| Abdomen 2 views (74019) |
$226.20 |
$290 |
2.1× |
| Ankle 2 views (73600) |
$194.22 |
$249 |
2.2× |
| Cervical spine 2 or 3 views (72040) |
$222.30 |
$285 |
2.5× |
| Chest 1 view (71045) |
$226.20 |
$290 |
2.5× |
| Clavicle complete (73000) |
$194.22 |
$249 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$722.28 |
$926 |
6.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,267.46 |
$2,907 |
6.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,676.22 |
$2,149 |
6.8× |
| CT abdomen w wo contrast (74170) |
$1,372.80 |
$1,760 |
7.6× |
| CT c-spine w/o contrast (72125) |
$1,265.16 |
$1,622 |
11.7× |
| CT chest w contrast (71260) |
$1,372.80 |
$1,760 |
7.6× |
| CT chest w/wo contrast (71270) |
$1,578.72 |
$2,024 |
8.7× |
| CT lower ext w/o (73700) |
$999.96 |
$1,282 |
9.3× |
| CT maxillofacial wo contrast (70486) |
$1,046.76 |
$1,342 |
9.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,292.85 |
$1,657.50 |
7.1× |
| CT soft tissue neck w contrast (70491) |
$1,070.94 |
$1,373 |
5.9× |
| CT soft tissue neck w/o contrast (70490) |
$910.26 |
$1,167 |
8.4× |
| CT thorax w/o contrast (71250) |
$1,166.88 |
$1,496 |
10.8× |
| CTA abdomen pelvis (74174) |
$2,044.38 |
$2,621 |
5.7× |
| CTA chest (71275) |
$1,299.48 |
$1,666 |
7.2× |
| Cta Head (70496) |
$1,510.86 |
$1,937 |
8.3× |
| Cta Neck (70498) |
$1,510.86 |
$1,937 |
8.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$300.30 |
$385 |
2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$296.40 |
$380 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$964.08 |
$1,236 |
8.9× |
| Forearm 2 views (73090) |
$205.14 |
$263 |
2.3× |
| Knee 3 views (73562) |
$403.65 |
$517.50 |
4.5× |
| MRA head w/o contrast (70544) |
$1,725.36 |
$2,212 |
7.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,083.38 |
$2,671 |
5.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,415.66 |
$3,097 |
6.7× |
| MRI pelvis w/contrast (72196) |
$2,025.66 |
$2,597 |
5.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,827.54 |
$2,343 |
7.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,886 |
$3,700 |
2.2× |
| Neck soft tissue (70360) |
$173.94 |
$223 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$220.74 |
$283 |
2.0× |
| PET image w/CT, skull-thigh (78815) |
$4,560.66 |
$5,847 |
3.1× |
| PET imaging for CT attenuation whole body (78816) |
$4,593.42 |
$5,889 |
3.1× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$227.76 |
$292 |
2.5× |
| Radex Calcaneus Minimum 2 Views (73650) |
$188.76 |
$242 |
2.1× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$230.10 |
$295 |
2.6× |
| Radex fingr minimum 2 views (73140) |
$180.96 |
$232 |
2.0× |
| Radex Foot Compl Minimum 3 Views (73630) |
$326.43 |
$418.50 |
3.6× |
| Radex Hand Minimum 3 Views (73130) |
$218.40 |
$280 |
2.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$260.52 |
$334 |
2.4× |
| Radex Humerus Minimum 2 Views (73060) |
$230.88 |
$296 |
2.6× |
| Radex Kne 1/2 Views (73560) |
$351 |
$450 |
3.9× |
| Radex Sho Compl Minimum 2 Views (73030) |
$237.90 |
$305 |
2.6× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$230.88 |
$296 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$196.56 |
$252 |
2.2× |
| Radiologic exam chest 2 views (71046) |
$226.98 |
$291 |
2.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$349.83 |
$448.50 |
3.9× |
| Scapula (73010) |
$209.04 |
$268 |
1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$195 |
$250 |
8.3× |
| Shoulder 1 view (73020) |
$202.22 |
$259.25 |
2.3× |
| Spine thoracic 3 views (72072) |
$268.32 |
$344 |
2.5× |
| Ultrasound Exam Aaa Screen (76706) |
$350.22 |
$449 |
3.2× |
| Ultrasound, abdomen limited (76705) |
$436.02 |
$559 |
4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$354.90 |
$455 |
3.3× |
| Us ob limited (76815) |
$404.04 |
$518 |
3.7× |
| Us ob transvaginal (76817) |
$400.14 |
$513 |
3.7× |
| Us pelvic non ob complete (76856) |
$457.86 |
$587 |
4.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$423.54 |
$543 |
3.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$438.36 |
$562 |
4.1× |
| Us retroperitoneal complete (76770) |
$432.90 |
$555 |
4.0× |
| Us retroperitoneal limited (76775) |
$358.02 |
$459 |
3.3× |
| Us scrotum and contents (76870) |
$428.22 |
$549 |
4.0× |
| Us soft tissue head/neck (76536) |
$389.22 |
$499 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$195.78 |
$251 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$230.88 |
$296 |
2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$306.15 |
$392.50 |
2.8× |
| X-ray exam of femur 2/> (73552) |
$231.66 |
$297 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$237.90 |
$305 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$204.36 |
$262 |
2.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$283.92 |
$364 |
2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$203.58 |
$261 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$200.46 |
$257 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$228.15 |
$292.50 |
2.1× |