| Abdomen 2 views (74019) |
$466.57 |
$481 |
4.3× |
| Ankle 2 views (73600) |
$390.91 |
$403 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$2,389.11 |
$2,463 |
5.8× |
| Bone age studies (77072) |
$435.53 |
$449 |
4.0× |
| Bone Imaging 3 Phase (78315) |
$1,618.93 |
$1,669 |
3.9× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) |
$2,231.97 |
$2,301 |
5.4× |
| Cervical spine 2 or 3 views (72040) |
$562.60 |
$580 |
6.3× |
| Chest 1 view (71045) |
$366.66 |
$378 |
4.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$745.93 |
$769 |
4.1× |
| Clavicle complete (73000) |
$390.91 |
$403 |
4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,331.88 |
$2,404 |
21.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,173.98 |
$5,334 |
14.4× |
| CT abdomen and pelvis without contrast (74176) |
$3,990.58 |
$4,114 |
16.2× |
| CT abdomen w contrast (74160) |
$2,560.80 |
$2,640 |
14.1× |
| CT abdomen w wo contrast (74170) |
$2,876.05 |
$2,965 |
15.9× |
| CT angio lwr extr w/o&w/dye (73706) |
$2,046.70 |
$2,110 |
11.3× |
| CT c-spine w/o contrast (72125) |
$2,723.76 |
$2,808 |
25.2× |
| CT chest w contrast (71260) |
$2,814.94 |
$2,902 |
15.5× |
| CT head/brain without and with contrast (70470) |
$2,963.35 |
$3,055 |
16.4× |
| CT iac w contrast (70481) |
$2,870.23 |
$2,959 |
15.9× |
| CT lower ext w/o (73700) |
$2,047.67 |
$2,111 |
19.0× |
| CT lower extremity w/contrast material (73701) |
$2,334.79 |
$2,407 |
12.9× |
| CT lumbar spine w/contrast (72132) |
$3,161.23 |
$3,259 |
8.8× |
| CT lumbar spine w/o contrast (72131) |
$2,723.76 |
$2,808 |
25.2× |
| CT maxillofacial w contrast (70487) |
$2,723.76 |
$2,808 |
15.0× |
| CT maxillofacial wo contrast (70486) |
$2,559.83 |
$2,639 |
23.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,917.76 |
$3,008 |
16.1× |
| CT orbits w/o contrast (70480) |
$2,559.83 |
$2,639 |
23.7× |
| CT pelvis w/o contrast (72192) |
$1,751.82 |
$1,806 |
16.2× |
| CT soft tissue neck w contrast (70491) |
$2,723.76 |
$2,808 |
15.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,559.83 |
$2,639 |
23.7× |
| CT thoracic spine w/o contrast (72128) |
$2,723.76 |
$2,808 |
25.2× |
| CT thorax w/o contrast (71250) |
$2,559.83 |
$2,639 |
23.7× |
| CT upper ext wo (73200) |
$1,999.17 |
$2,061 |
18.5× |
| CT upper extremity with contrast (73201) |
$2,288.23 |
$2,359 |
6.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$3,292.18 |
$3,394 |
18.2× |
| Cta Abdomen (74175) |
$2,793.60 |
$2,880 |
15.4× |
| CTA abdomen pelvis (74174) |
$4,833.51 |
$4,983 |
13.4× |
| CTA chest (71275) |
$3,202.94 |
$3,302 |
17.7× |
| Cta Head (70496) |
$3,058.41 |
$3,153 |
16.9× |
| Cta Neck (70498) |
$3,150.56 |
$3,248 |
17.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$868.15 |
$895 |
8.0× |
| Dxa bone density study axial skeleton (77085) |
$963.21 |
$993 |
8.9× |
| Facial bones min 3 views (70150) |
$747.87 |
$771 |
6.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$467.54 |
$482 |
4.3× |
| Fluoroscopy up to 1 hr (76000) |
$1,397.77 |
$1,441 |
5.7× |
| Foot 2 views (73620) |
$390.91 |
$403 |
4.4× |
| Forearm 2 views (73090) |
$400.61 |
$413 |
4.5× |
| Hand 2 views (73120) |
$394.79 |
$407 |
3.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,512.30 |
$2,590 |
4.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,625.79 |
$2,707 |
6.4× |
| Knee 3 views (73562) |
$400.61 |
$413 |
4.5× |
| MRA head w/o contrast (70544) |
$3,924.62 |
$4,046 |
15.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,924.62 |
$4,046 |
10.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,203.98 |
$4,334 |
11.7× |
| MRI abdomen w/o contrast (74181) |
$3,813.07 |
$3,931 |
15.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,203.98 |
$4,334 |
11.7× |
| MRI cervical spine w/o contrast (72141) |
$3,813.07 |
$3,931 |
15.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,203.98 |
$4,334 |
11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,813.07 |
$3,931 |
15.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,203.98 |
$4,334 |
11.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,004.16 |
$4,128 |
11.1× |
| MRI pelvis w/o contrast (72195) |
$2,602.51 |
$2,683 |
10.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,133.24 |
$5,292 |
14.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,203.98 |
$4,334 |
11.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,160.40 |
$5,320 |
14.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,813.07 |
$3,931 |
15.5× |
| MRI up ext w/o contrast (73218) |
$3,813.07 |
$3,931 |
15.5× |
| MRI upper ext joint w/o contrast (73221) |
$3,813.07 |
$3,931 |
15.5× |
| MRI, joint upper extrem combo (73223) |
$4,203.98 |
$4,334 |
11.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,144.81 |
$4,273 |
3.1× |
| Neck soft tissue (70360) |
$268.69 |
$277 |
3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,649.97 |
$1,701 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$369.57 |
$381 |
3.4× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$460.75 |
$475 |
5.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$400.61 |
$413 |
4.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$426.80 |
$440 |
4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$533.50 |
$550 |
4.9× |
| Radex fingr minimum 2 views (73140) |
$312.34 |
$322 |
3.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$467.54 |
$482 |
5.2× |
| Radex Hand Minimum 3 Views (73130) |
$460.75 |
$475 |
5.1× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$315.25 |
$325 |
3.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$512.16 |
$528 |
4.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$586.85 |
$605 |
5.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$719.74 |
$742 |
6.7× |
| Radex Humerus Minimum 2 Views (73060) |
$400.61 |
$413 |
4.5× |
| Radex Kne 1/2 Views (73560) |
$390.91 |
$403 |
4.4× |
| Radex Kne Compl 4/More Views (73564) |
$517.98 |
$534 |
4.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$562.60 |
$580 |
5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$497.61 |
$513 |
5.5× |
| Radex Sho Compl Minimum 2 Views (73030) |
$400.61 |
$413 |
4.5× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$646.99 |
$667 |
6.0× |
| Radex Toe Minimum 2 Views (73660) |
$312.34 |
$322 |
3.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$400.61 |
$413 |
4.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$365.69 |
$377 |
4.1× |
| Radiologic exam chest 2 views (71046) |
$460.75 |
$475 |
5.1× |
| Radiologic examination tibia & fibula 2 views (73590) |
$400.61 |
$413 |
4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$76.63 |
$79 |
3.3× |
| Shoulder 1 view (73020) |
$375.39 |
$387 |
4.2× |
| Small bowel series (74250) |
$822.56 |
$848 |
4.5× |
| Spine thoracic 3 views (72072) |
$504.40 |
$520 |
4.7× |
| Ultrasound Exam Aaa Screen (76706) |
$643.11 |
$663 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$589.76 |
$608 |
5.5× |
| Umbilical-artery Doppler (OB) (76820) |
$255.11 |
$263 |
2.4× |
| Us chest (76604) |
$631.47 |
$651 |
5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$409.34 |
$422 |
3.8× |
| Us ob detailed single fetus (76811) |
$1,104.83 |
$1,139 |
4.5× |
| Us ob limited (76815) |
$433.59 |
$447 |
4.0× |
| Us ob transvaginal (76817) |
$688.70 |
$710 |
6.4× |
| Us pelvic non ob complete (76856) |
$668.33 |
$689 |
6.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$506.34 |
$522 |
4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$649.90 |
$670 |
6.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$452.99 |
$467 |
4.2× |
| Us retroperitoneal complete (76770) |
$811.89 |
$837 |
7.5× |
| Us retroperitoneal limited (76775) |
$626.62 |
$646 |
5.8× |
| Us scrotum and contents (76870) |
$641.17 |
$661 |
5.9× |
| Us soft tissue head/neck (76536) |
$564.54 |
$582 |
5.2× |
| Wrist 2 views (73100) |
$390.91 |
$403 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$394.79 |
$407 |
4.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$449.11 |
$463 |
5.0× |
| X-ray exam of femur 2/> (73552) |
$436.50 |
$450 |
4.9× |
| X-ray eye for foreign body (70030) |
$511.19 |
$527 |
5.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$616.92 |
$636 |
6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$491.79 |
$507 |
5.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$616.92 |
$636 |
5.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$586.85 |
$605 |
6.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$743.99 |
$767 |
6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$248.32 |
$256 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$315.25 |
$325 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$392.85 |
$405 |
3.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$466.57 |
$481 |
4.3× |
| Xr c-spine 4 or 5 views (72050) |
$633.41 |
$653 |
5.9× |