| 3-D radiotherapy plan dose-volume histograms (77295) |
$5,853.59 |
$11,707.18 |
4.0× |
| Abdomen 2 views (74019) |
$184.34 |
$368.69 |
1.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,223.13 |
$2,446.25 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,011.49 |
$6,022.98 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$3,277.30 |
$6,554.59 |
1.0× |
| Angiography internal mammary rs&i (75756) |
$1,677.34 |
$3,354.67 |
0.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,249.45 |
$6,498.90 |
0.5× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,912.46 |
$5,824.92 |
0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,109.42 |
$4,218.83 |
0.6× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,320.32 |
$8,640.63 |
0.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,677.34 |
$3,354.67 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,766.82 |
$5,533.63 |
0.8× |
| Ankle 2 views (73600) |
$154.54 |
$309.08 |
1.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$510.78 |
$1,021.55 |
1.4× |
| Aortogram thoracic (75605) |
$3,418.98 |
$6,837.96 |
0.6× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$4,211.50 |
$8,423 |
1.2× |
| Aortography abdominal serialography rs&i (75625) |
$3,198.92 |
$6,397.84 |
0.9× |
| Arthrogram elbow (73085) |
$748.65 |
$1,497.30 |
2.0× |
| Arthrogram shoulder (73040) |
$915.92 |
$1,831.84 |
2.5× |
| Arthrogram wrist (73115) |
$946.25 |
$1,892.50 |
2.5× |
| Arthrography knee lt (73580) |
$985.95 |
$1,971.90 |
2.6× |
| Basic radiation dosimetry calculation (77300) |
$445.52 |
$891.04 |
3.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$989.49 |
$1,978.98 |
2.3× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,389.20 |
$2,778.40 |
3.3× |
| Bone &/joint imaging whole body (78306) |
$1,561.81 |
$3,123.62 |
3.7× |
| Bone age studies (77072) |
$164.80 |
$329.61 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$2,528.53 |
$5,057.05 |
5.9× |
| Bone Marrow Imaging Limited Area (78102) |
$1,252.93 |
$2,505.85 |
2.9× |
| Bone survey complete (77075) |
$473.10 |
$946.20 |
4.2× |
| Brachytx isodose complex (77318) |
$1,647.46 |
$3,294.92 |
4.1× |
| Brachytx isodose intermed (77317) |
$1,004.64 |
$2,009.28 |
2.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$781.86 |
$1,563.71 |
2.0× |
| Brain image w/flow 4 + views (78606) |
$922.30 |
$1,844.60 |
1.6× |
| Cardiac shunt detection (78428) |
$580.75 |
$1,161.50 |
1.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$757.85 |
$1,515.70 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$179.16 |
$358.33 |
1.9× |
| Chest 1 view (71045) |
$125.68 |
$251.36 |
1.4× |
| Chest 3 views (71047) |
$175.06 |
$350.10 |
1.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$405.91 |
$811.81 |
2.2× |
| Clavicle complete (73000) |
$150.92 |
$301.83 |
1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$97.75 |
$195.50 |
0.9× |
| Continuing medical physics consltj pr wk (77336) |
$815.06 |
$1,630.11 |
5.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,832.92 |
$5,665.84 |
7.6× |
| CT abdomen and pelvis without contrast (74176) |
$2,451.71 |
$4,903.42 |
9.6× |
| CT abdomen w contrast (74160) |
$1,345.85 |
$2,691.70 |
7.2× |
| CT abdomen w wo contrast (74170) |
$1,524.72 |
$3,049.45 |
8.1× |
| CT abdomen w/o contrast (74150) |
$1,230.88 |
$2,461.74 |
11.0× |
| CT angio hrt w/3d image (75574) |
$2,142.21 |
$4,284.42 |
5.8× |
| CT angiography upper extremity lt (73206) |
$950.33 |
$1,900.66 |
5.1× |
| CT c-spine w/o contrast (72125) |
$973.30 |
$1,946.58 |
8.7× |
| CT cervical spine with contrast (72126) |
$1,197.45 |
$2,394.90 |
3.2× |
| CT chest w/wo contrast (71270) |
$1,158.58 |
$2,317.16 |
6.2× |
| CT chest with contrast (71260) |
$1,110.32 |
$2,220.62 |
5.9× |
| CT head/brain with contrast (70460) |
$907.18 |
$1,814.36 |
4.8× |
| CT head/brain without and with contrast (70470) |
$1,033.06 |
$2,066.10 |
5.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,211 |
$2,422 |
3.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$87.83 |
$175.66 |
0.9× |
| CT iac w contrast (70481) |
$1,158.84 |
$2,317.68 |
6.2× |
| CT limited/localized follow up study (76380) |
$651.68 |
$1,303.36 |
7.0× |
| CT lower ext w/o (73700) |
$772.05 |
$1,544.10 |
6.9× |
| CT lower extremity w wo contrast (73702) |
$1,020.93 |
$2,041.86 |
5.5× |
| CT lower extremity with contrast (73701) |
$897.39 |
$1,794.78 |
4.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,096.02 |
$2,192.04 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$930.92 |
$1,861.84 |
8.3× |
| CT lumbar spine with contrast (72132) |
$1,118.48 |
$2,236.96 |
3.0× |
| CT maxillofacial w contrast (70487) |
$1,110.65 |
$2,221.30 |
5.9× |
| CT maxillofacial w/o contrast (70486) |
$998.20 |
$1,996.38 |
8.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,220.84 |
$2,441.68 |
6.5× |
| CT neck soft tissue w contrast (70491) |
$1,368.88 |
$2,737.76 |
7.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,243.52 |
$2,487.03 |
6.6× |
| CT orbits w/o contrast (70480) |
$852.42 |
$1,704.84 |
7.6× |
| CT pelvis w & w/o contrast (72194) |
$1,045.30 |
$2,090.58 |
5.6× |
| CT pelvis w/o contrast (72192) |
$944.40 |
$1,888.80 |
8.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,480.92 |
$2,961.84 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,241.72 |
$2,483.42 |
11.1× |
| CT thoracic spine w/contrast (72129) |
$1,087.98 |
$2,175.95 |
5.8× |
| CT thoracic spine w/o contrast (72128) |
$937.16 |
$1,874.30 |
8.4× |
| CT thorax w/o contrast (71250) |
$952.44 |
$1,904.86 |
8.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$943.52 |
$1,887.04 |
5.0× |
| CT upper extremity w/o contrast rt (73200) |
$772.05 |
$1,544.10 |
6.9× |
| CT upper extremity with contrast (73201) |
$883.52 |
$1,767.05 |
2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,080.38 |
$2,160.76 |
5.8× |
| Cta Abdomen (74175) |
$1,496.48 |
$2,992.96 |
8.0× |
| CTA abdomen pelvis (74174) |
$3,752.70 |
$7,505.39 |
10.1× |
| CTA chest (71275) |
$1,140.15 |
$2,280.30 |
6.1× |
| Cta Head (70496) |
$1,178.25 |
$2,356.49 |
6.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,065.65 |
$4,131.30 |
5.5× |
| CTA lwr ext w&w/o contrast (73706) |
$992.05 |
$1,984.10 |
5.3× |
| Cta Neck (70498) |
$1,138.40 |
$2,276.80 |
6.1× |
| Cta Pelvis (72191) |
$1,206.63 |
$2,413.25 |
6.4× |
| Cystography minimum 3 views rs&i (74430) |
$643.91 |
$1,287.81 |
1.7× |
| Diskogram cervical (72285) |
$1,825.63 |
$3,651.25 |
0.9× |
| Diskography lumbar (72295) |
$1,825.63 |
$3,651.25 |
0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$658.38 |
$1,316.76 |
5.9× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$511.75 |
$1,023.50 |
4.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$229.14 |
$458.26 |
2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$89.82 |
$179.64 |
1.0× |
| Dxa bone density study axial skeleton (77085) |
$224.82 |
$449.62 |
2.0× |
| Echo exam of fetal heart (76825) |
$969.63 |
$1,939.25 |
1.7× |
| Echoencephalography real time imaging (76506) |
$410.55 |
$821.10 |
3.7× |
| Esophagus (74220) |
$442.55 |
$885.10 |
2.4× |
| Fetal biophysical profile non-stress testing (76818) |
$716.55 |
$1,433.09 |
6.4× |
| Fluoroscopy up to 1 hr (76000) |
$395.31 |
$790.61 |
1.6× |
| Foot 2 views (73620) |
$129.65 |
$259.30 |
1.4× |
| Forearm 2 views (73090) |
$121.52 |
$243.04 |
1.3× |
| Gated Heart Planar Single (78472) |
$1,225.58 |
$2,451.16 |
2.9× |
| Hand 2 views (73120) |
$150.80 |
$301.60 |
1.4× |
| Hand 3 views (73130) |
$171.04 |
$342.08 |
1.8× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$2,353.39 |
$4,706.77 |
3.2× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$2,697.38 |
$5,394.75 |
3.6× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$2,803.21 |
$5,606.42 |
3.8× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$1,072.25 |
$2,144.50 |
2.6× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$1,158.28 |
$2,316.56 |
2.8× |
| Heart Infarct Image (78466) |
$1,016.60 |
$2,033.20 |
2.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$2,731.25 |
$5,462.50 |
0.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,857.53 |
$3,715.05 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$883.86 |
$1,767.72 |
2.1× |
| Ht muscle image spect sing (78451) |
$1,701.85 |
$3,403.70 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$206.64 |
$413.28 |
2.2× |
| Hysterosalpingogram (74740) |
$243.31 |
$486.62 |
1.0× |
| Interstitial radiation source applic complex (77778) |
$1,317.08 |
$2,634.15 |
1.8× |
| Kidney funcj study non-img radioisotopic study (78725) |
$746.93 |
$1,493.85 |
1.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,167.25 |
$2,334.50 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,986.11 |
$3,972.21 |
3.4× |
| Knee 3 views (73562) |
$193.17 |
$386.34 |
2.1× |
| Liver & spleen imaging static only (78215) |
$1,247.75 |
$2,495.50 |
2.9× |
| Lung perf&ventilat diferentl (78598) |
$1,235.28 |
$2,470.55 |
2.1× |
| Lung perfusion differential (78597) |
$729.68 |
$1,459.35 |
1.7× |
| Lymphoscintigraphy (78195) |
$1,782.63 |
$3,565.26 |
3.1× |
| Mammary ductogram or galactogram multiple (77054) |
$400.78 |
$801.55 |
1.6× |
| Mammary ductogram or galactogram single (77053) |
$388.70 |
$777.40 |
1.5× |
| Meckels Diverticulum (78290) |
$656.65 |
$1,313.30 |
1.5× |
| Mlc imrt design & construction per imrt plan (77338) |
$2,928.44 |
$5,856.88 |
7.3× |
| MRA head w & w/o contrast (70546) |
$1,240.53 |
$2,481.06 |
3.3× |
| MRA head w/o contrast (70544) |
$1,164.90 |
$2,329.80 |
4.6× |
| MRA neck w contrast (70548) |
$964 |
$1,928 |
2.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,095.21 |
$2,190.42 |
2.9× |
| MRA neck w/o contrast (70547) |
$849.06 |
$1,698.10 |
3.3× |
| MRI abdomen w contrast (74182) |
$1,367.50 |
$2,734.99 |
3.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,667.20 |
$3,334.41 |
4.5× |
| MRI abdomen w/o contrast (74181) |
$1,294.92 |
$2,589.83 |
5.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,225.14 |
$2,450.29 |
1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,614.89 |
$3,229.78 |
1.9× |
| MRI breast w/o contrast bilateral (77047) |
$1,932.29 |
$3,864.58 |
7.6× |
| MRI c-spine with contrast (72142) |
$1,787.58 |
$3,575.14 |
4.8× |
| MRI cardiac w/o cont stress (75559) |
$685.40 |
$1,370.80 |
1.2× |
| MRI cardiac w/o contrast (75557) |
$1,936.03 |
$3,872.05 |
7.6× |
| MRI cervical spine w/o contrast (72141) |
$1,625.10 |
$3,250.20 |
6.4× |
| MRI chest w/o & w/contrast material (71552) |
$1,516.02 |
$3,032.03 |
4.1× |
| MRI chest w/o contrast (71550) |
$837.52 |
$1,675.04 |
3.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,123.12 |
$2,246.22 |
3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,296.15 |
$2,592.30 |
5.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,189.67 |
$2,379.34 |
4.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,732.02 |
$3,464.04 |
4.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,389.92 |
$2,779.84 |
3.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,129.32 |
$4,258.65 |
5.7× |
| MRI pelvis w/o contrast (72195) |
$1,294.92 |
$2,589.83 |
5.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,897.44 |
$3,794.87 |
5.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$1,153.68 |
$2,307.36 |
1.4× |
| MRI scan of leg joint before and after contrast (73723) |
$1,866.94 |
$3,733.88 |
5.0× |
| MRI spectroscopy (76390) |
$1,330.50 |
$2,661 |
14.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,901.26 |
$3,802.50 |
5.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,004.34 |
$4,008.69 |
5.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,216.74 |
$4,433.48 |
6.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,004.34 |
$4,008.69 |
5.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,216.74 |
$4,433.48 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,763.54 |
$3,527.07 |
6.9× |
| MRI tmj (70336) |
$1,320.10 |
$2,640.18 |
5.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,486.69 |
$2,973.38 |
5.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,275.96 |
$2,551.90 |
3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,063.86 |
$2,127.71 |
4.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,637.54 |
$5,275.08 |
1.9× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) |
$1,355.44 |
$2,710.87 |
1.5× |
| Neck soft tissue (70360) |
$163.34 |
$326.67 |
1.8× |
| Nm bone marrow multiple (78103) |
$1,018.33 |
$2,036.65 |
2.4× |
| Nm cisternogram (78630) |
$1,606.25 |
$3,212.50 |
2.8× |
| Nm gastric emptying study (78264) |
$1,429.34 |
$2,858.67 |
3.4× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,202.97 |
$8,405.93 |
2.8× |
| Nuclear medicine study of kidney and blood flow (78701) |
$1,167.25 |
$2,334.50 |
2.7× |
| Nuclear Rx Oral Admin (79005) |
$721.05 |
$1,442.10 |
2.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$832.39 |
$1,664.77 |
7.5× |
| Ophthalmic us dx quantitative a-scan only (76511) |
$489.19 |
$978.37 |
4.4× |
| Osseous survey infant (77076) |
$240.74 |
$481.48 |
2.2× |
| Osseous survey limited (77074) |
$348.98 |
$697.96 |
3.1× |
| Parathyrd planar w/wo subtrj (78071) |
$621.31 |
$1,242.62 |
1.5× |
| Parathyroid imaging (78070) |
$945.54 |
$1,891.07 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$123.99 |
$247.98 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,601.16 |
$3,202.32 |
4.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$3,703.58 |
$7,407.15 |
1.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$1,677.34 |
$3,354.67 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$918.80 |
$1,837.60 |
2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,435.62 |
$2,871.23 |
2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$309.73 |
$619.45 |
0.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$112.42 |
$224.84 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$365.94 |
$731.87 |
3.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$227.32 |
$454.64 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$234.02 |
$468.02 |
2.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$13,918.67 |
$27,837.33 |
1.8× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$705.34 |
$1,410.68 |
1.2× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$284.96 |
$569.92 |
2.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$241.50 |
$483 |
0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$263.47 |
$526.94 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$245.63 |
$491.25 |
2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$284.49 |
$568.97 |
2.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$283.64 |
$567.27 |
3.1× |
| Radiologic exam colon single contrast study (74270) |
$799.07 |
$1,598.13 |
4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$246.73 |
$493.45 |
1.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$552.34 |
$1,104.68 |
3.0× |
| Radiologic exam upr gi trc single contrast study (74240) |
$396.13 |
$792.25 |
2.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$206.37 |
$412.74 |
2.2× |
| Radiological examination surgical specimen (76098) |
$292.19 |
$584.38 |
0.5× |
| Review by radiologist of adrenal gland vein image (75840) |
$2,731.25 |
$5,462.50 |
0.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$4,229.13 |
$8,458.25 |
1.3× |
| Ribs bilateral 3 views (71110) |
$236.22 |
$472.44 |
2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,369.08 |
$2,738.15 |
3.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,736.36 |
$3,472.72 |
3.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,581.25 |
$3,162.50 |
2.7× |
| Rp therapy intra-arterial particulate admn (79445) |
$721.05 |
$1,442.10 |
2.9× |
| Rp Therapy Intravenous Administration (79101) |
$711.22 |
$1,422.44 |
2.9× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$181.70 |
$363.40 |
0.7× |
| Scanogram (77073) |
$315.52 |
$631.04 |
2.8× |
| Scapula complete (73010) |
$169.63 |
$339.26 |
1.5× |
| Screening digital breast tomosynthesis (77063) |
$10.57 |
$21.14 |
0.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$359.23 |
$718.46 |
3.2× |
| Sialogram (70390) |
$487.03 |
$974.05 |
1.9× |
| Simulation intermediate (77285) |
$1,040.26 |
$2,080.52 |
2.6× |
| Small bowel series (74250) |
$279.99 |
$559.98 |
1.5× |
| Spec medical radj physics consltj (77370) |
$1,272.78 |
$2,545.55 |
8.9× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$726.92 |
$1,453.83 |
1.8× |
| Special dosimetry (77331) |
$444.99 |
$889.97 |
3.1× |
| Special treatment procedure (77470) |
$2,837.21 |
$5,674.41 |
4.8× |
| Spine thoracic 3 views (72072) |
$198.02 |
$396.05 |
1.8× |
| Stereotactic body radiation delivery (77373) |
$3,246.32 |
$6,492.64 |
1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,212.72 |
$2,425.43 |
3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$1,020.93 |
$2,041.86 |
2.6× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,602.57 |
$3,205.14 |
4.0× |
| Ther rad simulaj-aided field setting simple (77280) |
$797.26 |
$1,594.51 |
5.6× |
| Thoracolumbar 2 views (72080) |
$128.32 |
$256.64 |
1.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,096.53 |
$2,193.05 |
1.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$402.50 |
$805 |
0.9× |
| Thyroid uptake measurement (78012) |
$813.03 |
$1,626.06 |
1.9× |
| Tmj unilateral (70328) |
$177.03 |
$354.06 |
1.9× |
| Treatment device intermediate (77333) |
$607.33 |
$1,214.66 |
4.2× |
| Treatment devices simple (77332) |
$559.46 |
$1,118.92 |
3.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,684.26 |
$3,368.52 |
3.9× |
| Tx devices design & construction complex (77334) |
$975.77 |
$1,951.54 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$439.92 |
$879.84 |
3.9× |
| Umbilical-artery Doppler (OB) (76820) |
$511.75 |
$1,023.50 |
4.6× |
| Unlisted Ultrasound Procedure (76999) |
$436.53 |
$873.05 |
4.7× |
| Upper Extremity Infant (73092) |
$97.15 |
$194.30 |
0.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$534.75 |
$1,069.50 |
1.3× |
| Urethrocystography retrograde rs&i (74450) |
$487.03 |
$974.05 |
1.9× |
| Urethrocystography voiding (74455) |
$568.74 |
$1,137.47 |
2.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$397.33 |
$794.65 |
2.1× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$724.50 |
$1,449 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$425.01 |
$850.02 |
3.8× |
| Us breast unilateral complete (76641) |
$170.36 |
$340.70 |
1.5× |
| Us breast unilateral limited (76642) |
$261.64 |
$523.27 |
2.8× |
| Us chest (76604) |
$437.66 |
$875.32 |
3.9× |
| Us compl joint r-t w/image documentation (76881) |
$322.56 |
$645.12 |
2.9× |
| Us guided compression repair (76936) |
$410.55 |
$821.10 |
1.8× |
| Us infant hips dynamic (76885) |
$581.96 |
$1,163.92 |
6.3× |
| Us infant hips limited static (76886) |
$554.25 |
$1,108.49 |
6.0× |
| Us kidney transplant (76776) |
$395.71 |
$791.41 |
3.5× |
| Us ob detailed single fetus (76811) |
$726.88 |
$1,453.76 |
2.9× |
| Us ob transvaginal (76817) |
$445.64 |
$891.27 |
4.0× |
| Us pelvic non ob complete (76856) |
$359.68 |
$719.36 |
3.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$342.33 |
$684.65 |
3.1× |
| Us pregnancy ltd (76815) |
$616.58 |
$1,233.16 |
5.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$426.18 |
$852.36 |
3.8× |
| Us retroperitoneal complete (76770) |
$638.83 |
$1,277.65 |
5.7× |
| Us retroperitoneal limited (76775) |
$509.42 |
$1,018.83 |
4.6× |
| Us scrotum and contents (76870) |
$339.17 |
$678.34 |
3.0× |
| Us soft tissue head/neck (76536) |
$552.86 |
$1,105.72 |
5.0× |
| Us spinal canal and contents (76800) |
$398.48 |
$796.95 |
3.6× |
| Us transrectal prostate volume (76873) |
$381.23 |
$762.46 |
3.4× |
| Us xtr non-vasc lmtd (76882) |
$377.87 |
$755.73 |
3.4× |
| Vascular flow imaging (78445) |
$1,065.48 |
$2,130.95 |
2.5× |
| Venogram extremity bilateral (75822) |
$827.85 |
$1,655.69 |
0.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,807.48 |
$5,614.95 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,880.29 |
$3,760.57 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$811.22 |
$1,622.43 |
0.5× |
| Venography renal unilateral selective rs&i (75831) |
$2,731.25 |
$5,462.50 |
0.8× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$2,880.75 |
$5,761.50 |
0.5× |
| Wrist 2 views (73100) |
$149.84 |
$299.68 |
1.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$330.28 |
$660.54 |
3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$226.75 |
$453.50 |
2.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$193.64 |
$387.28 |
2.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$900.66 |
$1,801.31 |
4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$120.50 |
$241 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$178.42 |
$356.83 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$202.58 |
$405.15 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$219.34 |
$438.69 |
2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$465.64 |
$931.28 |
4.2× |
| X-ray exam of femur 1 (73551) |
$91.77 |
$183.54 |
1.0× |
| X-ray eye for foreign body (70030) |
$92.54 |
$185.08 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$177.03 |
$354.06 |
1.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$156.80 |
$313.59 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$171.04 |
$342.08 |
1.8× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,384.60 |
$2,769.20 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$163.34 |
$326.67 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$154.08 |
$308.16 |
1.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$242.03 |
$484.06 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$131.10 |
$262.19 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$102.76 |
$205.50 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$222.69 |
$445.38 |
2.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$229.98 |
$459.94 |
2.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$176.85 |
$353.69 |
1.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$179.48 |
$358.95 |
1.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$89.90 |
$179.80 |
1.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$264.88 |
$529.74 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$214.02 |
$428.02 |
1.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$476.44 |
$952.88 |
1.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$173.82 |
$347.62 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$227.54 |
$455.09 |
2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$220.68 |
$441.36 |
2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$149.78 |
$299.54 |
1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$169.46 |
$338.92 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$175.14 |
$350.28 |
1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$203.74 |
$407.49 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$169.63 |
$339.26 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$348.09 |
$696.18 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$202.95 |
$405.90 |
1.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$111.01 |
$222.02 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$177.03 |
$354.06 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$157.70 |
$315.39 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$192.10 |
$384.21 |
1.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$247.94 |
$495.88 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$137 |
$274.01 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$178.87 |
$357.74 |
1.9× |
| Xr arthrogram ankle (73615) |
$714.93 |
$1,429.85 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$213.38 |
$426.76 |
1.9× |
| Xr chest 4+ views (71048) |
$226.75 |
$453.50 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$121.52 |
$243.04 |
1.3× |
| Xr shoulder 1 view (73020) |
$128.54 |
$257.06 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$207.58 |
$415.16 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$146.84 |
$293.66 |
1.6× |
| Xr tmj bilateral (70330) |
$277.28 |
$554.56 |
3.0× |
| Xray knee 1 or 2 views rt (73560) |
$146.84 |
$293.66 |
1.6× |