| Abdomen 2 views (74019) |
$379.04 |
$473.80 |
3.8× |
| Ankle 2 views (73600) |
$231.74 |
$289.68 |
2.8× |
| Bone age studies (77072) |
$211.20 |
$264 |
2.1× |
| Bone survey complete (77075) |
$760 |
$950 |
7.6× |
| Cervical spine 2 or 3 views (72040) |
$352.67 |
$440.84 |
4.2× |
| Chest 1 view (71045) |
$261.12 |
$326.40 |
3.1× |
| Chest 3 views (71047) |
$263.41 |
$329.26 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$920 |
$1,150 |
5.5× |
| Clavicle complete (73000) |
$154.09 |
$192.61 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,194.22 |
$2,742.78 |
21.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,100.71 |
$3,875.89 |
9.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,058.35 |
$2,572.94 |
9.0× |
| CT abdomen w contrast (74160) |
$1,746.90 |
$2,183.62 |
10.4× |
| CT abdomen w wo contrast (74170) |
$2,228.50 |
$2,785.62 |
13.2× |
| CT abdomen w/o contrast (74150) |
$1,601.86 |
$2,002.32 |
15.9× |
| CT angiography upper extremity lt (73206) |
$2,556.87 |
$3,196.09 |
15.2× |
| CT c-spine w/o contrast (72125) |
$1,749.50 |
$2,186.88 |
17.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,311.20 |
$2,889 |
13.7× |
| CT cervical spine with contrast (72126) |
$1,795.20 |
$2,244 |
5.4× |
| CT chest w/wo contrast (71270) |
$2,054.40 |
$2,568 |
12.2× |
| CT chest with contrast (71260) |
$1,967.71 |
$2,459.64 |
11.7× |
| CT head/brain with contrast (70460) |
$1,538.41 |
$1,923.01 |
9.1× |
| CT head/brain without and with contrast (70470) |
$1,809.50 |
$2,261.88 |
10.7× |
| CT iac w contrast (70481) |
$909.70 |
$1,137.12 |
5.4× |
| CT lower ext w/o (73700) |
$1,582.08 |
$1,977.60 |
15.7× |
| CT lower extremity w wo contrast (73702) |
$2,564.29 |
$3,205.36 |
15.2× |
| CT lower extremity with contrast (73701) |
$1,917.60 |
$2,397 |
11.4× |
| CT lumbar spine w & w/o contrast (72133) |
$1,747.20 |
$2,184 |
10.4× |
| CT lumbar spine w/o contrast (72131) |
$1,491.44 |
$1,864.30 |
14.8× |
| CT lumbar spine with contrast (72132) |
$1,513.68 |
$1,892.10 |
4.5× |
| CT maxillofacial w contrast (70487) |
$1,498.86 |
$1,873.57 |
8.9× |
| CT maxillofacial w/o contrast (70486) |
$1,364.54 |
$1,705.68 |
13.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,587.02 |
$1,983.78 |
9.4× |
| CT neck soft tissue w contrast (70491) |
$1,904.26 |
$2,380.33 |
11.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$858.62 |
$1,073.28 |
5.1× |
| CT orbits w/o contrast (70480) |
$859.43 |
$1,074.29 |
8.5× |
| CT pelvis w & w/o contrast (72194) |
$1,932.80 |
$2,416 |
11.5× |
| CT pelvis w/o contrast (72192) |
$1,472.88 |
$1,841.10 |
14.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,802.09 |
$2,252.61 |
10.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,427.99 |
$1,784.99 |
14.2× |
| CT thoracic spine w/contrast (72129) |
$1,777.60 |
$2,222 |
10.5× |
| CT thoracic spine w/o contrast (72128) |
$1,522.56 |
$1,903.20 |
15.1× |
| CT thoracic spine w/wo contrast (72130) |
$2,307.20 |
$2,884 |
13.7× |
| CT thorax w/o contrast (71250) |
$1,570.54 |
$1,963.18 |
15.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,264.40 |
$2,830.50 |
13.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,825.16 |
$2,281.45 |
18.2× |
| CT upper extremity with contrast (73201) |
$1,752.04 |
$2,190.06 |
5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,330.94 |
$5,413.68 |
25.7× |
| Cta Abdomen (74175) |
$2,714.26 |
$3,392.82 |
16.1× |
| CTA abdomen pelvis (74174) |
$3,293.89 |
$4,117.36 |
9.8× |
| CTA chest (71275) |
$3,246.38 |
$4,057.98 |
19.2× |
| Cta Head (70496) |
$2,336.86 |
$2,921.08 |
13.9× |
| CTA lwr ext w&w/o contrast (73706) |
$3,485.52 |
$4,356.90 |
20.7× |
| Cta Neck (70498) |
$2,332.74 |
$2,915.93 |
13.8× |
| Cta Pelvis (72191) |
$2,222.40 |
$2,778 |
13.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$352.77 |
$440.96 |
3.5× |
| Foot 2 views (73620) |
$163.15 |
$203.94 |
1.9× |
| Forearm 2 views (73090) |
$137.90 |
$172.38 |
1.6× |
| Hand 2 views (73120) |
$140.35 |
$175.44 |
1.4× |
| Hand 3 views (73130) |
$225.78 |
$282.22 |
2.7× |
| Humerus Min 2 Views Left (73060) |
$234.84 |
$293.55 |
2.8× |
| Knee 3 views (73562) |
$309 |
$386.25 |
3.7× |
| MRA head w & w/o contrast (70546) |
$2,142.40 |
$2,678 |
6.4× |
| MRA head w/o contrast (70544) |
$951.72 |
$1,189.65 |
4.1× |
| MRA head with contrast (70545) |
$951.72 |
$1,189.65 |
2.8× |
| MRA neck w contrast (70548) |
$2,472 |
$3,090 |
7.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,801.60 |
$3,502 |
8.3× |
| MRA neck w/o contrast (70547) |
$2,153.94 |
$2,692.42 |
9.4× |
| MRI abdomen w contrast (74182) |
$1,974.12 |
$2,467.65 |
5.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,432.93 |
$3,041.16 |
7.3× |
| MRI abdomen w/o contrast (74181) |
$1,689.20 |
$2,111.50 |
7.4× |
| MRI any jnt lwr ext with con lt (73722) |
$1,915.82 |
$2,394.78 |
2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,978.42 |
$2,473.03 |
2.6× |
| MRI c-spine with contrast (72142) |
$1,974.12 |
$2,467.65 |
5.9× |
| MRI cervical spine w/o contrast (72141) |
$2,111.09 |
$2,638.86 |
9.2× |
| MRI chest w/o & w/contrast material (71552) |
$2,340.16 |
$2,925.20 |
7.0× |
| MRI chest w/o contrast (71550) |
$1,503.80 |
$1,879.75 |
6.6× |
| MRI chest with contrast (71551) |
$1,916.62 |
$2,395.78 |
2.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,935.23 |
$2,419.04 |
5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,915.82 |
$2,394.78 |
5.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,079.78 |
$2,599.72 |
9.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,609.27 |
$2,011.59 |
7.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,504.14 |
$3,130.17 |
7.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,900.62 |
$2,375.78 |
5.7× |
| MRI pelvis w contrast (72196) |
$1,915.82 |
$2,394.78 |
5.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,504.14 |
$3,130.17 |
7.5× |
| MRI pelvis w/o contrast (72195) |
$1,609.27 |
$2,011.59 |
7.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,504.14 |
$3,130.17 |
7.5× |
| MRI scan of leg joint before and after contrast (73723) |
$2,504.14 |
$3,130.17 |
7.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,506.33 |
$3,132.91 |
7.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,915.82 |
$2,394.78 |
5.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,804.07 |
$3,505.09 |
8.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,974.12 |
$2,467.65 |
5.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,960 |
$3,700 |
8.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,031.16 |
$2,538.95 |
8.9× |
| MRI tmj (70336) |
$1,503.80 |
$1,879.75 |
6.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,301.43 |
$2,876.79 |
10.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,479.82 |
$3,099.78 |
7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,609.27 |
$2,011.59 |
7.0× |
| Neck soft tissue (70360) |
$145.25 |
$181.56 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$238.14 |
$297.67 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,504.14 |
$3,130.17 |
7.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$190.94 |
$238.68 |
2.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$355.14 |
$443.93 |
3.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$496.87 |
$621.09 |
4.9× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$147.04 |
$183.80 |
1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$236.49 |
$295.61 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$212.59 |
$265.74 |
2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$330.42 |
$413.03 |
3.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$332.11 |
$415.14 |
4.0× |
| Ribs bilateral 3 views (71110) |
$192.82 |
$241.02 |
1.9× |
| Sacroiliac Joints < 3 Views (72200) |
$141.73 |
$177.16 |
1.4× |
| Scapula complete (73010) |
$131.02 |
$163.77 |
1.3× |
| Screening digital breast tomosynthesis (77063) |
$193.60 |
$242 |
8.3× |
| Small bowel series (74250) |
$299 |
$373.75 |
1.8× |
| Spine thoracic 3 views (72072) |
$362.56 |
$453.20 |
3.6× |
| Ultrasound, abdomen limited (76705) |
$496.87 |
$621.09 |
4.9× |
| Upper Extremity Infant (73092) |
$152.59 |
$190.74 |
1.5× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$532.54 |
$665.68 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$499.20 |
$624 |
5.0× |
| Us breast unilateral limited (76642) |
$336.19 |
$420.24 |
4.0× |
| Us chest (76604) |
$412 |
$515 |
4.1× |
| Us compl joint r-t w/image documentation (76881) |
$228 |
$285 |
2.3× |
| Us ob transvaginal (76817) |
$475.45 |
$594.31 |
4.7× |
| Us pelvic non ob complete (76856) |
$610.58 |
$763.23 |
6.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$201.06 |
$251.32 |
2.0× |
| Us pregnancy ltd (76815) |
$407.20 |
$509 |
4.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$575.28 |
$719.10 |
5.7× |
| Us retroperitoneal complete (76770) |
$615.53 |
$769.41 |
6.1× |
| Us retroperitoneal limited (76775) |
$387.28 |
$484.10 |
3.9× |
| Us scrotum and contents (76870) |
$579.26 |
$724.07 |
5.8× |
| Us soft tissue head/neck (76536) |
$455.67 |
$569.59 |
4.5× |
| Us xtr non-vasc lmtd (76882) |
$408 |
$510 |
4.1× |
| Wrist 2 views (73100) |
$168.91 |
$211.14 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$386.46 |
$483.07 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$140 |
$175 |
1.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$251.32 |
$314.15 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$137.90 |
$172.38 |
1.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$233.38 |
$291.72 |
2.8× |
| X-ray exam hip uni 1 view (73501) |
$274.99 |
$343.74 |
3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$352.67 |
$440.84 |
4.2× |
| X-ray exam hip uni 4/> views (73503) |
$453.20 |
$566.50 |
4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$254.62 |
$318.27 |
2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$552 |
$690 |
5.5× |
| X-ray exam of femur 1 (73551) |
$242.40 |
$303 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$224.13 |
$280.16 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$145.25 |
$181.56 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$276.86 |
$346.08 |
3.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$268.62 |
$335.78 |
3.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$349.25 |
$436.56 |
3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$374.40 |
$468 |
4.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$210.40 |
$263 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$183.60 |
$229.50 |
1.8× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$309 |
$386.25 |
3.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$189.07 |
$236.34 |
2.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$131.02 |
$163.77 |
1.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$164.80 |
$206 |
1.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$191.20 |
$239 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$252.97 |
$316.21 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$418.80 |
$523.50 |
4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$454.85 |
$568.56 |
4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$225.47 |
$281.84 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$154.09 |
$192.61 |
1.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$234.02 |
$292.52 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$294.17 |
$367.71 |
3.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$257.09 |
$321.36 |
3.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$238.96 |
$298.70 |
2.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$285.60 |
$357 |
3.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$143.31 |
$179.14 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$136.78 |
$170.98 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$342.78 |
$428.48 |
3.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$177.89 |
$222.36 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$208.47 |
$260.59 |
2.5× |
| Xr c-spine 6 or more views (72052) |
$546 |
$682.50 |
5.4× |
| Xr finger(s) 2+ views (73140) |
$177.98 |
$222.48 |
2.1× |
| Xr shoulder 1 view (73020) |
$92.29 |
$115.36 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$463.09 |
$578.86 |
4.6× |
| Xr tibia/fibula 2 views (73590) |
$248.88 |
$311.10 |
3.0× |
| Xr tmj bilateral (70330) |
$135.24 |
$169.05 |
1.6× |
| Xray knee 1 or 2 views rt (73560) |
$259.37 |
$324.21 |
3.1× |