| Abdomen 2 views (74019) |
$346.50 |
$385 |
3.8× |
| Bone survey complete (77075) |
$161.51 |
$179.46 |
1.8× |
| Cervical spine 2 or 3 views (72040) |
$139.50 |
$155 |
1.9× |
| Chest 1 view (71045) |
$164.70 |
$183 |
2.2× |
| Chest 3 views (71047) |
$378 |
$420 |
5.0× |
| Clavicle complete (73000) |
$14.35 |
$15.94 |
0.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,586.84 |
$1,763.16 |
5.3× |
| CT abdomen and pelvis without contrast (74176) |
$923.85 |
$1,026.50 |
4.5× |
| CT abdomen w contrast (74160) |
$1,090.86 |
$1,212.06 |
7.2× |
| CT abdomen w wo contrast (74170) |
$1,363.02 |
$1,514.46 |
9.0× |
| CT abdomen w/o contrast (74150) |
$903.08 |
$1,003.42 |
10.0× |
| CT angiography upper extremity lt (73206) |
$920.81 |
$1,023.12 |
6.1× |
| CT c-spine w/o contrast (72125) |
$613.91 |
$682.12 |
6.8× |
| CT cervical spine w&w/o contrast (72127) |
$888.02 |
$986.69 |
5.9× |
| CT cervical spine with contrast (72126) |
$423.43 |
$470.48 |
1.4× |
| CT chest w/wo contrast (71270) |
$737.55 |
$819.50 |
4.9× |
| CT chest with contrast (71260) |
$787.92 |
$875.46 |
5.2× |
| CT head/brain with contrast (70460) |
$726.95 |
$807.72 |
4.8× |
| CT head/brain without and with contrast (70470) |
$692.62 |
$769.58 |
4.6× |
| CT iac w contrast (70481) |
$545 |
$605.56 |
3.6× |
| CT limited/localized follow up study (76380) |
$241.76 |
$268.63 |
3.2× |
| CT lower ext w/o (73700) |
$469.24 |
$521.37 |
5.2× |
| CT lower extremity w wo contrast (73702) |
$667.68 |
$741.87 |
4.4× |
| CT lower extremity with contrast (73701) |
$406.84 |
$452.04 |
2.7× |
| CT lumbar spine w & w/o contrast (72133) |
$888.24 |
$986.94 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$608.74 |
$676.37 |
6.8× |
| CT lumbar spine with contrast (72132) |
$787.08 |
$874.53 |
2.6× |
| CT maxillofacial w contrast (70487) |
$599.98 |
$666.64 |
4.0× |
| CT maxillofacial w/o contrast (70486) |
$510.05 |
$566.72 |
5.7× |
| CT maxillofacial w/wo contrast (70488) |
$533.12 |
$592.35 |
3.5× |
| CT neck soft tissue w contrast (70491) |
$794.32 |
$882.57 |
5.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$613.37 |
$681.52 |
4.1× |
| CT orbits w/o contrast (70480) |
$427.50 |
$475 |
4.7× |
| CT pelvis w & w/o contrast (72194) |
$892.27 |
$991.41 |
5.9× |
| CT pelvis w/o contrast (72192) |
$597.95 |
$664.39 |
6.6× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$386.18 |
$429.09 |
5.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$895.59 |
$995.10 |
5.9× |
| CT soft tissue neck w/o contrast (70490) |
$622.60 |
$691.77 |
6.9× |
| CT thoracic spine w/contrast (72129) |
$787.82 |
$875.35 |
5.2× |
| CT thoracic spine w/o contrast (72128) |
$609.70 |
$677.44 |
6.8× |
| CT thoracic spine w/wo contrast (72130) |
$888.34 |
$987.05 |
5.9× |
| CT thorax w/o contrast (71250) |
$609.80 |
$677.56 |
6.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$671.76 |
$746.40 |
4.4× |
| CT upper extremity w/o contrast rt (73200) |
$469.24 |
$521.37 |
5.2× |
| CT upper extremity with contrast (73201) |
$661.50 |
$735 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,466.52 |
$1,629.47 |
9.7× |
| Cta Abdomen (74175) |
$1,373.42 |
$1,526.03 |
9.1× |
| CTA abdomen pelvis (74174) |
$2,241 |
$2,490 |
7.5× |
| CTA chest (71275) |
$1,152 |
$1,280 |
7.6× |
| Cta Head (70496) |
$1,133.30 |
$1,259.22 |
7.5× |
| CTA lwr ext w&w/o contrast (73706) |
$943.52 |
$1,048.36 |
6.2× |
| Cta Neck (70498) |
$1,131.68 |
$1,257.43 |
7.5× |
| Cta Pelvis (72191) |
$1,103.38 |
$1,225.98 |
7.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$455.47 |
$506.08 |
5.1× |
| Foot 2 views (73620) |
$166.50 |
$185 |
2.2× |
| Forearm 2 views (73090) |
$229.50 |
$255 |
3.1× |
| Hand 2 views (73120) |
$166.50 |
$185 |
1.8× |
| Hand 3 views (73130) |
$202.50 |
$225 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$122.24 |
$135.82 |
1.6× |
| Knee 3 views (73562) |
$136.78 |
$151.97 |
1.8× |
| Neck soft tissue (70360) |
$59.40 |
$66 |
0.8× |
| Osseous survey infant (77076) |
$155.46 |
$172.74 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$71.84 |
$79.82 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$101.70 |
$113 |
1.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$166.50 |
$185 |
1.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$112.36 |
$124.85 |
1.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$335.70 |
$373 |
3.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$232.20 |
$258 |
2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$59.40 |
$66 |
0.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$299.25 |
$332.50 |
4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$369.20 |
$410.22 |
4.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$191.70 |
$213 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$306 |
$340 |
4.1× |
| Radiologic Examination Salivary Gland Calculus (70380) |
$59.40 |
$66 |
0.8× |
| Ribs bilateral 3 views (71110) |
$77.40 |
$86 |
0.9× |
| Sacroiliac Joints < 3 Views (72200) |
$14.44 |
$16.04 |
0.2× |
| Scapula complete (73010) |
$14.98 |
$16.64 |
0.2× |
| Sella turcica (70240) |
$94.05 |
$104.50 |
1.3× |
| Thoracolumbar 2 views (72080) |
$82.80 |
$92 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$205.47 |
$228.30 |
2.3× |
| Us abdl aorta screen aaa (76706) |
$205.47 |
$228.30 |
2.3× |
| Us breast unilateral complete (76641) |
$176.16 |
$195.73 |
2.0× |
| Us breast unilateral limited (76642) |
$267.77 |
$297.52 |
3.6× |
| Us chest (76604) |
$379.80 |
$422 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$765 |
$850 |
8.5× |
| Us guided compression repair (76936) |
$602.20 |
$669.11 |
3.2× |
| Us ob transvaginal (76817) |
$376.68 |
$418.53 |
4.2× |
| Us pelvic non ob complete (76856) |
$177.44 |
$197.15 |
2.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$272.78 |
$303.09 |
3.0× |
| Us pregnancy ltd (76815) |
$198.65 |
$220.72 |
2.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$363.08 |
$403.42 |
4.0× |
| Us retroperitoneal complete (76770) |
$450 |
$500 |
5.0× |
| Us retroperitoneal limited (76775) |
$421.20 |
$468 |
4.7× |
| Us scrotum and contents (76870) |
$432.36 |
$480.40 |
4.8× |
| Us soft tissue head/neck (76536) |
$352.30 |
$391.45 |
3.9× |
| Us spinal canal and contents (76800) |
$219.35 |
$243.72 |
2.4× |
| Us xtr non-vasc lmtd (76882) |
$585 |
$650 |
6.5× |
| Wrist 2 views (73100) |
$94.95 |
$105.50 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$59.40 |
$66 |
0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$73.32 |
$81.47 |
1.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$79.22 |
$88.02 |
1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$283.50 |
$315 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$153.47 |
$170.52 |
2.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$189 |
$210 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$17.95 |
$19.94 |
0.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$133.04 |
$147.82 |
1.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$241.20 |
$268 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$202.50 |
$225 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$110.70 |
$123 |
1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$371.70 |
$413 |
5.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$265.50 |
$295 |
2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$282.60 |
$314 |
3.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$193.50 |
$215 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$210.60 |
$234 |
2.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$59.40 |
$66 |
0.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$233.10 |
$259 |
3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$99.90 |
$111 |
1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$16.24 |
$18.04 |
0.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$14.44 |
$16.04 |
0.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$351 |
$390 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$225.45 |
$250.50 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$133.20 |
$148 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$139.95 |
$155.50 |
1.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$81.90 |
$91 |
0.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$99.90 |
$111 |
1.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$58.50 |
$65 |
0.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$112.95 |
$125.50 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$207.90 |
$231 |
2.3× |
| Xr chest 4+ views (71048) |
$254.70 |
$283 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$11.39 |
$12.66 |
0.2× |
| Xr shoulder 1 view (73020) |
$163.80 |
$182 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$314.55 |
$349.50 |
3.5× |
| Xr tibia/fibula 2 views (73590) |
$202.50 |
$225 |
2.7× |
| Xr tmj bilateral (70330) |
$245.25 |
$272.50 |
3.3× |
| Xray knee 1 or 2 views rt (73560) |
$225 |
$250 |
3.0× |