| Abdomen 2 views (74019) |
$165.34 |
$236.20 |
1.7× |
| Ankle 2 views (73600) |
$177.15 |
$253.07 |
2.2× |
| Bone &/joint imaging whole body (78306) |
$984.17 |
$1,405.95 |
2.7× |
| Bone Imaging 3 Phase (78315) |
$984.17 |
$1,405.95 |
2.7× |
| Bone survey complete (77075) |
$258.45 |
$369.22 |
2.7× |
| Cervical spine 2 or 3 views (72040) |
$126.50 |
$180.72 |
1.6× |
| Chest 1 view (71045) |
$109.13 |
$155.90 |
1.4× |
| Clavicle complete (73000) |
$91.76 |
$131.08 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$170.34 |
$243.34 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,421.05 |
$3,458.64 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$824.81 |
$1,178.30 |
3.7× |
| CT abdomen w contrast (74160) |
$1,212.08 |
$1,731.54 |
7.5× |
| CT abdomen w wo contrast (74170) |
$1,228.48 |
$1,754.98 |
7.6× |
| CT abdomen w/o contrast (74150) |
$868.48 |
$1,240.68 |
9.0× |
| CT c-spine w/o contrast (72125) |
$781.24 |
$1,116.06 |
8.1× |
| CT chest w/wo contrast (71270) |
$901.72 |
$1,288.17 |
5.6× |
| CT chest with contrast (71260) |
$1,137.54 |
$1,625.06 |
7.0× |
| CT head/brain with contrast (70460) |
$659.69 |
$942.42 |
4.1× |
| CT head/brain without and with contrast (70470) |
$994.12 |
$1,420.18 |
6.1× |
| CT lower ext w/o (73700) |
$601.42 |
$859.17 |
6.2× |
| CT lumbar spine w/o contrast (72131) |
$825.03 |
$1,178.62 |
8.5× |
| CT maxillofacial w contrast (70487) |
$963.96 |
$1,377.08 |
5.9× |
| CT maxillofacial w/o contrast (70486) |
$738.28 |
$1,054.68 |
7.6× |
| CT neck soft tissue w contrast (70491) |
$855.62 |
$1,222.32 |
5.3× |
| CT orbits w/o contrast (70480) |
$998.67 |
$1,426.67 |
10.3× |
| CT pelvis w/o contrast (72192) |
$846.54 |
$1,209.34 |
8.8× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,024.29 |
$1,463.27 |
6.3× |
| CT soft tissue neck w/o contrast (70490) |
$629.94 |
$899.91 |
6.5× |
| CT thoracic spine w/o contrast (72128) |
$890.37 |
$1,271.95 |
9.2× |
| CT thorax w/o contrast (71250) |
$954.87 |
$1,364.10 |
9.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,043.22 |
$1,490.31 |
10.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,582.56 |
$3,689.38 |
15.9× |
| Cta Abdomen (74175) |
$1,625.84 |
$2,322.63 |
10.0× |
| CTA chest (71275) |
$1,137.54 |
$1,625.06 |
7.0× |
| Cta Head (70496) |
$3,120.79 |
$4,458.27 |
19.2× |
| Cta Neck (70498) |
$3,120.79 |
$4,458.27 |
19.2× |
| Foot 2 views (73620) |
$173.21 |
$247.44 |
2.2× |
| Forearm 2 views (73090) |
$188.97 |
$269.95 |
2.3× |
| Hand 2 views (73120) |
$177.15 |
$253.07 |
1.8× |
| Hand 3 views (73130) |
$163.11 |
$233.02 |
2.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,438.40 |
$2,054.85 |
2.9× |
| Humerus Min 2 Views Left (73060) |
$149.05 |
$212.92 |
1.9× |
| Knee 3 views (73562) |
$147.44 |
$210.62 |
1.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$984.17 |
$1,405.95 |
2.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,393.49 |
$3,419.27 |
7.4× |
| MRI abdomen w/o contrast (74181) |
$1,774.92 |
$2,535.60 |
8.0× |
| MRI cervical spine w/o contrast (72141) |
$1,766.95 |
$2,524.22 |
8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,625.84 |
$2,322.63 |
7.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,814.29 |
$4,020.42 |
8.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,478.01 |
$3,540.02 |
7.7× |
| MRI pelvis w/o contrast (72195) |
$1,762.64 |
$2,518.06 |
8.0× |
| MRI scan of leg joint before and after contrast (73723) |
$2,153.24 |
$3,076.06 |
6.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,542.63 |
$3,632.33 |
7.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,585.74 |
$3,693.92 |
8.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,874.68 |
$2,678.12 |
8.5× |
| MRI upper ext joint w/o contrast (73221) |
$1,621.90 |
$2,317 |
7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,602.22 |
$2,288.89 |
7.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,179.61 |
$4,542.30 |
2.7× |
| Neck soft tissue (70360) |
$86.84 |
$124.05 |
1.1× |
| Nm gastric emptying study (78264) |
$984.17 |
$1,405.95 |
2.7× |
| Parathyrd planar w/wo subtrj (78071) |
$984.17 |
$1,405.95 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$126.50 |
$180.72 |
1.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,283.26 |
$3,261.80 |
7.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$204.10 |
$291.57 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$156.25 |
$223.22 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$126.50 |
$180.72 |
1.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$124 |
$177.16 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$149.26 |
$213.22 |
1.9× |
| Ribs bilateral 3 views (71110) |
$100.84 |
$144.06 |
1.0× |
| Scapula complete (73010) |
$89.30 |
$127.57 |
0.9× |
| Spine thoracic 3 views (72072) |
$130.63 |
$186.62 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$215.38 |
$307.69 |
2.2× |
| Us breast unilateral complete (76641) |
$371.26 |
$530.37 |
3.8× |
| Us breast unilateral limited (76642) |
$289.72 |
$413.89 |
3.6× |
| Us chest (76604) |
$274.97 |
$392.81 |
2.8× |
| Us pelvic non ob complete (76856) |
$265.35 |
$379.07 |
2.7× |
| Us retroperitoneal complete (76770) |
$238.92 |
$341.32 |
2.5× |
| Us scrotum and contents (76870) |
$215.36 |
$307.66 |
2.2× |
| Us soft tissue head/neck (76536) |
$184.76 |
$263.94 |
1.9× |
| Us xtr non-vasc lmtd (76882) |
$193.46 |
$276.38 |
2.0× |
| Wrist 2 views (73100) |
$169.28 |
$241.83 |
2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$71.92 |
$102.74 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$208.64 |
$298.06 |
2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$169.28 |
$241.83 |
2.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$171.28 |
$244.69 |
2.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$296.26 |
$423.22 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$142.54 |
$203.62 |
1.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$86.84 |
$124.05 |
0.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$165.34 |
$236.20 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$204.71 |
$292.44 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$173.21 |
$247.44 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$255.89 |
$365.55 |
2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$161.41 |
$230.58 |
2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$113.26 |
$161.80 |
1.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$248.46 |
$354.95 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$117.42 |
$167.74 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$178.59 |
$255.13 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$118.26 |
$168.94 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$178.59 |
$255.13 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$106.67 |
$152.38 |
1.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$119.05 |
$170.07 |
1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$161.22 |
$230.31 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$247.56 |
$353.65 |
2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$76.09 |
$108.70 |
0.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$181.09 |
$258.70 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$121.51 |
$173.59 |
1.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$248.01 |
$354.30 |
2.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$74.42 |
$106.31 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$156.92 |
$224.17 |
2.0× |
| Xr c-spine 6 or more views (72052) |
$190.93 |
$272.76 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$74.42 |
$106.31 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$230.34 |
$329.05 |
2.4× |
| Xr tibia/fibula 2 views (73590) |
$196.83 |
$281.19 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$181.09 |
$258.70 |
2.3× |