radiology cpt codes list and description

2023 Radiology CPT Codes | Radiology Procedure Codes 2023 Pdf

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Radiology CPT codes are standardized to identify specific radiology procedures and services. CPT full form, is Current Procedural Terminology, a medical code maintained and published by the American Medical Association (AMA). These CPT codes serve as a universal language between healthcare providers, Hospitals, and insurance companies to accurately communicate and bill for radiology services.

The list of 2023 Radiology CPT codes is updated as below at the latest information and also add new updates as well. Please review the below mention list

List of Radiology CPT Codes 2023

CPT
Code		Radiology Procedure Codes DescriptionModifierAllowed
Amt		Effective DateEnd Date
70010MYELOGRAPHY, POSTERIOR FOSSA, RADIOLOGICAL SUPERVISION AND INTERPRETATION$196.687-1-201912-31-2382
70010MYELOGRAPHY, POSTERIOR FOSSA, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$64.137-1-201912-31-2382
70010MYELOGRAPHY, POSTERIOR FOSSA, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$147.817-1-201912-31-2382
70015CISTERNOGRAPHY, POSITIVE CONTRAST, RADIOLOGICAL SUPERVISION AND INTERPRETATION$196.687-1-201912-31-2382
70015CISTERNOGRAPHY, POSITIVE CONTRAST, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$64.137-1-201912-31-2382
70015CISTERNOGRAPHY, POSITIVE CONTRAST, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$46.347-1-201912-31-2382
70030RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY$49.207-1-201912-31-2382
70030RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY26$9.307-1-201912-31-2382
70030RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY50$49.207-1-201912-31-2382
70030RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODYTC$14.447-1-201912-31-2382
70100RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN FOUR VIEWS$49.207-1-201912-31-2382
70100RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN FOUR VIEWS26$9.837-1-201912-31-2382
70100RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN FOUR VIEWSTC$18.137-1-201912-31-2382
70110RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF FOUR VIEWS$49.207-1-201912-31-2382
70110RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF FOUR VIEWS26$13.377-1-201912-31-2382
70110RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF FOUR VIEWSTC$21.387-1-201912-31-2382
70120RADIOLOGIC EXAMINATION, MASTOIDS; LESS THAN THREE VIEWS PER SIDE$49.207-1-201912-31-2382
70120RADIOLOGIC EXAMINATION, MASTOIDS; LESS THAN THREE VIEWS PER SIDE26$9.837-1-201912-31-2382
70120RADIOLOGIC EXAMINATION, MASTOIDS; LESS THAN THREE VIEWS PER SIDETC$21.387-1-201912-31-2382
70130RADIOLOGIC EXAMINATION, MASTOIDS; COMPLETE, MINIMUM OF THREE
VIEWS PER SIDE		$49.207-1-201912-31-2382
70130RADIOLOGIC EXAMINATION, MASTOIDS; COMPLETE, MINIMUM OF THREE
VIEWS PER SIDE		26$17.927-1-201912-31-2382
70130RADIOLOGIC EXAMINATION, MASTOIDS; COMPLETE, MINIMUM OF THREE
VIEWS PER SIDE		TC$26.977-1-201912-31-2382
70134RADIOLOGIC EXAMINATION, INTERNAL AUDITORY MEATI, COMPLETE$83.747-1-201912-31-2382
70134RADIOLOGIC EXAMINATION, INTERNAL AUDITORY MEATI, COMPLETE26$17.927-1-201912-31-2382
70134RADIOLOGIC EXAMINATION, INTERNAL AUDITORY MEATI, COMPLETETC$25.307-1-201912-31-2382
70140RADIOLOGIC EXAMINATION, FACIAL BONES; LESS THAN THREE VIEWS$49.207-1-201912-31-2382
70140RADIOLOGIC EXAMINATION, FACIAL BONES; LESS THAN THREE VIEWS26$10.147-1-201912-31-2382
70140RADIOLOGIC EXAMINATION, FACIAL BONES; LESS THAN THREE VIEWSTC$21.387-1-201912-31-2382
70150RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE
VIEWS		$49.207-1-201912-31-2382
70150RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE
VIEWS		26$14.007-1-201912-31-2382
70150RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE
VIEWS		LT$49.207-1-201912-31-2382
70150RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE
VIEWS		RT$49.207-1-201912-31-2382
70150RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE
VIEWS		TC$26.977-1-201912-31-2382
70160RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE
VIEWS		$49.207-1-201912-31-2382
70160RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE
VIEWS		26$9.157-1-201912-31-2382
70160RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE
VIEWS		LT$49.207-1-201912-31-2382
70160RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE
VIEWS		RT$49.207-1-201912-31-2382
70160RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE
VIEWS		TC$18.137-1-201912-31-2382
70170DACRYOCYSTOGRAPHY, NASOLACRIMAL DUCT, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$232.987-1-201912-31-2382
70170DACRYOCYSTOGRAPHY, NASOLACRIMAL DUCT, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$15.317-1-201912-31-2382
70170DACRYOCYSTOGRAPHY, NASOLACRIMAL DUCT, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$32.247-1-201912-31-2382
70190RADIOLOGIC EXAMINATION; OPTIC FORAMINA$49.207-1-201912-31-2382
70190RADIOLOGIC EXAMINATION; OPTIC FORAMINA26$11.447-1-201912-31-2382
70190RADIOLOGIC EXAMINATION; OPTIC FORAMINATC$21.387-1-201912-31-2382
70200RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF FOUR VIEWS$49.207-1-201912-31-2382
70200RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF FOUR VIEWS26$14.987-1-201912-31-2382
70200RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF FOUR VIEWSTC$26.977-1-201912-31-2382
70210RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, LESS THAN THREE VIEWS$49.207-1-201912-31-2382
70210RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, LESS THAN THREE VIEWS26$9.157-1-201912-31-2382
70210RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, LESS THAN THREE VIEWSTC$21.387-1-201912-31-2382
70220RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF
THREE VIEWS		$49.207-1-201912-31-2382
70220RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF
THREE VIEWS		26$13.387-1-201912-31-2382
70220RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF
THREE VIEWS		TC$26.977-1-201912-31-2382
70240RADIOLOGIC EXAMINATION, SELLA TURCICA$49.207-1-201912-31-2382
70240RADIOLOGIC EXAMINATION, SELLA TURCICA26$10.397-1-201912-31-2382
70240RADIOLOGIC EXAMINATION, SELLA TURCICATC$14.447-1-201912-31-2382
70250RADIOLOGIC EXAMINATION, SKULL; LESS THAN FOUR VIEWS, WITH OR
WITHOUT STEREO		$49.207-1-201912-31-2382
70250RADIOLOGIC EXAMINATION, SKULL; LESS THAN FOUR VIEWS, WITH OR
WITHOUT STEREO		26$13.017-1-201912-31-2382
70250RADIOLOGIC EXAMINATION, SKULL; LESS THAN FOUR VIEWS, WITH OR
WITHOUT STEREO		TC$21.387-1-201912-31-2382
70260RADIOLOGIC EXAMINATION, SKULL; COMPLETE, MINIMUM OF FOUR VIEWS,
WITH OR WITHOUT STEREO		$83.747-1-201912-31-2382
70260RADIOLOGIC EXAMINATION, SKULL; COMPLETE, MINIMUM OF FOUR VIEWS,
WITH OR WITHOUT STEREO		26$17.927-1-201912-31-2382
70260RADIOLOGIC EXAMINATION, SKULL; COMPLETE, MINIMUM OF FOUR VIEWS,
WITH OR WITHOUT STEREO		TC$30.567-1-201912-31-2382
70300RADIOLOGIC EXAMINATION, TEETH; SINGLE VIEW$54.087-1-201912-31-2382
70300RADIOLOGIC EXAMINATION, TEETH; SINGLE VIEW26$5.377-1-201912-31-2382
70300RADIOLOGIC EXAMINATION, TEETH; SINGLE VIEWTC$8.857-1-201912-31-2382
70310RADIOLOGIC EXAMINATION, TEETH; PARTIAL EXAMINATION, LESS THAN FULL
MOUTH		$54.087-1-201912-31-2382
70310RADIOLOGIC EXAMINATION, TEETH; PARTIAL EXAMINATION, LESS THAN FULL
MOUTH		26$8.337-1-201912-31-2382
70310RADIOLOGIC EXAMINATION, TEETH; PARTIAL EXAMINATION, LESS THAN FULL
MOUTH		TC$14.447-1-201912-31-2382
70320RADIOLOGIC EXAMINATION, TEETH; COMPLETE, FULL MOUTH$54.087-1-201912-31-2382
70320RADIOLOGIC EXAMINATION, TEETH; COMPLETE, FULL MOUTH26$11.947-1-201912-31-2382
70320RADIOLOGIC EXAMINATION, TEETH; COMPLETE, FULL MOUTHTC$26.977-1-201912-31-2382
70328RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; UNILATERAL		$49.207-1-201912-31-2382
70328RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; UNILATERAL		26$9.837-1-201912-31-2382
70328RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; UNILATERAL		TC$17.127-1-201912-31-2382
70330RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; BILATERAL		$49.207-1-201912-31-2382
70330RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; BILATERAL		26$13.017-1-201912-31-2382
70330RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND
CLOSED MOUTH; BILATERAL		TC$28.647-1-201912-31-2382
70332TEMPOROMANDIBULAR JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$235.577-1-201912-31-2382
70332TEMPOROMANDIBULAR JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$28.277-1-201912-31-2382
70332TEMPOROMANDIBULAR JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$71.737-1-201912-31-2382
70336MAGNETIC RESONANCE (EG, PROTON) IMAGING, TEMPOROMANDIBULAR
JOINT		$343.967-1-201912-31-2382
70336MAGNETIC RESONANCE (EG, PROTON) IMAGING, TEMPOROMANDIBULAR
JOINT		26$48.977-1-201912-31-2382
70336MAGNETIC RESONANCE (EG, PROTON) IMAGING, TEMPOROMANDIBULAR
JOINT		TC$382.717-1-201912-31-2382
70350CEPHALOGRAM, ORTHODONTIC$49.207-1-201912-31-2382
70350CEPHALOGRAM, ORTHODONTIC26$8.877-1-201912-31-2382
70350CEPHALOGRAM, ORTHODONTICTC$12.537-1-201912-31-2382
70355ORTHOPANTOGRAM$49.207-1-201912-31-2382
70355ORTHOPANTOGRAM26$10.697-1-201912-31-2382
70355ORTHOPANTOGRAMTC$19.707-1-201912-31-2382
70360RADIOLOGIC EXAMINATION; NECK, SOFT TISSUE$49.207-1-201912-31-2382
70360RADIOLOGIC EXAMINATION; NECK, SOFT TISSUE26$9.077-1-201912-31-2382
70360RADIOLOGIC EXAMINATION; NECK, SOFT TISSUETC$14.447-1-201912-31-2382
70370RADIOLOGIC EXAMINATION; PHARYNX OR LARYNX, INCLUDING FLUOROSCOPY
AND/OR MAGNIFICATION TECHNIQUE		$89.647-1-201912-31-2382
70370RADIOLOGIC EXAMINATION; PHARYNX OR LARYNX, INCLUDING FLUOROSCOPY
AND/OR MAGNIFICATION TECHNIQUE		26$17.117-1-201912-31-2382
70370RADIOLOGIC EXAMINATION; PHARYNX OR LARYNX, INCLUDING FLUOROSCOPY
AND/OR MAGNIFICATION TECHNIQUE		TC$44.427-1-201912-31-2382
70371COMPLEX DYNAMIC PHARYNGEAL AND SPEECH EVALUATION BY CINE OR
VIDEO RECORDING		$89.647-1-201912-31-2382
70371COMPLEX DYNAMIC PHARYNGEAL AND SPEECH EVALUATION BY CINE OR
VIDEO RECORDING		26$45.457-1-201912-31-2382
70371COMPLEX DYNAMIC PHARYNGEAL AND SPEECH EVALUATION BY CINE OR
VIDEO RECORDING		TC$71.737-1-201912-31-2382
70373LARYNGOGRAPHY, CONTRAST, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$114.527-1-201912-31-2382
70373LARYNGOGRAPHY, CONTRAST, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$22.637-1-201912-31-2382
70373LARYNGOGRAPHY, CONTRAST, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$60.887-1-201912-31-2382
70380RADIOLOGIC EXAMINATION, SALIVARY GLAND FOR CALCULUS$49.207-1-201912-31-2382
70380RADIOLOGIC EXAMINATION, SALIVARY GLAND FOR CALCULUS26$9.157-1-201912-31-2382
70380RADIOLOGIC EXAMINATION, SALIVARY GLAND FOR CALCULUSTC$23.057-1-201912-31-2382
70390SIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION$114.527-1-201912-31-2382
70390SIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$19.267-1-201912-31-2382
70390SIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$60.887-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		26$46.137-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		59$213.197-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		76$213.197-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		ET$213.197-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		GA$213.197-1-201912-31-2382
70450COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL		TC$161.257-1-201912-31-2382
70460COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST
MATERIAL(S)		$289.497-1-201912-31-2382
70460COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST
MATERIAL(S)		26$60.947-1-201912-31-2382
70460COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST
MATERIAL(S)		TC$193.157-1-201912-31-2382
70470COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		$344.347-1-201912-31-2382
70470COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		26$68.817-1-201912-31-2382
70470COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		TC$241.507-1-201912-31-2382
70480COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		$213.197-1-201912-31-2382
70480COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		26$69.417-1-201912-31-2382
70480COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		59$212.877-1-201912-31-2382
70480COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		TC$161.257-1-201912-31-2382
70481COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITH CONTRAST		$289.497-1-201912-31-2382
70481COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITH CONTRAST		26$74.737-1-201912-31-2382
70481COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITH CONTRAST		TC$193.157-1-201912-31-2382
70482COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		$344.347-1-201912-31-2382
70482COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		26$78.517-1-201912-31-2382
70482COMPUTERIZED AXIAL TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA
OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRA		TC$241.507-1-201912-31-2382
70486COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL		$213.197-1-201912-31-2382
70486COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL		26$61.487-1-201912-31-2382
70486COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL		TC$161.257-1-201912-31-2382
70487COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITH
CONTRAST MATERIAL(S)		$289.497-1-201912-31-2382
70487COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITH
CONTRAST MATERIAL(S)		26$70.187-1-201912-31-2382
70487COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITH
CONTRAST MATERIAL(S)		TC$193.157-1-201912-31-2382
70488COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S)		$344.347-1-201912-31-2382
70488COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S)		26$77.147-1-201912-31-2382
70488COMPUTERIZED AXIAL TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S)		TC$241.507-1-201912-31-2382
70490COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL		$213.197-1-201912-31-2382
70490COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL		26$69.417-1-201912-31-2382
70490COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL		TC$161.257-1-201912-31-2382
70491COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST
MATERIAL(S)		$289.497-1-201912-31-2382
70491COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST
MATERIAL(S)		26$74.737-1-201912-31-2382
70491COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST
MATERIAL(S)		TC$193.157-1-201912-31-2382
70492COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL(S) AN		$344.347-1-201912-31-2382
70492COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL(S) AN		26$78.517-1-201912-31-2382
70492COMPUTERIZED AXIAL TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT
CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL(S) AN		TC$241.507-1-201912-31-2382
70496COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND		$336.857-1-201912-31-2382
70498COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FUR		$336.857-1-201912-31-2382
70540MAGNETIC RESONANCE (EG, PROTON) IMAGING; ORBIT, FACE, AND NECK$395.767-1-201912-31-2382
70540MAGNETIC RESONANCE (EG, PROTON) IMAGING; ORBIT, FACE, AND NECK26$80.097-1-201912-31-2382
70540MAGNETIC RESONANCE (EG, PROTON) IMAGING; ORBIT, FACE, AND NECKTC$382.717-1-201912-31-2382
70542MAGNETIC RESONANCE (EG, PROTON) IMAGING, ORBIT, FACE, AND NECK
WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
70543MAGNETIC RESONANCE INAMGING, ORBIT, FACE AND NECK WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S)		$573.777-1-201912-31-2382
70544MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST
MATERIAL(S)		$395.767-1-201912-31-2382
70545MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITH CONTRAST MATERIAL(S)$420.487-1-201912-31-2382
70546MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTH		$573.777-1-201912-31-2382
70546MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTH		XS$573.777-1-201912-31-2382
70547MAGNETIC RESONANCE ANGIOGRAPHY, NECK, WITHOUT CONTRAST
MATERIAL(S)		$395.767-1-201912-31-2382
70548MAGNETIC RESONANCE ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S)$420.487-1-201912-31-2382
70549MAGNETIC RESONANCE ANGIOGRAPHY, NECK, WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTH		$573.777-1-201912-31-2382
70551MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL		$395.767-1-201912-31-2382
70551MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL		26$80.097-1-201912-31-2382
70551MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL		TC$382.717-1-201912-31-2382
70552MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
70552MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITH CONTRAST MATERIAL(S)		26$91.887-1-201912-31-2382
70552MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITH CONTRAST MATERIAL(S)		TC$459.037-1-201912-31-2382
70553MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY		$573.777-1-201912-31-2382
70553MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY		26$122.187-1-201912-31-2382
70553MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY		52$573.777-1-201912-31-2382
70553MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN
STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY		TC$850.027-1-201912-31-2382
70554MAGNETIC RESONANCE IMAGING, BRAIN FUNCATIONAL MRI; INCLUDING TEST
SELECTION AND ADMINISTRATION OF REPETITIVE		$382.737-1-201912-31-2382
70555MAGNETIC RESONANCE IMAGING, BRAIN FUNCATIONAL MRI; REQUIRING
PHYSICIAN OR PSYCHOLOGIST ADMINISTRATION OF ENTIR		$382.737-1-201912-31-2382
70557MAGNETIC RESONANCE IMAGIN, BRAIN, DURING INTRACRANIAL PROCEDURE;
WITHOUT CONTRAST MATERIAL		$395.767-1-201912-31-2382
70558MAGNETIC RESONANCE IMAGIN, BRAIN, DURING INTRACRANIAL PROCEDURE;
WITH CONTRAST MATERIAL		$420.487-1-201912-31-2382
70559MAGNETIC RESONANCE IMAGIN, BRAIN, DURING INTRACRANIAL PROCEDURE;
WITHOUT CONTRAST MATERIAL FOLLOWED		$573.777-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL$49.207-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL26$9.617-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL59$49.207-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL76$49.207-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTALRT$49.207-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTALTC$16.467-1-201912-31-2382
71010RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTALXU$49.207-1-201912-31-2382
71015RADIOLOGIC EXAMINATION, CHEST; STEREO, FRONTAL$49.207-1-201912-31-2382
71015RADIOLOGIC EXAMINATION, CHEST; STEREO, FRONTAL26$11.197-1-201912-31-2382
71015RADIOLOGIC EXAMINATION, CHEST; STEREO, FRONTALTC$18.137-1-201912-31-2382
71020RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;$49.207-1-201912-31-2382
71020RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;26$11.747-1-201912-31-2382
71020RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;59$49.207-1-201912-31-2382
71020RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;GA$49.207-1-201912-31-2382
71020RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;TC$21.387-1-201912-31-2382
71021RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH APICAL LORDOTIC PROCEDURE		$49.207-1-201912-31-2382
71021RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH APICAL LORDOTIC PROCEDURE		26$14.217-1-201912-31-2382
71021RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH APICAL LORDOTIC PROCEDURE		TC$25.307-1-201912-31-2382
71022RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH OBLIQUE PROJECTIONS		$49.207-1-201912-31-2382
71022RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH OBLIQUE PROJECTIONS		26$16.507-1-201912-31-2382
71022RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH OBLIQUE PROJECTIONS		TC$25.307-1-201912-31-2382
71023RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH FLUOROSCOPY		$89.647-1-201912-31-2382
71023RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH FLUOROSCOPY		26$20.317-1-201912-31-2382
71023RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL;
WITH FLUOROSCOPY		TC$26.977-1-201912-31-2382
71030RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;$49.207-1-201912-31-2382
71030RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;26$16.507-1-201912-31-2382
71030RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;TC$26.977-1-201912-31-2382
71034RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;
WITH FLUOROSCOPY		$89.647-1-201912-31-2382
71034RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;
WITH FLUOROSCOPY		26$25.127-1-201912-31-2382
71034RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;
WITH FLUOROSCOPY		TC$49.357-1-201912-31-2382
71035RADIOLOGIC EXAMINATION, CHEST, SPECIAL VIEWS (EG, LATERAL
DECUBITUS, BUCKY STUDIES)		$49.207-1-201912-31-2382
71035RADIOLOGIC EXAMINATION, CHEST, SPECIAL VIEWS (EG, LATERAL
DECUBITUS, BUCKY STUDIES)		26$9.617-1-201912-31-2382
71035RADIOLOGIC EXAMINATION, CHEST, SPECIAL VIEWS (EG, LATERAL
DECUBITUS, BUCKY STUDIES)		TC$18.137-1-201912-31-2382
71036NEEDLE BIOPSY OF INTRATHORACIC LESION, INCLUDING FOLLOW-UP FILMS;
FLUOROSCOPIC LOCALIZATION ONLY, RADIOLOGICAL		$82.217-1-201912-31-2382
71036NEEDLE BIOPSY OF INTRATHORACIC LESION, INCLUDING FOLLOW-UP FILMS;
FLUOROSCOPIC LOCALIZATION ONLY, RADIOLOGICAL		26$29.877-1-201912-31-2382
71036NEEDLE BIOPSY OF INTRATHORACIC LESION, INCLUDING FOLLOW-UP FILMS;
FLUOROSCOPIC LOCALIZATION ONLY, RADIOLOGICAL		TC$53.947-1-201912-31-2382
71038FLUOROSCOPIC LOCALIZATION FOR TRANSBRONCHIAL BIOPSY OR BRUSHING$85.807-1-201912-31-2382
71038FLUOROSCOPIC LOCALIZATION FOR TRANSBRONCHIAL BIOPSY OR BRUSHING26$29.877-1-201912-31-2382
71038FLUOROSCOPIC LOCALIZATION FOR TRANSBRONCHIAL BIOPSY OR BRUSHINGTC$57.537-1-201912-31-2382
71040BRONCHOGRAPHY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$114.527-1-201912-31-2382
71040BRONCHOGRAPHY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$30.297-1-201912-31-2382
71040BRONCHOGRAPHY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$50.027-1-201912-31-2382
71045RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW$53.287-1-201912-31-2382
71045RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW26$5.767-1-201912-31-2382
71045RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEWFY$53.287-1-201912-31-2382
71045RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEWTC$6.647-1-201912-31-2382
71045RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEWUD$53.287-1-201912-31-2382
71046RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS$53.287-1-201912-31-2382
71046RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS26$6.867-1-201912-31-2382
71046RADIOLOGIC EXAMINATION, CHEST; 2 VIEWSFY$53.287-1-201912-31-2382
71046RADIOLOGIC EXAMINATION, CHEST; 2 VIEWSPO$53.287-1-201912-31-2382
71046RADIOLOGIC EXAMINATION, CHEST; 2 VIEWSTC$12.177-1-201912-31-2382
71047RADIOLOGIC EXAMINATION, CHEST; 3 VIEWS$53.287-1-201912-31-2382
71047RADIOLOGIC EXAMINATION, CHEST; 3 VIEWS26$8.857-1-201912-31-2382
71047RADIOLOGIC EXAMINATION, CHEST; 3 VIEWSTC$15.497-1-201912-31-2382
71048RADIOLOGIC EXAMINATION, CHEST; 4 OR MORE VIEWS$98.177-1-201912-31-2382
71048RADIOLOGIC EXAMINATION, CHEST; 4 OR MORE VIEWS26$10.177-1-201912-31-2382
71048RADIOLOGIC EXAMINATION, CHEST; 4 OR MORE VIEWSTC$15.937-1-201912-31-2382
71060BRONCHOGRAPHY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$114.527-1-201912-31-2382
71060BRONCHOGRAPHY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$38.287-1-201912-31-2382
71060BRONCHOGRAPHY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$75.327-1-201912-31-2382
71090INSERTION PACEMAKER, FLUOROSCOPY AND RADIOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$89.647-1-201912-31-2382
71090INSERTION PACEMAKER, FLUOROSCOPY AND RADIOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
71090INSERTION PACEMAKER, FLUOROSCOPY AND RADIOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$57.537-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWS$49.207-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWS26$11.947-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWS59$49.207-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWSLT$49.207-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWSRT$49.207-1-201912-31-2382
71100RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWSTC$19.707-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		$49.207-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		26$14.457-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		59$49.207-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		LT$49.207-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		RT$49.207-1-201912-31-2382
71101RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING
POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS		TC$23.057-1-201912-31-2382
71110RADIOLOGIC EXAMINATION, RIBS, BILATERAL; THREE VIEWS$49.207-1-201912-31-2382
71110RADIOLOGIC EXAMINATION, RIBS, BILATERAL; THREE VIEWS26$14.457-1-201912-31-2382
71110RADIOLOGIC EXAMINATION, RIBS, BILATERAL; THREE VIEWSTC$26.977-1-201912-31-2382
71111RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR
CHEST, MINIMUM OF FOUR VIEWS		$83.747-1-201912-31-2382
71111RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR
CHEST, MINIMUM OF FOUR VIEWS		26$16.877-1-201912-31-2382
71111RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR
CHEST, MINIMUM OF FOUR VIEWS		59$83.747-1-201912-31-2382
71111RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR
CHEST, MINIMUM OF FOUR VIEWS		TC$30.567-1-201912-31-2382
71120RADIOLOGIC EXAMINATION; STERNUM, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
71120RADIOLOGIC EXAMINATION; STERNUM, MINIMUM OF TWO VIEWS26$10.697-1-201912-31-2382
71120RADIOLOGIC EXAMINATION; STERNUM, MINIMUM OF TWO VIEWSTC$22.387-1-201912-31-2382
71130RADIOLOGIC EXAMINATION; STERNOCLAVICULAR JOINT OR JOINTS, MINIMUM
OF THREE VIEWS		$49.207-1-201912-31-2382
71130RADIOLOGIC EXAMINATION; STERNOCLAVICULAR JOINT OR JOINTS, MINIMUM
OF THREE VIEWS		26$11.747-1-201912-31-2382
71130RADIOLOGIC EXAMINATION; STERNOCLAVICULAR JOINT OR JOINTS, MINIMUM
OF THREE VIEWS		TC$24.067-1-201912-31-2382
71250COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
71250COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL		26$62.777-1-201912-31-2382
71250COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL		59$213.197-1-201912-31-2382
71250COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL		TC$201.427-1-201912-31-2382
71260COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)$289.497-1-201912-31-2382
71260COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)26$67.247-1-201912-31-2382
71260COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)59$289.497-1-201912-31-2382
71260COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)TC$241.507-1-201912-31-2382
71270COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		$344.347-1-201912-31-2382
71270COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		26$74.737-1-201912-31-2382
71270COMPUTERIZED AXIAL TOMOGRAPHY, THORAX; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		TC$301.807-1-201912-31-2382
71275COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CHEST, WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S), FOLLO		$336.857-1-201912-31-2382
71550MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR
EVALUATION OF HILAR AND MEDIASTINAL LYMPHADENOPATHY)		$395.767-1-201912-31-2382
71550MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR
EVALUATION OF HILAR AND MEDIASTINAL LYMPHADENOPATHY)		26$86.817-1-201912-31-2382
71550MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR
EVALUATION OF HILAR AND MEDIASTINAL LYMPHADENOPATHY)		TC$382.717-1-201912-31-2382
71551MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR
EVALUATION OF HILAR AND MEDIASTINAL LYMPH WITH CONTRAS		$420.487-1-201912-31-2382
71552MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG,FOR EVALUATION
OF HILAR AND MEDIASTINAL LYMPH WITHOUT		$573.777-1-201912-31-2382
71555MAGNETIC RESONANCE IMAGING, CHEST$501.767-1-201912-31-2382
72010RADIOLOGIC EXAMINATION, SPINE, ENTIRE, SURVEY STUDY,
ANTEROPOSTERIOR AND LATERAL		$49.207-1-201912-31-2382
72010RADIOLOGIC EXAMINATION, SPINE, ENTIRE, SURVEY STUDY,
ANTEROPOSTERIOR AND LATERAL		26$23.977-1-201912-31-2382
72010RADIOLOGIC EXAMINATION, SPINE, ENTIRE, SURVEY STUDY,
ANTEROPOSTERIOR AND LATERAL		TC$34.907-1-201912-31-2382
72020RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL$49.207-1-201912-31-2382
72020RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL26$7.957-1-201912-31-2382
72020RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL59$49.207-1-201912-31-2382
72020RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL76$49.207-1-201912-31-2382
72020RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVELTC$14.447-1-201912-31-2382
72040RADIOLOGIC EXAMINATION, SPINE, CERVICAL; ANTEROPOSTERIOR AND
LATERAL		$49.207-1-201912-31-2382
72040RADIOLOGIC EXAMINATION, SPINE, CERVICAL; ANTEROPOSTERIOR AND
LATERAL		26$11.747-1-201912-31-2382
72040RADIOLOGIC EXAMINATION, SPINE, CERVICAL; ANTEROPOSTERIOR AND
LATERAL		TC$20.717-1-201912-31-2382
72050RADIOLOGIC EXAMINATION, SPINE, CERVICAL; MINIMUM OF FOUR VIEWS$83.747-1-201912-31-2382
72050RADIOLOGIC EXAMINATION, SPINE, CERVICAL; MINIMUM OF FOUR VIEWS26$16.507-1-201912-31-2382
72050RADIOLOGIC EXAMINATION, SPINE, CERVICAL; MINIMUM OF FOUR VIEWSPO$83.747-1-201912-31-2382
72050RADIOLOGIC EXAMINATION, SPINE, CERVICAL; MINIMUM OF FOUR VIEWSTC$30.567-1-201912-31-2382
72052RADIOLOGIC EXAMINATION, SPINE, CERVICAL; COMPLETE, INCLUDING
OBLIQUE AND FLEXION AND/OR EXTENSION STUDIES		$83.747-1-201912-31-2382
72052RADIOLOGIC EXAMINATION, SPINE, CERVICAL; COMPLETE, INCLUDING
OBLIQUE AND FLEXION AND/OR EXTENSION STUDIES		26$18.997-1-201912-31-2382
72052RADIOLOGIC EXAMINATION, SPINE, CERVICAL; COMPLETE, INCLUDING
OBLIQUE AND FLEXION AND/OR EXTENSION STUDIES		TC$38.507-1-201912-31-2382
72069RADIOLOGIC EXAMINATION, SPINE, THORACOLUMBAR, STANDING (SCOLIOSIS)$49.207-1-201912-31-2382
72069RADIOLOGIC EXAMINATION, SPINE, THORACOLUMBAR, STANDING (SCOLIOSIS)26$11.027-1-201912-31-2382
72069RADIOLOGIC EXAMINATION, SPINE, THORACOLUMBAR, STANDING (SCOLIOSIS)TC$17.127-1-201912-31-2382
72070RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL		$49.207-1-201912-31-2382
72070RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL		26$11.757-1-201912-31-2382
72070RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL		TC$22.387-1-201912-31-2382
72072RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL, INCLUDING SWIMMER’S VIEW OF THE CERVICOT		$49.207-1-201912-31-2382
72072RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL, INCLUDING SWIMMER’S VIEW OF THE CERVICOT		26$11.747-1-201912-31-2382
72072RADIOLOGIC EXAMINATION, SPINE; THORACIC, ANTEROPOSTERIOR AND
LATERAL, INCLUDING SWIMMER’S VIEW OF THE CERVICOT		TC$25.307-1-201912-31-2382
72074RADIOLOGIC EXAMINATION, SPINE; THORACIC, COMPLETE, INCLUDING
OBLIQUES, MINIMUM OF FOUR VIEWS		$49.207-1-201912-31-2382
72074RADIOLOGIC EXAMINATION, SPINE; THORACIC, COMPLETE, INCLUDING
OBLIQUES, MINIMUM OF FOUR VIEWS		26$11.747-1-201912-31-2382
72074RADIOLOGIC EXAMINATION, SPINE; THORACIC, COMPLETE, INCLUDING
OBLIQUES, MINIMUM OF FOUR VIEWS		TC$31.237-1-201912-31-2382
72080RADIOLOGIC EXAMINATION, SPINE; THORACOLUMBAR, ANTEROPOSTERIOR
AND LATERAL		$49.207-1-201912-31-2382
72080RADIOLOGIC EXAMINATION, SPINE; THORACOLUMBAR, ANTEROPOSTERIOR
AND LATERAL		26$11.747-1-201912-31-2382
72080RADIOLOGIC EXAMINATION, SPINE; THORACOLUMBAR, ANTEROPOSTERIOR
AND LATERAL		TC$23.057-1-201912-31-2382
72081X-RAY OF SPINE, 1 VIEW$55.637-1-201912-31-2382
72082X-RAY OF SPINE, 2 OR 3 VIEWS$92.127-1-201912-31-2382
72083X-RAY OF SPINE, 4 OR 5 VIEWS$175.637-1-201912-31-2382
72084X-RAY OF SPINE, MINIMUM OF 6 VIEWS$175.637-1-201912-31-2382
72084X-RAY OF SPINE, MINIMUM OF 6 VIEWS$163.831-1-206012-31-2382
72090RADIOLOGIC EXAMINATION, SPINE; SCOLIOSIS STUDY, INCLUDING SUPINE
AND ERECT STUDIES		$83.747-1-201912-31-2382
72090RADIOLOGIC EXAMINATION, SPINE; SCOLIOSIS STUDY, INCLUDING SUPINE
AND ERECT STUDIES		26$14.747-1-201912-31-2382
72090RADIOLOGIC EXAMINATION, SPINE; SCOLIOSIS STUDY, INCLUDING SUPINE
AND ERECT STUDIES		TC$23.057-1-201912-31-2382
72100RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; ANTEROPOSTERIOR AND
LATERAL		$49.207-1-201912-31-2382
72100RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; ANTEROPOSTERIOR AND
LATERAL		26$11.757-1-201912-31-2382
72100RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; ANTEROPOSTERIOR AND
LATERAL		59$49.207-1-201912-31-2382
72100RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; ANTEROPOSTERIOR AND
LATERAL		FY$49.207-1-201912-31-2382
72100RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; ANTEROPOSTERIOR AND
LATERAL		TC$23.057-1-201912-31-2382
72110RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, WITH
OBLIQUE VIEWS		$83.747-1-201912-31-2382
72110RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, WITH
OBLIQUE VIEWS		26$16.507-1-201912-31-2382
72110RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, WITH
OBLIQUE VIEWS		TC$31.237-1-201912-31-2382
72114RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, INCLUDING
BENDING VIEWS		$83.747-1-201912-31-2382
72114RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, INCLUDING
BENDING VIEWS		26$18.997-1-201912-31-2382
72114RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, INCLUDING
BENDING VIEWS		TC$40.177-1-201912-31-2382
72120RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL, BENDING VIEWS ONLY,
MINIMUM OF FOUR VIEWS		$83.747-1-201912-31-2382
72120RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL, BENDING VIEWS ONLY,
MINIMUM OF FOUR VIEWS		26$11.747-1-201912-31-2382
72120RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL, BENDING VIEWS ONLY,
MINIMUM OF FOUR VIEWS		TC$30.567-1-201912-31-2382
72125COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
72125COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL		26$62.777-1-201912-31-2382
72125COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL		59$213.197-1-201912-31-2382
72125COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL		TC$201.427-1-201912-31-2382
72126COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST
MATERIAL		$289.497-1-201912-31-2382
72126COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST
MATERIAL		26$65.877-1-201912-31-2382
72126COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST
MATERIAL		TC$241.507-1-201912-31-2382
72127COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		$344.347-1-201912-31-2382
72127COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		26$68.817-1-201912-31-2382
72127COMPUTERIZED AXIAL TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		TC$301.807-1-201912-31-2382
72128COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
72128COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL		26$62.777-1-201912-31-2382
72128COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL		TC$201.427-1-201912-31-2382
72129COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST
MATERIAL		$289.497-1-201912-31-2382
72129COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST
MATERIAL		26$65.877-1-201912-31-2382
72129COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST
MATERIAL		TC$241.507-1-201912-31-2382
72130COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		$344.347-1-201912-31-2382
72130COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		26$68.817-1-201912-31-2382
72130COMPUTERIZED AXIAL TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND		TC$301.807-1-201912-31-2382
72131COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
72131COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL		26$62.777-1-201912-31-2382
72131COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL		TC$201.427-1-201912-31-2382
72132COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST
MATERIAL		$289.497-1-201912-31-2382
72132COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST
MATERIAL		26$65.877-1-201912-31-2382
72132COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST
MATERIAL		TC$241.507-1-201912-31-2382
72133COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND F		$344.347-1-201912-31-2382
72133COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND F		26$68.817-1-201912-31-2382
72133COMPUTERIZED AXIAL TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND F		TC$301.807-1-201912-31-2382
72141MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL		$395.767-1-201912-31-2382
72141MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL		26$86.817-1-201912-31-2382
72141MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL		TC$382.717-1-201912-31-2382
72142MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
72142MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITH CONTRAST MATERIAL(S)		26$99.207-1-201912-31-2382
72142MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, CERVICAL; WITH CONTRAST MATERIAL(S)		TC$459.037-1-201912-31-2382
72146MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL		$395.767-1-201912-31-2382
72146MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL		26$86.817-1-201912-31-2382
72146MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL		TC$424.897-1-201912-31-2382
72147MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
72147MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITH CONTRAST MATERIAL(S)		26$99.207-1-201912-31-2382
72147MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, THORACIC; WITH CONTRAST MATERIAL(S)		TC$459.037-1-201912-31-2382
72148MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL		$395.767-1-201912-31-2382
72148MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL		26$76.577-1-201912-31-2382
72148MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL		TC$424.897-1-201912-31-2382
72149MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
72149MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITH CONTRAST MATERIAL(S)		26$91.887-1-201912-31-2382
72149MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, LUMBAR; WITH CONTRAST MATERIAL(S)		TC$459.037-1-201912-31-2382
72156MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		$573.777-1-201912-31-2382
72156MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		26$132.527-1-201912-31-2382
72156MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		TC$850.027-1-201912-31-2382
72157MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		$573.777-1-201912-31-2382
72157MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		26$132.527-1-201912-31-2382
72157MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		TC$850.027-1-201912-31-2382
72158MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		$573.777-1-201912-31-2382
72158MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		26$122.187-1-201912-31-2382
72158MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND
CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CON		TC$850.027-1-201912-31-2382
72159MAGNETIC RESONANCE IMAGING, SPINAL CANAL AND CONTENTS, WITH OR
WITHOUT CONTRAST MATERIAL(S)		$573.777-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLY$49.207-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLY26$12.047-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLY59$49.207-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLYFY$49.207-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLYLT$49.207-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLYRT$49.207-1-201912-31-2382
72170RADIOLOGIC EXAMINATION, PELVIS; ANTEROPOSTERIOR ONLYTC$18.137-1-201912-31-2382
72190RADIOLOGIC EXAMINATION, PELVIS; COMPLETE, MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
72190RADIOLOGIC EXAMINATION, PELVIS; COMPLETE, MINIMUM OF THREE VIEWS26$10.697-1-201912-31-2382
72190RADIOLOGIC EXAMINATION, PELVIS; COMPLETE, MINIMUM OF THREE VIEWSTC$23.057-1-201912-31-2382
72191COMPUTED TOMOGRAPHIC ANGIOGRAPHY, PELVIS, WITHOUT CONTRAST
MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND		$336.857-1-201912-31-2382
72192COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
72192COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL		26$55.967-1-201912-31-2382
72192COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL		TC$201.427-1-201912-31-2382
72193COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)$289.497-1-201912-31-2382
72193COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)26$59.907-1-201912-31-2382
72193COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)59$289.497-1-201912-31-2382
72193COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)GZ$289.497-1-201912-31-2382
72193COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)TC$233.657-1-201912-31-2382
72194COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		$344.347-1-201912-31-2382
72194COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		26$62.607-1-201912-31-2382
72194COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER		TC$289.937-1-201912-31-2382
72195MAGNETIC RESONANCE (EG, PROTON)IMAGING, PELVIS; WITHOUT CONTRAST
MATERIAL(S)		$395.767-1-201912-31-2382
72196MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS$420.487-1-201912-31-2382
72196MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS26$82.887-1-201912-31-2382
72196MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVISTC$382.717-1-201912-31-2382
72197MAGNETIC RESONANCE (EG, PROTON)IMAGING, PELVIS; WITHOUTCONTRAST
MATERIAL(S) AND FURTHER SEQUENCES		$573.777-1-201912-31-2382
72198MAGNETIC RESONANCE ANGIOGRAPHY, PELVIS, WITH OR WITHOUT
CONTRAST MATERIAL(S)		$498.147-1-201912-31-2382
72200RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; LESS THAN THREE VIEWS$49.207-1-201912-31-2382
72200RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; LESS THAN THREE VIEWS26$8.667-1-201912-31-2382
72200RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; LESS THAN THREE VIEWSTC$18.137-1-201912-31-2382
72202RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; THREE OR MORE VIEWS$49.207-1-201912-31-2382
72202RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; THREE OR MORE VIEWS26$9.687-1-201912-31-2382
72202RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; THREE OR MORE VIEWSTC$21.387-1-201912-31-2382
72220RADIOLOGIC EXAMINATION, SACRUM AND COCCYX, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
72220RADIOLOGIC EXAMINATION, SACRUM AND COCCYX, MINIMUM OF TWO VIEWS26$9.307-1-201912-31-2382
72220RADIOLOGIC EXAMINATION, SACRUM AND COCCYX, MINIMUM OF TWO VIEWSTC$19.707-1-201912-31-2382
72240MYELOGRAPHY, CERVICAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$196.687-1-201912-31-2382
72240MYELOGRAPHY, CERVICAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$49.167-1-201912-31-2382
72240MYELOGRAPHY, CERVICAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$161.937-1-201912-31-2382
72255MYELOGRAPHY, THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$196.687-1-201912-31-2382
72255MYELOGRAPHY, THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$49.167-1-201912-31-2382
72255MYELOGRAPHY, THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$147.817-1-201912-31-2382
72265MYELOGRAPHY, LUMBOSACRAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$196.687-1-201912-31-2382
72265MYELOGRAPHY, LUMBOSACRAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$44.697-1-201912-31-2382
72265MYELOGRAPHY, LUMBOSACRAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$138.877-1-201912-31-2382
72270MYELOGRAPHY, ENTIRE SPINAL CANAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$196.687-1-201912-31-2382
72270MYELOGRAPHY, ENTIRE SPINAL CANAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$71.837-1-201912-31-2382
72270MYELOGRAPHY, ENTIRE SPINAL CANAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$208.027-1-201912-31-2382
72275EPIDUROGRAPHY, RADIOLOGICAL SUPERVISON AND INTERPRETATION$196.687-1-201912-31-2382
72285DISKOGRAPHY, CERVICAL OR THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$820.927-1-201912-31-2382
72285DISKOGRAPHY, CERVICAL OR THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$42.917-1-201912-31-2382
72285DISKOGRAPHY, CERVICAL OR THORACIC, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$286.597-1-201912-31-2382
72291RADIOLOGICAL SUPERVISON AND INTERPRETATION, PERCUTANEOUS
VERTEBROPLASTY OR VERTEBRAL AUGMENTATION INCLUDING		$172.277-1-201912-31-2382
72291RADIOLOGICAL SUPERVISON AND INTERPRETATION, PERCUTANEOUS
VERTEBROPLASTY OR VERTEBRAL AUGMENTATION INCLUDING		76$172.277-1-201912-31-2382
72292RADIOLOGICAL SUPERVISON AND INTERPRETATION, PERCUTANEOUS
VERTEBROPLASTY OR VERTEBRAL AUGMENTATION INCLUDING		$172.277-1-201912-31-2382
72295DISKOGRAPHY, LUMBAR, RADIOLOGICAL SUPERVISION AND INTERPRETATION$820.927-1-201912-31-2382
72295DISKOGRAPHY, LUMBAR, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$42.917-1-201912-31-2382
72295DISKOGRAPHY, LUMBAR, RADIOLOGICAL SUPERVISION AND INTERPRETATION59$820.927-1-201912-31-2382
72295DISKOGRAPHY, LUMBAR, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$268.237-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE$49.207-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE26$8.257-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE50$49.207-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETELT$49.207-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETERT$49.207-1-201912-31-2382
73000RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETETC$18.137-1-201912-31-2382
73010RADIOLOGIC EXAMINATION; SCAPULA, COMPLETE$49.207-1-201912-31-2382
73010RADIOLOGIC EXAMINATION; SCAPULA, COMPLETE26$9.077-1-201912-31-2382
73010RADIOLOGIC EXAMINATION; SCAPULA, COMPLETELT$49.207-1-201912-31-2382
73010RADIOLOGIC EXAMINATION; SCAPULA, COMPLETERT$49.207-1-201912-31-2382
73010RADIOLOGIC EXAMINATION; SCAPULA, COMPLETETC$18.137-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW26$7.857-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW51$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW59$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW76$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEWLT$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEWRT$49.207-1-201912-31-2382
73020RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEWTC$16.467-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS26$9.547-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS50$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS59$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS76$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73030RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWSTC$19.707-1-201912-31-2382
73040RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73040RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73040RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		LT$235.577-1-201912-31-2382
73040RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		RT$235.577-1-201912-31-2382
73040RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$71.737-1-201912-31-2382
73050RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH
OR WITHOUT WEIGHTED DISTRACTION		$49.207-1-201912-31-2382
73050RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH
OR WITHOUT WEIGHTED DISTRACTION		26$10.537-1-201912-31-2382
73050RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH
OR WITHOUT WEIGHTED DISTRACTION		50$49.207-1-201912-31-2382
73050RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH
OR WITHOUT WEIGHTED DISTRACTION		RT$49.207-1-201912-31-2382
73050RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH
OR WITHOUT WEIGHTED DISTRACTION		TC$23.057-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS26$8.797-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS59$49.207-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS76$49.207-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73060RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWSTC$19.707-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		$49.207-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		26$7.957-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		50$49.207-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		59$49.207-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		LT$49.207-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		RT$49.207-1-201912-31-2382
73070RADIOLOGIC EXAMINATION, ELBOW; ANTEROPOSTERIOR AND LATERAL
VIEWS		TC$18.137-1-201912-31-2382
73080RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
73080RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWS26$9.307-1-201912-31-2382
73080RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWSLT$49.207-1-201912-31-2382
73080RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWSRT$49.207-1-201912-31-2382
73080RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWSTC$19.707-1-201912-31-2382
73085RADIOLOGIC EXAMINATION, ELBOW, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73085RADIOLOGIC EXAMINATION, ELBOW, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73085RADIOLOGIC EXAMINATION, ELBOW, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$71.737-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		$49.207-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		26$8.437-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		50$49.207-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		LT$49.207-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		RT$49.207-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		TC$18.137-1-201912-31-2382
73090RADIOLOGIC EXAMINATION; FOREARM, ANTEROPOSTERIOR AND LATERAL
VIEWS		XU$49.207-1-201912-31-2382
73092RADIOLOGIC EXAMINATION; UPPER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		$49.207-1-201912-31-2382
73092RADIOLOGIC EXAMINATION; UPPER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		26$8.107-1-201912-31-2382
73092RADIOLOGIC EXAMINATION; UPPER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		TC$17.127-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWS$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWS26$8.107-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWS50$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWS59$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWSLT$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWSPO$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWSRT$49.207-1-201912-31-2382
73100RADIOLOGIC EXAMINATION, WRIST; ANTEROPOSTERIOR AND LATERAL VIEWSTC$17.127-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS26$9.307-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS50$49.207-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS76$49.207-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWSLT$49.207-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWSRT$49.207-1-201912-31-2382
73110RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWSTC$18.467-1-201912-31-2382
73115RADIOLOGIC EXAMINATION, WRIST, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73115RADIOLOGIC EXAMINATION, WRIST, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73115RADIOLOGIC EXAMINATION, WRIST, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		RT$235.577-1-201912-31-2382
73115RADIOLOGIC EXAMINATION, WRIST, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$53.947-1-201912-31-2382
73120RADIOLOGIC EXAMINATION, HAND; TWO VIEWS$49.207-1-201912-31-2382
73120RADIOLOGIC EXAMINATION, HAND; TWO VIEWS26$8.107-1-201912-31-2382
73120RADIOLOGIC EXAMINATION, HAND; TWO VIEWSLT$49.207-1-201912-31-2382
73120RADIOLOGIC EXAMINATION, HAND; TWO VIEWSRT$49.207-1-201912-31-2382
73120RADIOLOGIC EXAMINATION, HAND; TWO VIEWSTC$17.127-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS26$9.307-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS50$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS59$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS76$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWSLT$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWSRT$49.207-1-201912-31-2382
73130RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWSTC$18.467-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWS26$6.737-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWS59$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWS76$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF1$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF3$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF4$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF5$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF6$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF7$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSF8$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73140RADIOLOGIC EXAMINATION, FINGER OR FINGERS, MINIMUM OF TWO VIEWSTC$14.447-1-201912-31-2382
73200COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL		$213.197-1-201912-31-2382
73200COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL		26$58.487-1-201912-31-2382
73200COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL		LT$213.197-1-201912-31-2382
73200COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL		RT$213.197-1-201912-31-2382
73200COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL		TC$169.187-1-201912-31-2382
73201COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITH CONTRAST
MATERIAL(S)		$289.497-1-201912-31-2382
73201COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITH CONTRAST
MATERIAL(S)		26$62.777-1-201912-31-2382
73201COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITH CONTRAST
MATERIAL(S)		TC$201.427-1-201912-31-2382
73202COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		$344.347-1-201912-31-2382
73202COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		26$65.877-1-201912-31-2382
73202COMPUTERIZED AXIAL TOMOGRAPHY, UPPER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		TC$253.697-1-201912-31-2382
73206COMPUTED TOMOGRAPHIC ANGIOGRAPHY, UPPER EXTREMITY, WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL		$336.857-1-201912-31-2382
73218MAGNETIC RESONANCE (EG, PROTON)IMAGING, UPPER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		$395.767-1-201912-31-2382
73218MAGNETIC RESONANCE (EG, PROTON)IMAGING, UPPER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		LT$395.767-1-201912-31-2382
73218MAGNETIC RESONANCE (EG, PROTON)IMAGING, UPPER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		RT$395.767-1-201912-31-2382
73219MAGNETIC RESONANCE (EG, PROTON)IMAGING, UPPER EXTREMITY0THER
THAN JOINT; WITH CONTRAST MATERIEL(S)		$420.487-1-201912-31-2382
73220MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER
THAN JOINT		$573.777-1-201912-31-2382
73220MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER
THAN JOINT		26$80.097-1-201912-31-2382
73220MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER
THAN JOINT		LT$573.777-1-201912-31-2382
73220MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER
THAN JOINT		RT$573.777-1-201912-31-2382
73220MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER
THAN JOINT		TC$382.717-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		$395.767-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		26$48.977-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		50$395.767-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		LT$395.767-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		RT$395.767-1-201912-31-2382
73221MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY		TC$382.717-1-201912-31-2382
73222MAGNETIC RESONANCE (EG, PROTON)IMAGING, ANY JOINT OF UPPER
EXTREMITY WITH; CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
73223MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED		$573.777-1-201912-31-2382
73223MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED		LT$573.777-1-201912-31-2382
73223MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER
EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED		RT$573.777-1-201912-31-2382
73225MAGNETIC RSONANCE ANGIOGRAPHY, UPPER EXTREMITY, WITH OR WITHOUT
CONTRAST MATERIAL(S)		$408.127-1-201912-31-2382
73500RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEW$49.207-1-201912-31-2382
73500RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEW26$8.877-1-201912-31-2382
73500RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEWLT$49.207-1-201912-31-2382
73500RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEWRT$49.207-1-201912-31-2382
73500RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEWTC$16.467-1-201912-31-2382
73501X-RAY OF HIP WITH PELVIS, 1 VIEW$55.637-1-201912-31-2382
73501X-RAY OF HIP WITH PELVIS, 1 VIEWLT$55.637-1-201912-31-2382
73501X-RAY OF HIP WITH PELVIS, 1 VIEWRT$55.637-1-201912-31-2382
73502X-RAY OF HIP WITH PELVIS, 2-3 VIEWS$55.637-1-201912-31-2382
73502X-RAY OF HIP WITH PELVIS, 2-3 VIEWSLT$55.637-1-201912-31-2382
73502X-RAY OF HIP WITH PELVIS, 2-3 VIEWSRT$55.637-1-201912-31-2382
73503X-RAY OF HIP WITH PELVIS, MINIMUM OF 4 VIEWS$92.127-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWS26$11.197-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWS50$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWS59$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWS76$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73510RADIOLOGIC EXAMINATION, HIP; COMPLETE, MINIMUM OF TWO VIEWSTC$19.707-1-201912-31-2382
73520RADIOLOGIC EXAMINATION, HIPS, BILATERAL, MINIMUM OF TWO VIEWS OF
EACH HIP, INCLUDING ANTEROPOSTERIOR VIEW OF P		$83.747-1-201912-31-2382
73520RADIOLOGIC EXAMINATION, HIPS, BILATERAL, MINIMUM OF TWO VIEWS OF
EACH HIP, INCLUDING ANTEROPOSTERIOR VIEW OF P		26$13.957-1-201912-31-2382
73520RADIOLOGIC EXAMINATION, HIPS, BILATERAL, MINIMUM OF TWO VIEWS OF
EACH HIP, INCLUDING ANTEROPOSTERIOR VIEW OF P		TC$23.057-1-201912-31-2382
73521X-RAY OF BOTH HIPS WITH PELVIS, 2 VIEWS$92.127-1-201912-31-2382
73522X-RAY OF BOTH HIPS WITH PELVIS, 3-4 VIEWS$92.127-1-201912-31-2382
73523X-RAY OF BOTH HIPS WITH PELVIS, MINIMUM OF 5 VIEWS$175.637-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		59$235.577-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		LT$235.577-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		RT$235.577-1-201912-31-2382
73525RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$71.737-1-201912-31-2382
73530RADIOLOGIC EXAMINATION, HIP, DURING OPERATIVE PROCEDURE$83.747-1-201912-31-2382
73530RADIOLOGIC EXAMINATION, HIP, DURING OPERATIVE PROCEDURE26$15.447-1-201912-31-2382
73530RADIOLOGIC EXAMINATION, HIP, DURING OPERATIVE PROCEDURERT$83.747-1-201912-31-2382
73530RADIOLOGIC EXAMINATION, HIP, DURING OPERATIVE PROCEDURETC$18.137-1-201912-31-2382
73540RADIOLOGIC EXAMINATION, PELVIS AND HIPS, INFANT OR CHILD, MINIMUM OF
TWO VIEWS		$49.207-1-201912-31-2382
73540RADIOLOGIC EXAMINATION, PELVIS AND HIPS, INFANT OR CHILD, MINIMUM OF
TWO VIEWS		26$10.897-1-201912-31-2382
73540RADIOLOGIC EXAMINATION, PELVIS AND HIPS, INFANT OR CHILD, MINIMUM OF
TWO VIEWS		TC$19.707-1-201912-31-2382
73542RADIOLOGICAL JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$235.577-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWS$49.207-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWS26$9.157-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWS50$49.207-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWSLT$49.207-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWSRT$49.207-1-201912-31-2382
73550RADIOLOGIC EXAMINATION, FEMUR, ANTEROPOSTERIOR AND LATERAL VIEWSTC$19.707-1-201912-31-2382
73551X-RAY OF FEMUR, 1 VIEW$55.637-1-201912-31-2382
73551X-RAY OF FEMUR, 1 VIEWLT$55.637-1-201912-31-2382
73551X-RAY OF FEMUR, 1 VIEWRT$55.637-1-201912-31-2382
73552X-RAY OF FEMUR, MINIMUM 2 VIEWS$55.637-1-201912-31-2382
73552X-RAY OF FEMUR, MINIMUM 2 VIEWSLT$55.637-1-201912-31-2382
73552X-RAY OF FEMUR, MINIMUM 2 VIEWSRT$55.637-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWS$49.207-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWS26$8.557-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWS50$49.207-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWS59$83.747-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWSLT$49.207-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWSRT$49.207-1-201912-31-2382
73560RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL VIEWSTC$18.137-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		26$9.837-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		50$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		59$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		76$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		LT$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		RT$49.207-1-201912-31-2382
73562RADIOLOGIC EXAMINATION, KNEE; ANTEROPOSTERIOR AND LATERAL, WITH
OBLIQUE(S), MINIMUM OF THREE VIEWS		TC$19.707-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		$49.207-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		26$11.947-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		50$49.207-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		76$49.207-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		LT$49.207-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		RT$49.207-1-201912-31-2382
73564RADIOLOGIC EXAMINATION, KNEE; COMPLETE, INCLUDING OBLIQUE(S), AND
TUNNEL, AND/OR PATELLAR AND/OR STANDING VIEW		TC$21.387-1-201912-31-2382
73565RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING,
ANTEROPOSTERIOR		$49.207-1-201912-31-2382
73565RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING,
ANTEROPOSTERIOR		26$11.437-1-201912-31-2382
73565RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING,
ANTEROPOSTERIOR		59$49.207-1-201912-31-2382
73565RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING,
ANTEROPOSTERIOR		TC$17.127-1-201912-31-2382
73580RADIOLOGIC EXAMINATION, KNEE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73580RADIOLOGIC EXAMINATION, KNEE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73580RADIOLOGIC EXAMINATION, KNEE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$89.777-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		$49.207-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		26$8.557-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		50$49.207-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		LT$49.207-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		RT$49.207-1-201912-31-2382
73590RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, ANTEROPOSTERIOR AND
LATERAL VIEWS		TC$18.137-1-201912-31-2382
73592RADIOLOGIC EXAMINATION; LOWER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		$49.207-1-201912-31-2382
73592RADIOLOGIC EXAMINATION; LOWER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		26$8.107-1-201912-31-2382
73592RADIOLOGIC EXAMINATION; LOWER EXTREMITY, INFANT, MINIMUM OF TWO
VIEWS		TC$17.127-1-201912-31-2382
73600RADIOLOGIC EXAMINATION, ANKLE; ANTEROPOSTERIOR AND LATERAL VIEWS$49.207-1-201912-31-2382
73600RADIOLOGIC EXAMINATION, ANKLE; ANTEROPOSTERIOR AND LATERAL VIEWS26$8.127-1-201912-31-2382
73600RADIOLOGIC EXAMINATION, ANKLE; ANTEROPOSTERIOR AND LATERAL VIEWSLT$49.207-1-201912-31-2382
73600RADIOLOGIC EXAMINATION, ANKLE; ANTEROPOSTERIOR AND LATERAL VIEWSRT$49.207-1-201912-31-2382
73600RADIOLOGIC EXAMINATION, ANKLE; ANTEROPOSTERIOR AND LATERAL VIEWSTC$17.127-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS26$9.307-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS50$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS59$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS76$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWSLT$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWSRT$49.207-1-201912-31-2382
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWSTC$18.467-1-201912-31-2382
73615RADIOLOGIC EXAMINATION, ANKLE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$235.577-1-201912-31-2382
73615RADIOLOGIC EXAMINATION, ANKLE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
73615RADIOLOGIC EXAMINATION, ANKLE, ARTHROGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$71.737-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWS$49.207-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWS26$8.107-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWS76$49.207-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWSLT$49.207-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWSRT$49.207-1-201912-31-2382
73620RADIOLOGIC EXAMINATION, FOOT; ANTEROPOSTERIOR AND LATERAL VIEWSTC$17.127-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS$49.207-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS26$9.307-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS50$49.207-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS59$49.207-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWSLT$49.207-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWSRT$49.207-1-201912-31-2382
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWSTC$18.467-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWS26$8.107-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWS50$49.207-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73650RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWSTC$16.467-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWS$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWS26$6.737-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWS50$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWS59$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWS76$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWSLT$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWSRT$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWST5$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWST6$49.207-1-201912-31-2382
73660RADIOLOGIC EXAMINATION; TOE OR TOES, MINIMUM OF TWO VIEWSTC$14.447-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		$213.197-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		26$58.487-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		50$213.197-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		59$213.197-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		LT$49.207-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		RT$49.207-1-201912-31-2382
73700COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL		TC$169.187-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		$289.497-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		26$62.777-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		59$289.497-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		LT$289.497-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		RT$289.497-1-201912-31-2382
73701COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST
MATERIAL(S)		TC$201.427-1-201912-31-2382
73702COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		$344.347-1-201912-31-2382
73702COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		26$65.877-1-201912-31-2382
73702COMPUTERIZED AXIAL TOMOGRAPHY, LOWER EXTREMITY; WITHOUT
CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN		TC$253.697-1-201912-31-2382
73706COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL		$336.857-1-201912-31-2382
73706COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL		59$336.857-1-201912-31-2382
73706COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL		LT$336.857-1-201912-31-2382
73718MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		$395.767-1-201912-31-2382
73718MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		LT$395.767-1-201912-31-2382
73718MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER
THAN JOINT; WITHOUT CONTRAST MATERIAL(S)		RT$395.767-1-201912-31-2382
73719MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER
THAN JOINT; WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
73720MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY, OTHER
THAN JOINT		$573.777-1-201912-31-2382
73720MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY, OTHER
THAN JOINT		26$80.097-1-201912-31-2382
73720MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY, OTHER
THAN JOINT		LT$573.777-1-201912-31-2382
73720MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY, OTHER
THAN JOINT		RT$573.777-1-201912-31-2382
73720MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY, OTHER
THAN JOINT		TC$382.717-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		$395.767-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		26$146.637-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		50$395.767-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		LT$395.767-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		RT$395.767-1-201912-31-2382
73721MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY		TC$382.717-1-201912-31-2382
73722MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY; WITH CONTRAST MATERIAL(S)		$420.487-1-201912-31-2382
73723MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY; WITHOUT CONTRAST MATERIAL(S)		$573.777-1-201912-31-2382
73723MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER
EXTREMITY; WITHOUT CONTRAST MATERIAL(S)		LT$573.777-1-201912-31-2382
73725MAGNETIC RESONANCE ANGIOGRAPHY, LOWER EXTREMITY, WITH OR
WITHOUT CONTRAST MATERIAL(S)		$498.947-1-201912-31-2382
74000RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW$49.207-1-201912-31-2382
74000RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW26$12.507-1-201912-31-2382
74000RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW59$49.207-1-201912-31-2382
74000RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW76$49.207-1-201912-31-2382
74000RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEWTC$18.137-1-201912-31-2382
74010RADIOLOGIC EXAMINATION, ABDOMEN; ANTEROPOSTERIOR AND ADDITIONAL
OBLIQUE AND CONE VIEWS		$49.207-1-201912-31-2382
74010RADIOLOGIC EXAMINATION, ABDOMEN; ANTEROPOSTERIOR AND ADDITIONAL
OBLIQUE AND CONE VIEWS		26$12.237-1-201912-31-2382
74010RADIOLOGIC EXAMINATION, ABDOMEN; ANTEROPOSTERIOR AND ADDITIONAL
OBLIQUE AND CONE VIEWS		TC$19.707-1-201912-31-2382
74018RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW$53.287-1-201912-31-2382
74018RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW26$5.767-1-201912-31-2382
74018RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEWTC$11.297-1-201912-31-2382
74019RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS$98.177-1-201912-31-2382
74019RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS26$7.307-1-201912-31-2382
74019RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWSTC$13.507-1-201912-31-2382
74020RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS
AND/OR ERECT VIEWS		$49.207-1-201912-31-2382
74020RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS
AND/OR ERECT VIEWS		26$14.457-1-201912-31-2382
74020RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS
AND/OR ERECT VIEWS		59$49.207-1-201912-31-2382
74020RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS
AND/OR ERECT VIEWS		TC$21.387-1-201912-31-2382
74021RADIOLOGIC EXAMINATION, ABDOMEN; 3 OR MORE VIEWS$98.177-1-201912-31-2382
74021RADIOLOGIC EXAMINATION, ABDOMEN; 3 OR MORE VIEWS26$8.637-1-201912-31-2382
74021RADIOLOGIC EXAMINATION, ABDOMEN; 3 OR MORE VIEWSTC$15.707-1-201912-31-2382
74022RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE ACUTE ABDOMEN SERIES,
INCLUDING SUPINE, ERECT, AND/ OR DECUBITUS VIE		$83.747-1-201912-31-2382
74022RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE ACUTE ABDOMEN SERIES,
INCLUDING SUPINE, ERECT, AND/ OR DECUBITUS VIE		26$16.877-1-201912-31-2382
74022RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE ACUTE ABDOMEN SERIES,
INCLUDING SUPINE, ERECT, AND/ OR DECUBITUS VIE		TC$25.307-1-201912-31-2382
74150COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL		$213.197-1-201912-31-2382
74150COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL		26$64.137-1-201912-31-2382
74150COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL		TC$193.157-1-201912-31-2382
74160COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITH CONTRAST
MATERIAL(S)		$289.497-1-201912-31-2382
74160COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITH CONTRAST
MATERIAL(S)		26$68.817-1-201912-31-2382
74160COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITH CONTRAST
MATERIAL(S)		59$289.497-1-201912-31-2382
74160COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITH CONTRAST
MATERIAL(S)		GZ$289.497-1-201912-31-2382
74160COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITH CONTRAST
MATERIAL(S)		TC$233.657-1-201912-31-2382
74170COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHE		$344.347-1-201912-31-2382
74170COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHE		26$75.847-1-201912-31-2382
74170COMPUTERIZED AXIAL TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST
MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHE		TC$289.937-1-201912-31-2382
74174COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN AND PELVIS, WITH
CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES		$365.527-1-201912-31-2382
74175COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN, WITHOUT CONTRAST
MATERIAL(S),FOLLOWED BY CONTRAST MATERIAL(S) AND		$336.857-1-201912-31-2382
74176COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST
MATERIAL		$189.837-1-201912-31-2382
74177COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST
MATERIAL		$293.597-1-201912-31-2382
74177COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST
MATERIAL		PO$293.597-1-201912-31-2382
74177COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST
MATERIAL		TC$136.747-1-201912-31-2382
74177COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST
MATERIAL		XP$293.597-1-201912-31-2382
74178COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST
MATERIAL IN ONE OR BOTH BODY REGIONS, FOLLOWED BY		$327.307-1-201912-31-2382
74181MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN$395.767-1-201912-31-2382
74181MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN26$86.817-1-201912-31-2382
74181MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN59$395.767-1-201912-31-2382
74181MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMENTC$382.717-1-201912-31-2382
74182MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITH CONTRAST
MATERIAL(S)		$420.487-1-201912-31-2382
74183MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY WITH CONTRAST MATE		$573.777-1-201912-31-2382
74183MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT
CONTRAST MATERIAL(S), FOLLOWED BY WITH CONTRAST MATE		59$573.777-1-201912-31-2382
74185MAGNETIC RESONANCE ANGIOGRAPHY, ABDOMEN, WITH OR WITHOUT
CONTRAST MATERIAL(S)		$498.547-1-201912-31-2382
74190PERITONEOGRAM, RADIOLOGICAL SUPERVISION AND INTERPRETATION$232.987-1-201912-31-2382
74210RADIOLOGIC EXAMINATION; PHARYNX AND/OR CERVICAL ESOPHAGUS$99.107-1-201912-31-2382
74210RADIOLOGIC EXAMINATION; PHARYNX AND/OR CERVICAL ESOPHAGUS26$18.777-1-201912-31-2382
74210RADIOLOGIC EXAMINATION; PHARYNX AND/OR CERVICAL ESOPHAGUSTC$40.177-1-201912-31-2382
74220RADIOLOGIC EXAMINATION; ESOPHAGUS$96.427-1-201912-31-2382
74220RADIOLOGIC EXAMINATION; ESOPHAGUS26$25.347-1-201912-31-2382
74220RADIOLOGIC EXAMINATION; ESOPHAGUSTC$40.177-1-201912-31-2382
74230SWALLOWING FUNCTION, PHARYNX AND/OR ESOPHAGUS, WITH
CINERADIOGRAPHY AND/OR VIDEO		$96.427-1-201912-31-2382
74230SWALLOWING FUNCTION, PHARYNX AND/OR ESOPHAGUS, WITH
CINERADIOGRAPHY AND/OR VIDEO		26$29.337-1-201912-31-2382
74230SWALLOWING FUNCTION, PHARYNX AND/OR ESOPHAGUS, WITH
CINERADIOGRAPHY AND/OR VIDEO		TC$44.427-1-201912-31-2382
74235REMOVAL OF FOREIGN BODY(S), ESOPHAGEAL, WITH USE OF BALLOON
CATHETER, RADIOLOGICAL SUPERVISION AND INTERPRETAT		$153.007-1-201912-31-2382
74235REMOVAL OF FOREIGN BODY(S), ESOPHAGEAL, WITH USE OF BALLOON
CATHETER, RADIOLOGICAL SUPERVISION AND INTERPRETAT		26$64.137-1-201912-31-2382
74235REMOVAL OF FOREIGN BODY(S), ESOPHAGEAL, WITH USE OF BALLOON
CATHETER, RADIOLOGICAL SUPERVISION AND INTERPRETAT		TC$89.777-1-201912-31-2382
74240RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITHOUT KUB		$99.107-1-201912-31-2382
74240RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITHOUT KUB		26$37.417-1-201912-31-2382
74240RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITHOUT KUB		TC$50.027-1-201912-31-2382
74241RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITH KUB		$99.107-1-201912-31-2382
74241RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITH KUB		26$37.417-1-201912-31-2382
74241RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR
WITHOUT DELAYED FILMS, WITH KUB		TC$51.037-1-201912-31-2382
74245RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL
BOWEL, INCLUDES MULTIPLE SERIAL FILMS		$154.807-1-201912-31-2382
74245RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL
BOWEL, INCLUDES MULTIPLE SERIAL FILMS		26$49.327-1-201912-31-2382
74245RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL
BOWEL, INCLUDES MULTIPLE SERIAL FILMS		TC$81.597-1-201912-31-2382
74246RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		$99.107-1-201912-31-2382
74246RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		26$37.417-1-201912-31-2382
74246RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		TC$56.287-1-201912-31-2382
74247RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		$99.107-1-201912-31-2382
74247RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		26$37.417-1-201912-31-2382
74247RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		TC$57.537-1-201912-31-2382
74249RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		$154.807-1-201912-31-2382
74249RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		26$49.327-1-201912-31-2382
74249RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR
CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFE		TC$87.857-1-201912-31-2382
74250RADIOLOGIC EXAMINATION, SMALL BOWEL, INCLUDES MULTIPLE SERIAL
FILMS		$99.107-1-201912-31-2382
74250RADIOLOGIC EXAMINATION, SMALL BOWEL, INCLUDES MULTIPLE SERIAL
FILMS		26$25.497-1-201912-31-2382
74250RADIOLOGIC EXAMINATION, SMALL BOWEL, INCLUDES MULTIPLE SERIAL
FILMS		TC$44.427-1-201912-31-2382
74251RADIOLOGIC EXAMINATION, SMALL BOWEL, INCLUDES MULTIPLE SERIAL
FILMS; VIA ENTEROCLYSIS TUBE		$154.807-1-201912-31-2382
74260DUODENOGRAPHY, HYPOTONIC$154.807-1-201912-31-2382
74260DUODENOGRAPHY, HYPOTONIC26$27.467-1-201912-31-2382
74260DUODENOGRAPHY, HYPOTONICTC$51.037-1-201912-31-2382
74261COMPUTED TOMOGRAPHIC (CT) COLONOGRAPHY, DIAGNOSTIC, INCLUDING
IMAGE POSTPROCESSING; WITHOUT CONTRAST MATERIAL		$189.837-1-201912-31-2382
74270RADIOLOGIC EXAMINATION, COLON; BARIUM ENEMA$99.107-1-201912-31-2382
74270RADIOLOGIC EXAMINATION, COLON; BARIUM ENEMA26$37.417-1-201912-31-2382
74270RADIOLOGIC EXAMINATION, COLON; BARIUM ENEMATC$58.207-1-201912-31-2382
74280RADIOLOGIC EXAMINATION, COLON; AIR CONTRAST WITH SPECIFIC HIGH
DENSITY BARIUM, WITH OR WITHOUT GLUCAGON		$154.807-1-201912-31-2382
74280RADIOLOGIC EXAMINATION, COLON; AIR CONTRAST WITH SPECIFIC HIGH
DENSITY BARIUM, WITH OR WITHOUT GLUCAGON		26$53.467-1-201912-31-2382
74280RADIOLOGIC EXAMINATION, COLON; AIR CONTRAST WITH SPECIFIC HIGH
DENSITY BARIUM, WITH OR WITHOUT GLUCAGON		TC$76.337-1-201912-31-2382
74283THERAPEUTIC ENEMA, CONTRAST OR AIR, FOR REDUCTION OF
INTUSSUSCEPTION OR OTHER INTRALUNIMAL OBSTRUCTION		$99.107-1-201912-31-2382
74283THERAPEUTIC ENEMA, CONTRAST OR AIR, FOR REDUCTION OF
INTUSSUSCEPTION OR OTHER INTRALUNIMAL OBSTRUCTION		26$104.177-1-201912-31-2382
74283THERAPEUTIC ENEMA, CONTRAST OR AIR, FOR REDUCTION OF
INTUSSUSCEPTION OR OTHER INTRALUNIMAL OBSTRUCTION		TC$87.527-1-201912-31-2382
74290CHOLECYSTOGRAPHY, ORAL CONTRAST;$99.107-1-201912-31-2382
74290CHOLECYSTOGRAPHY, ORAL CONTRAST;26$16.877-1-201912-31-2382
74290CHOLECYSTOGRAPHY, ORAL CONTRAST;TC$25.307-1-201912-31-2382
74291CHOLECYSTOGRAPHY, ORAL CONTRAST; ADDITIONAL OR REPEAT
EXAMINATION OR MULTIPLE DAY EXAMINATION		$99.107-1-201912-31-2382
74291CHOLECYSTOGRAPHY, ORAL CONTRAST; ADDITIONAL OR REPEAT
EXAMINATION OR MULTIPLE DAY EXAMINATION		26$10.697-1-201912-31-2382
74291CHOLECYSTOGRAPHY, ORAL CONTRAST; ADDITIONAL OR REPEAT
EXAMINATION OR MULTIPLE DAY EXAMINATION		TC$14.447-1-201912-31-2382
74300CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; DURING SURGERY$114.527-1-201912-31-2382
74300CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; DURING SURGERY26$19.247-1-201912-31-2382
74301CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; ADDITIONAL SET DURING
SURGERY		$114.527-1-201912-31-2382
74301CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; ADDITIONAL SET DURING
SURGERY		26$11.197-1-201912-31-2382
74305CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; POSTOPERATIVE$114.527-1-201912-31-2382
74305CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; POSTOPERATIVE26$22.677-1-201912-31-2382
74305CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; POSTOPERATIVETC$26.977-1-201912-31-2382
74320CHOLANGIOGRAPHY, PERCUTANEOUS, TRANSHEPATIC, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
74320CHOLANGIOGRAPHY, PERCUTANEOUS, TRANSHEPATIC, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
74320CHOLANGIOGRAPHY, PERCUTANEOUS, TRANSHEPATIC, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74327POSTOPERATIVE BILIARY DUCT STONE REMOVAL, PERCUTANEOUS VIA T-
TUBE TRACT, BASKET OR SNARE (EG, BURHENNE TECHNIQ		$153.007-1-201912-31-2382
74327POSTOPERATIVE BILIARY DUCT STONE REMOVAL, PERCUTANEOUS VIA T-
TUBE TRACT, BASKET OR SNARE (EG, BURHENNE TECHNIQ		26$37.977-1-201912-31-2382
74327POSTOPERATIVE BILIARY DUCT STONE REMOVAL, PERCUTANEOUS VIA T-
TUBE TRACT, BASKET OR SNARE (EG, BURHENNE TECHNIQ		TC$60.207-1-201912-31-2382
74328ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$143.577-1-201912-31-2382
74328ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$37.977-1-201912-31-2382
74328ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74329ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$143.577-1-201912-31-2382
74329ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$37.977-1-201912-31-2382
74329ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74330COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND
PANCREATIC DUCTAL SYSTEMS, RADIOLOGICAL SUPERVISION AND		$143.577-1-201912-31-2382
74330COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND
PANCREATIC DUCTAL SYSTEMS, RADIOLOGICAL SUPERVISION AND		26$37.977-1-201912-31-2382
74330COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND
PANCREATIC DUCTAL SYSTEMS, RADIOLOGICAL SUPERVISION AND		TC$107.317-1-201912-31-2382
74340INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT),
WITH MULTIPLE FLUOROSCOPIES AND FILMS		$89.647-1-201912-31-2382
74340INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT),
WITH MULTIPLE FLUOROSCOPIES AND FILMS		26$29.877-1-201912-31-2382
74340INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT),
WITH MULTIPLE FLUOROSCOPIES AND FILMS		TC$89.777-1-201912-31-2382
74350PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
74350PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$41.157-1-201912-31-2382
74350PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74355PERCUTANEOUS PLACEMENT OF ENTEROCLYSIS TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
74355PERCUTANEOUS PLACEMENT OF ENTEROCLYSIS TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$41.157-1-201912-31-2382
74355PERCUTANEOUS PLACEMENT OF ENTEROCLYSIS TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$89.777-1-201912-31-2382
74360INTRALUMINAL DILATION OF STRICTURES AND/OR OBSTRUCTIONS (EG,
ESOPHAGUS), RADIOLOGICAL SUPERVISION AND INTERPRE		$153.007-1-201912-31-2382
74360INTRALUMINAL DILATION OF STRICTURES AND/OR OBSTRUCTIONS (EG,
ESOPHAGUS), RADIOLOGICAL SUPERVISION AND INTERPRE		26$29.877-1-201912-31-2382
74360INTRALUMINAL DILATION OF STRICTURES AND/OR OBSTRUCTIONS (EG,
ESOPHAGUS), RADIOLOGICAL SUPERVISION AND INTERPRE		TC$107.317-1-201912-31-2382
74363PERCUTANEOUS TRANSHEPATIC DILATATION OF BILIARY DUCT STRICTURE
WITH OR WITHOUT PLACEMENT OF STENT, RADIOLOGICA		$343.827-1-201912-31-2382
74363PERCUTANEOUS TRANSHEPATIC DILATATION OF BILIARY DUCT STRICTURE
WITH OR WITHOUT PLACEMENT OF STENT, RADIOLOGICA		26$45.607-1-201912-31-2382
74400UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY;		$172.397-1-201912-31-2382
74400UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY;		26$26.647-1-201912-31-2382
74400UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY;		TC$57.537-1-201912-31-2382
74405UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY; WITH SPECIAL HYPERTENSI		$93.387-1-201912-31-2382
74405UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY; WITH SPECIAL HYPERTENSI		26$26.647-1-201912-31-2382
74405UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH
OR WITHOUT TOMOGRAPHY; WITH SPECIAL HYPERTENSI		TC$68.057-1-201912-31-2382
74410UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE;$172.397-1-201912-31-2382
74410UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE;26$26.647-1-201912-31-2382
74410UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE;TC$66.477-1-201912-31-2382
74415UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; WITH
NEPHROTOMOGRAPHY		$172.397-1-201912-31-2382
74415UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; WITH
NEPHROTOMOGRAPHY		26$26.647-1-201912-31-2382
74415UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; WITH
NEPHROTOMOGRAPHY		TC$72.407-1-201912-31-2382
74420UROGRAPHY, RETROGRADE, WITH OR WITHOUT KUB$172.397-1-201912-31-2382
74420UROGRAPHY, RETROGRADE, WITH OR WITHOUT KUB26$18.777-1-201912-31-2382
74420UROGRAPHY, RETROGRADE, WITH OR WITHOUT KUB76$172.397-1-201912-31-2382
74420UROGRAPHY, RETROGRADE, WITH OR WITHOUT KUBTC$89.777-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		$172.397-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$18.017-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		59$172.397-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		LT$172.397-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		RT$172.397-1-201912-31-2382
74425UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM,
LOOPOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$44.427-1-201912-31-2382
74430CYSTOGRAPHY, MINIMUM OF THREE VIEWS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$172.397-1-201912-31-2382
74430CYSTOGRAPHY, MINIMUM OF THREE VIEWS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$16.337-1-201912-31-2382
74430CYSTOGRAPHY, MINIMUM OF THREE VIEWS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$35.837-1-201912-31-2382
74440VASOGRAPHY, VESICULOGRAPHY, OR EPIDIDYMOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$172.397-1-201912-31-2382
74440VASOGRAPHY, VESICULOGRAPHY, OR EPIDIDYMOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$19.267-1-201912-31-2382
74440VASOGRAPHY, VESICULOGRAPHY, OR EPIDIDYMOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$38.507-1-201912-31-2382
74445CORPORA CAVERNOSOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$172.397-1-201912-31-2382
74445CORPORA CAVERNOSOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$58.907-1-201912-31-2382
74445CORPORA CAVERNOSOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$38.507-1-201912-31-2382
74450URETHROCYSTOGRAPHY, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$172.397-1-201912-31-2382
74450URETHROCYSTOGRAPHY, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$16.667-1-201912-31-2382
74450URETHROCYSTOGRAPHY, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$50.027-1-201912-31-2382
74455URETHROCYSTOGRAPHY, VOIDING, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$172.397-1-201912-31-2382
74455URETHROCYSTOGRAPHY, VOIDING, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$16.667-1-201912-31-2382
74455URETHROCYSTOGRAPHY, VOIDING, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$53.947-1-201912-31-2382
74470RADIOLOGIC EXAMINATION, RENAL CYST STUDY, TRANSLUMBAR, CONTRAST
VISUALIZATION, RADIOLOGICAL SUPERVISION AND IN		$114.527-1-201912-31-2382
74470RADIOLOGIC EXAMINATION, RENAL CYST STUDY, TRANSLUMBAR, CONTRAST
VISUALIZATION, RADIOLOGICAL SUPERVISION AND IN		26$28.277-1-201912-31-2382
74470RADIOLOGIC EXAMINATION, RENAL CYST STUDY, TRANSLUMBAR, CONTRAST
VISUALIZATION, RADIOLOGICAL SUPERVISION AND IN		TC$42.757-1-201912-31-2382
74475INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR
DRAINAGE AND/OR INJECTION, PERCUTANEOUS, RADIO		$343.827-1-201912-31-2382
74475INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR
DRAINAGE AND/OR INJECTION, PERCUTANEOUS, RADIO		26$29.877-1-201912-31-2382
74475INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR
DRAINAGE AND/OR INJECTION, PERCUTANEOUS, RADIO		LT$343.827-1-201912-31-2382
74475INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR
DRAINAGE AND/OR INJECTION, PERCUTANEOUS, RADIO		RT$343.827-1-201912-31-2382
74475INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR
DRAINAGE AND/OR INJECTION, PERCUTANEOUS, RADIO		TC$138.877-1-201912-31-2382
74480INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH
RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PER		$153.007-1-201912-31-2382
74480INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH
RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PER		26$29.877-1-201912-31-2382
74480INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH
RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PER		TC$138.877-1-201912-31-2382
74485DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$153.007-1-201912-31-2382
74485DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
74485DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		LT$153.007-1-201912-31-2382
74485DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		RT$153.007-1-201912-31-2382
74485DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74710PELVIMETRY, WITH OR WITHOUT PLACENTAL LOCALIZATION$83.747-1-201912-31-2382
74710PELVIMETRY, WITH OR WITHOUT PLACENTAL LOCALIZATION26$18.177-1-201912-31-2382
74710PELVIMETRY, WITH OR WITHOUT PLACENTAL LOCALIZATIONTC$35.837-1-201912-31-2382
74712MAGNETIC RESONANCE IMAGING OF FETUS, SINGLE OR FIRST PREGNANCY$250.257-1-201912-31-2382
74740HYSTEROSALPINGOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$232.987-1-201912-31-2382
74740HYSTEROSALPINGOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$20.057-1-201912-31-2382
74740HYSTEROSALPINGOGRAPHY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$44.427-1-201912-31-2382
74742TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
74742TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$30.647-1-201912-31-2382
74742TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$107.317-1-201912-31-2382
74775PERINEOGRAM (EG, VAGINOGRAM, FOR SEX DETERMINATION OR EXTENT OF
ANOMALIES)		$172.397-1-201912-31-2382
74775PERINEOGRAM (EG, VAGINOGRAM, FOR SEX DETERMINATION OR EXTENT OF
ANOMALIES)		26$33.897-1-201912-31-2382
74775PERINEOGRAM (EG, VAGINOGRAM, FOR SEX DETERMINATION OR EXTENT OF
ANOMALIES)		TC$50.027-1-201912-31-2382
75500ANGIOCARDIOGRAPHY BY CINERADIOGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$453.137-1-201912-31-2382
75500ANGIOCARDIOGRAPHY BY CINERADIOGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$61.707-1-201912-31-2382
75500ANGIOCARDIOGRAPHY BY CINERADIOGRAPHY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$394.247-1-201912-31-2382
75505ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, SINGLE PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$453.137-1-201912-31-2382
75505ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, SINGLE PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75505ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, SINGLE PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$394.247-1-201912-31-2382
75507ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, MULTI-PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$461.807-1-201912-31-2382
75507ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, MULTI-PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75507ANGIOCARDIOGRAPHY BY SERIALOGRAPHY, MULTI-PLANE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$394.247-1-201912-31-2382
75519CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT
SIDE, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		$437.827-1-201912-31-2382
75519CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT
SIDE, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		26$45.457-1-201912-31-2382
75519CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT
SIDE, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		TC$394.247-1-201912-31-2382
75523CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, LEFT SIDE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$437.827-1-201912-31-2382
75523CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, LEFT SIDE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$45.457-1-201912-31-2382
75523CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, LEFT SIDE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$394.247-1-201912-31-2382
75527CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT AND
LEFT SIDE, RADIOLOGICAL SUPERVISION AND INTE		$471.827-1-201912-31-2382
75527CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT AND
LEFT SIDE, RADIOLOGICAL SUPERVISION AND INTE		26$81.007-1-201912-31-2382
75527CARDIAC RADIOGRAPHY, SELECTIVE CARDIAC CATHETERIZATION, RIGHT AND
LEFT SIDE, RADIOLOGICAL SUPERVISION AND INTE		TC$394.247-1-201912-31-2382
75552MAGNETIC RESONANCE (EG, PROTON) IMAGING, MYOCARDIUM$395.767-1-201912-31-2382
75552MAGNETIC RESONANCE (EG, PROTON) IMAGING, MYOCARDIUM26$86.817-1-201912-31-2382
75552MAGNETIC RESONANCE (EG, PROTON) IMAGING, MYOCARDIUMTC$382.717-1-201912-31-2382
75553CARDIAC MAGNETIC RESONANCE IMAGING FOR MORPHOLOGY; WITHOUT
CONTRAST MATERIAL		$420.487-1-201912-31-2382
75554CARDIAC MAGNETIC RESONANCE IMAGING FOR FUNCTION, WITH OR
WITHOUT MORPHOLOGY; COMPLETE STUDY		$395.767-1-201912-31-2382
75555CARDIAC MAGNETIC RESONANCE IMAGING FOR FUNCTION, WITH OR
WITHOUT MORPHOLOGY; LIMITED STUDY		$395.767-1-201912-31-2382
75556CARDIAC MAGNETIC RESONANCE IMAGING FOR VELOCITY FLOW MAPPING$395.767-1-201912-31-2382
75557CARDIAC MAGNETIC RESONANCE IMAGING FOR MORPHOLOGY AND
FUNCTION WITHOUT CONTRAST MATERIAL;		$320.147-1-201912-31-2382
75561CARDIAC MAGNETIC RESONANCE IMAGING FOR MORPHOLOGY AND
FUNCTION WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTR		$582.377-1-201912-31-2382
75600AORTOGRAPHY, THORACIC, WITHOUT SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75600AORTOGRAPHY, THORACIC, WITHOUT SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$26.647-1-201912-31-2382
75600AORTOGRAPHY, THORACIC, WITHOUT SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75605AORTOGRAPHY, THORACIC, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75605AORTOGRAPHY, THORACIC, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75605AORTOGRAPHY, THORACIC, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75625AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75625AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75625AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		59$1,377.187-1-201912-31-2382
75625AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75630AORTOGRAPHY, ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER
EXTREMITY, CATHETER, BY SERIALOGRAPHY, RADIOLOGICAL SU		$1,377.187-1-201912-31-2382
75630AORTOGRAPHY, ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER
EXTREMITY, CATHETER, BY SERIALOGRAPHY, RADIOLOGICAL SU		26$70.937-1-201912-31-2382
75630AORTOGRAPHY, ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER
EXTREMITY, CATHETER, BY SERIALOGRAPHY, RADIOLOGICAL SU		59$1,377.187-1-201912-31-2382
75630AORTOGRAPHY, ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER
EXTREMITY, CATHETER, BY SERIALOGRAPHY, RADIOLOGICAL SU		TC$448.517-1-201912-31-2382
75635COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMINAL AORTA AND
BILATERAL ILIOFEMORAL LOWER EXTREMITY RUNOFF, RADIOLOGIC		$336.857-1-201912-31-2382
75650ANGIOGRAPHY, CERVICOCEREBRAL, CATHETER, INCLUDING VESSEL ORIGIN,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75650ANGIOGRAPHY, CERVICOCEREBRAL, CATHETER, INCLUDING VESSEL ORIGIN,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$80.407-1-201912-31-2382
75650ANGIOGRAPHY, CERVICOCEREBRAL, CATHETER, INCLUDING VESSEL ORIGIN,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75658ANGIOGRAPHY, BRACHIAL, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$586.717-1-201912-31-2382
75658ANGIOGRAPHY, BRACHIAL, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$70.937-1-201912-31-2382
75658ANGIOGRAPHY, BRACHIAL, RETROGRADE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75660ANGIOGRAPHY, EXTERNAL CAROTID, UNILATERAL, SELECTIVE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$425.627-1-201912-31-2382
75660ANGIOGRAPHY, EXTERNAL CAROTID, UNILATERAL, SELECTIVE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75660ANGIOGRAPHY, EXTERNAL CAROTID, UNILATERAL, SELECTIVE,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75662ANGIOGRAPHY, EXTERNAL CAROTID, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75662ANGIOGRAPHY, EXTERNAL CAROTID, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$89.707-1-201912-31-2382
75662ANGIOGRAPHY, EXTERNAL CAROTID, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75665ANGIOGRAPHY, CAROTID, CEREBRAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75665ANGIOGRAPHY, CAROTID, CEREBRAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75665ANGIOGRAPHY, CAROTID, CEREBRAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		RT$1,377.187-1-201912-31-2382
75665ANGIOGRAPHY, CAROTID, CEREBRAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75671ANGIOGRAPHY, CAROTID, CEREBRAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75671ANGIOGRAPHY, CAROTID, CEREBRAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$89.707-1-201912-31-2382
75671ANGIOGRAPHY, CAROTID, CEREBRAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75676ANGIOGRAPHY, CAROTID, CERVICAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75676ANGIOGRAPHY, CAROTID, CERVICAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75676ANGIOGRAPHY, CAROTID, CERVICAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75680ANGIOGRAPHY, CAROTID, CERVICAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75680ANGIOGRAPHY, CAROTID, CERVICAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$89.707-1-201912-31-2382
75680ANGIOGRAPHY, CAROTID, CERVICAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75685ANGIOGRAPHY, VERTEBRAL, CERVICAL, AND/OR INTRACRANIAL,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75685ANGIOGRAPHY, VERTEBRAL, CERVICAL, AND/OR INTRACRANIAL,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75685ANGIOGRAPHY, VERTEBRAL, CERVICAL, AND/OR INTRACRANIAL,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75705ANGIOGRAPHY, SPINAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$425.627-1-201912-31-2382
75705ANGIOGRAPHY, SPINAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$117.767-1-201912-31-2382
75705ANGIOGRAPHY, SPINAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75710ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$1,377.187-1-201912-31-2382
75710ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$61.707-1-201912-31-2382
75710ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		59$1,377.187-1-201912-31-2382
75710ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		LT$1,377.187-1-201912-31-2382
75710ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75716ANGIOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$1,377.187-1-201912-31-2382
75716ANGIOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$70.937-1-201912-31-2382
75716ANGIOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		59$1,377.187-1-201912-31-2382
75716ANGIOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75722ANGIOGRAPHY, RENAL, UNILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETA		$1,377.187-1-201912-31-2382
75722ANGIOGRAPHY, RENAL, UNILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETA		26$61.707-1-201912-31-2382
75722ANGIOGRAPHY, RENAL, UNILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETA		TC$430.157-1-201912-31-2382
75724ANGIOGRAPHY, RENAL, BILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM),		$1,377.187-1-201912-31-2382
75724ANGIOGRAPHY, RENAL, BILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM),		26$80.407-1-201912-31-2382
75724ANGIOGRAPHY, RENAL, BILATERAL, SELECTIVE (INCLUDING FLUSH
AORTOGRAM),		TC$430.157-1-201912-31-2382
75726ANGIOGRAPHY, VISCERAL, SELECTIVE OR SUPRASELECTIVE, (WITH OR
WITHOUT FLUSH AORTOGRAM) RADIOLOGICAL SUPERVISION		$1,377.187-1-201912-31-2382
75726ANGIOGRAPHY, VISCERAL, SELECTIVE OR SUPRASELECTIVE, (WITH OR
WITHOUT FLUSH AORTOGRAM) RADIOLOGICAL SUPERVISION		26$61.707-1-201912-31-2382
75726ANGIOGRAPHY, VISCERAL, SELECTIVE OR SUPRASELECTIVE, (WITH OR
WITHOUT FLUSH AORTOGRAM) RADIOLOGICAL SUPERVISION		59$1,377.187-1-201912-31-2382
75726ANGIOGRAPHY, VISCERAL, SELECTIVE OR SUPRASELECTIVE, (WITH OR
WITHOUT FLUSH AORTOGRAM) RADIOLOGICAL SUPERVISION		TC$430.157-1-201912-31-2382
75731ANGIOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75731ANGIOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75731ANGIOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75733ANGIOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$425.627-1-201912-31-2382
75733ANGIOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75733ANGIOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75736ANGIOGRAPHY, PELVIC, SELECTIVE OR SUPRASELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75736ANGIOGRAPHY, PELVIC, SELECTIVE OR SUPRASELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75736ANGIOGRAPHY, PELVIC, SELECTIVE OR SUPRASELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75741ANGIOGRAPHY, PULMONARY, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75741ANGIOGRAPHY, PULMONARY, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75741ANGIOGRAPHY, PULMONARY, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75743ANGIOGRAPHY, PULMONARY, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75743ANGIOGRAPHY, PULMONARY, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$89.707-1-201912-31-2382
75743ANGIOGRAPHY, PULMONARY, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75746ANGIOGRAPHY, PULMONARY, BY NONSELECTIVE CATHETER OR VENOUS
INJECTION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		$586.717-1-201912-31-2382
75746ANGIOGRAPHY, PULMONARY, BY NONSELECTIVE CATHETER OR VENOUS
INJECTION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		26$61.707-1-201912-31-2382
75746ANGIOGRAPHY, PULMONARY, BY NONSELECTIVE CATHETER OR VENOUS
INJECTION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		TC$430.157-1-201912-31-2382
75750ANGIOGRAPHY, CORONARY, ROOT INJECTION, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$489.057-1-201912-31-2382
75750ANGIOGRAPHY, CORONARY, ROOT INJECTION, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$61.707-1-201912-31-2382
75750ANGIOGRAPHY, CORONARY, ROOT INJECTION, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$430.157-1-201912-31-2382
75752ANGIOGRAPHY, CORONARY, UNILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM		$489.057-1-201912-31-2382
75752ANGIOGRAPHY, CORONARY, UNILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM		26$61.707-1-201912-31-2382
75752ANGIOGRAPHY, CORONARY, UNILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM		TC$430.157-1-201912-31-2382
75754ANGIOGRAPHY, CORONARY, BILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM A		$498.057-1-201912-31-2382
75754ANGIOGRAPHY, CORONARY, BILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM A		26$71.257-1-201912-31-2382
75754ANGIOGRAPHY, CORONARY, BILATERAL SELECTIVE INJECTION, INCLUDING
LEFT VENTRICULAR AND SUPRAVALVULAR ANGIOGRAM A		TC$430.157-1-201912-31-2382
75756ANGIOGRAPHY, INTERNAL MAMMARY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$586.717-1-201912-31-2382
75756ANGIOGRAPHY, INTERNAL MAMMARY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$61.707-1-201912-31-2382
75756ANGIOGRAPHY, INTERNAL MAMMARY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75762ANGIOGRAPHY, CORONARY BYPASS, UNILATERAL SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$489.057-1-201912-31-2382
75762ANGIOGRAPHY, CORONARY BYPASS, UNILATERAL SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75762ANGIOGRAPHY, CORONARY BYPASS, UNILATERAL SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75766ANGIOGRAPHY, CORONARY BYPASS, MULTIPLE SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$497.717-1-201912-31-2382
75766ANGIOGRAPHY, CORONARY BYPASS, MULTIPLE SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75766ANGIOGRAPHY, CORONARY BYPASS, MULTIPLE SELECTIVE INJECTION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75774ANGIOGRAPHY, SELECTIVE, EACH ADDITIONAL VESSEL STUDIED AFTER BASIC
EXAMINATION, RADIOLOGICAL SUPERVISION AND I		$586.717-1-201912-31-2382
75774ANGIOGRAPHY, SELECTIVE, EACH ADDITIONAL VESSEL STUDIED AFTER BASIC
EXAMINATION, RADIOLOGICAL SUPERVISION AND I		26$18.017-1-201912-31-2382
75774ANGIOGRAPHY, SELECTIVE, EACH ADDITIONAL VESSEL STUDIED AFTER BASIC
EXAMINATION, RADIOLOGICAL SUPERVISION AND I		TC$430.157-1-201912-31-2382
75790ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT),
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75790ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT),
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$99.337-1-201912-31-2382
75790ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT),
RADIOLOGICAL SUPERVISION AND INTERPRETATION		LT$586.717-1-201912-31-2382
75790ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT),
RADIOLOGICAL SUPERVISION AND INTERPRETATION		RT$586.717-1-201912-31-2382
75790ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT),
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$46.347-1-201912-31-2382
75801LYMPHANGIOGRAPHY, EXTREMITY ONLY, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201911-30-2382
75801LYMPHANGIOGRAPHY, EXTREMITY ONLY, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$43.757-1-201912-31-2382
75801LYMPHANGIOGRAPHY, EXTREMITY ONLY, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$184.977-1-201912-31-2382
75803LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
75803LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$62.997-1-201912-31-2382
75803LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$184.977-1-201912-31-2382
75805LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
75805LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$43.757-1-201912-31-2382
75805LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$208.027-1-201912-31-2382
75807LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
75807LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$62.997-1-201912-31-2382
75807LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, BILATERAL, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$208.027-1-201912-31-2382
75809SHUNTOGRAM FOR INVESTIGATION OF PREVIOUSLY PLACED INDWELLING
NONVASCULAR SHUNT (EG, LEVEEN SHUNT, VENTRICULOPE		$114.527-1-201912-31-2382
75809SHUNTOGRAM FOR INVESTIGATION OF PREVIOUSLY PLACED INDWELLING
NONVASCULAR SHUNT (EG, LEVEEN SHUNT, VENTRICULOPE		26$23.657-1-201912-31-2382
75809SHUNTOGRAM FOR INVESTIGATION OF PREVIOUSLY PLACED INDWELLING
NONVASCULAR SHUNT (EG, LEVEEN SHUNT, VENTRICULOPE		TC$26.977-1-201912-31-2382
75810SPLENOPORTOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION$586.717-1-201912-31-2382
75810SPLENOPORTOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$61.707-1-201912-31-2382
75810SPLENOPORTOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$430.157-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$425.627-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$37.977-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		59$425.627-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		LT$425.627-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		RT$425.627-1-201912-31-2382
75820VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$32.247-1-201912-31-2382
75822VENOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$425.627-1-201912-31-2382
75822VENOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$56.967-1-201912-31-2382
75822VENOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$50.687-1-201912-31-2382
75825VENOGRAPHY, CAVAL, INFERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75825VENOGRAPHY, CAVAL, INFERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75825VENOGRAPHY, CAVAL, INFERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		59$586.717-1-201912-31-2382
75825VENOGRAPHY, CAVAL, INFERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75827VENOGRAPHY, CAVAL, SUPERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75827VENOGRAPHY, CAVAL, SUPERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75827VENOGRAPHY, CAVAL, SUPERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		59$586.717-1-201912-31-2382
75827VENOGRAPHY, CAVAL, SUPERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75831VENOGRAPHY, RENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75831VENOGRAPHY, RENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75831VENOGRAPHY, RENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75833VENOGRAPHY, RENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$586.717-1-201912-31-2382
75833VENOGRAPHY, RENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$80.407-1-201912-31-2382
75833VENOGRAPHY, RENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$430.157-1-201912-31-2382
75840VENOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75840VENOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75840VENOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75842VENOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75842VENOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$80.407-1-201912-31-2382
75842VENOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75860VENOGRAPHY, SINUS OR JUGULAR, CATHETER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$425.627-1-201912-31-2382
75860VENOGRAPHY, SINUS OR JUGULAR, CATHETER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$61.707-1-201912-31-2382
75860VENOGRAPHY, SINUS OR JUGULAR, CATHETER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		59$425.627-1-201912-31-2382
75860VENOGRAPHY, SINUS OR JUGULAR, CATHETER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$430.157-1-201912-31-2382
75870VENOGRAPHY, SUPERIOR SAGITTAL SINUS, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$425.627-1-201912-31-2382
75870VENOGRAPHY, SUPERIOR SAGITTAL SINUS, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$61.707-1-201912-31-2382
75870VENOGRAPHY, SUPERIOR SAGITTAL SINUS, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75872VENOGRAPHY, EPIDURAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$586.717-1-201912-31-2382
75872VENOGRAPHY, EPIDURAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$61.707-1-201912-31-2382
75872VENOGRAPHY, EPIDURAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$430.157-1-201912-31-2382
75880VENOGRAPHY, ORBITAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION$425.627-1-201912-31-2382
75880VENOGRAPHY, ORBITAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION26$37.977-1-201912-31-2382
75880VENOGRAPHY, ORBITAL, RADIOLOGICAL SUPERVISION AND INTERPRETATIONTC$32.247-1-201912-31-2382
75885PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75885PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$77.977-1-201912-31-2382
75885PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75887PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		$586.717-1-201912-31-2382
75887PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		26$77.977-1-201912-31-2382
75887PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETAT		TC$430.157-1-201912-31-2382
75889HEPATIC VENOGRAPHY, WEDGED OR FREE, WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$1,377.187-1-201912-31-2382
75889HEPATIC VENOGRAPHY, WEDGED OR FREE, WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$61.707-1-201912-31-2382
75889HEPATIC VENOGRAPHY, WEDGED OR FREE, WITH HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$430.157-1-201912-31-2382
75891HEPATIC VENOGRAPHY, WEDGED OR FREE, WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		$586.717-1-201912-31-2382
75891HEPATIC VENOGRAPHY, WEDGED OR FREE, WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		26$61.707-1-201912-31-2382
75891HEPATIC VENOGRAPHY, WEDGED OR FREE, WITHOUT HEMODYNAMIC
EVALUATION, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		TC$430.157-1-201912-31-2382
75893VENOUS SAMPLING THROUGH CATHETER, WITH OR WITHOUT ANGIOGRAPHY
(EG, FOR PARATHYROID HORMONE, RENIN), RADIOLOGIC		$458.427-1-201912-31-2382
75893VENOUS SAMPLING THROUGH CATHETER, WITH OR WITHOUT ANGIOGRAPHY
(EG, FOR PARATHYROID HORMONE, RENIN), RADIOLOGIC		26$29.877-1-201912-31-2382
75893VENOUS SAMPLING THROUGH CATHETER, WITH OR WITHOUT ANGIOGRAPHY
(EG, FOR PARATHYROID HORMONE, RENIN), RADIOLOGIC		59$458.427-1-201912-31-2382
75893VENOUS SAMPLING THROUGH CATHETER, WITH OR WITHOUT ANGIOGRAPHY
(EG, FOR PARATHYROID HORMONE, RENIN), RADIOLOGIC		TC$430.157-1-201912-31-2382
75894TRANSCATHETER THERAPY, EMBOLIZATION, ANY METHOD, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$343.827-1-201912-31-2382
75894TRANSCATHETER THERAPY, EMBOLIZATION, ANY METHOD, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$70.937-1-201912-31-2382
75894TRANSCATHETER THERAPY, EMBOLIZATION, ANY METHOD, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$824.387-1-201912-31-2382
75896TRANSCATHETER THERAPY, INFUSION, ANY METHOD (EG, THROMBOLYSIS
OTHER THAN CORONARY), RADIOLOGICAL SUPERVISION A		$343.827-1-201912-31-2382
75896TRANSCATHETER THERAPY, INFUSION, ANY METHOD (EG, THROMBOLYSIS
OTHER THAN CORONARY), RADIOLOGICAL SUPERVISION A		26$70.937-1-201912-31-2382
75896TRANSCATHETER THERAPY, INFUSION, ANY METHOD (EG, THROMBOLYSIS
OTHER THAN CORONARY), RADIOLOGICAL SUPERVISION A		TC$716.497-1-201912-31-2382
75898ANGIOGRAM THROUGH EXISTING CATHETER FOR FOLLOW-UP STUDY FOR
TRANSCATHETER THERAPY, EMBOLIZATION OR INFUSION		$114.527-1-201912-31-2382
75898ANGIOGRAM THROUGH EXISTING CATHETER FOR FOLLOW-UP STUDY FOR
TRANSCATHETER THERAPY, EMBOLIZATION OR INFUSION		26$89.407-1-201912-31-2382
75898ANGIOGRAM THROUGH EXISTING CATHETER FOR FOLLOW-UP STUDY FOR
TRANSCATHETER THERAPY, EMBOLIZATION OR INFUSION		TC$35.837-1-201912-31-2382
75901MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL FROM
CENTRAL VENOUS DEVICE VIA SEPERATE VENOUS ACCESS		$114.527-1-201912-31-2382
75902MECHANICAL REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL FROM
CENTRAL VENOUS DEVICE THROUGH DEVICE LUMEN, RADIO		$114.527-1-201912-31-2382
75940PERCUTANEOUS PLACEMENT OF IVC FILTER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$343.827-1-201912-31-2382
75940PERCUTANEOUS PLACEMENT OF IVC FILTER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$28.277-1-201912-31-2382
75940PERCUTANEOUS PLACEMENT OF IVC FILTER, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$430.157-1-201912-31-2382
75945INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL), RADIOLOGICAL
SUPERVISION AND INTERPRETATION; INTIAL VESSEL		$172.287-1-201912-31-2382
75946INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL), RADIOLOGICAL
SUPERVISION AND INTERPRETATION; EACH ADDITIONAL		$107.127-1-201912-31-2382
75960TRANSCATHETER INTRODUCTION OF INTRAVASCULAR STENT(S), (NON-
CORONARY VESSEL), PERCUTANEOUS AND/OR OPEN, RADIOLO		$425.627-1-201912-31-2382
75960TRANSCATHETER INTRODUCTION OF INTRAVASCULAR STENT(S), (NON-
CORONARY VESSEL), PERCUTANEOUS AND/OR OPEN, RADIOLO		26$42.247-1-201912-31-2382
75960TRANSCATHETER INTRODUCTION OF INTRAVASCULAR STENT(S), (NON-
CORONARY VESSEL), PERCUTANEOUS AND/OR OPEN, RADIOLO		TC$508.577-1-201912-31-2382
75961TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR
FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETE		$425.627-1-201912-31-2382
75961TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR
FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETE		26$230.077-1-201912-31-2382
75961TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR
FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETE		TC$358.417-1-201912-31-2382
75962TRANSLUMINAL BALLOON ANGIOPLASTY, PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$425.627-1-201912-31-2382
75962TRANSLUMINAL BALLOON ANGIOPLASTY, PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
75962TRANSLUMINAL BALLOON ANGIOPLASTY, PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$537.467-1-201912-31-2382
75964TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL PERIPHERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATI		$425.627-1-201912-31-2382
75964TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL PERIPHERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATI		26$18.017-1-201912-31-2382
75964TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL PERIPHERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATI		TC$286.937-1-201912-31-2382
75966TRANSLUMINAL BALLOON ANGIOPLASTY, RENAL OR OTHER VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$425.627-1-201912-31-2382
75966TRANSLUMINAL BALLOON ANGIOPLASTY, RENAL OR OTHER VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$67.577-1-201912-31-2382
75966TRANSLUMINAL BALLOON ANGIOPLASTY, RENAL OR OTHER VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$537.467-1-201912-31-2382
75968TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$425.627-1-201912-31-2382
75968TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$18.017-1-201912-31-2382
75968TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$286.937-1-201912-31-2382
75970TRANSCATHETER BIOPSY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$425.627-1-201912-31-2382
75970TRANSCATHETER BIOPSY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$44.697-1-201912-31-2382
75970TRANSCATHETER BIOPSY, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$394.247-1-201912-31-2382
75978TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN
STENOSIS), RADIOLOGICAL SUPERVISION AND INTERPRETATIO		$425.627-1-201912-31-2382
75978TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN
STENOSIS), RADIOLOGICAL SUPERVISION AND INTERPRETATIO		26$36.637-1-201912-31-2382
75978TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN
STENOSIS), RADIOLOGICAL SUPERVISION AND INTERPRETATIO		59$425.627-1-201912-31-2382
75978TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN
STENOSIS), RADIOLOGICAL SUPERVISION AND INTERPRETATIO		LT$425.627-1-201912-31-2382
75978TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN
STENOSIS), RADIOLOGICAL SUPERVISION AND INTERPRETATIO		RT$425.627-1-201912-31-2382
75980PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WITH CONTRAST
MONITORING, RADIOLOGICAL SUPERVISION AND INTERPRETATI		$343.827-1-201912-31-2382
75980PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WITH CONTRAST
MONITORING, RADIOLOGICAL SUPERVISION AND INTERPRETATI		26$77.977-1-201912-31-2382
75980PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WITH CONTRAST
MONITORING, RADIOLOGICAL SUPERVISION AND INTERPRETATI		TC$184.977-1-201912-31-2382
75982PERCUTANEOUS PLACEMENT OF DRAINAGE CATHETER FOR COMBINED
INTERNAL AND EXTERNAL BILIARY DRAINAGE OR OF A DRAINA		$343.827-1-201912-31-2382
75982PERCUTANEOUS PLACEMENT OF DRAINAGE CATHETER FOR COMBINED
INTERNAL AND EXTERNAL BILIARY DRAINAGE OR OF A DRAINA		26$77.977-1-201912-31-2382
75982PERCUTANEOUS PLACEMENT OF DRAINAGE CATHETER FOR COMBINED
INTERNAL AND EXTERNAL BILIARY DRAINAGE OR OF A DRAINA		52$343.827-1-201912-31-2382
75982PERCUTANEOUS PLACEMENT OF DRAINAGE CATHETER FOR COMBINED
INTERNAL AND EXTERNAL BILIARY DRAINAGE OR OF A DRAINA		TC$208.027-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		$114.527-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		26$37.277-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		50$114.527-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		59$114.527-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		LT$114.527-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		RT$114.527-1-201912-31-2382
75984CHANGE OF PERCUTANEOUS DRAINAGE CATHETER WITH CONTRAST
MONITORING (IE, BILIARY TRACT, URINARY TRACT), RADIOLOG		TC$66.477-1-201912-31-2382
75989RADIOLOGICAL GUIDANCE FOR PERCUTANEOUS DRAINAGE OF ABSCESS, OR
SPECIMEN COLLECTION (IE, FLUOROSCOPY, ULTRASOUN		$126.267-1-201912-31-2382
75989RADIOLOGICAL GUIDANCE FOR PERCUTANEOUS DRAINAGE OF ABSCESS, OR
SPECIMEN COLLECTION (IE, FLUOROSCOPY, ULTRASOUN		26$52.497-1-201912-31-2382
75989RADIOLOGICAL GUIDANCE FOR PERCUTANEOUS DRAINAGE OF ABSCESS, OR
SPECIMEN COLLECTION (IE, FLUOROSCOPY, ULTRASOUN		TC$107.317-1-201912-31-2382
75992TRANSLUMINAL ATHERECTOMY, PERIPHERAL ARTERY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75992TRANSLUMINAL ATHERECTOMY, PERIPHERAL ARTERY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
75992TRANSLUMINAL ATHERECTOMY, PERIPHERAL ARTERY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$537.467-1-201912-31-2382
75993TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$586.717-1-201912-31-2382
75993TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$18.017-1-201912-31-2382
75993TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL PERIPHERAL ARTERY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$286.937-1-201912-31-2382
75994TRANSLUMINAL ATHERECTOMY, RENAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$586.717-1-201912-31-2382
75994TRANSLUMINAL ATHERECTOMY, RENAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$67.577-1-201912-31-2382
75994TRANSLUMINAL ATHERECTOMY, RENAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$537.467-1-201912-31-2382
75995TRANSLUMINAL ATHERECTOMY, VISCERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		$586.717-1-201912-31-2382
75995TRANSLUMINAL ATHERECTOMY, VISCERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		26$67.577-1-201912-31-2382
75995TRANSLUMINAL ATHERECTOMY, VISCERAL, RADIOLOGICAL SUPERVISION AND
INTERPRETATION		TC$537.467-1-201912-31-2382
75996TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL RENAL OR VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		$586.717-1-201912-31-2382
75996TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL RENAL OR VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		26$18.017-1-201912-31-2382
75996TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL RENAL OR VISCERAL
ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATIO		TC$286.937-1-201912-31-2382
76000FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME,
OTHER THAN 71023 OR 71034		$89.647-1-201912-31-2382
76000FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME,
OTHER THAN 71023 OR 71034		26$8.557-1-201912-31-2382
76000FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME,
OTHER THAN 71023 OR 71034		59$89.647-1-201912-31-2382
76000FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME,
OTHER THAN 71023 OR 71034		TC$44.427-1-201912-31-2382
76000FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME,
OTHER THAN 71023 OR 71034		XU$89.647-1-201912-31-2382
76001FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-
RADIOLOGIC PHYSICIAN (EG, NEPHROSTOLITHOTOMY,		$124.687-1-201912-31-2382
76001FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-
RADIOLOGIC PHYSICIAN (EG, NEPHROSTOLITHOTOMY,		26$36.607-1-201912-31-2382
76001FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-
RADIOLOGIC PHYSICIAN (EG, NEPHROSTOLITHOTOMY,		59$124.687-1-201912-31-2382
76001FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-
RADIOLOGIC PHYSICIAN (EG, NEPHROSTOLITHOTOMY,		76$124.687-1-201912-31-2382
76001FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-
RADIOLOGIC PHYSICIAN (EG, NEPHROSTOLITHOTOMY,		TC$89.777-1-201912-31-2382
76003FLUOROSCOPIC LOCALIZATION FOR NEEDLE BIOPSY OR FINE NEEDLE
ASPIRATION		$72.697-1-201912-31-2382
76003FLUOROSCOPIC LOCALIZATION FOR NEEDLE BIOPSY OR FINE NEEDLE
ASPIRATION		26$29.877-1-201912-31-2382
76003FLUOROSCOPIC LOCALIZATION FOR NEEDLE BIOPSY OR FINE NEEDLE
ASPIRATION		TC$44.427-1-201912-31-2382
76006MANUAL APPLICATION OF STRESS PERFORMED BY PHYSICIAN FOR JOINT
RADIOLOGY, INCLUDING CONTRALATERAL JOINT IF IND		$49.207-1-201912-31-2382
76010RADIOLOGIC EXAMINATION FROM NOSE TO RECTUM FOR FOREIGN BODY,
SINGLE FILM, CHILD		$49.207-1-201912-31-2382
76010RADIOLOGIC EXAMINATION FROM NOSE TO RECTUM FOR FOREIGN BODY,
SINGLE FILM, CHILD		26$9.617-1-201912-31-2382
76010RADIOLOGIC EXAMINATION FROM NOSE TO RECTUM FOR FOREIGN BODY,
SINGLE FILM, CHILD		TC$18.137-1-201912-31-2382
76012RADIOLOGICAL SUPERVISION AND INTERPRETATION, PERCUTANEOUS
VERTEBROPLASTY, PER VERTEBRAL BODY; UNDER FLUOROSCOP		$196.687-1-201912-31-2382
76013RADIOLOGICAL SUPERVISION AND INTERPRETATION, PERCUTANEOUS
VERTEBROPLASTY; UNDER CT GUIDANCE		$196.687-1-201912-31-2382
76020BONE AGE STUDIES$49.207-1-201912-31-2382
76020BONE AGE STUDIES26$10.397-1-201912-31-2382
76020BONE AGE STUDIESTC$18.137-1-201912-31-2382
76040BONE LENGTH STUDIES (ORTHOROENTGENOGRAM, SCANOGRAM)$83.747-1-201912-31-2382
76040BONE LENGTH STUDIES (ORTHOROENTGENOGRAM, SCANOGRAM)26$14.457-1-201912-31-2382
76040BONE LENGTH STUDIES (ORTHOROENTGENOGRAM, SCANOGRAM)TC$26.977-1-201912-31-2382
76061RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; LIMITED (EG, FOR
METASTASES)		$83.747-1-201912-31-2382
76061RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; LIMITED (EG, FOR
METASTASES)		26$24.297-1-201912-31-2382
76061RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; LIMITED (EG, FOR
METASTASES)		TC$33.917-1-201912-31-2382
76062RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; COMPLETE (AXIAL AND
APPENDICULAR SKELETON)		$83.747-1-201912-31-2382
76062RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; COMPLETE (AXIAL AND
APPENDICULAR SKELETON)		26$29.877-1-201912-31-2382
76062RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; COMPLETE (AXIAL AND
APPENDICULAR SKELETON)		TC$49.357-1-201912-31-2382
76065RADIOLOGIC EXAMINATION OSSEOUS SURVEY; INFANT$83.747-1-201912-31-2382
76065RADIOLOGIC EXAMINATION OSSEOUS SURVEY; INFANT26$14.747-1-201912-31-2382
76065RADIOLOGIC EXAMINATION OSSEOUS SURVEY; INFANTTC$25.307-1-201912-31-2382
76066JOINT SURVEY, SINGLE VIEW, ONE OR MORE JOINTS (SPECIFY)$49.207-1-201912-31-2382
76066JOINT SURVEY, SINGLE VIEW, ONE OR MORE JOINTS (SPECIFY)26$16.507-1-201912-31-2382
76066JOINT SURVEY, SINGLE VIEW, ONE OR MORE JOINTS (SPECIFY)TC$37.837-1-201912-31-2382
76070COMPUTERIZED TOMOGRAPHY BONE MINERAL DENSITY STUDY, ONE OR
MORE SITES		$82.397-1-201912-31-2382
76070COMPUTERIZED TOMOGRAPHY BONE MINERAL DENSITY STUDY, ONE OR
MORE SITES		26$13.377-1-201912-31-2382
76070COMPUTERIZED TOMOGRAPHY BONE MINERAL DENSITY STUDY, ONE OR
MORE SITES		TC$100.717-1-201912-31-2382
76071COMPUTED TOMOGRAPHY, BONE MINERAL DENSITY STUDY, ONE OR MORE
SITES;APPENDICULAR SKELETON		$107.477-1-201912-31-2382
76075DUAL ENERGY X-RAY ABSORPTIOMETRY (DEXA), BONE DENSITY STUDY, ONE
OR MORE SITES; AXIAL SKELETON (EG, HIPS, PEL		$82.397-1-201912-31-2382
76076DUAL ENERGY X-RAY ABSORPTIOMETRY (DEXA), BONE DENSITY STUDY, ONE
OR MORE SITES; APPENDICULAR SKELETON		$43.047-1-201912-31-2382
76077DUAL ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, ONE
OR MORE SITES; VERTEBRAL FRACTURE ASSESSMENT		$49.207-1-201912-31-2382
76078RADIOGRAPHIC ABSORPTIOMETRY (PHOTODENSITOMETRY), ONE OR MORE
SITES		$49.207-1-201912-31-2382
76080RADIOLOGIC EXAMINATION, ABSCESS, FISTULA OR SINUS TRACT STUDY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
76080RADIOLOGIC EXAMINATION, ABSCESS, FISTULA OR SINUS TRACT STUDY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$28.277-1-201912-31-2382
76080RADIOLOGIC EXAMINATION, ABSCESS, FISTULA OR SINUS TRACT STUDY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		59$114.527-1-201912-31-2382
76080RADIOLOGIC EXAMINATION, ABSCESS, FISTULA OR SINUS TRACT STUDY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$35.837-1-201912-31-2382
76082COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEW FOR
INTERPRETATION, WITH OR WITHOUT DIGITIZATION		$17.257-1-201912-31-2382
76082COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEW FOR
INTERPRETATION, WITH OR WITHOUT DIGITIZATION		LT$17.257-1-201912-31-2382
76082COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEW FOR
INTERPRETATION, WITH OR WITHOUT DIGITIZATION		RT$17.257-1-201912-31-2382
76083COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEW FOR
INTERPRETATION, WITH OR WITHOUT DIGITIZATION		$17.257-1-201912-31-2382
76086MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE DUCT, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
76086MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE DUCT, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$18.347-1-201912-31-2382
76086MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE DUCT, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$89.777-1-201912-31-2382
76088MAMMARY DUCTOGRAM OR GALACTOGRAM, MULTIPLE DUCTS,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
76088MAMMARY DUCTOGRAM OR GALACTOGRAM, MULTIPLE DUCTS,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$22.977-1-201912-31-2382
76088MAMMARY DUCTOGRAM OR GALACTOGRAM, MULTIPLE DUCTS,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$125.097-1-201912-31-2382
76090MAMMOGRAPHY; UNILATERAL$44.407-1-201912-31-2382
76090MAMMOGRAPHY; UNILATERAL26$13.377-1-201912-31-2382
76090MAMMOGRAPHY; UNILATERALLT$44.407-1-201912-31-2382
76090MAMMOGRAPHY; UNILATERALRT$44.407-1-201912-31-2382
76090MAMMOGRAPHY; UNILATERALTC$35.837-1-201912-31-2382
76091MAMMOGRAPHY; BILATERAL$55.227-1-201912-31-2382
76091MAMMOGRAPHY; BILATERAL26$21.937-1-201912-31-2382
76091MAMMOGRAPHY; BILATERALTC$44.427-1-201912-31-2382
76092SCREENING MAMMOGRAPHY, BILATERAL (TWO VIEW FILM STUDY OF EACH
BREAST)		$52.007-1-201912-31-2382
76095STEREOTACTIC LOCALIZATION FOR BREAST BIOPSY, EACH LESION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$232.987-1-201912-31-2382
76095STEREOTACTIC LOCALIZATION FOR BREAST BIOPSY, EACH LESION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		LT$232.987-1-201912-31-2382
76095STEREOTACTIC LOCALIZATION FOR BREAST BIOPSY, EACH LESION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		RT$232.987-1-201912-31-2382
76096PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$114.527-1-201912-31-2382
76096PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$29.287-1-201912-31-2382
76096PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		LT$114.527-1-201912-31-2382
76096PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		RT$114.527-1-201912-31-2382
76096PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$44.427-1-201912-31-2382
76098RADIOLOGICAL EXAMINATION, BREAST SURGICAL SPECIMEN$49.207-1-201912-31-2382
76098RADIOLOGICAL EXAMINATION, BREAST SURGICAL SPECIMEN26$8.107-1-201912-31-2382
76098RADIOLOGICAL EXAMINATION, BREAST SURGICAL SPECIMENLT$49.207-1-201912-31-2382
76098RADIOLOGICAL EXAMINATION, BREAST SURGICAL SPECIMENRT$49.207-1-201912-31-2382
76098RADIOLOGICAL EXAMINATION, BREAST SURGICAL SPECIMENTC$14.447-1-201912-31-2382
76100RADIOLOGIC EXAMINATION, SINGLE PLANE BODY SECTION (EG,
TOMOGRAPHY), OTHER THAN WITH UROGRAPHY		$83.747-1-201912-31-2382
76100RADIOLOGIC EXAMINATION, SINGLE PLANE BODY SECTION (EG,
TOMOGRAPHY), OTHER THAN WITH UROGRAPHY		26$32.007-1-201912-31-2382
76100RADIOLOGIC EXAMINATION, SINGLE PLANE BODY SECTION (EG,
TOMOGRAPHY), OTHER THAN WITH UROGRAPHY		TC$42.757-1-201912-31-2382
76101RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		$114.527-1-201912-31-2382
76101RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		26$32.007-1-201912-31-2382
76101RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		TC$48.357-1-201912-31-2382
76102RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		$232.987-1-201912-31-2382
76102RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		26$32.007-1-201912-31-2382
76102RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY
SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER T		TC$59.217-1-201912-31-2382
76120CINERADIOGRAPHY, EXCEPT WHERE SPECIFICALLY INCLUDED$89.647-1-201912-31-2382
76120CINERADIOGRAPHY, EXCEPT WHERE SPECIFICALLY INCLUDED26$20.317-1-201912-31-2382
76120CINERADIOGRAPHY, EXCEPT WHERE SPECIFICALLY INCLUDEDTC$35.837-1-201912-31-2382
76125CINERADIOGRAPHY TO COMPLEMENT ROUTINE EXAMINATION$49.207-1-201912-31-2382
76125CINERADIOGRAPHY TO COMPLEMENT ROUTINE EXAMINATION26$14.217-1-201912-31-2382
76125CINERADIOGRAPHY TO COMPLEMENT ROUTINE EXAMINATIONTC$26.977-1-201912-31-2382
76150XERORADIOGRAPHY$49.207-1-201912-31-2382
76355COMPUTERIZED TOMOGRAPHY GUIDANCE FOR STEREOTACTIC
LOCALIZATION		$289.497-1-201912-31-2382
76355COMPUTERIZED TOMOGRAPHY GUIDANCE FOR STEREOTACTIC
LOCALIZATION		26$65.567-1-201912-31-2382
76355COMPUTERIZED TOMOGRAPHY GUIDANCE FOR STEREOTACTIC
LOCALIZATION		TC$282.007-1-201912-31-2382
76360COMPUTERIZED TOMOGRAPHY GUIDANCE FOR NEEDLE BIOPSY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$289.497-1-201912-31-2382
76360COMPUTERIZED TOMOGRAPHY GUIDANCE FOR NEEDLE BIOPSY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$59.577-1-201912-31-2382
76360COMPUTERIZED TOMOGRAPHY GUIDANCE FOR NEEDLE BIOPSY,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$282.007-1-201912-31-2382
76362COMPUTERIZED AXIAL TOMOGRAPHIC GUIDANCE FOR, AND MONITORING OF,
TISSUE ABLATION		$344.347-1-201912-31-2382
76365COMPUTERIZED TOMOGRAPHY GUIDANCE FOR CYST ASPIRATION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$341.577-1-201912-31-2382
76365COMPUTERIZED TOMOGRAPHY GUIDANCE FOR CYST ASPIRATION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$59.577-1-201912-31-2382
76365COMPUTERIZED TOMOGRAPHY GUIDANCE FOR CYST ASPIRATION,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$282.007-1-201912-31-2382
76370COMPUTERIZED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION
THERAPY FIELDS		$107.477-1-201912-31-2382
76370COMPUTERIZED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION
THERAPY FIELDS		26$46.137-1-201912-31-2382
76370COMPUTERIZED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION
THERAPY FIELDS		TC$100.717-1-201912-31-2382
76375CORONAL, SAGITTAL, MULTIPLANAR, OBLIQUE, 3-DIMENSIONAL AND/OR
HOLOGRAPHIC RECONSTRUCTION OF COMPUTERIZED TOMO		$128.507-1-201912-31-2382
76375CORONAL, SAGITTAL, MULTIPLANAR, OBLIQUE, 3-DIMENSIONAL AND/OR
HOLOGRAPHIC RECONSTRUCTION OF COMPUTERIZED TOMO		26$8.107-1-201912-31-2382
76375CORONAL, SAGITTAL, MULTIPLANAR, OBLIQUE, 3-DIMENSIONAL AND/OR
HOLOGRAPHIC RECONSTRUCTION OF COMPUTERIZED TOMO		TC$120.507-1-201912-31-2382
763763D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		$41.397-1-201912-31-2382
763763D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		59$41.397-1-201912-31-2382
763763D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		LT$41.397-1-201912-31-2382
763763D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		RT$41.397-1-201912-31-2382
763773D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		$107.477-1-201912-31-2382
763773D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		59$107.477-1-201912-31-2382
763773D REDERING WITH INTERPRETATION AND REPORTING OF COMPUTED
TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND,		ET$107.477-1-201912-31-2382
76380COMPUTERIZED TOMOGRAPHY, LIMITED OR LOCALIZED FOLLOW-UP STUDY$107.477-1-201912-31-2382
76380COMPUTERIZED TOMOGRAPHY, LIMITED OR LOCALIZED FOLLOW-UP STUDY26$50.577-1-201912-31-2382
76380COMPUTERIZED TOMOGRAPHY, LIMITED OR LOCALIZED FOLLOW-UP STUDY59$107.477-1-201912-31-2382
76380COMPUTERIZED TOMOGRAPHY, LIMITED OR LOCALIZED FOLLOW-UP STUDYTC$119.507-1-201912-31-2382
76393MAGNETIC RESONANCE GUIDANCE FOR NEEDLE PLACEMENT (EG, FOR
BIOPSY)RADIOLOGICAL SUPERVISION AND INTERPRETATION		$343.967-1-201912-31-2382
76394MAGNETIC RESONANCE GUIDANCE FOR, AND MONITORING OF, TISSUE
ABLATION		$343.967-1-201912-31-2382
76400MAGNETIC RESONANCE (EG, PROTON) IMAGING, BONE MARROW BLOOD
SUPPLY		$343.967-1-201912-31-2382
76400MAGNETIC RESONANCE (EG, PROTON) IMAGING, BONE MARROW BLOOD
SUPPLY		26$82.887-1-201912-31-2382
76400MAGNETIC RESONANCE (EG, PROTON) IMAGING, BONE MARROW BLOOD
SUPPLY		TC$382.717-1-201912-31-2382
76496UNLISTED FLUOROSCOPIC PROCEDURE (EG, DIAGNOSTIC, INTERVENTIONAL)$89.647-1-201912-31-2382
76497UNLISTED COMPUTED TOMOGRAPHY PROCEDURE (EG, DIAGNOSTIC
INTERVENTIONAL)		$107.477-1-201912-31-2382
76498UNLISTED MAGNETIC RESONANCE PROCEDURE (EG, DIAGNOSTIC,
INTERVENTIONAL)		$343.967-1-201912-31-2382
76499UNLISTED DIAGNOSTIC RADIOLOGIC PROCEDURE$49.207-1-201912-31-2382
76506ECHOENCEPHALOGRAPHY, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION (GRAY SCALE) (FOR DETERMINATION OF VENTR		$66.987-1-201912-31-2382
76506ECHOENCEPHALOGRAPHY, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION (GRAY SCALE) (FOR DETERMINATION OF VENTR		26$34.437-1-201912-31-2382
76506ECHOENCEPHALOGRAPHY, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION (GRAY SCALE) (FOR DETERMINATION OF VENTR		TC$48.357-1-201912-31-2382
76510OPHTHALMIC ULTRASOUND, DIAGNOSTIC; B-SCAN AND QUANTITATIVE A-SCAN
PERFORMED DURING THE SAME PATIENT ENCOUNTER		$107.127-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		$107.127-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		26$33.257-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		50$107.127-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		LT$107.127-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		RT$107.127-1-201912-31-2382
76511OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH
AMPLITUDE QUANTIFICATION		TC$42.757-1-201912-31-2382
76512OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN
(WITH OR WITHOUT SIMULTANEOUS A-SCAN)		$107.127-1-201912-31-2382
76512OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN
(WITH OR WITHOUT SIMULTANEOUS A-SCAN)		26$36.007-1-201912-31-2382
76512OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN
(WITH OR WITHOUT SIMULTANEOUS A-SCAN)		LT$107.127-1-201912-31-2382
76512OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN
(WITH OR WITHOUT SIMULTANEOUS A-SCAN)		RT$107.127-1-201912-31-2382
76512OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN
(WITH OR WITHOUT SIMULTANEOUS A-SCAN)		TC$52.277-1-201912-31-2382
76513OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; ANTERIOR
SEGMENT ULTRASOUND,		$107.127-1-201912-31-2382
76513OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; ANTERIOR
SEGMENT ULTRASOUND,		26$36.007-1-201912-31-2382
76513OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; ANTERIOR
SEGMENT ULTRASOUND,		TC$52.277-1-201912-31-2382
76514OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CORNEAL
PACHYMETRY, UNILATERAL OR BILATERAL		$41.397-1-201912-31-2382
76514OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CORNEAL
PACHYMETRY, UNILATERAL OR BILATERAL		50$41.397-1-201912-31-2382
76514OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CORNEAL
PACHYMETRY, UNILATERAL OR BILATERAL		PO$0.017-1-201912-31-2382
76516OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN;$66.987-1-201912-31-2382
76516OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN;26$29.637-1-201912-31-2382
76516OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN;TC$42.757-1-201912-31-2382
76519OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN; WITH
INTRAOCULAR LENS POWER CALCULATION		$107.127-1-201912-31-2382
76519OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN; WITH
INTRAOCULAR LENS POWER CALCULATION		26$29.637-1-201912-31-2382
76519OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN; WITH
INTRAOCULAR LENS POWER CALCULATION		TC$42.757-1-201912-31-2382
76529OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION$66.987-1-201912-31-2382
76529OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION26$31.407-1-201912-31-2382
76529OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATIONTC$46.677-1-201912-31-2382
76536ECHOGRAPHY, SOFT TISSUES OF HEAD AND NECK (EG, THYROID,
PARATHYROID, PAROTID), B-SCAN AND/OR REAL TIME WITH IM		$107.127-1-201912-31-2382
76536ECHOGRAPHY, SOFT TISSUES OF HEAD AND NECK (EG, THYROID,
PARATHYROID, PAROTID), B-SCAN AND/OR REAL TIME WITH IM		26$30.697-1-201912-31-2382
76536ECHOGRAPHY, SOFT TISSUES OF HEAD AND NECK (EG, THYROID,
PARATHYROID, PAROTID), B-SCAN AND/OR REAL TIME WITH IM		59$107.127-1-201912-31-2382
76536ECHOGRAPHY, SOFT TISSUES OF HEAD AND NECK (EG, THYROID,
PARATHYROID, PAROTID), B-SCAN AND/OR REAL TIME WITH IM		TC$48.357-1-201912-31-2382
76604ECHOGRAPHY, CHEST, B-SCAN (INCLUDES MEDIASTINUM) AND/OR REAL TIME
WITH IMAGE DOCUMENTATION		$107.127-1-201912-31-2382
76604ECHOGRAPHY, CHEST, B-SCAN (INCLUDES MEDIASTINUM) AND/OR REAL TIME
WITH IMAGE DOCUMENTATION		26$30.407-1-201912-31-2382
76604ECHOGRAPHY, CHEST, B-SCAN (INCLUDES MEDIASTINUM) AND/OR REAL TIME
WITH IMAGE DOCUMENTATION		TC$44.427-1-201912-31-2382
76641ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; COMPLETE		$95.467-1-201912-31-2382
76641ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; COMPLETE		26$22.577-1-201912-31-2382
76641ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; COMPLETE		50$95.467-1-201912-31-2382
76641ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; COMPLETE		TC$44.257-1-201912-31-2382
76642ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; LIMITED		$83.387-1-201912-31-2382
76642ULTRASOUND, BREAST, UNILATERAL, REALTIME WITH IMAGE
DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; LIMITED		XS$83.387-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		$66.987-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		26$29.637-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		50$66.987-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		LT$66.987-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		RT$66.987-1-201912-31-2382
76645ECHOGRAPHY, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/ OR
REAL TIME WITH IMAGE DOCUMENTATION		TC$35.837-1-201912-31-2382
76700ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE		$107.127-1-201912-31-2382
76700ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE		26$43.597-1-201912-31-2382
76700ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE		59$107.127-1-201912-31-2382
76700ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE		TC$67.147-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		$107.127-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		26$32.297-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		59$107.127-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		GA$107.127-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		TC$48.357-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		XS$107.127-1-201912-31-2382
76705ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT,		XU$107.127-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		$107.127-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		26$40.097-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		59$107.127-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		GA$107.127-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		TC$67.147-1-201912-31-2382
76770ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPL		XU$107.127-1-201912-31-2382
76775ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMIT		$107.127-1-201912-31-2382
76775ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMIT		26$32.007-1-201912-31-2382
76775ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMIT		59$107.127-1-201912-31-2382
76775ECHOGRAPHY, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN
AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMIT		TC$48.357-1-201912-31-2382
76776ULTRASOUND, TRANSPLANTED KIDNEY, REAL TIME AND DUPLEX DOPPLER
WITH IMAGE DOCUMENTATION		$105.267-1-201912-31-2382
76778ECHOGRAPHY OF TRANSPLANTED KIDNEY, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION, WITH OR WITHOUT DUPLEX DO		$107.127-1-201912-31-2382
76778ECHOGRAPHY OF TRANSPLANTED KIDNEY, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION, WITH OR WITHOUT DUPLEX DO		26$38.287-1-201912-31-2382
76778ECHOGRAPHY OF TRANSPLANTED KIDNEY, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION, WITH OR WITHOUT DUPLEX DO		TC$67.147-1-201912-31-2382
76800ECHOGRAPHY, SPINAL CANAL AND CONTENTS$107.127-1-201912-31-2382
76800ECHOGRAPHY, SPINAL CANAL AND CONTENTS26$58.567-1-201912-31-2382
76800ECHOGRAPHY, SPINAL CANAL AND CONTENTSTC$48.357-1-201912-31-2382
76801ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIR		$107.127-1-201912-31-2382
76802ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FETAL AND MATERNAL EVALUATION, EACH ADDITIONA		$66.987-1-201912-31-2382
76805ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		$107.127-1-201912-31-2382
76805ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		26$53.467-1-201912-31-2382
76805ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		TC$71.737-1-201912-31-2382
76810ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		$107.127-1-201912-31-2382
76810ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		26$101.567-1-201912-31-2382
76810ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MA		TC$142.897-1-201912-31-2382
76811ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FETAL AND MATERNAL EVALUATION, SINGLE OR FIRS		$172.287-1-201912-31-2382
76811ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FETAL AND MATERNAL EVALUATION, SINGLE OR FIRS		TC$172.287-1-201912-31-2382
76812ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FETAL AND MATERNAL EVALUATION, EACH ADDITIONA		$107.127-1-201912-31-2382
76813ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY		$105.267-1-201912-31-2382
76813ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY		55$105.267-1-201912-31-2382
76813ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY		PO$105.267-1-201912-31-2382
76814ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY		$105.267-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		$66.987-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		22$66.987-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		25$66.987-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		26$35.267-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		52$66.987-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		59$66.987-1-201912-31-2382
76815ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; LIMITED (FETAL SIZE, HEART		TC$48.357-1-201912-31-2382
76816ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; FOLLOW-UP OR REPEAT		$66.987-1-201912-31-2382
76816ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; FOLLOW-UP OR REPEAT		26$31.407-1-201912-31-2382
76816ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; FOLLOW-UP OR REPEAT		PO$66.987-1-201912-31-2382
76816ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE
DOCUMENTATION; FOLLOW-UP OR REPEAT		TC$37.837-1-201912-31-2382
76817ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, TRANSVAGINAL		$107.127-1-201912-31-2382
76817ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE
DOCUMENTATION, TRANSVAGINAL		25$107.127-1-201912-31-2382
76818FETAL BIOPHYSICAL PROFILE$107.127-1-201912-31-2382
76818FETAL BIOPHYSICAL PROFILE26$41.457-1-201912-31-2382
76818FETAL BIOPHYSICAL PROFILE59$107.127-1-201912-31-2382
76818FETAL BIOPHYSICAL PROFILETC$55.287-1-201912-31-2382
76819FETAL BIOPHYSICAL PROFILE; WITHOUT STRESS OR NON-STRESS TESTING$107.127-1-201912-31-2382
76820DOPPLER VELOCIMETRY, FETAL; UMBILICAL ARTERY$108.057-1-201912-31-2382
76820DOPPLER VELOCIMETRY, FETAL; UMBILICAL ARTERY51$108.057-1-201912-31-2382
76820DOPPLER VELOCIMETRY, FETAL; UMBILICAL ARTERY59$108.057-1-201912-31-2382
76821DOPPLER VELOCIMETRY, FETAL; MIDDLE CEREBRAL ARTERY$108.057-1-201912-31-2382
76825ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		$113.067-1-201912-31-2382
76825ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		26$41.157-1-201912-31-2382
76825ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		TC$67.147-1-201912-31-2382
76826ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		$101.997-1-201912-31-2382
76826ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		26$53.107-1-201912-31-2382
76826ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH
IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE		TC$24.307-1-201912-31-2382
76827DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		$113.067-1-201912-31-2382
76827DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		26$38.517-1-201912-31-2382
76827DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		TC$59.377-1-201912-31-2382
76828DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		$101.997-1-201912-31-2382
76828DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		26$26.417-1-201912-31-2382
76828DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED
WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPL		TC$5.607-1-201912-31-2382
76830ECHOGRAPHY, TRANSVAGINAL$107.127-1-201912-31-2382
76830ECHOGRAPHY, TRANSVAGINAL25$107.127-1-201912-31-2382
76830ECHOGRAPHY, TRANSVAGINAL26$37.667-1-201912-31-2382
76830ECHOGRAPHY, TRANSVAGINAL59$107.127-1-201912-31-2382
76830ECHOGRAPHY, TRANSVAGINALTC$52.277-1-201912-31-2382
76831HYSTEROSONOGRAPHY, WITH OR WITHOUT COLOR FLOW DOPPLER$172.287-1-201912-31-2382
76856ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; COMPLETE		$107.127-1-201912-31-2382
76856ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; COMPLETE		26$37.667-1-201912-31-2382
76856ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; COMPLETE		59$107.127-1-201912-31-2382
76856ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; COMPLETE		TC$52.277-1-201912-31-2382
76856ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; COMPLETE		XU$107.127-1-201912-31-2382
76857ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG,		$66.987-1-201912-31-2382
76857ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG,		26$20.057-1-201912-31-2382
76857ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG,		LT$66.987-1-201912-31-2382
76857ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG,		RT$66.987-1-201912-31-2382
76857ECHOGRAPHY, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG,		TC$35.837-1-201912-31-2382
76870ECHOGRAPHY, SCROTUM AND CONTENTS$107.127-1-201912-31-2382
76870ECHOGRAPHY, SCROTUM AND CONTENTS26$34.647-1-201912-31-2382
76870ECHOGRAPHY, SCROTUM AND CONTENTS59$107.127-1-201912-31-2382
76870ECHOGRAPHY, SCROTUM AND CONTENTSTC$52.277-1-201912-31-2382
76872ECHOGRAPHY, TRANSRECTAL$107.127-1-201912-31-2382
76872ECHOGRAPHY, TRANSRECTAL26$37.667-1-201912-31-2382
76872ECHOGRAPHY, TRANSRECTALTC$52.277-1-201912-31-2382
76873ECHOGRAPHY, TRANSRECTAL; PROSTATE VOLUME STUDY FOR
BRACHYTHERAPY TREATMENT PLANNING		$107.127-1-201912-31-2382
76880ECHOGRAPHY, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION		$107.127-1-201912-31-2382
76880ECHOGRAPHY, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION		26$32.297-1-201912-31-2382
76880ECHOGRAPHY, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION		LT$107.127-1-201912-31-2382
76880ECHOGRAPHY, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION		RT$107.127-1-201912-31-2382
76880ECHOGRAPHY, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH
IMAGE DOCUMENTATION		TC$48.357-1-201912-31-2382
76881ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; COMPLETE		$94.287-1-201912-31-2382
76881ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; COMPLETE		LT$94.287-1-201912-31-2382
76881ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; COMPLETE		RT$94.287-1-201912-31-2382
76882ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; LIMITED, ANATOMIC SPECIFIC		$60.957-1-201912-31-2382
76882ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; LIMITED, ANATOMIC SPECIFIC		LT$60.957-1-201912-31-2382
76882ULTRASOUND, EXTREMITY, NONVASCULAR, REAL-TIME WITH IMAGE
DOCUMENTATION; LIMITED, ANATOMIC SPECIFIC		RT$60.957-1-201912-31-2382
76885ECHOGRAPHY OF INFANT HIPS, REAL TIME WITH IMAGING DOCUMENTATION;
DYNAMIC (EG, REQUIRING MANIPULATION)		$66.987-1-201912-31-2382
76886ECHOGRAPHY OF INFANT HIPS, REAL TIME WITH IMAGING DOCUMENTATION;
LIMITED, STATIC (EG, NOT REQUIRING MANIPULATO		$107.127-1-201912-31-2382
76930ULTRASONIC GUIDANCE FOR PERICARDIOCENTESIS, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$70.557-1-201912-31-2382
76930ULTRASONIC GUIDANCE FOR PERICARDIOCENTESIS, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$34.927-1-201912-31-2382
76930ULTRASONIC GUIDANCE FOR PERICARDIOCENTESIS, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$52.277-1-201912-31-2382
76932ULTRASONIC GUIDANCE FOR ENDOMYOCARDIAL BIOPSY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$70.557-1-201912-31-2382
76932ULTRASONIC GUIDANCE FOR ENDOMYOCARDIAL BIOPSY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$34.927-1-201912-31-2382
76932ULTRASONIC GUIDANCE FOR ENDOMYOCARDIAL BIOPSY, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$52.277-1-201912-31-2382
76934ULTRASONIC GUIDANCE FOR THORACENTESIS OR ABDOMINAL
PARACENTESIS, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$87.197-1-201912-31-2382
76934ULTRASONIC GUIDANCE FOR THORACENTESIS OR ABDOMINAL
PARACENTESIS, RADIOLOGICAL SUPERVISION AND INTERPRETATION		26$34.927-1-201912-31-2382
76934ULTRASONIC GUIDANCE FOR THORACENTESIS OR ABDOMINAL
PARACENTESIS, RADIOLOGICAL SUPERVISION AND INTERPRETATION		TC$52.277-1-201912-31-2382
76936ULTRASOUND GUIDED COMPRESSION REPAIR OF ARTERIAL PSEUDO-
ANEURYSM OR ARTERIOVENOUS FISTULAE (INCLUDES DIAGNOSTI		$70.557-1-201912-31-2382
76937ULTRASOUND GUIDANCE FOR VASCULAR ACCESS REQUIRING ULTRASOUND
EVALUATION OF POTENTIAL ACCESS SITES,		$20.147-1-201912-31-2382
76938ULTRASONIC GUIDANCE FOR CYST (ANY LOCATION), OR RENAL PELVIS
ASPIRATION, RADIOLOGICAL SUPERVISION AND INTERPRE		$87.197-1-201912-31-2382
76938ULTRASONIC GUIDANCE FOR CYST (ANY LOCATION), OR RENAL PELVIS
ASPIRATION, RADIOLOGICAL SUPERVISION AND INTERPRE		26$34.927-1-201912-31-2382
76938ULTRASONIC GUIDANCE FOR CYST (ANY LOCATION), OR RENAL PELVIS
ASPIRATION, RADIOLOGICAL SUPERVISION AND INTERPRE		TC$52.277-1-201912-31-2382
76940ULTRASOUND GUIDANCE FOR, AND MONITORING OF VISCERAL TISSUE
ABLATION		$70.557-1-201912-31-2382
76941ULTRSONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION OR
CORDOCENTESIS, RADIOLOGICAL SUPERVISION AND INTERPRET		$70.557-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$70.557-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$34.927-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		59$70.557-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		LT$70.557-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		RT$70.557-1-201912-31-2382
76942ULTRASONIC GUIDANCE FOR NEEDLE BIOPSY, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$52.277-1-201912-31-2382
76945ULTRASONIC GUIDANCE FOR CHORIONIC VILLUS SAMPLING, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$70.557-1-201912-31-2382
76946ULTRASONIC GUIDANCE FOR AMNIOCENTESIS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		$70.557-1-201912-31-2382
76946ULTRASONIC GUIDANCE FOR AMNIOCENTESIS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		26$19.267-1-201912-31-2382
76946ULTRASONIC GUIDANCE FOR AMNIOCENTESIS, RADIOLOGICAL SUPERVISION
AND INTERPRETATION		TC$52.277-1-201912-31-2382
76948ULTRASONIC GUIDANCE FOR ASPIRATION OF OVA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$70.557-1-201912-31-2382
76948ULTRASONIC GUIDANCE FOR ASPIRATION OF OVA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		26$20.057-1-201912-31-2382
76948ULTRASONIC GUIDANCE FOR ASPIRATION OF OVA, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		TC$52.277-1-201912-31-2382
76950ECHOGRAPHY FOR PLACEMENT OF RADIATION THERAPY FIELDS, B-SCAN$70.557-1-201912-31-2382
76950ECHOGRAPHY FOR PLACEMENT OF RADIATION THERAPY FIELDS, B-SCAN26$32.007-1-201912-31-2382
76950ECHOGRAPHY FOR PLACEMENT OF RADIATION THERAPY FIELDS, B-SCANTC$44.427-1-201912-31-2382
76960ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS,
EXCEPT FOR B-SCAN ECHOGRAPHY		$74.727-1-201912-31-2382
76960ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS,
EXCEPT FOR B-SCAN ECHOGRAPHY		26$32.007-1-201912-31-2382
76960ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS,
EXCEPT FOR B-SCAN ECHOGRAPHY		TC$44.427-1-201912-31-2382
76965ULTRASONIC GUIDANCE FOR INTERSTITIAL RADIOELEMENT APPLICATION$70.557-1-201912-31-2382
76970ULTRASOUND STUDY FOLLOW-UP (SPECIFY)$66.987-1-201912-31-2382
76970ULTRASOUND STUDY FOLLOW-UP (SPECIFY)26$20.617-1-201912-31-2382
76970ULTRASOUND STUDY FOLLOW-UP (SPECIFY)TC$35.837-1-201912-31-2382
76975GASTROINTESTINAL ENDOSCOPIC ULTRASOUND, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$107.127-1-201912-31-2382
76977ULTRASOUND BONE DENSITY MEASUREMENT AND
INTERPRETATION,PERIPHERAL SITE(S), ANY METHOD		$41.397-1-201912-31-2382
76978ULTRASOUND USING TARGETED MICROBUBBLE CONTRAST OF FIRST LESION$171.187-1-201912-31-2382
76978ULTRASOUND USING TARGETED MICROBUBBLE CONTRAST OF FIRST LESIONXS$171.187-1-201912-31-2382
76986ECHOGRAPHY, INTRAOPERATIVE$107.127-1-201912-31-2382
76986ECHOGRAPHY, INTRAOPERATIVE26$65.277-1-201912-31-2382
76986ECHOGRAPHY, INTRAOPERATIVETC$89.777-1-201912-31-2382
76998ULTRASONIC GUIDANCE, INTRAOPERATIVE$105.267-1-201912-31-2382
76999UNLISTED ULTRASOUND PROCEDURE$66.987-1-201912-31-2382
77001FLUOROSCOPIC GUIDANCE FOR CENTRAL VENOUS ACCESS DEVICE
PLACEMENT, REPLACEMENT, OR REMOVAL		$68.057-1-201912-31-2382
77001FLUOROSCOPIC GUIDANCE FOR CENTRAL VENOUS ACCESS DEVICE
PLACEMENT, REPLACEMENT, OR REMOVAL		59$68.057-1-201912-31-2382
77002FLUOROSCOPIC GUIDANCE FOE NEEDLE PLACEMENT$52.467-1-201912-31-2382
77002FLUOROSCOPIC GUIDANCE FOE NEEDLE PLACEMENT59$52.467-1-201912-31-2382
77002FLUOROSCOPIC GUIDANCE FOE NEEDLE PLACEMENTLT$52.467-1-201912-31-2382
77003FLUOROSCOPIC GUIDANCE AND LOCALIZATION OF NEEDLE OR CATHETER TIP
FOR SPINE PARASPINOUS DIAGNOSTIC OR THERAPEUT		$48.047-1-201912-31-2382
77003FLUOROSCOPIC GUIDANCE AND LOCALIZATION OF NEEDLE OR CATHETER TIP
FOR SPINE PARASPINOUS DIAGNOSTIC OR THERAPEUT		50$48.047-1-201912-31-2382
77003FLUOROSCOPIC GUIDANCE AND LOCALIZATION OF NEEDLE OR CATHETER TIP
FOR SPINE PARASPINOUS DIAGNOSTIC OR THERAPEUT		59$48.047-1-201912-31-2382
77011COMPUTED TOMOGRAPHY GUIDANCE FOR STEROTACTIC$275.357-1-201912-31-2382
77012COMPUTED TOMOGRAPHY GUIDANCE FOR NEEDLE PLACEMENT,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		$275.367-1-201912-31-2382
77012COMPUTED TOMOGRAPHY GUIDANCE FOR NEEDLE PLACEMENT,
RADIOLOGICAL SUPERVISION AND INTERPRETATION		59$275.367-1-201912-31-2382
77013COMPUTERIZED TOMOGRAPHY GUIDANCE FOR, AND MONITORING OF
PARENCHYMAL TISSUE ABLATION		$326.487-1-201912-31-2382
77014COMPUTED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION
THERAPY FIELDS		$103.737-1-201912-31-2382
77014COMPUTED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION
THERAPY FIELDS		59$103.737-1-201912-31-2382
77021MAGNETIC RESONANCE GUIDANCE FOR NEEDLE PLACEMENT RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$307.047-1-201912-31-2382
77022MAGNETIC RESONANCE GUIDANCE FOR, AND MONITORING OF PARENCHYMAL
TISSUE ABLATION		$307.047-1-201912-31-2382
77031STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE
PLACEMENT, EACH LESION, RADIOLOGICAL SUPERVISON		$199.557-1-201912-31-2382
77031STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE
PLACEMENT, EACH LESION, RADIOLOGICAL SUPERVISON		50$199.557-1-201912-31-2382
77031STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE
PLACEMENT, EACH LESION, RADIOLOGICAL SUPERVISON		59$199.557-1-201912-31-2382
77031STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE
PLACEMENT, EACH LESION, RADIOLOGICAL SUPERVISON		LT$199.557-1-201912-31-2338
77031STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE
PLACEMENT, EACH LESION, RADIOLOGICAL SUPERVISON		RT$199.557-1-201912-31-2382
77032MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEMENT, BREAST, EACH
LESION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		$114.367-1-201912-31-2382
77032MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEMENT, BREAST, EACH
LESION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		59$114.367-1-201912-31-2382
77032MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEMENT, BREAST, EACH
LESION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		LT$114.367-1-201912-31-2382
77032MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEMENT, BREAST, EACH
LESION, RADIOLOGICAL SUPERVISION AND INTERPRETATION		RT$114.367-1-201912-31-2382
77051COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEWFOR
INTERPRETATION; DIAGNOSTIC MAMMOGRAPHY		$14.867-1-201912-31-2382
77051COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEWFOR
INTERPRETATION; DIAGNOSTIC MAMMOGRAPHY		LT$14.867-1-201912-31-2382
77051COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEWFOR
INTERPRETATION; DIAGNOSTIC MAMMOGRAPHY		RT$14.867-1-201912-31-2382
77052COMPUTER AIDED DETECTION WITH FURTHER PHYSICIAN REVIEWFOR
INTERPRETATION; SCREENING MAMMOGRAPHY		$14.867-1-201912-31-2382
77053MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE DUCT, RADIOLOGICAL
SUPERVISION AND INTERPRETATION		$114.367-1-201912-31-2382
77054MAMMARY DUCTOGRAM OR GALACTOGRAM, MULTIPLE DUCTS,
RADIOLOGICAL SUPERVISON AND INTERPRETATION		$114.367-1-201912-31-2382
77055MAMMOGRAPHY, UNILATERAL$36.697-1-201912-31-2382
77055MAMMOGRAPHY, UNILATERAL59$36.697-1-201912-31-2382
77055MAMMOGRAPHY, UNILATERALLT$36.697-1-201912-31-2382
77055MAMMOGRAPHY, UNILATERALRT$36.697-1-201912-31-2382
77056MAMMOGRAPHY; BILATERAL$59.317-1-201912-31-2382
77057SCREENING MAMMOGRAPHY, BILATERAL, 2 VIEW FILM STUDY OF EACH
BREAST		$51.267-1-201912-31-2382
77058MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH
CONTRAST MATERIALS, UNILATERAL		$768.217-1-201912-31-2382
77059MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH
CONTRAST MATERIALS, BILATERAL		$969.077-1-201912-31-2382
77065DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; UNILATERAL		$108.187-1-201912-31-2382
77065DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; UNILATERAL		26$1.207-1-201912-31-2382
77065DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; UNILATERAL		LT$108.187-1-201912-31-2382
77065DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; UNILATERAL		RT$108.187-1-201912-31-2382
77065DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; UNILATERAL		TC$2.867-1-201912-31-2382
77066DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; BILATERAL		$138.167-1-201912-31-2382
77066DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; BILATERAL		26$1.497-1-201912-31-2382
77066DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; BILATERAL		LT$138.167-1-201912-31-2382
77066DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; BILATERAL		RT$138.167-1-201912-31-2382
77066DIAGNOSTIC MAMMORGRAPHY, INCLUDING COMPUTER-AIDED DETECTION
(CAD) WHEN PREFORMED; BILATERAL		TC$3.667-1-201912-31-2382
77067SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST),
INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED		$114.257-1-201912-31-2382
77067SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST),
INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED		26$1.147-1-201912-31-2382
77067SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST),
INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED		LT$114.257-1-201912-31-2382
77067SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST),
INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED		RT$114.257-1-201912-31-2382
77067SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST),
INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED		TC$3.027-1-201912-31-2382
77071MANUAL APPLICATION OF STRESS PERFORMED BY PHYSICIAN FOR JOINT
RADIOLOGY, INCLUDING CONTRALATERAL JOINT IF		$47.847-1-201912-31-2382
77072BONE AGE STUDIES$47.847-1-201912-31-2382
77073BONE LENGTH STUDIES (ORTHOROENTGENOGRAM, SCANOGRAM)$47.847-1-201912-31-2382
77074RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; LIMITED$82.457-1-201912-31-2382
77075RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; COMPLETE (AXIAL AND
APPENDICULAR SKELETON)		$82.457-1-201912-31-2382
77076RADIOLOGIC EXAMINATION , OSSEOUS SURVEY, INFANT$47.847-1-201912-31-2382
77077JOINT SURVEY, SINGLE VIEW, 2 OR MORE JOINTS (SPECIFY)$47.847-1-201912-31-2382
77078COMPUTED TOMOGRAPHY, BONE MINERAL DENSITY STUDY, 1 OR MORE
SITES; AXIAL SKELETON (EG, HIPS, PELVIS, SPINE)		$79.297-1-201912-31-2382
77079COMPUTED TOMOGRAPHY, BONE MINERAL DENSITY STUDY, 1 OR MORE
SITES; APPENDICULAR SKELETON		$103.737-1-201912-31-2382
77080DUAL ENERGY X-RAY ABSORPTIOMETRY, DXA, BONE DENSITY STUDY, 1 OR
MORE SITES; AXIAL SKELETON		$79.297-1-201912-31-2382
77080DUAL ENERGY X-RAY ABSORPTIOMETRY, DXA, BONE DENSITY STUDY, 1 OR
MORE SITES; AXIAL SKELETON		59$79.297-1-201912-31-2382
77080DUAL ENERGY X-RAY ABSORPTIOMETRY, DXA, BONE DENSITY STUDY, 1 OR
MORE SITES; AXIAL SKELETON		GA$79.297-1-201912-31-2382
77081DUAL- ENERGY X-RAY ABSORPTIOMETRY, BONE DENSITY STUDY, 1 OR MORE
SITE; APPENDICULAR SKELETON		$37.087-1-201912-31-2382
77081DUAL- ENERGY X-RAY ABSORPTIOMETRY, BONE DENSITY STUDY, 1 OR MORE
SITE; APPENDICULAR SKELETON		59$37.087-1-201912-31-2382
77082DUAL- ENERGY X-RAY ABSORPTIOMETRY, BONE DENSITY STUDY, 1 OR MORE
SITE; VERTEBRAL FRACTURE ASSESSMENT		$47.847-1-201912-31-2382
77083RADIOGRAPHIC ABSORPTIOMETRY, 1 OR MORE SITES$82.457-1-201912-31-2382
77084MAGNETIC RESONANCE IMAGING, BONE MARROW BLOOD SUPPLY$307.047-1-201912-31-2382
77261THERAPEUTIC RADIOLOGY TREATMENT PLANNING; SIMPLE$75.507-1-201912-31-2382
77262THERAPEUTIC RADIOLOGY TREATMENT PLANNING; INTERMEDIATE$113.777-1-201912-31-2382
77263THERAPEUTIC RADIOLOGY TREATMENT PLANNING; COMPLEX$169.527-1-201912-31-2382
77280THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; SIMPLE$275.537-1-201912-31-2382
77280THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; SIMPLE26$37.817-1-201912-31-2382
77280THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; SIMPLETC$118.507-1-201912-31-2382
77285THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; INTERMEDIATE$265.307-1-201912-31-2382
77285THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; INTERMEDIATE26$56.347-1-201912-31-2382
77285THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; INTERMEDIATETC$190.237-1-201912-31-2382
77290THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; COMPLEX$275.537-1-201912-31-2382
77290THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; COMPLEX26$84.547-1-201912-31-2382
77290THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; COMPLEXTC$222.137-1-201912-31-2382
77295THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; BY THREE
DIMENSIONAL RECONSTRUCTION OF TUMOR VOLUME		$936.287-1-201912-31-2382
77299UNLISTED PROCEDURE, THERAPEUTIC RADIOLOGY CLINICAL TREATMENT
PLANNING		$116.847-1-201912-31-2382
77300BASIC RADIATION DOSIMETRY CALCULATION, CENTRAL AXIS DEPTH DOSE,
TDF, NSD, GAP CALCULATION, OFF AXIS FACTOR, TI		$116.847-1-201912-31-2382
77300BASIC RADIATION DOSIMETRY CALCULATION, CENTRAL AXIS DEPTH DOSE,
TDF, NSD, GAP CALCULATION, OFF AXIS FACTOR, TI		26$33.747-1-201912-31-2382
77300BASIC RADIATION DOSIMETRY CALCULATION, CENTRAL AXIS DEPTH DOSE,
TDF, NSD, GAP CALCULATION, OFF AXIS FACTOR, TI		TC$45.767-1-201912-31-2382
77301INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING DOSE- VOLUME
HISTOGRAMS FOR TARGET AND CRITICAL STRUCTURE PAR		$936.287-1-201912-31-2382
77301INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING DOSE- VOLUME
HISTOGRAMS FOR TARGET AND CRITICAL STRUCTURE PAR		59$936.287-1-201912-31-2382
77305TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); SIMPLE (ONE OR TWO PARALLEL OPPOSED UNMODIFIE		$116.847-1-201912-31-2382
77305TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); SIMPLE (ONE OR TWO PARALLEL OPPOSED UNMODIFIE		26$37.817-1-201912-31-2382
77305TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); SIMPLE (ONE OR TWO PARALLEL OPPOSED UNMODIFIE		TC$63.467-1-201912-31-2382
77310TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); INTERMEDIATE (THREE OR MORE TREATMENT PORTS D		$265.307-1-201912-31-2382
77310TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); INTERMEDIATE (THREE OR MORE TREATMENT PORTS D		26$56.347-1-201912-31-2382
77310TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); INTERMEDIATE (THREE OR MORE TREATMENT PORTS D		59$265.307-1-201912-31-2382
77310TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); INTERMEDIATE (THREE OR MORE TREATMENT PORTS D		TC$79.577-1-201912-31-2382
77315TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); COMPLEX (MANTLE OR INVERTED Y, TANGENTIAL POR		$265.307-1-201912-31-2382
77315TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); COMPLEX (MANTLE OR INVERTED Y, TANGENTIAL POR		26$84.547-1-201912-31-2382
77315TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); COMPLEX (MANTLE OR INVERTED Y, TANGENTIAL POR		59$265.307-1-201912-31-2382
77315TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER
CALCULATED); COMPLEX (MANTLE OR INVERTED Y, TANGENTIAL POR		TC$90.777-1-201912-31-2382
77321SPECIAL TELETHERAPY PORT PLAN, PARTICLES, HEMI-BODY, TOTAL BODY$265.307-1-201912-31-2382
77321SPECIAL TELETHERAPY PORT PLAN, PARTICLES, HEMI-BODY, TOTAL BODY26$51.287-1-201912-31-2382
77321SPECIAL TELETHERAPY PORT PLAN, PARTICLES, HEMI-BODY, TOTAL BODYTC$137.627-1-201912-31-2382
77326BRACHYTHERAPY ISODOSE CALCULATION; SIMPLE (CALCULATION MADE
FROM SINGLE PLANE, ONE TO FOUR SOURCES/ RIBBON APP		$116.847-1-201911-30-2382
77326BRACHYTHERAPY ISODOSE CALCULATION; SIMPLE (CALCULATION MADE
FROM SINGLE PLANE, ONE TO FOUR SOURCES/ RIBBON APP		26$50.157-1-201912-31-2382
77326BRACHYTHERAPY ISODOSE CALCULATION; SIMPLE (CALCULATION MADE
FROM SINGLE PLANE, ONE TO FOUR SOURCES/ RIBBON APP		TC$80.917-1-201912-31-2382
77327BRACHYTHERAPY ISODOSE CALCULATION; INTERMEDIATE (MULTIPLANE
DOSAGE CALCULATIONS, APPLICATION INVOLVING FIVE TO		$265.307-1-201912-31-2382
77327BRACHYTHERAPY ISODOSE CALCULATION; INTERMEDIATE (MULTIPLANE
DOSAGE CALCULATIONS, APPLICATION INVOLVING FIVE TO		26$75.507-1-201912-31-2382
77327BRACHYTHERAPY ISODOSE CALCULATION; INTERMEDIATE (MULTIPLANE
DOSAGE CALCULATIONS, APPLICATION INVOLVING FIVE TO		TC$118.507-1-201912-31-2382
77328BRACHYTHERAPY ISODOSE CALCULATION; COMPLEX (MULTIPLANE ISODOSE
PLAN, VOLUME IMPLANT CALCULATIONS, OVER TEN SOU		$265.307-1-201912-31-2382
77328BRACHYTHERAPY ISODOSE CALCULATION; COMPLEX (MULTIPLANE ISODOSE
PLAN, VOLUME IMPLANT CALCULATIONS, OVER TEN SOU		26$112.697-1-201912-31-2382
77328BRACHYTHERAPY ISODOSE CALCULATION; COMPLEX (MULTIPLANE ISODOSE
PLAN, VOLUME IMPLANT CALCULATIONS, OVER TEN SOU		TC$169.187-1-201912-31-2382
77331SPECIAL DOSIMETRY (EG, TLD, MICRODOSIMETRY) (SPECIFY), ONLY WHEN
PRESCRIBED BY THE TREATING PHYSICIAN		$116.847-1-201912-31-2382
77331SPECIAL DOSIMETRY (EG, TLD, MICRODOSIMETRY) (SPECIFY), ONLY WHEN
PRESCRIBED BY THE TREATING PHYSICIAN		26$47.287-1-201912-31-2382
77331SPECIAL DOSIMETRY (EG, TLD, MICRODOSIMETRY) (SPECIFY), ONLY WHEN
PRESCRIBED BY THE TREATING PHYSICIAN		TC$17.457-1-201912-31-2382
77332TREATMENT DEVICES, DESIGN AND CONSTRUCTION; SIMPLE (SIMPLE BLOCK,
SIMPLE BOLUS)		$190.477-1-201912-31-2382
77332TREATMENT DEVICES, DESIGN AND CONSTRUCTION; SIMPLE (SIMPLE BLOCK,
SIMPLE BOLUS)		26$29.787-1-201912-31-2382
77332TREATMENT DEVICES, DESIGN AND CONSTRUCTION; SIMPLE (SIMPLE BLOCK,
SIMPLE BOLUS)		59$190.477-1-201912-31-2382
77332TREATMENT DEVICES, DESIGN AND CONSTRUCTION; SIMPLE (SIMPLE BLOCK,
SIMPLE BOLUS)		TC$45.767-1-201912-31-2382
77333TREATMENT DEVICES, DESIGN AND CONSTRUCTION; INTERMEDIATE
(MULTIPLE BLOCKS, STENTS, BITE BLOCKS, SPECIAL BOLUS)		$190.477-1-201912-31-2382
77333TREATMENT DEVICES, DESIGN AND CONSTRUCTION; INTERMEDIATE
(MULTIPLE BLOCKS, STENTS, BITE BLOCKS, SPECIAL BOLUS)		26$45.157-1-201912-31-2382
77333TREATMENT DEVICES, DESIGN AND CONSTRUCTION; INTERMEDIATE
(MULTIPLE BLOCKS, STENTS, BITE BLOCKS, SPECIAL BOLUS)		59$190.477-1-201912-31-2382
77333TREATMENT DEVICES, DESIGN AND CONSTRUCTION; INTERMEDIATE
(MULTIPLE BLOCKS, STENTS, BITE BLOCKS, SPECIAL BOLUS)		TC$64.807-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		$190.477-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		26$66.947-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		59$190.477-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		LT$190.477-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		RT$190.477-1-201912-31-2382
77334TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR
BLOCKS, SPECIAL SHIELDS, COMPENSATORS, WEDGES,		TC$110.657-1-201912-31-2382
77336CONTINUING MEDICAL RADIATION PHYSICS CONSULTATION IN SUPPORT OF
THERAPEUTIC RADIOLOGIST INCLUDING CONTINUING Q		$116.847-1-201912-31-2382
77336CONTINUING MEDICAL RADIATION PHYSICS CONSULTATION IN SUPPORT OF
THERAPEUTIC RADIOLOGIST INCLUDING CONTINUING Q		59$116.847-1-201912-31-2382
77336CONTINUING MEDICAL RADIATION PHYSICS CONSULTATION IN SUPPORT OF
THERAPEUTIC RADIOLOGIST INCLUDING CONTINUING Q		LT$116.847-1-201912-31-2382
77336CONTINUING MEDICAL RADIATION PHYSICS CONSULTATION IN SUPPORT OF
THERAPEUTIC RADIOLOGIST INCLUDING CONTINUING Q		RT$116.847-1-201912-31-2382
77338MULTI-LEAF COLLIMATOR (MLC) DEVICE(S) FOR INTENSITY MODULATED
RADIATION THERAPY (IMRT), DESIGN AND		$286.037-1-201912-31-2382
77370SPECIAL MEDICAL RADIATION PHYSICS CONSULTATION$116.847-1-201912-31-2382
77371RADIATION TREATMENT DELIVERY, STEREOTACTIC RADIOSURGERY,
COMPLETE COURSE OF TREATMENT OF CEREBRAL LESION		$9,337.957-1-201912-31-2382
77385INTENSITY MODULATED RADIATION TREATMENT DELIVERY, INCLUDES
GUIDANCE AND TRACKING, WHEN PERFORMED; SIMPLE		$524.487-1-201912-31-2382
77386INTENSITY MODULATED RADIATION TREATMENT DELIVERY, INCLUDES
GUIDANCE AND TRACKING, WHEN PERFORMED; COMPLEX		$461.717-1-201912-31-2382
77399UNLISTED PROCEDURE, MEDICAL RADIATION PHYSICS, DOSIMETRY AND
TREATMENT DEVICES		$116.847-1-201912-31-2382
77401RADIATION TREATMENT DELIVERY, SUPERFICIAL AND/OR ORTHO VOLTAGE$98.887-1-201912-31-2382
77402RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT
OR PARALLEL OPPOSED PORTS, SIMPLE BLOCKS OR N		$98.887-1-201912-31-2382
77403RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT
OR PARALLEL OPPOSED PORTS, SIMPLE BLOCKS OR N		$98.887-1-201912-31-2382
77404RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT
OR PARALLEL OPPOSED PORTS, SIMPLE BLOCKS OR N		$98.887-1-201912-31-2382
77406RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT
OR PARALLEL OPPOSED PORTS, SIMPLE BLOCKS OR N		$98.887-1-201912-31-2382
77407RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS,
THREE OR MORE PORTS ON A SINGLE TREATMENT AREA, US		$98.887-1-201912-31-2382
77408RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS,
THREE OR MORE PORTS ON A SINGLE TREATMENT AREA, US		$98.887-1-201912-31-2382
77409RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS,
THREE OR MORE PORTS ON A SINGLE TREATMENT AREA, US		$98.887-1-201912-31-2382
77411RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS,
THREE OR MORE PORTS ON A SINGLE TREATMENT AREA, US		$148.767-1-201912-31-2382
77412RADIATION TREATMENT DELIVERY, THREE OR MORE SEPARATE TREATMENT
AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS, WEDGE		$148.767-1-201912-31-2382
77413RADIATION TREATMENT DELIVERY, THREE OR MORE SEPARATE TREATMENT
AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS, WEDGE		$148.767-1-201912-31-2382
77413RADIATION TREATMENT DELIVERY, THREE OR MORE SEPARATE TREATMENT
AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS, WEDGE		76$148.767-1-201912-31-2382
77414RADIATION TREATMENT DELIVERY, THREE OR MORE SEPARATE TREATMENT
AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS, WEDGE		$148.767-1-201912-31-2382
77416RADIATION TREATMENT DELIVERY, THREE OR MORE SEPARATE TREATMENT
AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS, WEDGE		$148.767-1-201912-31-2382
77417THERAPEUTIC RADIOLOGY PORT FILM(S)$49.207-1-201912-31-2382
77418INTENSITY MODULATED TREATMENT DELIVERY, SINGLE OR MULTIPLE
FIELDS/ARCS, VIA NARROW SPATIALLY AND TEPORALLY MOD		$361.347-1-201912-31-2382
77420WEEKLY RADIOLOGY THERAPY MANAGEMENT; SIMPLE$87.047-1-201912-31-2382
77421STEREOSCOPIC X-RAY GUIDANCE FOR LOCALIZATION OF TARGET VOLUME
FOR THE DELIVERY OF RADIATION THERAPY		$85.007-1-201911-30-2382
77422HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY; SINGLE
TREATMENT AREA USING A SINGLE PORT OR PARALLEL		$148.767-1-201912-31-2382
77423HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY; 1 OR MORE
ISOCENTER(S) WITH COPLANAR OR NON-COPLANAR GEOMETR		$148.767-1-201912-31-2382
77425INTRAOPERATIVE RADIATION TREATMENT DELIVERY, ELECTRONS, SINGLE
TREATMENT SESSION		$131.957-1-201912-31-2382
77430WEEKLY RADIOLOGY THERAPY MANAGEMENT; COMPLEX$194.767-1-201912-31-2382
77431RADIATION THERAPY MANAGEMENT WITH COMPLETE COURSE OF THERAPY
CONSISTING OF ONE OR TWO FRACTIONS ONLY		$93.237-1-201912-31-2382
77470SPECIAL TREATMENT PROCEDURE (EG, TOTAL BODY IRRADIATION, HEMIBODY
IRRADIATION, PER ORAL, VAGINAL CONE IRRADIAT		$389.027-1-201912-31-2382
77470SPECIAL TREATMENT PROCEDURE (EG, TOTAL BODY IRRADIATION, HEMIBODY
IRRADIATION, PER ORAL, VAGINAL CONE IRRADIAT		26$107.537-1-201912-31-2382
77470SPECIAL TREATMENT PROCEDURE (EG, TOTAL BODY IRRADIATION, HEMIBODY
IRRADIATION, PER ORAL, VAGINAL CONE IRRADIAT		TC$380.467-1-201912-31-2382
77520PROTON BEAM DELIVERY TO A SINGLE TREATMENT AREA, SINGLEPORT,
CUSTOM BLOCK, W/ OR W/OUT COMPENSATIN, W/TREATMEN		$1,074.347-1-201912-31-2382
77522PROTON TREATMENT DELIVERY; SIMPLE, WITH COMPENSATION$1,074.347-1-201912-31-2382
77523PROTON BEAM DELIVERY TO ONE OR TWO TREATMENT AREAS, TWO OR
MORE PORTS, TWO OR MORE CUSTOM BLOCKS AND TWO OR MO		$1,285.317-1-201912-31-2382
77525PROTON TREATMENT DELIVERY; COMPLEX$1,285.317-1-201912-31-2382
77600HYPERTHERMIA, EXTERNALLY GENERATED; SUPERFICIAL (IE, HEATING TO A
DEPTH OF 4 CM OR LESS)		$376.637-1-201912-31-2382
77600HYPERTHERMIA, EXTERNALLY GENERATED; SUPERFICIAL (IE, HEATING TO A
DEPTH OF 4 CM OR LESS)		26$84.547-1-201912-31-2382
77600HYPERTHERMIA, EXTERNALLY GENERATED; SUPERFICIAL (IE, HEATING TO A
DEPTH OF 4 CM OR LESS)		TC$103.727-1-201912-31-2382
77605HYPERTHERMIA, EXTERNALLY GENERATED; DEEP (IE, HEATING TO DEPTHS
GREATER THAN 4 CM)		$376.637-1-201912-31-2382
77605HYPERTHERMIA, EXTERNALLY GENERATED; DEEP (IE, HEATING TO DEPTHS
GREATER THAN 4 CM)		26$112.697-1-201912-31-2382
77605HYPERTHERMIA, EXTERNALLY GENERATED; DEEP (IE, HEATING TO DEPTHS
GREATER THAN 4 CM)		TC$138.537-1-201912-31-2382
77610HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); 5 OR FEWER
INTERSTITIAL APPLICATORS		$376.637-1-201912-31-2382
77610HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); 5 OR FEWER
INTERSTITIAL APPLICATORS		26$84.547-1-201912-31-2382
77610HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); 5 OR FEWER
INTERSTITIAL APPLICATORS		TC$103.727-1-201912-31-2382
77615HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); MORE THAN 5
INTERSTITIAL APPLICATORS		$376.637-1-201912-31-2382
77615HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); MORE THAN 5
INTERSTITIAL APPLICATORS		26$112.697-1-201912-31-2382
77615HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); MORE THAN 5
INTERSTITIAL APPLICATORS		TC$138.537-1-201912-31-2382
77620HYPERTHERMIA GENERATED BY INTRACAVITARY PROBE(S)$376.637-1-201912-31-2382
77620HYPERTHERMIA GENERATED BY INTRACAVITARY PROBE(S)26$84.547-1-201912-31-2382
77620HYPERTHERMIA GENERATED BY INTRACAVITARY PROBE(S)TC$103.727-1-201912-31-2382
77750INFUSION OR INSTILLATION OF RADIOELEMENT SOLUTION$148.767-1-201912-31-2382
77750INFUSION OR INSTILLATION OF RADIOELEMENT SOLUTION26$236.447-1-201912-31-2382
77750INFUSION OR INSTILLATION OF RADIOELEMENT SOLUTIONTC$45.437-1-201912-31-2382
77761INTRACAVITARY RADIOELEMENT APPLICATION; SIMPLE$375.507-1-201912-31-2382
77761INTRACAVITARY RADIOELEMENT APPLICATION; SIMPLE26$183.527-1-201912-31-2382
77761INTRACAVITARY RADIOELEMENT APPLICATION; SIMPLETC$85.857-1-201912-31-2382
77762INTRACAVITARY RADIOELEMENT APPLICATION; INTERMEDIATE$375.507-1-201912-31-2382
77762INTRACAVITARY RADIOELEMENT APPLICATION; INTERMEDIATE26$289.397-1-201912-31-2382
77762INTRACAVITARY RADIOELEMENT APPLICATION; INTERMEDIATETC$123.427-1-201912-31-2382
77763INTRACAVITARY RADIOELEMENT APPLICATION; COMPLEX$375.507-1-201912-31-2382
77763INTRACAVITARY RADIOELEMENT APPLICATION; COMPLEX26$412.987-1-201912-31-2382
77763INTRACAVITARY RADIOELEMENT APPLICATION; COMPLEXTC$153.407-1-201912-31-2382
77767HIGH DOSE BRACHYTHERAPY THROUGH SKIN SURFACE, 1 CHANNEL OR UP
TO 2.0 CM		$177.807-1-201912-31-2382
77768HIGH DOSE BRACHYTHERAPY THROUGH SKIN SURFACE, 2 CHANNELS OR
MORE THAN 2.0 CM		$177.807-1-201912-31-2382
77770HIGH DOSE BRACHYTHERAPY, 1 CHANNEL$636.927-1-201912-31-2382
77771HIGH DOSE BRACHYTHERAPY, 2-12 CHANNELS$636.927-1-201912-31-2382
77772HIGH DOSE BRACHYTHERAPY, MORE THAN 12 CHANNELS$636.927-1-201912-31-2382
77776INTERSTITIAL RADIOELEMENT APPLICATION; SIMPLE$375.507-1-201912-31-2382
77776INTERSTITIAL RADIOELEMENT APPLICATION; SIMPLE26$240.407-1-201912-31-2382
77776INTERSTITIAL RADIOELEMENT APPLICATION; SIMPLETC$74.327-1-201912-31-2382
77777INTERSTITIAL RADIOELEMENT APPLICATION; INTERMEDIATE$375.507-1-201912-31-2382
77777INTERSTITIAL RADIOELEMENT APPLICATION; INTERMEDIATE26$360.307-1-201912-31-2382
77777INTERSTITIAL RADIOELEMENT APPLICATION; INTERMEDIATETC$144.467-1-201912-31-2382
77778INTERSTITIAL RADIOELEMENT APPLICATION; COMPLEX$755.057-1-201912-31-2382
77778INTERSTITIAL RADIOELEMENT APPLICATION; COMPLEX26$539.787-1-201912-31-2382
77778INTERSTITIAL RADIOELEMENT APPLICATION; COMPLEXTC$174.787-1-201912-31-2382
77781REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE
POSITIONS OR CATHETERS		$878.177-1-201912-31-2382
77781REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE
POSITIONS OR CATHETERS		26$80.197-1-201912-31-2382
77781REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE
POSITIONS OR CATHETERS		TC$693.447-1-201912-31-2382
77782REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE
POSITIONS OR CATHETERS		$878.177-1-201912-31-2382
77782REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE
POSITIONS OR CATHETERS		26$120.497-1-201912-31-2382
77782REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE
POSITIONS OR CATHETERS		76$878.177-1-201912-31-2382
77782REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE
POSITIONS OR CATHETERS		TC$693.447-1-201912-31-2382
77783REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 9-12 SOURCE
POSITIONS OR CATHETERS		$878.177-1-201912-31-2382
77783REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 9-12 SOURCE
POSITIONS OR CATHETERS		26$179.827-1-201912-31-2382
77783REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 9-12 SOURCE
POSITIONS OR CATHETERS		TC$693.447-1-201912-31-2382
77784REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; OVER 12
SOURCE POSITIONS OR CATHETERS		$878.177-1-201912-31-2382
77784REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; OVER 12
SOURCE POSITIONS OR CATHETERS		26$270.357-1-201912-31-2382
77784REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; OVER 12
SOURCE POSITIONS OR CATHETERS		TC$693.447-1-201912-31-2382
77785REMOTE AFTERLOADING HIGH DOSE RATE RADIONUCLIDE BRACHYTHERAPY;
1 CHANNEL		$748.667-1-201912-31-2382
77786REMOTE AFTERLOADING HIGH DOSE RATE RADIONUCLIDE BRACHYTHERAPY;
2-12 CHANNELS		$748.667-1-201912-31-2382
77787REMOTE AFTERLOADING HIGH DOSE RATE RADIONUCLIDE BRACHYTHERAPY;
OVER 12 CHANNELS		$748.667-1-201912-31-2382
77789SURFACE APPLICATION OF RADIOELEMENT$98.887-1-201912-31-2382
77789SURFACE APPLICATION OF RADIOELEMENT26$53.937-1-201912-31-2382
77789SURFACE APPLICATION OF RADIOELEMENTTC$15.457-1-201912-31-2382
77790SUPERVISION, HANDLING, LOADING OF RADIOELEMENT$71.387-1-201912-31-2382
77790SUPERVISION, HANDLING, LOADING OF RADIOELEMENT26$53.937-1-201912-31-2382
77790SUPERVISION, HANDLING, LOADING OF RADIOELEMENTTC$17.457-1-201912-31-2382
77799UNLISTED PROCEDURE, CLINICAL BRACHYTHERAPY$878.177-1-201912-31-2382
78000THYROID UPTAKE; SINGLE DETERMINATION$96.297-1-201912-31-2382
78000THYROID UPTAKE; SINGLE DETERMINATION26$12.217-1-201912-31-2382
78000THYROID UPTAKE; SINGLE DETERMINATIONTC$32.907-1-201912-31-2382
78001THYROID UPTAKE; MULTIPLE DETERMINATIONS$96.297-1-201912-31-2382
78001THYROID UPTAKE; MULTIPLE DETERMINATIONS26$13.617-1-201912-31-2382
78001THYROID UPTAKE; MULTIPLE DETERMINATIONSTC$44.427-1-201912-31-2382
78003THYROID UPTAKE; STIMULATION, SUPPRESSION OR DISCHARGE (NOT
INCLUDING INITIAL UPTAKE STUDIES)		$237.627-1-201912-31-2382
78003THYROID UPTAKE; STIMULATION, SUPPRESSION OR DISCHARGE (NOT
INCLUDING INITIAL UPTAKE STUDIES)		26$16.667-1-201912-31-2382
78003THYROID UPTAKE; STIMULATION, SUPPRESSION OR DISCHARGE (NOT
INCLUDING INITIAL UPTAKE STUDIES)		TC$32.907-1-201912-31-2382
78006THYROID IMAGING, WITH UPTAKE; SINGLE DETERMINATION$166.347-1-201912-31-2382
78006THYROID IMAGING, WITH UPTAKE; SINGLE DETERMINATION26$30.397-1-201912-31-2382
78006THYROID IMAGING, WITH UPTAKE; SINGLE DETERMINATIONTC$81.597-1-201912-31-2382
78007THYROID IMAGING, WITH UPTAKE; MULTIPLE DETERMINATIONS$187.527-1-201912-31-2382
78007THYROID IMAGING, WITH UPTAKE; MULTIPLE DETERMINATIONS26$26.017-1-201912-31-2382
78007THYROID IMAGING, WITH UPTAKE; MULTIPLE DETERMINATIONSTC$87.857-1-201912-31-2382
78010THYROID IMAGING; ONLY$166.347-1-201912-31-2382
78010THYROID IMAGING; ONLY26$25.267-1-201912-31-2382
78010THYROID IMAGING; ONLYTC$61.887-1-201912-31-2382
78011THYROID IMAGING; WITH VASCULAR FLOW$166.347-1-201912-31-2382
78011THYROID IMAGING; WITH VASCULAR FLOW26$30.197-1-201912-31-2382
78011THYROID IMAGING; WITH VASCULAR FLOWTC$82.257-1-201912-31-2382
78012THYROID UPTAKE, SINGLE OR MULTIPLE, QUANTITATIVE MEASUREMENT(S)
(INCLUDING STIMULATION, SUPRESSION, OR		$130.297-1-201912-31-2382
78014THYROID IMAGING (INCLUDING VASCULAR FLOW, WHEN PERFORMED); WITH
SINGLE OR MULTIPLE UPTAKE(S)		$220.317-1-201912-31-2382
78015THYROID CARCINOMA METASTASES IMAGING; LIMITED AREA (EG, NECK AND
CHEST ONLY)		$279.217-1-201911-30-2382
78015THYROID CARCINOMA METASTASES IMAGING; LIMITED AREA (EG, NECK AND
CHEST ONLY)		26$34.927-1-201912-31-2382
78015THYROID CARCINOMA METASTASES IMAGING; LIMITED AREA (EG, NECK AND
CHEST ONLY)		TC$87.857-1-201912-31-2382
78016THYROID CARCINOMA METASTASES IMAGING; WITH ADDITIONAL STUDIES (EG,
URINARY RECOVERY)		$279.217-1-201912-31-2382
78016THYROID CARCINOMA METASTASES IMAGING; WITH ADDITIONAL STUDIES (EG,
URINARY RECOVERY)		26$42.577-1-201912-31-2382
78016THYROID CARCINOMA METASTASES IMAGING; WITH ADDITIONAL STUDIES (EG,
URINARY RECOVERY)		TC$118.837-1-201912-31-2382
78017THYROID CARCINOMA METASTASES IMAGING; MULTIPLE AREAS$194.047-1-201912-31-2382
78017THYROID CARCINOMA METASTASES IMAGING; MULTIPLE AREAS26$44.937-1-201912-31-2382
78017THYROID CARCINOMA METASTASES IMAGING; MULTIPLE AREASTC$127.107-1-201912-31-2382
78018THYROID CARCINOMA METASTASES IMAGING; WHOLE BODY$279.217-1-201912-31-2382
78018THYROID CARCINOMA METASTASES IMAGING; WHOLE BODY26$49.407-1-201912-31-2382
78018THYROID CARCINOMA METASTASES IMAGING; WHOLE BODYTC$185.317-1-201912-31-2382
78070PARATHYROID IMAGING$187.527-1-201912-31-2382
78070PARATHYROID IMAGING26$26.597-1-201912-31-2382
78070PARATHYROID IMAGINGTC$61.887-1-201912-31-2382
78071PARATHYROID PLANAR IMAGING; WITH TOMOGRAPHIC (SPECT)$304.597-1-201912-31-2382
78072PARATHYROID PLANAR IMAGING; WITH TOMOGRAPHIC (SPECT), AND
CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY		$304.597-1-201912-31-2382
78075ADRENAL IMAGING, CORTEX AND/OR MEDULLA$187.527-1-201912-31-2382
78075ADRENAL IMAGING, CORTEX AND/OR MEDULLA26$40.077-1-201912-31-2382
78075ADRENAL IMAGING, CORTEX AND/OR MEDULLATC$185.317-1-201912-31-2382
78099UNLISTED ENDOCRINE PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$166.347-1-201912-31-2382
78102BONE MARROW IMAGING; LIMITED AREA$264.127-1-201912-31-2382
78102BONE MARROW IMAGING; LIMITED AREA26$31.027-1-201912-31-2382
78102BONE MARROW IMAGING; LIMITED AREATC$69.727-1-201912-31-2382
78103BONE MARROW IMAGING; MULTIPLE AREAS$264.127-1-201912-31-2382
78103BONE MARROW IMAGING; MULTIPLE AREAS26$50.037-1-201912-31-2382
78103BONE MARROW IMAGING; MULTIPLE AREASTC$107.977-1-201912-31-2382
78104BONE MARROW IMAGING; WHOLE BODY$264.127-1-201912-31-2382
78104BONE MARROW IMAGING; WHOLE BODY26$51.267-1-201912-31-2382
78104BONE MARROW IMAGING; WHOLE BODYTC$138.877-1-201912-31-2382
78110PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); SINGLE SAMPLING		$232.477-1-201912-31-2382
78110PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); SINGLE SAMPLING		26$10.717-1-201912-31-2382
78110PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); SINGLE SAMPLING		TC$32.247-1-201912-31-2382
78111PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); MULTIPLE SAMPLINGS		$232.477-1-201912-31-2382
78111PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); MULTIPLE SAMPLINGS		26$14.487-1-201912-31-2382
78111PLASMA VOLUME, RADIONUCLIDE VOLUME-DILUTION TECHNIQUE (SEPARATE
PROCEDURE); MULTIPLE SAMPLINGS		TC$87.857-1-201912-31-2382
78120RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); SINGLE
SAMPLING		$232.477-1-201912-31-2382
78120RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); SINGLE
SAMPLING		26$17.427-1-201912-31-2382
78120RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); SINGLE
SAMPLING		TC$59.217-1-201912-31-2382
78121RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); MULTIPLE
SAMPLINGS		$232.477-1-201912-31-2382
78121RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); MULTIPLE
SAMPLINGS		26$19.537-1-201912-31-2382
78121RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); MULTIPLE
SAMPLINGS		TC$99.137-1-201912-31-2382
78122WHOLE BLOOD VOLUME DETERMINATION, INCLUDING SEPARATE
MEASUREMENT OF PLASMA VOLUME AND RED CELL VOLUME (RADIONU		$232.477-1-201912-31-2382
78122WHOLE BLOOD VOLUME DETERMINATION, INCLUDING SEPARATE
MEASUREMENT OF PLASMA VOLUME AND RED CELL VOLUME (RADIONU		26$30.187-1-201912-31-2382
78122WHOLE BLOOD VOLUME DETERMINATION, INCLUDING SEPARATE
MEASUREMENT OF PLASMA VOLUME AND RED CELL VOLUME (RADIONU		TC$157.337-1-201912-31-2382
78130RED CELL SURVIVAL STUDY;$232.477-1-201912-31-2382
78130RED CELL SURVIVAL STUDY;26$33.207-1-201912-31-2382
78130RED CELL SURVIVAL STUDY;TC$97.467-1-201912-31-2382
78135RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS, (EG,
SPLENIC AND/OR HEPATIC SEQUESTRATION)		$232.477-1-201912-31-2382
78135RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS, (EG,
SPLENIC AND/OR HEPATIC SEQUESTRATION)		26$33.797-1-201912-31-2382
78135RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS, (EG,
SPLENIC AND/OR HEPATIC SEQUESTRATION)		TC$166.187-1-201912-31-2382
78140LABELED RED CELL SEQUESTRATION, DIFFERENTIAL ORGAN/TISSUE, (EG,
SPLENIC AND/OR HEPATIC)		$232.477-1-201912-31-2382
78140LABELED RED CELL SEQUESTRATION, DIFFERENTIAL ORGAN/TISSUE, (EG,
SPLENIC AND/OR HEPATIC)		26$33.207-1-201912-31-2382
78140LABELED RED CELL SEQUESTRATION, DIFFERENTIAL ORGAN/TISSUE, (EG,
SPLENIC AND/OR HEPATIC)		TC$134.287-1-201912-31-2382
78160PLASMA RADIOIRON DISAPPEARANCE (TURNOVER) RATE$154.907-1-201912-31-2382
78160PLASMA RADIOIRON DISAPPEARANCE (TURNOVER) RATE26$21.847-1-201912-31-2382
78160PLASMA RADIOIRON DISAPPEARANCE (TURNOVER) RATETC$125.097-1-201912-31-2382
78162RADIOIRON ORAL ABSORPTION$146.187-1-201912-31-2382
78162RADIOIRON ORAL ABSORPTION26$30.187-1-201912-31-2382
78162RADIOIRON ORAL ABSORPTIONTC$108.987-1-201912-31-2382
78170RADIOIRON RED CELL UTILIZATION$154.607-1-201912-31-2382
78170RADIOIRON RED CELL UTILIZATION26$23.587-1-201912-31-2382
78170RADIOIRON RED CELL UTILIZATIONTC$181.387-1-201912-31-2382
78172CHELATABLE IRON FOR ESTIMATION OF TOTAL BODY IRON26$36.817-1-201912-31-2382
78185SPLEEN IMAGING ONLY, WITH OR WITHOUT VASCULAR FLOW$264.127-1-201912-31-2382
78185SPLEEN IMAGING ONLY, WITH OR WITHOUT VASCULAR FLOW26$27.887-1-201912-31-2382
78185SPLEEN IMAGING ONLY, WITH OR WITHOUT VASCULAR FLOWTC$80.587-1-201912-31-2382
78190KINETICS, STUDY OF PLATELET SURVIVAL, WITH OR WITHOUT DIFFERENTIAL
ORGAN/TISSUE LOCALIZATION		$237.627-1-201912-31-2382
78190KINETICS, STUDY OF PLATELET SURVIVAL, WITH OR WITHOUT DIFFERENTIAL
ORGAN/TISSUE LOCALIZATION		26$55.967-1-201912-31-2382
78190KINETICS, STUDY OF PLATELET SURVIVAL, WITH OR WITHOUT DIFFERENTIAL
ORGAN/TISSUE LOCALIZATION		TC$195.167-1-201912-31-2382
78191PLATELET SURVIVAL STUDY$237.627-1-201912-31-2382
78191PLATELET SURVIVAL STUDY26$41.887-1-201912-31-2382
78191PLATELET SURVIVAL STUDYTC$250.447-1-201912-31-2382
78192WHITE BLOOD CELL LOCALIZATION; LIMITED AREA SCANNING$177.507-1-201912-31-2382
78192WHITE BLOOD CELL LOCALIZATION; LIMITED AREA SCANNING26$53.937-1-201912-31-2382
78192WHITE BLOOD CELL LOCALIZATION; LIMITED AREA SCANNINGTC$115.927-1-201912-31-2382
78193WHITE BLOOD CELL LOCALIZATION; WHOLE BODY$413.407-1-201912-31-2382
78193WHITE BLOOD CELL LOCALIZATION; WHOLE BODY26$59.607-1-201912-31-2382
78193WHITE BLOOD CELL LOCALIZATION; WHOLE BODYTC$332.787-1-201912-31-2382
78195LYMPHATICS AND LYMPH GLANDS IMAGING$264.127-1-201912-31-2382
78195LYMPHATICS AND LYMPH GLANDS IMAGING26$63.167-1-201912-31-2382
78195LYMPHATICS AND LYMPH GLANDS IMAGINGLT$264.127-1-201912-31-2382
78195LYMPHATICS AND LYMPH GLANDS IMAGINGRT$264.127-1-201912-31-2382
78195LYMPHATICS AND LYMPH GLANDS IMAGINGTC$138.877-1-201912-31-2382
78199UNLISTED HEMATOPOIETIC, RETICULOENDOTHELIAL AND LYMPHATIC
PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE		$264.127-1-201912-31-2382
78201LIVER IMAGING; STATIC ONLY$290.757-1-201912-31-2382
78201LIVER IMAGING; STATIC ONLY26$28.787-1-201912-31-2382
78201LIVER IMAGING; STATIC ONLYTC$80.587-1-201912-31-2382
78202LIVER IMAGING; WITH VASCULAR FLOW$290.757-1-201912-31-2382
78202LIVER IMAGING; WITH VASCULAR FLOW26$53.307-1-201912-31-2382
78202LIVER IMAGING; WITH VASCULAR FLOWTC$98.467-1-201912-31-2382
78205LIVER IMAGING (SPECT)$290.757-1-201912-31-2382
78205LIVER IMAGING (SPECT)26$48.597-1-201912-31-2382
78205LIVER IMAGING (SPECT)TC$201.427-1-201912-31-2382
78206LIVER IMAGING (SPECT); WITH VASCULAR FLOW$295.247-1-201912-31-2382
78215LIVER AND SPLEEN IMAGING; STATIC ONLY$290.757-1-201912-31-2382
78215LIVER AND SPLEEN IMAGING; STATIC ONLY26$32.217-1-201912-31-2382
78215LIVER AND SPLEEN IMAGING; STATIC ONLYTC$100.127-1-201912-31-2382
78216LIVER AND SPLEEN IMAGING; WITH VASCULAR FLOW$290.757-1-201912-31-2382
78216LIVER AND SPLEEN IMAGING; WITH VASCULAR FLOW26$33.807-1-201912-31-2382
78216LIVER AND SPLEEN IMAGING; WITH VASCULAR FLOWTC$118.837-1-201912-31-2382
78220LIVER FUNCTION STUDY WITH HEPATOBILIARY AGENTS, WITH SERIAL IMAGES$290.757-1-201912-31-2382
78220LIVER FUNCTION STUDY WITH HEPATOBILIARY AGENTS, WITH SERIAL IMAGES26$36.567-1-201912-31-2382
78220LIVER FUNCTION STUDY WITH HEPATOBILIARY AGENTS, WITH SERIAL IMAGESTC$127.107-1-201912-31-2382
78223HEPATOBILIARY DUCTAL SYSTEM IMAGING, INCLUDING GALLBLADDER, WITH
OR WITHOUT PHARMACOLOGIC INTERVENTION, WITH O		$290.757-1-201912-31-2382
78223HEPATOBILIARY DUCTAL SYSTEM IMAGING, INCLUDING GALLBLADDER, WITH
OR WITHOUT PHARMACOLOGIC INTERVENTION, WITH O		26$39.337-1-201912-31-2382
78223HEPATOBILIARY DUCTAL SYSTEM IMAGING, INCLUDING GALLBLADDER, WITH
OR WITHOUT PHARMACOLOGIC INTERVENTION, WITH O		TC$125.097-1-201912-31-2382
78226HEPATOBILIARY SYSTEM IMAGING, INCLUDING GALLBLADDER WHEN
PRESENT		$339.227-1-201912-31-2382
78227HEPATOBILIARY SYSTEM IMAGING, INCLUDING GALLBLADDER WHEN
PRESENT; WITH PHARMACOLOGIC INTERVENTION, INCLUDING		$297.357-1-201912-31-2382
78230SALIVARY GLAND IMAGING;$254.257-1-201912-31-2382
78230SALIVARY GLAND IMAGING;26$46.407-1-201912-31-2382
78230SALIVARY GLAND IMAGING;TC$74.327-1-201912-31-2382
78231SALIVARY GLAND IMAGING; WITH SERIAL IMAGES$254.257-1-201912-31-2382
78231SALIVARY GLAND IMAGING; WITH SERIAL IMAGES26$59.107-1-201912-31-2382
78231SALIVARY GLAND IMAGING; WITH SERIAL IMAGESTC$107.977-1-201912-31-2382
78232SALIVARY GLAND FUNCTION STUDY$254.257-1-201912-31-2382
78232SALIVARY GLAND FUNCTION STUDY26$32.887-1-201912-31-2382
78232SALIVARY GLAND FUNCTION STUDYTC$120.507-1-201912-31-2382
78258ESOPHAGEAL MOTILITY$254.257-1-201912-31-2382
78258ESOPHAGEAL MOTILITY26$50.307-1-201912-31-2382
78258ESOPHAGEAL MOTILITYTC$98.467-1-201912-31-2382
78261GASTRIC MUCOSA IMAGING$254.257-1-201912-31-2382
78261GASTRIC MUCOSA IMAGING26$46.947-1-201912-31-2382
78261GASTRIC MUCOSA IMAGINGTC$139.877-1-201912-31-2382
78262GASTROESOPHAGEAL REFLUX STUDY$254.257-1-201912-31-2382
78262GASTROESOPHAGEAL REFLUX STUDY26$46.307-1-201912-31-2382
78262GASTROESOPHAGEAL REFLUX STUDYTC$144.817-1-201912-31-2382
78264GASTRIC EMPTYING STUDY$254.257-1-201912-31-2382
78264GASTRIC EMPTYING STUDY26$40.657-1-201912-31-2382
78264GASTRIC EMPTYING STUDYTC$140.547-1-201912-31-2382
78265STOMACH EMPTYING AND SMALL BOWEL TRANSIT STUDY$304.327-1-201912-31-2382
78266STOMACH EMPTYING AND SMALL BOWEL WITH COLON TRANSIT STUDY$403.787-1-201912-31-2382
78267UREA BREATH TEST, C-14; ACQUISITION FOR ANALYSIS$11.777-1-201912-31-2382
78268UREA BREATH TEST, C-14; ANALYSIS$100.897-1-201912-31-2382
78270VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC
FACTOR		$237.627-1-201912-31-2382
78270VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC
FACTOR		26$14.867-1-201912-31-2382
78270VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC
FACTOR		TC$52.957-1-201912-31-2382
78271VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC
FACTOR		$237.627-1-201912-31-2382
78271VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC
FACTOR		26$14.867-1-201912-31-2382
78271VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC
FACTOR		TC$56.287-1-201912-31-2382
78272VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT
INTRINSIC FACTOR		$237.627-1-201912-31-2382
78272VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT
INTRINSIC FACTOR		26$16.497-1-201912-31-2382
78272VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT
INTRINSIC FACTOR		TC$79.247-1-201912-31-2382
78276GASTROINTESTINAL ASPIRATE BLOOD LOSS LOCALIZATION$111.987-1-201912-31-2382
78276GASTROINTESTINAL ASPIRATE BLOOD LOSS LOCALIZATION26$33.677-1-201912-31-2382
78276GASTROINTESTINAL ASPIRATE BLOOD LOSS LOCALIZATIONTC$108.987-1-201912-31-2382
78278ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING$254.257-1-201911-30-2382
78278ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING26$42.687-1-201912-31-2382
78278ACUTE GASTROINTESTINAL BLOOD LOSS IMAGINGTC$166.187-1-201912-31-2382
78280GASTROINTESTINAL BLOOD LOSS STUDY (EG, STOOL COUNTING)$101.577-1-201912-31-2382
78280GASTROINTESTINAL BLOOD LOSS STUDY (EG, STOOL COUNTING)26$19.617-1-201912-31-2382
78280GASTROINTESTINAL BLOOD LOSS STUDY (EG, STOOL COUNTING)TC$110.657-1-201912-31-2382
78282GASTROINTESTINAL PROTEIN LOSS$254.257-1-201912-31-2382
78282GASTROINTESTINAL PROTEIN LOSS26$25.477-1-201912-31-2382
78290BOWEL IMAGING (EG, ECTOPIC GASTRIC MUCOSA, MECKEL’S LOCALIZATION,
VOLVULUS)		$254.257-1-201912-31-2382
78290BOWEL IMAGING (EG, ECTOPIC GASTRIC MUCOSA, MECKEL’S LOCALIZATION,
VOLVULUS)		26$52.287-1-201912-31-2382
78290BOWEL IMAGING (EG, ECTOPIC GASTRIC MUCOSA, MECKEL’S LOCALIZATION,
VOLVULUS)		TC$103.727-1-201912-31-2382
78291PERITONEAL-VENOUS SHUNT PATENCY TEST (EG, FOR LEVEEN, DENVER
SHUNT)		$254.257-1-201912-31-2382
78291PERITONEAL-VENOUS SHUNT PATENCY TEST (EG, FOR LEVEEN, DENVER
SHUNT)		26$59.607-1-201912-31-2382
78291PERITONEAL-VENOUS SHUNT PATENCY TEST (EG, FOR LEVEEN, DENVER
SHUNT)		TC$104.397-1-201912-31-2382
78299UNLISTED GASTROINTESTINAL PROCEDURE, DIAGNOSTIC NUCLEAR
MEDICINE		$254.257-1-201912-31-2382
78300BONE AND/OR JOINT IMAGING; LIMITED AREA$269.257-1-201912-31-2382
78300BONE AND/OR JOINT IMAGING; LIMITED AREA26$36.417-1-201912-31-2382
78300BONE AND/OR JOINT IMAGING; LIMITED AREATC$85.177-1-201912-31-2382
78305BONE AND/OR JOINT IMAGING; MULTIPLE AREAS$269.257-1-201912-31-2382
78305BONE AND/OR JOINT IMAGING; MULTIPLE AREAS26$55.877-1-201912-31-2382
78305BONE AND/OR JOINT IMAGING; MULTIPLE AREASTC$125.097-1-201912-31-2382
78306BONE AND/OR JOINT IMAGING; WHOLE BODY$269.257-1-201912-31-2382
78306BONE AND/OR JOINT IMAGING; WHOLE BODY26$56.147-1-201912-31-2382
78306BONE AND/OR JOINT IMAGING; WHOLE BODYTC$145.807-1-201912-31-2382
78310BONE AND/OR JOINT IMAGING; VASCULAR FLOW ONLY$118.507-1-201912-31-2382
78310BONE AND/OR JOINT IMAGING; VASCULAR FLOW ONLY26$48.417-1-201912-31-2382
78310BONE AND/OR JOINT IMAGING; VASCULAR FLOW ONLYTC$40.177-1-201912-31-2382
78315BONE AND/OR JOINT IMAGING; THREE PHASE STUDY$269.257-1-201912-31-2382
78315BONE AND/OR JOINT IMAGING; THREE PHASE STUDY26$61.567-1-201912-31-2382
78315BONE AND/OR JOINT IMAGING; THREE PHASE STUDY59$269.257-1-201912-31-2382
78315BONE AND/OR JOINT IMAGING; THREE PHASE STUDYTC$162.927-1-201912-31-2382
78320BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)$269.257-1-201912-31-2382
78320BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)26$70.417-1-201912-31-2382
78320BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)TC$201.427-1-201912-31-2382
78350BONE DENSITY (BONE MINERAL CONTENT) STUDY, ONE OR MORE SITES;
SINGLE PHOTON ABSORPTIOMETRY		$49.207-1-201912-31-2382
78350BONE DENSITY (BONE MINERAL CONTENT) STUDY, ONE OR MORE SITES;
SINGLE PHOTON ABSORPTIOMETRY		26$15.007-1-201912-31-2382
78350BONE DENSITY (BONE MINERAL CONTENT) STUDY, ONE OR MORE SITES;
SINGLE PHOTON ABSORPTIOMETRY		TC$25.967-1-201912-31-2382
78399UNLISTED MUSCULOSKELETAL PROCEDURE, DIAGNOSTIC NUCLEAR
MEDICINE		$269.257-1-201912-31-2382
78414DETERMINATION OF CENTRAL C-V HEMODYNAMICS (NON-IMAGING) (EG,
EJECTION FRACTION WITH PROBE TECHNIQUE) WITH OR W		$283.537-1-201912-31-2382
78414DETERMINATION OF CENTRAL C-V HEMODYNAMICS (NON-IMAGING) (EG,
EJECTION FRACTION WITH PROBE TECHNIQUE) WITH OR W		26$42.647-1-201912-31-2382
78428CARDIAC SHUNT DETECTION$283.537-1-201912-31-2382
78428CARDIAC SHUNT DETECTION26$30.717-1-201912-31-2382
78428CARDIAC SHUNT DETECTIONTC$76.997-1-201912-31-2382
78445NON-CARDIAC VASCULAR FLOW IMAGING (IE, ANGIOGRAPHY, VENOGRAPHY)$140.497-1-201912-31-2382
78445NON-CARDIAC VASCULAR FLOW IMAGING (IE, ANGIOGRAPHY, VENOGRAPHY)26$41.757-1-201912-31-2382
78445NON-CARDIAC VASCULAR FLOW IMAGING (IE, ANGIOGRAPHY, VENOGRAPHY)TC$64.477-1-201912-31-2382
78451MYOCARDIAL PERFUSION IMAGING, TOMOGRAPHIC (SPECT); SINGLE STUDY,
AT REST OR STRESS		$744.137-1-201912-31-2382
78452MYOCARDIAL PERFUSION IMAGING, TOMOGRAPHIC (SPECT); MULTIPLE
STUDIES, AT REST OR STRESS AND/OR REDISTRUBUTION		$744.137-1-201912-31-2382
78454MYOCARDIAL PERFUSION IMAGING, PLANAR; MULITPLE STUDIES, AT REST
AND/OR STRESS AND/OR REDISTRIBUTION AND/OR		$775.577-1-201912-31-2382
78455VENOUS THROMBOSIS STUDY (EG, RADIOACTIVE FIBRINOGEN)$194.137-1-201912-31-2382
78455VENOUS THROMBOSIS STUDY (EG, RADIOACTIVE FIBRINOGEN)26$43.697-1-201912-31-2382
78455VENOUS THROMBOSIS STUDY (EG, RADIOACTIVE FIBRINOGEN)TC$135.957-1-201912-31-2382
78456ACUTE VENOUS THROMBOSIS IMAGING, PEPTIDE$140.497-1-201912-31-2382
78457VENOUS THROMBOSIS IMAGING, VENOGRAM; UNILATERAL$140.497-1-201912-31-2382
78457VENOUS THROMBOSIS IMAGING, VENOGRAM; UNILATERAL26$44.607-1-201912-31-2382
78457VENOUS THROMBOSIS IMAGING, VENOGRAM; UNILATERALTC$90.777-1-201912-31-2382
78458VENOUS THROMBOSIS IMAGING (EG, VENOGRAM); BILATERAL$140.497-1-201912-31-2382
78458VENOUS THROMBOSIS IMAGING (EG, VENOGRAM); BILATERAL26$47.767-1-201912-31-2382
78458VENOUS THROMBOSIS IMAGING (EG, VENOGRAM); BILATERALTC$136.967-1-201912-31-2382
78459MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), METABOLIC
EVALUATION		$907.317-1-201912-31-2382
78460MYOCARDIAL PERFUSION IMAGING; (PLANAR) SINGLE STUDY, AT REST OR
STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH		$283.537-1-201912-31-2382
78460MYOCARDIAL PERFUSION IMAGING; (PLANAR) SINGLE STUDY, AT REST OR
STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH		26$58.647-1-201912-31-2382
78460MYOCARDIAL PERFUSION IMAGING; (PLANAR) SINGLE STUDY, AT REST OR
STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH		TC$80.587-1-201912-31-2382
78461MYOCARDIAL PERFUSION IMAGING; MULTIPLE STUDIES,(PLANAR)AT REST
AND/OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)		$450.077-1-201912-31-2382
78461MYOCARDIAL PERFUSION IMAGING; MULTIPLE STUDIES,(PLANAR)AT REST
AND/OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)		26$69.457-1-201912-31-2382
78461MYOCARDIAL PERFUSION IMAGING; MULTIPLE STUDIES,(PLANAR)AT REST
AND/OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)		TC$161.257-1-201912-31-2382
78464MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), SINGLE STUDY
AT REST OR STRESS (EXERCISE AND/OR PHARMACOLOG		$283.537-1-201912-31-2382
78464MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), SINGLE STUDY
AT REST OR STRESS (EXERCISE AND/OR PHARMACOLOG		26$73.697-1-201912-31-2382
78464MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), SINGLE STUDY
AT REST OR STRESS (EXERCISE AND/OR PHARMACOLOG		TC$241.837-1-201912-31-2382
78465MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), MULTIPLE
STUDIES, AT REST AND/OR STRESS (EXERCISE AND		$450.077-1-201912-31-2382
78465MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), MULTIPLE
STUDIES, AT REST AND/OR STRESS (EXERCISE AND		26$98.967-1-201912-31-2382
78465MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), MULTIPLE
STUDIES, AT REST AND/OR STRESS (EXERCISE AND		TC$402.507-1-201912-31-2382
78466MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; QUALITATIVE OR
QUANTITATIVE		$283.537-1-201912-31-2382
78466MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; QUALITATIVE OR
QUANTITATIVE		26$47.267-1-201912-31-2382
78466MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; QUALITATIVE OR
QUANTITATIVE		TC$89.777-1-201912-31-2382
78468MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; WITH EJECTION FRACTION BY
FIRST PASS TECHNIQUE		$283.537-1-201912-31-2382
78468MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; WITH EJECTION FRACTION BY
FIRST PASS TECHNIQUE		26$53.937-1-201912-31-2382
78468MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; WITH EJECTION FRACTION BY
FIRST PASS TECHNIQUE		TC$125.097-1-201912-31-2382
78469MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; TOMOGRAPHIC SPECT WITH
OR WITHOUT QUANTIFICATION		$283.537-1-201912-31-2382
78469MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; TOMOGRAPHIC SPECT WITH
OR WITHOUT QUANTIFICATION		26$79.387-1-201912-31-2382
78469MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; TOMOGRAPHIC SPECT WITH
OR WITHOUT QUANTIFICATION		TC$178.707-1-201912-31-2382
78472CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; SINGLE STUDY AT
REST, WALL MOTION STUDY PLUS EJECTION FRACTION,		$283.537-1-201912-31-2382
78472CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; SINGLE STUDY AT
REST, WALL MOTION STUDY PLUS EJECTION FRACTION,		26$74.497-1-201912-31-2382
78472CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; SINGLE STUDY AT
REST, WALL MOTION STUDY PLUS EJECTION FRACTION,		TC$188.227-1-201912-31-2382
78473CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES,
WALL MOTION STUDY PLUS EJECTION FRACTION, RES		$339.367-1-201912-31-2382
78473CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES,
WALL MOTION STUDY PLUS EJECTION FRACTION, RES		26$75.907-1-201912-31-2382
78473CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES,
WALL MOTION STUDY PLUS EJECTION FRACTION, RES		TC$282.007-1-201912-31-2382
78478MYOCARDIAL PERFUSION STUDY WITH WALL MOTION, QUALITATIVE OR
QUANTITATIVE STUDY (LIST SEPARATELY IN ADDITION TO		$101.437-1-201912-31-2382
78478MYOCARDIAL PERFUSION STUDY WITH WALL MOTION, QUALITATIVE OR
QUANTITATIVE STUDY (LIST SEPARATELY IN ADDITION TO		26$31.987-1-201912-31-2382
78478MYOCARDIAL PERFUSION STUDY WITH WALL MOTION, QUALITATIVE OR
QUANTITATIVE STUDY (LIST SEPARATELY IN ADDITION TO		TC$53.287-1-201912-31-2382
78480MYOCARDIAL PERFUSION STUDY WITH EJECTION FRACTION (LIST
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)		$101.437-1-201912-31-2382
78480MYOCARDIAL PERFUSION STUDY WITH EJECTION FRACTION (LIST
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)		26$31.987-1-201912-31-2382
78480MYOCARDIAL PERFUSION STUDY WITH EJECTION FRACTION (LIST
SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)		TC$53.287-1-201912-31-2382
78481CARDIAC BLOOD POOL IMAGING,(PLANAR), FIRST PASS TECHNIQUE;
SINGLE STUDY, AT REST OR WITH STRESS		$283.537-1-201912-31-2382
78481CARDIAC BLOOD POOL IMAGING,(PLANAR), FIRST PASS TECHNIQUE;
SINGLE STUDY, AT REST OR WITH STRESS		26$66.627-1-201912-31-2382
78481CARDIAC BLOOD POOL IMAGING,(PLANAR), FIRST PASS TECHNIQUE;
SINGLE STUDY, AT REST OR WITH STRESS		TC$178.707-1-201912-31-2382
78483CARDIAC BLOOD POOL IMAGING, (PLANAR) FIRST PASS TECHNIQUE;
MULTIPLE STUDIES, AT REST AND WITH STRESS (EXERCISE		$339.367-1-201912-31-2382
78483CARDIAC BLOOD POOL IMAGING, (PLANAR) FIRST PASS TECHNIQUE;
MULTIPLE STUDIES, AT REST AND WITH STRESS (EXERCISE		26$75.907-1-201912-31-2382
78483CARDIAC BLOOD POOL IMAGING, (PLANAR) FIRST PASS TECHNIQUE;
MULTIPLE STUDIES, AT REST AND WITH STRESS (EXERCISE		TC$268.807-1-201912-31-2382
78491MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET),
PERFUSION; SINGLE STUDY AT REST OR STRESS		$907.317-1-201912-31-2382
78492MYCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), PERFUSION;
MULTIPLE STUDIES AT REST AND/OR STRESS		$2,816.247-1-201912-31-2382
78494CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SPECT, AT REST, WALL
MOTION STUDY PLUS EJECTION FRACTION, WITH		$278.327-1-201912-31-2382
78496CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SINGLE STUDY, AT
REST, WITH RIGHT VENTRICULAR EJECTION FRACTION		$101.437-1-201912-31-2382
78499UNLISTED CARDIOVASCULAR PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$283.537-1-201912-31-2382
78580PULMONARY PERFUSION IMAGING; PARTICULATE$223.697-1-201912-31-2382
78580PULMONARY PERFUSION IMAGING; PARTICULATE26$48.347-1-201912-31-2382
78580PULMONARY PERFUSION IMAGING; PARTICULATETC$117.167-1-201912-31-2382
78581PULMONARY PERFUSION IMAGING; GASEOUS$95.787-1-201912-31-2382
78581PULMONARY PERFUSION IMAGING; GASEOUS26$33.227-1-201912-31-2382
78581PULMONARY PERFUSION IMAGING; GASEOUSTC$81.597-1-201912-31-2382
78582PULMONARY VENTILATION ( EG, AEROSOL OR GAS) AND PERFUSION IMAGING$175.647-1-201912-31-2382
78582PULMONARY VENTILATION ( EG, AEROSOL OR GAS) AND PERFUSION IMAGING26$49.767-1-201912-31-2382
78582PULMONARY VENTILATION ( EG, AEROSOL OR GAS) AND PERFUSION IMAGINGTC$128.687-1-201912-31-2382
78584PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION; SINGLE
BREATH		$364.647-1-201912-31-2382
78584PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION; SINGLE
BREATH		26$51.247-1-201912-31-2382
78584PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION; SINGLE
BREATH		TC$108.987-1-201912-31-2382
78585PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION;
REBREATHING AND WASHOUT, WITH OR WITHOUT SINGLE BR		$364.647-1-201912-31-2382
78585PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION;
REBREATHING AND WASHOUT, WITH OR WITHOUT SINGLE BR		26$55.967-1-201912-31-2382
78585PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION;
REBREATHING AND WASHOUT, WITH OR WITHOUT SINGLE BR		TC$192.237-1-201912-31-2382
78586PULMONARY VENTILATION IMAGING, AEROSOL; SINGLE PROJECTION$223.697-1-201912-31-2382
78586PULMONARY VENTILATION IMAGING, AEROSOL; SINGLE PROJECTION26$31.007-1-201912-31-2382
78586PULMONARY VENTILATION IMAGING, AEROSOL; SINGLE PROJECTIONTC$88.527-1-201912-31-2382
78587PULMONARY VENTILATION IMAGING, AEROSOL; MULTIPLE PROJECTIONS (EG,
ANTERIOR, POSTERIOR, LATERAL VIEWS)		$223.697-1-201912-31-2382
78587PULMONARY VENTILATION IMAGING, AEROSOL; MULTIPLE PROJECTIONS (EG,
ANTERIOR, POSTERIOR, LATERAL VIEWS)		26$33.447-1-201912-31-2382
78587PULMONARY VENTILATION IMAGING, AEROSOL; MULTIPLE PROJECTIONS (EG,
ANTERIOR, POSTERIOR, LATERAL VIEWS)		TC$95.787-1-201912-31-2382
78588PULMONY PERFUSION IMAGING PARTICULATE WITH VENTILATION IMAGING$364.647-1-201912-31-2382
78591PULMONARY VENTILATION IMAGING, GASEOUS, SINGLE BREATH, SINGLE
PROJECTION		$223.697-1-201912-31-2382
78591PULMONARY VENTILATION IMAGING, GASEOUS, SINGLE BREATH, SINGLE
PROJECTION		26$31.007-1-201912-31-2382
78591PULMONARY VENTILATION IMAGING, GASEOUS, SINGLE BREATH, SINGLE
PROJECTION		TC$97.467-1-201912-31-2382
78593PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; SINGLE PRO		$223.697-1-201912-31-2382
78593PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; SINGLE PRO		26$33.347-1-201912-31-2382
78593PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; SINGLE PRO		TC$117.837-1-201912-31-2382
78594PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; MULTIPLE P		$223.697-1-201912-31-2382
78594PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; MULTIPLE P		26$57.217-1-201912-31-2382
78594PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND
WASHOUT WITH OR WITHOUT SINGLE BREATH; MULTIPLE P		TC$169.867-1-201912-31-2382
78596PULMONARY QUANTITATIVE DIFFERENTIAL FUNCTION
(VENTILATION/PERFUSION) STUDY		$364.647-1-201912-31-2382
78596PULMONARY QUANTITATIVE DIFFERENTIAL FUNCTION
(VENTILATION/PERFUSION) STUDY		26$65.547-1-201912-31-2382
78596PULMONARY QUANTITATIVE DIFFERENTIAL FUNCTION
(VENTILATION/PERFUSION) STUDY		TC$241.837-1-201912-31-2382
78597QUANTITATIVE DIFFERENTIAL PULMONARY PERFUSION, INCLUDING IMAGING
WHEN PERFORMED		$287.247-1-201912-31-2382
78599UNLISTED RESPIRATORY PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$223.697-1-201912-31-2382
78600BRAIN IMAGING, LIMITED PROCEDURE; STATIC$348.767-1-201912-31-2382
78600BRAIN IMAGING, LIMITED PROCEDURE; STATIC26$41.087-1-201912-31-2382
78600BRAIN IMAGING, LIMITED PROCEDURE; STATICTC$98.467-1-201912-31-2382
78601BRAIN IMAGING, LIMITED PROCEDURE; WITH VASCULAR FLOW$348.767-1-201912-31-2382
78601BRAIN IMAGING, LIMITED PROCEDURE; WITH VASCULAR FLOW26$43.097-1-201912-31-2382
78601BRAIN IMAGING, LIMITED PROCEDURE; WITH VASCULAR FLOWTC$115.927-1-201912-31-2382
78605BRAIN IMAGING, COMPLETE STUDY; STATIC$348.767-1-201912-31-2382
78605BRAIN IMAGING, COMPLETE STUDY; STATIC26$43.577-1-201912-31-2382
78605BRAIN IMAGING, COMPLETE STUDY; STATICTC$115.927-1-201912-31-2382
78606BRAIN IMAGING, COMPLETE STUDY; WITH VASCULAR FLOW$348.767-1-201912-31-2382
78606BRAIN IMAGING, COMPLETE STUDY; WITH VASCULAR FLOW26$45.957-1-201912-31-2382
78606BRAIN IMAGING, COMPLETE STUDY; WITH VASCULAR FLOWTC$132.037-1-201912-31-2382
78607BRAIN IMAGING, COMPLETE STUDY; TOMOGRAPHIC (SPECT)$348.767-1-201912-31-2382
78607BRAIN IMAGING, COMPLETE STUDY; TOMOGRAPHIC (SPECT)26$83.657-1-201912-31-2382
78607BRAIN IMAGING, COMPLETE STUDY; TOMOGRAPHIC (SPECT)TC$223.807-1-201912-31-2382
78608BRAIN IMAGING POSITRON EMISSION TOMOGRAPHY (PET); METABOLIC
EVALUATION		$1,303.367-1-201912-31-2382
78610BRAIN IMAGING, VASCULAR FLOW ONLY$348.767-1-201912-31-2382
78610BRAIN IMAGING, VASCULAR FLOW ONLY26$45.477-1-201912-31-2382
78610BRAIN IMAGING, VASCULAR FLOW ONLYTC$53.947-1-201912-31-2382
78615CEREBRAL BLOOD FLOW$348.767-1-201912-31-2382
78615CEREBRAL BLOOD FLOW26$37.417-1-201912-31-2382
78615CEREBRAL BLOOD FLOW52$66.987-1-201912-31-2382
78615CEREBRAL BLOOD FLOWTC$131.367-1-201912-31-2382
78630CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); CISTERNOGRAPHY		$236.167-1-201912-31-2382
78630CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); CISTERNOGRAPHY		26$70.827-1-201912-31-2382
78630CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); CISTERNOGRAPHY		TC$171.787-1-201912-31-2382
78635CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); VENTRICULOGRAPHY		$236.167-1-201912-31-2382
78635CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); VENTRICULOGRAPHY		26$41.887-1-201912-31-2382
78635CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); VENTRICULOGRAPHY		TC$86.847-1-201912-31-2382
78645CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); SHUNT EVALUATION		$236.167-1-201912-31-2382
78645CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); SHUNT EVALUATION		26$39.437-1-201912-31-2382
78645CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF
MATERIAL); SHUNT EVALUATION		TC$117.167-1-201912-31-2382
78647CEREBROSPINAL FLUID FLOW, IMAGING; TOMOGRAPHIC (SPECT)$236.167-1-201912-31-2382
78650CSF LEAKAGE DETECTION AND LOCALIZATION$236.167-1-201912-31-2382
78650CSF LEAKAGE DETECTION AND LOCALIZATION26$43.157-1-201912-31-2382
78650CSF LEAKAGE DETECTION AND LOCALIZATIONTC$158.337-1-201912-31-2382
78652CSF LEAKAGE DETECTION AND LOCALIZATION TOMOGRAPHIC (ECT)$275.287-1-201912-31-2382
78652CSF LEAKAGE DETECTION AND LOCALIZATION TOMOGRAPHIC (ECT)26$61.317-1-201912-31-2382
78652CSF LEAKAGE DETECTION AND LOCALIZATION TOMOGRAPHIC (ECT)TC$201.427-1-201912-31-2382
78655RADIONUCLIDE IDENTIFICATION OF EYE TUMOR$219.197-1-201912-31-2382
78655RADIONUCLIDE IDENTIFICATION OF EYE TUMOR26$28.437-1-201912-31-2382
78655RADIONUCLIDE IDENTIFICATION OF EYE TUMORTC$169.867-1-201912-31-2382
78660RADIONUCLIDE DACRYOCYSTOGRAPHY$236.167-1-201912-31-2382
78660RADIONUCLIDE DACRYOCYSTOGRAPHY26$42.777-1-201912-31-2382
78660RADIONUCLIDE DACRYOCYSTOGRAPHYTC$72.407-1-201912-31-2382
78699UNLISTED NERVOUS SYSTEM PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$348.767-1-201912-31-2382
78700KIDNEY IMAGING; STATIC ONLY$246.577-1-201912-31-2382
78700KIDNEY IMAGING; STATIC ONLY26$37.927-1-201912-31-2382
78700KIDNEY IMAGING; STATIC ONLYTC$103.727-1-201912-31-2382
78701KIDNEY IMAGING; WITH VASCULAR FLOW$246.577-1-201912-31-2382
78701KIDNEY IMAGING; WITH VASCULAR FLOW26$39.617-1-201912-31-2382
78701KIDNEY IMAGING; WITH VASCULAR FLOWTC$121.517-1-201912-31-2382
78704KIDNEY IMAGING; WITH FUNCTION STUDY (IE, IMAGING RENOGRAM)$246.577-1-201912-31-2382
78704KIDNEY IMAGING; WITH FUNCTION STUDY (IE, IMAGING RENOGRAM)26$39.157-1-201912-31-2382
78704KIDNEY IMAGING; WITH FUNCTION STUDY (IE, IMAGING RENOGRAM)TC$134.947-1-201912-31-2382
78707KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; SINGLE STUDY
WITHOUT PHARMACOLOGICAL INTERVENTION		$246.577-1-201912-31-2382
78707KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; SINGLE STUDY
WITHOUT PHARMACOLOGICAL INTERVENTION		26$48.307-1-201912-31-2382
78707KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; SINGLE STUDY
WITHOUT PHARMACOLOGICAL INTERVENTION		TC$152.747-1-201912-31-2382
78708KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; SINGLE STUDY,
WITH PHARMACOLOGICAL INTERVENTION (EG, ANGIOTEN		$279.867-1-201912-31-2382
78709KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; MULTIPLE
STUDIES, WITH AND WITHOUT PHARMACOLOGICAL		$279.867-1-201912-31-2382
78710KIDNEY IMAGING, TOMOGRAPHIC (SPECT)$246.577-1-201912-31-2382
78710KIDNEY IMAGING, TOMOGRAPHIC (SPECT)26$45.177-1-201912-31-2382
78710KIDNEY IMAGING, TOMOGRAPHIC (SPECT)TC$201.427-1-201912-31-2382
78715KIDNEY VASCULAR FLOW ONLY$246.577-1-201912-31-2382
78715KIDNEY VASCULAR FLOW ONLY26$17.117-1-201912-31-2382
78715KIDNEY VASCULAR FLOW ONLYTC$53.947-1-201912-31-2382
78725KIDNEY FUNCTION STUDY WITHOUT PHARMACOLOGIC INTERVENTION$96.297-1-201912-31-2382
78725KIDNEY FUNCTION STUDY WITHOUT PHARMACOLOGIC INTERVENTION26$26.817-1-201912-31-2382
78725KIDNEY FUNCTION STUDY WITHOUT PHARMACOLOGIC INTERVENTIONTC$60.887-1-201912-31-2382
78726KIDNEY FUNCTION STUDY INCLUDING PHARMACOLOGIC INTERVENTION$166.727-1-201912-31-2382
78726KIDNEY FUNCTION STUDY INCLUDING PHARMACOLOGIC INTERVENTION26$59.237-1-201912-31-2382
78726KIDNEY FUNCTION STUDY INCLUDING PHARMACOLOGIC INTERVENTIONTC$101.057-1-201912-31-2382
78727KIDNEY TRANSPLANT EVALUATION$211.587-1-201912-31-2382
78727KIDNEY TRANSPLANT EVALUATION26$67.087-1-201912-31-2382
78727KIDNEY TRANSPLANT EVALUATIONTC$135.957-1-201912-31-2382
78730URINARY BLADDER RESIDUAL STUDY$41.397-1-201912-31-2382
78730URINARY BLADDER RESIDUAL STUDY26$23.557-1-201912-31-2382
78730URINARY BLADDER RESIDUAL STUDYTC$50.027-1-201912-31-2382
78740URETERAL REFLUX STUDY (RADIONUCLIDE VOIDING CYSTOGRAM)$246.577-1-201912-31-2382
78740URETERAL REFLUX STUDY (RADIONUCLIDE VOIDING CYSTOGRAM)26$39.377-1-201912-31-2382
78740URETERAL REFLUX STUDY (RADIONUCLIDE VOIDING CYSTOGRAM)TC$72.407-1-201912-31-2382
78760TESTICULAR IMAGING;$246.577-1-201912-31-2382
78760TESTICULAR IMAGING;26$33.997-1-201912-31-2382
78760TESTICULAR IMAGING;TC$91.447-1-201912-31-2382
78761TESTICULAR IMAGING; WITH VASCULAR FLOW$246.577-1-201912-31-2382
78761TESTICULAR IMAGING; WITH VASCULAR FLOW26$36.277-1-201912-31-2382
78761TESTICULAR IMAGING; WITH VASCULAR FLOWTC$108.987-1-201912-31-2382
78799UNLISTED GENITOURINARY PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$246.577-1-201912-31-2382
78800RADIONUCLIDE LOCALIZATION OF TUMOR; LIMITED AREA$279.217-1-201912-31-2382
78800RADIONUCLIDE LOCALIZATION OF TUMOR; LIMITED AREA26$35.307-1-201912-31-2382
78800RADIONUCLIDE LOCALIZATION OF TUMOR; LIMITED AREATC$115.927-1-201912-31-2382
78801RADIONUCLIDE LOCALIZATION OF TUMOR; MULTIPLE AREAS$279.217-1-201912-31-2382
78801RADIONUCLIDE LOCALIZATION OF TUMOR; MULTIPLE AREAS26$58.887-1-201912-31-2382
78801RADIONUCLIDE LOCALIZATION OF TUMOR; MULTIPLE AREASTC$144.137-1-201912-31-2382
78802RADIONUCLIDE LOCALIZATION OF TUMOR; WHOLE BODY$279.217-1-201912-31-2382
78802RADIONUCLIDE LOCALIZATION OF TUMOR; WHOLE BODY26$60.757-1-201912-31-2382
78802RADIONUCLIDE LOCALIZATION OF TUMOR; WHOLE BODYTC$188.907-1-201912-31-2382
78803TUMOR LOCALIZATION (SPECT)$279.217-1-201912-31-2382
78803TUMOR LOCALIZATION (SPECT)26$73.697-1-201912-31-2382
78803TUMOR LOCALIZATION (SPECT)TC$223.807-1-201912-31-2382
78804RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR OR DISTRUBUTION OF
RADIOPHARMACEUTICAL AGENT, WHOLE BODY		$736.687-1-201912-31-2382
78805RADIONUCLIDE LOCALIZATION OF ABSCESS; LIMITED AREA$279.217-1-201912-31-2382
78805RADIONUCLIDE LOCALIZATION OF ABSCESS; LIMITED AREA26$38.237-1-201912-31-2382
78805RADIONUCLIDE LOCALIZATION OF ABSCESS; LIMITED AREATC$115.927-1-201912-31-2382
78806RADIONUCLIDE LOCALIZATION OF ABSCESS; WHOLE BODY$279.217-1-201912-31-2382
78806RADIONUCLIDE LOCALIZATION OF ABSCESS; WHOLE BODY26$43.927-1-201912-31-2382
78806RADIONUCLIDE LOCALIZATION OF ABSCESS; WHOLE BODYTC$188.907-1-201912-31-2382
78807RADIONUCLIDE LOCALIZATION OF ABSCESS, SPECT$279.217-1-201912-31-2382
78811TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET); LIMITED AREA, (
EG, CHEST, HEAD/NECK )		$1,303.367-1-201912-31-2382
78812TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET); SKULL BASE TO
MID THIGH		$1,303.367-1-201912-31-2382
78813TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET) ; WHOLE BODY$1,303.367-1-201912-31-2382
78814TUMOR IMAGING, (PET); WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; LI		$1,416.697-1-201912-31-2382
78814TUMOR IMAGING, (PET); WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; LI		PI$1,416.697-1-201912-31-2382
78814TUMOR IMAGING, (PET); WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; LI		PS$1,416.697-1-201912-31-2382
78815TUMOR IMAGING, (PET) WITHCONCURENTLY ACQUIRED CT FOR ATTENUATION
CORRECTION AND ANATOMICAL LOCALIZATION; SKULL		$1,416.697-1-201912-31-2382
78815TUMOR IMAGING, (PET) WITHCONCURENTLY ACQUIRED CT FOR ATTENUATION
CORRECTION AND ANATOMICAL LOCALIZATION; SKULL		PI$1,416.697-1-201912-31-2382
78815TUMOR IMAGING, (PET) WITHCONCURENTLY ACQUIRED CT FOR ATTENUATION
CORRECTION AND ANATOMICAL LOCALIZATION; SKULL		PS$1,416.697-1-201912-31-2382
78815TUMOR IMAGING, (PET) WITHCONCURENTLY ACQUIRED CT FOR ATTENUATION
CORRECTION AND ANATOMICAL LOCALIZATION; SKULL		QR$1,416.697-1-201912-31-2382
78815TUMOR IMAGING, (PET) WITHCONCURENTLY ACQUIRED CT FOR ATTENUATION
CORRECTION AND ANATOMICAL LOCALIZATION; SKULL		TC$1,416.697-1-201912-31-2382
78816TUMOR IMAGING, (PET) WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; WHO		$1,416.697-1-201912-31-2382
78816TUMOR IMAGING, (PET) WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; WHO		PI$1,416.697-1-201912-31-2382
78816TUMOR IMAGING, (PET) WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; WHO		PS$1,416.697-1-201912-31-2382
78816TUMOR IMAGING, (PET) WITH CONCURRENTLY ACQUIRED CT FOR
ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION; WHO		QR$1,416.697-1-201912-31-2382
78890GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		$50.817-1-201912-31-2382
78890GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		26$3.367-1-201912-31-2382
78890GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		TC$44.427-1-201912-31-2382
78891GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		$101.907-1-201912-31-2382
78891GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		26$6.727-1-201912-31-2382
78891GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING
NUCLEAR PHYSICIAN AND/OR ALLIED HEALTH PROFESSIONA		TC$89.777-1-201912-31-2382
78999UNLISTED MISCELLANEOUS PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE$96.297-1-201912-31-2382
79000RADIONUCLIDE THERAPY, HYPERTHYROIDISM; INITIAL, INCLUDING
EVALUATION OF PATIENT		$210.047-1-201912-31-2382
79000RADIONUCLIDE THERAPY, HYPERTHYROIDISM; INITIAL, INCLUDING
EVALUATION OF PATIENT		26$95.707-1-201912-31-2382
79000RADIONUCLIDE THERAPY, HYPERTHYROIDISM; INITIAL, INCLUDING
EVALUATION OF PATIENT		TC$89.777-1-201912-31-2382
79001RADIONUCLIDE THERAPY, HYPERTHYROIDISM; SUBSEQUENT, EACH THERAPY$173.657-1-201912-31-2382
79001RADIONUCLIDE THERAPY, HYPERTHYROIDISM; SUBSEQUENT, EACH THERAPY26$76.647-1-201912-31-2382
79001RADIONUCLIDE THERAPY, HYPERTHYROIDISM; SUBSEQUENT, EACH THERAPYTC$44.427-1-201912-31-2382
79005RADIOPHARMACEUTICAL THERAPY, BY ORAL ADMINISTRATION$261.417-1-201912-31-2382
79020RADIONUCLIDE THERAPY, THYROID SUPPRESSION (EUTHYROID CARDIAC
DISEASE), INCLUDING EVALUATION OF PATIENT		$217.537-1-201912-31-2382
79020RADIONUCLIDE THERAPY, THYROID SUPPRESSION (EUTHYROID CARDIAC
DISEASE), INCLUDING EVALUATION OF PATIENT		26$93.237-1-201912-31-2382
79020RADIONUCLIDE THERAPY, THYROID SUPPRESSION (EUTHYROID CARDIAC
DISEASE), INCLUDING EVALUATION OF PATIENT		TC$89.777-1-201912-31-2382
79030RADIONUCLIDE ABLATION OF GLAND FOR THYROID CARCINOMA$292.877-1-201912-31-2382
79030RADIONUCLIDE ABLATION OF GLAND FOR THYROID CARCINOMA26$133.237-1-201912-31-2382
79030RADIONUCLIDE ABLATION OF GLAND FOR THYROID CARCINOMATC$89.777-1-201912-31-2382
79035RADIONUCLIDE THERAPY FOR METASTASES OF THYROID CARCINOMA$323.107-1-201912-31-2382
79035RADIONUCLIDE THERAPY FOR METASTASES OF THYROID CARCINOMA26$106.457-1-201912-31-2382
79035RADIONUCLIDE THERAPY FOR METASTASES OF THYROID CARCINOMATC$89.777-1-201912-31-2382
79100RADIONUCLIDE THERAPY, POLYCYTHEMIA VERA, CHRONIC LEUKEMIA, EACH
TREATMENT		$184.607-1-201912-31-2382
79100RADIONUCLIDE THERAPY, POLYCYTHEMIA VERA, CHRONIC LEUKEMIA, EACH
TREATMENT		26$78.037-1-201912-31-2382
79100RADIONUCLIDE THERAPY, POLYCYTHEMIA VERA, CHRONIC LEUKEMIA, EACH
TREATMENT		TC$89.777-1-201912-31-2382
79101RADIOPHARMACEUTICAL THERAPY, BY INTRAVENOUS ADMINISTRATION$261.417-1-201912-31-2382
79200INTRACAVITARY RADIOACTIVE COLLOID THERAPY$261.417-1-201912-31-2382
79200INTRACAVITARY RADIOACTIVE COLLOID THERAPY26$135.017-1-201912-31-2382
79200INTRACAVITARY RADIOACTIVE COLLOID THERAPYTC$89.777-1-201912-31-2382
79300INTERSTITIAL RADIOACTIVE COLLOID THERAPY$261.417-1-201912-31-2382
79300INTERSTITIAL RADIOACTIVE COLLOID THERAPY26$108.577-1-201912-31-2382
79400RADIONUCLIDE THERAPY, NONTHYROID, NONHEMATOLOGIC$193.137-1-201912-31-2382
79400RADIONUCLIDE THERAPY, NONTHYROID, NONHEMATOLOGIC26$96.357-1-201912-31-2382
79400RADIONUCLIDE THERAPY, NONTHYROID, NONHEMATOLOGICTC$89.777-1-201912-31-2382
79403RADIOPHARMACEUTICAL THERAPY, RADIOLABELED MONOCLONAL ANTIBODY
BY INTRAVENOUS INFUSION		$623.357-1-201912-31-2382
79420INTRAVASCULAR RADIONUCLIDE THERAPY, PARTICULATE26$102.207-1-201912-31-2382
79440INTRA-ARTICULAR RADIONUCLIDE THERAPY$261.417-1-201912-31-2382
79440INTRA-ARTICULAR RADIONUCLIDE THERAPY26$130.767-1-201912-31-2382
79440INTRA-ARTICULAR RADIONUCLIDE THERAPYTC$89.777-1-201912-31-2382
79445RADIOPHARMACEUTICAL THERAPY, BY INTRA-ARTERIAL PARTICULATE
ADMINISTRATION		$261.417-1-201912-31-2382
79999UNLISTED RADIONUCLIDE THERAPEUTIC PROCEDURE$261.417-1-201912-31-2382

chest x-ray cpt codes list
Chest X-Ray CPT Codes

Radiology CPT Codes 2023 Pdf :

Please find the 2023 Radiology CPT codes Pdf from attachment.

Radiology CPT Codes 2023 Pdf Download

The list of Radiology CPT codes 2023 along with the CPT code for chest X-ray is updated as per the latest info available on authorized resources like CMS, and other government portals. if any discrepancy is found please let us know via the contact us page.

Note- CPT is registered trademark of American Medical Association. The content shared in this website is for education and training purpose only.

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  • NSingh (MBA, RCM Expert)

    The author and contributor of this blog "NSingh" is working in Medical Billing and Coding since 2010. He is MBA in marketing and Having vaste experience in different scopes of Medical Billing and Coding as AR-Follow-up, Payment Posting, Charge posting, Coding, etc.

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