| Abdomen 2 views (74019) |
$61.10 |
$244.40 |
0.6× |
| Ankle 2 views (73600) |
$95.16 |
$380.64 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$89.96 |
$359.84 |
1.1× |
| Chest 1 view (71045) |
$44.72 |
$178.88 |
0.5× |
| Clavicle complete (73000) |
$74.79 |
$299.14 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$384.28 |
$1,537.12 |
1.1× |
| CT abdomen and pelvis without contrast (74176) |
$384.28 |
$1,537.12 |
1.7× |
| CT abdomen w contrast (74160) |
$384.28 |
$1,537.12 |
2.3× |
| CT abdomen w wo contrast (74170) |
$384.28 |
$1,537.12 |
2.3× |
| CT abdomen w/o contrast (74150) |
$384.28 |
$1,537.12 |
3.8× |
| CT angiography upper extremity lt (73206) |
$384.28 |
$1,537.12 |
2.3× |
| CT c-spine w/o contrast (72125) |
$384.28 |
$1,537.12 |
3.8× |
| CT chest w/wo contrast (71270) |
$384.28 |
$1,537.12 |
2.3× |
| CT chest with contrast (71260) |
$384.28 |
$1,537.12 |
2.3× |
| CT head/brain with contrast (70460) |
$384.28 |
$1,537.12 |
2.3× |
| CT head/brain without and with contrast (70470) |
$384.28 |
$1,537.12 |
2.3× |
| CT iac w contrast (70481) |
$384.28 |
$1,537.12 |
2.3× |
| CT lower ext w/o (73700) |
$384.28 |
$1,537.12 |
3.8× |
| CT lower extremity with contrast (73701) |
$384.28 |
$1,537.12 |
2.3× |
| CT lumbar spine w & w/o contrast (72133) |
$384.28 |
$1,537.12 |
2.3× |
| CT lumbar spine w/o contrast (72131) |
$384.28 |
$1,537.12 |
3.8× |
| CT lumbar spine with contrast (72132) |
$384.28 |
$1,537.12 |
1.1× |
| CT maxillofacial w contrast (70487) |
$384.28 |
$1,537.12 |
2.3× |
| CT maxillofacial w/o contrast (70486) |
$384.28 |
$1,537.12 |
3.8× |
| CT neck soft tissue w contrast (70491) |
$384.28 |
$1,537.12 |
2.3× |
| CT orbits w/o contrast (70480) |
$384.28 |
$1,537.12 |
3.8× |
| CT pelvis w & w/o contrast (72194) |
$384.28 |
$1,537.12 |
2.3× |
| CT pelvis w/o contrast (72192) |
$384.28 |
$1,537.12 |
3.8× |
| CT soft tissue neck w/o contrast (70490) |
$384.28 |
$1,537.12 |
3.8× |
| CT thoracic spine w/contrast (72129) |
$384.28 |
$1,537.12 |
2.3× |
| CT thoracic spine w/o contrast (72128) |
$384.28 |
$1,537.12 |
3.8× |
| CT thorax w/o contrast (71250) |
$384.28 |
$1,537.12 |
3.8× |
| CT upper extremity w/o contrast rt (73200) |
$384.28 |
$1,537.12 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$384.28 |
$1,537.12 |
2.3× |
| Cta Abdomen (74175) |
$384.28 |
$1,537.12 |
2.3× |
| CTA abdomen pelvis (74174) |
$384.28 |
$1,537.12 |
1.1× |
| CTA chest (71275) |
$384.28 |
$1,537.12 |
2.3× |
| Cta Head (70496) |
$384.28 |
$1,537.12 |
2.3× |
| CTA lwr ext w&w/o contrast (73706) |
$384.28 |
$1,537.12 |
2.3× |
| Cta Neck (70498) |
$384.28 |
$1,537.12 |
2.3× |
| Foot 2 views (73620) |
$60.58 |
$242.32 |
0.7× |
| Forearm 2 views (73090) |
$74.40 |
$297.58 |
0.9× |
| Hand 2 views (73120) |
$61.62 |
$246.48 |
0.6× |
| Hand 3 views (73130) |
$70.33 |
$281.32 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$72.28 |
$289.12 |
0.9× |
| Knee 3 views (73562) |
$94.25 |
$377 |
1.1× |
| Neck soft tissue (70360) |
$43.94 |
$175.76 |
0.5× |
| Osseous survey limited (77074) |
$108.16 |
$432.64 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$84.76 |
$339.04 |
0.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$54.60 |
$218.40 |
0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$101.14 |
$404.56 |
1.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$46.54 |
$186.16 |
0.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$45.24 |
$180.96 |
0.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$46.67 |
$186.67 |
0.6× |
| Ribs bilateral 3 views (71110) |
$88.40 |
$353.60 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$85.80 |
$343.20 |
0.8× |
| Scapula complete (73010) |
$77.22 |
$308.88 |
0.8× |
| Spine thoracic 3 views (72072) |
$92.56 |
$370.24 |
0.9× |
| Thoracolumbar 2 views (72080) |
$76.18 |
$304.72 |
0.9× |
| Ultrasound, abdomen limited (76705) |
$61.62 |
$246.48 |
0.6× |
| Upper Extremity Infant (73092) |
$78.78 |
$315.12 |
0.8× |
| Us abdl aorta screen aaa (76706) |
$54.08 |
$216.32 |
0.5× |
| Us ob transvaginal (76817) |
$157.04 |
$628.16 |
1.6× |
| Us pelvic non ob complete (76856) |
$169.26 |
$677.04 |
1.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$118.04 |
$472.16 |
1.2× |
| Us pregnancy ltd (76815) |
$127.14 |
$508.56 |
1.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$96.98 |
$387.92 |
1.0× |
| Us retroperitoneal limited (76775) |
$52.26 |
$209.04 |
0.5× |
| Us scrotum and contents (76870) |
$174.72 |
$698.88 |
1.7× |
| Us soft tissue head/neck (76536) |
$174.20 |
$696.80 |
1.7× |
| Us xtr non-vasc lmtd (76882) |
$105.30 |
$421.20 |
1.0× |
| Wrist 2 views (73100) |
$50.70 |
$202.80 |
0.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$152.10 |
$608.40 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$72.28 |
$289.12 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$104.39 |
$417.57 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$62.43 |
$249.70 |
0.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$66.57 |
$266.26 |
0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$47.58 |
$190.32 |
0.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$60.06 |
$240.24 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$77.48 |
$309.92 |
0.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$42.90 |
$171.60 |
0.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$106.72 |
$426.89 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$55.90 |
$223.60 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$42.90 |
$171.60 |
0.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$93.60 |
$374.40 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$92.04 |
$368.16 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$83.46 |
$333.84 |
1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$103.74 |
$414.96 |
1.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$83.20 |
$332.80 |
0.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$77.48 |
$309.92 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$101.14 |
$404.56 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$77.48 |
$309.92 |
0.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$81.90 |
$327.60 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$90.22 |
$360.88 |
0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$82.16 |
$328.64 |
1.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$77.95 |
$311.79 |
0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$77.48 |
$309.92 |
0.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$65.78 |
$263.12 |
0.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$98.02 |
$392.08 |
1.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$77.48 |
$309.92 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$72.54 |
$290.16 |
0.7× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$95.68 |
$382.72 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$60.32 |
$241.28 |
0.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$64.29 |
$257.14 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$59.02 |
$236.08 |
0.7× |
| Xr shoulder 1 view (73020) |
$57.98 |
$231.92 |
0.7× |
| Xr spine cervical 4 or 5 views (72050) |
$95.16 |
$380.64 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$90.63 |
$362.50 |
1.1× |
| Xr tmj bilateral (70330) |
$64.22 |
$256.88 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$94.63 |
$378.53 |
1.1× |