| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,201 |
$7,201 |
3.6× |
| Abdomen 1 View (74018) |
$1,011 |
$1,011 |
8.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$5,176 |
$5,176 |
9.0× |
| Basic radiation dosimetry calculation (77300) |
$1,464 |
$1,464 |
7.5× |
| Bone Imaging 3 Phase (78315) |
$6,305 |
$6,305 |
10.9× |
| Bone Imaging Limited Area (78300) |
$2,081 |
$2,081 |
3.6× |
| Bone Imaging Whole Body (78306) |
$4,540 |
$4,540 |
7.9× |
| Bone marrow imaging; multiple areas (78103) |
$2,800 |
$2,800 |
4.8× |
| Brain Flow Imaging Only (78610) |
$1,644 |
$1,644 |
2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$6,479 |
$6,479 |
12.8× |
| Chest 1 view (71045) |
$820 |
$820 |
6.5× |
| Chest 2 views (71046) |
$1,074 |
$1,074 |
8.5× |
| Chest 4 or more views (71048) |
$1,460 |
$1,460 |
9.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$430 |
$430 |
2.8× |
| Continuing medical physics consltj pr wk (77336) |
$1,155 |
$1,155 |
5.9× |
| Contrast X-Ray Bladder (74430) |
$2,111 |
$2,111 |
4.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$13,373 |
$13,373 |
26.5× |
| CT abdomen and pelvis without contrast (74176) |
$7,164 |
$7,164 |
20.8× |
| CT abdomen w contrast (74160) |
$10,202 |
$10,202 |
40.2× |
| CT abdomen w wo contrast (74170) |
$11,514 |
$11,514 |
45.4× |
| CT abdomen w/o contrast (74150) |
$5,966 |
$5,966 |
39.5× |
| CT Angio Abdomen and Pelvis (74174) |
$12,450 |
$12,450 |
24.7× |
| CT Angio Chest (71275) |
$8,348 |
$8,348 |
32.9× |
| CT Angio Head (70496) |
$8,548 |
$8,548 |
33.7× |
| CT angio hrt w/3d image (75574) |
$1,754 |
$1,754 |
3.5× |
| CT Angio Neck (70498) |
$8,824 |
$8,824 |
34.8× |
| CT cervical spine w/ contrast (72126) |
$7,755 |
$7,755 |
15.4× |
| CT cervical spine w/o contrast (72125) |
$5,965 |
$5,965 |
39.5× |
| CT cervical spine w/wo cont (72127) |
$9,067 |
$9,067 |
35.8× |
| CT chest w contrast (71260) |
$7,529 |
$7,529 |
29.7× |
| CT chest w/wo contrast (71270) |
$8,843 |
$8,843 |
34.9× |
| CT head/brain with contrast (70460) |
$7,994 |
$7,994 |
31.5× |
| CT head/brain without and with contrast (70470) |
$9,364 |
$9,364 |
36.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,754 |
$1,754 |
3.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,415 |
$1,415 |
11.2× |
| CT iac w contrast (70481) |
$6,487 |
$6,487 |
25.6× |
| CT l-spine w&w/o contrast (72133) |
$7,938 |
$7,938 |
31.3× |
| CT lumbar spine w contrast (72132) |
$7,695 |
$7,695 |
15.3× |
| CT lumbar spine w/o contrast (72131) |
$6,059 |
$6,059 |
40.1× |
| CT maxillofacial w contrast (70487) |
$6,597 |
$6,597 |
26.0× |
| CT maxillofacial wo contrast (70486) |
$5,544 |
$5,544 |
36.7× |
| CT orbits w/o contrast (70480) |
$5,690 |
$5,690 |
37.6× |
| CT pelvis w&w/o contrast (72194) |
$7,276 |
$7,276 |
28.7× |
| CT pelvis w/o contrast (72192) |
$6,064 |
$6,064 |
40.1× |
| CT scans face/jaw combo (70488) |
$6,999 |
$6,999 |
27.6× |
| CT soft tissue neck w contrast (70491) |
$6,119 |
$6,119 |
24.1× |
| CT soft tissue neck w/o contrast (70490) |
$4,956 |
$4,956 |
32.8× |
| CT thoracic spine w contrast (72129) |
$6,440 |
$6,440 |
25.4× |
| CT thoracic spine w/o contrast (72128) |
$4,954 |
$4,954 |
32.8× |
| CT thorax w/o contrast (71250) |
$5,975 |
$5,975 |
39.5× |
| CT unlisted procedure (76497) |
$1,421 |
$1,421 |
11.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,412 |
$7,412 |
29.2× |
| Cta Abdomen (74175) |
$8,342 |
$8,342 |
32.9× |
| CTA pelvis (72191) |
$5,969 |
$5,969 |
23.5× |
| Dilation ureters/urethra rs&i (74485) |
$6,739 |
$6,739 |
2.2× |
| Dxa Bone Density Axial (77080) |
$1,070 |
$1,070 |
7.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$888 |
$888 |
7.1× |
| Echograp Trans R Pros Study (76873) |
$1,001 |
$1,001 |
6.6× |
| Esophagram (74220) |
$2,072 |
$2,072 |
8.2× |
| Fluoroscopy up to 1 hr (76000) |
$2,238 |
$2,238 |
6.5× |
| Gastric emptying imaging study (78264) |
$4,627 |
$4,627 |
8.0× |
| Hepatobil Syst Image W/Drug (78227) |
$5,987 |
$5,987 |
7.6× |
| Hepatobiliary System Imaging (78226) |
$4,370 |
$4,370 |
7.6× |
| Hysterosalpingogram (74740) |
$2,101 |
$2,101 |
6.1× |
| K Flow/Funct Image Multiple (78709) |
$4,884 |
$4,884 |
6.2× |
| K Flow/Funct Image W/Drug (78708) |
$3,959 |
$3,959 |
5.0× |
| Lung Ventilat&Perfus Imaging (78582) |
$4,002 |
$4,002 |
5.1× |
| Lymph System Imaging (78195) |
$4,602 |
$4,602 |
5.9× |
| Magnetic Image Jaw Joint (70336) |
$1,052 |
$1,052 |
3.0× |
| Mlc imrt design & construction per imrt plan (77338) |
$6,231 |
$6,231 |
11.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$108 |
$108 |
2.6× |
| Mra Head W/O & W/Contrast Material (70546) |
$10,157 |
$10,157 |
20.1× |
| MRA head w/o contrast (70544) |
$6,639 |
$6,639 |
19.2× |
| MRA neck w contrast (70548) |
$6,558 |
$6,558 |
13.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$9,204 |
$9,204 |
18.2× |
| MRA neck w/o contrast (70547) |
$5,752 |
$5,752 |
16.7× |
| MRI abdomen w contrast (74182) |
$8,489 |
$8,489 |
16.8× |
| MRI abdomen w/o contrast (74181) |
$6,367 |
$6,367 |
18.5× |
| MRI cardiac w/o contrast (75557) |
$4,128 |
$4,128 |
12.0× |
| MRI cervical spine w contrast (72142) |
$9,518 |
$9,518 |
18.9× |
| MRI cervical spine w/o cont (72141) |
$6,564 |
$6,564 |
19.0× |
| MRI chest w/o contrast (71550) |
$7,757 |
$7,757 |
22.5× |
| MRI lumbar spine w contrast (72149) |
$8,182 |
$8,182 |
16.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$10,962 |
$10,962 |
21.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$6,314 |
$6,314 |
18.3× |
| MRI orbit face neck w contrast (70542) |
$7,445 |
$7,445 |
14.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$9,424 |
$9,424 |
18.7× |
| MRI pelvis w/o & w contrast (72197) |
$10,411 |
$10,411 |
20.6× |
| MRI pelvis w/o contrast (72195) |
$6,247 |
$6,247 |
18.1× |
| MRI thoracic spine w/o contrast (72146) |
$6,564 |
$6,564 |
19.0× |
| MRI, abdomen, combo (74183) |
$10,611 |
$10,611 |
21.0× |
| MRI, dorsal spine combo (72157) |
$10,962 |
$10,962 |
21.7× |
| MRI, lumbar spine combo (72158) |
$11,882 |
$11,882 |
23.6× |
| Myocardial Spect Multiple Studies (78452) |
$11,510 |
$11,510 |
6.1× |
| N-invas est c ffr sw aly CTA (75580) |
$4,252 |
$4,252 |
3.4× |
| Neck soft tissue (70360) |
$878 |
$878 |
7.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$17,190 |
$17,190 |
8.6× |
| Nuclear Rx Oral Admin (79005) |
$1,793 |
$1,793 |
5.3× |
| Parathyroid Planar Imaging (78070) |
$2,615 |
$2,615 |
4.5× |
| Pelvis 1 or 2 views (72170) |
$747 |
$747 |
4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,841 |
$2,841 |
4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,418 |
$2,418 |
3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$1,792 |
$1,792 |
11.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$964 |
$964 |
7.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$1,103 |
$1,103 |
8.8× |
| Radex Spine 1 View Specify Level (72020) |
$634 |
$634 |
5.0× |
| Radex Sternum Minimum 2 Views (71120) |
$1,150 |
$1,150 |
9.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$42,066 |
$42,066 |
4.0× |
| Radiation treatment delivery level 3 (77412) |
$3,655 |
$3,655 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,960 |
$1,960 |
13.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,223 |
$1,223 |
8.1× |
| Radiologic exam colon single contrast study (74270) |
$2,295 |
$2,295 |
9.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$1,128 |
$1,128 |
7.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$1,720 |
$1,720 |
6.8× |
| Radiologic exam swallow function contrast study (74230) |
$2,060 |
$2,060 |
8.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,288 |
$1,288 |
5.1× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,491 |
$1,491 |
9.9× |
| Ribs bilateral 3 views (71110) |
$1,300 |
$1,300 |
8.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,856 |
$2,856 |
4.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$5,602 |
$5,602 |
7.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) |
$5,492 |
$5,492 |
7.0× |
| Skull less than 4 views (70250) |
$1,228 |
$1,228 |
8.1× |
| Special dosimetry (77331) |
$1,100 |
$1,100 |
5.7× |
| Special Physics Consult (77370) |
$1,767 |
$1,767 |
9.1× |
| Special teletherapy port plan (77321) |
$2,031 |
$2,031 |
3.8× |
| Special treatment procedure (77470) |
$5,133 |
$5,133 |
6.4× |
| Stereotactic Body Radiation Delivery (77373) |
$21,360 |
$21,360 |
8.3× |
| Sternoclavicular joints (71130) |
$1,376 |
$1,376 |
10.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$5,077 |
$5,077 |
9.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,691 |
$2,691 |
5.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) |
$8,379 |
$8,379 |
15.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$4,190 |
$4,190 |
21.6× |
| Thoracic spine 2 views (72070) |
$1,146 |
$1,146 |
7.6× |
| Thoracic spine 3 views (72072) |
$1,375 |
$1,375 |
9.1× |
| Thoracolumbar 2 views (72080) |
$1,277 |
$1,277 |
10.2× |
| Thyroid Met Imaging Body (78018) |
$5,242 |
$5,242 |
6.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$2,234 |
$2,234 |
3.9× |
| Tx Devices Design & Construction Complex (77334) |
$3,758 |
$3,758 |
6.9× |
| Tx devices design & construction intermediate (77333) |
$1,316 |
$1,316 |
6.8× |
| Tx devices design & construction simple (77332) |
$1,165 |
$1,165 |
6.0× |
| Ultrasound Exam Aaa Screen (76706) |
$2,051 |
$2,051 |
13.6× |
| Ultrasound, abdomen limited (76705) |
$1,580 |
$1,580 |
10.5× |
| Unlisted magnetic resonance procedure (76498) |
$7,410 |
$7,410 |
58.9× |
| Upper gi w/o kub (74240) |
$2,349 |
$2,349 |
9.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) |
$754 |
$754 |
68.2× |
| Urea breath test c-14 isotopic analysis (78268) |
$754 |
$754 |
8.0× |
| Us chest (76604) |
$1,636 |
$1,636 |
10.8× |
| Us exam, pelvic, limited (76857) |
$1,814 |
$1,814 |
12.0× |
| Us ob limited 1 or more fetuses (76815) |
$797 |
$797 |
5.3× |
| Us ob transvaginal (76817) |
$895 |
$895 |
5.9× |
| Us pelvic non ob complete (76856) |
$2,707 |
$2,707 |
17.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$2,094 |
$2,094 |
13.9× |
| Us retroperitoneal complete (76770) |
$2,406 |
$2,406 |
15.9× |
| Us retroperitoneal limited (76775) |
$1,179 |
$1,179 |
7.8× |
| Us scrotum and contents (76870) |
$1,943 |
$1,943 |
12.9× |
| Us thyroid (76536) |
$1,957 |
$1,957 |
12.9× |
| Vein X-Ray Chest (75827) |
$6,645 |
$6,645 |
2.9× |
| Venogram Sinus/Jugular (75860) |
$6,645 |
$6,645 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$827 |
$827 |
6.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$2,033 |
$2,033 |
13.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$996 |
$996 |
6.6× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$927 |
$927 |
6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,203 |
$1,203 |
8.0× |
| X-Ray Exam L-S Spine Bending (72114) |
$2,177 |
$2,177 |
14.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$1,078 |
$1,078 |
8.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$1,703 |
$1,703 |
11.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$960 |
$960 |
7.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,423 |
$1,423 |
9.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,550 |
$1,550 |
10.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,003 |
$2,003 |
13.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,669 |
$1,669 |
13.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,395 |
$1,395 |
11.1× |
| X-Rays Bone Length Studies (77073) |
$1,017 |
$1,017 |
6.7× |
| X-Rays Bone Survey Complete (77075) |
$2,245 |
$2,245 |
14.9× |
| Xr c-spine 4 or 5 views (72050) |
$1,455 |
$1,455 |
9.6× |
| Xr facial bones less than 3 views (70140) |
$1,257 |
$1,257 |
10.0× |
| Xr orbits complete 4 views (70200) |
$1,252 |
$1,252 |
8.3× |