| Abdomen 2 views (74019) |
$517.01 |
$533 |
4.8× |
| Ankle 2 views (73600) |
$377.33 |
$389 |
4.2× |
| Bone &/joint imaging whole body (78306) |
$1,624.75 |
$1,675 |
3.9× |
| Bone age studies (77072) |
$513.13 |
$529 |
4.7× |
| Bone Imaging 3 Phase (78315) |
$1,618.93 |
$1,669 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$452.99 |
$467 |
5.0× |
| Chest 1 view (71045) |
$355.02 |
$366 |
3.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$685.79 |
$707 |
3.8× |
| Clavicle complete (73000) |
$373.45 |
$385 |
4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$3,362.99 |
$3,467 |
31.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,004.37 |
$7,221 |
19.3× |
| CT abdomen and pelvis without contrast (74176) |
$5,783.14 |
$5,962 |
23.3× |
| CT abdomen w contrast (74160) |
$4,031.32 |
$4,156 |
22.1× |
| CT abdomen w wo contrast (74170) |
$4,434.84 |
$4,572 |
24.3× |
| CT abdomen w/o contrast (74150) |
$3,531.77 |
$3,641 |
32.5× |
| CT c-spine w/o contrast (72125) |
$3,531.77 |
$3,641 |
32.5× |
| CT chest w/wo contrast (71270) |
$4,277.70 |
$4,410 |
23.5× |
| CT chest with contrast (71260) |
$4,002.22 |
$4,126 |
22.0× |
| CT head/brain with contrast (70460) |
$3,206.82 |
$3,306 |
17.6× |
| CT head/brain without and with contrast (70470) |
$3,531.77 |
$3,641 |
19.4× |
| CT iac w contrast (70481) |
$3,171.90 |
$3,270 |
17.4× |
| CT lower ext w/o (73700) |
$3,215.55 |
$3,315 |
29.6× |
| CT lower extremity w wo contrast (73702) |
$3,906.19 |
$4,027 |
21.4× |
| CT lower extremity with contrast (73701) |
$3,560.87 |
$3,671 |
19.6× |
| CT lumbar spine w/o contrast (72131) |
$3,531.77 |
$3,641 |
32.5× |
| CT maxillofacial w contrast (70487) |
$3,171.90 |
$3,270 |
17.4× |
| CT maxillofacial w/o contrast (70486) |
$2,723.76 |
$2,808 |
25.1× |
| CT neck soft tissue w contrast (70491) |
$3,437.68 |
$3,544 |
18.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,362.99 |
$3,467 |
18.5× |
| CT orbits w/o contrast (70480) |
$2,982.75 |
$3,075 |
27.5× |
| CT pelvis w & w/o contrast (72194) |
$4,159.36 |
$4,288 |
22.8× |
| CT pelvis w/o contrast (72192) |
$3,531.77 |
$3,641 |
32.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,659.81 |
$3,773 |
20.1× |
| CT thoracic spine w/contrast (72129) |
$4,751.06 |
$4,898 |
26.1× |
| CT thoracic spine w/o contrast (72128) |
$3,241.74 |
$3,342 |
29.9× |
| CT thorax w/o contrast (71250) |
$3,726.74 |
$3,842 |
34.3× |
| CT upper extremity w/o contrast rt (73200) |
$2,684.96 |
$2,768 |
24.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,473.64 |
$4,612 |
24.6× |
| Cta Abdomen (74175) |
$3,026.40 |
$3,120 |
16.6× |
| CTA abdomen pelvis (74174) |
$6,597.94 |
$6,802 |
18.2× |
| CTA chest (71275) |
$3,202.94 |
$3,302 |
17.6× |
| Cta Head (70496) |
$3,531.77 |
$3,641 |
19.4× |
| Cta Neck (70498) |
$3,150.56 |
$3,248 |
17.3× |
| Cystography minimum 3 views rs&i (74430) |
$1,256.15 |
$1,295 |
3.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$786.67 |
$811 |
7.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$480.15 |
$495 |
5.3× |
| Echoencephalography real time imaging (76506) |
$845.84 |
$872 |
7.8× |
| Esophagus (74220) |
$569.39 |
$587 |
3.1× |
| Fetal biophysical profile non-stress testing (76818) |
$683.85 |
$705 |
6.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$595.58 |
$614 |
5.5× |
| Fluoroscopy up to 1 hr (76000) |
$971.94 |
$1,002 |
3.9× |
| Foot 2 views (73620) |
$365.69 |
$377 |
4.0× |
| Forearm 2 views (73090) |
$370.54 |
$382 |
4.1× |
| Hand 2 views (73120) |
$370.54 |
$382 |
3.4× |
| Hand 3 views (73130) |
$431.65 |
$445 |
4.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,335.76 |
$2,408 |
4.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$2,346.43 |
$2,419 |
5.7× |
| Ht muscle image spect sing (78451) |
$7,365.21 |
$7,593 |
5.5× |
| Humerus Min 2 Views Left (73060) |
$434.56 |
$448 |
4.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,707.20 |
$1,760 |
3.0× |
| Knee 3 views (73562) |
$454.93 |
$469 |
5.0× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$226.01 |
$233 |
2.5× |
| MRA head w & w/o contrast (70546) |
$5,117.72 |
$5,276 |
14.1× |
| MRA head w/o contrast (70544) |
$3,354.26 |
$3,458 |
13.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,876.19 |
$5,027 |
13.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,112.04 |
$7,332 |
19.6× |
| MRI abdomen w/o contrast (74181) |
$5,268.07 |
$5,431 |
21.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,852.91 |
$5,003 |
6.0× |
| MRI cervical spine w/o contrast (72141) |
$4,743.30 |
$4,890 |
19.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,540.50 |
$3,650 |
14.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,469.76 |
$4,608 |
12.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,734.57 |
$4,881 |
13.1× |
| MRI pelvis w/o contrast (72195) |
$2,572.44 |
$2,652 |
10.4× |
| MRI scan of arm joint before and after contrast (73223) |
$5,923.79 |
$6,107 |
16.4× |
| MRI scan of leg joint before and after contrast (73723) |
$4,537.66 |
$4,678 |
12.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,160.40 |
$5,320 |
14.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$5,283.59 |
$5,447 |
14.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,479.53 |
$5,649 |
15.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,160.40 |
$5,320 |
14.2× |
| MRI thoracic spine w/o contrast (72146) |
$3,624.89 |
$3,737 |
14.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,782.03 |
$3,899 |
15.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$5,577.50 |
$5,750 |
15.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,540.50 |
$3,650 |
14.3× |
| Myocardial Spect Multiple Studies (78452) |
$6,961.69 |
$7,177 |
5.2× |
| Neck soft tissue (70360) |
$716.83 |
$739 |
7.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$464.63 |
$479 |
4.3× |
| Parathyrd planar w/wo subtrj (78071) |
$1,717.87 |
$1,771 |
4.1× |
| Pelvis 1 or 2 views (72170) |
$420.98 |
$434 |
3.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,244.72 |
$4,376 |
11.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,122.36 |
$2,188 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$565.51 |
$583 |
5.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$540.29 |
$557 |
5.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$805.10 |
$830 |
7.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$385.09 |
$397 |
4.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$461.72 |
$476 |
5.1× |
| Radiologic exam colon single contrast study (74270) |
$928.29 |
$957 |
5.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$952.54 |
$982 |
5.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$1,116.47 |
$1,151 |
6.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$539.32 |
$556 |
6.0× |
| Ribs bilateral 3 views (71110) |
$537.38 |
$554 |
5.0× |
| Scanogram (77073) |
$445.23 |
$459 |
4.1× |
| Screening digital breast tomosynthesis (77063) |
$76.63 |
$79 |
3.3× |
| Small bowel series (74250) |
$772.12 |
$796 |
4.2× |
| Spine thoracic 3 views (72072) |
$638.26 |
$658 |
5.9× |
| Thoracolumbar 2 views (72080) |
$154.23 |
$159 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$940.90 |
$970 |
8.7× |
| Umbilical-artery Doppler (OB) (76820) |
$196.91 |
$203 |
1.8× |
| Us abdl aorta screen aaa (76706) |
$467.54 |
$482 |
4.3× |
| Us breast unilateral limited (76642) |
$380.24 |
$392 |
4.2× |
| Us chest (76604) |
$612.07 |
$631 |
5.6× |
| Us ob transvaginal (76817) |
$704.22 |
$726 |
6.5× |
| Us pelvic non ob complete (76856) |
$1,059.24 |
$1,092 |
9.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$319.13 |
$329 |
2.9× |
| Us pregnancy ltd (76815) |
$638.26 |
$658 |
5.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$848.75 |
$875 |
7.8× |
| Us retroperitoneal complete (76770) |
$1,026.26 |
$1,058 |
9.5× |
| Us retroperitoneal limited (76775) |
$697.43 |
$719 |
6.4× |
| Us scrotum and contents (76870) |
$807.04 |
$832 |
7.4× |
| Us soft tissue head/neck (76536) |
$822.56 |
$848 |
7.6× |
| Us transrectal (76872) |
$400.61 |
$413 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$606.25 |
$625 |
5.6× |
| Wrist 2 views (73100) |
$352.11 |
$363 |
3.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$767.27 |
$791 |
7.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$424.86 |
$438 |
4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,210.56 |
$1,248 |
6.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$352.11 |
$363 |
3.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$420.98 |
$434 |
4.7× |
| X-ray exam hip uni 1 view (73501) |
$344.35 |
$355 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$434.56 |
$448 |
4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$647.96 |
$668 |
6.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$777.94 |
$802 |
7.2× |
| X-ray eye for foreign body (70030) |
$495.67 |
$511 |
5.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$617.89 |
$637 |
6.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$456.87 |
$471 |
5.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$349.20 |
$360 |
3.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$511.19 |
$527 |
4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$661.54 |
$682 |
6.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,339.57 |
$1,381 |
12.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$470.45 |
$485 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$397.70 |
$410 |
4.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$487.91 |
$503 |
5.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$267.72 |
$276 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$487.91 |
$503 |
4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$549.02 |
$566 |
6.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$485 |
$500 |
5.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$242.50 |
$250 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$345.32 |
$356 |
3.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$429.71 |
$443 |
4.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$540.29 |
$557 |
5.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$314.28 |
$324 |
3.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$417.10 |
$430 |
4.6× |
| Xr finger(s) 2+ views (73140) |
$298.76 |
$308 |
3.3× |
| Xr shoulder 1 view (73020) |
$337.56 |
$348 |
3.7× |
| Xr spine cervical 4 or 5 views (72050) |
$651.84 |
$672 |
6.0× |
| Xr tibia/fibula 2 views (73590) |
$420.01 |
$433 |
4.6× |
| Xray knee 1 or 2 views rt (73560) |
$396.73 |
$409 |
4.4× |