| Abdomen 2 views (74019) |
$581.03 |
$599 |
5.4× |
| Ankle 2 views (73600) |
$355.02 |
$366 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$484.03 |
$499 |
5.4× |
| Chest 1 view (71045) |
$376.36 |
$388 |
4.2× |
| Clavicle complete (73000) |
$394.79 |
$407 |
4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$3,314.49 |
$3,417 |
30.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,448.63 |
$7,679 |
20.6× |
| CT abdomen and pelvis without contrast (74176) |
$4,960.58 |
$5,114 |
20.0× |
| CT abdomen w contrast (74160) |
$2,434.70 |
$2,510 |
13.4× |
| CT abdomen w wo contrast (74170) |
$2,881.87 |
$2,971 |
15.8× |
| CT c-spine w/o contrast (72125) |
$3,480.36 |
$3,588 |
32.1× |
| CT chest w/wo contrast (71270) |
$4,253.45 |
$4,385 |
23.4× |
| CT chest with contrast (71260) |
$3,892.61 |
$4,013 |
21.4× |
| CT head/brain without and with contrast (70470) |
$4,244.72 |
$4,376 |
23.3× |
| CT iac w contrast (70481) |
$3,149.59 |
$3,247 |
17.3× |
| CT lower ext w/o (73700) |
$3,149.59 |
$3,247 |
29.0× |
| CT lower extremity with contrast (73701) |
$3,210.70 |
$3,310 |
17.6× |
| CT lumbar spine w/o contrast (72131) |
$3,480.36 |
$3,588 |
32.1× |
| CT maxillofacial w contrast (70487) |
$3,069.08 |
$3,164 |
16.9× |
| CT maxillofacial w/o contrast (70486) |
$2,732.49 |
$2,817 |
25.2× |
| CT neck soft tissue w contrast (70491) |
$3,664.66 |
$3,778 |
20.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,397.91 |
$3,503 |
18.7× |
| CT orbits w/o contrast (70480) |
$3,057.44 |
$3,152 |
28.2× |
| CT pelvis w/o contrast (72192) |
$2,151.46 |
$2,218 |
19.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$4,068.18 |
$4,194 |
22.3× |
| CT thoracic spine w/o contrast (72128) |
$3,480.36 |
$3,588 |
32.1× |
| CT thorax w/o contrast (71250) |
$3,375.60 |
$3,480 |
31.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,314.49 |
$3,417 |
18.2× |
| CT upper extremity w/o contrast rt (73200) |
$2,782.93 |
$2,869 |
25.6× |
| CT upper extremity with contrast (73201) |
$3,121.46 |
$3,218 |
8.6× |
| CTA chest (71275) |
$4,711.29 |
$4,857 |
25.9× |
| Cta Head (70496) |
$3,007.97 |
$3,101 |
16.5× |
| Cta Neck (70498) |
$2,797.48 |
$2,884 |
15.4× |
| Foot 2 views (73620) |
$388 |
$400 |
4.3× |
| Forearm 2 views (73090) |
$420.01 |
$433 |
4.6× |
| Hand 2 views (73120) |
$382.18 |
$394 |
3.5× |
| Hand 3 views (73130) |
$454.93 |
$469 |
5.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,013.72 |
$2,076 |
3.6× |
| Humerus Min 2 Views Left (73060) |
$454.93 |
$469 |
5.0× |
| Knee 3 views (73562) |
$508.28 |
$524 |
5.6× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$190.12 |
$196 |
2.1× |
| MRA head w/o contrast (70544) |
$4,027.44 |
$4,152 |
16.3× |
| MRI abdomen w contrast (74182) |
$4,312.62 |
$4,446 |
11.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,932.45 |
$5,085 |
13.6× |
| MRI abdomen w/o contrast (74181) |
$3,811.13 |
$3,929 |
15.4× |
| MRI cervical spine w/o contrast (72141) |
$5,018.78 |
$5,174 |
20.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,820.83 |
$3,939 |
15.4× |
| MRI pelvis w/o contrast (72195) |
$4,040.05 |
$4,165 |
16.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,660.92 |
$5,836 |
15.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$6,480.57 |
$6,681 |
17.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$6,450.50 |
$6,650 |
17.8× |
| MRI thoracic spine w/o contrast (72146) |
$4,106.98 |
$4,234 |
16.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,445.44 |
$3,552 |
13.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,297.03 |
$3,399 |
13.3× |
| Myocardial Spect Multiple Studies (78452) |
$5,950.95 |
$6,135 |
4.4× |
| Neck soft tissue (70360) |
$388 |
$400 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$433.59 |
$447 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$411.28 |
$424 |
4.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$484.03 |
$499 |
5.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$487.91 |
$503 |
5.4× |
| Scapula complete (73010) |
$442.32 |
$456 |
4.1× |
| Screening digital breast tomosynthesis (77063) |
$80.51 |
$83 |
3.4× |
| Small bowel series (74250) |
$581.03 |
$599 |
3.2× |
| Spine thoracic 3 views (72072) |
$655.72 |
$676 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$1,006.86 |
$1,038 |
9.3× |
| Us abdl aorta screen aaa (76706) |
$423.89 |
$437 |
3.9× |
| Us breast unilateral complete (76641) |
$1,056.33 |
$1,089 |
9.7× |
| Us breast unilateral limited (76642) |
$960.30 |
$990 |
10.6× |
| Us chest (76604) |
$631.47 |
$651 |
5.8× |
| Us pelvic non ob complete (76856) |
$1,131.99 |
$1,167 |
10.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$962.24 |
$992 |
8.9× |
| Us retroperitoneal complete (76770) |
$1,026.26 |
$1,058 |
9.5× |
| Us retroperitoneal limited (76775) |
$873 |
$900 |
8.0× |
| Us scrotum and contents (76870) |
$1,066.03 |
$1,099 |
9.8× |
| Us soft tissue head/neck (76536) |
$858.45 |
$885 |
7.9× |
| Us xtr non-vasc lmtd (76882) |
$688.70 |
$710 |
6.3× |
| Wrist 2 views (73100) |
$278.39 |
$287 |
3.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$480.15 |
$495 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$380.24 |
$392 |
4.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$460.75 |
$475 |
5.1× |
| X-ray exam hip uni 1 view (73501) |
$327.86 |
$338 |
3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$608.68 |
$627.50 |
6.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$715.86 |
$738 |
6.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$750.78 |
$774 |
6.9× |
| X-ray eye for foreign body (70030) |
$385.09 |
$397 |
4.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$588.79 |
$607 |
5.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$477.24 |
$492 |
5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$353.08 |
$364 |
3.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$561.63 |
$579 |
5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$650.87 |
$671 |
6.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$694.52 |
$716 |
7.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$388 |
$400 |
4.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$651.84 |
$672 |
6.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$512.16 |
$528 |
5.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$582 |
$600 |
5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$342.41 |
$353 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$480.15 |
$495 |
5.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$491.79 |
$507 |
5.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$501.49 |
$517 |
5.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$362.78 |
$374 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$517.01 |
$533 |
4.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$345.32 |
$356 |
3.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$437.47 |
$451 |
4.8× |
| Xr finger(s) 2+ views (73140) |
$314.28 |
$324 |
3.5× |
| Xr shoulder 1 view (73020) |
$365.69 |
$377 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$445.23 |
$459 |
4.9× |
| Xray knee 1 or 2 views rt (73560) |
$488.88 |
$504 |
5.4× |