|
Shoulder X-ray
|
CPT 73030 |
$57.73 |
$340.10
|
$2,047.11 |
834 |
|
Shoulder X-ray (single view, both shoulders)
|
CPT 73020 |
$29.00 |
$263.25
|
$1,412.76 |
824 |
|
Shuntogram nonvascular supervision & interpretation
|
CPT 75809 |
$24.03 |
$355.80
|
$3,245.91 |
596 |
|
Sialography s&i
|
CPT 70390 |
$83.65 |
$499.20
|
$4,715.96 |
475 |
|
Sinus CT scan (with and without contrast)
|
CPT 70488 |
$119.40 |
$1,796.30
|
$17,896.69 |
889 |
|
Sinus CT scan (with contrast)
|
CPT 70487 |
$92.40 |
$1,527.60
|
$14,075.00 |
912 |
|
Sinus CT scan (without contrast)
|
CPT 70486 |
$66.75 |
$1,289.00
|
$12,798.00 |
914 |
|
Sinus/juglr venogram s&i
|
CPT 75860 |
$137.28 |
$2,517.48
|
$23,675.83 |
631 |
|
Sinus X-ray (complete)
|
CPT 70220 |
$38.88 |
$346.45
|
$3,449.42 |
901 |
|
Sinus X-ray (limited)
|
CPT 70210 |
$31.32 |
$215.40
|
$2,096.40 |
860 |
|
Skull X-ray (1 to 3 views)
|
CPT 70250 |
$43.00 |
$294.45
|
$2,949.71 |
913 |
|
Skull X-ray (complete)
|
CPT 70260 |
$50.22 |
$417.50
|
$4,296.51 |
891 |
|
Small Bowel Barium X-ray (Follow-Through)
|
CPT 74250 |
$69.30 |
$557.70
|
$5,600.79 |
897 |
|
Special physics consult
|
CPT 77370 |
$55.86 |
$725.00
|
$6,842.00 |
553 |
|
Special radiation dosimetry
|
CPT 77331 |
$30.00 |
$392.50
|
$3,113.59 |
521 |
|
Special radiation treatment
|
CPT 77470 |
$116.37 |
$2,052.00
|
$19,583.00 |
561 |
|
Special teletx port plan
|
CPT 77321 |
$60.30 |
$1,095.05
|
$10,752.00 |
528 |
|
Speech evaluation complex
|
CPT 70371 |
$77.55 |
$527.06
|
$3,937.65 |
265 |
|
Spine X-ray (single view, one level)
|
CPT 72020 |
$28.00 |
$251.00
|
$2,490.43 |
897 |
|
Spleen imaging
|
CPT 78185 |
$51.00 |
$679.00
|
$5,655.54 |
244 |
|
Srs linear based
|
CPT 77372 |
$1,790.40 |
$14,124.25
|
$90,718.55 |
467 |
|
Srs multisource
|
CPT 77371 |
$2,114.40 |
$35,004.79
|
$314,161.34 |
253 |
|
Stereotactic radiation trmt
|
CPT 77432 |
$118.79 |
$845.60
|
$4,666.50 |
46 |
|
Stomach Emptying Scan (Nuclear Medicine)
|
CPT 78264 |
$67.52 |
$1,345.40
|
$13,266.33 |
901 |
|
Svc venogram s&i
|
CPT 75827 |
$117.60 |
$1,990.95
|
$17,758.85 |
698 |
|
Tailbone (Sacrum and Coccyx) X-ray
|
CPT 72220 |
$40.00 |
$289.20
|
$2,717.36 |
908 |
|
Tbs dxa cal w/i&r fx risk
|
CPT 77089 |
$11.62 |
$127.12
|
$943.00 |
66 |
|
Tbs i&r fx rsk qhp
|
CPT 77092 |
$9.40 |
$61.04
|
$314.30 |
41 |
|
Tbs techl calculation only
|
CPT 77091 |
$16.95 |
$153.60
|
$731.06 |
216 |
|
Tbs techl prep&transmis data
|
CPT 77090 |
$37.95 |
$119.66
|
$731.06 |
122 |
|
Telethx isodose plan cplx
|
CPT 77307 |
$108.97 |
$1,526.85
|
$14,041.30 |
572 |
|
Telethx isodose plan simple
|
CPT 77306 |
$49.35 |
$880.61
|
$8,459.00 |
494 |
|
Testicular imaging w/vasc flow
|
CPT 78761 |
$148.20 |
$842.56
|
$8,384.40 |
475 |
|
Ther nma rdctj intus/obstrcj
|
CPT 74283 |
$27.79 |
$538.88
|
$5,363.58 |
468 |
|
Ther radiology tx plng cplx
|
CPT 77263 |
$47.11 |
$332.00
|
$1,845.35 |
98 |
|
Ther radiology tx plng intrm
|
CPT 77262 |
$30.38 |
$224.00
|
$1,249.80 |
68 |
|
Ther radiology tx plng smpl
|
CPT 77261 |
$19.74 |
$161.50
|
$883.20 |
57 |
|
Thigh Bone (Femur) X-ray (both sides)
|
CPT 73552 |
$49.00 |
$313.60
|
$2,756.38 |
840 |
|
Three-Phase Bone Scan (Nuclear Medicine)
|
CPT 78315 |
$87.77 |
$1,703.45
|
$15,778.10 |
905 |
|
Throat x-ray & fluoroscopy
|
CPT 70370 |
$63.90 |
$259.60
|
$2,538.67 |
183 |
|
Thyroid imaging
|
CPT 78013 |
$96.56 |
$695.60
|
$6,934.02 |
677 |
|
Thyroid met imaging
|
CPT 78015 |
$82.50 |
$838.25
|
$6,879.36 |
255 |
|
Thyroid met imaging/studies
|
CPT 78016 |
$219.94 |
$763.73
|
$6,693.29 |
116 |
|
Thyroid mets imag whole body
|
CPT 78018 |
$211.20 |
$1,524.99
|
$15,224.85 |
720 |
|
Thyroid met uptake
|
CPT 78020 |
$51.61 |
$407.40
|
$2,370.00 |
285 |
|
Thyroid Ultrasound
|
CPT 76536 |
$33.75 |
$588.50
|
$5,650.03 |
912 |
|
Thyroid uptake measurement
|
CPT 78012 |
$49.40 |
$591.25
|
$5,880.56 |
665 |
|
Toe X-ray (both feet)
|
CPT 73660 |
$28.65 |
$258.65
|
$1,859.38 |
836 |
|
Tomosynthesis breast screen bilateral
|
CPT 77063 |
$7.84 |
$74.10
|
$676.05 |
827 |
|
Transcatheter bx s&i
|
CPT 75970 |
$168.53 |
$1,950.85
|
$18,567.46 |
616 |
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
CPT 76830 |
$41.25 |
$561.60
|
$4,920.50 |
903 |
|
Transvaginal Pregnancy Ultrasound
|
CPT 76817 |
$63.20 |
$499.20
|
$4,920.50 |
898 |
|
Treatment radiation delivery level 2
|
CPT 77407 |
$82.74 |
$830.70
|
$8,500.00 |
494 |
|
Ultrasound bone density measure
|
CPT 76977 |
$29.60 |
$143.75
|
$600.60 |
86 |
|
Ultrasound breast complete
|
CPT 76641 |
$38.00 |
$532.00
|
$4,406.52 |
782 |
|
Ultrasound breast unilateral limited (both sides)
|
CPT 76642 |
$57.68 |
$452.40
|
$2,387.00 |
807 |
|
Ultrasound doppler velocimetry fetal umbilical artery
|
CPT 76820 |
$17.67 |
$338.00
|
$3,309.44 |
665 |
|
Ultrasound dx ophth b-scan
|
CPT 76512 |
$22.08 |
$296.80
|
$1,344.82 |
385 |
|
Ultrasound elastography ea l target les
|
CPT 76983 |
$27.38 |
$180.00
|
$959.40 |
281 |
|
Ultrasound elastography parenchyma
|
CPT 76981 |
$19.04 |
$313.95
|
$2,645.60 |
534 |
|
Ultrasound encephalogram
|
CPT 76506 |
$31.00 |
$494.92
|
$4,915.31 |
779 |
|
Ultrasound exam follow-up
|
CPT 76970 |
$189.00 |
$226.38
|
$354.45 |
33 |
|
Ultrasound exam k transpl w/doppler
|
CPT 76776 |
$48.60 |
$578.40
|
$4,523.85 |
701 |
|
Ultrasound fetal biophysical profile without non-stress testing
|
CPT 76819 |
$37.00 |
$476.94
|
$4,484.42 |
823 |
|
Ultrasound Guidance for a Needle Procedure
|
CPT 76942 |
$38.50 |
$720.15
|
$6,986.75 |
845 |
|
Ultrasound guidance for vascular access
|
CPT 76937 |
$23.40 |
$388.08
|
$3,777.00 |
802 |
|
Ultrasound guide intraoperative
|
CPT 76998 |
$47.52 |
$632.85
|
$5,553.00 |
734 |
|
Ultrasound guide tissue ablation
|
CPT 76940 |
$34.20 |
$560.00
|
$4,696.65 |
454 |
|
Ultrasound hips infant dynamic
|
CPT 76885 |
$26.22 |
$403.88
|
$3,562.90 |
645 |
|
Ultrasound infant hips ltd without stress
|
CPT 76886 |
$19.72 |
$311.25
|
$2,160.18 |
505 |
|
Ultrasound joint complete left
|
CPT 76881 |
$35.25 |
$557.99
|
$4,872.01 |
783 |
|
Ultrasound nrv&acc strux 1xtr compre
|
CPT 76883 |
$38.69 |
$277.80
|
$822.90 |
251 |
|
Ultrasound ob >=14wks ea addl gest
|
CPT 76810 |
$49.68 |
$407.20
|
$3,977.48 |
774 |
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
CPT 76802 |
$48.72 |
$334.50
|
$3,104.71 |
818 |
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
CPT 76811 |
$91.50 |
$698.50
|
$6,667.10 |
706 |
|
Ultrasound pregnant uterus follow up per fetus
|
CPT 76816 |
$46.40 |
$425.60
|
$3,995.27 |
815 |
|
Ultrasound prostate/transrectal
|
CPT 76872 |
$33.00 |
$557.40
|
$4,970.70 |
692 |
|
Ultrasound spinal canal and contents
|
CPT 76800 |
$53.07 |
$463.00
|
$4,446.75 |
753 |
|
Ultrasound transabd ea addl gest
|
CPT 76812 |
$23.38 |
$419.50
|
$3,423.00 |
609 |
|
Ultrasound trgt dyn mbubb 1st les
|
CPT 76978 |
$71.25 |
$568.32
|
$3,213.00 |
210 |
|
Ultrasound trgt dyn mbubb ea addl
|
CPT 76979 |
$35.70 |
$348.00
|
$2,046.50 |
148 |
|
Unlisted CT procedure
|
CPT 76497 |
$39.03 |
$732.70
|
$7,061.60 |
311 |
|
Unlisted cv px dx nuc med
|
CPT 78499 |
$288.52 |
$1,747.20
|
$8,594.00 |
86 |
|
Unlisted endocrine px dx nuc
|
CPT 78099 |
$249.50 |
$569.91
|
$2,158.80 |
82 |
|
Unlisted fluoroscopic px
|
CPT 76496 |
$33.76 |
$305.76
|
$3,080.22 |
278 |
|
Unlisted gi px dx nuc med
|
CPT 78299 |
$412.18 |
$995.00
|
$4,376.00 |
91 |
|
Unlisted gu px dx nuc med
|
CPT 78799 |
$132.62 |
$805.62
|
$3,183.00 |
59 |
|
Unlisted mr procedure
|
CPT 76498 |
$67.20 |
$1,165.00
|
$10,554.45 |
447 |
|
Unlisted muscskel px dx nuc
|
CPT 78399 |
$439.15 |
$1,279.98
|
$9,601.20 |
76 |
|
Unlisted nrvs sys px dx nuc
|
CPT 78699 |
$439.15 |
$891.41
|
$1,764.00 |
51 |
|
Unlisted px med radj physics
|
CPT 77399 |
$45.22 |
$462.35
|
$3,100.00 |
193 |
|
Unlisted px ther rad tx plng
|
CPT 77299 |
$50.22 |
$182.00
|
$1,404.00 |
70 |
|
Unlisted resp px dx nuc med
|
CPT 78599 |
$389.03 |
$670.60
|
$3,645.04 |
97 |
|
Unlisted ultrasound procedure
|
CPT 76999 |
$53.07 |
$332.16
|
$3,075.41 |
481 |
|
Unlstd hematop ret/endo lymp
|
CPT 78199 |
$182.00 |
$473.22
|
$1,482.88 |
51 |
|
Upper Arm (Humerus) X-ray (left side)
|
CPT 73060 |
$45.00 |
$309.31
|
$2,046.12 |
834 |
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
CPT 72129 |
$118.00 |
$1,669.00
|
$16,594.07 |
891 |
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
CPT 72128 |
$107.40 |
$1,425.85
|
$13,939.51 |
915 |
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
CPT 72157 |
$358.82 |
$2,998.00
|
$28,834.54 |
925 |
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
CPT 72147 |
$218.46 |
$2,369.00
|
$23,489.95 |
864 |