| Abdomen 2 views (74019) |
$481.12 |
$496 |
4.5× |
| Ankle 2 views (73600) |
$302.64 |
$312 |
3.4× |
| Cervical spine 2 or 3 views (72040) |
$365.69 |
$377 |
4.1× |
| Chest 1 view (71045) |
$330.77 |
$341 |
3.7× |
| Clavicle complete (73000) |
$268.69 |
$277 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$654.75 |
$675 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,546.39 |
$4,687 |
12.6× |
| CT abdomen and pelvis without contrast (74176) |
$4,225.32 |
$4,356 |
17.2× |
| CT abdomen w contrast (74160) |
$2,433.73 |
$2,509 |
13.4× |
| CT abdomen w wo contrast (74170) |
$2,772.26 |
$2,858 |
15.3× |
| CT abdomen w/o contrast (74150) |
$1,443.36 |
$1,488 |
13.4× |
| CT c-spine w/o contrast (72125) |
$2,294.05 |
$2,365 |
21.3× |
| CT chest w contrast (71260) |
$2,310.54 |
$2,382 |
12.8× |
| CT lower ext w/o (73700) |
$1,796.44 |
$1,852 |
16.6× |
| CT lumbar spine w/o contrast (72131) |
$1,288.16 |
$1,328 |
11.9× |
| CT maxillofacial wo contrast (70486) |
$1,203.77 |
$1,241 |
11.2× |
| CT orbits w/o contrast (70480) |
$1,809.05 |
$1,865 |
16.8× |
| CT pelvis w/o contrast (72192) |
$1,448.21 |
$1,493 |
13.4× |
| CT soft tissue neck w contrast (70491) |
$2,085.50 |
$2,150 |
11.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,353.15 |
$1,395 |
12.5× |
| CT thoracic spine w/o contrast (72128) |
$2,230.03 |
$2,299 |
20.7× |
| CT thorax w/o contrast (71250) |
$1,353.15 |
$1,395 |
12.5× |
| CT upper ext wo (73200) |
$2,085.50 |
$2,150 |
19.3× |
| Cta Abdomen (74175) |
$2,793.60 |
$2,880 |
15.4× |
| CTA chest (71275) |
$3,283.45 |
$3,385 |
18.1× |
| Cta Head (70496) |
$3,211.67 |
$3,311 |
17.7× |
| Cta Neck (70498) |
$3,211.67 |
$3,311 |
17.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$798.31 |
$823 |
7.4× |
| Esophagus (74220) |
$569.39 |
$587 |
3.1× |
| Facial bones min 3 views (70150) |
$611.10 |
$630 |
5.7× |
| Foot 2 views (73620) |
$318.16 |
$328 |
3.5× |
| Forearm 2 views (73090) |
$318.16 |
$328 |
3.5× |
| Hand 2 views (73120) |
$318.16 |
$328 |
2.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,998.20 |
$2,060 |
3.6× |
| Knee 3 views (73562) |
$420.98 |
$434 |
4.7× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$142.59 |
$147 |
1.6× |
| MRA head w/o contrast (70544) |
$3,222.34 |
$3,322 |
13.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,240.84 |
$4,372 |
11.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,124.44 |
$4,252 |
11.5× |
| MRI abdomen w/o contrast (74181) |
$3,127.28 |
$3,224 |
12.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,783 |
$3,900 |
10.5× |
| MRI cervical spine w/o contrast (72141) |
$3,371.72 |
$3,476 |
13.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,251.51 |
$4,383 |
11.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,517.22 |
$3,626 |
14.3× |
| MRI pelvis w/o contrast (72195) |
$2,286.29 |
$2,357 |
9.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,274.79 |
$4,407 |
11.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,203.01 |
$4,333 |
11.7× |
| MRI thoracic spine w/o contrast (72146) |
$3,410.52 |
$3,516 |
13.8× |
| MRI up ext w/o contrast (73218) |
$3,517.22 |
$3,626 |
14.3× |
| MRI upper ext joint w/o contrast (73221) |
$3,549.23 |
$3,659 |
14.4× |
| MRI, joint upper extrem combo (73223) |
$4,016.77 |
$4,141 |
11.2× |
| Neck soft tissue (70360) |
$228.92 |
$236 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$318.16 |
$328 |
2.9× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$341.44 |
$352 |
3.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$382.18 |
$394 |
4.3× |
| Radex fingr minimum 2 views (73140) |
$318.16 |
$328 |
3.5× |
| Radex Foot Compl Minimum 3 Views (73630) |
$392.85 |
$405 |
4.4× |
| Radex Hand Minimum 3 Views (73130) |
$392.85 |
$405 |
4.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$587.82 |
$606 |
5.4× |
| Radex Humerus Minimum 2 Views (73060) |
$318.16 |
$328 |
3.5× |
| Radex Kne 1/2 Views (73560) |
$318.16 |
$328 |
3.5× |
| Radex Kne Compl 4/More Views (73564) |
$510.22 |
$526 |
4.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$359.87 |
$371 |
4.0× |
| Radex Toe Minimum 2 Views (73660) |
$318.16 |
$328 |
3.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$397.70 |
$410 |
4.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$366.66 |
$378 |
4.1× |
| Radiologic exam chest 2 views (71046) |
$484.03 |
$499 |
5.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$341.44 |
$352 |
3.8× |
| Scapula (73010) |
$318.16 |
$328 |
2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$76.63 |
$79 |
3.3× |
| Shoulder 1 view (73020) |
$268.69 |
$277 |
3.0× |
| Spine thoracic 3 views (72072) |
$546.11 |
$563 |
5.1× |
| Ultrasound Exam Aaa Screen (76706) |
$643.11 |
$663 |
6.0× |
| Ultrasound, abdomen limited (76705) |
$828.38 |
$854 |
7.7× |
| Us chest (76604) |
$607.22 |
$626 |
5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$617.89 |
$637 |
5.7× |
| Us ob transvaginal (76817) |
$789.58 |
$814 |
7.3× |
| Us pelvic non ob complete (76856) |
$916.65 |
$945 |
8.5× |
| Us retroperitoneal complete (76770) |
$905.01 |
$933 |
8.4× |
| Us retroperitoneal limited (76775) |
$633.41 |
$653 |
5.9× |
| Us scrotum and contents (76870) |
$641.17 |
$661 |
5.9× |
| Us soft tissue head/neck (76536) |
$766.30 |
$790 |
7.1× |
| Wrist 2 views (73100) |
$318.16 |
$328 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$302.64 |
$312 |
3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$449.11 |
$463 |
5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$378.30 |
$390 |
3.5× |
| X-ray exam of femur 2/> (73552) |
$325.92 |
$336 |
3.6× |
| X-ray eye for foreign body (70030) |
$313.31 |
$323 |
3.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$457.84 |
$472 |
5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$288.09 |
$297 |
3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$495.67 |
$511 |
4.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$424.86 |
$438 |
4.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$580.06 |
$598 |
5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$736.23 |
$759 |
6.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$295.85 |
$305 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$477.24 |
$492 |
5.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$362.78 |
$374 |
3.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$196.91 |
$203 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$505.37 |
$521 |
4.7× |
| Xr c-spine 4 or 5 views (72050) |
$532.53 |
$549 |
4.9× |