| Abdomen 2 views (74019) |
$185.64 |
$247.52 |
1.9× |
| Ankle 2 views (73600) |
$96.79 |
$129.05 |
1.2× |
| Bone age studies (77072) |
$105.58 |
$140.77 |
1.1× |
| Bone survey complete (77075) |
$266.59 |
$355.45 |
2.7× |
| Bone survey infant (77076) |
$139.01 |
$185.35 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$194.21 |
$258.94 |
2.3× |
| Chest 1 view (71045) |
$71.38 |
$95.17 |
0.9× |
| Chest xray 3 views (71047) |
$189.16 |
$252.22 |
2.3× |
| Clavicle complete (73000) |
$71.57 |
$95.42 |
0.9× |
| Contrast Xray Throat/Cerv Esopha (74210) |
$48.17 |
$64.23 |
0.3× |
| Facial bones min 3 views (70150) |
$113.90 |
$151.87 |
1.1× |
| Foot 2 views (73620) |
$99.42 |
$132.56 |
1.2× |
| Forearm 2 views (73090) |
$118.77 |
$158.36 |
1.4× |
| Hand 2 views (73120) |
$87.11 |
$116.14 |
0.9× |
| Knee 3 views (73562) |
$161.01 |
$214.68 |
1.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$2,091.92 |
$2,789.22 |
6.3× |
| MRA head w & w/o contrast (70546) |
$1,791.89 |
$2,389.18 |
5.4× |
| MRA head w/o contrast (70544) |
$1,520.17 |
$2,026.89 |
6.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,791.89 |
$2,389.18 |
5.4× |
| MRA neck w/o contrast (70547) |
$1,460.63 |
$1,947.50 |
6.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI abdomen w/o contrast (74181) |
$2,271.54 |
$3,028.71 |
9.9× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,170.62 |
$2,894.16 |
2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,916.45 |
$3,888.60 |
8.7× |
| MRI cervical spine w/o contrast (72141) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI chest w/o & w/contrast material (71552) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI chest w/o contrast (71550) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$2,916.45 |
$3,888.60 |
8.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,585.20 |
$2,113.60 |
6.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI pelvis w/o contrast (72195) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,170.62 |
$2,894.16 |
6.5× |
| MRI temporomandibular joint (70336) |
$1,343.06 |
$1,790.74 |
5.9× |
| MRI thoracic spine w/o contrast (72146) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI up ext w/o contrast (73218) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,520.17 |
$2,026.89 |
6.6× |
| MRI, joint upper extrem combo (73223) |
$2,091.92 |
$2,789.22 |
6.3× |
| Neck soft tissue (70360) |
$98.54 |
$131.38 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$108.21 |
$144.28 |
1.1× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$119.66 |
$159.55 |
1.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$121.42 |
$161.89 |
1.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$146.94 |
$195.92 |
1.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$102.71 |
$136.94 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$119.74 |
$159.65 |
1.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$172.90 |
$230.53 |
1.7× |
| Radex fingr minimum 2 views (73140) |
$89.75 |
$119.66 |
1.1× |
| Radex Foot Compl Minimum 3 Views (73630) |
$126.70 |
$168.93 |
1.5× |
| Radex Hand Minimum 3 Views (73130) |
$140.78 |
$187.70 |
1.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$85.02 |
$113.36 |
1.0× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$139.67 |
$186.23 |
1.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$114.37 |
$152.49 |
1.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$167.90 |
$223.87 |
1.7× |
| Radex Humerus Minimum 2 Views (73060) |
$151.34 |
$201.78 |
1.8× |
| Radex Kne 1/2 Views (73560) |
$100.31 |
$133.74 |
1.2× |
| Radex Kne Compl 4/More Views (73564) |
$289.46 |
$385.94 |
2.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$192.68 |
$256.91 |
1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$66.93 |
$89.24 |
0.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$121.42 |
$161.89 |
1.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$146.05 |
$194.73 |
1.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$68.64 |
$91.52 |
0.8× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$103.82 |
$138.42 |
1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$163.65 |
$218.20 |
2.0× |
| Radex Toe Minimum 2 Views (73660) |
$85.34 |
$113.79 |
1.0× |
| Radex upper extremity infant minimum 2 views (73092) |
$107.35 |
$143.13 |
1.1× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$149.57 |
$199.43 |
1.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$186.28 |
$248.37 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$139.89 |
$186.52 |
1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$227.88 |
$303.84 |
2.3× |
| Radiologic exam chest 2 views (71046) |
$88.28 |
$117.70 |
1.1× |
| Radiologic examination femur 1 view (73551) |
$87.60 |
$116.80 |
1.0× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$70.37 |
$93.82 |
0.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$123.17 |
$164.23 |
1.5× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) |
$159.83 |
$213.11 |
1.6× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) |
$54.55 |
$72.73 |
0.5× |
| Ribs bilateral 3 views (71110) |
$146.05 |
$194.73 |
1.5× |
| Sacroiliac Joints < 3 Views (72200) |
$97.67 |
$130.22 |
1.0× |
| Scapula (73010) |
$120.53 |
$160.71 |
1.2× |
| Sella turcica (70240) |
$102.06 |
$136.08 |
1.2× |
| Shoulder 1 view (73020) |
$111.74 |
$148.99 |
1.3× |
| Spine thoracic 3 views (72072) |
$165.41 |
$220.54 |
1.6× |
| Thoracolumbar 2 views (72080) |
$140.78 |
$187.70 |
1.7× |
| Tmj unilateral (70328) |
$109.98 |
$146.64 |
1.3× |
| Wrist 2 views (73100) |
$124.06 |
$165.41 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$120.53 |
$160.71 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$109.98 |
$146.64 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$125.86 |
$167.82 |
1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$141.14 |
$188.18 |
1.4× |
| X-ray exam of femur 2/> (73552) |
$145.18 |
$193.57 |
1.7× |
| X-ray eye for foreign body (70030) |
$100.30 |
$133.73 |
1.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$121.42 |
$161.89 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$99.42 |
$132.56 |
1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$124.94 |
$166.58 |
1.5× |
| X-ray leg, infant (73592) |
$110.86 |
$147.81 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$121.42 |
$161.89 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$160.13 |
$213.51 |
1.6× |
| X-ray nose-rectum child f.b. (76010) |
$110.86 |
$147.81 |
1.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$170.69 |
$227.58 |
1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$131.99 |
$175.98 |
1.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$122.30 |
$163.07 |
1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$287.71 |
$383.61 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$147.83 |
$197.11 |
1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$124.94 |
$166.58 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$138.68 |
$184.90 |
1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$220.84 |
$294.45 |
2.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$117.02 |
$156.02 |
1.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$125.82 |
$167.76 |
1.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$131.99 |
$175.98 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$146.05 |
$194.73 |
1.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$149.57 |
$199.43 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$189.17 |
$252.22 |
1.9× |
| Xr c-spine 4 or 5 views (72050) |
$220.84 |
$294.45 |
2.2× |
| Xr c-spine 6 or more views (72052) |
$263.50 |
$351.33 |
2.6× |
| Xr chest 4+ views (71048) |
$120.53 |
$160.71 |
1.2× |