| 3-D radiotherapy plan dose-volume histograms (77295) |
$4,112 |
$10,280 |
3.0× |
| Abdomen 2 views (74019) |
$254.02 |
$635.04 |
2.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$927.81 |
$2,319.52 |
2.4× |
| Angiography extremity bilateral rs&i (75716) |
$2,899.03 |
$7,247.58 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,576 |
$6,440 |
0.8× |
| Angiography internal mammary rs&i (75756) |
$1,709.95 |
$4,274.87 |
0.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,017.01 |
$7,542.53 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,115.93 |
$7,789.82 |
1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,336.95 |
$5,842.37 |
0.8× |
| Angiography Spinal Selective Rs&I (75705) |
$2,960.86 |
$7,402.14 |
0.5× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$3,491 |
$8,727.49 |
0.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$900.57 |
$2,251.42 |
0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$1,404.95 |
$3,512.38 |
0.5× |
| Ankle 2 views (73600) |
$235.44 |
$588.59 |
2.8× |
| Antegrade urography radiological supvj & interpj (74425) |
$472.40 |
$1,181 |
1.4× |
| Aortogram thoracic (75605) |
$2,910.88 |
$7,277.20 |
0.5× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,597.12 |
$6,492.81 |
0.8× |
| Aortography abdominal serialography rs&i (75625) |
$2,655.34 |
$6,638.35 |
0.9× |
| Artery X-Rays Adrenal Gland (75731) |
$2,409.08 |
$6,022.69 |
0.8× |
| Arthrogram hip (73525) |
$653.79 |
$1,634.47 |
1.9× |
| Basic radiation dosimetry calculation (77300) |
$370.80 |
$927 |
2.8× |
| Bone &/Joint Imaging Limited Area (78300) |
$793.86 |
$1,984.64 |
2.0× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$810.88 |
$2,027.20 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$1,226.18 |
$3,065.44 |
3.1× |
| Bone age studies (77072) |
$250.80 |
$627.01 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$1,224.83 |
$3,062.08 |
3.1× |
| Bone Marrow Imaging Limited Area (78102) |
$673.34 |
$1,683.36 |
1.7× |
| Bone survey complete (77075) |
$548.80 |
$1,372.01 |
5.4× |
| Brachytx isodose complex (77318) |
$1,165.60 |
$2,914 |
3.2× |
| Brachytx isodose intermed (77317) |
$932 |
$2,330 |
2.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$746.40 |
$1,866 |
2.0× |
| Brain image w/flow 4 + views (78606) |
$1,199.30 |
$2,998.24 |
2.3× |
| Brain imaging < 4 static views (78600) |
$529.98 |
$1,324.96 |
1.4× |
| Brain imaging < 4 static views w vascular flow (78601) |
$881.66 |
$2,204.16 |
2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,444.27 |
$6,110.68 |
1.8× |
| Brain Imaging Vascular Flow Only (78610) |
$594.94 |
$1,487.36 |
1.1× |
| Breath Test,Acquire/Analyze - Nm Breath Test Acquire Analyze (78267) |
$751.74 |
$1,879.36 |
68.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,728.89 |
$4,322.22 |
5.1× |
| Cervical spine 2 or 3 views (72040) |
$325.44 |
$813.60 |
3.8× |
| Chest 1 view (71045) |
$235.42 |
$588.56 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$353.02 |
$882.56 |
2.1× |
| Cineradiography/videoradiography (76120) |
$260.74 |
$651.84 |
2.6× |
| Clavicle complete (73000) |
$250.26 |
$625.64 |
2.9× |
| Complete single session course of cranial lesion surgery using radiation (77371) |
$31,768.80 |
$79,422 |
4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$53.48 |
$133.69 |
0.5× |
| Continuing medical physics consltj pr wk (77336) |
$414.80 |
$1,037 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,570.59 |
$6,426.47 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,719.07 |
$4,297.68 |
7.4× |
| CT abdomen w contrast (74160) |
$1,237.78 |
$3,094.46 |
7.2× |
| CT abdomen w wo contrast (74170) |
$1,481.31 |
$3,703.27 |
8.6× |
| CT abdomen w/o contrast (74150) |
$1,011.12 |
$2,527.81 |
9.9× |
| CT angio hrt w/3d image (75574) |
$756.08 |
$1,890.20 |
2.2× |
| CT angiography upper extremity lt (73206) |
$1,104.09 |
$2,760.23 |
6.4× |
| CT c-spine w/o contrast (72125) |
$1,297.89 |
$3,244.73 |
12.7× |
| CT cervical spine w&w/o contrast (72127) |
$1,512.14 |
$3,780.36 |
8.8× |
| CT cervical spine with contrast (72126) |
$1,357.97 |
$3,394.93 |
4.0× |
| CT chest w/wo contrast (71270) |
$1,436.88 |
$3,592.20 |
8.4× |
| CT chest with contrast (71260) |
$1,328.28 |
$3,320.70 |
7.8× |
| CT colonography screening (74263) |
$240 |
$600 |
1.0× |
| CT colonography w/dye (74262) |
$470 |
$1,175 |
2.7× |
| CT colonography w/o cntrst (74261) |
$501.60 |
$1,254 |
4.9× |
| CT head/brain with contrast (70460) |
$1,020.91 |
$2,552.27 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,232.51 |
$3,081.28 |
7.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$815.32 |
$2,038.29 |
2.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$981.44 |
$2,453.59 |
11.5× |
| CT hrt w/3d image congen (75573) |
$604.70 |
$1,511.75 |
1.8× |
| CT iac w contrast (70481) |
$854.36 |
$2,135.91 |
5.0× |
| CT limited/localized follow up study (76380) |
$375.98 |
$939.96 |
4.4× |
| CT lower ext w/o (73700) |
$983.56 |
$2,458.90 |
9.6× |
| CT lower extremity w wo contrast (73702) |
$1,395.54 |
$3,488.85 |
8.1× |
| CT lower extremity with contrast (73701) |
$1,058.84 |
$2,647.10 |
6.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,323.76 |
$3,309.39 |
7.7× |
| CT lumbar spine w/o contrast (72131) |
$1,178.96 |
$2,947.39 |
11.5× |
| CT lumbar spine with contrast (72132) |
$1,268.22 |
$3,170.56 |
3.7× |
| CT maxillofacial w contrast (70487) |
$1,065.08 |
$2,662.71 |
6.2× |
| CT maxillofacial w/o contrast (70486) |
$975.41 |
$2,438.52 |
9.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,148.58 |
$2,871.44 |
6.7× |
| CT neck soft tissue w contrast (70491) |
$1,344.72 |
$3,361.79 |
7.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,027.09 |
$2,567.73 |
6.0× |
| CT orbits w/o contrast (70480) |
$733.32 |
$1,833.30 |
7.2× |
| CT pelvis w & w/o contrast (72194) |
$1,201.17 |
$3,002.93 |
7.0× |
| CT pelvis w/o contrast (72192) |
$889.77 |
$2,224.43 |
8.7× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$273.56 |
$683.89 |
3.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,411.42 |
$3,528.56 |
8.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,074.80 |
$2,687.01 |
10.5× |
| CT thoracic spine w/contrast (72129) |
$1,290.44 |
$3,226.09 |
7.5× |
| CT thoracic spine w/o contrast (72128) |
$1,252.18 |
$3,130.45 |
12.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,323.76 |
$3,309.39 |
7.7× |
| CT thorax w/o contrast (71250) |
$936.67 |
$2,341.67 |
9.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$94.80 |
$237 |
0.6× |
| CT upper extremity w/o contrast rt (73200) |
$945.72 |
$2,364.29 |
9.3× |
| CT upper extremity with contrast (73201) |
$1,053.49 |
$2,633.73 |
3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,332.40 |
$3,330.99 |
7.8× |
| Cta Abdomen (74175) |
$1,542.19 |
$3,855.47 |
9.0× |
| CTA abdomen pelvis (74174) |
$2,387.94 |
$5,969.86 |
7.0× |
| CTA chest (71275) |
$1,488.30 |
$3,720.75 |
8.7× |
| Cta Head (70496) |
$1,560.74 |
$3,901.85 |
9.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,244.36 |
$3,110.91 |
7.3× |
| Cta Neck (70498) |
$1,615.52 |
$4,038.79 |
9.4× |
| Cta Pelvis (72191) |
$1,323.76 |
$3,309.39 |
7.7× |
| Cystography minimum 3 views rs&i (74430) |
$407.23 |
$1,018.08 |
1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$226.45 |
$566.13 |
2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$412.13 |
$1,030.32 |
4.0× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$279.24 |
$698.10 |
2.7× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$289.15 |
$722.88 |
2.8× |
| Dxa bone density study 1/> sites axial skel (77080) |
$398.43 |
$996.08 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$340.26 |
$850.65 |
4.0× |
| Dxa bone density study axial skeleton (77085) |
$283.36 |
$708.40 |
2.8× |
| Echo exam of eye (76529) |
$94.52 |
$236.29 |
1.1× |
| Echo exam of fetal heart (76825) |
$751.33 |
$1,878.32 |
1.4× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$465.38 |
$1,163.45 |
2.0× |
| Echoencephalography real time imaging (76506) |
$412.13 |
$1,030.32 |
4.0× |
| Esophagus (74220) |
$343.17 |
$857.92 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$476.90 |
$1,192.24 |
4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$417.40 |
$1,043.51 |
4.1× |
| Fluoroscopy up to 1 hr (76000) |
$510.05 |
$1,275.12 |
2.2× |
| Foot 2 views (73620) |
$238.73 |
$596.82 |
2.8× |
| Forearm 2 views (73090) |
$256.29 |
$640.73 |
3.0× |
| Functional MRI brain by phys/psych (70555) |
$918 |
$2,295 |
3.9× |
| Functional MRI brain by tech (70554) |
$882.40 |
$2,206 |
3.8× |
| Gated Heart Planar Single (78472) |
$1,168.38 |
$2,920.96 |
3.0× |
| Hand 2 views (73120) |
$244.86 |
$612.14 |
2.4× |
| Hand 3 views (73130) |
$271.66 |
$679.15 |
3.2× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$1,809.20 |
$4,523 |
2.7× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$3,276 |
$8,190 |
4.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,330.76 |
$5,826.91 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,162.11 |
$2,905.28 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,113.28 |
$2,783.20 |
2.9× |
| Ht muscle image spect sing (78451) |
$2,320.19 |
$5,800.48 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$250.26 |
$625.64 |
2.9× |
| Hysterosalpingogram (74740) |
$459.20 |
$1,148 |
2.0× |
| Interstitial radiation source applic complex (77778) |
$2,256.80 |
$5,642 |
3.3× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,225.60 |
$3,064 |
1.8× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$208 |
$519.99 |
2.0× |
| Kidney imaging morphology (78700) |
$802.82 |
$2,007.04 |
2.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,073.41 |
$2,683.52 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,121.34 |
$2,803.36 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,251.26 |
$3,128.16 |
2.4× |
| Knee 3 views (73562) |
$468.42 |
$1,171.06 |
5.5× |
| Liver & spleen imaging static only (78215) |
$854.78 |
$2,136.96 |
2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$947.07 |
$2,367.68 |
2.4× |
| Liver imaging static only (78201) |
$850.75 |
$2,126.88 |
1.6× |
| Liver imaging w/vascular flow (78202) |
$670 |
$1,675 |
1.3× |
| Lung perf&ventilat diferentl (78598) |
$1,145.98 |
$2,864.96 |
2.2× |
| Lung perfusion differential (78597) |
$939.90 |
$2,349.76 |
2.4× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$1,368.37 |
$3,420.93 |
0.4× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$1,075.74 |
$2,689.34 |
0.7× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$1,023.19 |
$2,557.97 |
0.3× |
| Lymphoscintigraphy (78195) |
$1,038.02 |
$2,595.04 |
2.0× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$107.02 |
$267.54 |
1.3× |
| Meckels Diverticulum (78290) |
$722.18 |
$1,805.44 |
1.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$1,462.80 |
$3,657 |
4.0× |
| Mr elastography (76391) |
$294.50 |
$736.26 |
1.3× |
| Mr safety determination physician/other qhp (76016) |
$49.31 |
$123.27 |
0.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$33.26 |
$83.16 |
0.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$13.72 |
$34.29 |
0.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$51.40 |
$128.51 |
0.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$135.36 |
$338.41 |
0.6× |
| MRA head w & w/o contrast (70546) |
$1,477.20 |
$3,693 |
4.3× |
| MRA head w/o contrast (70544) |
$1,233.60 |
$3,084 |
5.3× |
| MRA head with contrast (70545) |
$1,403.20 |
$3,508 |
4.1× |
| MRA neck w contrast (70548) |
$1,350.40 |
$3,376 |
4.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,403.20 |
$3,508 |
4.1× |
| MRA neck w/o contrast (70547) |
$1,292.80 |
$3,232 |
5.5× |
| MRI abdomen w contrast (74182) |
$1,689.60 |
$4,224 |
5.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,187.87 |
$5,469.68 |
6.4× |
| MRI abdomen w/o contrast (74181) |
$1,690.76 |
$4,226.89 |
7.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,807.45 |
$4,518.63 |
2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,683.17 |
$4,207.94 |
2.2× |
| MRI breast w/o contrast bilateral (77047) |
$1,143.56 |
$2,858.89 |
4.9× |
| MRI breast w/o contrast unilat (77046) |
$713.60 |
$1,784 |
3.1× |
| MRI c-spine with contrast (72142) |
$1,794.40 |
$4,486 |
5.3× |
| MRI cardiac w/o cont stress (75559) |
$1,461.03 |
$3,652.58 |
2.7× |
| MRI cardiac w/o contrast (75557) |
$1,338.82 |
$3,347.05 |
5.7× |
| MRI cervical spine w/o contrast (72141) |
$1,625.20 |
$4,063 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,989.39 |
$4,973.48 |
5.8× |
| MRI chest w/o contrast (71550) |
$1,423.36 |
$3,558.40 |
6.1× |
| MRI chest with contrast (71551) |
$1,502.84 |
$3,757.10 |
2.0× |
| MRI fetal sngl/1st gestation (74712) |
$366.18 |
$915.44 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,418.76 |
$3,546.91 |
4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,796.89 |
$4,492.22 |
5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,609.43 |
$4,023.58 |
6.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,397.08 |
$3,492.70 |
6.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,910.80 |
$4,777 |
5.6× |
| MRI orbit/face/neck w/contrast (70542) |
$1,374.40 |
$3,436 |
4.0× |
| MRI pelvis w contrast (72196) |
$1,655.38 |
$4,138.44 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,046.82 |
$5,117.06 |
6.0× |
| MRI pelvis w/o contrast (72195) |
$1,251.07 |
$3,127.67 |
5.4× |
| MRI scan of arm joint before and after contrast (73223) |
$2,073.93 |
$5,184.83 |
6.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,950.34 |
$4,875.85 |
2.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,073.01 |
$5,182.53 |
6.1× |
| MRI spectroscopy (76390) |
$596.36 |
$1,490.90 |
7.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,156.80 |
$5,392 |
6.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,946.20 |
$4,865.51 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,273.79 |
$5,684.47 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,903.94 |
$4,759.84 |
5.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,250.82 |
$5,627.04 |
6.6× |
| MRI thoracic spine w/o contrast (72146) |
$1,760.59 |
$4,401.48 |
7.6× |
| MRI tmj (70336) |
$1,126.10 |
$2,815.24 |
4.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,616.32 |
$4,040.81 |
6.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,839.62 |
$4,599.04 |
5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,317.68 |
$3,294.21 |
5.7× |
| Myelogram Cervical (72240) |
$1,185.99 |
$2,964.98 |
1.5× |
| Myelogram Lumbar (72265) |
$1,185.99 |
$2,964.98 |
1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$2,856.90 |
$7,142.24 |
2.3× |
| Myocardial Spect Multiple Studies (78452) |
$2,929.92 |
$7,324.80 |
2.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) |
$2,132 |
$5,330 |
1.5× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$2,961.40 |
$7,403.50 |
1.4× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) |
$2,912.80 |
$7,282 |
1.4× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$760 |
$1,900 |
0.9× |
| Neck soft tissue (70360) |
$190.85 |
$477.12 |
2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$360.64 |
$901.60 |
0.9× |
| Nm adrenal scan (78075) |
$1,571.58 |
$3,928.96 |
1.2× |
| Nm bone marrow multiple (78103) |
$434.07 |
$1,085.18 |
1.1× |
| Nm bone marrow wb (78104) |
$861.95 |
$2,154.88 |
2.2× |
| Nm csf leak detection (78650) |
$977.54 |
$2,443.84 |
0.8× |
| Nm gastric emptying study (78264) |
$1,115.07 |
$2,787.68 |
2.9× |
| Nm peritoneal-venous shunt patency (78291) |
$630.78 |
$1,576.96 |
1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$3,401.20 |
$8,503 |
2.5× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$672 |
$1,680 |
1.7× |
| Nuclear Rx Oral Admin (79005) |
$895.55 |
$2,238.88 |
3.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$366.55 |
$916.37 |
3.6× |
| Ophthalmic biometry us echograpy a-scan (76516) |
$169.21 |
$423.02 |
1.7× |
| Orthopantogram (70355) |
$249.71 |
$624.27 |
2.9× |
| Osseous survey infant (77076) |
$519.72 |
$1,299.30 |
5.1× |
| Osseous survey limited (77074) |
$446.18 |
$1,115.45 |
4.4× |
| Parathyrd planar w/spect&CT (78072) |
$1,391.94 |
$3,479.84 |
2.6× |
| Parathyrd planar w/wo subtrj (78071) |
$1,825.60 |
$4,564 |
4.7× |
| Parathyroid imaging (78070) |
$1,096.26 |
$2,740.64 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$270.56 |
$676.41 |
2.6× |
| PET image w/CT, skull-thigh (78815) |
$2,878.60 |
$7,196.52 |
2.1× |
| PET imaging CT for attenuation limited area (78814) |
$2,575.76 |
$6,439.40 |
1.8× |
| PET imaging for CT attenuation whole body (78816) |
$3,803.97 |
$9,509.92 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,921.86 |
$4,804.64 |
5.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$2,041.94 |
$5,104.85 |
0.7× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,491.50 |
$3,728.76 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$717.70 |
$1,794.24 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,121.34 |
$2,803.36 |
2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$417.09 |
$1,042.72 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$192.08 |
$480.20 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$290.87 |
$727.17 |
2.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$349.59 |
$873.98 |
3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$457.15 |
$1,142.88 |
4.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$8,960 |
$22,400 |
1.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$894 |
$2,235 |
1.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$600 |
$1,500 |
6.0× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$703.20 |
$1,758 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$306.24 |
$765.59 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$211.01 |
$527.52 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$314 |
$785 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$212.40 |
$531 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$521.92 |
$1,304.80 |
3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$347.20 |
$868 |
2.0× |
| Radiologic exam upr gi trc double contrast study (74246) |
$621.82 |
$1,554.56 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$404.10 |
$1,010.24 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$275.50 |
$688.75 |
3.2× |
| Radiological examination surgical specimen (76098) |
$237.60 |
$594 |
0.4× |
| Radiopharm Dacryocystography (78660) |
$458.75 |
$1,146.88 |
1.2× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$2,650.19 |
$6,625.47 |
0.9× |
| Ribs bilateral 3 views (71110) |
$389.10 |
$972.75 |
3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,048 |
$2,620 |
2.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,559.04 |
$3,897.60 |
2.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,352.51 |
$3,381.28 |
2.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$694.52 |
$1,736.29 |
0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$2,214.46 |
$5,536.16 |
1.6× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,491.78 |
$6,229.44 |
2.0× |
| Rp Therapy Intravenous Administration (79101) |
$766.53 |
$1,916.32 |
3.4× |
| Scanogram (77073) |
$266.17 |
$665.42 |
2.6× |
| Scapula complete (73010) |
$255.20 |
$637.99 |
2.5× |
| Screening digital breast tomosynthesis (77063) |
$48.80 |
$122 |
2.1× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$268.80 |
$672 |
2.6× |
| Small bowel series (74250) |
$396.03 |
$990.08 |
2.3× |
| Spec medical radj physics consltj (77370) |
$512.80 |
$1,282 |
3.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$740.40 |
$1,851 |
2.0× |
| Special dosimetry (77331) |
$340.40 |
$851 |
2.6× |
| Special treatment procedure (77470) |
$1,769.20 |
$4,423 |
3.3× |
| Spine thoracic 3 views (72072) |
$316.11 |
$790.28 |
3.1× |
| Stereotactic body radiation delivery (77373) |
$3,863.60 |
$9,659 |
2.2× |
| Superior sagittal sinus venogram (75870) |
$1,319.43 |
$3,298.57 |
0.4× |
| Tbs Technical Calculation Only (77091) |
$38 |
$95 |
0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,844.40 |
$4,611 |
5.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,088.40 |
$2,721 |
3.0× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,123.20 |
$2,808 |
3.1× |
| Ther rad simulaj-aided field setting simple (77280) |
$560.80 |
$1,402 |
4.3× |
| Therapeutic Enema (74283) |
$745.50 |
$1,863.74 |
4.4× |
| Thoracolumbar 2 views (72080) |
$318.31 |
$795.77 |
3.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,215.87 |
$3,039.68 |
2.3× |
| Thyroid Imaging With Vascular Flow (78013) |
$927.36 |
$2,318.40 |
2.4× |
| Thyroid uptake measurement (78012) |
$777.28 |
$1,943.20 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,279.94 |
$3,199.84 |
3.3× |
| Treatment device intermediate (77333) |
$469.20 |
$1,173 |
3.6× |
| Treatment devices simple (77332) |
$360.40 |
$901 |
2.7× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,775.42 |
$4,438.56 |
3.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$832.83 |
$2,082.08 |
2.1× |
| Tx devices design & construction complex (77334) |
$779.60 |
$1,949 |
2.1× |
| Ultrasound elastography first target lesion (76982) |
$177.34 |
$443.36 |
1.7× |
| Ultrasound scan of cornea to determine thickness (76514) |
$29.56 |
$73.89 |
1.0× |
| Ultrasound scan to determine eye length and lens power (76519) |
$278.44 |
$696.10 |
2.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) |
$373.26 |
$933.16 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$551.74 |
$1,379.35 |
5.4× |
| Umbilical-artery Doppler (OB) (76820) |
$262.33 |
$655.82 |
2.6× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$455.58 |
$1,138.96 |
5.4× |
| Unlisted fluoroscopic procedure (76496) |
$2,074 |
$5,185 |
24.4× |
| Unlisted magnetic resonance procedure (76498) |
$1,062.24 |
$2,655.59 |
12.5× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$1,139.26 |
$2,848.16 |
2.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$764.40 |
$1,911 |
7.7× |
| Unlisted Ultrasound Procedure (76999) |
$147.29 |
$368.23 |
1.7× |
| Upper Extremity Infant (73092) |
$208 |
$519.99 |
2.0× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$671.55 |
$1,678.88 |
1.7× |
| Urethrocystography retrograde rs&i (74450) |
$404.54 |
$1,011.36 |
1.7× |
| Urethrocystography voiding (74455) |
$499.07 |
$1,247.68 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$538.05 |
$1,345.12 |
3.1× |
| Us abdl aorta screen aaa (76706) |
$181.84 |
$454.59 |
1.8× |
| Us breast unilateral complete (76641) |
$381.42 |
$953.55 |
3.7× |
| Us breast unilateral limited (76642) |
$365.59 |
$913.97 |
4.3× |
| Us chest (76604) |
$210.62 |
$526.56 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$444.75 |
$1,111.88 |
4.4× |
| Us elastography parenchyma (76981) |
$187.11 |
$467.78 |
1.8× |
| Us fetal nuchal translucency 1st gestation (76813) |
$315.21 |
$788.03 |
3.1× |
| Us infant hips dynamic (76885) |
$419.32 |
$1,048.31 |
4.9× |
| Us infant hips limited static (76886) |
$302.26 |
$755.65 |
3.6× |
| Us kidney transplant (76776) |
$542.14 |
$1,355.36 |
5.3× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$90 |
$225 |
0.9× |
| Us ob detailed single fetus (76811) |
$564.70 |
$1,411.74 |
2.4× |
| Us ob transvaginal (76817) |
$226.46 |
$566.14 |
2.2× |
| Us pelvic non ob complete (76856) |
$583.89 |
$1,459.72 |
5.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$434.20 |
$1,085.49 |
4.3× |
| Us pregnancy ltd (76815) |
$241.81 |
$604.52 |
2.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$371.82 |
$929.56 |
3.6× |
| Us retroperitoneal complete (76770) |
$570.93 |
$1,427.33 |
5.6× |
| Us retroperitoneal limited (76775) |
$305.38 |
$763.44 |
3.0× |
| Us scrotum and contents (76870) |
$501.84 |
$1,254.61 |
4.9× |
| Us soft tissue head/neck (76536) |
$447.63 |
$1,119.08 |
4.4× |
| Us spinal canal and contents (76800) |
$381.42 |
$953.55 |
3.7× |
| Us transrectal (76872) |
$384.30 |
$960.75 |
3.8× |
| Us transrectal prostate volume (76873) |
$599.72 |
$1,499.30 |
5.9× |
| Us xtr non-vasc lmtd (76882) |
$235.80 |
$589.52 |
2.3× |
| Us, eye b-scan (76512) |
$138.18 |
$345.44 |
1.4× |
| Venogram extremity bilateral (75822) |
$1,279.24 |
$3,198.10 |
0.8× |
| Venography caval inferior serialography rs&i (75825) |
$2,448.74 |
$6,121.86 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,837.20 |
$4,593.01 |
1.2× |
| Venography extremity unilateral rs&i (75820) |
$1,057.19 |
$2,642.98 |
0.7× |
| Venography Renal Bilateral (75833) |
$2,717.16 |
$6,792.91 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$2,312.73 |
$5,781.83 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,777.44 |
$4,443.60 |
0.6× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,377.13 |
$5,942.83 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$128.80 |
$322 |
1.5× |
| Wrist 2 views (73100) |
$169.17 |
$422.92 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$303.74 |
$759.36 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$246.41 |
$616.03 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$279.34 |
$698.36 |
3.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$596.74 |
$1,491.84 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$235.44 |
$588.59 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$267.82 |
$669.54 |
3.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$346.30 |
$865.74 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$232.69 |
$581.73 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$257.94 |
$644.85 |
3.0× |
| X-ray exam hip uni 4/> views (73503) |
$284.28 |
$710.71 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$374.83 |
$937.08 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$463.74 |
$1,159.35 |
4.5× |
| X-ray exam of femur 1 (73551) |
$237.08 |
$592.71 |
2.8× |
| X-ray eye for foreign body (70030) |
$169.34 |
$423.36 |
2.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$243.12 |
$607.80 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$227.75 |
$569.38 |
2.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$293.61 |
$734.03 |
3.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$720 |
$1,800 |
0.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$227.21 |
$568.02 |
2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$248.06 |
$620.15 |
2.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$389.10 |
$972.75 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$267.27 |
$668.17 |
3.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$203.61 |
$509.02 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$360.57 |
$901.42 |
3.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$462.56 |
$1,156.41 |
4.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$360.57 |
$901.42 |
3.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$179.46 |
$448.64 |
2.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$329.83 |
$824.58 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$306.24 |
$765.59 |
3.0× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$602.40 |
$1,506 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$271.66 |
$679.15 |
3.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$353.43 |
$883.57 |
3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$420.94 |
$1,052.34 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$243.67 |
$609.17 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$232.69 |
$581.73 |
2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$300.74 |
$751.86 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$299.65 |
$749.12 |
3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$318.86 |
$797.15 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$298 |
$745 |
2.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$221.72 |
$554.29 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$170.13 |
$425.32 |
2.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$208 |
$519.99 |
2.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$299.65 |
$749.12 |
2.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$322.70 |
$806.74 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$186.60 |
$466.49 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$287.02 |
$717.56 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$463.19 |
$1,157.98 |
4.5× |
| Xr chest 4+ views (71048) |
$210 |
$525 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$203.06 |
$507.64 |
2.4× |
| Xr shoulder 1 view (73020) |
$220.07 |
$550.18 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$442.89 |
$1,107.22 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$288.12 |
$720.30 |
3.4× |
| Xr tmj bilateral (70330) |
$254.65 |
$636.62 |
3.0× |
| Xray knee 1 or 2 views rt (73560) |
$267.82 |
$669.54 |
3.2× |