| Abdomen 2 views (74019) |
$45.98 |
$121 |
0.5× |
| Ankle 2 views (73600) |
$26.60 |
$70 |
0.3× |
| Bone age studies (77072) |
$22.80 |
$60 |
0.2× |
| Cervical spine 2 or 3 views (72040) |
$65.21 |
$171.60 |
0.9× |
| Chest 1 view (71045) |
$37.62 |
$99 |
0.5× |
| Clavicle complete (73000) |
$29.64 |
$78 |
0.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$771.63 |
$2,030.60 |
2.5× |
| CT abdomen and pelvis without contrast (74176) |
$653.75 |
$1,720.40 |
3.1× |
| CT abdomen w contrast (74160) |
$376.20 |
$990 |
2.4× |
| CT abdomen w wo contrast (74170) |
$506.35 |
$1,332.50 |
3.3× |
| CT abdomen w/o contrast (74150) |
$323 |
$850 |
3.5× |
| CT c-spine w/o contrast (72125) |
$312.66 |
$822.80 |
3.4× |
| CT chest with contrast (71260) |
$376.20 |
$990 |
2.4× |
| CT head/brain with contrast (70460) |
$305.90 |
$805 |
2.0× |
| CT head/brain without and with contrast (70470) |
$326.80 |
$860 |
2.1× |
| CT lower ext w/o (73700) |
$326.88 |
$860.20 |
3.6× |
| CT lumbar spine w/o contrast (72131) |
$312.66 |
$822.80 |
3.4× |
| CT maxillofacial w/o contrast (70486) |
$316.83 |
$833.75 |
3.5× |
| CT neck soft tissue w contrast (70491) |
$410.02 |
$1,079 |
2.7× |
| CT orbits w/o contrast (70480) |
$312.66 |
$822.80 |
3.4× |
| CT pelvis w/o contrast (72192) |
$284.24 |
$748 |
3.1× |
| CT soft tissue neck w/o contrast (70490) |
$312.66 |
$822.80 |
3.4× |
| CT thoracic spine w/o contrast (72128) |
$284.24 |
$748 |
3.1× |
| CT thorax w/o contrast (71250) |
$275.98 |
$726.25 |
3.0× |
| CT upper extremity w/o contrast rt (73200) |
$202.54 |
$533 |
2.2× |
| CT upper extremity with contrast (73201) |
$315.40 |
$830 |
1.0× |
| Cta Abdomen (74175) |
$525.35 |
$1,382.50 |
3.4× |
| CTA abdomen pelvis (74174) |
$525.35 |
$1,382.50 |
1.7× |
| CTA chest (71275) |
$525.35 |
$1,382.50 |
3.4× |
| Cta Head (70496) |
$446.50 |
$1,175 |
2.9× |
| Cta Neck (70498) |
$446.50 |
$1,175 |
2.9× |
| Foot 2 views (73620) |
$29.64 |
$78 |
0.4× |
| Forearm 2 views (73090) |
$38 |
$100 |
0.5× |
| Hand 2 views (73120) |
$34.58 |
$91 |
0.4× |
| Hand 3 views (73130) |
$39.52 |
$104 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$33.44 |
$88 |
0.4× |
| Knee 3 views (73562) |
$102.60 |
$270 |
1.3× |
| Neck soft tissue (70360) |
$34.58 |
$91 |
0.5× |
| Pelvis 1 or 2 views (72170) |
$30.40 |
$80 |
0.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$65.21 |
$171.60 |
0.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$66.88 |
$176 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$29.26 |
$77 |
0.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$52.88 |
$139.15 |
0.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$50.16 |
$132 |
0.7× |
| Ribs bilateral 3 views (71110) |
$57 |
$150 |
0.6× |
| Sacroiliac Joints < 3 Views (72200) |
$54.72 |
$144 |
0.6× |
| Scapula complete (73010) |
$30.59 |
$80.50 |
0.3× |
| Spine thoracic 3 views (72072) |
$68.97 |
$181.50 |
0.8× |
| Thoracolumbar 2 views (72080) |
$57.68 |
$151.80 |
0.8× |
| Ultrasound, abdomen limited (76705) |
$119.55 |
$314.60 |
1.3× |
| Upper Extremity Infant (73092) |
$50.16 |
$132 |
0.5× |
| Us abdl aorta screen aaa (76706) |
$154.47 |
$406.50 |
1.7× |
| Us pelvic non ob complete (76856) |
$125.40 |
$330 |
1.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$83.60 |
$220 |
0.9× |
| Us retroperitoneal complete (76770) |
$106.88 |
$281.25 |
1.2× |
| Us retroperitoneal limited (76775) |
$128.82 |
$339 |
1.4× |
| Us scrotum and contents (76870) |
$110.35 |
$290.40 |
1.2× |
| Us soft tissue head/neck (76536) |
$130.42 |
$343.20 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$119.55 |
$314.60 |
1.3× |
| Wrist 2 views (73100) |
$34.58 |
$91 |
0.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$62.70 |
$165 |
0.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$39.52 |
$104 |
0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$29.26 |
$77 |
0.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$33.44 |
$88 |
0.4× |
| X-ray exam hip uni 1 view (73501) |
$26.60 |
$70 |
0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$34.96 |
$92 |
0.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$38 |
$100 |
0.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$38 |
$100 |
0.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$29.64 |
$78 |
0.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$57.68 |
$151.80 |
0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$115.37 |
$303.60 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$44.46 |
$117 |
0.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$50.16 |
$132 |
0.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$62.70 |
$165 |
0.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$37.62 |
$99 |
0.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$70.30 |
$185 |
0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$87.78 |
$231 |
1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$55.18 |
$145.20 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$43.70 |
$115 |
0.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$50.16 |
$132 |
0.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$34.58 |
$91 |
0.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$65.21 |
$171.60 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$57.68 |
$151.80 |
0.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$40.96 |
$107.80 |
0.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$39.52 |
$104 |
0.5× |
| Xr c-spine 6 or more views (72052) |
$86.94 |
$228.80 |
0.9× |
| Xr finger(s) 2+ views (73140) |
$34.58 |
$91 |
0.5× |
| Xr shoulder 1 view (73020) |
$26.60 |
$70 |
0.3× |
| Xr spine cervical 4 or 5 views (72050) |
$65.21 |
$171.60 |
0.7× |
| Xr tibia/fibula 2 views (73590) |
$43.70 |
$115 |
0.6× |
| Xray knee 1 or 2 views rt (73560) |
$34.96 |
$92 |
0.5× |