| 3-D radiotherapy plan dose-volume histograms (77295) |
$3,092 |
$7,730 |
2.2× |
| Abdomen 2 views (74019) |
$278 |
$695 |
2.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,282.60 |
$3,206.50 |
3.2× |
| Acute venous thrombus image (78456) |
$658 |
$1,645 |
0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$1,209.20 |
$3,023 |
0.4× |
| Angiography extremity bilateral rs&i (75716) |
$6,861.60 |
$17,154 |
2.2× |
| Angiography extremity unilateral rs&i (75710) |
$1,897.80 |
$4,744.50 |
0.6× |
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure |
$2,023.60 |
$5,059 |
0.4× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$7,057.20 |
$17,643 |
2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$6,753.20 |
$16,883 |
2.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$10,839.20 |
$27,098 |
2.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,796.40 |
$6,991 |
0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$2,796.40 |
$6,991 |
0.9× |
| Ankle 2 views (73600) |
$260.40 |
$651 |
3.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$591.60 |
$1,479 |
1.7× |
| Aortogram thoracic (75605) |
$6,189.60 |
$15,474 |
1.1× |
| Aortography abdominal serialography rs&i (75625) |
$6,861.60 |
$17,154 |
2.2× |
| Aortography thoracic w/o serialography rs&i (75600) |
$6,189.60 |
$15,474 |
2.0× |
| Arthrogram hip (73525) |
$597.20 |
$1,493 |
1.7× |
| Arthrogram shoulder (73040) |
$733.20 |
$1,833 |
2.1× |
| Arthrogram wrist (73115) |
$472.40 |
$1,181 |
1.4× |
| Arthrography knee lt (73580) |
$574.40 |
$1,436 |
1.7× |
| Basic radiation dosimetry calculation (77300) |
$493.40 |
$1,233.50 |
3.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$744.80 |
$1,862 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$1,196.40 |
$2,991 |
3.0× |
| Bone age studies (77072) |
$170 |
$425 |
1.6× |
| Bone Imaging 3 Phase (78315) |
$1,509.40 |
$3,773.50 |
3.8× |
| Bone survey complete (77075) |
$300 |
$750 |
2.9× |
| Brachytx isodose complex (77318) |
$1,065.60 |
$2,664 |
2.9× |
| Brachytx isodose intermed (77317) |
$1,065.60 |
$2,664 |
2.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) |
$384.80 |
$962 |
1.0× |
| Brain image w/flow 4 + views (78606) |
$1,150 |
$2,875 |
2.1× |
| Brain imaging < 4 static views (78600) |
$897.20 |
$2,243 |
2.3× |
| Brain imaging < 4 static views w vascular flow (78601) |
$897.20 |
$2,243 |
2.3× |
| Brain Imaging Minimum 4 Static Views (78605) |
$1,150 |
$2,875 |
2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,853.20 |
$4,633 |
5.3× |
| Cervical spine 2 or 3 views (72040) |
$418.40 |
$1,046 |
4.8× |
| Chest 1 view (71045) |
$226.40 |
$566 |
2.6× |
| Chest 3 views (71047) |
$364.80 |
$912 |
4.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$406 |
$1,015 |
2.3× |
| Cisternography Positive Contrast Rs&I (70015) |
$906 |
$2,265 |
1.2× |
| Clavicle complete (73000) |
$357.20 |
$893 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$353.80 |
$884.50 |
3.4× |
| Continuing medical physics consltj pr wk (77336) |
$676.80 |
$1,692 |
5.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,602.80 |
$14,007 |
16.1× |
| CT abdomen and pelvis without contrast (74176) |
$3,947.20 |
$9,868 |
16.6× |
| CT abdomen w contrast (74160) |
$2,314.40 |
$5,786 |
13.3× |
| CT abdomen w wo contrast (74170) |
$2,515.20 |
$6,288 |
14.4× |
| CT abdomen w/o contrast (74150) |
$2,082.40 |
$5,206 |
20.0× |
| CT angio hrt w/3d image (75574) |
$1,686 |
$4,215 |
4.9× |
| CT angiography upper extremity lt (73206) |
$1,809.20 |
$4,523 |
10.4× |
| CT c-spine w/o contrast (72125) |
$2,159.20 |
$5,398 |
20.7× |
| CT cervical spine w&w/o contrast (72127) |
$2,234 |
$5,585 |
12.8× |
| CT cervical spine with contrast (72126) |
$1,609 |
$4,022.50 |
4.6× |
| CT chest w/wo contrast (71270) |
$2,253.20 |
$5,633 |
12.9× |
| CT chest with contrast (71260) |
$1,864 |
$4,660 |
10.7× |
| CT head/brain with contrast (70460) |
$1,887.20 |
$4,718 |
10.8× |
| CT head/brain without and with contrast (70470) |
$2,176 |
$5,440 |
12.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,653.60 |
$4,134 |
4.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$77.40 |
$193.50 |
0.9× |
| CT hrt w/3d image congen (75573) |
$403.60 |
$1,009 |
1.2× |
| CT iac w contrast (70481) |
$1,561.80 |
$3,904.50 |
8.9× |
| CT limited/localized follow up study (76380) |
$674 |
$1,685 |
7.8× |
| CT lower ext w/o (73700) |
$1,350.40 |
$3,376 |
13.0× |
| CT lower extremity w wo contrast (73702) |
$1,446.60 |
$3,616.50 |
8.3× |
| CT lower extremity with contrast (73701) |
$1,341 |
$3,352.50 |
7.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,444.60 |
$6,111.50 |
14.0× |
| CT lumbar spine w/o contrast (72131) |
$1,963.60 |
$4,909 |
18.9× |
| CT lumbar spine with contrast (72132) |
$1,336 |
$3,340 |
3.8× |
| CT maxillofacial w contrast (70487) |
$1,825.60 |
$4,564 |
10.5× |
| CT maxillofacial w/o contrast (70486) |
$1,766.80 |
$4,417 |
17.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,310.80 |
$5,777 |
13.2× |
| CT neck soft tissue w contrast (70491) |
$2,176 |
$5,440 |
12.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,145.20 |
$5,363 |
12.3× |
| CT orbits w/o contrast (70480) |
$1,904.40 |
$4,761 |
18.3× |
| CT pelvis w & w/o contrast (72194) |
$2,746 |
$6,865 |
15.7× |
| CT pelvis w/o contrast (72192) |
$1,768.40 |
$4,421 |
17.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,358 |
$5,895 |
13.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,769.20 |
$4,423 |
17.0× |
| CT thoracic spine w/contrast (72129) |
$855 |
$2,137.50 |
4.9× |
| CT thoracic spine w/o contrast (72128) |
$1,830.80 |
$4,577 |
17.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,339.20 |
$5,848 |
13.4× |
| CT thorax w/o contrast (71250) |
$1,691.20 |
$4,228 |
16.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,520.80 |
$3,802 |
8.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,432.40 |
$3,581 |
13.8× |
| CT upper extremity with contrast (73201) |
$1,366.40 |
$3,416 |
3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,482.80 |
$8,707 |
19.9× |
| Cta Abdomen (74175) |
$3,317 |
$8,292.50 |
19.0× |
| CTA abdomen pelvis (74174) |
$1,088.20 |
$2,720.50 |
3.1× |
| CTA chest (71275) |
$2,840.40 |
$7,101 |
16.3× |
| Cta Head (70496) |
$2,601.80 |
$6,504.50 |
14.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,015.60 |
$5,039 |
11.5× |
| Cta Neck (70498) |
$3,011 |
$7,527.50 |
17.2× |
| Cta Pelvis (72191) |
$2,692.80 |
$6,732 |
15.4× |
| Cystography minimum 3 views rs&i (74430) |
$553.20 |
$1,383 |
1.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$524.20 |
$1,310.50 |
5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$169.20 |
$423 |
2.0× |
| Dxa bone density study axial skeleton (77085) |
$219.20 |
$548 |
2.1× |
| Echoencephalography real time imaging (76506) |
$589.40 |
$1,473.50 |
5.7× |
| Esophagus (74220) |
$352 |
$880 |
2.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$661.80 |
$1,654.50 |
6.4× |
| Fluoroscopy up to 1 hr (76000) |
$398.40 |
$996 |
1.7× |
| Foot 2 views (73620) |
$235.20 |
$588 |
2.7× |
| Forearm 2 views (73090) |
$350.60 |
$876.50 |
4.0× |
| Gated Heart Planar Single (78472) |
$1,368.20 |
$3,420.50 |
3.4× |
| Hand 2 views (73120) |
$257.40 |
$643.50 |
2.5× |
| Hand 3 views (73130) |
$384.80 |
$962 |
4.4× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$6,189.60 |
$15,474 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,608.60 |
$4,021.50 |
3.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,608.60 |
$4,021.50 |
4.0× |
| Ht muscle image spect sing (78451) |
$1,766.80 |
$4,417 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$272.80 |
$682 |
3.1× |
| Hysterosalpingogram (74740) |
$587.20 |
$1,468 |
2.5× |
| Image fusion (77399) |
$583 |
$1,457.50 |
4.4× |
| Interstitial radiation source applic complex (77778) |
$3,303.60 |
$8,259 |
4.8× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$530 |
$1,325 |
5.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,191.80 |
$2,979.50 |
2.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,492 |
$3,730 |
2.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,120 |
$2,800 |
2.1× |
| Knee 3 views (73562) |
$330.40 |
$826 |
3.8× |
| Liver imaging static only (78201) |
$885.20 |
$2,213 |
1.6× |
| Lung perf&ventilat diferentl (78598) |
$2,218.80 |
$5,547 |
4.1× |
| Lung perfusion differential (78597) |
$1,139.60 |
$2,849 |
2.9× |
| Lymphoscintigraphy (78195) |
$1,160.40 |
$2,901 |
2.1× |
| Mammary ductogram or galactogram multiple (77054) |
$277.20 |
$693 |
1.2× |
| Mammary ductogram or galactogram single (77053) |
$1,036.80 |
$2,592 |
4.4× |
| Meckels Diverticulum (78290) |
$899.20 |
$2,248 |
2.3× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$295.60 |
$739 |
0.8× |
| Mlc imrt design & construction per imrt plan (77338) |
$632.20 |
$1,580.50 |
1.7× |
| Mr safety determination physician/other qhp (76016) |
$141.20 |
$353 |
1.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$95.20 |
$238 |
1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$39.20 |
$98 |
1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$147.20 |
$368 |
1.6× |
| Mr safety med physics xm customization plng&mntr (76017) |
$386.80 |
$967 |
1.6× |
| MRA head w/o contrast (70544) |
$2,935.20 |
$7,338 |
12.4× |
| MRA neck w contrast (70548) |
$2,506 |
$6,265 |
7.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,576.60 |
$8,941.50 |
10.3× |
| MRA neck w/o contrast (70547) |
$2,106 |
$5,265 |
8.9× |
| MRI abdomen w contrast (74182) |
$3,842 |
$9,605 |
11.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,633.60 |
$11,584 |
13.3× |
| MRI abdomen w/o contrast (74181) |
$4,409.60 |
$11,024 |
18.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,554 |
$6,385 |
3.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,147.20 |
$7,868 |
4.0× |
| MRI breast w/o contrast bilateral (77047) |
$3,403.20 |
$8,508 |
14.3× |
| MRI breast w/o contrast unilat (77046) |
$3,403.20 |
$8,508 |
14.3× |
| MRI c-spine with contrast (72142) |
$3,352.80 |
$8,382 |
9.7× |
| MRI cardiac w/o contrast (75557) |
$1,965.60 |
$4,914 |
8.3× |
| MRI cervical spine w/o contrast (72141) |
$3,486.80 |
$8,717 |
14.7× |
| MRI chest w/o & w/contrast material (71552) |
$4,377.60 |
$10,944 |
12.6× |
| MRI chest w/o contrast (71550) |
$1,402.40 |
$3,506 |
5.9× |
| MRI chest with contrast (71551) |
$3,647.60 |
$9,119 |
4.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,096.40 |
$5,241 |
6.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,207.20 |
$8,018 |
9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,474.20 |
$6,185.50 |
10.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,078.80 |
$2,697 |
4.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,818.40 |
$9,546 |
11.0× |
| MRI orbit/face/neck w/contrast (70542) |
$3,018.40 |
$7,546 |
8.7× |
| MRI pelvis w contrast (72196) |
$2,390 |
$5,975 |
6.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,076 |
$10,190 |
11.7× |
| MRI pelvis w/o contrast (72195) |
$2,952.80 |
$7,382 |
12.4× |
| MRI scan of arm joint before and after contrast (73223) |
$3,433.80 |
$8,584.50 |
9.9× |
| MRI scan of leg joint before and after contrast (73723) |
$3,322.20 |
$8,305.50 |
9.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,177.60 |
$10,444 |
12.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,903.60 |
$9,759 |
11.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,621.60 |
$11,554 |
13.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,462.80 |
$8,657 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,729.20 |
$11,823 |
13.6× |
| MRI thoracic spine w/o contrast (72146) |
$3,253.20 |
$8,133 |
13.7× |
| MRI tmj (70336) |
$4,331.20 |
$10,828 |
18.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,556 |
$6,390 |
10.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,804.40 |
$7,011 |
8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,715.20 |
$4,288 |
7.2× |
| Myelogram Cervical (72240) |
$1,000.40 |
$2,501 |
1.3× |
| Myelogram Lumbar (72265) |
$776 |
$1,940 |
1.0× |
| Myelogram thoracic (72255) |
$776 |
$1,940 |
1.0× |
| Myelography 2 or more regions (72270) |
$848.80 |
$2,122 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$3,051.40 |
$7,628.50 |
2.4× |
| Neck soft tissue (70360) |
$287.60 |
$719 |
3.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$629.20 |
$1,573 |
1.6× |
| Nm adrenal scan (78075) |
$3,309.60 |
$8,274 |
2.6× |
| Nm cisternogram (78630) |
$1,254.80 |
$3,137 |
2.3× |
| Nm gastric emptying study (78264) |
$1,397.80 |
$3,494.50 |
3.5× |
| Nm gastroesophageal reflux study (78262) |
$1,555.60 |
$3,889 |
3.9× |
| Nm peritoneal-venous shunt patency (78291) |
$896 |
$2,240 |
2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$4,092.40 |
$10,231 |
3.0× |
| Nuclear medicine study of digestive tracts (78299) |
$1,226.80 |
$3,067 |
3.1× |
| Nuclear Rx Oral Admin (79005) |
$699.20 |
$1,748 |
3.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$420.80 |
$1,052 |
4.0× |
| Osseous survey infant (77076) |
$305.20 |
$763 |
2.9× |
| Osseous survey limited (77074) |
$243.60 |
$609 |
2.3× |
| Parathyroid imaging (78070) |
$948.60 |
$2,371.50 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$260.40 |
$651 |
2.5× |
| PET image w/CT, skull-thigh (78815) |
$5,333.40 |
$13,333.50 |
3.7× |
| PET imaging CT for attenuation limited area (78814) |
$4,841.60 |
$12,104 |
3.4× |
| PET imaging for CT attenuation whole body (78816) |
$5,333.40 |
$13,333.50 |
3.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,440.80 |
$8,602 |
9.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) |
$1,669.20 |
$4,173 |
0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$933.60 |
$2,334 |
2.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,379.40 |
$3,448.50 |
2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$235.20 |
$588 |
0.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$288.80 |
$722 |
2.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$323.20 |
$808 |
3.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$1,264.40 |
$3,161 |
2.3× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$355.40 |
$888.50 |
3.5× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$355.40 |
$888.50 |
0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$423.20 |
$1,058 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$296 |
$740 |
3.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$195.60 |
$489 |
2.3× |
| Radiologic exam colon single contrast study (74270) |
$515 |
$1,287.50 |
2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$465.40 |
$1,163.50 |
2.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$514.20 |
$1,285.50 |
2.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$434.80 |
$1,087 |
2.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$184 |
$460 |
2.1× |
| Radiological examination surgical specimen (76098) |
$1,036.80 |
$2,592 |
1.9× |
| Ribs bilateral 3 views (71110) |
$700.80 |
$1,752 |
6.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,170.40 |
$2,926 |
2.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,157.60 |
$2,894 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,501.60 |
$3,754 |
2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$3,098.40 |
$7,746 |
2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,513.60 |
$8,784 |
2.5× |
| Rp Therapy Intravenous Administration (79101) |
$241.20 |
$603 |
1.0× |
| Scanogram (77073) |
$186.60 |
$466.50 |
1.8× |
| Scapula complete (73010) |
$350.80 |
$877 |
3.4× |
| Screening digital breast tomosynthesis (77063) |
$92.80 |
$232 |
4.0× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$309.60 |
$774 |
3.0× |
| Simulation intermediate (77285) |
$927.20 |
$2,318 |
2.5× |
| Small bowel series (74250) |
$407.60 |
$1,019 |
2.3× |
| Spec medical radj physics consltj (77370) |
$930.60 |
$2,326.50 |
7.0× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$1,000 |
$2,500 |
2.7× |
| Special dosimetry (77331) |
$151 |
$377.50 |
1.1× |
| Special treatment procedure (77470) |
$1,996.80 |
$4,992 |
3.6× |
| Stereotactic body radiation delivery (77373) |
$6,719.40 |
$16,798.50 |
3.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$402.20 |
$1,005.50 |
1.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$384.80 |
$962 |
1.0× |
| Temporomandble Jt Arthrography Rs&I (70332) |
$668.80 |
$1,672 |
2.8× |
| Ther rad simulaj-aided field setting complex (77290) |
$2,417.40 |
$6,043.50 |
6.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$1,252.40 |
$3,131 |
9.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$630.40 |
$1,576 |
1.6× |
| Thyroid uptake measurement (78012) |
$430.80 |
$1,077 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,191 |
$2,977.50 |
3.0× |
| Treatment device intermediate (77333) |
$654.40 |
$1,636 |
4.9× |
| Treatment devices simple (77332) |
$660.20 |
$1,650.50 |
4.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$4,892 |
$12,230 |
9.0× |
| Tx devices design & construction complex (77334) |
$1,420.40 |
$3,551 |
3.8× |
| Ultrasound, abdomen limited (76705) |
$926.40 |
$2,316 |
8.9× |
| Umbilical-artery Doppler (OB) (76820) |
$309.60 |
$774 |
3.0× |
| Unlisted magnetic resonance procedure (76498) |
$818.40 |
$2,046 |
9.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) |
$705.60 |
$1,764 |
6.9× |
| Unlisted Ultrasound Procedure (76999) |
$421.20 |
$1,053 |
4.9× |
| Urethrocystography retrograde rs&i (74450) |
$628 |
$1,570 |
2.6× |
| Urethrocystography voiding (74455) |
$567.60 |
$1,419 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$665.20 |
$1,663 |
3.8× |
| Us abdl aorta screen aaa (76706) |
$266 |
$665 |
2.6× |
| Us breast unilateral complete (76641) |
$286.80 |
$717 |
2.8× |
| Us breast unilateral limited (76642) |
$305.20 |
$763 |
3.5× |
| Us chest (76604) |
$287.20 |
$718 |
2.8× |
| Us compl joint r-t w/image documentation (76881) |
$538.80 |
$1,347 |
5.2× |
| Us guided compression repair (76936) |
$1,560.40 |
$3,901 |
7.3× |
| Us infant hips dynamic (76885) |
$602 |
$1,505 |
6.9× |
| Us kidney transplant (76776) |
$532 |
$1,330 |
5.1× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$211.20 |
$528 |
2.0× |
| Us ob detailed single fetus (76811) |
$912.60 |
$2,281.50 |
3.8× |
| Us ob transvaginal (76817) |
$459.80 |
$1,149.50 |
4.4× |
| Us pelvic non ob complete (76856) |
$677.60 |
$1,694 |
6.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$381.60 |
$954 |
3.7× |
| Us pregnancy ltd (76815) |
$443.60 |
$1,109 |
4.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$556.40 |
$1,391 |
5.3× |
| Us retroperitoneal complete (76770) |
$688.40 |
$1,721 |
6.6× |
| Us retroperitoneal limited (76775) |
$844 |
$2,110 |
8.1× |
| Us scrotum and contents (76870) |
$578.40 |
$1,446 |
5.6× |
| Us soft tissue head/neck (76536) |
$614 |
$1,535 |
5.9× |
| Us spinal canal and contents (76800) |
$462.80 |
$1,157 |
4.4× |
| Us transrectal (76872) |
$749.60 |
$1,874 |
7.2× |
| Us xtr non-vasc lmtd (76882) |
$356.40 |
$891 |
3.4× |
| Venogram extremity bilateral (75822) |
$2,286.60 |
$5,716.50 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$6,753.20 |
$16,883 |
2.1× |
| Venography caval superior serialography rs&i (75827) |
$1,661.20 |
$4,153 |
1.1× |
| Venography extremity unilateral rs&i (75820) |
$2,076.80 |
$5,192 |
1.3× |
| Venography renal unilateral selective rs&i (75831) |
$1,035.20 |
$2,588 |
0.3× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,231.60 |
$3,079 |
0.4× |
Venous sampling thru cath w/wo angiography rs& (75893)
likely a partial charge, not the full procedure |
$1,005.60 |
$2,514 |
0.2× |
| Vertebral fracture assessment via dxa (77086) |
$138.40 |
$346 |
1.6× |
| Wrist 2 views (73100) |
$249.20 |
$623 |
2.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$364 |
$910 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$309.60 |
$774 |
3.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$192 |
$480 |
2.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$652.80 |
$1,632 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$263.60 |
$659 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$384.80 |
$962 |
4.4× |
| X-ray exam hip uni 1 view (73501) |
$192.40 |
$481 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$187.80 |
$469.50 |
2.2× |
| X-ray exam hip uni 4/> views (73503) |
$288.80 |
$722 |
2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$314.80 |
$787 |
3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$574.80 |
$1,437 |
5.5× |
| X-ray exam of femur 1 (73551) |
$184 |
$460 |
2.1× |
| X-ray eye for foreign body (70030) |
$329.60 |
$824 |
3.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$387.60 |
$969 |
3.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$311.20 |
$778 |
3.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$647.60 |
$1,619 |
0.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$246 |
$615 |
2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$191.60 |
$479 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$370.40 |
$926 |
3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$221.40 |
$553.50 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$375.20 |
$938 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$571.40 |
$1,428.50 |
5.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$287.60 |
$719 |
3.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$120 |
$300 |
1.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$696.40 |
$1,741 |
1.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$594 |
$1,485 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$376.80 |
$942 |
4.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$538 |
$1,345 |
5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$511.80 |
$1,279.50 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$243.60 |
$609 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$302.80 |
$757 |
3.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$369.60 |
$924 |
4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$381.20 |
$953 |
4.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$289.20 |
$723 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$481.20 |
$1,203 |
4.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$337.80 |
$844.50 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$350.80 |
$877 |
4.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$214.80 |
$537 |
2.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$300 |
$750 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$349.60 |
$874 |
3.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$273.40 |
$683.50 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$350.60 |
$876.50 |
4.0× |
| Xr arthrogram ankle (73615) |
$600.80 |
$1,502 |
1.7× |
| Xr c-spine 6 or more views (72052) |
$519.20 |
$1,298 |
5.0× |
| Xr chest 4+ views (71048) |
$398.80 |
$997 |
3.8× |
| Xr finger(s) 2+ views (73140) |
$263.60 |
$659 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$436 |
$1,090 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$302.40 |
$756 |
3.5× |
| Xr tmj bilateral (70330) |
$246 |
$615 |
2.8× |
| Xray knee 1 or 2 views rt (73560) |
$273.20 |
$683 |
3.2× |