| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,847.30 |
$6,155.05 |
4.2× |
| Abdomen 2 views (74019) |
$361.90 |
$380.95 |
3.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,749.40 |
$2,894.10 |
6.8× |
| Acute venous thrombus image (78456) |
$1,294.76 |
$1,362.90 |
1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angiography extremity unilateral rs&i (75710) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angiography internal mammary rs&i (75756) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$6,527.88 |
$6,871.45 |
1.2× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,193.93 |
$2,309.40 |
0.7× |
| Angiography Spinal Selective Rs&I (75705) |
$6,527.88 |
$6,871.45 |
1.2× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,527.88 |
$6,871.45 |
1.2× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$3,918.70 |
$4,124.95 |
1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$3,918.70 |
$4,124.95 |
1.2× |
| Ankle 2 views (73600) |
$370.22 |
$389.70 |
4.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$729.41 |
$767.80 |
2.1× |
| Aortogram thoracic (75605) |
$6,527.88 |
$6,871.45 |
1.2× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,378.48 |
$3,556.30 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$3,085.22 |
$3,247.60 |
1.0× |
| Aortography thoracic w/o serialography rs&i (75600) |
$3,918.70 |
$4,124.95 |
1.2× |
| Artery X-Rays Adrenal Gland (75731) |
$3,918.70 |
$4,124.95 |
1.2× |
| Arthrogram elbow (73085) |
$1,200.80 |
$1,264 |
3.4× |
| Arthrogram hip (73525) |
$1,196.95 |
$1,259.95 |
3.4× |
| Arthrogram shoulder (73040) |
$1,874.11 |
$1,972.75 |
5.3× |
| Arthrogram wrist (73115) |
$1,139.38 |
$1,199.35 |
3.3× |
| Arthrography knee lt (73580) |
$1,635.09 |
$1,721.15 |
4.7× |
| Basic radiation dosimetry calculation (77300) |
$453.06 |
$476.90 |
3.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,251.86 |
$1,317.75 |
3.1× |
| Bone &/joint imaging whole body (78306) |
$1,616.33 |
$1,701.40 |
4.0× |
| Bone age studies (77072) |
$319.77 |
$336.60 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$2,171.46 |
$2,285.75 |
5.4× |
| Bone Marrow Imaging Limited Area (78102) |
$1,097.25 |
$1,155 |
2.7× |
| Bone survey complete (77075) |
$889.91 |
$936.75 |
8.5× |
| Brain image w/flow 4 + views (78606) |
$1,852.78 |
$1,950.30 |
3.4× |
| Brain imaging < 4 static views (78600) |
$1,361.64 |
$1,433.30 |
3.4× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,600.94 |
$1,685.20 |
4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$11,022.66 |
$11,602.80 |
7.7× |
| Brain Imaging Vascular Flow Only (78610) |
$780.62 |
$821.70 |
1.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$3,302.20 |
$3,476 |
8.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,284.38 |
$5,562.50 |
15.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$1,642.74 |
$1,729.20 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$461.65 |
$485.95 |
5.3× |
| Chest 1 view (71045) |
$242.87 |
$255.65 |
2.8× |
| Chest 3 views (71047) |
$271.80 |
$286.10 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$828.68 |
$872.30 |
4.7× |
| Cineradiography/videoradiography (76120) |
$7,068 |
$7,440 |
67.3× |
| Clavicle complete (73000) |
$374.92 |
$394.65 |
4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$408.50 |
$430 |
3.9× |
| Continuing medical physics consltj pr wk (77336) |
$977.41 |
$1,028.85 |
7.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$684.81 |
$720.85 |
3.9× |
| Corpora cavernosography (74445) |
$1,110.50 |
$1,168.95 |
10.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,623.78 |
$6,972.40 |
18.9× |
| CT abdomen and pelvis without contrast (74176) |
$5,042.74 |
$5,308.15 |
21.0× |
| CT abdomen w contrast (74160) |
$2,767.92 |
$2,913.60 |
15.7× |
| CT abdomen w wo contrast (74170) |
$3,353.07 |
$3,529.55 |
19.0× |
| CT abdomen w/o contrast (74150) |
$2,352.91 |
$2,476.75 |
22.4× |
| CT angio hrt w/3d image (75574) |
$3,027.03 |
$3,186.35 |
8.6× |
| CT angiography upper extremity lt (73206) |
$2,188.18 |
$2,303.35 |
12.4× |
| CT c-spine w/o contrast (72125) |
$2,165.81 |
$2,279.80 |
20.6× |
| CT cervical spine w&w/o contrast (72127) |
$3,045.84 |
$3,206.15 |
17.3× |
| CT cervical spine with contrast (72126) |
$2,165.81 |
$2,279.80 |
6.2× |
| CT chest w/wo contrast (71270) |
$3,455.48 |
$3,637.35 |
19.6× |
| CT chest with contrast (71260) |
$2,827.44 |
$2,976.25 |
16.0× |
| CT head/brain with contrast (70460) |
$1,734.60 |
$1,825.90 |
9.8× |
| CT head/brain without and with contrast (70470) |
$2,116.98 |
$2,228.40 |
12.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,425 |
$1,500 |
4.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$1,009 |
$1,062.10 |
11.5× |
| CT iac w contrast (70481) |
$2,028.72 |
$2,135.50 |
11.5× |
| CT limited/localized follow up study (76380) |
$1,304.54 |
$1,373.20 |
14.9× |
| CT lower ext w/o (73700) |
$1,733.61 |
$1,824.85 |
16.5× |
| CT lower extremity w wo contrast (73702) |
$4,147.80 |
$4,366.10 |
23.5× |
| CT lower extremity with contrast (73701) |
$2,016.61 |
$2,122.75 |
11.4× |
| CT lumbar spine w & w/o contrast (72133) |
$3,228.86 |
$3,398.80 |
18.3× |
| CT lumbar spine w/o contrast (72131) |
$2,421.41 |
$2,548.85 |
23.1× |
| CT lumbar spine with contrast (72132) |
$2,817.89 |
$2,966.20 |
8.0× |
| CT maxillofacial w contrast (70487) |
$2,147.33 |
$2,260.35 |
12.2× |
| CT maxillofacial w/o contrast (70486) |
$1,814.64 |
$1,910.15 |
17.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,601 |
$2,737.90 |
14.8× |
| CT neck soft tissue w contrast (70491) |
$2,178.64 |
$2,293.30 |
12.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,256.25 |
$2,375 |
12.8× |
| CT orbits w/o contrast (70480) |
$1,568.26 |
$1,650.80 |
14.9× |
| CT pelvis w & w/o contrast (72194) |
$3,270.71 |
$3,442.85 |
18.6× |
| CT pelvis w/o contrast (72192) |
$2,387.11 |
$2,512.75 |
22.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,611.22 |
$2,748.65 |
14.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,871.78 |
$1,970.30 |
17.8× |
| CT thoracic spine w/contrast (72129) |
$2,817.89 |
$2,966.20 |
16.0× |
| CT thoracic spine w/o contrast (72128) |
$2,421.41 |
$2,548.85 |
23.1× |
| CT thorax w/o contrast (71250) |
$2,421.41 |
$2,548.85 |
23.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$4,147.80 |
$4,366.10 |
23.5× |
| CT upper extremity w/o contrast rt (73200) |
$3,467.17 |
$3,649.65 |
33.0× |
| CT upper extremity with contrast (73201) |
$2,016.61 |
$2,122.75 |
5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,396.71 |
$2,522.85 |
13.6× |
| Cta Abdomen (74175) |
$2,422.93 |
$2,550.45 |
13.8× |
| CTA abdomen pelvis (74174) |
$4,915.92 |
$5,174.65 |
14.0× |
| CTA chest (71275) |
$3,065.36 |
$3,226.70 |
17.4× |
| Cta Head (70496) |
$2,073.90 |
$2,183.05 |
11.8× |
| CTA lwr ext w&w/o contrast (73706) |
$2,429.15 |
$2,557 |
13.8× |
| Cta Neck (70498) |
$1,963.22 |
$2,066.55 |
11.1× |
| Cta Pelvis (72191) |
$2,518.31 |
$2,650.85 |
14.3× |
| Cystography minimum 3 views rs&i (74430) |
$610.80 |
$642.95 |
1.7× |
| Diskogram cervical (72285) |
$1,726.01 |
$1,816.85 |
0.9× |
| Diskography lumbar (72295) |
$3,641.92 |
$3,833.60 |
1.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$552.80 |
$581.90 |
5.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$180.98 |
$190.50 |
2.1× |
| Echo exam of eye (76529) |
$445.17 |
$468.60 |
5.1× |
| Echoencephalography real time imaging (76506) |
$934.23 |
$983.40 |
8.9× |
| Esophageal motility (78258) |
$1,522.56 |
$1,602.70 |
3.8× |
| Esophagus (74220) |
$743.71 |
$782.85 |
4.2× |
| Fetal biophysical profile non-stress testing (76818) |
$1,564.36 |
$1,646.70 |
14.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$384.13 |
$404.35 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$675.45 |
$711 |
2.8× |
| Foot 2 views (73620) |
$369.84 |
$389.30 |
4.2× |
| Forearm 2 views (73090) |
$374.54 |
$394.25 |
4.3× |
| Gastric mucosa imaging (78261) |
$1,976.10 |
$2,080.10 |
4.9× |
| Gated Heart Planar Single (78472) |
$2,687.74 |
$2,829.20 |
6.7× |
| Hand 2 views (73120) |
$369.84 |
$389.30 |
3.5× |
| Hand 3 views (73130) |
$389.40 |
$409.90 |
4.5× |
| Heart Infarct Image (78466) |
$1,400.30 |
$1,474 |
3.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,879.96 |
$1,978.90 |
3.4× |
| Ht muscle image spect sing (78451) |
$3,344 |
$3,520 |
2.6× |
| Humerus Min 2 Views Left (73060) |
$412.25 |
$433.95 |
4.7× |
| Hysterosalpingogram (74740) |
$744.99 |
$784.20 |
3.1× |
| Kidney imaging morphology (78700) |
$537.13 |
$565.40 |
1.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,073.28 |
$2,182.40 |
3.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,175.69 |
$2,290.20 |
4.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,258.24 |
$2,377.10 |
4.1× |
| Knee 3 views (73562) |
$422.08 |
$444.30 |
4.8× |
| Liver & spleen imaging static only (78215) |
$1,335.37 |
$1,405.65 |
3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,660.50 |
$1,747.90 |
4.1× |
| Liver imaging w/vascular flow (78202) |
$1,397.16 |
$1,470.70 |
2.6× |
| Lung perf&ventilat diferentl (78598) |
$3,439.10 |
$3,620.10 |
6.3× |
| Lung perfusion differential (78597) |
$516.04 |
$543.20 |
1.3× |
| Lung Ventilation Imaging (78579) |
$1,607.21 |
$1,691.80 |
4.0× |
| Lymphoscintigraphy (78195) |
$2,197.64 |
$2,313.30 |
4.0× |
| Mammary ductogram or galactogram multiple (77054) |
$771.64 |
$812.25 |
3.2× |
| Mammary ductogram or galactogram single (77053) |
$2,176.64 |
$2,291.20 |
9.1× |
| Meckels Diverticulum (78290) |
$1,558.10 |
$1,640.10 |
3.9× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$346.75 |
$365 |
0.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,170.28 |
$2,284.50 |
5.8× |
| MRA head w & w/o contrast (70546) |
$2,785.68 |
$2,932.30 |
7.9× |
| MRA head w/o contrast (70544) |
$2,013.95 |
$2,119.95 |
8.4× |
| MRA head with contrast (70545) |
$2,222.43 |
$2,339.40 |
6.3× |
| MRA neck w contrast (70548) |
$2,333.91 |
$2,456.75 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,709.83 |
$2,852.45 |
7.7× |
| MRA neck w/o contrast (70547) |
$2,064.54 |
$2,173.20 |
8.6× |
| MRI abdomen w contrast (74182) |
$2,505.48 |
$2,637.35 |
7.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,959.03 |
$4,167.40 |
11.3× |
| MRI abdomen w/o contrast (74181) |
$2,732.91 |
$2,876.75 |
11.4× |
| MRI any jnt lwr ext with con lt (73722) |
$3,449.26 |
$3,630.80 |
4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,550.34 |
$3,737.20 |
4.5× |
| MRI bone marrow blood supply (77084) |
$2,036.04 |
$2,143.20 |
8.5× |
| MRI breast w/o contrast bilateral (77047) |
$2,914.88 |
$3,068.30 |
12.2× |
| MRI breast w/o contrast unilat (77046) |
$2,915.12 |
$3,068.55 |
12.2× |
| MRI c-spine with contrast (72142) |
$2,686.08 |
$2,827.45 |
7.7× |
| MRI cardiac w/o contrast (75557) |
$4,227.50 |
$4,450 |
17.6× |
| MRI cervical spine w/o contrast (72141) |
$2,318.43 |
$2,440.45 |
9.7× |
| MRI chest w/o & w/contrast material (71552) |
$3,707.28 |
$3,902.40 |
10.6× |
| MRI chest w/o contrast (71550) |
$2,632.64 |
$2,771.20 |
11.0× |
| MRI chest with contrast (71551) |
$2,755.66 |
$2,900.70 |
3.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,755.66 |
$2,900.70 |
7.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,755.66 |
$2,900.70 |
7.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,837.65 |
$2,987 |
11.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,357.80 |
$2,481.90 |
9.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,999.77 |
$3,157.65 |
8.6× |
| MRI orbit/face/neck w/contrast (70542) |
$1,986.74 |
$2,091.30 |
5.7× |
| MRI pelvis w contrast (72196) |
$2,443.30 |
$2,571.90 |
7.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,906.45 |
$4,112.05 |
11.1× |
| MRI pelvis w/o contrast (72195) |
$2,513.60 |
$2,645.90 |
10.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,637.17 |
$3,828.60 |
10.4× |
| MRI scan of leg joint before and after contrast (73723) |
$4,538.72 |
$4,777.60 |
13.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,195.70 |
$3,363.90 |
9.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,572.24 |
$3,760.25 |
10.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,228.59 |
$4,451.15 |
12.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,761.89 |
$2,907.25 |
7.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,171.74 |
$4,391.30 |
11.9× |
| MRI thoracic spine w/o contrast (72146) |
$2,984.47 |
$3,141.55 |
12.5× |
| MRI tmj (70336) |
$2,337.10 |
$2,460.10 |
9.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,837.70 |
$2,987.05 |
11.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,833.77 |
$4,035.55 |
10.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,755.66 |
$2,900.70 |
11.5× |
| Myelogram Cervical (72240) |
$2,516.26 |
$2,648.70 |
3.2× |
| Myelogram Lumbar (72265) |
$2,188.18 |
$2,303.35 |
2.8× |
| Myelogram thoracic (72255) |
$2,340.61 |
$2,463.80 |
3.0× |
| Myelography 2 or more regions (72270) |
$2,377.18 |
$2,502.30 |
3.0× |
| Myocardial Spect Multiple Studies (78452) |
$7,294.10 |
$7,678 |
5.6× |
| Neck soft tissue (70360) |
$254.22 |
$267.60 |
2.9× |
| Nm adrenal scan (78075) |
$3,467.50 |
$3,650 |
2.7× |
| Nm bone marrow multiple (78103) |
$1,645.88 |
$1,732.50 |
4.1× |
| Nm bone marrow wb (78104) |
$2,023.12 |
$2,129.60 |
5.0× |
| Nm cisternogram (78630) |
$2,287.93 |
$2,408.35 |
4.2× |
| Nm gastric emptying study (78264) |
$2,033.57 |
$2,140.60 |
5.1× |
| Nm gastroesophageal reflux study (78262) |
$2,024.16 |
$2,130.70 |
5.0× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$7,125 |
$7,500 |
5.1× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,513.22 |
$2,645.50 |
1.9× |
| Nuclear medicine of heart pumping function (78473) |
$4,010.71 |
$4,221.80 |
10.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,905.04 |
$2,005.30 |
1.5× |
| Nuclear Rx Oral Admin (79005) |
$2,003.26 |
$2,108.70 |
8.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$600.88 |
$632.50 |
5.7× |
| Orthopantogram (70355) |
$345.70 |
$363.90 |
4.0× |
| Osseous survey infant (77076) |
$457.90 |
$482 |
4.4× |
| Osseous survey limited (77074) |
$659.40 |
$694.10 |
6.3× |
| Parathyroid imaging (78070) |
$1,166.74 |
$1,228.15 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$250.99 |
$264.20 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$9,185.89 |
$9,669.36 |
6.4× |
| PET imaging CT for attenuation limited area (78814) |
$9,185.89 |
$9,669.36 |
6.4× |
| PET imaging for CT attenuation whole body (78816) |
$7,654.62 |
$8,057.50 |
5.3× |
| Pr heart first pass single,planar (78481) |
$2,574.88 |
$2,710.40 |
4.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,776.96 |
$3,975.75 |
10.8× |
| Pr sono bone density measure,peripheral (76977) |
$175.56 |
$184.80 |
1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,781.79 |
$2,928.20 |
6.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,344 |
$3,520 |
6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$734.21 |
$772.85 |
1.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$410.16 |
$431.75 |
4.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$535.70 |
$563.90 |
5.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$796.81 |
$838.75 |
7.6× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$509.10 |
$535.90 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$829.49 |
$873.15 |
7.9× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$959.02 |
$1,009.50 |
1.7× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$453.06 |
$476.90 |
4.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$426.64 |
$449.10 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$311.84 |
$328.25 |
3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$406.27 |
$427.65 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$281.58 |
$296.40 |
3.2× |
| Radiologic exam colon single contrast study (74270) |
$1,085.56 |
$1,142.70 |
6.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$783.75 |
$825 |
4.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,060.48 |
$1,116.30 |
6.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$984.06 |
$1,035.85 |
5.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$412.25 |
$433.95 |
4.7× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$368.27 |
$387.65 |
4.2× |
| Radiological examination surgical specimen (76098) |
$661.44 |
$696.25 |
1.2× |
| Ribs bilateral 3 views (71110) |
$343.04 |
$361.10 |
3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,074.32 |
$2,183.50 |
5.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,622.95 |
$2,761 |
4.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,795.39 |
$3,995.15 |
7.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,657.50 |
$3,850 |
2.8× |
| Sacroiliac Joints < 3 Views (72200) |
$271.13 |
$285.40 |
2.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$382.47 |
$402.60 |
1.6× |
| Scanogram (77073) |
$472.86 |
$497.75 |
4.5× |
| Scapula complete (73010) |
$384.84 |
$405.10 |
3.7× |
| Screening digital breast tomosynthesis (77063) |
$57 |
$60 |
2.4× |
| Sella turcica (70240) |
$281.72 |
$296.55 |
3.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$166.16 |
$174.90 |
1.6× |
| Sialogram (70390) |
$937.46 |
$986.80 |
3.9× |
| Small bowel series (74250) |
$792.73 |
$834.45 |
4.5× |
| Special treatment procedure (77470) |
$4,170.50 |
$4,390 |
7.5× |
| Spine thoracic 3 views (72072) |
$145.35 |
$153 |
1.4× |
| Spleen imaging only (78185) |
$1,140.10 |
$1,200.10 |
2.8× |
| Stereotactic body radiation delivery (77373) |
$2,388.02 |
$2,513.70 |
1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,290.05 |
$1,357.95 |
3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$584.82 |
$615.60 |
1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$1,158.72 |
$1,219.70 |
4.8× |
| Testicular Imaging With Vascular Flow (78761) |
$1,634.38 |
$1,720.40 |
4.1× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,591.96 |
$1,675.75 |
4.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$759 |
$798.95 |
5.6× |
| Thoracolumbar 2 views (72080) |
$494.95 |
$521 |
5.7× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,583.88 |
$3,772.50 |
6.6× |
| Thyroid Imaging With Vascular Flow (78013) |
$970.38 |
$1,021.45 |
2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,274.90 |
$1,342 |
3.2× |
| Tmj unilateral (70328) |
$308.18 |
$324.40 |
3.5× |
| Tomogram (76100) |
$834.43 |
$878.35 |
7.9× |
| Treatment devices simple (77332) |
$430.49 |
$453.15 |
3.2× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,339.82 |
$3,515.60 |
6.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,684.54 |
$1,773.20 |
4.2× |
| Tx devices design & construction complex (77334) |
$1,209.97 |
$1,273.65 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$903.92 |
$951.50 |
8.6× |
| Umbilical-artery Doppler (OB) (76820) |
$449.44 |
$473.10 |
4.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$1,151.68 |
$1,212.30 |
13.2× |
| Unlisted Ultrasound Procedure (76999) |
$523.54 |
$551.10 |
6.0× |
| Upper Extremity Infant (73092) |
$271.70 |
$286 |
2.6× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,134.87 |
$1,194.60 |
2.8× |
| Urethrocystography retrograde rs&i (74450) |
$778.19 |
$819.15 |
3.2× |
| Urethrocystography voiding (74455) |
$826.26 |
$869.75 |
3.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,133.64 |
$1,193.30 |
6.4× |
| Us abdl aorta screen aaa (76706) |
$558.03 |
$587.40 |
5.3× |
| Us breast unilateral complete (76641) |
$729.41 |
$767.80 |
6.9× |
| Us breast unilateral limited (76642) |
$402.32 |
$423.50 |
4.6× |
| Us chest (76604) |
$764.94 |
$805.20 |
7.3× |
| Us compl joint r-t w/image documentation (76881) |
$764.75 |
$805 |
7.3× |
| Us elastography parenchyma (76981) |
$844.55 |
$889 |
8.0× |
| Us guided compression repair (76936) |
$1,048.28 |
$1,103.45 |
4.8× |
| Us infant hips dynamic (76885) |
$287.38 |
$302.50 |
3.3× |
| Us infant hips limited static (76886) |
$259.16 |
$272.80 |
3.0× |
| Us kidney transplant (76776) |
$907.25 |
$955 |
8.6× |
| Us ob detailed single fetus (76811) |
$1,162.13 |
$1,223.29 |
4.8× |
| Us ob transvaginal (76817) |
$1,004.24 |
$1,057.10 |
9.6× |
| Us pelvic non ob complete (76856) |
$1,003.20 |
$1,056 |
9.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$641.63 |
$675.40 |
6.1× |
| Us pregnancy ltd (76815) |
$731.50 |
$770 |
7.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$906.02 |
$953.70 |
8.6× |
| Us retroperitoneal complete (76770) |
$1,209.06 |
$1,272.70 |
11.5× |
| Us retroperitoneal limited (76775) |
$900.79 |
$948.20 |
8.6× |
| Us scrotum and contents (76870) |
$974.98 |
$1,026.30 |
9.3× |
| Us soft tissue head/neck (76536) |
$887.20 |
$933.90 |
8.4× |
| Us spinal canal and contents (76800) |
$1,211.16 |
$1,274.90 |
11.5× |
| Us transrectal (76872) |
$1,007.38 |
$1,060.40 |
9.6× |
| Us xtr non-vasc lmtd (76882) |
$903.92 |
$951.50 |
8.6× |
| Us, eye b-scan (76512) |
$489.06 |
$514.80 |
4.7× |
| Vascular flow imaging (78445) |
$996.93 |
$1,049.40 |
2.5× |
| Vasogram (74440) |
$644.34 |
$678.25 |
2.7× |
| Venogram extremity bilateral (75822) |
$1,924.98 |
$2,026.30 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$3,126.02 |
$3,290.55 |
1.0× |
| Venography caval superior serialography rs&i (75827) |
$1,977.85 |
$2,081.95 |
1.3× |
| Venography epidural rs&i (75872) |
$2,553.50 |
$2,687.90 |
4.1× |
| Venography extremity unilateral rs&i (75820) |
$1,924.98 |
$2,026.30 |
1.2× |
| Venography Renal Bilateral (75833) |
$3,918.70 |
$4,124.95 |
1.2× |
| Venography renal unilateral selective rs&i (75831) |
$2,157.54 |
$2,271.10 |
0.7× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,094.08 |
$5,362.19 |
1.6× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$6,527.88 |
$6,871.45 |
1.2× |
| Wrist 2 views (73100) |
$369.84 |
$389.30 |
4.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$481.74 |
$507.10 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$384.04 |
$404.25 |
4.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$389.40 |
$409.90 |
4.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,465.28 |
$1,542.40 |
8.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$369.69 |
$389.15 |
4.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$412.54 |
$434.25 |
4.7× |
| X-ray exam hip uni 1 view (73501) |
$221.21 |
$232.85 |
2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$533.62 |
$561.70 |
6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$1,018.88 |
$1,072.50 |
9.7× |
| X-ray exam of femur 1 (73551) |
$273.03 |
$287.40 |
3.1× |
| X-ray eye for foreign body (70030) |
$269.70 |
$283.90 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$572 |
$602.10 |
5.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$354.21 |
$372.85 |
4.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$389.40 |
$409.90 |
4.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,578.47 |
$1,661.55 |
0.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$360.29 |
$379.25 |
4.1× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,066.52 |
$1,122.65 |
6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$315.68 |
$332.30 |
3.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$942.40 |
$992 |
9.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$517.28 |
$544.50 |
5.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$307.66 |
$323.85 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$494.95 |
$521 |
4.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$859.80 |
$905.05 |
8.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$490.20 |
$516 |
4.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$419.52 |
$441.60 |
4.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$312.03 |
$328.45 |
3.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$477.04 |
$502.15 |
4.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$416.38 |
$438.30 |
4.0× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$810.49 |
$853.15 |
1.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$1,262.26 |
$1,328.70 |
3.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$269.14 |
$283.30 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$322.19 |
$339.15 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$480.46 |
$505.75 |
4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$276.97 |
$291.55 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$283.91 |
$298.85 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$417.38 |
$439.35 |
4.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$460.84 |
$485.10 |
5.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$349.03 |
$367.40 |
4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$554.28 |
$583.45 |
5.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$388.93 |
$409.40 |
3.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$252.22 |
$265.50 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$331.79 |
$349.25 |
3.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$246.62 |
$259.60 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$388.31 |
$408.75 |
3.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$196.65 |
$207 |
1.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$311.41 |
$327.80 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$389.40 |
$409.90 |
4.5× |
| Xr arthrogram ankle (73615) |
$1,316.70 |
$1,386 |
3.8× |
| Xr c-spine 6 or more views (72052) |
$661.48 |
$696.30 |
6.3× |
| Xr chest 4+ views (71048) |
$324.19 |
$341.25 |
3.1× |
| Xr Cholecystography Oral Contrast (74290) |
$482.08 |
$507.45 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$295.88 |
$311.45 |
3.4× |
| Xr internal auditory meati complete (70134) |
$490.44 |
$516.25 |
0.9× |
| Xr myelogram posterior fossa (70010) |
$2,415.71 |
$2,542.85 |
6.9× |
| Xr optic foramina (70190) |
$373.06 |
$392.70 |
4.3× |
| Xr shoulder 1 view (73020) |
$350.50 |
$368.95 |
4.0× |
| Xr spine cervical 4 or 5 views (72050) |
$493.19 |
$519.15 |
4.7× |
| Xr tibia/fibula 2 views (73590) |
$384.56 |
$404.80 |
4.4× |
| Xr tmj bilateral (70330) |
$479.84 |
$505.10 |
5.5× |
| Xray knee 1 or 2 views rt (73560) |
$384.56 |
$404.80 |
4.4× |