| Abdomen 2 views (74019) |
$212.45 |
$303.50 |
2.2× |
| Ankle 2 views (73600) |
$94.85 |
$135.50 |
1.2× |
| Bone age studies (77072) |
$69.65 |
$99.50 |
0.7× |
| Bone survey complete (77075) |
$398.65 |
$569.50 |
4.2× |
| Cervical spine 2 or 3 views (72040) |
$163.80 |
$234 |
2.1× |
| Chest 1 view (71045) |
$106.40 |
$152 |
1.4× |
| Chest 3 views (71047) |
$285.25 |
$407.50 |
3.6× |
| Clavicle complete (73000) |
$108.85 |
$155.50 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,248.45 |
$1,783.50 |
13.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,531.50 |
$5,045 |
11.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,463.30 |
$3,519 |
11.4× |
| CT abdomen w contrast (74160) |
$1,625.05 |
$2,321.50 |
10.2× |
| CT abdomen w wo contrast (74170) |
$1,795.85 |
$2,565.50 |
11.3× |
| CT abdomen w/o contrast (74150) |
$1,183 |
$1,690 |
12.5× |
| CT c-spine w/o contrast (72125) |
$1,377.95 |
$1,968.50 |
14.6× |
| CT chest w/wo contrast (71270) |
$1,794.80 |
$2,564 |
11.3× |
| CT chest with contrast (71260) |
$1,625.05 |
$2,321.50 |
10.2× |
| CT head/brain with contrast (70460) |
$1,408.05 |
$2,011.50 |
8.9× |
| CT head/brain without and with contrast (70470) |
$1,762.95 |
$2,518.50 |
11.1× |
| CT iac w contrast (70481) |
$1,741.95 |
$2,488.50 |
11.0× |
| CT lower ext w/o (73700) |
$1,801.10 |
$2,573 |
19.0× |
| CT lower extremity w wo contrast (73702) |
$2,644.60 |
$3,778 |
16.7× |
| CT lower extremity with contrast (73701) |
$1,529.15 |
$2,184.50 |
9.6× |
| CT lumbar spine w/o contrast (72131) |
$1,578.85 |
$2,255.50 |
16.7× |
| CT maxillofacial w contrast (70487) |
$1,741.95 |
$2,488.50 |
11.0× |
| CT maxillofacial w/o contrast (70486) |
$1,507.10 |
$2,153 |
15.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,943.55 |
$2,776.50 |
12.2× |
| CT neck soft tissue w contrast (70491) |
$1,491.35 |
$2,130.50 |
9.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,943.55 |
$2,776.50 |
12.2× |
| CT orbits w/o contrast (70480) |
$1,507.10 |
$2,153 |
15.9× |
| CT pelvis w & w/o contrast (72194) |
$1,735.65 |
$2,479.50 |
10.9× |
| CT pelvis w/o contrast (72192) |
$1,281.35 |
$1,830.50 |
13.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,762.25 |
$2,517.50 |
11.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,183 |
$1,690 |
12.5× |
| CT thoracic spine w/o contrast (72128) |
$1,299.20 |
$1,856 |
13.7× |
| CT thorax w/o contrast (71250) |
$1,248.45 |
$1,783.50 |
13.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,762.95 |
$2,518.50 |
11.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,500.98 |
$2,144.25 |
15.9× |
| CT upper extremity with contrast (73201) |
$1,672.65 |
$2,389.50 |
5.3× |
| Cta Abdomen (74175) |
$1,943.55 |
$2,776.50 |
12.2× |
| CTA abdomen pelvis (74174) |
$3,351.25 |
$4,787.50 |
10.6× |
| CTA chest (71275) |
$1,943.55 |
$2,776.50 |
12.2× |
| Esophagus (74220) |
$211.75 |
$302.50 |
1.3× |
| Foot 2 views (73620) |
$94.85 |
$135.50 |
1.2× |
| Forearm 2 views (73090) |
$108.85 |
$155.50 |
1.4× |
| Hand 2 views (73120) |
$94.85 |
$135.50 |
1.0× |
| Hand 3 views (73130) |
$108.85 |
$155.50 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$94.85 |
$135.50 |
1.2× |
| Knee 3 views (73562) |
$108.85 |
$155.50 |
1.4× |
| Neck soft tissue (70360) |
$135.45 |
$193.50 |
1.7× |
| Osseous survey infant (77076) |
$199.15 |
$284.50 |
2.1× |
| Pelvis 1 or 2 views (72170) |
$106.40 |
$152 |
1.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$181.65 |
$259.50 |
1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$170.10 |
$243 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$106.40 |
$152 |
1.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$155.05 |
$221.50 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$130.20 |
$186 |
1.7× |
| Ribs bilateral 3 views (71110) |
$359.45 |
$513.50 |
3.8× |
| Scapula complete (73010) |
$148.05 |
$211.50 |
1.6× |
| Sella turcica (70240) |
$99.05 |
$141.50 |
1.3× |
| Small bowel series (74250) |
$358.75 |
$512.50 |
2.3× |
| Spine thoracic 3 views (72072) |
$163.80 |
$234 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$395.15 |
$564.50 |
4.2× |
| Upper Extremity Infant (73092) |
$108.85 |
$155.50 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$502.95 |
$718.50 |
3.2× |
| Us abdl aorta screen aaa (76706) |
$395.15 |
$564.50 |
4.2× |
| Us breast unilateral complete (76641) |
$394.80 |
$564 |
4.2× |
| Us chest (76604) |
$394.80 |
$564 |
4.2× |
| Us pelvic non ob complete (76856) |
$659.05 |
$941.50 |
7.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$395.15 |
$564.50 |
4.2× |
| Us retroperitoneal complete (76770) |
$830.55 |
$1,186.50 |
8.8× |
| Us retroperitoneal limited (76775) |
$415.28 |
$593.25 |
4.4× |
| Us scrotum and contents (76870) |
$384.30 |
$549 |
4.1× |
| Us soft tissue head/neck (76536) |
$394.80 |
$564 |
4.2× |
| Us xtr non-vasc lmtd (76882) |
$380.10 |
$543 |
4.0× |
| Wrist 2 views (73100) |
$94.85 |
$135.50 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$318.85 |
$455.50 |
3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$217.70 |
$311 |
2.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$130.20 |
$186 |
1.7× |
| X-ray exam hip uni 1 view (73501) |
$94.85 |
$135.50 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$217.70 |
$311 |
2.3× |
| X-ray exam of femur 1 (73551) |
$94.85 |
$135.50 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$170.10 |
$243 |
1.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$92.05 |
$131.50 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$144.20 |
$206 |
1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$133 |
$190 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$163.80 |
$234 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$243.60 |
$348 |
2.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$122.85 |
$175.50 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$138.95 |
$198.50 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$86.45 |
$123.50 |
1.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$170.10 |
$243 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$179.90 |
$257 |
2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$175.35 |
$250.50 |
1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$184.10 |
$263 |
2.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$108.85 |
$155.50 |
1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$170.10 |
$243 |
2.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$144.20 |
$206 |
1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$180.60 |
$258 |
1.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$158.55 |
$226.50 |
1.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$69.65 |
$99.50 |
0.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$127.40 |
$182 |
1.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$154 |
$220 |
2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$163.80 |
$234 |
1.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$94.85 |
$135.50 |
1.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$108.85 |
$155.50 |
1.4× |
| Xr c-spine 6 or more views (72052) |
$224 |
$320 |
2.4× |
| Xr finger(s) 2+ views (73140) |
$94.85 |
$135.50 |
1.2× |
| XR Mastoids < 3 Views Bilateral (70120) |
$210 |
$300 |
2.2× |
| Xr shoulder 1 view (73020) |
$69.65 |
$99.50 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$185.15 |
$264.50 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$108.85 |
$155.50 |
1.4× |
| Xr tmj bilateral (70330) |
$163.10 |
$233 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$94.85 |
$135.50 |
1.2× |