76815
Obstetric US, with image documentation
675,00
76825
Echocardiography, fetal, with image documentation
1 412,00
76827
Doppler echocardiography, fetal
1 748,00
76830
TVUS (Transvaginal Ultrasound)
395,00
76831
Uterus and fallopian tube sonography, with contrast material
1 373,00
76857
Gynecological US, follicles
251,00
76870
Scrotum US, with image documentation
825,00
76872
TRUS (transrectal ultrasound), with image documentation
1 197,00
76942
Biopsy/surgical procedure, US guidance
3 803,00
77002
Biopsy/surgical procedure, using fluoroscopic guidance
77012
Biopsy/surgical procedure, using CT guidance
6 887,00
77021
Biopsy/surgical procedure, using MRI guidance
10 332,00
77031
Stereotactic localization guidance for breast biopsy/needle placement, including biopsy, using imaging guidance (eg, mammography)
6 884,00
77032
Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation
1 046,00
77054
Mammary ductogram/galactogram, including interpretation
1 353,00
77056
Mammography; bilateral
338,00
77059
MRI, breast, without and/or with contrast material(s); bilateral
3 078,00
77073
Bone length studies (orthoroentgenogram, scanogram)
483,00
77080
DXA, bone density study
300,00
77261
Therapeutic radiology treatment planning, radiotherapy
788,00
77280
Radiotherapy simulation
3 134,00
77295
Radiology simulation-aided field setting, three-dimensional
3 921,00
77401
Radiation treatment delivery, per field
688,00
78000
Thyroid uptake, single determination
78001
Thyroid uptake, multiple determinations
672,00
78007
Thyroid imaging, with uptake, multiple determinations
1 344,00
78010
Thyroid imaging
875,00
78018
Thyroid imaging; I-131, whole body
4 055,00
78070
Parathyroid imaging
2 021,00
78104
Bone marrow imaging, whole body
3 782,00
78122
Whole blood volume determination, radiopharmaceutical technique
2 510,00
78130
Red cell survival study
4 281,00
78191
Platelet survival study
1 359,00
78195
Lymphatics and lymph nodes imaging
3 744,00
78205
Liver and spleen imaging, SPECT
1 182,00
78215
Liver and spleen imaging, static
78216
Liver and spleen imaging, dynamic and static
1 112,00
78223
Hepatobiliary imaging, with/without pharmacologic intervention, with/without quantitative measurement of gallbladder function
3 083,00
78231
Salivary gland imaging, with serial images
1 286,00
78258
Esophageal motility, dynamic
1 331,00
78262
Gastroesophageal reflux study
1 004,00
78264
Gastric emptying study
3 990,00
78270
Vitamin B-12 absorption, without intrinsic factor
960,00
78271
Vitamin B-12 absorption, with intrinsic factor
1 316,00
78278
Acute GI bleeding imaging, dynamic and static
3 890,00
78290
Intestine imaging (eg, Meckel's, ectopic gastric mucosa)
1 928,00
78291
Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt)
2 724,00
78300
Bone and/or joint imaging, limited area
1 625,00
78306
Bone and/or joint imaging, whole body
1 017,00
78315
Bone and/or joint imaging, three phase
3 276,00
78320
Bone and/or joint imaging, SPECT
1 146,00
78399
Bone and/or joint imaging, whole body, 24 hours later
467,00
78428
Cardiac shunt detection, dynamic
1 070,00
78445
Vascular flow imaging, perfusion
1 398,00
78458
Venous thrombosis imaging, bilateral
1 845,00
78461
Myocardial perfusion imaging, at rest and/or stress, planar
4 484,00
78465
Myocardial perfusion imaging, rest and/or stress, SPECT
5 083,00
78466
Myocardial imaging, infarct, planar
3 338,00
78468
Myocardial imaging, infarct, planar first pass, EF
3 959,00
78469
Myocardial imaging, infarct, SPECT
4 592,00
78472
Cardiac BP imaging, gated planar, rest/stress, EF
2 103,00
78473
Cardiac BP imaging, gated, rest and stress, EF
4 982,00
78478
Myocardial perfusion imaging, with wall motion
6 213,00
78480
Myocardial perfusion study with EF
6 495,00
78481
Cardiac BP imaging, gated planar, rest/stress, first pass, EF
2 075,00
78499
Cardiac BP (pool imaging)imaging, static
1 007,00
78580
Pulmonary imaging, perfusion
1 200,00
78585
Pulmonary imaging, ventilation and perfusion, Xenon
2 807,00
78587
Pulmonary imaging, ventilation, aerosol
2 312,00
78594
Pulmonary imaging, ventilation, xenon
2 408,00
78596
Pulmonary imaging, ventilation and perfusion, quantitative differential function
3 549,00
78605
Brain imaging, static
1 673,00
78606
Brain imaging, dynamic and static
2 252,00
78607
Brain imaging, SPECT
4 307,00
78610
Brain imaging, dynamic
1 557,00
78630
CSF (Cerebrospinal fluid) imaging, cisternography
6 462,00
78645
CSF flow imaging, shunt evaluation
1 328,00
78650
CSF leakage detection and localization
3 834,00
78660
Radiopharmaceutical dacryocystography
1 616,00
78699
Brain tumor imaging, SPECT
3 885,00
78700
Kidney imaging, static
1 985,00
78701
Kidney imaging, dynamic, GFR
78707
Kidney imaging, dynamic, without pharmacological intervention
1 530,00
78708
Kidney imaging, dynamic, with pharmacological intervention
1 826,00
78710
Kidney imaging, SPECT
1 962,00
78740
Ureteral reflux imaging (cystogram)
1 716,00
78761
Testicular imaging, dynamic and static
996,00
78802
Tumor imaging, planar
6 087,00
78803
Tumor imaging, SPECT
5 306,00
78805
Inflammatory process imaging, limited area
5 948,00
