| 3-D radiotherapy plan dose-volume histograms (77295) |
$11,073 |
$11,073 |
6.7× |
| Abdomen 2 views (74019) |
$770 |
$770 |
6.1× |
| Acute gi blood loss imaging (78278) |
$2,577 |
$2,577 |
5.4× |
| Angiography extremity bilateral rs&i (75716) |
$7,078 |
$7,078 |
1.9× |
| Angiography extremity unilateral rs&i (75710) |
$6,891 |
$6,891 |
1.8× |
| Angiography internal mammary rs&i (75756) |
$3,934 |
$3,934 |
1.0× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$11,026 |
$11,026 |
1.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,699 |
$7,699 |
2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,366 |
$2,366 |
0.6× |
| Angiography Spinal Selective Rs&I (75705) |
$13,847 |
$13,847 |
2.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$17,659 |
$17,659 |
2.6× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,477 |
$3,477 |
0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,628 |
$2,628 |
0.7× |
| Ankle 2 views (73600) |
$651 |
$651 |
6.2× |
| Aortogram thoracic (75605) |
$7,777 |
$7,777 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$7,777 |
$7,777 |
2.1× |
| Aortography abdominal serialography rs&i (75625) |
$4,640 |
$4,640 |
1.2× |
| Aortography Thoracic W/O Serialography Rs&I (75600) |
$8,935 |
$8,935 |
2.4× |
| Artery X-Rays Adrenal Gland (75731) |
$7,892 |
$7,892 |
2.1× |
| Arthrogram hip (73525) |
$1,115 |
$1,115 |
2.7× |
| Arthrogram shoulder (73040) |
$1,327 |
$1,327 |
3.2× |
| Basic dosimetry (77300) |
$839 |
$839 |
5.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,542 |
$1,542 |
3.2× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,610 |
$1,610 |
3.4× |
| Bone &/joint imaging whole body (78306) |
$3,861 |
$3,861 |
8.1× |
| Bone age studies (77072) |
$1,089 |
$1,089 |
8.7× |
| Bone Imaging 3 Phase (78315) |
$3,092 |
$3,092 |
6.5× |
| Bone Marrow Imaging Limited Area (78102) |
$610 |
$610 |
1.3× |
| Bone survey complete (77075) |
$1,401 |
$1,401 |
11.2× |
| Bone survey infant (77076) |
$1,645 |
$1,645 |
13.1× |
| Bowel imaging (78290) |
$2,083 |
$2,083 |
4.3× |
| Brachytx isodose intermed (77317) |
$4,423 |
$4,423 |
9.9× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) |
$1,367 |
$1,367 |
2.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$7,484 |
$7,484 |
4.4× |
| Brain Imaging Vascular Flow Only (78610) |
$1,612 |
$1,612 |
2.5× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,832 |
$2,832 |
5.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,662 |
$4,662 |
11.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,866 |
$1,866 |
2.9× |
| Cervical spine 2 or 3 views (72040) |
$819 |
$819 |
7.9× |
| Chest 1 view (71045) |
$42,919.25 |
$42,919.25 |
411.5× |
| Chest xray 3 views (71047) |
$954 |
$954 |
9.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$783 |
$783 |
3.7× |
| Clavicle complete (73000) |
$558 |
$558 |
5.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$894 |
$894 |
7.1× |
| Continuing medical physics consltj pr wk (77336) |
$939 |
$939 |
5.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,096 |
$5,096 |
12.2× |
| CT abdomen and pelvis without contrast (74176) |
$5,243 |
$5,243 |
18.3× |
| CT abdomen w contrast (74160) |
$3,625 |
$3,625 |
17.2× |
| CT abdomen w wo contrast (74170) |
$3,761 |
$3,761 |
17.9× |
| CT abdomen w/o contrast (74150) |
$2,668 |
$2,668 |
21.3× |
| CT angio hrt w/3d image (75574) |
$2,187 |
$2,187 |
5.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,117.50 |
$3,117.50 |
14.8× |
| CT angiography upper extremity lt (73206) |
$3,737 |
$3,737 |
17.8× |
| CT c-spine w/contrast (72126) |
$3,253 |
$3,253 |
7.8× |
| CT c-spine w/o contrast (72125) |
$3,127 |
$3,127 |
25.0× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$3,284 |
$3,284 |
15.6× |
| CT cervical spine w&w/o contrast (72127) |
$3,804 |
$3,804 |
18.1× |
| CT chest w contrast (71260) |
$6,259.96 |
$6,259.96 |
29.8× |
| CT chest w/wo contrast (71270) |
$3,674 |
$3,674 |
17.5× |
| CT colonography screening (74263) |
$615 |
$615 |
2.2× |
| CT colonography w/o cntrst (74261) |
$2,750 |
$2,750 |
21.9× |
| CT head/brain with contrast (70460) |
$3,020 |
$3,020 |
14.4× |
| CT head/brain without and with contrast (70470) |
$3,198 |
$3,198 |
15.2× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,187 |
$2,187 |
5.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$61 |
$61 |
0.6× |
| CT hrt w/3d image congen (75573) |
$534 |
$534 |
1.3× |
| CT iac w contrast (70481) |
$3,395 |
$3,395 |
16.2× |
| CT limited/localized follow up study (76380) |
$865 |
$865 |
8.3× |
| CT lower ext w/o (73700) |
$2,705 |
$2,705 |
21.6× |
| CT lower extremity w wo contrast (73702) |
$3,287 |
$3,287 |
15.6× |
| CT lower extremity w/contrast material (73701) |
$3,127 |
$3,127 |
14.9× |
| CT lumbar spine w & w/o contrast (72133) |
$4,440.50 |
$4,440.50 |
21.1× |
| CT lumbar spine w/contrast (72132) |
$3,642 |
$3,642 |
8.7× |
| CT lumbar spine w/o contrast (72131) |
$3,127 |
$3,127 |
25.0× |
| CT maxillofacial w contrast (70487) |
$3,127 |
$3,127 |
14.9× |
| CT maxillofacial w/wo contrast (70488) |
$3,777 |
$3,777 |
18.0× |
| CT maxillofacial wo contrast (70486) |
$2,651 |
$2,651 |
21.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,508 |
$3,508 |
16.7× |
| CT orbits w/o contrast (70480) |
$3,198 |
$3,198 |
25.5× |
| CT pelvis w/o contrast (72192) |
$2,685 |
$2,685 |
21.4× |
| CT pelvis w/wo contrast (72194) |
$3,648 |
$3,648 |
17.4× |
| CT scan of arm combo (73202) |
$3,830.50 |
$3,830.50 |
18.2× |
| CT soft tissue neck w contrast (70491) |
$3,197 |
$3,197 |
15.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,301 |
$3,301 |
15.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,620 |
$2,620 |
20.9× |
| CT thoracic spine w/contrast (72129) |
$3,253 |
$3,253 |
15.5× |
| CT thoracic spine w/o contrast (72128) |
$3,127 |
$3,127 |
25.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,676 |
$3,676 |
17.5× |
| CT thorax w/o contrast (71250) |
$3,165 |
$3,165 |
25.3× |
| CT unlisted procedure (76497) |
$410 |
$410 |
3.9× |
| CT upper ext wo (73200) |
$2,705 |
$2,705 |
21.6× |
| CT upper extremity with contrast (73201) |
$2,853 |
$2,853 |
6.8× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,548 |
$2,548 |
12.1× |
| Cta Abdomen (74175) |
$3,548 |
$3,548 |
16.9× |
| CTA abdomen pelvis (74174) |
$8,924.96 |
$8,924.96 |
21.3× |
| CTA chest (71275) |
$6,844.46 |
$6,844.46 |
32.6× |
| Cta Head (70496) |
$3,413 |
$3,413 |
16.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,284 |
$3,284 |
7.9× |
| Cta Neck (70498) |
$3,284 |
$3,284 |
15.6× |
| Cta Pelvis (72191) |
$1,479.50 |
$1,479.50 |
7.0× |
| Cystography minimum 3 views rs&i (74430) |
$831 |
$831 |
2.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) |
$1,534 |
$1,534 |
0.6× |
| Diskography lumbar (72295) |
$4,128 |
$4,128 |
1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$1,222 |
$1,222 |
9.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,222 |
$1,222 |
9.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$668 |
$668 |
5.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,182 |
$1,182 |
9.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$924 |
$924 |
8.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) |
$1,063 |
$1,063 |
3.7× |
| Esophagus (74220) |
$676 |
$676 |
3.2× |
| Facial bones min 3 views (70150) |
$1,208 |
$1,208 |
9.6× |
| Fetal biophysical profile non-stress testing (76818) |
$1,412 |
$1,412 |
11.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$969 |
$969 |
7.7× |
| Fetal Echo (76825) |
$1,950 |
$1,950 |
3.0× |
| Fluoroscopy up to 1 hr (76000) |
$772 |
$772 |
2.7× |
| Foot 2 views (73620) |
$671 |
$671 |
6.4× |
| Forearm 2 views (73090) |
$13,598.64 |
$13,598.64 |
130.4× |
| Functional MRI brain by phys/psych (70555) |
$3,756 |
$3,756 |
13.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) |
$1,243 |
$1,243 |
2.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) |
$1,608 |
$1,608 |
2.5× |
| Hand 2 views (73120) |
$511 |
$511 |
4.1× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,270 |
$5,270 |
6.3× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$4,864 |
$4,864 |
5.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) |
$11,194 |
$11,194 |
3.0× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$7,504 |
$7,504 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,291 |
$2,291 |
3.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,083 |
$2,083 |
4.3× |
| Hysterosalpingogram (74740) |
$1,527 |
$1,527 |
5.3× |
| Interstitial radiation source applic complex (77778) |
$6,801.50 |
$6,801.50 |
8.1× |
| Kidney imaging morphology (78700) |
$1,483 |
$1,483 |
3.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,988 |
$1,988 |
3.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$4,222 |
$4,222 |
6.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$4,222 |
$4,222 |
6.5× |
| Knee 3 views (73562) |
$1,584 |
$1,584 |
15.2× |
| Liver & spleen imaging static only (78215) |
$1,297 |
$1,297 |
2.7× |
| Lung perf&ventilat diferentl (78598) |
$3,837 |
$3,837 |
5.9× |
| Lung perfusion differential (78597) |
$3,398 |
$3,398 |
7.1× |
| Lung ventilation imaging (78579) |
$385 |
$385 |
0.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) |
$1,977 |
$1,977 |
0.5× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$1,156 |
$1,156 |
0.3× |
| Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Facility (75803) |
$1,797 |
$1,797 |
1.0× |
| Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Facility (75801) |
$1,156 |
$1,156 |
1.5× |
| Lymphoscintigraphy (78195) |
$2,548.84 |
$2,548.84 |
3.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$5,306 |
$5,306 |
12.7× |
| Magnetic Resonance Elastography (76391) |
$1,225 |
$1,225 |
4.3× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$147 |
$147 |
1.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$5,567 |
$5,567 |
12.4× |
| Mr safety determination physician/other qhp (76016) |
$675 |
$675 |
6.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$146 |
$146 |
4.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$1,098.50 |
$1,098.50 |
9.6× |
| Mr safety implt pos&/immoblj (76019) |
$226 |
$226 |
3.2× |
| MRA head w & w/o contrast (70546) |
$5,423 |
$5,423 |
13.0× |
| MRA head w/o contrast (70544) |
$3,763 |
$3,763 |
13.2× |
| MRA head with contrast (70545) |
$4,011 |
$4,011 |
9.6× |
| MRA neck w contrast (70548) |
$3,798 |
$3,798 |
9.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,463 |
$5,463 |
13.1× |
| MRA neck w/o contrast (70547) |
$2,838 |
$2,838 |
9.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,551 |
$4,551 |
10.9× |
| MRI abdomen w/o contrast (74181) |
$3,732 |
$3,732 |
13.1× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,452 |
$4,452 |
4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,423 |
$5,423 |
13.0× |
| MRI breast w/o contrast bilateral (77047) |
$3,855 |
$3,855 |
13.5× |
| MRI c-spine with contrast (72142) |
$1,178 |
$1,178 |
2.8× |
| MRI cardiac w/o contrast (75557) |
$3,162 |
$3,162 |
11.1× |
| MRI cervical spine w/o contrast (72141) |
$3,763 |
$3,763 |
13.2× |
| MRI chest w/o & w/contrast material (71552) |
$4,528 |
$4,528 |
10.8× |
| MRI chest w/o contrast (71550) |
$3,763 |
$3,763 |
13.2× |
| MRI fetal sngl/1st gestation (74712) |
$4,187 |
$4,187 |
14.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,047 |
$4,047 |
9.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,189 |
$5,189 |
12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,763 |
$3,763 |
13.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,727 |
$3,727 |
13.0× |
| MRI orbit face neck w contrast (70542) |
$3,949 |
$3,949 |
9.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,423 |
$5,423 |
13.0× |
| MRI pelvis w/contrast (72196) |
$4,047 |
$4,047 |
9.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,551 |
$4,551 |
10.9× |
| MRI pelvis w/o contrast (72195) |
$3,763 |
$3,763 |
13.2× |
| MRI spectroscopy (76390) |
$2,596 |
$2,596 |
24.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,423 |
$5,423 |
13.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,069 |
$4,069 |
9.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,423 |
$5,423 |
13.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,661 |
$3,661 |
8.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,423 |
$5,423 |
13.0× |
| MRI temporomandibular joint (70336) |
$3,934 |
$3,934 |
13.8× |
| MRI thoracic spine w/o contrast (72146) |
$3,763 |
$3,763 |
13.2× |
| MRI up ext w/o contrast (73218) |
$3,732 |
$3,732 |
13.1× |
| MRI upper ext joint w/o contrast (73221) |
$3,763 |
$3,763 |
13.2× |
| MRI, joint upper extrem combo (73223) |
$5,423 |
$5,423 |
13.0× |
| Musculoskeletal Nuclear Exam (78399) |
$1,074 |
$1,074 |
2.2× |
| Myocardial Spect Multiple Studies (78452) |
$7,424 |
$7,424 |
4.8× |
| Myocardial spect single study at rest or stress (78451) |
$5,993 |
$5,993 |
3.9× |
| N-invas est c ffr sw aly CTA (75580) |
$3,768 |
$3,768 |
3.7× |
| Neck soft tissue (70360) |
$560 |
$560 |
5.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$1,236 |
$1,236 |
2.6× |
| Nm bone marrow multi (78103) |
$1,539 |
$1,539 |
3.2× |
| Nm bone marrow wb (78104) |
$1,841 |
$1,841 |
3.8× |
| Nm cardiac blood pool multiple (78473) |
$2,668 |
$2,668 |
5.6× |
| Nm cisternogram (78630) |
$1,624 |
$1,624 |
2.5× |
| Nm csf leak detection (78650) |
$3,646 |
$3,646 |
2.3× |
| Nm gastric emptying study (78264) |
$2,083 |
$2,083 |
4.3× |
| Nonvascular shunt X-ray (75809) |
$364 |
$364 |
2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$6,970 |
$6,970 |
4.2× |
| Nuclear Rx Oral Admin (79005) |
$2,276 |
$2,276 |
8.1× |
| Ob us nuchal meas 1 gest (76813) |
$1,891 |
$1,891 |
15.1× |
| Ophthalmic biometry by ultrasound echography, A-scan; Non-Facility (76516) |
$882 |
$882 |
7.0× |
| Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Non-Facility (76519) |
$956 |
$956 |
7.6× |
| Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter… (76510) |
$655 |
$655 |
4.1× |
| Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)… (76514) |
$109 |
$109 |
3.1× |
| Ophthalmic ultrasound, diagnostic; quantitative A-scan only Non-Facility (76511) |
$486 |
$486 |
3.9× |
| Orthopantogram (70355) |
$603 |
$603 |
5.8× |
| Osseous survey limited (77074) |
$1,009 |
$1,009 |
8.1× |
| Parathyrd planar w/spect&CT (78072) |
$3,549 |
$3,549 |
5.5× |
| Parathyroid Planar Imaging (78070) |
$1,431 |
$1,431 |
3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$2,206 |
$2,206 |
4.6× |
| Pelvis 1 or 2 views (72170) |
$580 |
$580 |
4.6× |
| PET image w/CT, skull-thigh (78815) |
$8,367 |
$8,367 |
4.9× |
| PET imaging for CT attenuation whole body (78816) |
$7,722 |
$7,722 |
4.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$7,699 |
$7,699 |
2.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$2,976 |
$2,976 |
0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,083 |
$2,083 |
4.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,431 |
$1,431 |
2.2× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) |
$1,561 |
$1,561 |
1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,137 |
$1,137 |
1.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$663 |
$663 |
6.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$671 |
$671 |
6.4× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$703 |
$703 |
6.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$484 |
$484 |
4.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$796 |
$796 |
6.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$1,026 |
$1,026 |
8.2× |
| Radex fingr minimum 2 views (73140) |
$565 |
$565 |
5.4× |
| Radex Foot Compl Minimum 3 Views (73630) |
$675 |
$675 |
6.5× |
| Radex Hand Minimum 3 Views (73130) |
$529 |
$529 |
5.1× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$63,708.38 |
$63,708.38 |
610.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$796 |
$796 |
6.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,098 |
$1,098 |
8.8× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$1,514 |
$1,514 |
12.1× |
| Radex Humerus Minimum 2 Views (73060) |
$657 |
$657 |
6.3× |
| Radex Kne 1/2 Views (73560) |
$1,538 |
$1,538 |
14.7× |
| Radex Kne Compl 4/More Views (73564) |
$743 |
$743 |
5.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$819 |
$819 |
6.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$654 |
$654 |
6.3× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$798 |
$798 |
6.4× |
| Radex Sho Compl Minimum 2 Views (73030) |
$862 |
$862 |
8.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$762 |
$762 |
7.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$424 |
$424 |
3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$940 |
$940 |
9.0× |
| Radex Toe Minimum 2 Views (73660) |
$632 |
$632 |
6.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$348 |
$348 |
2.8× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,565.94 |
$1,565.94 |
15.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,231 |
$1,231 |
9.8× |
| Radiation treatment delivery level 1 (77402) |
$5,470 |
$5,470 |
44.7× |
| Radiation treatment delivery level 2 (77407) |
$6,860 |
$6,860 |
14.8× |
| Radiation treatment delivery level 3 (77412) |
$6,927 |
$6,927 |
10.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$606 |
$606 |
5.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$954 |
$954 |
7.6× |
| Radiologic exam chest 2 views (71046) |
$3,138 |
$3,138 |
30.1× |
| Radiologic exam colon single contrast study (74270) |
$2,105 |
$2,105 |
10.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$707 |
$707 |
3.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,339 |
$1,339 |
6.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,165 |
$1,165 |
5.5× |
| Radiologic examination femur 1 view (73551) |
$814 |
$814 |
7.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,646 |
$1,646 |
15.8× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$903 |
$903 |
7.2× |
| Radiological examination surgical specimen (76098) |
$20,752.08 |
$20,752.08 |
31.7× |
| Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion Non-Facility (79403) |
$2,107 |
$2,107 |
7.5× |
| Ribs bilateral 3 views (71110) |
$1,078 |
$1,078 |
8.6× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,359 |
$1,359 |
2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,543 |
$1,543 |
3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$3,924.50 |
$3,924.50 |
6.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,773.50 |
$3,773.50 |
5.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,918.50 |
$3,918.50 |
6.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,539 |
$3,539 |
2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,823 |
$3,823 |
2.2× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,115 |
$3,115 |
2.0× |
| Rp therapy intra-arterial particulate admn (79445) |
$788 |
$788 |
2.8× |
| Rp Therapy Intravenous Administration (79101) |
$1,021 |
$1,021 |
3.7× |
| Sacroiliac Joints < 3 Views (72200) |
$482 |
$482 |
3.8× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,267 |
$1,267 |
4.4× |
| Salivary gland function study (78232) |
$1,141 |
$1,141 |
2.4× |
| Scapula (73010) |
$780 |
$780 |
6.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$400 |
$400 |
17.1× |
| Shoulder 1 view (73020) |
$1,089 |
$1,089 |
10.4× |
| Sialogram (70390) |
$417 |
$417 |
1.5× |
| Simulation intermediate (77285) |
$1,881 |
$1,881 |
4.2× |
| Small bowel series (74250) |
$1,143.50 |
$1,143.50 |
5.4× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,050 |
$1,050 |
2.3× |
| Special Physics Consult (77370) |
$1,402 |
$1,402 |
8.7× |
| Special treatment procedure (77470) |
$2,852 |
$2,852 |
4.3× |
| Spine thoracic 3 views (72072) |
$711 |
$711 |
5.7× |
| Superior sagittal sinus venogram (75870) |
$3,157 |
$3,157 |
0.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) |
$303 |
$303 |
2.9× |
| Tbs technical calculation only (77091) |
$334 |
$334 |
3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$7,812 |
$7,812 |
17.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$2,776 |
$2,776 |
6.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,540 |
$2,540 |
5.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$985 |
$985 |
6.1× |
| Thoracolumbar 2 views (72080) |
$1,227 |
$1,227 |
11.8× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,820 |
$1,820 |
2.8× |
| Thyroid imaging w/blood flow (78013) |
$945 |
$945 |
2.0× |
| Thyroid uptake measurement (78012) |
$719 |
$719 |
1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,466 |
$1,466 |
3.1× |
| Tmj unilateral (70328) |
$254 |
$254 |
2.4× |
| Treatment device complex (77334) |
$1,650 |
$1,650 |
3.7× |
| Treatment device intermediate (77333) |
$972 |
$972 |
6.0× |
| Treatment devices simple (77332) |
$850 |
$850 |
5.3× |
| Ultrasound breast complete (76641) |
$836 |
$836 |
6.7× |
| Ultrasound Exam Aaa Screen (76706) |
$1,022 |
$1,022 |
8.2× |
| Ultrasound, abdomen limited (76705) |
$1,872.50 |
$1,872.50 |
14.9× |
| Umbilical-artery Doppler (OB) (76820) |
$668 |
$668 |
5.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,000 |
$1,000 |
9.6× |
| Unlisted fluoroscopic procedure (76496) |
$1,149 |
$1,149 |
11.0× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$1,341 |
$1,341 |
2.8× |
| Unlisted ns dx nm (78699) |
$1,059 |
$1,059 |
2.2× |
| Unlisted ultrasound procedure (76999) |
$343 |
$343 |
3.3× |
| Urethrocystogram voiding (74455) |
$1,345 |
$1,345 |
4.7× |
| Urethrocystography retrograde rs&i (74450) |
$730 |
$730 |
2.6× |
| Us breast unilateral limited (76642) |
$717.50 |
$717.50 |
6.9× |
| Us chest (76604) |
$1,455 |
$1,455 |
11.6× |
| Us compl joint r-t w/image documentation (76881) |
$2,087 |
$2,087 |
16.7× |
| Us elastography parenchyma (76981) |
$378 |
$378 |
3.0× |
| Us encephalogram (76506) |
$1,710 |
$1,710 |
13.6× |
| Us hips infant static (76886) |
$1,410 |
$1,410 |
13.5× |
| Us infant hips w manipulation (76885) |
$1,536 |
$1,536 |
14.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,354 |
$1,354 |
10.8× |
| Us ob detailed single fetus (76811) |
$2,429 |
$2,429 |
8.5× |
| Us ob limited (76815) |
$1,298 |
$1,298 |
10.4× |
| Us ob transvaginal (76817) |
$1,259 |
$1,259 |
10.0× |
| Us pelvic non ob complete (76856) |
$2,723.50 |
$2,723.50 |
21.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,406 |
$1,406 |
11.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,491 |
$1,491 |
11.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,123 |
$1,123 |
9.0× |
| Us retroperitoneal complete (76770) |
$1,664 |
$1,664 |
13.3× |
| Us retroperitoneal limited (76775) |
$1,130 |
$1,130 |
9.0× |
| Us scrotum and contents (76870) |
$1,644 |
$1,644 |
13.1× |
| Us soft tissue head/neck (76536) |
$884 |
$884 |
7.1× |
| Us spinal canal and contents (76800) |
$1,760 |
$1,760 |
14.0× |
| Us transrectal (76872) |
$935 |
$935 |
7.5× |
| Us transrectal prostate volume (76873) |
$1,233 |
$1,233 |
9.8× |
| Us, eye b-scan (76512) |
$1,213 |
$1,213 |
9.7× |
| Us,transplanted kidney, real time/ doppler (76776) |
$1,773 |
$1,773 |
14.2× |
| Venogram adrenal unilat (75840) |
$2,745 |
$2,745 |
0.7× |
| Venogram extremity bilateral (75822) |
$3,030 |
$3,030 |
1.6× |
| Venogram Extremity Unilateral (75820) |
$3,002 |
$3,002 |
1.6× |
| Venography caval inferior serialography rs&i (75825) |
$3,189 |
$3,189 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$3,189 |
$3,189 |
1.7× |
| Venography Renal Bilateral (75833) |
$3,516 |
$3,516 |
0.9× |
| Venography renal unilateral selective rs&i (75831) |
$3,558 |
$3,558 |
0.9× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,664 |
$2,664 |
0.7× |
| Venous sampling by catheter (75893) |
$10,201 |
$10,201 |
1.5× |
| Wrist 2 views (73100) |
$602 |
$602 |
5.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$918.50 |
$918.50 |
7.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$823 |
$823 |
7.9× |
| X-ray b.e. reductn intuss (74283) |
$2,802 |
$2,802 |
13.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,117.50 |
$2,117.50 |
10.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$681 |
$681 |
6.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,588 |
$1,588 |
15.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,269 |
$1,269 |
10.1× |
| X-ray exam of femur 2/> (73552) |
$846 |
$846 |
8.1× |
| X-ray eye for foreign body (70030) |
$891 |
$891 |
8.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$706 |
$706 |
6.8× |
| X-ray IV pyelogram (ivp) (74400) |
$983 |
$983 |
4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$638 |
$638 |
6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$639 |
$639 |
6.1× |
| X-ray leg, infant (73592) |
$254 |
$254 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$727 |
$727 |
5.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$986 |
$986 |
7.9× |
| X-ray nose-rectum child f.b. (76010) |
$726 |
$726 |
7.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$858 |
$858 |
6.8× |
| X-ray retrograde pyelogram (74420) |
$1,243 |
$1,243 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$571 |
$571 |
5.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,058 |
$1,058 |
8.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,437 |
$1,437 |
11.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$954 |
$954 |
7.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$610 |
$610 |
5.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$822 |
$822 |
7.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$867 |
$867 |
6.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$740 |
$740 |
5.9× |
| X-Ray Small Bowel Enteroclysis (74251) |
$2,119 |
$2,119 |
10.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$355 |
$355 |
3.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$993 |
$993 |
9.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$887 |
$887 |
8.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$671 |
$671 |
5.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,095 |
$1,095 |
8.7× |
| Xr bone length studies (77073) |
$728 |
$728 |
5.8× |
| Xr c-spine 4 or 5 views (72050) |
$970 |
$970 |
7.7× |
| Xr c-spine 6 or more views (72052) |
$981 |
$981 |
7.8× |
| Xr chest 4+ views (71048) |
$1,103 |
$1,103 |
8.8× |
| Xr urogram antegrade (74425) |
$739 |
$739 |
1.8× |