| Abdomen 2 views (74019) |
$414.80 |
$488 |
4.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$837.25 |
$985 |
2.4× |
| Ankle 2 views (73600) |
$119 |
$140 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$946.90 |
$1,114 |
2.7× |
| Bone age studies (77072) |
$139.40 |
$164 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$1,501.10 |
$1,766 |
4.3× |
| Bone survey complete (77075) |
$433.50 |
$510 |
4.7× |
| Cervical spine 2 or 3 views (72040) |
$313.65 |
$369 |
4.1× |
| Chest 1 view (71045) |
$266.90 |
$314 |
3.5× |
| Chest 3 views (71047) |
$229.50 |
$270 |
3.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$369.75 |
$435 |
2.4× |
| Clavicle complete (73000) |
$427.55 |
$503 |
5.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$415.65 |
$489 |
4.5× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$242.25 |
$285 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,668.58 |
$3,139.50 |
8.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,671.95 |
$1,967 |
8.0× |
| CT abdomen w contrast (74160) |
$1,488.78 |
$1,751.50 |
9.7× |
| CT abdomen w wo contrast (74170) |
$1,561.45 |
$1,837 |
10.2× |
| CT abdomen w/o contrast (74150) |
$1,005.55 |
$1,183 |
11.0× |
| CT angiography upper extremity lt (73206) |
$2,427.60 |
$2,856 |
15.8× |
| CT c-spine w/o contrast (72125) |
$1,521.50 |
$1,790 |
16.6× |
| CT cervical spine with contrast (72126) |
$1,670.25 |
$1,965 |
5.5× |
| CT chest w/wo contrast (71270) |
$3,279.30 |
$3,858 |
21.3× |
| CT chest with contrast (71260) |
$735.25 |
$865 |
4.8× |
| CT head/brain with contrast (70460) |
$912.48 |
$1,073.50 |
5.9× |
| CT head/brain without and with contrast (70470) |
$119 |
$140 |
0.8× |
| CT iac w contrast (70481) |
$1,728.90 |
$2,034 |
11.2× |
| CT lower ext w/o (73700) |
$640.05 |
$753 |
7.0× |
| CT lower extremity w wo contrast (73702) |
$1,365.10 |
$1,606 |
8.9× |
| CT lumbar spine w & w/o contrast (72133) |
$1,301.35 |
$1,531 |
8.5× |
| CT lumbar spine w/o contrast (72131) |
$1,045.08 |
$1,229.50 |
11.4× |
| CT maxillofacial w contrast (70487) |
$924.80 |
$1,088 |
6.0× |
| CT maxillofacial w/o contrast (70486) |
$2,345.15 |
$2,759 |
25.6× |
| CT maxillofacial w/wo contrast (70488) |
$1,151.75 |
$1,355 |
7.5× |
| CT neck soft tissue w contrast (70491) |
$3,156.05 |
$3,713 |
20.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,655.80 |
$1,948 |
10.8× |
| CT orbits w/o contrast (70480) |
$1,540.20 |
$1,812 |
16.8× |
| CT pelvis w & w/o contrast (72194) |
$1,289.88 |
$1,517.50 |
8.4× |
| CT pelvis w/o contrast (72192) |
$980.90 |
$1,154 |
10.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,590.35 |
$1,871 |
10.3× |
| CT soft tissue neck w/o contrast (70490) |
$904.40 |
$1,064 |
9.9× |
| CT thoracic spine w/o contrast (72128) |
$2,705.55 |
$3,183 |
29.5× |
| CT thoracic spine w/wo contrast (72130) |
$1,513 |
$1,780 |
9.8× |
| CT thorax w/o contrast (71250) |
$1,313.25 |
$1,545 |
14.3× |
| CT upper extremity w/o contrast rt (73200) |
$1,624.35 |
$1,911 |
17.7× |
| CT upper extremity with contrast (73201) |
$1,330.68 |
$1,565.50 |
4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,652.40 |
$1,944 |
10.8× |
| Cta Abdomen (74175) |
$2,319.22 |
$2,728.50 |
15.1× |
| CTA abdomen pelvis (74174) |
$2,983.50 |
$3,510 |
9.8× |
| CTA chest (71275) |
$3,433.58 |
$4,039.50 |
22.3× |
| Cta Head (70496) |
$1,925.25 |
$2,265 |
12.5× |
| CTA lwr ext w&w/o contrast (73706) |
$2,165.80 |
$2,548 |
14.1× |
| Cta Neck (70498) |
$2,062.52 |
$2,426.50 |
13.4× |
| Cta Pelvis (72191) |
$2,825.82 |
$3,324.50 |
18.4× |
| Cystography minimum 3 views rs&i (74430) |
$463.68 |
$545.50 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$391 |
$460 |
4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$204.85 |
$241 |
2.7× |
| Dxa bone density study axial skeleton (77085) |
$144.50 |
$170 |
1.6× |
| Echoencephalography real time imaging (76506) |
$470.90 |
$554 |
5.1× |
| Esophagus (74220) |
$525.30 |
$618 |
3.4× |
| Fetal biophysical profile non-stress testing (76818) |
$658.75 |
$775 |
7.2× |
| Fluoroscopy up to 1 hr (76000) |
$600.10 |
$706 |
2.9× |
| Foot 2 views (73620) |
$260.95 |
$307 |
3.4× |
| Forearm 2 views (73090) |
$444.55 |
$523 |
5.8× |
| Gated Heart Planar Single (78472) |
$573.75 |
$675 |
1.6× |
| Hand 2 views (73120) |
$226.10 |
$266 |
2.5× |
| Hand 3 views (73130) |
$255.85 |
$301 |
3.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,023 |
$2,380 |
4.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,235.10 |
$3,806 |
9.2× |
| Humerus Min 2 Views Left (73060) |
$337.02 |
$396.50 |
4.4× |
| Hysterosalpingogram (74740) |
$1,354.05 |
$1,593 |
6.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$599.25 |
$705 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$512.55 |
$603 |
1.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$684.25 |
$805 |
1.4× |
| Knee 3 views (73562) |
$315.35 |
$371 |
4.1× |
| Liver & spleen imaging static only (78215) |
$801.55 |
$943 |
2.3× |
| Lymphoscintigraphy (78195) |
$1,713.60 |
$2,016 |
3.6× |
| MRA head w & w/o contrast (70546) |
$1,836 |
$2,160 |
6.0× |
| MRA head w/o contrast (70544) |
$2,518.55 |
$2,963 |
12.0× |
| MRA head with contrast (70545) |
$1,674.50 |
$1,970 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,681.75 |
$3,155 |
8.8× |
| MRA neck w/o contrast (70547) |
$2,849.20 |
$3,352 |
13.6× |
| MRI abdomen w contrast (74182) |
$2,302.65 |
$2,709 |
7.5× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,881.52 |
$4,566.50 |
12.7× |
| MRI abdomen w/o contrast (74181) |
$3,319.25 |
$3,905 |
15.9× |
| MRI c-spine with contrast (72142) |
$3,589.55 |
$4,223 |
11.7× |
| MRI cervical spine w/o contrast (72141) |
$1,823.25 |
$2,145 |
8.7× |
| MRI chest w/o & w/contrast material (71552) |
$4,601.05 |
$5,413 |
15.0× |
| MRI chest w/o contrast (71550) |
$3,278.45 |
$3,857 |
15.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,978.40 |
$3,504 |
9.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,728.90 |
$2,034 |
5.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,969.05 |
$3,493 |
14.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,728.90 |
$2,034 |
8.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,951.70 |
$7,002 |
19.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,955.85 |
$2,301 |
6.4× |
| MRI pelvis w contrast (72196) |
$3,686.45 |
$4,337 |
12.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$5,440.85 |
$6,401 |
17.8× |
| MRI pelvis w/o contrast (72195) |
$4,181.15 |
$4,919 |
20.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,403.40 |
$4,004 |
11.1× |
| MRI scan of leg joint before and after contrast (73723) |
$4,660.55 |
$5,483 |
15.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,648.65 |
$5,469 |
15.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,752.30 |
$3,238 |
9.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,779.58 |
$6,799.50 |
18.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,013.25 |
$3,545 |
9.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,169.65 |
$3,729 |
10.4× |
| MRI thoracic spine w/o contrast (72146) |
$4,254.25 |
$5,005 |
20.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,666 |
$1,960 |
8.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,998.40 |
$4,704 |
13.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,000.90 |
$2,354 |
9.6× |
| Neck soft tissue (70360) |
$275.40 |
$324 |
3.6× |
| Nm gastric emptying study (78264) |
$1,616.70 |
$1,902 |
4.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$325.55 |
$383 |
3.6× |
| Osseous survey infant (77076) |
$291.55 |
$343 |
3.2× |
| Osseous survey limited (77074) |
$760.75 |
$895 |
8.3× |
| Parathyroid imaging (78070) |
$1,515.55 |
$1,783 |
4.3× |
| Pelvis 1 or 2 views (72170) |
$153.85 |
$181 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$5,585.35 |
$6,571 |
18.3× |
| Pr sono bone density measure,peripheral (76977) |
$154.70 |
$182 |
1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$471.75 |
$555 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,150.05 |
$1,353 |
2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$402.05 |
$473 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$373.15 |
$439 |
4.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$385.05 |
$453 |
4.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$550.80 |
$648 |
6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$242.68 |
$285.50 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$383.35 |
$451 |
5.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$365.92 |
$430.50 |
4.8× |
| Radiologic exam colon single contrast study (74270) |
$521.90 |
$614 |
3.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$339.15 |
$399 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$765 |
$900 |
5.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$276.68 |
$325.50 |
3.6× |
| Radiological examination surgical specimen (76098) |
$187.85 |
$221 |
0.4× |
| Ribs bilateral 3 views (71110) |
$253.30 |
$298 |
2.8× |
| Scapula complete (73010) |
$284.75 |
$335 |
3.1× |
| Sella turcica (70240) |
$374 |
$440 |
4.9× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$628.58 |
$739.50 |
6.9× |
| Small bowel series (74250) |
$646 |
$760 |
4.2× |
| Spine thoracic 3 views (72072) |
$661.30 |
$778 |
7.2× |
| Tbs Technical Calculation Only (77091) |
$116.45 |
$137 |
1.5× |
| Testicular Imaging With Vascular Flow (78761) |
$1,055.70 |
$1,242 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$581.40 |
$684 |
1.7× |
| Thyroid uptake measurement (78012) |
$581.40 |
$684 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$870.40 |
$1,024 |
2.5× |
| Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission… (77090) |
$17.85 |
$21 |
0.2× |
| Ultrasound, abdomen limited (76705) |
$831.30 |
$978 |
9.1× |
| Upper Extremity Infant (73092) |
$570.35 |
$671 |
6.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$364.65 |
$429 |
2.4× |
| Us abdl aorta screen aaa (76706) |
$413.10 |
$486 |
4.5× |
| Us breast unilateral complete (76641) |
$621.78 |
$731.50 |
6.8× |
| Us breast unilateral limited (76642) |
$597.12 |
$702.50 |
7.8× |
| Us chest (76604) |
$502.78 |
$591.50 |
5.5× |
| Us compl joint r-t w/image documentation (76881) |
$782.85 |
$921 |
8.5× |
| Us infant hips limited static (76886) |
$374.85 |
$441 |
4.9× |
| Us ob detailed single fetus (76811) |
$697 |
$820 |
3.3× |
| Us ob transvaginal (76817) |
$358.70 |
$422 |
3.9× |
| Us pelvic non ob complete (76856) |
$652.80 |
$768 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$567.80 |
$668 |
6.2× |
| Us pregnancy ltd (76815) |
$385.05 |
$453 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$485.35 |
$571 |
5.3× |
| Us retroperitoneal complete (76770) |
$807.50 |
$950 |
8.8× |
| Us retroperitoneal limited (76775) |
$472.60 |
$556 |
5.2× |
| Us scrotum and contents (76870) |
$651.95 |
$767 |
7.1× |
| Us soft tissue head/neck (76536) |
$967.30 |
$1,138 |
10.6× |
| Us spinal canal and contents (76800) |
$539.75 |
$635 |
5.9× |
| Us transrectal prostate volume (76873) |
$917.15 |
$1,079 |
10.0× |
| Us xtr non-vasc lmtd (76882) |
$147.48 |
$173.50 |
1.6× |
| Vascular flow imaging (78445) |
$581.40 |
$684 |
1.7× |
| Venogram extremity bilateral (75822) |
$973.25 |
$1,145 |
0.7× |
| Venography extremity unilateral rs&i (75820) |
$634.10 |
$746 |
0.5× |
| Vertebral fracture assessment via dxa (77086) |
$169.15 |
$199 |
2.2× |
| Wrist 2 views (73100) |
$221 |
$260 |
2.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$596.70 |
$702 |
6.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$125.80 |
$148 |
1.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$216.75 |
$255 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$779.02 |
$916.50 |
5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$289 |
$340 |
3.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$342.98 |
$403.50 |
4.5× |
| X-ray exam hip uni 1 view (73501) |
$272 |
$320 |
3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$389.30 |
$458 |
5.1× |
| X-ray exam hip uni 4/> views (73503) |
$471.75 |
$555 |
5.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$207.40 |
$244 |
2.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$230.35 |
$271 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$191.25 |
$225 |
2.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$369.75 |
$435 |
4.8× |
| X-ray IV pyelogram+drip infusn (74410) |
$623.48 |
$733.50 |
4.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$666.40 |
$784 |
7.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$32.30 |
$38 |
0.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$570.35 |
$671 |
7.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$23.80 |
$28 |
0.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$548.25 |
$645 |
6.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$246.08 |
$289.50 |
3.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$323 |
$380 |
3.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$334.05 |
$393 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$419.05 |
$493 |
4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$754.80 |
$888 |
8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$285.60 |
$336 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$284.75 |
$335 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$510.85 |
$601 |
6.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$224.82 |
$264.50 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$373.58 |
$439.50 |
4.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$152.58 |
$179.50 |
1.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$91.80 |
$108 |
1.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$355.30 |
$418 |
4.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$510.85 |
$601 |
6.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$225.68 |
$265.50 |
2.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$214.20 |
$252 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$100.72 |
$118.50 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$481.10 |
$566 |
6.3× |
| Xr c-spine 6 or more views (72052) |
$246.92 |
$290.50 |
2.7× |
| Xr chest 4+ views (71048) |
$550.80 |
$648 |
6.0× |
| Xr Cholecystography Oral Contrast (74290) |
$34 |
$40 |
0.2× |
| Xr finger(s) 2+ views (73140) |
$226.95 |
$267 |
3.0× |
| Xr spine cervical 4 or 5 views (72050) |
$413.10 |
$486 |
4.5× |
| Xr tibia/fibula 2 views (73590) |
$473.45 |
$557 |
6.2× |
| Xr tmj bilateral (70330) |
$339.15 |
$399 |
4.4× |
| Xray knee 1 or 2 views rt (73560) |
$406.30 |
$478 |
5.3× |