| Abdomen 2 views (74019) |
$386 |
$429 |
3.6× |
| Acute gastrointestinal blood loss imaging (78278) |
$942 |
$1,047 |
2.3× |
| Acute venous thrombus image (78456) |
$1,597 |
$1,774 |
1.2× |
| Ankle 2 views (73600) |
$261 |
$290 |
2.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,059 |
$1,177 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,302 |
$1,447 |
3.1× |
| Bone &/joint imaging whole body (78306) |
$1,510 |
$1,678 |
3.6× |
| Bone Imaging 3 Phase (78315) |
$1,886 |
$2,096 |
4.5× |
| Bone survey complete (77075) |
$948 |
$1,053 |
8.7× |
| Cervical spine 2 or 3 views (72040) |
$340 |
$378 |
3.8× |
| Chest 1 view (71045) |
$324 |
$360 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$599 |
$665 |
3.3× |
| Clavicle complete (73000) |
$308 |
$342 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,679 |
$1,866 |
15.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$347 |
$386 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,991 |
$5,546 |
13.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,836 |
$4,262 |
15.5× |
| CT abdomen w contrast (74160) |
$2,361 |
$2,623 |
13.0× |
| CT abdomen w wo contrast (74170) |
$2,861 |
$3,179 |
15.7× |
| CT abdomen w/o contrast (74150) |
$2,177 |
$2,419 |
20.1× |
| CT c-spine w/o contrast (72125) |
$2,206 |
$2,451 |
20.3× |
| CT cervical spine w&w/o contrast (72127) |
$2,473 |
$2,748 |
13.6× |
| CT cervical spine with contrast (72126) |
$2,228 |
$2,475 |
6.2× |
| CT chest w/wo contrast (71270) |
$2,667 |
$2,963 |
14.6× |
| CT chest with contrast (71260) |
$2,570 |
$2,855 |
14.1× |
| CT head/brain with contrast (70460) |
$1,935 |
$2,150 |
10.6× |
| CT head/brain without and with contrast (70470) |
$2,995 |
$3,328 |
16.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$237 |
$263 |
2.6× |
| CT lower ext w/o (73700) |
$2,004 |
$2,227 |
18.5× |
| CT lower extremity w wo contrast (73702) |
$2,143 |
$2,381 |
11.8× |
| CT lower extremity with contrast (73701) |
$1,977.50 |
$2,197 |
10.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,385 |
$2,650 |
13.1× |
| CT lumbar spine w/o contrast (72131) |
$2,208 |
$2,453 |
20.3× |
| CT lumbar spine with contrast (72132) |
$2,337 |
$2,597 |
6.5× |
| CT maxillofacial w contrast (70487) |
$1,661 |
$1,846 |
9.1× |
| CT maxillofacial w/o contrast (70486) |
$1,784 |
$1,982 |
16.4× |
| CT neck soft tissue w contrast (70491) |
$2,164 |
$2,404 |
11.9× |
| CT orbits w/o contrast (70480) |
$2,242 |
$2,491 |
20.7× |
| CT pelvis w & w/o contrast (72194) |
$2,192 |
$2,436 |
12.0× |
| CT pelvis w/o contrast (72192) |
$2,110 |
$2,344 |
19.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,764 |
$1,960 |
16.2× |
| CT thoracic spine w/contrast (72129) |
$2,204 |
$2,449 |
12.1× |
| CT thoracic spine w/o contrast (72128) |
$2,134 |
$2,371 |
19.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,449 |
$2,721 |
13.4× |
| CT thorax w/o contrast (71250) |
$2,473 |
$2,748 |
22.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,012 |
$2,236 |
11.0× |
| CT upper extremity w/o contrast rt (73200) |
$1,791 |
$1,990 |
16.5× |
| CT upper extremity with contrast (73201) |
$2,051.50 |
$2,279 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,150 |
$3,500 |
17.3× |
| Cta Abdomen (74175) |
$2,681 |
$2,979 |
14.7× |
| CTA abdomen pelvis (74174) |
$4,703 |
$5,226 |
13.0× |
| CTA chest (71275) |
$3,008 |
$3,342 |
16.5× |
| Cta Head (70496) |
$3,033 |
$3,370 |
16.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,836 |
$2,040 |
10.1× |
| Cta Neck (70498) |
$2,678 |
$2,976 |
14.7× |
| Cystography minimum 3 views rs&i (74430) |
$506 |
$562 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$362.50 |
$402.50 |
3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$180 |
$200 |
2.0× |
| Esophagus (74220) |
$602 |
$669 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$452 |
$502 |
4.2× |
| Fluoroscopy up to 1 hr (76000) |
$674 |
$749 |
2.7× |
| Foot 2 views (73620) |
$239 |
$265 |
2.6× |
| Forearm 2 views (73090) |
$276 |
$307 |
3.1× |
| Gated Heart Planar Single (78472) |
$3,164 |
$3,515 |
7.6× |
| Hand 2 views (73120) |
$276 |
$307 |
2.5× |
| Hand 3 views (73130) |
$341 |
$379 |
3.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,092 |
$2,324 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,323 |
$1,470 |
3.2× |
| Ht muscle image spect sing (78451) |
$1,597 |
$1,774 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$324 |
$360 |
3.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,112 |
$1,236 |
2.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,165 |
$1,294 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,315 |
$1,461 |
2.3× |
| Knee 3 views (73562) |
$367 |
$408 |
4.1× |
| Liver & spleen imaging static only (78215) |
$1,285 |
$1,428 |
3.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,285 |
$1,428 |
3.1× |
| Liver imaging static only (78201) |
$1,597 |
$1,774 |
2.8× |
| Liver imaging w/vascular flow (78202) |
$1,597 |
$1,774 |
2.8× |
| Meckels Diverticulum (78290) |
$987 |
$1,097 |
2.4× |
| MRA head w & w/o contrast (70546) |
$3,313 |
$3,681 |
9.1× |
| MRA head w/o contrast (70544) |
$2,731 |
$3,034 |
11.0× |
| MRA head with contrast (70545) |
$3,083 |
$3,426 |
8.5× |
| MRA neck w contrast (70548) |
$2,685 |
$2,983 |
7.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,326 |
$3,695 |
9.2× |
| MRA neck w/o contrast (70547) |
$3,415 |
$3,794 |
13.8× |
| MRI abdomen w contrast (74182) |
$2,903 |
$3,225 |
8.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,614 |
$4,016 |
10.0× |
| MRI abdomen w/o contrast (74181) |
$2,961 |
$3,290 |
12.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,506 |
$2,784 |
3.1× |
| MRI c-spine with contrast (72142) |
$3,055 |
$3,394 |
8.4× |
| MRI cervical spine w/o contrast (72141) |
$3,321 |
$3,690 |
13.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,460 |
$2,733 |
9.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,556 |
$3,951 |
14.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,277 |
$3,641 |
9.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,788 |
$3,098 |
7.7× |
| MRI pelvis w/o contrast (72195) |
$2,660 |
$2,955 |
10.7× |
| MRI scan of arm joint before and after contrast (73223) |
$2,591 |
$2,879 |
7.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,479.50 |
$2,755 |
6.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,329 |
$3,699 |
9.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,758 |
$4,176 |
10.4× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$885 |
$983 |
2.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,903 |
$3,225 |
8.0× |
| MRI thoracic spine w/o contrast (72146) |
$3,406 |
$3,784 |
13.7× |
| MRI tmj (70336) |
$3,604 |
$4,004 |
14.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,397 |
$2,663 |
9.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,694.50 |
$2,993.50 |
7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,912 |
$2,124 |
7.7× |
| Myocardial Spect Multiple Studies (78452) |
$4,315 |
$4,794 |
3.2× |
| Neck soft tissue (70360) |
$281 |
$312 |
3.1× |
| Nm gastric emptying study (78264) |
$1,367 |
$1,519 |
3.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$347 |
$385 |
3.2× |
| Osseous survey infant (77076) |
$536 |
$596 |
4.9× |
| Osseous survey limited (77074) |
$832 |
$924 |
7.7× |
| Parathyroid imaging (78070) |
$1,032 |
$1,147 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$308 |
$342 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,678.50 |
$2,976 |
7.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,884 |
$2,093.50 |
3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,839 |
$2,043 |
3.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$244 |
$271 |
2.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$435 |
$483 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$496 |
$551 |
4.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$921 |
$1,023 |
8.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$252 |
$280 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$264 |
$293 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$300 |
$333.50 |
3.3× |
| Radiologic exam colon single contrast study (74270) |
$578 |
$642 |
3.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$559 |
$621.50 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$320 |
$355 |
3.5× |
| Radiological examination surgical specimen (76098) |
$478 |
$531 |
0.8× |
| Ribs bilateral 3 views (71110) |
$346 |
$384 |
3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,217 |
$1,352 |
2.9× |
| Scapula complete (73010) |
$263 |
$292 |
2.4× |
| Screening digital breast tomosynthesis (77063) |
$221 |
$246 |
9.5× |
| Small bowel series (74250) |
$487 |
$541 |
2.7× |
| Spine thoracic 3 views (72072) |
$415 |
$461 |
3.8× |
| Thoracolumbar 2 views (72080) |
$279 |
$310 |
3.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$974 |
$1,082 |
2.3× |
| Ultrasound, abdomen limited (76705) |
$588.50 |
$654 |
5.4× |
| Upper Extremity Infant (73092) |
$264 |
$293 |
2.4× |
| Urethrocystography voiding (74455) |
$597 |
$663 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$665 |
$739 |
3.7× |
| Us abdl aorta screen aaa (76706) |
$379 |
$421 |
3.5× |
| Us breast unilateral complete (76641) |
$500 |
$555 |
4.6× |
| Us breast unilateral limited (76642) |
$425 |
$472 |
4.7× |
| Us chest (76604) |
$679 |
$754 |
6.3× |
| Us compl joint r-t w/image documentation (76881) |
$512 |
$569 |
4.7× |
| Us kidney transplant (76776) |
$530 |
$589 |
4.9× |
| Us ob transvaginal (76817) |
$509 |
$566 |
4.7× |
| Us pelvic non ob complete (76856) |
$766 |
$851 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$443 |
$492 |
4.1× |
| Us pregnancy ltd (76815) |
$414 |
$460 |
3.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$696 |
$773 |
6.4× |
| Us retroperitoneal complete (76770) |
$787 |
$874 |
7.2× |
| Us retroperitoneal limited (76775) |
$628 |
$698 |
5.8× |
| Us scrotum and contents (76870) |
$661 |
$734 |
6.1× |
| Us soft tissue head/neck (76536) |
$617 |
$686 |
5.7× |
| Us transrectal (76872) |
$607 |
$674 |
5.6× |
| Us xtr non-vasc lmtd (76882) |
$520 |
$578 |
4.8× |
| Wrist 2 views (73100) |
$240 |
$267 |
2.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$498 |
$553 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$416 |
$462 |
4.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$322 |
$358 |
3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$264 |
$293 |
2.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$347 |
$385 |
3.8× |
| X-ray exam entire spi 4/5 vw (72083) |
$767 |
$852 |
7.1× |
| X-ray exam hip uni 1 view (73501) |
$188 |
$209 |
2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$343 |
$381 |
3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$515 |
$572 |
4.7× |
| X-ray exam of femur 1 (73551) |
$362 |
$402 |
4.0× |
| X-ray eye for foreign body (70030) |
$264 |
$293 |
2.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$409 |
$454 |
3.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$411 |
$457 |
4.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$339 |
$377 |
3.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$199 |
$221 |
2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$346 |
$384 |
3.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$414 |
$460 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$244 |
$271 |
2.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$216 |
$240 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$441 |
$490 |
4.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$674 |
$749 |
6.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$464 |
$516 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$315 |
$350 |
3.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$257 |
$286 |
2.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$320 |
$356 |
2.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$314 |
$349 |
3.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$433 |
$481 |
4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$518 |
$575 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$279 |
$310 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$334 |
$371 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$355 |
$394 |
3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$295 |
$328 |
3.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$261 |
$290 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$279 |
$310 |
2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$215 |
$239 |
2.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$241 |
$268 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$239 |
$266 |
2.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$358 |
$398 |
3.3× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$432 |
$480 |
4.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$207 |
$230 |
2.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$334 |
$371 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$584 |
$649 |
5.4× |
| Xr finger(s) 2+ views (73140) |
$226 |
$251 |
2.5× |
| Xr shoulder 1 view (73020) |
$225.50 |
$250.50 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$467 |
$519 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$314 |
$349 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$339 |
$377 |
3.8× |