| Abdomen 2 views (74019) |
$269.94 |
$449.90 |
2.6× |
| Ankle 2 views (73600) |
$277.66 |
$462.76 |
3.2× |
| Bone age studies (77072) |
$152.32 |
$253.87 |
1.4× |
| Bone survey complete (77075) |
$820.75 |
$1,367.92 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$273.80 |
$456.33 |
3.1× |
| Chest 1 view (71045) |
$196.63 |
$327.71 |
2.2× |
| Chest 3 views (71047) |
$286.66 |
$477.76 |
3.3× |
| Clavicle complete (73000) |
$359.28 |
$598.80 |
4.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,084.28 |
$6,807.13 |
11.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,162.15 |
$5,270.25 |
13.2× |
| CT abdomen w contrast (74160) |
$2,001.20 |
$3,335.33 |
11.3× |
| CT abdomen w wo contrast (74170) |
$2,036.66 |
$3,394.43 |
11.5× |
| CT abdomen w/o contrast (74150) |
$1,586 |
$2,643.34 |
15.1× |
| CT angiography upper extremity lt (73206) |
$2,175.92 |
$3,626.53 |
12.3× |
| CT c-spine w/o contrast (72125) |
$1,570.01 |
$2,616.68 |
14.9× |
| CT cervical spine w&w/o contrast (72127) |
$2,103.71 |
$3,506.18 |
11.9× |
| CT cervical spine with contrast (72126) |
$1,973.48 |
$3,289.13 |
5.6× |
| CT chest w/wo contrast (71270) |
$2,221.05 |
$3,701.75 |
12.6× |
| CT chest with contrast (71260) |
$1,792.10 |
$2,986.83 |
10.2× |
| CT head/brain with contrast (70460) |
$1,773.62 |
$2,956.03 |
10.0× |
| CT head/brain without and with contrast (70470) |
$2,153.35 |
$3,588.92 |
12.2× |
| CT iac w contrast (70481) |
$1,905.78 |
$3,176.30 |
10.8× |
| CT lower ext w/o (73700) |
$1,495.74 |
$2,492.90 |
14.2× |
| CT lower extremity w wo contrast (73702) |
$1,947.69 |
$3,246.15 |
11.0× |
| CT lower extremity with contrast (73701) |
$1,792.31 |
$2,987.19 |
10.2× |
| CT lumbar spine w & w/o contrast (72133) |
$2,210.74 |
$3,684.56 |
12.5× |
| CT lumbar spine w/o contrast (72131) |
$1,745.25 |
$2,908.75 |
16.6× |
| CT lumbar spine with contrast (72132) |
$1,905.78 |
$3,176.30 |
5.4× |
| CT maxillofacial w contrast (70487) |
$1,731.07 |
$2,885.11 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$1,371.31 |
$2,285.52 |
13.0× |
| CT maxillofacial w/wo contrast (70488) |
$2,093.39 |
$3,488.99 |
11.9× |
| CT neck soft tissue w contrast (70491) |
$1,795.54 |
$2,992.56 |
10.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,117.25 |
$3,528.75 |
12.0× |
| CT orbits w/o contrast (70480) |
$1,736.22 |
$2,893.70 |
16.5× |
| CT pelvis w & w/o contrast (72194) |
$2,048.27 |
$3,413.78 |
11.6× |
| CT pelvis w/o contrast (72192) |
$1,544.74 |
$2,574.57 |
14.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,656.92 |
$2,761.54 |
9.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,519.60 |
$2,532.66 |
14.4× |
| CT thoracic spine w/contrast (72129) |
$1,947.69 |
$3,246.15 |
11.0× |
| CT thoracic spine w/o contrast (72128) |
$1,801.99 |
$3,003.31 |
17.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,210.74 |
$3,684.56 |
12.5× |
| CT thorax w/o contrast (71250) |
$1,502.93 |
$2,504.89 |
14.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,947.69 |
$3,246.15 |
11.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,617.59 |
$2,695.99 |
15.4× |
| CT upper extremity with contrast (73201) |
$1,856.14 |
$3,093.57 |
5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,387.39 |
$3,978.98 |
13.5× |
| Cta Abdomen (74175) |
$2,577.58 |
$4,295.96 |
14.6× |
| CTA abdomen pelvis (74174) |
$4,767.68 |
$7,946.13 |
13.6× |
| CTA chest (71275) |
$3,372.89 |
$5,621.49 |
19.1× |
| Cta Head (70496) |
$3,199.39 |
$5,332.31 |
18.1× |
| CTA lwr ext w&w/o contrast (73706) |
$1,366.80 |
$2,278 |
7.7× |
| Cta Neck (70498) |
$3,165.28 |
$5,275.47 |
17.9× |
| Cta Pelvis (72191) |
$2,190.75 |
$3,651.25 |
12.4× |
| Foot 2 views (73620) |
$384.99 |
$641.65 |
4.4× |
| Forearm 2 views (73090) |
$406.84 |
$678.07 |
4.6× |
| Hand 2 views (73120) |
$422.91 |
$704.85 |
4.0× |
| Hand 3 views (73130) |
$422.91 |
$704.85 |
4.8× |
| Humerus Min 2 Views Left (73060) |
$390.13 |
$650.22 |
4.5× |
| Knee 3 views (73562) |
$405.56 |
$675.93 |
4.6× |
| Neck soft tissue (70360) |
$152.32 |
$253.87 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$260.95 |
$434.91 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$422.32 |
$703.86 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$647.86 |
$1,079.77 |
6.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$157.46 |
$262.44 |
1.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$215.95 |
$359.92 |
2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$298.22 |
$497.04 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$351.91 |
$586.52 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$273.80 |
$456.33 |
3.1× |
| Ribs bilateral 3 views (71110) |
$359.93 |
$599.89 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$105.41 |
$175.68 |
1.0× |
| Scapula complete (73010) |
$182.53 |
$304.22 |
1.7× |
| Spine thoracic 3 views (72072) |
$345.14 |
$575.23 |
3.3× |
| Thoracolumbar 2 views (72080) |
$284.76 |
$474.60 |
3.3× |
| Ultrasound, abdomen limited (76705) |
$518.65 |
$864.41 |
4.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$270.59 |
$450.98 |
3.1× |
| Unlisted Ultrasound Procedure (76999) |
$887.60 |
$1,479.33 |
10.1× |
| Upper Extremity Infant (73092) |
$105.41 |
$175.68 |
1.0× |
| Us abdl aorta screen aaa (76706) |
$490.30 |
$817.16 |
4.7× |
| Us breast unilateral complete (76641) |
$334.38 |
$557.30 |
3.2× |
| Us breast unilateral limited (76642) |
$311.19 |
$518.65 |
3.6× |
| Us chest (76604) |
$362.09 |
$603.48 |
3.4× |
| Us compl joint r-t w/image documentation (76881) |
$556.01 |
$926.69 |
5.3× |
| Us fetal nuchal translucency 1st gestation (76813) |
$456.79 |
$761.32 |
4.3× |
| Us infant hips dynamic (76885) |
$556.01 |
$926.69 |
6.3× |
| Us infant hips limited static (76886) |
$242.25 |
$403.75 |
2.8× |
| Us ob detailed single fetus (76811) |
$653.83 |
$1,089.71 |
2.7× |
| Us ob transvaginal (76817) |
$240.32 |
$400.53 |
2.3× |
| Us pelvic non ob complete (76856) |
$613.36 |
$1,022.26 |
5.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$481.92 |
$803.20 |
4.6× |
| Us pregnancy ltd (76815) |
$145.61 |
$242.68 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$403.96 |
$673.27 |
3.8× |
| Us retroperitoneal complete (76770) |
$490.30 |
$817.16 |
4.7× |
| Us retroperitoneal limited (76775) |
$490.30 |
$817.16 |
4.7× |
| Us scrotum and contents (76870) |
$463.88 |
$773.14 |
4.4× |
| Us soft tissue head/neck (76536) |
$489.65 |
$816.09 |
4.7× |
| Us xtr non-vasc lmtd (76882) |
$262.87 |
$438.11 |
2.5× |
| Wrist 2 views (73100) |
$398.48 |
$664.14 |
4.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$462.76 |
$771.26 |
4.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$374.71 |
$624.51 |
4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$390.13 |
$650.22 |
4.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$413.27 |
$688.78 |
4.7× |
| X-ray exam hip uni 1 view (73501) |
$242.62 |
$404.38 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$408.77 |
$681.28 |
4.7× |
| X-ray exam hip uni 4/> views (73503) |
$575.56 |
$959.26 |
5.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$415.96 |
$693.27 |
4.0× |
| X-ray exam of femur 1 (73551) |
$161.32 |
$268.87 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$255.80 |
$426.34 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$114.41 |
$190.69 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$480.76 |
$801.26 |
5.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$151.68 |
$252.80 |
1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$105.41 |
$175.68 |
1.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$316.22 |
$527.03 |
3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$283.18 |
$471.97 |
3.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$105.41 |
$175.68 |
1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$308.51 |
$514.18 |
2.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$514.18 |
$856.96 |
4.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$214.67 |
$357.78 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$105.41 |
$175.68 |
1.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$105.41 |
$175.68 |
1.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$324.58 |
$540.96 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$268.01 |
$446.69 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$401.70 |
$669.50 |
3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$520.01 |
$866.68 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$149.11 |
$248.52 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$265.45 |
$442.41 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$261.59 |
$435.98 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$284.72 |
$474.54 |
3.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$131.76 |
$219.60 |
1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$344.50 |
$574.16 |
3.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$241.02 |
$401.70 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$257.09 |
$428.48 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$250.02 |
$416.70 |
2.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$200.53 |
$334.21 |
2.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$271.87 |
$453.12 |
2.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$412.21 |
$687.02 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$169.68 |
$282.80 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$398.48 |
$664.14 |
4.6× |
| Xr c-spine 6 or more views (72052) |
$414.55 |
$690.92 |
3.9× |
| Xr chest 4+ views (71048) |
$371.76 |
$619.60 |
3.5× |
| Xr finger(s) 2+ views (73140) |
$188.96 |
$314.93 |
2.2× |
| Xr shoulder 1 view (73020) |
$203.10 |
$338.50 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$397.20 |
$662 |
3.8× |
| Xr tibia/fibula 2 views (73590) |
$391.42 |
$652.36 |
4.5× |
| Xr tmj bilateral (70330) |
$210.17 |
$350.28 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$357.35 |
$595.59 |
4.1× |