| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,680.40 |
$11,134 |
4.5× |
| Abdomen 2 views (74019) |
$829.40 |
$1,382.34 |
7.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$4,698.43 |
$7,830.72 |
11.0× |
| Acute venous thrombus image (78456) |
$1,074.98 |
$1,791.64 |
0.8× |
| Angiography extremity bilateral rs&i (75716) |
$6,909.28 |
$11,515.46 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$4,225.68 |
$7,042.80 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$3,879.60 |
$6,466 |
1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$3,879.60 |
$6,466 |
1.2× |
| Ankle 2 views (73600) |
$666.62 |
$1,111.04 |
7.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$936.38 |
$1,560.62 |
2.5× |
Aortogram thoracic (75605)
likely a partial charge, not the full procedure |
$1,629 |
$2,715 |
0.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,901.13 |
$4,835.22 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$12,435.84 |
$20,726.41 |
3.7× |
| Arthrogram hip (73525) |
$2,296.32 |
$3,827.20 |
6.2× |
| Arthrogram shoulder (73040) |
$2,412.80 |
$4,021.34 |
6.5× |
| Arthrogram wrist (73115) |
$1,501.19 |
$2,501.99 |
4.0× |
| Arthrography knee lt (73580) |
$2,186.28 |
$3,643.78 |
5.9× |
| Basic radiation dosimetry calculation (77300) |
$489 |
$815 |
3.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,332.83 |
$5,554.72 |
7.8× |
| Bone &/joint imaging whole body (78306) |
$4,188.74 |
$6,981.22 |
9.8× |
| Bone age studies (77072) |
$662.62 |
$1,104.36 |
5.9× |
| Bone Imaging 3 Phase (78315) |
$3,792.30 |
$6,320.51 |
8.9× |
| Bone Marrow Imaging Limited Area (78102) |
$3,525.16 |
$5,875.27 |
8.3× |
| Bone survey complete (77075) |
$1,386.98 |
$2,311.64 |
12.4× |
| Brachytx isodose complex (77318) |
$1,303.20 |
$2,172 |
3.3× |
| Brachytx isodose intermed (77317) |
$978 |
$1,630 |
2.4× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$651.60 |
$1,086 |
1.6× |
| Brain image w/flow 4 + views (78606) |
$3,369.16 |
$5,615.26 |
5.8× |
| Brain imaging < 4 static views (78600) |
$2,911.81 |
$4,853.02 |
6.8× |
| Brain imaging < 4 static views w vascular flow (78601) |
$3,144.75 |
$5,241.24 |
7.4× |
| Brain Imaging Minimum 4 Static Views (78605) |
$3,144.75 |
$5,241.24 |
5.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$6,089.21 |
$10,148.68 |
4.0× |
| Brain Imaging Vascular Flow Only (78610) |
$792.84 |
$1,321.40 |
1.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$1,677.64 |
$2,796.06 |
3.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$4,100.82 |
$6,834.70 |
11.0× |
| Cardiac shunt detection (78428) |
$3,788.02 |
$6,313.38 |
8.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$3,199.25 |
$5,332.09 |
5.5× |
| Cervical spine 2 or 3 views (72040) |
$1,097.40 |
$1,829.01 |
11.8× |
| Chest 1 view (71045) |
$658.27 |
$1,097.11 |
7.1× |
| Chest 3 views (71047) |
$829.40 |
$1,382.34 |
8.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,678.70 |
$2,797.83 |
9.0× |
| Cineradiography/videoradiography (76120) |
$574.20 |
$957 |
5.1× |
| Clavicle complete (73000) |
$851.72 |
$1,419.53 |
9.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$219.08 |
$365.12 |
2.0× |
| Continuing medical physics consltj pr wk (77336) |
$814.80 |
$1,358 |
5.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,440.30 |
$7,400.50 |
11.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,938.66 |
$4,897.78 |
11.5× |
| CT abdomen w contrast (74160) |
$6,145.28 |
$10,242.12 |
32.8× |
| CT abdomen w wo contrast (74170) |
$7,136.88 |
$11,894.80 |
38.1× |
| CT abdomen w/o contrast (74150) |
$5,465.66 |
$9,109.43 |
49.0× |
| CT angio hrt w/3d image (75574) |
$686.32 |
$1,143.87 |
1.8× |
| CT angiography upper extremity lt (73206) |
$3,550.82 |
$5,918.03 |
19.0× |
| CT c-spine w/o contrast (72125) |
$7,650.86 |
$12,751.42 |
68.6× |
| CT cervical spine w&w/o contrast (72127) |
$5,670.84 |
$9,451.39 |
30.3× |
| CT cervical spine with contrast (72126) |
$3,170.40 |
$5,284 |
8.5× |
| CT chest w/wo contrast (71270) |
$8,195.83 |
$13,659.72 |
43.8× |
| CT chest with contrast (71260) |
$5,465.66 |
$9,109.43 |
29.2× |
| CT head/brain with contrast (70460) |
$5,025.42 |
$8,375.70 |
26.8× |
| CT head/brain without and with contrast (70470) |
$5,736 |
$9,560.01 |
30.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$936.38 |
$1,560.62 |
2.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$213.73 |
$356.22 |
2.3× |
| CT hrt w/3d image congen (75573) |
$709.40 |
$1,182.34 |
1.9× |
| CT iac w contrast (70481) |
$4,369.72 |
$7,282.86 |
23.3× |
| CT limited/localized follow up study (76380) |
$2,080.81 |
$3,468.02 |
22.4× |
| CT lower ext w/o (73700) |
$7,254.71 |
$12,091.19 |
65.0× |
| CT lower extremity w wo contrast (73702) |
$4,352.22 |
$7,253.69 |
23.3× |
| CT lower extremity with contrast (73701) |
$3,745.29 |
$6,242.15 |
20.0× |
| CT lumbar spine w & w/o contrast (72133) |
$3,812.61 |
$6,354.34 |
20.4× |
| CT lumbar spine w/o contrast (72131) |
$7,650.86 |
$12,751.42 |
68.6× |
| CT lumbar spine with contrast (72132) |
$3,812.61 |
$6,354.34 |
10.2× |
| CT maxillofacial w contrast (70487) |
$5,700.76 |
$9,501.26 |
30.5× |
| CT maxillofacial w/o contrast (70486) |
$2,482.26 |
$4,137.10 |
22.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,420.67 |
$4,034.45 |
12.9× |
| CT neck soft tissue w contrast (70491) |
$6,398.50 |
$10,664.17 |
34.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,880.83 |
$4,801.38 |
15.4× |
| CT orbits w/o contrast (70480) |
$3,432.73 |
$5,721.21 |
30.8× |
| CT pelvis w & w/o contrast (72194) |
$6,962.81 |
$11,604.68 |
37.2× |
| CT pelvis w/o contrast (72192) |
$5,465.66 |
$9,109.43 |
49.0× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$218.40 |
$364 |
2.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,554.02 |
$5,923.38 |
19.0× |
| CT soft tissue neck w/o contrast (70490) |
$5,327.83 |
$8,879.72 |
47.8× |
| CT thoracic spine w/contrast (72129) |
$7,893.42 |
$13,155.71 |
42.2× |
| CT thoracic spine w/o contrast (72128) |
$7,644.44 |
$12,740.74 |
68.5× |
| CT thoracic spine w/wo contrast (72130) |
$7,893.42 |
$13,155.71 |
42.2× |
| CT thorax w/o contrast (71250) |
$6,488.27 |
$10,813.78 |
58.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$7,922.28 |
$13,203.80 |
42.3× |
| CT upper extremity w/o contrast rt (73200) |
$7,436.08 |
$12,393.47 |
66.7× |
| CT upper extremity with contrast (73201) |
$4,495.42 |
$7,492.36 |
12.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,464.21 |
$5,773.69 |
18.5× |
| Cta Abdomen (74175) |
$2,193.74 |
$3,656.22 |
11.7× |
| CTA abdomen pelvis (74174) |
$13,624.08 |
$22,706.80 |
36.6× |
| CTA chest (71275) |
$3,221.70 |
$5,369.50 |
17.2× |
| Cta Head (70496) |
$7,077.49 |
$11,795.81 |
37.8× |
| CTA lwr ext w&w/o contrast (73706) |
$3,989.39 |
$6,648.98 |
21.3× |
| Cta Neck (70498) |
$6,909.28 |
$11,515.46 |
36.9× |
| Cta Pelvis (72191) |
$1,977.92 |
$3,296.52 |
10.6× |
| Cystography minimum 3 views rs&i (74430) |
$1,675.50 |
$2,792.50 |
4.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$849.63 |
$1,416.05 |
7.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$708.89 |
$1,181.49 |
7.6× |
| Echoencephalography real time imaging (76506) |
$278.82 |
$464.70 |
2.5× |
| Esophageal motility (78258) |
$1,912.72 |
$3,187.88 |
4.5× |
| Esophagus (74220) |
$624.45 |
$1,040.75 |
3.3× |
| Fetal biophysical profile non-stress testing (76818) |
$1,523.76 |
$2,539.61 |
13.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$272.02 |
$453.36 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$1,492.85 |
$2,488.09 |
5.9× |
| Foot 2 views (73620) |
$577.02 |
$961.70 |
6.2× |
| Forearm 2 views (73090) |
$682.84 |
$1,138.06 |
7.4× |
| Gated Heart Planar Single (78472) |
$8,858.34 |
$14,763.90 |
20.8× |
| Hand 2 views (73120) |
$566.08 |
$943.46 |
5.1× |
| Hand 3 views (73130) |
$802.49 |
$1,337.48 |
8.6× |
| Heart Infarct Image (78466) |
$1,578.60 |
$2,631 |
3.7× |
| Heart infarct image w ef (78468) |
$1,336.20 |
$2,227 |
2.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,997.13 |
$3,328.54 |
3.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,053.57 |
$1,755.95 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$869.82 |
$1,449.69 |
9.4× |
| Hysterosalpingogram (74740) |
$2,207.64 |
$3,679.40 |
8.7× |
| Kidney funcj study non-img radioisotopic study (78725) |
$1,345.80 |
$2,243 |
3.2× |
| Kidney imaging morphology (78700) |
$1,402.80 |
$2,338 |
3.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,130.61 |
$5,217.68 |
5.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,449.29 |
$5,748.82 |
6.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$4,152.41 |
$6,920.68 |
7.2× |
| Knee 3 views (73562) |
$954.24 |
$1,590.39 |
10.3× |
| Liver & spleen imaging static only (78215) |
$2,787.84 |
$4,646.42 |
6.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,534.20 |
$2,557 |
3.6× |
| Liver imaging static only (78201) |
$1,348.80 |
$2,248 |
2.3× |
| Liver imaging w/vascular flow (78202) |
$1,465.80 |
$2,443 |
2.5× |
| Lung perf&ventilat diferentl (78598) |
$2,153.16 |
$3,588.58 |
3.7× |
| Lung perfusion differential (78597) |
$1,053.57 |
$1,755.95 |
2.5× |
| Lymphoscintigraphy (78195) |
$3,681.18 |
$6,135.29 |
6.4× |
| Mammary ductogram or galactogram multiple (77054) |
$633.77 |
$1,056.28 |
2.5× |
| Mammary ductogram or galactogram single (77053) |
$1,205.32 |
$2,008.86 |
4.7× |
| Meckels Diverticulum (78290) |
$3,016.54 |
$5,027.58 |
7.1× |
| Mr safety determination physician/other qhp (76016) |
$216.60 |
$361 |
2.3× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$146.12 |
$243.54 |
2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$58.78 |
$97.96 |
1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$225.80 |
$376.34 |
2.2× |
| Mr safety med physics xm customization plng&mntr (76017) |
$594.63 |
$991.05 |
2.3× |
| MRA head w & w/o contrast (70546) |
$6,055.38 |
$10,092.29 |
16.3× |
| MRA head w/o contrast (70544) |
$4,458.74 |
$7,431.24 |
17.5× |
| MRA head with contrast (70545) |
$4,874.76 |
$8,124.59 |
13.1× |
| MRA neck w contrast (70548) |
$4,874.76 |
$8,124.59 |
13.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,755.86 |
$7,926.43 |
12.8× |
| MRA neck w/o contrast (70547) |
$4,458.74 |
$7,431.24 |
17.5× |
| MRI abdomen w contrast (74182) |
$5,945.33 |
$9,908.89 |
16.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,945.33 |
$9,908.89 |
16.0× |
| MRI abdomen w/o contrast (74181) |
$5,648.24 |
$9,413.72 |
22.2× |
| MRI any jnt lwr ext with con lt (73722) |
$3,516.07 |
$5,860.12 |
4.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,680.84 |
$6,134.74 |
4.4× |
| MRI bone marrow blood supply (77084) |
$2,666.40 |
$4,444 |
10.5× |
| MRI breast w/o contrast bilateral (77047) |
$9,018.60 |
$15,031 |
35.4× |
| MRI breast w/o contrast unilat (77046) |
$6,676.13 |
$11,126.88 |
26.2× |
| MRI c-spine with contrast (72142) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI cardiac w/o contrast (75557) |
$2,649.42 |
$4,415.70 |
10.4× |
| MRI cervical spine w/o contrast (72141) |
$5,945.33 |
$9,908.89 |
23.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,656.60 |
$6,094.33 |
9.8× |
| MRI chest w/o contrast (71550) |
$3,269.26 |
$5,448.77 |
12.8× |
| MRI chest with contrast (71551) |
$3,269.26 |
$5,448.77 |
3.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$5,011.53 |
$8,352.55 |
13.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$4,889.30 |
$8,148.83 |
13.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,391 |
$8,985 |
21.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$5,377.10 |
$8,961.82 |
21.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,275.45 |
$8,792.41 |
14.2× |
| MRI orbit/face/neck w/contrast (70542) |
$6,242.44 |
$10,404.07 |
16.8× |
| MRI pelvis w contrast (72196) |
$6,093.96 |
$10,156.61 |
16.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,093.96 |
$10,156.61 |
16.4× |
| MRI pelvis w/o contrast (72195) |
$5,648.23 |
$9,413.72 |
22.2× |
| MRI scan of arm joint before and after contrast (73223) |
$3,197.33 |
$5,328.88 |
8.6× |
| MRI scan of leg joint before and after contrast (73723) |
$3,109.81 |
$5,183.01 |
8.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,648.23 |
$9,413.72 |
15.2× |
| MRI thoracic spine w/o contrast (72146) |
$5,350.07 |
$8,916.79 |
21.0× |
| MRI tmj (70336) |
$4,458.74 |
$7,431.24 |
17.5× |
| MRI upper ext joint w/o contrast (73221) |
$5,391 |
$8,985 |
21.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,945.33 |
$9,908.89 |
16.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$5,133.76 |
$8,556.27 |
20.2× |
| Myelogram Cervical (72240) |
$3,266.56 |
$5,444.28 |
3.9× |
| Myelogram Lumbar (72265) |
$3,186.89 |
$5,311.49 |
3.8× |
| Myelogram thoracic (72255) |
$2,958.83 |
$4,931.38 |
3.5× |
| Myelography 2 or more regions (72270) |
$3,266.56 |
$5,444.28 |
3.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$6,460.33 |
$10,767.21 |
4.7× |
| Myocardial infarct spect (78469) |
$1,897.20 |
$3,162 |
3.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,585.88 |
$7,643.13 |
3.3× |
| Neck soft tissue (70360) |
$765.20 |
$1,275.33 |
8.2× |
| Nm adrenal scan (78075) |
$2,002.80 |
$3,338 |
1.4× |
| Nm bone marrow multiple (78103) |
$2,118 |
$3,530 |
5.0× |
| Nm bone marrow wb (78104) |
$4,524.27 |
$7,540.44 |
10.6× |
| Nm cisternogram (78630) |
$2,722.69 |
$4,537.82 |
4.7× |
| Nm csf leak detection (78650) |
$3,480.28 |
$5,800.46 |
2.5× |
| Nm gastric emptying study (78264) |
$4,702.72 |
$7,837.87 |
11.0× |
| Nm gastroesophageal reflux study (78262) |
$4,017.76 |
$6,696.28 |
9.4× |
| Nm peritoneal-venous shunt patency (78291) |
$3,046.44 |
$5,077.41 |
7.1× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$9,124.20 |
$15,207 |
6.2× |
| Nuclear medicine of heart pumping function (78473) |
$8,826.26 |
$14,710.43 |
20.7× |
| Nuclear medicine of heart pumping function by first pass technique (78483) |
$2,379.67 |
$3,966.12 |
4.1× |
| Nuclear medicine study of endocrine organs (78099) |
$437.40 |
$729 |
1.0× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,022.40 |
$1,704 |
2.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$609 |
$1,015 |
1.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,722.50 |
$2,870.84 |
4.0× |
| Nuclear Rx Oral Admin (79005) |
$3,263.13 |
$5,438.54 |
13.1× |
| Nuclr Rx Interstit Colloid (79300) |
$1,882.20 |
$3,137 |
7.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$570.61 |
$951.02 |
5.1× |
| Orthopantogram (70355) |
$454.80 |
$758 |
4.9× |
| Osseous survey infant (77076) |
$278.82 |
$464.70 |
2.5× |
| Osseous survey limited (77074) |
$1,386.98 |
$2,311.64 |
12.4× |
| Parathyroid imaging (78070) |
$4,312.69 |
$7,187.82 |
10.1× |
| Pelvis 1 or 2 views (72170) |
$765.20 |
$1,275.33 |
6.9× |
| PET image w/CT, skull-thigh (78815) |
$6,241.44 |
$10,402.40 |
4.1× |
| PET imaging CT for attenuation limited area (78814) |
$6,241.44 |
$10,402.40 |
4.1× |
| PET imaging for CT attenuation whole body (78816) |
$6,241.44 |
$10,402.40 |
4.1× |
| PET imaging limited area chest head/neck (78811) |
$8,775.71 |
$14,626.19 |
6.4× |
| PET whole body (78813) |
$7,580.78 |
$12,634.64 |
5.0× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) |
$1,336.20 |
$2,227 |
1.0× |
| Platelet survival study (78191) |
$1,336.20 |
$2,227 |
3.1× |
| Pr csf ventriculography (78635) |
$2,403.60 |
$4,006 |
4.1× |
| Pr heart first pass single,planar (78481) |
$2,149.93 |
$3,583.22 |
3.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,197.33 |
$5,328.88 |
8.6× |
| Pr non-imaging heart function (78414) |
$1,857.16 |
$3,095.28 |
3.2× |
| Pr red cell survival study (78130) |
$1,671 |
$2,785 |
3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,214.04 |
$3,690.07 |
5.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,153.16 |
$3,588.58 |
3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,163.81 |
$3,606.35 |
3.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$1,151.40 |
$1,919 |
10.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$924 |
$1,540.01 |
8.3× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$814.80 |
$1,358 |
1.4× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$489 |
$815 |
4.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$651.60 |
$1,086 |
1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$1,676.32 |
$2,793.87 |
15.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$691.18 |
$1,151.97 |
7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$829.40 |
$1,382.34 |
7.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$829.40 |
$1,382.34 |
8.9× |
| Radiologic exam colon single contrast study (74270) |
$1,758.85 |
$2,931.42 |
9.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$530 |
$883.32 |
2.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$2,008.89 |
$3,348.15 |
10.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$259.88 |
$433.14 |
2.8× |
| Radiological examination surgical specimen (76098) |
$1,391.27 |
$2,318.78 |
2.4× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$2,073 |
$3,455 |
8.3× |
| Red Cell Volume Determination Spx Mult Samplings (78121) |
$1,212.60 |
$2,021 |
2.1× |
| Ribs bilateral 3 views (71110) |
$348.19 |
$580.32 |
3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$3,191.78 |
$5,319.62 |
7.5× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,380.01 |
$7,300.02 |
7.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,850.31 |
$6,417.18 |
6.6× |
| Rp Therapy Intravenous Administration (79101) |
$587.64 |
$979.41 |
2.4× |
| Sacroiliac Joints < 3 Views (72200) |
$278.82 |
$464.70 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$1,095.26 |
$1,825.44 |
4.3× |
| Salivary gland function study (78232) |
$1,259.40 |
$2,099 |
3.0× |
| Salivary gland imaging (78230) |
$2,242.90 |
$3,738.18 |
5.3× |
| Salivary gland imaging serial images (78231) |
$1,516.20 |
$2,527 |
3.6× |
| Scanogram (77073) |
$1,519.74 |
$2,532.89 |
13.6× |
| Scapula complete (73010) |
$1,012.25 |
$1,687.09 |
9.1× |
| Screening digital breast tomosynthesis (77063) |
$122.24 |
$203.74 |
5.2× |
| Sella turcica (70240) |
$440.40 |
$734 |
4.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$278.82 |
$464.70 |
2.5× |
| Simulation intermediate (77285) |
$978 |
$1,630 |
2.4× |
| Small bowel series (74250) |
$2,163.81 |
$3,606.35 |
11.6× |
| Spec medical radj physics consltj (77370) |
$651.60 |
$1,086 |
4.5× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$978 |
$1,630 |
2.4× |
| Special dosimetry (77331) |
$814.80 |
$1,358 |
5.7× |
| Special treatment procedure (77470) |
$1,629 |
$2,715 |
2.8× |
| Spine thoracic 3 views (72072) |
$1,451.10 |
$2,418.50 |
13.0× |
| Spleen imaging only (78185) |
$817.20 |
$1,362 |
1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$814.80 |
$1,358 |
2.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$489 |
$815 |
1.2× |
| Testicular Imaging With Vascular Flow (78761) |
$2,712.58 |
$4,520.97 |
6.4× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,466.40 |
$2,444 |
3.7× |
| Ther rad simulaj-aided field setting simple (77280) |
$651.60 |
$1,086 |
4.5× |
| Thoracolumbar 2 views (72080) |
$1,178.62 |
$1,964.36 |
12.7× |
| Thyroid carcinoma metastases img addl study (78016) |
$377.40 |
$629 |
0.9× |
| Thyroid carcinoma metastases img whole body (78018) |
$2,802.81 |
$4,671.36 |
4.8× |
| Thyroid uptake measurement (78012) |
$2,802.81 |
$4,671.36 |
6.6× |
| Tomogram (76100) |
$488.40 |
$814 |
4.4× |
| Treatment device intermediate (77333) |
$814.80 |
$1,358 |
5.7× |
| Treatment devices simple (77332) |
$325.80 |
$543 |
2.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$2,284.58 |
$3,807.64 |
5.4× |
| Tx devices design & construction complex (77334) |
$1,140.60 |
$1,901 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$853.80 |
$1,423.01 |
7.7× |
| Upper Extremity Infant (73092) |
$278.82 |
$464.70 |
2.5× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$3,046.44 |
$5,077.41 |
7.1× |
| Urethrocystography retrograde rs&i (74450) |
$1,892.42 |
$3,154.04 |
7.4× |
| Urethrocystography voiding (74455) |
$1,892.42 |
$3,154.04 |
7.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,417.98 |
$2,363.30 |
7.6× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$466.76 |
$777.94 |
2.5× |
| Us abdl aorta screen aaa (76706) |
$285.62 |
$476.03 |
2.6× |
| Us breast unilateral complete (76641) |
$2,022.07 |
$3,370.11 |
18.1× |
| Us breast unilateral limited (76642) |
$230.87 |
$384.78 |
2.5× |
| Us chest (76604) |
$1,154.68 |
$1,924.46 |
10.4× |
| Us compl joint r-t w/image documentation (76881) |
$1,442.81 |
$2,404.68 |
12.9× |
| Us guided compression repair (76936) |
$816.48 |
$1,360.79 |
3.5× |
| Us kidney transplant (76776) |
$1,523.76 |
$2,539.61 |
13.7× |
| Us ob detailed single fetus (76811) |
$1,665.89 |
$2,776.48 |
6.5× |
| Us pelvic non ob complete (76856) |
$1,136.40 |
$1,894 |
10.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$727.42 |
$1,212.36 |
6.5× |
| Us pregnancy ltd (76815) |
$368.67 |
$614.44 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,486.60 |
$2,477.67 |
13.3× |
| Us retroperitoneal complete (76770) |
$1,555.44 |
$2,592.41 |
13.9× |
| Us retroperitoneal limited (76775) |
$1,486.60 |
$2,477.67 |
13.3× |
| Us scrotum and contents (76870) |
$1,486.60 |
$2,477.67 |
13.3× |
| Us soft tissue head/neck (76536) |
$720.62 |
$1,201.04 |
6.5× |
| Us spinal canal and contents (76800) |
$1,335.70 |
$2,226.18 |
12.0× |
| Us transrectal (76872) |
$609.86 |
$1,016.43 |
5.5× |
| Us xtr non-vasc lmtd (76882) |
$285.56 |
$475.92 |
2.6× |
| Us, eye b-scan (76512) |
$285.56 |
$475.92 |
2.6× |
| Vascular flow imaging (78445) |
$1,308.42 |
$2,180.71 |
3.1× |
| Venogram extremity bilateral (75822) |
$2,631.84 |
$4,386.40 |
1.6× |
| Venography caval inferior serialography rs&i (75825) |
$2,210.82 |
$3,684.71 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$2,432.02 |
$4,053.38 |
1.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,629 |
$2,715 |
0.3× |
| Vertebral fracture assessment via dxa (77086) |
$643.29 |
$1,072.15 |
6.9× |
| Wrist 2 views (73100) |
$611.96 |
$1,019.93 |
6.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,322.88 |
$2,204.80 |
11.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,080.31 |
$1,800.52 |
11.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$848.44 |
$1,414.07 |
9.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$2,200.16 |
$3,666.92 |
11.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$661.98 |
$1,103.30 |
7.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$897.58 |
$1,495.98 |
9.7× |
| X-ray exam hip uni 1 view (73501) |
$266.22 |
$443.70 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$259.88 |
$433.14 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$430.38 |
$717.30 |
3.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$1,215 |
$2,025 |
6.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$1,028.20 |
$1,713.68 |
9.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$755.81 |
$1,259.69 |
8.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$802.49 |
$1,337.48 |
8.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,197.60 |
$1,996 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$347.78 |
$579.62 |
3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$230.87 |
$384.78 |
2.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$980.99 |
$1,634.98 |
8.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$954.24 |
$1,590.39 |
10.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$714.11 |
$1,190.18 |
7.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,164.74 |
$1,941.24 |
10.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,592.92 |
$2,654.86 |
14.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,129.46 |
$1,882.44 |
10.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$949.95 |
$1,583.24 |
10.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$305.60 |
$509.34 |
3.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$272.02 |
$453.36 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$272.02 |
$453.36 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$2,436.31 |
$4,060.52 |
6.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$241.90 |
$403.17 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,228.84 |
$2,048.08 |
11.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,544.98 |
$2,574.97 |
13.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,451.10 |
$2,418.50 |
13.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,119.64 |
$1,866.06 |
12.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$954.93 |
$1,591.54 |
10.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,544.98 |
$2,574.97 |
16.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$990.38 |
$1,650.63 |
10.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,534.44 |
$2,557.40 |
13.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,064.38 |
$1,773.96 |
9.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$974.74 |
$1,624.57 |
10.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$1,070.64 |
$1,784.40 |
11.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,029.99 |
$1,716.65 |
11.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,217.08 |
$2,028.48 |
10.9× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$278.82 |
$464.70 |
2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$534.79 |
$891.32 |
5.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$866.32 |
$1,443.86 |
9.3× |
| Xr arthrogram ankle (73615) |
$1,538.72 |
$2,564.54 |
4.1× |
| Xr c-spine 6 or more views (72052) |
$1,640.24 |
$2,733.74 |
14.7× |
| Xr chest 4+ views (71048) |
$829.40 |
$1,382.34 |
7.4× |
| Xr Cholecystography Oral Contrast (74290) |
$466.76 |
$777.94 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$544.98 |
$908.30 |
5.9× |
| Xr optic foramina (70190) |
$739.20 |
$1,232 |
8.0× |
| Xr shoulder 1 view (73020) |
$230.87 |
$384.78 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$1,600.24 |
$2,667.06 |
14.3× |
| Xr tibia/fibula 2 views (73590) |
$731.96 |
$1,219.94 |
7.9× |
| Xr tmj bilateral (70330) |
$1,541.93 |
$2,569.88 |
16.6× |
| Xray knee 1 or 2 views rt (73560) |
$681.75 |
$1,136.24 |
7.3× |