| Abdomen 2 views (74019) |
$133.71 |
$191.02 |
1.4× |
| Ankle 2 views (73600) |
$81.87 |
$116.96 |
1.0× |
| Cervical spine 2 or 3 views (72040) |
$101.43 |
$144.90 |
1.3× |
| Chest 1 view (71045) |
$130.90 |
$187 |
1.7× |
| Clavicle complete (73000) |
$77.24 |
$110.34 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$152.01 |
$217.15 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,191.80 |
$1,702.56 |
3.8× |
| CT abdomen and pelvis without contrast (74176) |
$613.60 |
$876.58 |
2.8× |
| CT abdomen w contrast (74160) |
$1,146.32 |
$1,637.60 |
7.2× |
| CT abdomen w wo contrast (74170) |
$653.14 |
$933.06 |
4.1× |
| CT abdomen w/o contrast (74150) |
$1,017.91 |
$1,454.16 |
10.7× |
| CT angiography upper extremity lt (73206) |
$1,170.79 |
$1,672.56 |
7.3× |
| CT c-spine w/o contrast (72125) |
$801.22 |
$1,144.60 |
8.4× |
| CT cervical spine with contrast (72126) |
$929.72 |
$1,328.17 |
2.9× |
| CT chest w/wo contrast (71270) |
$959.79 |
$1,371.13 |
6.0× |
| CT chest with contrast (71260) |
$861.83 |
$1,231.18 |
5.4× |
| CT head/brain with contrast (70460) |
$855.33 |
$1,221.90 |
5.4× |
| CT head/brain without and with contrast (70470) |
$929.78 |
$1,328.25 |
5.8× |
| CT iac w contrast (70481) |
$959.79 |
$1,371.13 |
6.0× |
| CT lower ext w/o (73700) |
$801.22 |
$1,144.60 |
8.4× |
| CT lower extremity w wo contrast (73702) |
$826 |
$1,180 |
5.2× |
| CT lower extremity with contrast (73701) |
$931 |
$1,330 |
5.8× |
| CT lumbar spine w & w/o contrast (72133) |
$919.99 |
$1,314.27 |
5.8× |
| CT lumbar spine w/o contrast (72131) |
$801.35 |
$1,144.79 |
8.4× |
| CT lumbar spine with contrast (72132) |
$801.22 |
$1,144.60 |
2.5× |
| CT maxillofacial w contrast (70487) |
$801.22 |
$1,144.60 |
5.0× |
| CT maxillofacial w/o contrast (70486) |
$801.28 |
$1,144.70 |
8.4× |
| CT neck soft tissue w contrast (70491) |
$929.78 |
$1,328.25 |
5.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$959.79 |
$1,371.13 |
6.0× |
| CT orbits w/o contrast (70480) |
$813.61 |
$1,162.30 |
8.5× |
| CT pelvis w & w/o contrast (72194) |
$1,184.32 |
$1,691.88 |
7.4× |
| CT pelvis w/o contrast (72192) |
$1,017.91 |
$1,454.16 |
10.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$929.78 |
$1,328.25 |
5.8× |
| CT soft tissue neck w/o contrast (70490) |
$801.22 |
$1,144.60 |
8.4× |
| CT thoracic spine w/contrast (72129) |
$958.53 |
$1,369.33 |
6.0× |
| CT thoracic spine w/o contrast (72128) |
$801.22 |
$1,144.60 |
8.4× |
| CT thorax w/o contrast (71250) |
$801.22 |
$1,144.60 |
8.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$826 |
$1,180 |
5.2× |
| CT upper extremity w/o contrast rt (73200) |
$801.22 |
$1,144.60 |
8.4× |
| CT upper extremity with contrast (73201) |
$959.79 |
$1,371.13 |
3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,052.11 |
$1,503.02 |
6.6× |
| Cta Abdomen (74175) |
$1,324.05 |
$1,891.50 |
8.3× |
| CTA abdomen pelvis (74174) |
$1,527.75 |
$2,182.50 |
4.8× |
| CTA chest (71275) |
$1,052.11 |
$1,503.02 |
6.6× |
| Cta Head (70496) |
$1,421.64 |
$2,030.92 |
8.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,549.74 |
$2,213.92 |
9.7× |
| Cta Neck (70498) |
$1,052.11 |
$1,503.02 |
6.6× |
| Cta Pelvis (72191) |
$1,365 |
$1,950 |
8.5× |
| Foot 2 views (73620) |
$92.20 |
$131.71 |
1.2× |
| Forearm 2 views (73090) |
$92.20 |
$131.71 |
1.2× |
| Hand 3 views (73130) |
$97.32 |
$139.03 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$88.55 |
$126.50 |
1.1× |
| Knee 3 views (73562) |
$129.34 |
$184.77 |
1.6× |
| Neck soft tissue (70360) |
$77.24 |
$110.34 |
1.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$249.64 |
$356.63 |
2.6× |
| Pelvis 1 or 2 views (72170) |
$103.30 |
$147.57 |
1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$84.97 |
$121.38 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$169.05 |
$241.50 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$129.34 |
$184.77 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$142.21 |
$203.15 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$109.70 |
$156.72 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$142.80 |
$204 |
1.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$105.43 |
$150.62 |
1.3× |
| Scapula complete (73010) |
$114.04 |
$162.91 |
1.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$252 |
$360 |
2.6× |
| Spine thoracic 3 views (72072) |
$129.34 |
$184.77 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$129.91 |
$185.59 |
1.4× |
| Us chest (76604) |
$112.77 |
$161.10 |
1.2× |
| Us compl joint r-t w/image documentation (76881) |
$155.23 |
$221.75 |
1.6× |
| Us pelvic non ob complete (76856) |
$135 |
$192.86 |
1.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$149.21 |
$213.16 |
1.6× |
| Us pregnancy ltd (76815) |
$97.39 |
$139.13 |
1.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$177.14 |
$253.05 |
1.9× |
| Us retroperitoneal complete (76770) |
$149.95 |
$214.22 |
1.6× |
| Us retroperitoneal limited (76775) |
$221.74 |
$316.76 |
2.3× |
| Us scrotum and contents (76870) |
$167.99 |
$239.98 |
1.8× |
| Us soft tissue head/neck (76536) |
$140.30 |
$200.43 |
1.5× |
| Us xtr non-vasc lmtd (76882) |
$24.11 |
$34.44 |
0.3× |
| Wrist 2 views (73100) |
$89.22 |
$127.45 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$215.60 |
$308 |
2.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$93.46 |
$133.51 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$83.42 |
$119.17 |
1.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$105.43 |
$150.62 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$106.43 |
$152.04 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$135.50 |
$193.57 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$94.80 |
$135.43 |
1.0× |
| X-ray exam of femur 1 (73551) |
$94.31 |
$134.73 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$98.61 |
$140.87 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$92.20 |
$131.71 |
1.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$144.70 |
$206.72 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$173.31 |
$247.58 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$101.43 |
$144.90 |
1.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$137.77 |
$196.82 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$89.22 |
$127.45 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$115.05 |
$164.36 |
1.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$136.84 |
$195.48 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$60.06 |
$85.80 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$98.61 |
$140.87 |
1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$144.27 |
$206.10 |
1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$112.27 |
$160.38 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$105.43 |
$150.62 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$129.44 |
$184.91 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$126.56 |
$180.80 |
1.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$93.91 |
$134.16 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$130.54 |
$186.48 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$89.22 |
$127.45 |
0.9× |
| X-Ray Spine One View - Xr Spine (72020) |
$87.81 |
$125.44 |
1.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$110.46 |
$157.80 |
1.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$103.31 |
$147.58 |
1.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$92.20 |
$131.71 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$95.40 |
$136.28 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$118.66 |
$169.51 |
1.2× |
| Xr chest 4+ views (71048) |
$200.20 |
$286 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$92.20 |
$131.71 |
1.2× |
| Xr shoulder 1 view (73020) |
$76.48 |
$109.25 |
1.0× |
| Xr spine cervical 4 or 5 views (72050) |
$87.06 |
$124.37 |
0.9× |
| Xr tibia/fibula 2 views (73590) |
$105.43 |
$150.62 |
1.3× |
| Xr tmj bilateral (70330) |
$126.56 |
$180.80 |
1.6× |
| Xray knee 1 or 2 views rt (73560) |
$101.59 |
$145.13 |
1.3× |