.2× |
| Osseous survey infant (77076) |
$446.80 |
$446.80 |
4.5× |
| Parathyrd planar w/spect&CT (78072) |
$2,601.19 |
$2,601.19 |
5.0× |
| Parathyrd planar w/wo subtrj (78071) |
$2,235.31 |
$2,235.31 |
5.8× |
| Parathyroid imaging (78070) |
$4,040.72 |
$4,040.72 |
10.5× |
| Pelvis 1 or 2 views (72170) |
$446.80 |
$446.80 |
4.5× |
| Peritoneogram rs&i (74190) |
$2,518.88 |
$2,518.88 |
4.8× |
| Pr heart first pass single,planar (78481) |
$5,235.56 |
$5,235.56 |
10.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,760.45 |
$5,760.45 |
17.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$14,647.03 |
$14,647.03 |
4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,307.23 |
$4,307.23 |
11.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,131.06 |
$3,131.06 |
6.0× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$4,277.25 |
$4,277.25 |
4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$800.35 |
$800.35 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$429.62 |
$429.62 |
5.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$801.40 |
$801.40 |
8.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$890.85 |
$890.85 |
8.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$505.52 |
$505.52 |
5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$37,071.63 |
$37,071.63 |
5.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,631.94 |
$2,631.94 |
5.0× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$4,805.40 |
$4,805.40 |
49.1× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$4,998.22 |
$4,998.22 |
13.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$660.29 |
$660.29 |
6.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$446.80 |
$446.80 |
5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$801.04 |
$801.04 |
8.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$625.34 |
$625.34 |
7.5× |
| Radiologic exam colon single contrast study (74270) |
$1,246.51 |
$1,246.51 |
7.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$879.23 |
$879.23 |
5.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,246.51 |
$1,246.51 |
7.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,246.51 |
$1,246.51 |
7.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$518.44 |
$518.44 |
6.2× |
| Radiological examination surgical specimen (76098) |
$423.42 |
$423.42 |
0.8× |
| Ribs bilateral 3 views (71110) |
$731.89 |
$731.89 |
7.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,448.71 |
$3,448.71 |
6.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$7,166.82 |
$7,166.82 |
13.8× |
| Scanogram (77073) |
$563.11 |
$563.11 |
5.6× |
| Scapula complete (73010) |
$446.80 |
$446.80 |
4.5× |
| Screening digital breast tomosynthesis (77063) |
$216.90 |
$216.90 |
9.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$2,576.83 |
$2,576.83 |
25.7× |
| Small bowel series (74250) |
$882.80 |
$882.80 |
5.2× |
| Spec medical radj physics consltj (77370) |
$3,562.81 |
$3,562.81 |
27.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$4,510.82 |
$4,510.82 |
12.6× |
| Special treatment procedure (77470) |
$4,688.64 |
$4,688.64 |
8.8× |
| Speech evaluation complex (70371) |
$1,155.66 |
$1,155.66 |
5.0× |
| Spine thoracic 3 views (72072) |
$802.45 |
$802.45 |
8.0× |
| Stereotactic body radiation delivery (77373) |
$14,198.76 |
$14,198.76 |
8.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$9,410.49 |
$9,410.49 |
26.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$5,519.89 |
$5,519.89 |
15.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$2,781.91 |
$2,781.91 |
21.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$7,125.97 |
$7,125.97 |
13.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$4,003.26 |
$4,003.26 |
10.4× |
| Thyroid uptake measurement (78012) |
$4,040.72 |
$4,040.72 |
10.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,040.72 |
$4,040.72 |
10.5× |
| Tmj unilateral (70328) |
$802.45 |
$802.45 |
9.6× |
| Treatment device intermediate (77333) |
$1,974.76 |
$1,974.76 |
15.3× |
| Treatment devices simple (77332) |
$1,435.41 |
$1,435.41 |
11.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$7,087.71 |
$7,087.71 |
13.6× |
| Tx devices design & construction complex (77334) |
$3,752.41 |
$3,752.41 |
10.4× |
| Ultrasound, abdomen limited (76705) |
$1,375.32 |
$1,375.32 |
13.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$787.14 |
$787.14 |
9.4× |
| Unlisted Ultrasound Procedure (76999) |
$825.19 |
$825.19 |
9.9× |
| Upper Extremity Infant (73092) |
$428.67 |
$428.67 |
4.3× |
| Urethrocystography retrograde rs&i (74450) |
$1,251.91 |
$1,251.91 |
5.5× |
| Urethrocystography voiding (74455) |
$1,157.38 |
$1,157.38 |
5.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,406.13 |
$1,406.13 |
8.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,262.19 |
$1,262.19 |
7.5× |
| Us abdl aorta screen aaa (76706) |
$1,443.29 |
$1,443.29 |
14.4× |
| Us breast unilateral complete (76641) |
$721.28 |
$721.28 |
7.2× |
| Us breast unilateral limited (76642) |
$628 |
$628 |
7.5× |
| Us chest (76604) |
$1,029.30 |
$1,029.30 |
10.3× |
| Us guided compression repair (76936) |
$1,682.72 |
$1,682.72 |
8.1× |
| Us infant hips limited static (76886) |
$847.37 |
$847.37 |
10.1× |
| Us kidney transplant (76776) |
$1,375.32 |
$1,375.32 |
13.7× |
| Us ob transvaginal (76817) |
$1,293.69 |
$1,293.69 |
12.9× |
| Us pelvic non ob complete (76856) |
$953.57 |
$953.57 |
9.5× |
| Us pregnancy ltd (76815) |
$825.19 |
$825.19 |
8.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$916.52 |
$916.52 |
9.1× |
| Us retroperitoneal complete (76770) |
$1,375.32 |
$1,375.32 |
13.7× |
| Us retroperitoneal limited (76775) |
$1,375.32 |
$1,375.32 |
13.7× |
| Us scrotum and contents (76870) |
$1,191.58 |
$1,191.58 |
11.9× |
| Us soft tissue head/neck (76536) |
$1,044.51 |
$1,044.51 |
10.4× |
| Us spinal canal and contents (76800) |
$1,191.58 |
$1,191.58 |
11.9× |
| Us xtr non-vasc lmtd (76882) |
$611.99 |
$611.99 |
6.1× |
| Venogram extremity bilateral (75822) |
$2,103.11 |
$2,103.11 |
1.4× |
| Venography caval inferior serialography rs&i (75825) |
$3,317.44 |
$3,317.44 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$3,317.44 |
$3,317.44 |
2.2× |
| Venography extremity unilateral rs&i (75820) |
$7,363.26 |
$7,363.26 |
4.9× |
| Venography Renal Bilateral (75833) |
$2,891.10 |
$2,891.10 |
1.0× |
| Vertebral fracture assessment via dxa (77086) |
$344.76 |
$344.76 |
4.1× |
| Wrist 2 views (73100) |
$428.67 |
$428.67 |
5.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$979.58 |
$979.58 |
9.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$578.15 |
$578.15 |
6.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,257.92 |
$1,257.92 |
7.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$556 |
$556 |
6.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$756.16 |
$756.16 |
7.5× |
| X-ray exam hip uni 1 view (73501) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$554.41 |
$554.41 |
6.6× |
| X-ray exam hip uni 4/> views (73503) |
$554.41 |
$554.41 |
5.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$890.85 |
$890.85 |
8.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$815.25 |
$815.25 |
8.1× |
| X-ray exam of femur 1 (73551) |
$291.55 |
$291.55 |
3.5× |
| X-ray eye for foreign body (70030) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$660.29 |
$660.29 |
6.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$571.55 |
$571.55 |
6.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$518.44 |
$518.44 |
6.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$589.36 |
$589.36 |
5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$428.67 |
$428.67 |
5.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$428.67 |
$428.67 |
5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$622.18 |
$622.18 |
6.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,085.78 |
$1,085.78 |
10.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$660.29 |
$660.29 |
6.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$535.23 |
$535.23 |
5.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,920.21 |
$1,920.21 |
5.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$625.34 |
$625.34 |
7.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$731.89 |
$731.89 |
7.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$890.16 |
$890.16 |
8.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$535.23 |
$535.23 |
5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$625.34 |
$625.34 |
7.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$445.07 |
$445.07 |
5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$802.45 |
$802.45 |
9.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$446.80 |
$446.80 |
5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$979.58 |
$979.58 |
9.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$802.45 |
$802.45 |
8.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$411.54 |
$411.54 |
4.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$426.91 |
$426.91 |
5.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$554.41 |
$554.41 |
6.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$731.89 |
$731.89 |
7.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$428.67 |
$428.67 |
5.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$446.80 |
$446.80 |
5.4× |
| Xr arthrogram ankle (73615) |
$1,607.09 |
$1,607.09 |
4.8× |
| Xr c-spine 6 or more views (72052) |
$1,014.86 |
$1,014.86 |
10.1× |
| Xr chest 4+ views (71048) |
$801.04 |
$801.04 |
8.0× |
| Xr finger(s) 2+ views (73140) |
$428.67 |
$428.67 |
5.1× |
| Xr shoulder 1 view (73020) |
$267.94 |
$267.94 |
3.2× |
| Xr spine cervical 4 or 5 views (72050) |
$979.58 |
$979.58 |
9.8× |
| Xr tibia/fibula 2 views (73590) |
$482.81 |
$482.81 |
5.8× |
| Xr tmj bilateral (70330) |
$802.45 |
$802.45 |
9.6× |
| Xray knee 1 or 2 views rt (73560) |
$445.07 |
$445.07 |
5.3× |