| Abdomen 1 View (74018) |
$83.07 |
$117 |
0.9× |
| Abdomen 2 views (74019) |
$121.41 |
$171 |
1.1× |
| Ankle 2 views (73600) |
$76.68 |
$108 |
0.9× |
| Chest 1 view (71045) |
$76.68 |
$108 |
0.9× |
| Chest 2 views (71046) |
$94.43 |
$133 |
1.1× |
| Chest 3 views (71047) |
$89.46 |
$126 |
1.0× |
| Clavicle complete (73000) |
$74.55 |
$105 |
0.8× |
| Continuing medical physics consltj pr wk (77336) |
$171.11 |
$241 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,923.39 |
$2,709 |
5.4× |
| CT abdomen and pelvis without contrast (74176) |
$991.87 |
$1,397 |
4.1× |
| CT abdomen w contrast (74160) |
$1,060.74 |
$1,494 |
5.9× |
| CT abdomen w/o contrast (74150) |
$1,069.26 |
$1,506 |
10.0× |
| CT Angio Chest (71275) |
$1,304.27 |
$1,837 |
7.3× |
| CT cervical spine w/o contrast (72125) |
$1,006.78 |
$1,418 |
9.4× |
| CT chest w contrast (71260) |
$1,113.99 |
$1,569 |
6.2× |
| CT chest w/wo contrast (71270) |
$1,400.83 |
$1,973 |
7.8× |
| CT head/brain with contrast (70460) |
$684.44 |
$964 |
3.8× |
| CT head/brain without and with contrast (70470) |
$723.49 |
$1,019 |
4.0× |
| CT lower ext w/o (73700) |
$741.95 |
$1,045 |
6.9× |
| CT lower extremity w/contrast material (73701) |
$665.27 |
$937 |
3.7× |
| CT lumbar spine w/o contrast (72131) |
$940.04 |
$1,324 |
8.8× |
| CT maxillofacial wo contrast (70486) |
$838.51 |
$1,181 |
7.9× |
| CT neck tissue combo (70492) |
$1,051.51 |
$1,481 |
5.9× |
| CT pelvis w&w/o contrast (72194) |
$1,104.05 |
$1,555 |
6.2× |
| CT pelvis w/o contrast (72192) |
$843.48 |
$1,188 |
7.9× |
| CT soft tissue neck w contrast (70491) |
$834.25 |
$1,175 |
4.7× |
| CT thoracic spine w/o contrast (72128) |
$781.71 |
$1,101 |
7.3× |
| CT thorax w/o contrast (71250) |
$893.18 |
$1,258 |
8.4× |
| Cta Abdomen (74175) |
$1,195.64 |
$1,684 |
6.7× |
| Dxa Bone Density Axial (77080) |
$206.17 |
$290.37 |
1.9× |
| Foot 2 views (73620) |
$72.42 |
$102 |
0.8× |
| Forearm 2 views (73090) |
$73.13 |
$103 |
0.8× |
Knee 3 Views (73562)
range across 2 matching MRF lines |
$133.48–$208.74 |
$188–$294 |
varies |
| MRI Breast W/O Contrast Bilateral (77047) |
$2,671.73 |
$3,763 |
11.0× |
| MRI Breast Without Contrast Material Unilateral (77046) |
$2,685.22 |
$3,782 |
11.0× |
| Neck soft tissue (70360) |
$66.03 |
$93 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$88.75 |
$125 |
0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$151.94 |
$214 |
1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$113.60 |
$160 |
1.3× |
| Radex Calcaneus Minimum 2 Views (73650) |
$57.51 |
$81 |
0.6× |
| Radex elbow complete minimum 3 views (73080) |
$112.89 |
$159 |
1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$80.94 |
$114 |
0.8× |
| Radex fingr minimum 2 views (73140) |
$104.37 |
$147 |
1.2× |
| Radex foot complete minimum 3 views (73630) |
$105.08 |
$148 |
1.2× |
| Radex Hand Minimum 3 Views (73130) |
$115.02 |
$162 |
1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$67.45 |
$95 |
0.8× |
| Radex Ribs Unilateral 2 Views (71100) |
$100.11 |
$141 |
1.1× |
| Radex shoulder complete minimum 2 views (73030) |
$113.60 |
$160 |
1.3× |
| Radex Sinuses Paransl < 3 Views (70210) |
$96.56 |
$136 |
1.1× |
| Radex Toe Minimum 2 Views (73660) |
$83.07 |
$117 |
0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$125.67 |
$177 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$256.31 |
$361 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$98.69 |
$139 |
0.9× |
| Radiologic exam knee complete 4/more views (73564) |
$122.83 |
$173 |
1.1× |
| Radiologic examination knee 1/2 views (73560) |
$112.18 |
$158 |
1.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$97.27 |
$137 |
1.1× |
| Scapula (73010) |
$62.48 |
$88 |
0.6× |
| Thoracic spine 2 views (72070) |
$105.08 |
$148 |
1.0× |
| Thoracic spine 3 views (72072) |
$98.69 |
$139 |
0.9× |
| Ultrasound Exam Aaa Screen (76706) |
$178.92 |
$252 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$315.24 |
$444 |
3.0× |
| Us complete joint (76881) |
$248.50 |
$350 |
2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$30.53 |
$43 |
0.3× |
| Us pelvic non ob complete (76856) |
$335.12 |
$472 |
3.1× |
| Us retroperitoneal complete (76770) |
$357.13 |
$503 |
3.3× |
| Us scrotum and contents (76870) |
$310.98 |
$438 |
2.9× |
| Us thyroid (76536) |
$373.46 |
$526 |
3.5× |
| Wrist 2 views (73100) |
$82.36 |
$116 |
0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$78.81 |
$111 |
0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$95.85 |
$135 |
1.1× |
| X-Ray Exam Hip Uni 1 View (73501) |
$60.35 |
$85 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$150.52 |
$212 |
1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$119.99 |
$169 |
1.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$175.37 |
$247 |
1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$97.27 |
$137 |
0.9× |
| X-ray eye for foreign body (70030) |
$64.61 |
$91 |
0.7× |
| X-ray humerus (73060) |
$93.72 |
$132 |
1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$69.58 |
$98 |
0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$100.82 |
$142 |
1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$123.54 |
$174 |
1.2× |
| X-ray nose-rectum child f.b. (76010) |
$46.86 |
$66 |
0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$79.52 |
$112 |
0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$74.55 |
$105 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$74.55 |
$105 |
0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$73.84 |
$104 |
0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$83.07 |
$117 |
0.8× |
| Xr c-spine 4 or 5 views (72050) |
$133.48 |
$188 |
1.2× |
| Xr orbits complete 4 views (70200) |
$80.94 |
$114 |
0.8× |