| Abdomen 2 views (74019) |
$360.76 |
$481.01 |
3.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,122.75 |
$1,497 |
2.8× |
| Ankle 2 views (73600) |
$280.35 |
$373.80 |
3.2× |
| Arthrogram hip (73525) |
$1,438.39 |
$1,917.85 |
4.1× |
| Arthrogram shoulder (73040) |
$2,103.41 |
$2,804.55 |
6.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,104.75 |
$1,473 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$1,104.75 |
$1,473 |
2.8× |
| Bone age studies (77072) |
$360.76 |
$481.01 |
3.4× |
| Bone Imaging 3 Phase (78315) |
$1,345.50 |
$1,794 |
3.4× |
| Bone Marrow Imaging Limited Area (78102) |
$840 |
$1,120 |
2.1× |
| Bone survey complete (77075) |
$1,005.26 |
$1,340.35 |
9.6× |
| Cervical spine 2 or 3 views (72040) |
$348.08 |
$464.10 |
4.0× |
| Chest 1 view (71045) |
$276.90 |
$369.20 |
3.2× |
| Chest 3 views (71047) |
$277.20 |
$369.60 |
3.2× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$422.88 |
$563.85 |
2.4× |
| Clavicle complete (73000) |
$280.35 |
$373.80 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,895.64 |
$3,860.85 |
8.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,042.65 |
$1,390.20 |
4.3× |
| CT abdomen w contrast (74160) |
$2,094.75 |
$2,793 |
11.9× |
| CT abdomen w wo contrast (74170) |
$2,490.08 |
$3,320.10 |
14.1× |
| CT abdomen w/o contrast (74150) |
$1,435.61 |
$1,914.15 |
13.7× |
| CT c-spine w/o contrast (72125) |
$1,094.63 |
$1,459.50 |
10.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,500.75 |
$2,001 |
8.5× |
| CT cervical spine with contrast (72126) |
$1,618.19 |
$2,157.58 |
4.6× |
| CT chest w/wo contrast (71270) |
$1,575.75 |
$2,101 |
8.9× |
| CT chest with contrast (71260) |
$1,752.19 |
$2,336.25 |
9.9× |
| CT head/brain with contrast (70460) |
$1,815.19 |
$2,420.25 |
10.3× |
| CT head/brain without and with contrast (70470) |
$2,079 |
$2,772 |
11.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$220.26 |
$293.68 |
2.5× |
| CT iac w contrast (70481) |
$1,593.03 |
$2,124.04 |
9.0× |
| CT lower ext w/o (73700) |
$1,094.63 |
$1,459.50 |
10.4× |
| CT lower extremity w wo contrast (73702) |
$2,079 |
$2,772 |
11.8× |
| CT lower extremity with contrast (73701) |
$1,569.49 |
$2,092.65 |
8.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,834.88 |
$2,446.50 |
10.4× |
| CT lumbar spine w/o contrast (72131) |
$1,094.63 |
$1,459.50 |
10.4× |
| CT lumbar spine with contrast (72132) |
$1,618.19 |
$2,157.58 |
4.6× |
| CT maxillofacial w contrast (70487) |
$1,752.19 |
$2,336.25 |
9.9× |
| CT maxillofacial w/o contrast (70486) |
$1,584.45 |
$2,112.60 |
15.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,079 |
$2,772 |
11.8× |
| CT neck soft tissue w contrast (70491) |
$2,094.75 |
$2,793 |
11.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,500.75 |
$2,001 |
8.5× |
| CT orbits w/o contrast (70480) |
$1,435.61 |
$1,914.15 |
13.7× |
| CT pelvis w & w/o contrast (72194) |
$1,834.88 |
$2,446.50 |
10.4× |
| CT pelvis w/o contrast (72192) |
$1,435.61 |
$1,914.15 |
13.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,834.88 |
$2,446.50 |
10.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,500.98 |
$2,001.30 |
14.3× |
| CT thoracic spine w/contrast (72129) |
$1,578.94 |
$2,105.25 |
9.0× |
| CT thoracic spine w/o contrast (72128) |
$1,094.63 |
$1,459.50 |
10.4× |
| CT thoracic spine w/wo contrast (72130) |
$1,834.88 |
$2,446.50 |
10.4× |
| CT thorax w/o contrast (71250) |
$1,435.61 |
$1,914.15 |
13.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,435.61 |
$1,914.15 |
13.7× |
| CT upper extremity with contrast (73201) |
$1,710.47 |
$2,280.62 |
4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,471.84 |
$1,962.45 |
8.4× |
| Cta Abdomen (74175) |
$1,706.51 |
$2,275.35 |
9.7× |
| CTA abdomen pelvis (74174) |
$2,661.75 |
$3,549 |
7.6× |
| CTA chest (71275) |
$1,705.73 |
$2,274.30 |
9.7× |
| Cta Head (70496) |
$1,945.13 |
$2,593.50 |
11.0× |
| Cta Neck (70498) |
$1,945.13 |
$2,593.50 |
11.0× |
| Cta Pelvis (72191) |
$1,488.75 |
$1,985 |
8.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$399.26 |
$532.35 |
3.8× |
| Esophagus (74220) |
$796.58 |
$1,062.11 |
4.5× |
| Fluoroscopy up to 1 hr (76000) |
$479.59 |
$639.45 |
2.0× |
| Foot 2 views (73620) |
$243.34 |
$324.45 |
2.8× |
| Forearm 2 views (73090) |
$285.08 |
$380.10 |
3.3× |
| Gated Heart Planar Single (78472) |
$1,702.50 |
$2,270 |
4.2× |
| Hand 2 views (73120) |
$360.76 |
$481.01 |
3.4× |
| Hand 3 views (73130) |
$318.94 |
$425.25 |
3.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,344.94 |
$1,793.25 |
2.5× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,044 |
$1,392 |
2.6× |
| Ht muscle image spect sing (78451) |
$2,735.25 |
$3,647 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$288.23 |
$384.30 |
3.3× |
| Hysterosalpingogram (74740) |
$872.25 |
$1,163 |
3.6× |
| Knee 3 views (73562) |
$373.28 |
$497.70 |
4.3× |
| Lung Ventilation Imaging (78579) |
$708.75 |
$945 |
1.8× |
| Lymphoscintigraphy (78195) |
$1,913.25 |
$2,551 |
3.5× |
| MRA head w & w/o contrast (70546) |
$3,446.89 |
$4,595.85 |
9.8× |
| MRA head w/o contrast (70544) |
$2,538.11 |
$3,384.15 |
10.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,517.75 |
$3,357 |
7.2× |
| MRA neck w/o contrast (70547) |
$1,911.26 |
$2,548.35 |
8.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,838.15 |
$3,784.20 |
8.1× |
| MRI abdomen w/o contrast (74181) |
$2,513.94 |
$3,351.92 |
10.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,417.79 |
$3,223.72 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,417.79 |
$3,223.72 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$1,911.26 |
$2,548.35 |
8.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,999.46 |
$2,665.95 |
5.7× |
| MRI chest w/o contrast (71550) |
$1,042.65 |
$1,390.20 |
4.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,183.25 |
$2,911 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,100.26 |
$2,800.35 |
8.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,100.26 |
$2,800.35 |
8.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,552.29 |
$3,403.05 |
7.3× |
| MRI orbit/face/neck w/contrast (70542) |
$1,908.75 |
$2,545 |
5.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,552.29 |
$3,403.05 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$2,100.26 |
$2,800.35 |
8.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,771.34 |
$3,695.12 |
7.9× |
| MRI scan of leg joint before and after contrast (73723) |
$2,552.29 |
$3,403.05 |
7.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,090.15 |
$4,120.20 |
8.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,270.49 |
$4,360.65 |
9.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,090.15 |
$4,120.20 |
8.8× |
| MRI thoracic spine w/o contrast (72146) |
$2,067.98 |
$2,757.30 |
8.6× |
| MRI tmj (70336) |
$2,000.25 |
$2,667 |
8.3× |
| MRI upper ext joint w/o contrast (73221) |
$2,188.46 |
$2,917.95 |
9.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,331.76 |
$4,442.35 |
9.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,552.29 |
$3,403.05 |
10.6× |
| Myocardial Spect Multiple Studies (78452) |
$2,735.25 |
$3,647 |
2.1× |
| Neck soft tissue (70360) |
$237.83 |
$317.10 |
2.7× |
| Nm gastric emptying study (78264) |
$1,095.75 |
$1,461 |
2.7× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,735.25 |
$3,647 |
2.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$2,735.25 |
$3,647 |
2.1× |
| Parathyroid imaging (78070) |
$1,122.75 |
$1,497 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$360.76 |
$481.01 |
3.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,709.91 |
$4,946.55 |
10.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,107.75 |
$1,477 |
2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$838.69 |
$1,118.25 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$293.74 |
$391.65 |
3.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$484.31 |
$645.75 |
4.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$484.31 |
$645.75 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$360.76 |
$481.01 |
3.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$293.74 |
$391.65 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$360.76 |
$481.01 |
3.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$293.74 |
$391.65 |
3.4× |
| Radiologic exam colon single contrast study (74270) |
$552 |
$736 |
3.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$669.75 |
$893 |
3.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$796.58 |
$1,062.11 |
4.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$293.74 |
$391.65 |
3.4× |
| Radiological examination surgical specimen (76098) |
$1,533.95 |
$2,045.27 |
2.8× |
| Ribs bilateral 3 views (71110) |
$360.76 |
$481.01 |
3.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,722 |
$2,296 |
3.2× |
| Sacroiliac Joints < 3 Views (72200) |
$360.76 |
$481.01 |
3.4× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$753.75 |
$1,005 |
3.1× |
| Scanogram (77073) |
$219 |
$292 |
2.1× |
| Scapula complete (73010) |
$360.76 |
$481.01 |
3.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$353.25 |
$471 |
3.4× |
| Spine thoracic 3 views (72072) |
$360.76 |
$481.01 |
3.4× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,848.75 |
$2,465 |
3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$792.75 |
$1,057 |
2.0× |
| Tmj unilateral (70328) |
$226.50 |
$302 |
2.6× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$3,438 |
$4,584 |
6.3× |
| Ultrasound, abdomen limited (76705) |
$485.89 |
$647.85 |
4.6× |
| Upper Extremity Infant (73092) |
$314.25 |
$419 |
3.0× |
| Urethrocystography voiding (74455) |
$710.87 |
$947.82 |
3.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$816 |
$1,088 |
4.6× |
| Us abdl aorta screen aaa (76706) |
$380.36 |
$507.15 |
3.6× |
| Us breast unilateral complete (76641) |
$360.76 |
$481.01 |
3.4× |
| Us breast unilateral limited (76642) |
$309.49 |
$412.65 |
3.5× |
| Us chest (76604) |
$420.53 |
$560.70 |
4.0× |
| Us guided compression repair (76936) |
$516 |
$688 |
2.4× |
| Us ob detailed single fetus (76811) |
$804.04 |
$1,072.05 |
3.4× |
| Us ob transvaginal (76817) |
$360.76 |
$481.01 |
3.4× |
| Us pelvic non ob complete (76856) |
$493.18 |
$657.57 |
4.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$360.76 |
$481.01 |
3.4× |
| Us pregnancy ltd (76815) |
$327.75 |
$437 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$485.89 |
$647.85 |
4.6× |
| Us retroperitoneal complete (76770) |
$485.89 |
$647.85 |
4.6× |
| Us scrotum and contents (76870) |
$563.85 |
$751.80 |
5.4× |
| Us soft tissue head/neck (76536) |
$556.76 |
$742.35 |
5.3× |
| Us xtr non-vasc lmtd (76882) |
$360.76 |
$481.01 |
3.4× |
| Wrist 2 views (73100) |
$280.35 |
$373.80 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$441 |
$588 |
4.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$290.25 |
$387 |
3.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$312.64 |
$416.85 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$237.83 |
$317.10 |
2.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$293.74 |
$391.65 |
3.4× |
| X-ray exam hip uni 1 view (73501) |
$293.74 |
$391.65 |
3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$293.74 |
$391.65 |
3.4× |
| X-ray exam hip uni 4/> views (73503) |
$484.31 |
$645.75 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$484.31 |
$645.75 |
4.6× |
| X-ray exam of femur 1 (73551) |
$293.74 |
$391.65 |
3.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$280.35 |
$373.80 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$285.08 |
$380.10 |
3.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$280.35 |
$373.80 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$321.30 |
$428.40 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$386.66 |
$515.55 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$286.65 |
$382.20 |
3.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$232.16 |
$309.55 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$425.88 |
$567.84 |
4.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$549.68 |
$732.90 |
5.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$248.06 |
$330.75 |
2.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$237.83 |
$317.10 |
2.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$272.48 |
$363.30 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$419.74 |
$559.65 |
4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$380.36 |
$507.15 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$329.96 |
$439.95 |
3.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$333.11 |
$444.15 |
3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$407.92 |
$543.90 |
4.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$267 |
$356 |
3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$474.86 |
$633.15 |
4.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$280.35 |
$373.80 |
3.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$306.34 |
$408.45 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$360.76 |
$481.01 |
3.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$280.35 |
$373.80 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$300.83 |
$401.10 |
3.4× |
| Xr c-spine 6 or more views (72052) |
$560.70 |
$747.60 |
5.3× |
| Xr finger(s) 2+ views (73140) |
$280.35 |
$373.80 |
3.2× |
| Xr shoulder 1 view (73020) |
$380.36 |
$507.15 |
4.4× |
| Xr spine cervical 4 or 5 views (72050) |
$474.86 |
$633.15 |
4.5× |
| Xr tibia/fibula 2 views (73590) |
$295.31 |
$393.75 |
3.4× |
| Xr tmj bilateral (70330) |
$290.25 |
$387 |
3.3× |
| Xray knee 1 or 2 views rt (73560) |
$293.74 |
$391.65 |
3.4× |