| 3-D radiotherapy plan dose-volume histograms (77295) |
$6,465 |
$6,465 |
5.1× |
| Abdomen 2 views (74019) |
$2,483 |
$2,483 |
25.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$6,427 |
$6,427 |
17.4× |
| Angiography extremity bilateral rs&i (75716) |
$37,731 |
$37,731 |
13.0× |
| Angiography extremity unilateral rs&i (75710) |
$18,865 |
$18,865 |
6.5× |
| Angiography internal mammary rs&i (75756) |
$18,865 |
$18,865 |
6.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$18,865 |
$18,865 |
3.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$22,223 |
$22,223 |
7.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$24,547 |
$24,547 |
8.4× |
| Angiography Spinal Selective Rs&I (75705) |
$18,865 |
$18,865 |
3.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$18,865 |
$18,865 |
3.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$12,618 |
$12,618 |
4.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$29,444 |
$29,444 |
10.1× |
| Ankle 2 views (73600) |
$1,780 |
$1,780 |
22.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$2,566 |
$2,566 |
8.0× |
| Aortogram thoracic (75605) |
$18,865 |
$18,865 |
3.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$19,702 |
$19,702 |
6.8× |
| Aortography abdominal serialography rs&i (75625) |
$22,595 |
$22,595 |
7.8× |
| Arthrogram elbow (73085) |
$3,446 |
$3,446 |
10.7× |
| Arthrogram hip (73525) |
$3,446 |
$3,446 |
10.7× |
| Arthrogram shoulder (73040) |
$4,076 |
$4,076 |
12.7× |
| Arthrogram wrist (73115) |
$3,064 |
$3,064 |
9.5× |
| Arthrography knee lt (73580) |
$5,083 |
$5,083 |
15.8× |
| Basic radiation dosimetry calculation (77300) |
$1,559 |
$1,559 |
12.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$3,816 |
$3,816 |
10.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$4,767 |
$4,767 |
12.9× |
| Bone &/joint imaging whole body (78306) |
$4,829 |
$4,829 |
13.1× |
| Bone age studies (77072) |
$1,616 |
$1,616 |
16.8× |
| Bone Imaging 3 Phase (78315) |
$4,322 |
$4,322 |
11.7× |
| Bone survey complete (77075) |
$6,805 |
$6,805 |
70.6× |
| Brachytx isodose complex (77318) |
$7,371 |
$7,371 |
21.4× |
| Brachytx isodose intermed (77317) |
$6,224 |
$6,224 |
18.0× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$4,861 |
$4,861 |
14.1× |
| Brain Imaging Vascular Flow Only (78610) |
$6,525 |
$6,525 |
13.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$38,468 |
$38,468 |
119.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) |
$4,367 |
$4,367 |
8.7× |
| Cervical spine 2 or 3 views (72040) |
$1,906 |
$1,906 |
23.8× |
| Chest 1 view (71045) |
$2,186 |
$2,186 |
27.3× |
| Chest 3 views (71047) |
$3,524 |
$3,524 |
43.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$3,924 |
$3,924 |
24.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,427 |
$2,427 |
3.4× |
| Clavicle complete (73000) |
$1,906 |
$1,906 |
23.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,026 |
$2,026 |
21.0× |
| Continuing medical physics consltj pr wk (77336) |
$2,127 |
$2,127 |
17.2× |
| Corpora cavernosography (74445) |
$7,206 |
$7,206 |
74.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$32,740 |
$32,740 |
101.8× |
| CT abdomen and pelvis without contrast (74176) |
$27,707 |
$27,707 |
126.0× |
| CT abdomen w contrast (74160) |
$13,851 |
$13,851 |
85.7× |
| CT abdomen w wo contrast (74170) |
$15,115 |
$15,115 |
93.5× |
| CT abdomen w/o contrast (74150) |
$12,599 |
$12,599 |
130.8× |
| CT angio hrt w/3d image (75574) |
$19,356 |
$19,356 |
60.2× |
| CT angiography upper extremity lt (73206) |
$15,024 |
$15,024 |
93.0× |
| CT c-spine w/o contrast (72125) |
$16,449 |
$16,449 |
170.7× |
| CT cervical spine w&w/o contrast (72127) |
$19,959 |
$19,959 |
123.5× |
| CT cervical spine with contrast (72126) |
$17,159 |
$17,159 |
53.4× |
| CT chest w/wo contrast (71270) |
$21,763 |
$21,763 |
134.6× |
| CT chest with contrast (71260) |
$19,356 |
$19,356 |
119.8× |
| CT head/brain with contrast (70460) |
$14,240 |
$14,240 |
88.1× |
| CT head/brain without and with contrast (70470) |
$16,636 |
$16,636 |
102.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$19,356 |
$19,356 |
60.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$99 |
$99 |
1.2× |
| CT hrt w/3d image congen (75573) |
$19,356 |
$19,356 |
60.2× |
| CT iac w contrast (70481) |
$14,057 |
$14,057 |
87.0× |
| CT limited/localized follow up study (76380) |
$10,242 |
$10,242 |
127.7× |
| CT lower ext w/o (73700) |
$13,933 |
$13,933 |
144.6× |
| CT lower extremity w wo contrast (73702) |
$16,884 |
$16,884 |
104.5× |
| CT lower extremity with contrast (73701) |
$15,024 |
$15,024 |
93.0× |
| CT lumbar spine w & w/o contrast (72133) |
$19,779 |
$19,779 |
122.4× |
| CT lumbar spine w/o contrast (72131) |
$16,997 |
$16,997 |
176.4× |
| CT lumbar spine with contrast (72132) |
$16,997 |
$16,997 |
52.9× |
| CT maxillofacial w contrast (70487) |
$13,329 |
$13,329 |
82.5× |
| CT maxillofacial w/o contrast (70486) |
$11,615 |
$11,615 |
120.6× |
| CT maxillofacial w/wo contrast (70488) |
$15,600 |
$15,600 |
96.5× |
| CT neck soft tissue w contrast (70491) |
$15,701 |
$15,701 |
97.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$17,859 |
$17,859 |
110.5× |
| CT orbits w/o contrast (70480) |
$12,229 |
$12,229 |
126.9× |
| CT pelvis w & w/o contrast (72194) |
$17,630 |
$17,630 |
109.1× |
| CT pelvis w/o contrast (72192) |
$15,115 |
$15,115 |
156.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$17,637 |
$17,637 |
109.1× |
| CT soft tissue neck w/o contrast (70490) |
$14,532 |
$14,532 |
150.8× |
| CT thoracic spine w/contrast (72129) |
$16,449 |
$16,449 |
101.8× |
| CT thoracic spine w/o contrast (72128) |
$16,449 |
$16,449 |
170.7× |
| CT thoracic spine w/wo contrast (72130) |
$19,959 |
$19,959 |
123.5× |
| CT thorax w/o contrast (71250) |
$17,922 |
$17,922 |
186.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$16,884 |
$16,884 |
104.5× |
| CT upper extremity w/o contrast rt (73200) |
$13,933 |
$13,933 |
144.6× |
| CT upper extremity with contrast (73201) |
$15,024 |
$15,024 |
46.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$13,851 |
$13,851 |
85.7× |
| Cta Abdomen (74175) |
$13,851 |
$13,851 |
85.7× |
| CTA abdomen pelvis (74174) |
$27,471 |
$27,471 |
85.4× |
| CTA chest (71275) |
$19,356 |
$19,356 |
119.8× |
| Cta Head (70496) |
$14,240 |
$14,240 |
88.1× |
| CTA lwr ext w&w/o contrast (73706) |
$15,024 |
$15,024 |
93.0× |
| Cta Neck (70498) |
$15,701 |
$15,701 |
97.1× |
| Cta Pelvis (72191) |
$16,365 |
$16,365 |
101.2× |
| Cystography minimum 3 views rs&i (74430) |
$5,476 |
$5,476 |
17.0× |
| Diskogram cervical (72285) |
$13,851 |
$13,851 |
7.7× |
| Diskography lumbar (72295) |
$12,976 |
$12,976 |
7.2× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$2,301 |
$2,301 |
23.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,110.50 |
$1,110.50 |
11.5× |
| Echo exam of fetal heart (76825) |
$2,687 |
$2,687 |
5.3× |
| Echoencephalography real time imaging (76506) |
$3,092 |
$3,092 |
32.1× |
| Esophagus (74220) |
$3,375 |
$3,375 |
20.9× |
| Fetal biophysical profile non-stress testing (76818) |
$3,990 |
$3,990 |
41.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$1,711 |
$1,711 |
17.8× |
| Fluoroscopy up to 1 hr (76000) |
$2,746 |
$2,746 |
12.5× |
| Foot 2 views (73620) |
$1,968 |
$1,968 |
24.5× |
| Forearm 2 views (73090) |
$1,887 |
$1,887 |
23.5× |
| Gated Heart Planar Single (78472) |
$8,606 |
$8,606 |
23.4× |
| Hand 2 views (73120) |
$1,704 |
$1,704 |
17.7× |
| Hand 3 views (73130) |
$1,918 |
$1,918 |
23.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) |
$5,882 |
$5,882 |
9.2× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) |
$6,332 |
$6,332 |
9.9× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) |
$6,800 |
$6,800 |
10.6× |
| Hdr rdncl sk srf brchytx les >2cm&2chan/mlt les (77768) |
$1,528 |
$1,528 |
4.3× |
| Hdr rdncl skn surf brachytx les </2cm/1 chan (77767) |
$1,528 |
$1,528 |
4.3× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$18,865 |
$18,865 |
6.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$5,201 |
$5,201 |
10.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,201 |
$5,201 |
14.1× |
| Ht muscle image spect sing (78451) |
$8,494 |
$8,494 |
7.1× |
| Humerus Min 2 Views Left (73060) |
$1,964 |
$1,964 |
24.5× |
| Hysterosalpingogram (74740) |
$3,517 |
$3,517 |
16.0× |
| Interstitial radiation source applic complex (77778) |
$1,528 |
$1,528 |
2.4× |
| Intracavitary Radiation Source Applic Complex (77763) |
$1,528 |
$1,528 |
2.4× |
| Intracavitary Radiation Source Applic Intermed (77762) |
$2,980 |
$2,980 |
5.9× |
| Intracavitary radiation source applic simple (77761) |
$2,980 |
$2,980 |
5.9× |
| Intraop radiaj tx deliver xray single tx session (77424) |
$7,814 |
$7,814 |
1.2× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$1,345 |
$1,345 |
14.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$7,916 |
$7,916 |
15.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$11,824 |
$11,824 |
23.6× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$10,660 |
$10,660 |
21.3× |
| Knee 3 views (73562) |
$1,859 |
$1,859 |
23.2× |
| Liver & spleen imaging static only (78215) |
$6,021 |
$6,021 |
16.3× |
| Liver imaging static only (78201) |
$6,103 |
$6,103 |
12.2× |
| Lung perf&ventilat diferentl (78598) |
$6,530 |
$6,530 |
13.1× |
| Lung perfusion differential (78597) |
$4,897 |
$4,897 |
13.3× |
| Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) |
$23,363 |
$23,363 |
8.0× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) |
$11,675 |
$11,675 |
20.2× |
| Lymphangiography extremity only bilateral rs&i (75803) |
$19,809 |
$19,809 |
13.7× |
| Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) |
$19,809 |
$19,809 |
6.8× |
| Lymphoscintigraphy (78195) |
$5,603 |
$5,603 |
11.2× |
| Mammary ductogram or galactogram multiple (77054) |
$4,844 |
$4,844 |
22.0× |
| Mammary ductogram or galactogram single (77053) |
$3,395.50 |
$3,395.50 |
15.4× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$1,780 |
$1,780 |
22.2× |
| Meckels Diverticulum (78290) |
$4,927 |
$4,927 |
13.4× |
| Mlc imrt design & construction per imrt plan (77338) |
$13,220 |
$13,220 |
38.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$95 |
$95 |
3.6× |
| MRA head w & w/o contrast (70546) |
$16,088 |
$16,088 |
50.0× |
| MRA head w/o contrast (70544) |
$14,198 |
$14,198 |
64.6× |
| MRA head with contrast (70545) |
$15,137 |
$15,137 |
47.1× |
| MRA neck w contrast (70548) |
$15,137 |
$15,137 |
47.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$16,088 |
$16,088 |
50.0× |
| MRA neck w/o contrast (70547) |
$14,198 |
$14,198 |
64.6× |
| MRI abdomen w contrast (74182) |
$21,307 |
$21,307 |
66.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$22,252 |
$22,252 |
69.2× |
| MRI abdomen w/o contrast (74181) |
$19,895 |
$19,895 |
90.5× |
| MRI any jnt lwr ext with con lt (73722) |
$18,409 |
$18,409 |
25.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$19,961 |
$19,961 |
27.6× |
| MRI breast w/o contrast bilateral (77047) |
$25,815 |
$25,815 |
117.4× |
| MRI breast w/o contrast unilat (77046) |
$12,907 |
$12,907 |
58.7× |
| MRI c-spine with contrast (72142) |
$19,682 |
$19,682 |
61.2× |
| MRI cardiac w/o contrast (75557) |
$38,468 |
$38,468 |
175.0× |
| MRI cervical spine w/o contrast (72141) |
$18,753 |
$18,753 |
85.3× |
| MRI chest w/o & w/contrast material (71552) |
$21,100 |
$21,100 |
65.6× |
| MRI chest w/o contrast (71550) |
$19,231 |
$19,231 |
87.5× |
| MRI chest with contrast (71551) |
$20,170 |
$20,170 |
27.9× |
| MRI fetal sngl/1st gestation (74712) |
$17,232 |
$17,232 |
78.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$20,935 |
$20,935 |
65.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$18,796 |
$18,796 |
58.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$17,871 |
$17,871 |
81.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$16,786 |
$16,786 |
76.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$18,670 |
$18,670 |
58.1× |
| MRI orbit/face/neck w/contrast (70542) |
$17,733 |
$17,733 |
55.2× |
| MRI pelvis w contrast (72196) |
$20,361 |
$20,361 |
63.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$19,117 |
$19,117 |
59.5× |
| MRI pelvis w/o contrast (72195) |
$17,232 |
$17,232 |
78.4× |
| MRI scan of arm joint before and after contrast (73223) |
$20,901 |
$20,901 |
65.0× |
| MRI scan of heart before and after contrast with stress imaging (75563) |
$38,468 |
$38,468 |
53.3× |
| MRI scan of leg joint before and after contrast (73723) |
$19,344 |
$19,344 |
60.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$20,638 |
$20,638 |
64.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$19,375 |
$19,375 |
60.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$20,306 |
$20,306 |
63.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$19,091 |
$19,091 |
59.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$20,026 |
$20,026 |
62.3× |
| MRI thoracic spine w/o contrast (72146) |
$18,158 |
$18,158 |
82.6× |
| MRI tmj (70336) |
$16,786 |
$16,786 |
76.3× |
| MRI upper ext joint w/o contrast (73221) |
$19,006 |
$19,006 |
86.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$21,877 |
$21,877 |
68.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$19,993 |
$19,993 |
90.9× |
| Myelogram Cervical (72240) |
$8,740 |
$8,740 |
12.1× |
| Myelogram Lumbar (72265) |
$8,986 |
$8,986 |
12.4× |
| Myocardial infarct spect (78469) |
$8,357 |
$8,357 |
16.7× |
| Myocardial Spect Multiple Studies (78452) |
$10,240 |
$10,240 |
8.6× |
| Neck soft tissue (70360) |
$1,906 |
$1,906 |
23.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) |
$5,267 |
$5,267 |
14.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$3,735 |
$3,735 |
10.1× |
| Nm bone marrow multiple (78103) |
$6,021 |
$6,021 |
16.3× |
| Nm cisternogram (78630) |
$5,872 |
$5,872 |
11.7× |
| Nm gastric emptying study (78264) |
$11,088 |
$11,088 |
30.1× |
| Nm gastroesophageal reflux study (78262) |
$10,677 |
$10,677 |
29.0× |
| Nm peritoneal-venous shunt patency (78291) |
$5,872 |
$5,872 |
15.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$13,220 |
$13,220 |
10.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$5,677 |
$5,677 |
15.4× |
| Nuclear Rx Oral Admin (79005) |
$2,180 |
$2,180 |
10.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$2,435 |
$2,435 |
25.3× |
| Osseous survey infant (77076) |
$4,378.50 |
$4,378.50 |
45.4× |
| Osseous survey limited (77074) |
$2,917 |
$2,917 |
30.3× |
| Parathyrd planar w/spect&CT (78072) |
$14,363 |
$14,363 |
28.7× |
| Parathyroid imaging (78070) |
$8,393 |
$8,393 |
22.8× |
| Pelvis 1 or 2 views (72170) |
$2,914 |
$2,914 |
30.2× |
| Perineogram (74775) |
$7,081 |
$7,081 |
32.2× |
| Peritoneogram rs&i (74190) |
$4,235 |
$4,235 |
8.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$19,735 |
$19,735 |
61.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$24,547 |
$24,547 |
8.4× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) |
$7,545 |
$7,545 |
2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,767 |
$2,767 |
7.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,614 |
$5,614 |
11.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$3,120 |
$3,120 |
6.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,906 |
$1,906 |
23.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$3,155 |
$3,155 |
32.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$4,961 |
$4,961 |
51.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$4,919 |
$4,919 |
51.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$116,707 |
$116,707 |
17.2× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$2,786 |
$2,786 |
5.5× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$1,934 |
$1,934 |
20.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$2,382 |
$2,382 |
6.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$2,906 |
$2,906 |
30.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$2,186 |
$2,186 |
27.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$2,382 |
$2,382 |
29.7× |
| Radiologic exam colon single contrast study (74270) |
$4,138 |
$4,138 |
25.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$4,338 |
$4,338 |
26.8× |
| Radiologic exam upr gi trc double contrast study (74246) |
$4,338 |
$4,338 |
26.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$4,338 |
$4,338 |
26.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$2,791 |
$2,791 |
34.8× |
| Radiological examination surgical specimen (76098) |
$2,427 |
$2,427 |
4.8× |
| Radiopharmaceutical therapy, by intracavitary administration Age Under 21 (79200) |
$1,825 |
$1,825 |
8.5× |
| Review by radiologist of adrenal gland vein image (75840) |
$18,865 |
$18,865 |
6.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$18,865 |
$18,865 |
6.5× |
| Ribs bilateral 3 views (71110) |
$3,097 |
$3,097 |
32.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,886 |
$6,886 |
18.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$6,615 |
$6,615 |
13.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$8,345 |
$8,345 |
16.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$8,345 |
$8,345 |
7.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$8,345 |
$8,345 |
6.3× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$8,345 |
$8,345 |
7.0× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) |
$1,773 |
$1,773 |
8.2× |
| Rp therapy intra-arterial particulate admn (79445) |
$1,162 |
$1,162 |
5.4× |
| Rp Therapy Intravenous Administration (79101) |
$1,825 |
$1,825 |
8.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$3,285 |
$3,285 |
14.9× |
| Salivary gland imaging serial images (78231) |
$5,201 |
$5,201 |
14.1× |
| Scanogram (77073) |
$3,264 |
$3,264 |
33.9× |
| Scapula complete (73010) |
$2,133 |
$2,133 |
22.1× |
| Screening digital breast tomosynthesis (77063) |
$102 |
$102 |
4.4× |
| Sella turcica (70240) |
$1,780 |
$1,780 |
22.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$3,075 |
$3,075 |
31.9× |
| Sialogram (70390) |
$3,497 |
$3,497 |
15.9× |
| Simulation intermediate (77285) |
$4,607 |
$4,607 |
13.4× |
| Small bowel series (74250) |
$4,164 |
$4,164 |
25.8× |
| Spec medical radj physics consltj (77370) |
$5,904 |
$5,904 |
47.7× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$5,522 |
$5,522 |
16.0× |
| Special dosimetry (77331) |
$1,982 |
$1,982 |
16.0× |
| Special treatment procedure (77470) |
$3,846 |
$3,846 |
7.6× |
| Spine thoracic 3 views (72072) |
$3,155 |
$3,155 |
32.7× |
| Spleen imaging only (78185) |
$6,021 |
$6,021 |
16.3× |
| Splenoportograpy rs&i (75810) |
$7,545 |
$7,545 |
2.6× |
| Stereotactic body radiation delivery (77373) |
$31,569 |
$31,569 |
19.2× |
| Superior sagittal sinus venogram (75870) |
$9,716 |
$9,716 |
3.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$1,279 |
$1,279 |
13.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$8,182 |
$8,182 |
23.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$4,913 |
$4,913 |
14.2× |
| Ther rad simulaj-aided field setting complex (77290) |
$5,654 |
$5,654 |
16.4× |
| Ther rad simulaj-aided field setting simple (77280) |
$3,421 |
$3,421 |
27.6× |
| Therapeutic Enema (74283) |
$4,488 |
$4,488 |
27.8× |
| Thoracolumbar 2 views (72080) |
$2,604 |
$2,604 |
32.5× |
| Thyroid carcinoma metastases img whole body (78018) |
$6,427 |
$6,427 |
12.8× |
| Thyroid Imaging With Vascular Flow (78013) |
$3,000 |
$3,000 |
8.1× |
| Thyroid uptake measurement (78012) |
$2,633 |
$2,633 |
7.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$3,685 |
$3,685 |
10.0× |
| Treatment device intermediate (77333) |
$2,943 |
$2,943 |
23.8× |
| Treatment devices simple (77332) |
$1,988 |
$1,988 |
16.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,615 |
$6,615 |
13.2× |
| Tx devices design & construction complex (77334) |
$3,897 |
$3,897 |
11.3× |
| Ultrasound, abdomen limited (76705) |
$3,594 |
$3,594 |
37.3× |
| Umbilical-artery Doppler (OB) (76820) |
$1,711 |
$1,711 |
17.8× |
| Unlisted Ultrasound Procedure (76999) |
$3,327 |
$3,327 |
41.5× |
| Upper Extremity Infant (73092) |
$2,917 |
$2,917 |
30.3× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$6,886 |
$6,886 |
18.7× |
| Urethrocystography retrograde rs&i (74450) |
$2,494 |
$2,494 |
11.3× |
| Urethrocystography voiding (74455) |
$4,719 |
$4,719 |
21.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$5,226 |
$5,226 |
32.3× |
| Us abdl aorta screen aaa (76706) |
$2,721 |
$2,721 |
28.2× |
| Us breast unilateral complete (76641) |
$2,041 |
$2,041 |
21.2× |
| Us breast unilateral limited (76642) |
$1,363 |
$1,363 |
17.0× |
| Us chest (76604) |
$2,946 |
$2,946 |
30.6× |
| Us compl joint r-t w/image documentation (76881) |
$3,043 |
$3,043 |
31.6× |
| Us guided compression repair (76936) |
$4,008 |
$4,008 |
20.1× |
| Us infant hips dynamic (76885) |
$2,860 |
$2,860 |
35.7× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$2,860 |
$2,860 |
29.7× |
| Us ob detailed single fetus (76811) |
$5,166 |
$5,166 |
23.5× |
| Us ob transvaginal (76817) |
$1,332 |
$1,332 |
13.8× |
| Us pelvic non ob complete (76856) |
$3,441 |
$3,441 |
35.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$2,716 |
$2,716 |
28.2× |
| Us pregnancy ltd (76815) |
$2,705 |
$2,705 |
28.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$3,182 |
$3,182 |
33.0× |
| Us retroperitoneal complete (76770) |
$4,127 |
$4,127 |
42.8× |
| Us retroperitoneal limited (76775) |
$2,721 |
$2,721 |
28.2× |
| Us scrotum and contents (76870) |
$3,056 |
$3,056 |
31.7× |
| Us soft tissue head/neck (76536) |
$3,327 |
$3,327 |
34.5× |
| Us spinal canal and contents (76800) |
$2,575 |
$2,575 |
26.7× |
| Us transrectal prostate volume (76873) |
$5,972 |
$5,972 |
62.0× |
| Us xtr non-vasc lmtd (76882) |
$2,860 |
$2,860 |
29.7× |
| Vascular flow imaging (78445) |
$3,423 |
$3,423 |
9.3× |
| Venogram extremity bilateral (75822) |
$13,925 |
$13,925 |
9.6× |
| Venography caval inferior serialography rs&i (75825) |
$20,543 |
$20,543 |
7.1× |
| Venography caval superior serialography rs&i (75827) |
$18,865 |
$18,865 |
13.0× |
| Venography epidural rs&i (75872) |
$9,716 |
$9,716 |
16.8× |
| Venography extremity unilateral rs&i (75820) |
$7,206 |
$7,206 |
5.0× |
| Venography Renal Bilateral (75833) |
$37,730 |
$37,730 |
13.0× |
| Venography renal unilateral selective rs&i (75831) |
$18,865 |
$18,865 |
6.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$4,033 |
$4,033 |
1.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$24,184 |
$24,184 |
4.7× |
| Wrist 2 views (73100) |
$1,704 |
$1,704 |
21.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$3,584 |
$3,584 |
37.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$2,464 |
$2,464 |
30.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,968 |
$1,968 |
24.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$7,391 |
$7,391 |
45.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,704 |
$1,704 |
21.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,918 |
$1,918 |
23.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$4,158 |
$4,158 |
43.2× |
| X-ray exam hip uni 1 view (73501) |
$2,483 |
$2,483 |
31.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$2,884 |
$2,884 |
36.0× |
| X-ray exam hip uni 4/> views (73503) |
$3,438 |
$3,438 |
35.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$5,766 |
$5,766 |
59.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$6,871 |
$6,871 |
71.3× |
| X-ray exam of femur 1 (73551) |
$2,237 |
$2,237 |
27.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$7,392 |
$7,392 |
45.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$3,422 |
$3,422 |
35.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$1,503 |
$1,503 |
18.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,918 |
$1,918 |
23.9× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$6,098 |
$6,098 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,780 |
$1,780 |
22.2× |
| X-ray IV pyelogram+drip infusn (74410) |
$3,937 |
$3,937 |
24.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$2,449 |
$2,449 |
30.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$2,129 |
$2,129 |
22.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,730 |
$1,730 |
21.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$2,746 |
$2,746 |
34.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$2,917 |
$2,917 |
30.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$4,158 |
$4,158 |
43.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$4,803 |
$4,803 |
49.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$1,968 |
$1,968 |
24.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$3,075 |
$3,075 |
38.3× |
| X-ray of voice box or throat (70370) |
$3,375 |
$3,375 |
42.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$2,604 |
$2,604 |
27.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$2,382 |
$2,382 |
29.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$2,382 |
$2,382 |
24.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$2,715 |
$2,715 |
28.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$2,604 |
$2,604 |
32.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$2,396 |
$2,396 |
29.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$3,120 |
$3,120 |
38.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$1,253 |
$1,253 |
15.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,998 |
$2,998 |
31.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$2,449 |
$2,449 |
25.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,906 |
$1,906 |
23.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$2,647 |
$2,647 |
33.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$2,647 |
$2,647 |
33.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$2,917 |
$2,917 |
30.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$4,158 |
$4,158 |
43.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,570 |
$1,570 |
19.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,780 |
$1,780 |
22.2× |
| Xr arthrogram ankle (73615) |
$3,446 |
$3,446 |
10.7× |
| Xr c-spine 6 or more views (72052) |
$3,513 |
$3,513 |
36.5× |
| Xr chest 4+ views (71048) |
$6,753 |
$6,753 |
70.1× |
| Xr finger(s) 2+ views (73140) |
$1,296 |
$1,296 |
16.2× |
| Xr shoulder 1 view (73020) |
$1,485 |
$1,485 |
18.5× |
| Xr spine cervical 4 or 5 views (72050) |
$3,513 |
$3,513 |
36.5× |
| Xr tibia/fibula 2 views (73590) |
$2,318 |
$2,318 |
28.9× |
| Xr tmj bilateral (70330) |
$2,726 |
$2,726 |
34.0× |
| Xray knee 1 or 2 views rt (73560) |
$1,704 |
$1,704 |
21.2× |