| Abdomen 2 views (74019) |
$20.06 |
$26.75 |
0.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$83.45 |
$111.26 |
0.2× |
| Ankle 2 views (73600) |
$13.98 |
$18.64 |
0.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$51.92 |
$69.23 |
0.1× |
| Bone &/joint imaging whole body (78306) |
$72.47 |
$96.62 |
0.2× |
| Bone age studies (77072) |
$29.76 |
$39.68 |
0.3× |
| Bone Imaging 3 Phase (78315) |
$85.88 |
$114.50 |
0.2× |
| Bone survey complete (77075) |
$47.45 |
$63.27 |
0.5× |
| Brain Imaging Vascular Flow Only (78610) |
$24.49 |
$32.65 |
0.0× |
| Cervical spine 2 or 3 views (72040) |
$19.45 |
$25.93 |
0.2× |
| Chest 1 view (71045) |
$15.80 |
$21.06 |
0.2× |
| Clavicle complete (73000) |
$14.57 |
$19.43 |
0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$92.51 |
$123.34 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$172.22 |
$229.63 |
0.5× |
| CT abdomen and pelvis without contrast (74176) |
$149.10 |
$198.80 |
0.6× |
| CT abdomen w contrast (74160) |
$108.92 |
$145.22 |
0.6× |
| CT abdomen w wo contrast (74170) |
$119.30 |
$159.07 |
0.7× |
| CT abdomen w/o contrast (74150) |
$101.65 |
$135.53 |
1.0× |
| CT angiography upper extremity lt (73206) |
$154 |
$205.33 |
0.9× |
| CT c-spine w/o contrast (72125) |
$85.22 |
$113.63 |
0.8× |
| CT cervical spine w&w/o contrast (72127) |
$106.22 |
$141.63 |
0.6× |
| CT cervical spine with contrast (72126) |
$104.08 |
$138.77 |
0.3× |
| CT chest w/wo contrast (71270) |
$107.10 |
$142.80 |
0.6× |
| CT chest with contrast (71260) |
$99.80 |
$133.06 |
0.6× |
| CT head/brain with contrast (70460) |
$96.75 |
$129 |
0.5× |
| CT head/brain without and with contrast (70470) |
$108.92 |
$145.22 |
0.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48.90 |
$65.20 |
0.6× |
| CT iac w contrast (70481) |
$96.75 |
$129 |
0.5× |
| CT lower ext w/o (73700) |
$85.22 |
$113.63 |
0.8× |
| CT lower extremity w wo contrast (73702) |
$103.51 |
$138.01 |
0.6× |
| CT lower extremity with contrast (73701) |
$99.20 |
$132.27 |
0.6× |
| CT lumbar spine w & w/o contrast (72133) |
$108.35 |
$144.46 |
0.6× |
| CT lumbar spine w/o contrast (72131) |
$85.22 |
$113.63 |
0.8× |
| CT lumbar spine with contrast (72132) |
$104.08 |
$138.77 |
0.3× |
| CT maxillofacial w contrast (70487) |
$96.75 |
$129 |
0.5× |
| CT maxillofacial w/o contrast (70486) |
$73.61 |
$98.15 |
0.7× |
| CT maxillofacial w/wo contrast (70488) |
$108.35 |
$144.46 |
0.6× |
| CT neck soft tissue w contrast (70491) |
$118.06 |
$157.41 |
0.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$108.35 |
$144.46 |
0.6× |
| CT orbits w/o contrast (70480) |
$110.12 |
$146.83 |
1.0× |
| CT pelvis w & w/o contrast (72194) |
$104.08 |
$138.77 |
0.6× |
| CT pelvis w/o contrast (72192) |
$93.12 |
$124.16 |
0.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$138.18 |
$184.24 |
0.8× |
| CT soft tissue neck w/o contrast (70490) |
$110.12 |
$146.83 |
1.0× |
| CT thoracic spine w/contrast (72129) |
$104.66 |
$139.54 |
0.6× |
| CT thoracic spine w/o contrast (72128) |
$92.51 |
$123.34 |
0.9× |
| CT thoracic spine w/wo contrast (72130) |
$108.92 |
$145.22 |
0.6× |
| CT thorax w/o contrast (71250) |
$92.51 |
$123.34 |
0.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$103.51 |
$138.01 |
0.6× |
| CT upper extremity w/o contrast rt (73200) |
$85.22 |
$113.63 |
0.8× |
| CT upper extremity with contrast (73201) |
$99.20 |
$132.27 |
0.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$203.34 |
$271.12 |
1.2× |
| Cta Abdomen (74175) |
$155.78 |
$207.70 |
0.9× |
| CTA abdomen pelvis (74174) |
$188.61 |
$251.48 |
0.5× |
| CTA chest (71275) |
$156.37 |
$208.49 |
0.9× |
| Cta Head (70496) |
$149.71 |
$199.61 |
0.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$617.25 |
$823 |
1.8× |
| CTA lwr ext w&w/o contrast (73706) |
$161.90 |
$215.86 |
0.9× |
| Cta Neck (70498) |
$149.71 |
$199.61 |
0.8× |
| Cta Pelvis (72191) |
$3,732 |
$4,976 |
21.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$46.56 |
$62.08 |
0.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$48.92 |
$65.23 |
0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$59.06 |
$78.75 |
0.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$17.04 |
$22.72 |
0.2× |
| Echo exam of fetal heart (76825) |
$139.09 |
$185.45 |
0.3× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) |
$70 |
$93.33 |
0.3× |
| Fetal biophysical profile non-stress testing (76818) |
$156.42 |
$208.56 |
1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$65.73 |
$87.64 |
0.6× |
| Fluoroscopy up to 1 hr (76000) |
$252 |
$336 |
1.1× |
| Foot 2 views (73620) |
$13.39 |
$17.85 |
0.2× |
| Forearm 2 views (73090) |
$13.98 |
$18.64 |
0.2× |
| Gated Heart Planar Single (78472) |
$82.22 |
$109.62 |
0.2× |
| Hand 2 views (73120) |
$14.57 |
$19.43 |
0.1× |
| Hand 3 views (73130) |
$15.19 |
$20.25 |
0.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$76.12 |
$101.49 |
0.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$62.71 |
$83.61 |
0.2× |
| Ht muscle image spect sing (78451) |
$115.17 |
$153.56 |
0.1× |
| Humerus Min 2 Views Left (73060) |
$13.98 |
$18.64 |
0.2× |
| Kidney imaging morphology (78700) |
$32.61 |
$43.48 |
0.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$79.83 |
$106.44 |
0.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$101.13 |
$134.84 |
0.2× |
| Knee 3 views (73562) |
$16.39 |
$21.85 |
0.2× |
| Liver & spleen imaging static only (78215) |
$41.41 |
$55.21 |
0.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$49.27 |
$65.69 |
0.1× |
| Liver imaging w/vascular flow (78202) |
$42.38 |
$56.50 |
0.1× |
| Lung Ventilation Imaging (78579) |
$40.04 |
$53.38 |
0.1× |
| Lymphoscintigraphy (78195) |
$97.97 |
$130.63 |
0.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$94.75 |
$126.33 |
1.1× |
| MRA head w & w/o contrast (70546) |
$124.11 |
$165.48 |
0.4× |
| MRA head w/o contrast (70544) |
$100.26 |
$133.68 |
0.4× |
| MRA head with contrast (70545) |
$100.26 |
$133.68 |
0.3× |
| MRA neck w contrast (70548) |
$125.89 |
$167.85 |
0.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$150.96 |
$201.28 |
0.4× |
| MRA neck w/o contrast (70547) |
$100.84 |
$134.45 |
0.4× |
| MRI abdomen w contrast (74182) |
$145 |
$193.33 |
0.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$185.51 |
$247.35 |
0.5× |
| MRI abdomen w/o contrast (74181) |
$122.33 |
$163.10 |
0.5× |
| MRI any jnt lwr ext with con lt (73722) |
$136.61 |
$182.15 |
0.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$120.22 |
$160.29 |
0.2× |
| MRI c-spine with contrast (72142) |
$151.45 |
$201.93 |
0.4× |
| MRI cervical spine w/o contrast (72141) |
$124.67 |
$166.23 |
0.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$136.04 |
$181.38 |
0.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$136.04 |
$181.38 |
0.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$113.36 |
$151.15 |
0.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$112.79 |
$150.38 |
0.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$181.34 |
$241.78 |
0.5× |
| MRI orbit/face/neck w/contrast (70542) |
$136.04 |
$181.38 |
0.4× |
| MRI pelvis w contrast (72196) |
$145 |
$193.33 |
0.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$185.51 |
$247.35 |
0.5× |
| MRI pelvis w/o contrast (72195) |
$122.89 |
$163.85 |
0.5× |
| MRI scan of arm joint before and after contrast (73223) |
$181.90 |
$242.53 |
0.5× |
| MRI scan of leg joint before and after contrast (73723) |
$181.90 |
$242.53 |
0.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$193.82 |
$258.43 |
0.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$150.89 |
$201.18 |
0.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$193.82 |
$258.43 |
0.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$149.74 |
$199.65 |
0.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$193.82 |
$258.43 |
0.6× |
| MRI thoracic spine w/o contrast (72146) |
$124.67 |
$166.23 |
0.5× |
| MRI tmj (70336) |
$123.53 |
$164.70 |
0.5× |
| MRI upper ext joint w/o contrast (73221) |
$113.93 |
$151.90 |
0.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$181.90 |
$242.53 |
0.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$113.93 |
$151.90 |
0.5× |
| Myocardial Spect Multiple Studies (78452) |
$135.85 |
$181.13 |
0.1× |
| Neck soft tissue (70360) |
$15.80 |
$21.06 |
0.2× |
| Nm adrenal scan (78075) |
$62.63 |
$83.50 |
0.0× |
| Nm gastric emptying study (78264) |
$66.98 |
$89.30 |
0.2× |
| Nuclear medicine of heart pumping function (78473) |
$123.65 |
$164.86 |
0.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$73.04 |
$97.38 |
0.7× |
| Osseous survey infant (77076) |
$59.63 |
$79.50 |
0.6× |
| Parathyroid imaging (78070) |
$68.18 |
$90.91 |
0.2× |
| Pelvis 1 or 2 views (72170) |
$15.19 |
$20.25 |
0.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$181.90 |
$242.53 |
0.5× |
| Pr sono bone density measure,peripheral (76977) |
$4.75 |
$6.33 |
0.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$413.65 |
$551.53 |
1.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$89.54 |
$119.39 |
0.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$44.20 |
$58.93 |
0.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$26.81 |
$35.75 |
0.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$19.45 |
$25.93 |
0.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$29.20 |
$38.93 |
0.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$35.74 |
$47.65 |
0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$21.88 |
$29.17 |
0.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$15.80 |
$21.06 |
0.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$23.12 |
$30.83 |
0.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$18.86 |
$25.14 |
0.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$15.80 |
$21.06 |
0.2× |
| Ribs bilateral 3 views (71110) |
$24.96 |
$33.28 |
0.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$88.45 |
$117.93 |
0.2× |
| Sacroiliac Joints < 3 Views (72200) |
$15.19 |
$20.25 |
0.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$60.85 |
$81.13 |
0.3× |
| Scapula complete (73010) |
$15.78 |
$21.04 |
0.2× |
| Screening digital breast tomosynthesis (77063) |
$51.71 |
$68.95 |
2.2× |
| Spine thoracic 3 views (72072) |
$19.49 |
$25.98 |
0.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$31.06 |
$41.41 |
0.1× |
| Thyroid uptake measurement (78012) |
$15.83 |
$21.11 |
0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$42.02 |
$56.02 |
0.1× |
| Ultrasound, abdomen limited (76705) |
$50.51 |
$67.35 |
0.5× |
| Umbilical-artery Doppler (OB) (76820) |
$41.78 |
$55.70 |
0.4× |
| Upper Extremity Infant (73092) |
$13.71 |
$18.28 |
0.1× |
| Us abdl aorta screen aaa (76706) |
$46.88 |
$62.50 |
0.4× |
| Us breast unilateral complete (76641) |
$62.03 |
$82.70 |
0.6× |
| Us breast unilateral limited (76642) |
$59 |
$78.67 |
0.7× |
| Us chest (76604) |
$49.34 |
$65.79 |
0.5× |
| Us fetal nuchal translucency 1st gestation (76813) |
$99.06 |
$132.08 |
0.9× |
| Us infant hips dynamic (76885) |
$62.63 |
$83.50 |
0.7× |
| Us infant hips limited static (76886) |
$52.49 |
$69.98 |
0.6× |
| Us kidney transplant (76776) |
$63.85 |
$85.13 |
0.6× |
| Us ob detailed single fetus (76811) |
$162.53 |
$216.70 |
0.7× |
| Us ob transvaginal (76817) |
$64.49 |
$85.99 |
0.6× |
| Us pelvic non ob complete (76856) |
$59.04 |
$78.72 |
0.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$42.61 |
$56.81 |
0.4× |
| Us pregnancy ltd (76815) |
$55.98 |
$74.64 |
0.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$85.19 |
$113.58 |
0.8× |
| Us retroperitoneal complete (76770) |
$63.29 |
$84.38 |
0.6× |
| Us retroperitoneal limited (76775) |
$49.88 |
$66.50 |
0.5× |
| Us scrotum and contents (76870) |
$54.77 |
$73.03 |
0.5× |
| Us soft tissue head/neck (76536) |
$48.65 |
$64.87 |
0.5× |
| Us spinal canal and contents (76800) |
$111.38 |
$148.50 |
1.1× |
| Us transrectal (76872) |
$57.30 |
$76.40 |
0.5× |
| Us xtr non-vasc lmtd (76882) |
$59.61 |
$79.48 |
0.6× |
| Wrist 2 views (73100) |
$14.57 |
$19.43 |
0.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$27.96 |
$37.28 |
0.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$16.39 |
$21.85 |
0.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$15.19 |
$20.25 |
0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$14.57 |
$19.43 |
0.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$14.89 |
$19.85 |
0.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$30.40 |
$40.53 |
0.3× |
| X-ray exam hip uni 1 view (73501) |
$16.39 |
$21.85 |
0.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$19.45 |
$25.93 |
0.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$25.53 |
$34.04 |
0.2× |
| X-ray exam of femur 1 (73551) |
$14.57 |
$19.43 |
0.2× |
| X-ray eye for foreign body (70030) |
$15.80 |
$21.06 |
0.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$22.51 |
$30.01 |
0.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$17.60 |
$23.46 |
0.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$14.60 |
$19.46 |
0.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$13.98 |
$18.64 |
0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$15.80 |
$21.06 |
0.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$20.03 |
$26.70 |
0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$94.25 |
$125.66 |
1.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$13.71 |
$18.28 |
0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$19.45 |
$25.93 |
0.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$26.74 |
$35.65 |
0.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$19.07 |
$25.43 |
0.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$15.19 |
$20.25 |
0.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$15.80 |
$21.06 |
0.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$23.85 |
$31.80 |
0.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$21.88 |
$29.17 |
0.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$19.45 |
$25.93 |
0.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$23.12 |
$30.83 |
0.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$19.49 |
$25.98 |
0.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$15.19 |
$20.25 |
0.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$16.39 |
$21.85 |
0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$18.86 |
$25.14 |
0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$24.33 |
$32.44 |
0.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$15.80 |
$21.06 |
0.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$13.98 |
$18.64 |
0.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$18.86 |
$25.14 |
0.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$17.04 |
$22.72 |
0.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$17.63 |
$23.51 |
0.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$110.14 |
$146.85 |
1.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$11.54 |
$15.38 |
0.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$15.19 |
$20.25 |
0.2× |
| Xr c-spine 6 or more views (72052) |
$26.15 |
$34.86 |
0.2× |
| Xr finger(s) 2+ views (73140) |
$12.13 |
$16.17 |
0.1× |
| Xr shoulder 1 view (73020) |
$13.37 |
$17.82 |
0.2× |
| Xr spine cervical 4 or 5 views (72050) |
$23.72 |
$31.62 |
0.2× |
| Xr tibia/fibula 2 views (73590) |
$13.98 |
$18.64 |
0.2× |
| Xr tmj bilateral (70330) |
$20.68 |
$27.57 |
0.2× |
| Xray knee 1 or 2 views rt (73560) |
$14.57 |
$19.43 |
0.2× |