| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,384.50 |
$9,670 |
2.3× |
| Abdomen 2 views (74019) |
$329 |
$940 |
3.0× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,411.85 |
$6,891 |
5.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,362.45 |
$9,607 |
1.0× |
| Angiography extremity bilateral rs&i (75716) |
$4,040.40 |
$11,544 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,813.95 |
$10,897 |
1.1× |
| Angiography internal mammary rs&i (75756) |
$2,031.75 |
$5,805 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$4,014.15 |
$11,469 |
0.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$4,014.15 |
$11,469 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,722.95 |
$10,637 |
1.1× |
| Angiography Spinal Selective Rs&I (75705) |
$3,184.65 |
$9,099 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,014.15 |
$11,469 |
0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,471.65 |
$9,919 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,533.70 |
$4,382 |
0.5× |
| Ankle 2 views (73600) |
$225.05 |
$643 |
2.5× |
| Antegrade urography radiological supvj & interpj (74425) |
$422.10 |
$1,206 |
1.1× |
| Aortogram thoracic (75605) |
$3,454.50 |
$9,870 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,269.05 |
$6,483 |
0.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,465.75 |
$7,045 |
0.7× |
| Artery X-Rays Adrenal Gland (75731) |
$2,029.30 |
$5,798 |
0.6× |
| Arthrogram elbow (73085) |
$837.55 |
$2,393 |
2.3× |
| Arthrogram hip (73525) |
$505.75 |
$1,445 |
1.4× |
| Arthrogram shoulder (73040) |
$1,029.35 |
$2,941 |
2.8× |
| Arthrogram wrist (73115) |
$581.70 |
$1,662 |
1.6× |
| Arthrography knee lt (73580) |
$778.40 |
$2,224 |
2.1× |
| Basic radiation dosimetry calculation (77300) |
$551.60 |
$1,576 |
3.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,374.10 |
$3,926 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$2,716.70 |
$7,762 |
6.4× |
| Bone age studies (77072) |
$175.70 |
$502 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$2,841.65 |
$8,119 |
6.7× |
| Bone survey complete (77075) |
$551.25 |
$1,575 |
5.0× |
| Brachytx isodose complex (77318) |
$1,779.05 |
$5,083 |
4.5× |
| Brachytx isodose intermed (77317) |
$1,061.90 |
$3,034 |
2.7× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$974.75 |
$2,785 |
2.5× |
| Brain image w/flow 4 + views (78606) |
$1,019.90 |
$2,914 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,771.65 |
$7,919 |
1.8× |
| Brain Imaging Vascular Flow Only (78610) |
$1,027.25 |
$2,935 |
1.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,345.05 |
$3,843 |
3.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$2,193.10 |
$6,266 |
6.0× |
| Cardiac shunt detection (78428) |
$764.40 |
$2,184 |
1.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,198.75 |
$3,425 |
2.1× |
| Cervical spine 2 or 3 views (72040) |
$331.45 |
$947 |
3.6× |
| Chest 1 view (71045) |
$316.05 |
$903 |
3.4× |
| Chest 3 views (71047) |
$443.10 |
$1,266 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$468.65 |
$1,339 |
2.5× |
| Cineradiography/videoradiography (76120) |
$964.95 |
$2,757 |
8.8× |
| Cisternography Positive Contrast Rs&I (70015) |
$673.05 |
$1,923 |
0.8× |
| Clavicle complete (73000) |
$240.80 |
$688 |
2.6× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$31,191.65 |
$89,119 |
4.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,894.55 |
$5,413 |
17.2× |
| Continuing medical physics consltj pr wk (77336) |
$931 |
$2,660 |
6.6× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$532.35 |
$1,521 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,517.05 |
$15,763 |
15.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,569.60 |
$13,056 |
18.2× |
| CT abdomen w contrast (74160) |
$1,975.75 |
$5,645 |
10.7× |
| CT abdomen w wo contrast (74170) |
$2,368.80 |
$6,768 |
12.8× |
| CT abdomen w/o contrast (74150) |
$1,716.40 |
$4,904 |
15.6× |
| CT angio hrt w/3d image (75574) |
$1,598.45 |
$4,567 |
4.3× |
| CT angiography upper extremity lt (73206) |
$2,226 |
$6,360 |
12.0× |
| CT c-spine w/o contrast (72125) |
$2,259.25 |
$6,455 |
20.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,536.80 |
$7,248 |
13.7× |
| CT cervical spine with contrast (72126) |
$2,306.15 |
$6,589 |
6.3× |
| CT chest w/wo contrast (71270) |
$2,846.90 |
$8,134 |
15.4× |
| CT chest with contrast (71260) |
$2,719.50 |
$7,770 |
14.7× |
| CT colonography screening (74263) |
$1,213.45 |
$3,467 |
4.8× |
| CT colonography w/o cntrst (74261) |
$686 |
$1,960 |
6.2× |
| CT head/brain with contrast (70460) |
$2,152.50 |
$6,150 |
11.6× |
| CT head/brain without and with contrast (70470) |
$2,367.75 |
$6,765 |
12.8× |
| CT heart contrast eval cardiac structure&morph (75572) |
$910.70 |
$2,602 |
2.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$189.35 |
$541 |
2.1× |
| CT hrt w/3d image congen (75573) |
$556.50 |
$1,590 |
1.5× |
| CT iac w contrast (70481) |
$1,113.70 |
$3,182 |
6.0× |
| CT limited/localized follow up study (76380) |
$91.35 |
$261 |
1.0× |
| CT lower ext w/o (73700) |
$1,746.85 |
$4,991 |
15.8× |
| CT lower extremity w wo contrast (73702) |
$2,066.05 |
$5,903 |
11.2× |
| CT lower extremity with contrast (73701) |
$1,920.10 |
$5,486 |
10.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,462.30 |
$4,178 |
7.9× |
| CT lumbar spine w/o contrast (72131) |
$1,093.40 |
$3,124 |
9.9× |
| CT lumbar spine with contrast (72132) |
$1,243.20 |
$3,552 |
3.4× |
| CT maxillofacial w contrast (70487) |
$1,845.55 |
$5,273 |
10.0× |
| CT maxillofacial w/o contrast (70486) |
$1,487.85 |
$4,251 |
13.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,030 |
$5,800 |
11.0× |
| CT neck soft tissue w contrast (70491) |
$1,609.30 |
$4,598 |
8.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,225 |
$3,500 |
6.6× |
| CT orbits w/o contrast (70480) |
$1,060.50 |
$3,030 |
9.6× |
| CT pelvis w & w/o contrast (72194) |
$2,220.05 |
$6,343 |
12.0× |
| CT pelvis w/o contrast (72192) |
$2,072 |
$5,920 |
18.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,956.50 |
$5,590 |
10.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,069.95 |
$3,057 |
9.7× |
| CT thoracic spine w/contrast (72129) |
$1,277.15 |
$3,649 |
6.9× |
| CT thoracic spine w/o contrast (72128) |
$1,257.20 |
$3,592 |
11.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,429.75 |
$4,085 |
7.7× |
| CT thorax w/o contrast (71250) |
$1,894.55 |
$5,413 |
17.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,119.95 |
$6,057 |
11.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,558.55 |
$4,453 |
14.1× |
| CT upper extremity with contrast (73201) |
$2,026.15 |
$5,789 |
5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,881.60 |
$5,376 |
10.2× |
| Cta Abdomen (74175) |
$2,487.10 |
$7,106 |
13.4× |
| CTA abdomen pelvis (74174) |
$5,792.85 |
$16,551 |
15.7× |
| CTA chest (71275) |
$2,975.70 |
$8,502 |
16.1× |
| Cta Head (70496) |
$2,954.70 |
$8,442 |
16.0× |
| CTA lwr ext w&w/o contrast (73706) |
$2,458.40 |
$7,024 |
13.3× |
| Cta Neck (70498) |
$3,131.45 |
$8,947 |
16.9× |
| Cta Pelvis (72191) |
$2,220.05 |
$6,343 |
12.0× |
| Cystography minimum 3 views rs&i (74430) |
$662.90 |
$1,894 |
1.8× |
| Diskogram cervical (72285) |
$1,701.35 |
$4,861 |
0.8× |
| Diskography lumbar (72295) |
$1,792.70 |
$5,122 |
0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$207.90 |
$594 |
1.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$387.80 |
$1,108 |
3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$220.50 |
$630 |
2.0× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$278.95 |
$797 |
2.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$114.45 |
$327 |
1.0× |
| Echo exam of eye (76529) |
$111.65 |
$319 |
1.2× |
| Echo exam of fetal heart (76825) |
$378.35 |
$1,081 |
0.7× |
| Echoencephalography real time imaging (76506) |
$433.30 |
$1,238 |
3.9× |
| Esophageal motility (78258) |
$942.90 |
$2,694 |
2.2× |
| Esophagus (74220) |
$706.65 |
$2,019 |
3.8× |
| Fetal biophysical profile non-stress testing (76818) |
$485.80 |
$1,388 |
4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$403.90 |
$1,154 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$1,339.45 |
$3,827 |
5.3× |
| Foot 2 views (73620) |
$225.05 |
$643 |
2.5× |
| Forearm 2 views (73090) |
$142.45 |
$407 |
1.6× |
| Functional MRI brain by phys/psych (70555) |
$2,000.60 |
$5,716 |
7.9× |
| Gated Heart Planar Single (78472) |
$1,005.55 |
$2,873 |
2.4× |
| Hand 2 views (73120) |
$225.05 |
$643 |
2.0× |
| Hand 3 views (73130) |
$415.10 |
$1,186 |
4.5× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,388.25 |
$15,395 |
7.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$6,196.40 |
$17,704 |
8.4× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$6,618.50 |
$18,910 |
9.0× |
| Heart Infarct Image (78466) |
$637.70 |
$1,822 |
1.5× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,269.05 |
$6,483 |
0.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,155.60 |
$9,016 |
5.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,005.45 |
$8,587 |
7.1× |
| Ht muscle image spect sing (78451) |
$2,271.85 |
$6,491 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$211.75 |
$605 |
2.3× |
| Hysterosalpingogram (74740) |
$607.60 |
$1,736 |
2.4× |
| Interstitial radiation source applic complex (77778) |
$1,489.25 |
$4,255 |
2.0× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,092.70 |
$3,122 |
1.5× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$1,040.90 |
$2,974 |
1.8× |
| Intracavitary radiation source applic simple (77761) |
$991.20 |
$2,832 |
1.7× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$355.95 |
$1,017 |
3.2× |
| Kidney funcj study non-img radioisotopic study (78725) |
$905.45 |
$2,587 |
2.1× |
| Kidney imaging morphology (78700) |
$381.85 |
$1,091 |
0.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,906.10 |
$5,446 |
3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,906.10 |
$5,446 |
3.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$991.55 |
$2,833 |
1.7× |
| Knee 3 views (73562) |
$409.15 |
$1,169 |
4.5× |
| Liver & spleen imaging static only (78215) |
$861.70 |
$2,462 |
2.0× |
| Liver imaging static only (78201) |
$1,127 |
$3,220 |
2.0× |
| Liver imaging w/vascular flow (78202) |
$1,240.75 |
$3,545 |
2.2× |
| Lung perf&ventilat diferentl (78598) |
$3,015.95 |
$8,617 |
5.3× |
| Lung perfusion differential (78597) |
$1,850.10 |
$5,286 |
4.4× |
| Lung Ventilation Imaging (78579) |
$974.05 |
$2,783 |
2.3× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,366.75 |
$3,905 |
0.4× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$913.85 |
$2,611 |
1.4× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$1,001 |
$2,860 |
0.6× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$3,445.40 |
$9,844 |
1.0× |
| Lymphoscintigraphy (78195) |
$1,852.90 |
$5,294 |
3.2× |
| Mammary ductogram or galactogram multiple (77054) |
$575.05 |
$1,643 |
2.3× |
| Mammary ductogram or galactogram single (77053) |
$390.25 |
$1,115 |
1.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$96.95 |
$277 |
1.1× |
| Meckels Diverticulum (78290) |
$1,013.25 |
$2,895 |
2.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$3,614.10 |
$10,326 |
9.2× |
| Mr elastography (76391) |
$371.70 |
$1,062 |
1.5× |
| MRA head w & w/o contrast (70546) |
$4,141.20 |
$11,832 |
11.3× |
| MRA head w/o contrast (70544) |
$2,538.90 |
$7,254 |
10.1× |
| MRA head with contrast (70545) |
$2,731.40 |
$7,804 |
7.4× |
| MRA neck w contrast (70548) |
$2,798.60 |
$7,996 |
7.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,148.55 |
$11,853 |
11.3× |
| MRA neck w/o contrast (70547) |
$2,538.90 |
$7,254 |
10.1× |
| MRI abdomen w contrast (74182) |
$2,088.45 |
$5,967 |
5.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,091.90 |
$8,834 |
8.4× |
| MRI abdomen w/o contrast (74181) |
$1,506.05 |
$4,303 |
6.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,369.50 |
$6,770 |
2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,719.50 |
$7,770 |
3.3× |
| MRI bone marrow blood supply (77084) |
$1,310.05 |
$3,743 |
5.2× |
| MRI breast w/o contrast bilateral (77047) |
$2,396.45 |
$6,847 |
9.5× |
| MRI breast w/o contrast unilat (77046) |
$2,332.75 |
$6,665 |
9.3× |
| MRI c-spine with contrast (72142) |
$2,594.90 |
$7,414 |
7.1× |
| MRI cardiac w/o contrast (75557) |
$1,954.05 |
$5,583 |
7.8× |
| MRI cervical spine w/o contrast (72141) |
$2,422.35 |
$6,921 |
9.6× |
| MRI chest w/o & w/contrast material (71552) |
$3,293.15 |
$9,409 |
8.9× |
| MRI chest w/o contrast (71550) |
$2,418.50 |
$6,910 |
9.6× |
| MRI chest with contrast (71551) |
$2,748.55 |
$7,853 |
3.3× |
| MRI fetal sngl/1st gestation (74712) |
$2,132.20 |
$6,092 |
8.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,107 |
$6,020 |
5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,874.60 |
$5,356 |
5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,598.80 |
$4,568 |
6.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,329.60 |
$6,656 |
9.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,400.95 |
$9,717 |
9.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,736.65 |
$7,819 |
7.4× |
| MRI pelvis w contrast (72196) |
$2,026.50 |
$5,790 |
5.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,735.55 |
$10,673 |
10.2× |
| MRI pelvis w/o contrast (72195) |
$1,723.05 |
$4,923 |
6.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,982.70 |
$8,522 |
8.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$2,399.95 |
$6,857 |
2.9× |
| MRI scan of leg joint before and after contrast (73723) |
$3,110.80 |
$8,888 |
8.5× |
| MRI spectroscopy (76390) |
$978.60 |
$2,796 |
10.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,906.75 |
$8,305 |
7.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,117.80 |
$8,908 |
8.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,094.35 |
$8,841 |
8.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,833.60 |
$8,096 |
7.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,003.35 |
$8,581 |
8.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,566.90 |
$7,334 |
10.2× |
| MRI tmj (70336) |
$1,705.20 |
$4,872 |
6.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,266.95 |
$6,477 |
9.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,399.25 |
$6,855 |
6.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,971.20 |
$5,632 |
7.8× |
| Myelogram Cervical (72240) |
$669.20 |
$1,912 |
0.8× |
| Myelogram Lumbar (72265) |
$711.20 |
$2,032 |
0.9× |
| Myelography 2 or more regions (72270) |
$790.65 |
$2,259 |
1.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$3,723.65 |
$10,639 |
2.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,835.60 |
$13,816 |
3.5× |
| Myocrd img PET metab eval single study cncrnt CT (78429) |
$3,580.50 |
$10,230 |
2.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$1,741.25 |
$4,975 |
1.2× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$2,604 |
$7,440 |
1.1× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$2,604 |
$7,440 |
1.1× |
| Myocrd img PET prfuj w/metab dual radiotracer (78432) |
$2,886.10 |
$8,246 |
1.8× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,083.60 |
$3,096 |
1.2× |
| Neck soft tissue (70360) |
$260.40 |
$744 |
2.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$483 |
$1,380 |
1.1× |
| Nm adrenal scan (78075) |
$1,136.80 |
$3,248 |
0.8× |
| Nm bone marrow wb (78104) |
$1,125.60 |
$3,216 |
2.7× |
| Nm cisternogram (78630) |
$927.50 |
$2,650 |
1.6× |
| Nm csf leak detection (78650) |
$1,616.30 |
$4,618 |
1.2× |
| Nm gastric emptying study (78264) |
$3,351.95 |
$9,577 |
7.9× |
| Nm gastroesophageal reflux study (78262) |
$864.85 |
$2,471 |
2.1× |
| Nm peritoneal-venous shunt patency (78291) |
$659.05 |
$1,883 |
1.6× |
| Nm whole blood volume (78122) |
$2,161.95 |
$6,177 |
3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,852.85 |
$8,151 |
2.0× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) |
$4,391.80 |
$12,548 |
2.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,588.30 |
$4,538 |
1.2× |
| Nuclear medicine of heart pumping function (78473) |
$1,164.10 |
$3,326 |
2.8× |
| Nuclear medicine study from skull base to mid-thigh (78812) |
$5,078.85 |
$14,511 |
3.4× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) |
$3,787.35 |
$10,821 |
2.5× |
| Nuclear medicine study of digestive tracts (78299) |
$303.46 |
$867 |
0.7× |
| Nuclear medicine study of endocrine organs (78099) |
$574.88 |
$1,642.50 |
1.4× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,512.70 |
$4,322 |
1.1× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,024.45 |
$2,927 |
2.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$751.45 |
$2,147 |
1.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$517.65 |
$1,479 |
0.9× |
| Nuclear Rx Oral Admin (79005) |
$2,801.75 |
$8,005 |
11.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$232.75 |
$665 |
2.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) |
$416.85 |
$1,191 |
3.0× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$139.30 |
$398 |
1.3× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$158.90 |
$454 |
1.4× |
| Osseous survey infant (77076) |
$311.50 |
$890 |
2.8× |
| Osseous survey limited (77074) |
$486.15 |
$1,389 |
4.4× |
| Parathyrd planar w/spect&CT (78072) |
$4,779.60 |
$13,656 |
8.3× |
| Parathyrd planar w/wo subtrj (78071) |
$2,594.55 |
$7,413 |
6.2× |
| Pelvis 1 or 2 views (72170) |
$256.55 |
$733 |
2.3× |
| Peritoneogram rs&i (74190) |
$1,157.80 |
$3,308 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$5,718.30 |
$16,338 |
3.8× |
| PET imaging CT for attenuation limited area (78814) |
$5,322.10 |
$15,206 |
3.5× |
| PET imaging for CT attenuation whole body (78816) |
$5,958.75 |
$17,025 |
4.0× |
| PET imaging limited area chest head/neck (78811) |
$3,926.30 |
$11,218 |
2.9× |
| PET whole body (78813) |
$5,332.95 |
$15,237 |
3.5× |
| Pr gi endoscopic ultrasound (76975) |
$398.30 |
$1,138 |
1.6× |
| Pr heart first pass single,planar (78481) |
$2,133.60 |
$6,096 |
3.7× |
| Pr MRI brain w/ dye (70558) |
$2,747.85 |
$7,851 |
14.9× |
| Pr MRI brain w/o & w/ dye (70559) |
$2,885.05 |
$8,243 |
15.6× |
| Pr MRI brain w/o dye (70557) |
$2,482.90 |
$7,094 |
4.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,363.90 |
$6,754 |
6.4× |
| Pr sono bone density measure,peripheral (76977) |
$94.85 |
$271 |
0.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,269.05 |
$6,483 |
0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,031.75 |
$5,805 |
0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,345.05 |
$3,843 |
3.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,847.25 |
$8,135 |
5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$421.40 |
$1,204 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$250.60 |
$716 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$480.20 |
$1,372 |
4.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$283.15 |
$809 |
2.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$108.15 |
$309 |
1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$515.55 |
$1,473 |
4.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$16,302.65 |
$46,579 |
2.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$962.50 |
$2,750 |
1.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$542.85 |
$1,551 |
5.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$662.90 |
$1,894 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$359.10 |
$1,026 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$313.25 |
$895 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$339.50 |
$970 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$435.75 |
$1,245 |
4.7× |
| Radiologic exam colon single contrast study (74270) |
$584.85 |
$1,671 |
3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$745.50 |
$2,130 |
4.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$814.45 |
$2,327 |
4.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$713.65 |
$2,039 |
3.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$276.15 |
$789 |
3.0× |
| Radiological examination surgical specimen (76098) |
$291.20 |
$832 |
0.5× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$2,486.40 |
$7,104 |
4.3× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,669.80 |
$7,628 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,269.05 |
$6,483 |
0.7× |
| Ribs bilateral 3 views (71110) |
$324.80 |
$928 |
2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,076.95 |
$3,077 |
2.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,939 |
$5,540 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,210.30 |
$3,458 |
2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$2,866.15 |
$8,189 |
2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$4,496.80 |
$12,848 |
3.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$4,340.35 |
$12,401 |
3.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$558.95 |
$1,597 |
2.3× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,271.20 |
$3,632 |
5.2× |
| Rp Therapy Intravenous Administration (79101) |
$2,075.50 |
$5,930 |
8.4× |
| Sacroiliac Joints < 3 Views (72200) |
$264.25 |
$755 |
2.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$330.40 |
$944 |
1.3× |
| Scanogram (77073) |
$438.90 |
$1,254 |
4.0× |
| Scapula complete (73010) |
$256.55 |
$733 |
2.3× |
| Screening digital breast tomosynthesis (77063) |
$32.20 |
$92 |
1.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$310.80 |
$888 |
2.8× |
| Sialogram (70390) |
$419.65 |
$1,199 |
1.7× |
| Simulation intermediate (77285) |
$1,961.75 |
$5,605 |
5.0× |
| Small bowel series (74250) |
$796.25 |
$2,275 |
4.3× |
| Spec medical radj physics consltj (77370) |
$1,400.70 |
$4,002 |
9.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,663.20 |
$4,752 |
4.2× |
| Special dosimetry (77331) |
$355.95 |
$1,017 |
2.5× |
| Special treatment procedure (77470) |
$4,587.45 |
$13,107 |
7.9× |
| Speech evaluation complex (70371) |
$628.60 |
$1,796 |
2.5× |
| Spine thoracic 3 views (72072) |
$275.45 |
$787 |
2.5× |
| Spleen imaging only (78185) |
$671.65 |
$1,919 |
1.6× |
| Splenoportograpy rs&i (75810) |
$3,421.60 |
$9,776 |
1.0× |
| Stereotactic body radiation delivery (77373) |
$16,158.45 |
$46,167 |
8.6× |
| Superior sagittal sinus venogram (75870) |
$1,641.50 |
$4,690 |
0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$2,691.15 |
$7,689 |
25.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,602.65 |
$4,579 |
4.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$769.30 |
$2,198 |
1.9× |
| Testicular Imaging With Vascular Flow (78761) |
$807.45 |
$2,307 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,682.40 |
$7,664 |
6.8× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,428.70 |
$4,082 |
10.1× |
| Therapeutic Enema (74283) |
$415.45 |
$1,187 |
2.2× |
| Thoracolumbar 2 views (72080) |
$236.25 |
$675 |
2.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,319.05 |
$9,483 |
5.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$956.90 |
$2,734 |
2.3× |
| Thyroid uptake measurement (78012) |
$752.50 |
$2,150 |
1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,733.20 |
$4,952 |
4.1× |
| Tmj unilateral (70328) |
$104.65 |
$299 |
1.1× |
| Tomogram (76100) |
$468.30 |
$1,338 |
4.2× |
| Treatment device intermediate (77333) |
$740.60 |
$2,116 |
5.2× |
| Treatment devices simple (77332) |
$580.30 |
$1,658 |
4.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,629.55 |
$7,513 |
4.6× |
| Tx devices design & construction complex (77334) |
$1,337 |
$3,820 |
3.4× |
| Ultrasound elastography first target lesion (76982) |
$152.60 |
$436 |
1.4× |
| Ultrasound scan of cornea to determine thickness (76514) |
$24.50 |
$70 |
0.8× |
| Ultrasound scan to determine eye length and lens power (76519) |
$171.15 |
$489 |
1.6× |
| Ultrasound, abdomen limited (76705) |
$587.65 |
$1,679 |
5.3× |
| Umbilical-artery Doppler (OB) (76820) |
$210 |
$600 |
1.9× |
| Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED (78499) |
$314.76 |
$899.31 |
0.7× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$783.42 |
$2,238.34 |
8.5× |
| Unlisted fluoroscopic procedure (76496) |
$474.10 |
$1,354.56 |
5.2× |
| Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED (78799) |
$591.76 |
$1,690.74 |
1.4× |
| Unlisted magnetic resonance procedure (76498) |
$2,482.86 |
$7,093.87 |
27.0× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$319.18 |
$911.94 |
0.8× |
| Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED (78699) |
$307.25 |
$877.83 |
0.7× |
| Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED (78599) |
$733.69 |
$2,096.25 |
1.7× |
| Unlisted Ultrasound Procedure (76999) |
$93.07 |
$265.91 |
1.0× |
| Upper Extremity Infant (73092) |
$155.75 |
$445 |
1.4× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,207.15 |
$3,449 |
2.9× |
| Urethrocystography retrograde rs&i (74450) |
$1,055.95 |
$3,017 |
4.2× |
| Urethrocystography voiding (74455) |
$623 |
$1,780 |
2.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$742.35 |
$2,121 |
4.0× |
| Us abdl aorta screen aaa (76706) |
$405.30 |
$1,158 |
3.7× |
| Us breast unilateral complete (76641) |
$484.40 |
$1,384 |
4.4× |
| Us breast unilateral limited (76642) |
$471.10 |
$1,346 |
5.1× |
| Us chest (76604) |
$379.40 |
$1,084 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$756 |
$2,160 |
6.9× |
| Us elastography parenchyma (76981) |
$153.65 |
$439 |
1.4× |
| Us fetal nuchal translucency 1st gestation (76813) |
$278.60 |
$796 |
2.5× |
| Us guided compression repair (76936) |
$1,224.30 |
$3,498 |
5.4× |
| Us infant hips dynamic (76885) |
$581.35 |
$1,661 |
6.3× |
| Us kidney transplant (76776) |
$472.50 |
$1,350 |
4.3× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$258.65 |
$739 |
2.3× |
| Us ob detailed single fetus (76811) |
$716.80 |
$2,048 |
2.8× |
| Us ob transvaginal (76817) |
$478.80 |
$1,368 |
4.3× |
| Us pelvic non ob complete (76856) |
$757.40 |
$2,164 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$498.40 |
$1,424 |
4.5× |
| Us pregnancy ltd (76815) |
$364.35 |
$1,041 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$477.40 |
$1,364 |
4.3× |
| Us retroperitoneal complete (76770) |
$506.80 |
$1,448 |
4.6× |
| Us retroperitoneal limited (76775) |
$484.75 |
$1,385 |
4.4× |
| Us scrotum and contents (76870) |
$682.50 |
$1,950 |
6.2× |
| Us soft tissue head/neck (76536) |
$633.50 |
$1,810 |
5.7× |
| Us spinal canal and contents (76800) |
$618.80 |
$1,768 |
5.6× |
| Us transrectal (76872) |
$298.55 |
$853 |
2.7× |
| Us transrectal prostate volume (76873) |
$268.80 |
$768 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$301 |
$860 |
2.7× |
| Us, eye b-scan (76512) |
$265.65 |
$759 |
2.4× |
| Venogram extremity bilateral (75822) |
$1,126.65 |
$3,219 |
0.7× |
| Venography caval inferior serialography rs&i (75825) |
$2,269.05 |
$6,483 |
0.7× |
| Venography caval superior serialography rs&i (75827) |
$2,208.15 |
$6,309 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,010.45 |
$2,887 |
0.6× |
| Venography Renal Bilateral (75833) |
$2,465.05 |
$7,043 |
0.7× |
| Venography renal unilateral selective rs&i (75831) |
$2,269.05 |
$6,483 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,077.95 |
$5,937 |
0.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$4,014.15 |
$11,469 |
0.7× |
| Wrist 2 views (73100) |
$217 |
$620 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$340.55 |
$973 |
3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$173.95 |
$497 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$406.35 |
$1,161 |
4.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$791 |
$2,260 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$225.05 |
$643 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$361.20 |
$1,032 |
3.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$491.05 |
$1,403 |
4.5× |
| X-ray exam hip uni 1 view (73501) |
$222.95 |
$637 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$460.60 |
$1,316 |
5.0× |
| X-ray exam hip uni 4/> views (73503) |
$483.70 |
$1,382 |
4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$479.85 |
$1,371 |
4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$501.55 |
$1,433 |
4.5× |
| X-ray exam of femur 1 (73551) |
$240.10 |
$686 |
2.6× |
| X-ray eye for foreign body (70030) |
$303.80 |
$868 |
3.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$254.80 |
$728 |
2.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$243.60 |
$696 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$430.85 |
$1,231 |
4.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,071 |
$3,060 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$201.25 |
$575 |
2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$166.25 |
$475 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$483 |
$1,380 |
4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$225.40 |
$644 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$205.80 |
$588 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$500.50 |
$1,430 |
4.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$588.70 |
$1,682 |
5.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$284.90 |
$814 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$260.40 |
$744 |
2.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$440.30 |
$1,258 |
4.8× |
| X-ray of voice box or throat (70370) |
$571.90 |
$1,634 |
6.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$339.85 |
$971 |
3.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$501.55 |
$1,433 |
4.5× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$1,048.95 |
$2,997 |
1.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$392.35 |
$1,121 |
1.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$284.90 |
$814 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$308.70 |
$882 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$328.30 |
$938 |
3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$361.20 |
$1,032 |
3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$264.25 |
$755 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$321.30 |
$918 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$158.20 |
$452 |
1.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$138.25 |
$395 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$339.15 |
$969 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$295.75 |
$845 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$276.15 |
$789 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$240.80 |
$688 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$213.50 |
$610 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$262.85 |
$751 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$288.05 |
$823 |
2.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$220.85 |
$631 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$415.10 |
$1,186 |
4.5× |
| Xr arthrogram ankle (73615) |
$476 |
$1,360 |
1.3× |
| Xr c-spine 6 or more views (72052) |
$471.10 |
$1,346 |
4.3× |
| Xr chest 4+ views (71048) |
$518 |
$1,480 |
4.7× |
| Xr finger(s) 2+ views (73140) |
$244.65 |
$699 |
2.7× |
| Xr shoulder 1 view (73020) |
$96.95 |
$277 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$456.75 |
$1,305 |
4.1× |
| Xr tibia/fibula 2 views (73590) |
$264.25 |
$755 |
2.9× |
| Xr tmj bilateral (70330) |
$159.25 |
$455 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$276.15 |
$789 |
3.0× |