Medical Procedure Costs

77402

Radiation tx delivery lvl 1

Radiology

$82

—

77407

Radiation tx delivery lvl 2

Radiology

$310

—

77412

Radiation tx delivery lvl 3

Radiology

$444

—

77427

Radiation tx management x5

Radiology

$195

—

77431

Radiation therapy management

Radiology

$107

—

77432

Stereotactic radiation trmt

Radiology

$424

—

77435

Sbrt management

Radiology

$641

—

77436

Surf radj ther tx planning

Radiology

$78

—

77437

Surf radj ther supfc<=150kv

Radiology

$110

—

77438

Surf rad thr orthvlt>150-500

Radiology

$111

—

77439

Surf rad thr img gdn us plmt

Radiology

$16

—

77469

Io radiation tx management

Radiology

$267

—

77470

Special radiation treatment

Radiology

$145

—

77600

Hyperthermia ext gen supfc

Radiology

$548

—

77605

Hyperthermia ext gen deep

Radiology

$1,035

—

77610

Hyperthermia ntrstl prb 5/<

Radiology

$674

—

77615

Hyperthermia ntrstl prb>5

Radiology

$1,062

—

77620

Hyperthermia gen intrcv prb

Radiology

$732

—

77750

Infuse radioactive materials

Radiology

$395

—

77761

Apply intrcav radiat simple

Radiology

$424

—

77762

Apply intrcav radiat interm

Radiology

$558

—

77763

Apply intrcav radiat compl

Radiology

$792

—

77767

Hdr rdncl skn surf brachytx

Radiology

$251

—

77768

Hdr rdncl skn surf brachytx

Radiology

$369

—

77770

Hdr rdncl ntrstl/icav brchtx

Radiology

$349

—

77771

Hdr rdncl ntrstl/icav brchtx

Radiology

$611

—

77772

Hdr rdncl ntrstl/icav brchtx

Radiology

$915

—

77778

Apply interstit radiat compl

Radiology

$933

—

77789

Apply surf ldr radionuclide

Radiology

$133

—

77790

Radiation handling

Radiology

$19

—

78012

Thyroid uptake measurement

Radiology

$80

—

78013

Thyroid imaging w/blood flow

Radiology

$166

—

78014

Thyroid imaging w/blood flow

Radiology

$211

—

78015

Thyroid met imaging

Radiology

$204

—

78016

Thyroid met imaging/studies

Radiology

$252

—

78018

Thyroid met imaging body

Radiology

$276

—

78020

Thyroid met uptake

Radiology

$79

—

78070

Parathyroid planar imaging

Radiology

$261

—

78071

Parathyrd planar w/wo subtrj

Radiology

$310

—

78072

Parathyrd planar w/spect&ct

Radiology

$383

—

78075

Adrenal cortex & medulla img

Radiology

$387

—

78102

Bone marrow imaging ltd

Radiology

$157

—

78103

Bone marrow imaging mult

Radiology

$170

—

78104

Bone marrow imaging body

Radiology

$221

—

78110

Plasma volume single

Radiology

$71

—

78111

Plasma volume multiple

Radiology

$97

—

78120

Red cell mass single

Radiology

$72

—

78121

Red cell mass multiple

Radiology

$98

—

78122

Whl bld volume determination

Radiology

$101

—

78130

Red cell survival study

Radiology

$127

—

My Cost List