| Abdomen 2 views (74019) |
$514 |
$514 |
4.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$855 |
$855 |
2.1× |
| Angiography extremity unilateral rs&i (75710) |
$6,622 |
$6,622 |
2.1× |
| Ankle 2 views (73600) |
$514 |
$514 |
5.9× |
| Aortography abdominal serialography rs&i (75625) |
$12,040 |
$12,040 |
3.8× |
| Arthrogram hip (73525) |
$1,238 |
$1,238 |
3.5× |
| Arthrogram shoulder (73040) |
$1,386 |
$1,386 |
4.0× |
| Arthrography knee lt (73580) |
$1,386 |
$1,386 |
4.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$597 |
$597 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$1,520 |
$1,520 |
3.8× |
| Bone age studies (77072) |
$440 |
$440 |
4.2× |
| Bone Imaging 3 Phase (78315) |
$958 |
$958 |
2.4× |
| Bone survey complete (77075) |
$921 |
$921 |
8.8× |
| Cervical spine 2 or 3 views (72040) |
$524 |
$524 |
6.0× |
| Chest 1 view (71045) |
$183 |
$183 |
2.1× |
| Chest 3 views (71047) |
$52 |
$52 |
0.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$354 |
$354 |
2.0× |
| Cisternography Positive Contrast Rs&I (70015) |
$2,860 |
$2,860 |
3.6× |
| Clavicle complete (73000) |
$328 |
$328 |
3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,694 |
$1,694 |
16.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,618 |
$2,618 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,002 |
$2,002 |
8.4× |
| CT abdomen w contrast (74160) |
$2,002 |
$2,002 |
11.4× |
| CT abdomen w wo contrast (74170) |
$2,464 |
$2,464 |
14.0× |
| CT abdomen w/o contrast (74150) |
$1,694 |
$1,694 |
16.1× |
| CT angiography upper extremity lt (73206) |
$1,680 |
$1,680 |
9.5× |
| CT c-spine w/o contrast (72125) |
$1,848 |
$1,848 |
17.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,960 |
$1,960 |
11.1× |
| CT cervical spine with contrast (72126) |
$2,002 |
$2,002 |
5.7× |
| CT chest w/wo contrast (71270) |
$1,613.50 |
$1,613.50 |
9.2× |
| CT chest with contrast (71260) |
$1,228.50 |
$1,228.50 |
7.0× |
| CT head/brain with contrast (70460) |
$2,310 |
$2,310 |
13.1× |
| CT head/brain without and with contrast (70470) |
$2,618 |
$2,618 |
14.9× |
| CT iac w contrast (70481) |
$1,271 |
$1,271 |
7.2× |
| CT limited/localized follow up study (76380) |
$539 |
$539 |
6.2× |
| CT lower ext w/o (73700) |
$1,694 |
$1,694 |
16.1× |
| CT lower extremity w wo contrast (73702) |
$2,310 |
$2,310 |
13.1× |
| CT lower extremity with contrast (73701) |
$2,002 |
$2,002 |
11.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,425 |
$1,425 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$1,694 |
$1,694 |
16.1× |
| CT lumbar spine with contrast (72132) |
$2,002 |
$2,002 |
5.7× |
| CT maxillofacial w contrast (70487) |
$1,848 |
$1,848 |
10.5× |
| CT maxillofacial w/o contrast (70486) |
$1,848 |
$1,848 |
17.6× |
| CT maxillofacial w/wo contrast (70488) |
$2,310 |
$2,310 |
13.1× |
| CT neck soft tissue w contrast (70491) |
$2,310 |
$2,310 |
13.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,425 |
$1,425 |
8.1× |
| CT orbits w/o contrast (70480) |
$1,848 |
$1,848 |
17.6× |
| CT pelvis w & w/o contrast (72194) |
$3,080 |
$3,080 |
17.5× |
| CT pelvis w/o contrast (72192) |
$1,694 |
$1,694 |
16.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,002 |
$2,002 |
11.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,848 |
$1,848 |
17.6× |
| CT thoracic spine w/contrast (72129) |
$1,271 |
$1,271 |
7.2× |
| CT thoracic spine w/o contrast (72128) |
$1,694 |
$1,694 |
16.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,425 |
$1,425 |
8.1× |
| CT thorax w/o contrast (71250) |
$1,097.50 |
$1,097.50 |
10.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,425 |
$1,425 |
8.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,694 |
$1,694 |
16.1× |
| CT upper extremity with contrast (73201) |
$2,002 |
$2,002 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,680 |
$1,680 |
9.5× |
| CTA abdomen pelvis (74174) |
$1,169 |
$1,169 |
3.3× |
| CTA chest (71275) |
$1,169 |
$1,169 |
6.6× |
| Cta Head (70496) |
$763.50 |
$763.50 |
4.3× |
| Cta Neck (70498) |
$1,169 |
$1,169 |
6.6× |
| Cystography minimum 3 views rs&i (74430) |
$1,044 |
$1,044 |
3.0× |
| Diskogram cervical (72285) |
$10,992 |
$10,992 |
5.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$503 |
$503 |
4.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$214 |
$214 |
2.4× |
| Dxa bone density study axial skeleton (77085) |
$248 |
$248 |
2.4× |
| Esophagus (74220) |
$416 |
$416 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$490 |
$490 |
4.7× |
| Fluoroscopy up to 1 hr (76000) |
$592 |
$592 |
2.5× |
| Foot 2 views (73620) |
$514 |
$514 |
5.9× |
| Forearm 2 views (73090) |
$382 |
$382 |
4.4× |
| Hand 2 views (73120) |
$382 |
$382 |
3.6× |
| Hand 3 views (73130) |
$536 |
$536 |
6.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,746 |
$1,746 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,746 |
$1,746 |
4.3× |
| Ht muscle image spect sing (78451) |
$4,262 |
$4,262 |
3.3× |
| Humerus Min 2 Views Left (73060) |
$328 |
$328 |
3.8× |
| Hysterosalpingogram (74740) |
$1,040 |
$1,040 |
4.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,386 |
$1,386 |
2.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,282 |
$1,282 |
2.4× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,386 |
$1,386 |
2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,289 |
$1,289 |
3.2× |
| Lymphoscintigraphy (78195) |
$1,213 |
$1,213 |
2.2× |
| Meckels Diverticulum (78290) |
$694 |
$694 |
1.7× |
| MRA head w & w/o contrast (70546) |
$2,523 |
$2,523 |
7.2× |
| MRA head w/o contrast (70544) |
$1,655 |
$1,655 |
6.9× |
| MRA head with contrast (70545) |
$2,523 |
$2,523 |
7.2× |
| MRA neck w contrast (70548) |
$2,184 |
$2,184 |
6.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,523 |
$2,523 |
7.2× |
| MRA neck w/o contrast (70547) |
$2,217 |
$2,217 |
9.2× |
| MRI abdomen w contrast (74182) |
$2,523 |
$2,523 |
7.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,069 |
$3,069 |
8.8× |
| MRI abdomen w/o contrast (74181) |
$2,217 |
$2,217 |
9.2× |
| MRI any jnt lwr ext with con lt (73722) |
$2,184 |
$2,184 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,184 |
$2,184 |
2.8× |
| MRI c-spine with contrast (72142) |
$2,184 |
$2,184 |
6.2× |
| MRI cervical spine w/o contrast (72141) |
$2,558 |
$2,558 |
10.7× |
| MRI chest w/o contrast (71550) |
$1,705 |
$1,705 |
7.1× |
| MRI chest with contrast (71551) |
$2,184 |
$2,184 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,184 |
$2,184 |
6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,184 |
$2,184 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,217 |
$2,217 |
9.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,705 |
$1,705 |
7.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,240 |
$3,240 |
9.2× |
| MRI pelvis w contrast (72196) |
$2,184 |
$2,184 |
6.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,387 |
$2,387 |
6.8× |
| MRI pelvis w/o contrast (72195) |
$2,217 |
$2,217 |
9.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,523 |
$2,523 |
7.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,523 |
$2,523 |
7.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,069 |
$3,069 |
8.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,184 |
$2,184 |
6.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,069 |
$3,069 |
8.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,184 |
$2,184 |
6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,069 |
$3,069 |
8.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,558 |
$2,558 |
10.7× |
| MRI tmj (70336) |
$1,705 |
$1,705 |
7.1× |
| MRI upper ext joint w/o contrast (73221) |
$2,558 |
$2,558 |
10.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,387 |
$2,387 |
6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,387 |
$2,387 |
10.0× |
| Myelogram Cervical (72240) |
$773 |
$773 |
1.0× |
| Myelogram Lumbar (72265) |
$1,112 |
$1,112 |
1.4× |
| Myelogram thoracic (72255) |
$797 |
$797 |
1.0× |
| Myelography 2 or more regions (72270) |
$1,155 |
$1,155 |
1.5× |
| Myocardial Spect Multiple Studies (78452) |
$5,458 |
$5,458 |
4.2× |
| Neck soft tissue (70360) |
$328 |
$328 |
3.8× |
| Nm gastric emptying study (78264) |
$961 |
$961 |
2.4× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$996 |
$996 |
2.5× |
| Osseous survey infant (77076) |
$273 |
$273 |
2.6× |
| Parathyroid imaging (78070) |
$864 |
$864 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$482 |
$482 |
4.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,523 |
$2,523 |
7.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,040 |
$1,040 |
2.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,577 |
$1,577 |
2.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$392 |
$392 |
3.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$486 |
$486 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$388 |
$388 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$431 |
$431 |
4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$585 |
$585 |
5.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$52 |
$52 |
0.6× |
| Radiologic exam colon single contrast study (74270) |
$650 |
$650 |
3.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$766 |
$766 |
4.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$308 |
$308 |
3.5× |
| Radiological examination surgical specimen (76098) |
$1,376 |
$1,376 |
2.5× |
| Ribs bilateral 3 views (71110) |
$524 |
$524 |
5.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,328 |
$1,328 |
3.3× |
| Sacroiliac Joints < 3 Views (72200) |
$325 |
$325 |
3.1× |
| Scapula complete (73010) |
$206 |
$206 |
2.0× |
| Screening digital breast tomosynthesis (77063) |
$189 |
$189 |
8.1× |
| Small bowel series (74250) |
$563 |
$563 |
3.2× |
| Spine thoracic 3 views (72072) |
$524 |
$524 |
5.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$637 |
$637 |
1.6× |
| Thyroid uptake measurement (78012) |
$580 |
$580 |
1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,324 |
$1,324 |
3.3× |
| Tmj unilateral (70328) |
$347 |
$347 |
4.0× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$820 |
$820 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$690 |
$690 |
6.6× |
| Unlisted miscellaneous px dx nuclear medicine (78999) |
$783 |
$783 |
1.9× |
| Unlisted Ultrasound Procedure (76999) |
$467 |
$467 |
5.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$844 |
$844 |
4.8× |
| Us abdl aorta screen aaa (76706) |
$419 |
$419 |
4.0× |
| Us breast unilateral complete (76641) |
$601 |
$601 |
5.7× |
| Us breast unilateral limited (76642) |
$383 |
$383 |
4.4× |
| Us chest (76604) |
$690 |
$690 |
6.6× |
| Us compl joint r-t w/image documentation (76881) |
$653 |
$653 |
6.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$690 |
$690 |
6.6× |
| Us kidney transplant (76776) |
$666 |
$666 |
6.3× |
| Us pelvic non ob complete (76856) |
$827 |
$827 |
7.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$467 |
$467 |
4.4× |
| Us pregnancy ltd (76815) |
$719.50 |
$719.50 |
6.9× |
| Us retroperitoneal complete (76770) |
$431 |
$431 |
4.1× |
| Us retroperitoneal limited (76775) |
$690 |
$690 |
6.6× |
| Us scrotum and contents (76870) |
$690 |
$690 |
6.6× |
| Us soft tissue head/neck (76536) |
$690 |
$690 |
6.6× |
| Vascular flow imaging (78445) |
$536 |
$536 |
1.3× |
| Venography extremity unilateral rs&i (75820) |
$1,739 |
$1,739 |
1.1× |
| Wrist 2 views (73100) |
$328 |
$328 |
3.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$616 |
$616 |
5.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$329 |
$329 |
3.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$536 |
$536 |
6.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$780 |
$780 |
4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$328 |
$328 |
3.8× |
| X-ray exam hip uni 1 view (73501) |
$286 |
$286 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$431 |
$431 |
4.9× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$673 |
$673 |
3.8× |
| X-ray eye for foreign body (70030) |
$206 |
$206 |
2.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$524 |
$524 |
5.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$536 |
$536 |
6.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$328 |
$328 |
3.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$536 |
$536 |
5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$221 |
$221 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$524 |
$524 |
5.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$524 |
$524 |
5.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$328 |
$328 |
3.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$244 |
$244 |
2.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$524 |
$524 |
5.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$329 |
$329 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$403 |
$403 |
4.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$540 |
$540 |
5.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$941 |
$941 |
9.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$328 |
$328 |
3.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$513 |
$513 |
5.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$540 |
$540 |
6.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$287 |
$287 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$329 |
$329 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$524 |
$524 |
5.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$328 |
$328 |
3.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$230 |
$230 |
2.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$328 |
$328 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$158 |
$158 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$382 |
$382 |
4.4× |
| Xr arthrogram ankle (73615) |
$1,075 |
$1,075 |
3.1× |
| Xr c-spine 6 or more views (72052) |
$329 |
$329 |
3.1× |
| Xr chest 4+ views (71048) |
$45 |
$45 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$328 |
$328 |
3.8× |
| XR Mastoids < 3 Views Bilateral (70120) |
$251 |
$251 |
2.4× |
| Xr myelogram posterior fossa (70010) |
$1,918 |
$1,918 |
5.5× |
| Xr shoulder 1 view (73020) |
$244 |
$244 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$766 |
$766 |
7.3× |
| Xr tibia/fibula 2 views (73590) |
$328 |
$328 |
3.8× |
| Xr tmj bilateral (70330) |
$420 |
$420 |
4.8× |
| Xray knee 1 or 2 views rt (73560) |
$328 |
$328 |
3.8× |