|
Nuclear rx intra-arterial
|
CPT 79445 |
$72.25 |
$765.00
|
$6,306.72 |
509 |
|
Nuclear rx intra-articular
|
CPT 79440 |
$183.12 |
$297.60
|
$2,363.20 |
92 |
|
Nuclear rx intracav admin
|
CPT 79200 |
$46.35 |
$776.97
|
$7,876.44 |
206 |
|
Nuclear rx IV admin
|
CPT 79101 |
$68.76 |
$864.50
|
$8,715.00 |
560 |
|
Nuclr rx interstit colloid
|
CPT 79300 |
$182.58 |
$642.09
|
$3,208.04 |
125 |
|
Ob Ultrasound nuchal meas 1 gest
|
CPT 76813 |
$32.62 |
$357.00
|
$2,765.00 |
481 |
|
Ob Ultrasound nuchal meas add-on
|
CPT 76814 |
$15.60 |
$249.60
|
$1,687.00 |
372 |
|
Ophth Ultrasound b & quant a
|
CPT 76510 |
$126.50 |
$301.60
|
$1,029.00 |
99 |
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
CPT 76513 |
$32.50 |
$215.90
|
$1,693.60 |
126 |
|
Oph Ultrasound dx quan a-scan only
|
CPT 76511 |
$86.61 |
$298.98
|
$780.00 |
169 |
|
Orthopantogram
|
CPT 70355 |
$23.22 |
$241.50
|
$2,263.20 |
426 |
|
Parathyrd planar w/spect&ct
|
CPT 78072 |
$80.00 |
$1,574.40
|
$11,310.61 |
548 |
|
Parathyroid planar imaging
|
CPT 78070 |
$67.52 |
$1,126.00
|
$11,212.00 |
837 |
|
Parathyroid planar img w/tomo spect
|
CPT 78071 |
$97.60 |
$1,374.75
|
$13,319.50 |
673 |
|
Pelvic CT scan (with and without contrast)
|
CPT 72194 |
$166.80 |
$1,890.36
|
$18,693.41 |
888 |
|
Pelvic CT scan (with contrast)
|
CPT 72193 |
$112.00 |
$1,608.98
|
$16,137.00 |
912 |
|
Pelvic CT scan (without contrast)
|
CPT 72192 |
$77.40 |
$1,335.34
|
$13,436.79 |
912 |
|
Pelvic MRI (with and without contrast)
|
CPT 72197 |
$354.42 |
$2,860.00
|
$25,184.88 |
928 |
|
Pelvic MRI (with contrast)
|
CPT 72196 |
$211.20 |
$2,210.00
|
$20,070.60 |
799 |
|
Pelvic MRI (without contrast)
|
CPT 72195 |
$258.66 |
$1,916.50
|
$18,417.45 |
925 |
|
Pelvic Ultrasound (complete)
|
CPT 76856 |
$41.25 |
$643.80
|
$6,433.12 |
910 |
|
Pelvic Ultrasound (limited)
|
CPT 76857 |
$35.25 |
$430.80
|
$4,336.00 |
891 |
|
Pelvis X-ray (1 to 2 views)
|
CPT 72170 |
$44.25 |
$281.82
|
$2,621.00 |
911 |
|
Pelvis X-ray (complete, 4 or more views)
|
CPT 72190 |
$57.90 |
$351.75
|
$3,110.10 |
880 |
|
Peritoneogram rs&i
|
CPT 74190 |
$56.10 |
$698.50
|
$6,696.18 |
439 |
|
Perit-vens shunt pat tst
|
CPT 78291 |
$111.80 |
$752.49
|
$7,549.39 |
445 |
|
Pet CT skull-mid thgh initial
|
CPT 78815 |
$292.38 |
$4,707.00
|
$37,515.66 |
652 |
|
Pet CT whole body initial
|
CPT 78816 |
$295.02 |
$4,850.00
|
$37,515.66 |
635 |
|
Pet fdg brain metoblic eval sb
|
CPT 78608 |
$564.37 |
$4,060.00
|
$23,433.95 |
539 |
|
Pet image full body
|
CPT 78813 |
$520.00 |
$5,148.14
|
$37,412.00 |
255 |
|
Pet image ltd area
|
CPT 78811 |
$400.40 |
$3,809.11
|
$37,412.00 |
229 |
|
Pet image skull-thigh
|
CPT 78812 |
$231.00 |
$4,589.00
|
$37,412.00 |
247 |
|
Pet image w/ct lmtd
|
CPT 78814 |
$261.36 |
$4,349.76
|
$37,515.66 |
521 |
|
Pet scan brain perf study
|
CPT 78609 |
$265.50 |
$3,832.80
|
$27,565.58 |
116 |
|
Plasma volume multiple
|
CPT 78111 |
$211.20 |
$1,544.85
|
$8,343.00 |
125 |
|
Plasma volume single
|
CPT 78110 |
$224.80 |
$1,704.65
|
$4,483.20 |
72 |
|
Platelet survival
|
CPT 78191 |
$362.40 |
$545.61
|
$5,324.00 |
75 |
|
Pq biliary strict dil s&i
|
CPT 74363 |
$69.92 |
$1,102.53
|
$10,874.22 |
497 |
|
Pq dr cath chg w cont s&i
|
CPT 75984 |
$39.00 |
$720.00
|
$6,768.53 |
732 |
|
Pregnancy Ultrasound (complete, after first trimester)
|
CPT 76805 |
$52.50 |
$590.27
|
$5,713.63 |
879 |
|
Pregnancy Ultrasound (first trimester)
|
CPT 76801 |
$74.90 |
$539.37
|
$4,898.08 |
889 |
|
Pregnancy Ultrasound (limited)
|
CPT 76815 |
$37.50 |
$459.00
|
$4,417.68 |
893 |
|
Proton treatment complex
|
CPT 77525 |
$1,393.98 |
$5,876.00
|
$7,935.20 |
79 |
|
Proton trmt intermediate
|
CPT 77523 |
$1,122.82 |
$4,402.28
|
$7,935.20 |
88 |
|
Proton trmt simple w/comp
|
CPT 77522 |
$975.12 |
$3,826.55
|
$7,935.20 |
66 |
|
Proton trmt simple without comp
|
CPT 77520 |
$442.63 |
$2,804.10
|
$4,894.40 |
73 |
|
Pulmonary vent imaging
|
CPT 78579 |
$58.08 |
$933.75
|
$9,673.89 |
664 |
|
Quant diff pulm perf and vent w/imaging
|
CPT 78598 |
$99.00 |
$1,547.04
|
$15,516.50 |
655 |
|
Quant diff pulm perf w/imaging
|
CPT 78597 |
$61.44 |
$1,199.16
|
$11,748.13 |
686 |
|
Radiation handling
|
CPT 77790 |
$18.62 |
$324.80
|
$3,211.93 |
364 |
|
Radiation physics consult
|
CPT 77336 |
$62.89 |
$610.68
|
$5,445.55 |
583 |
|
Radiation therapy dose plan
|
CPT 77300 |
$35.64 |
$518.76
|
$4,680.00 |
605 |
|
Radiation therapy management
|
CPT 77431 |
$72.75 |
$199.20
|
$1,185.75 |
45 |
|
Radiation treatment aid(s)
|
CPT 77332 |
$28.80 |
$526.80
|
$5,001.15 |
565 |
|
Radiation treatment aid(s)
|
CPT 77333 |
$43.20 |
$655.50
|
$5,174.25 |
509 |
|
Radiation treatment aid(s)
|
CPT 77334 |
$65.61 |
$1,100.38
|
$9,625.00 |
586 |
|
Radiation treatment delivery
|
CPT 77401 |
$46.17 |
$245.50
|
$1,738.64 |
136 |
|
Radiation treatment delivery
|
CPT 77402 |
$51.66 |
$552.40
|
$5,284.62 |
522 |
|
Radiation treatment delivery
|
CPT 77412 |
$99.84 |
$921.00
|
$8,575.00 |
557 |
|
Radiation tx management x5
|
CPT 77427 |
$53.83 |
$354.40
|
$2,100.35 |
68 |
|
Radiology port images(s)
|
CPT 77417 |
$16.40 |
$253.50
|
$2,573.34 |
548 |
|
Radiotherapy dose plan imrt
|
CPT 77301 |
$321.48 |
$5,755.75
|
$56,569.10 |
587 |
|
Radphm lcl tmr plnr bdy sgl day img
|
CPT 78802 |
$137.70 |
$2,051.70
|
$19,367.20 |
762 |
|
Radphm lcl tmr plnr bdy two day img
|
CPT 78804 |
$173.34 |
$2,719.20
|
$24,383.92 |
708 |
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
CPT 78831 |
$473.20 |
$2,503.20
|
$19,748.09 |
488 |
|
Radphm lcl tomogr sgl area sgl day
|
CPT 78803 |
$185.76 |
$2,242.80
|
$21,703.72 |
843 |
|
Radphm lcl tumor plr sgl day
|
CPT 78800 |
$112.32 |
$1,126.32
|
$10,489.09 |
712 |
|
Radphm quant measure sgl area add-on
|
CPT 78835 |
$46.50 |
$711.20
|
$5,953.67 |
270 |
|
Red cell mass multiple
|
CPT 78121 |
$187.09 |
$636.97
|
$6,135.06 |
141 |
|
Red cell mass single
|
CPT 78120 |
$188.64 |
$545.61
|
$3,926.99 |
85 |
|
Red cell sequestration
|
CPT 78140 |
$158.60 |
$618.80
|
$3,872.37 |
137 |
|
Red cell survival kinetics
|
CPT 78135 |
$815.35 |
$815.35
|
$856.11 |
9 |
|
Red cell survival study
|
CPT 78130 |
$211.80 |
$549.70
|
$4,434.15 |
101 |
|
Remove cva lumen obstruct
|
CPT 75902 |
$46.71 |
$494.00
|
$4,433.56 |
476 |
|
Remove esophagus obstruction
|
CPT 74235 |
$63.90 |
$560.00
|
$4,140.64 |
150 |
|
Renal cyst study s&i
|
CPT 74470 |
$125.02 |
$751.34
|
$7,330.61 |
363 |
|
Renal venogram bil s&i
|
CPT 75833 |
$509.60 |
$3,615.28
|
$30,059.19 |
593 |
|
Respirator motion mgmt simul
|
CPT 77293 |
$68.85 |
$1,200.53
|
$11,541.75 |
487 |
|
Rib and Chest X-ray (3 views, left side)
|
CPT 71101 |
$62.89 |
$359.47
|
$2,647.88 |
831 |
|
Rib and Chest X-ray (4 or more views, both sides)
|
CPT 71111 |
$59.00 |
$491.70
|
$4,838.50 |
903 |
|
Rib X-ray (3 views, both sides)
|
CPT 71110 |
$45.11 |
$397.60
|
$3,761.60 |
882 |
|
Rp loclzj tum 2+area 1+d img
|
CPT 78801 |
$126.36 |
$1,310.00
|
$12,933.85 |
636 |
|
Rp loclzj tum spect w/ct 1
|
CPT 78830 |
$173.58 |
$2,556.60
|
$21,526.51 |
585 |
|
Rp loclzj tum spect w/ct 2
|
CPT 78832 |
$248.82 |
$3,176.00
|
$30,530.12 |
506 |
|
Rp therapy unlisted px
|
CPT 79999 |
$89.95 |
$549.50
|
$2,430.66 |
92 |
|
Sacroiliac Joint X-ray (3 or more views)
|
CPT 72202 |
$16.50 |
$314.26
|
$3,054.08 |
908 |
|
Salivary gland function exam
|
CPT 78232 |
$134.55 |
$753.60
|
$5,186.00 |
137 |
|
Salivary gland imaging
|
CPT 78230 |
$54.78 |
$585.00
|
$4,314.87 |
198 |
|
Salivary glnd img serial img
|
CPT 78231 |
$135.20 |
$701.73
|
$4,828.87 |
232 |
|
Sbrt management
|
CPT 77435 |
$179.69 |
$1,156.00
|
$9,210.00 |
75 |
|
Screening Mammogram
|
CPT 77067 |
$65.52 |
$310.20
|
$2,840.35 |
858 |
|
Scrotal (Testicle) Ultrasound
|
CPT 76870 |
$39.00 |
$611.91
|
$6,081.00 |
909 |
|
Set radiation therapy field
|
CPT 77280 |
$40.77 |
$782.61
|
$7,157.00 |
574 |
|
Set radiation therapy field
|
CPT 77285 |
$61.29 |
$1,159.03
|
$9,438.00 |
480 |
|
Set radiation therapy field
|
CPT 77290 |
$89.37 |
$1,636.36
|
$12,985.00 |
584 |
|
Shoulder AC Joint X-ray (both sides)
|
CPT 73050 |
$16.80 |
$270.20
|
$2,406.36 |
870 |
|
Shoulder Blade (Scapula) X-ray (both sides)
|
CPT 73010 |
$45.00 |
$286.89
|
$2,127.42 |
831 |
|
Shoulder MRI (with and without contrast)
|
CPT 73223 |
$246.50 |
$2,743.02
|
$13,081.00 |
796 |
|
Shoulder MRI (with contrast)
|
CPT 73222 |
$444.18 |
$2,476.20
|
$10,064.00 |
765 |
|
Shoulder MRI (without contrast)
|
CPT 73221 |
$233.59 |
$2,096.84
|
$15,975.12 |
805 |