| Abdomen 2 views (74019) |
$413 |
$459 |
3.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,418 |
$1,575 |
3.4× |
| Ankle 2 views (73600) |
$238 |
$264 |
2.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,175 |
$1,305 |
2.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,459 |
$1,621 |
3.5× |
| Bone &/joint imaging whole body (78306) |
$1,874 |
$2,082 |
4.5× |
| Bone age studies (77072) |
$253 |
$281 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,159 |
$2,399 |
5.2× |
| Bone survey complete (77075) |
$956 |
$1,062 |
8.8× |
| Cervical spine 2 or 3 views (72040) |
$359 |
$399 |
4.0× |
| Chest 1 view (71045) |
$296 |
$329 |
3.3× |
| Chest 3 views (71047) |
$357 |
$397 |
4.0× |
| Clavicle complete (73000) |
$311 |
$345 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,057 |
$1,174 |
9.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,292 |
$5,880 |
14.6× |
| CT abdomen and pelvis without contrast (74176) |
$3,694 |
$4,104 |
14.9× |
| CT abdomen w contrast (74160) |
$2,675 |
$2,972 |
14.7× |
| CT abdomen w wo contrast (74170) |
$2,944 |
$3,271 |
16.2× |
| CT abdomen w/o contrast (74150) |
$2,232 |
$2,480 |
20.6× |
| CT c-spine w/o contrast (72125) |
$2,523 |
$2,803 |
23.2× |
| CT cervical spine w&w/o contrast (72127) |
$2,489 |
$2,765 |
13.7× |
| CT cervical spine with contrast (72126) |
$2,425 |
$2,694 |
6.7× |
| CT chest w/wo contrast (71270) |
$3,090 |
$3,433 |
17.0× |
| CT chest with contrast (71260) |
$2,741 |
$3,045 |
15.0× |
| CT head/brain with contrast (70460) |
$2,508 |
$2,787 |
13.8× |
| CT head/brain without and with contrast (70470) |
$2,603 |
$2,892 |
14.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$126 |
$140 |
1.4× |
| CT iac w contrast (70481) |
$2,559 |
$2,843 |
14.0× |
| CT lower ext w/o (73700) |
$1,655 |
$1,839 |
15.2× |
| CT lower extremity w wo contrast (73702) |
$2,624 |
$2,915 |
14.4× |
| CT lower extremity with contrast (73701) |
$2,090 |
$2,322 |
11.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,489 |
$2,765 |
13.7× |
| CT lumbar spine w/o contrast (72131) |
$2,315 |
$2,572 |
21.3× |
| CT lumbar spine with contrast (72132) |
$2,928 |
$3,253 |
8.1× |
| CT maxillofacial w contrast (70487) |
$2,320 |
$2,578 |
12.7× |
| CT maxillofacial w/o contrast (70486) |
$1,872 |
$2,080 |
17.2× |
| CT maxillofacial w/wo contrast (70488) |
$2,559 |
$2,843 |
14.0× |
| CT neck soft tissue w contrast (70491) |
$2,357 |
$2,619 |
12.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,624 |
$2,915 |
14.4× |
| CT orbits w/o contrast (70480) |
$2,199 |
$2,443 |
20.3× |
| CT pelvis w & w/o contrast (72194) |
$2,876 |
$3,196 |
15.8× |
| CT pelvis w/o contrast (72192) |
$2,287 |
$2,541 |
21.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,693 |
$2,992 |
14.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,949 |
$2,165 |
18.0× |
| CT thoracic spine w/contrast (72129) |
$2,489 |
$2,765 |
13.7× |
| CT thoracic spine w/o contrast (72128) |
$2,361 |
$2,623 |
21.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,589 |
$2,877 |
14.2× |
| CT thorax w/o contrast (71250) |
$2,299 |
$2,554 |
21.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,489 |
$2,766 |
13.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,999 |
$2,221 |
18.4× |
| CT upper extremity with contrast (73201) |
$2,088 |
$2,320 |
5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$4,157 |
$4,619 |
22.8× |
| Cta Abdomen (74175) |
$3,303 |
$3,670 |
18.1× |
| CTA abdomen pelvis (74174) |
$3,376 |
$3,751 |
9.3× |
| CTA chest (71275) |
$3,389 |
$3,765 |
18.6× |
| Cta Head (70496) |
$3,121 |
$3,468 |
17.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,480 |
$2,756 |
13.6× |
| Cta Neck (70498) |
$3,505 |
$3,894 |
19.2× |
| Cystography minimum 3 views rs&i (74430) |
$852 |
$947 |
2.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$467 |
$519 |
4.3× |
| Esophagus (74220) |
$734 |
$816 |
4.0× |
| Fetal biophysical profile non-stress testing (76818) |
$1,019 |
$1,132 |
9.4× |
| Foot 2 views (73620) |
$334.50 |
$371.50 |
3.7× |
| Forearm 2 views (73090) |
$338.50 |
$376 |
3.7× |
| Hand 2 views (73120) |
$247 |
$274 |
2.3× |
| Hand 3 views (73130) |
$376.50 |
$418 |
4.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,814 |
$2,016 |
3.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,814 |
$2,016 |
4.4× |
| Ht muscle image spect sing (78451) |
$1,676 |
$1,862 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$302 |
$335 |
3.3× |
| Kidney imaging morphology (78700) |
$885 |
$983 |
2.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,469 |
$1,632 |
2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,575 |
$1,750 |
2.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,618 |
$1,798 |
2.9× |
| Knee 3 views (73562) |
$462.50 |
$513.50 |
5.1× |
| Liver & spleen imaging static only (78215) |
$862 |
$958 |
2.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$862 |
$958 |
2.1× |
| Lung Ventilation Imaging (78579) |
$1,124 |
$1,249 |
2.7× |
| Meckels Diverticulum (78290) |
$1,354 |
$1,504 |
3.3× |
| MRA head w/o contrast (70544) |
$3,378 |
$3,753 |
13.6× |
| MRA neck w contrast (70548) |
$3,789 |
$4,210 |
10.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,824 |
$4,249 |
10.6× |
| MRA neck w/o contrast (70547) |
$3,282 |
$3,647 |
13.2× |
| MRI abdomen w contrast (74182) |
$3,129.50 |
$3,477.50 |
8.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,019 |
$4,465 |
11.1× |
| MRI abdomen w/o contrast (74181) |
$3,259 |
$3,621 |
13.2× |
| MRI any jnt lwr ext with con lt (73722) |
$4,919 |
$5,465 |
6.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,762 |
$4,180 |
4.6× |
| MRI c-spine with contrast (72142) |
$3,740 |
$4,156 |
10.3× |
| MRI cardiac w/o contrast (75557) |
$3,259 |
$3,621 |
13.2× |
| MRI cervical spine w/o contrast (72141) |
$3,561 |
$3,957 |
14.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,892 |
$4,324 |
10.7× |
| MRI chest w/o contrast (71550) |
$3,259 |
$3,621 |
13.2× |
| MRI chest with contrast (71551) |
$3,259 |
$3,621 |
4.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,666 |
$4,073 |
10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,666 |
$4,073 |
10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,352 |
$3,724 |
13.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,256 |
$3,618 |
13.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,892 |
$4,324 |
10.7× |
| MRI orbit/face/neck w/contrast (70542) |
$3,471 |
$3,857 |
9.6× |
| MRI pelvis w contrast (72196) |
$3,259 |
$3,621 |
9.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,892 |
$4,324 |
10.7× |
| MRI pelvis w/o contrast (72195) |
$2,965 |
$3,294 |
12.0× |
| MRI scan of arm joint before and after contrast (73223) |
$5,150 |
$5,722 |
14.2× |
| MRI scan of leg joint before and after contrast (73723) |
$4,468 |
$4,964 |
12.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,269 |
$4,743 |
11.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,447 |
$3,830 |
9.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,269 |
$4,743 |
11.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,695 |
$4,106 |
10.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,235 |
$4,706 |
11.7× |
| MRI thoracic spine w/o contrast (72146) |
$3,471 |
$3,857 |
14.0× |
| MRI tmj (70336) |
$2,634 |
$2,927 |
10.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,082 |
$3,424 |
12.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,433 |
$4,926 |
12.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,352 |
$3,724 |
13.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,531 |
$5,034 |
3.4× |
| Neck soft tissue (70360) |
$337 |
$374 |
3.7× |
| Nm gastric emptying study (78264) |
$1,851 |
$2,057 |
4.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$885 |
$983 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$806 |
$896 |
7.4× |
| Osseous survey limited (77074) |
$678 |
$753 |
6.2× |
| Parathyroid imaging (78070) |
$1,376 |
$1,529 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$300 |
$333 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,433 |
$4,926 |
12.2× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,375 |
$1,528 |
3.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,598 |
$1,775 |
2.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$369 |
$410 |
4.1× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$496 |
$551 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$409 |
$454 |
3.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$315 |
$350 |
3.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$356 |
$396 |
3.9× |
| Radiological examination surgical specimen (76098) |
$209 |
$232 |
0.4× |
| Ribs bilateral 3 views (71110) |
$421 |
$468 |
3.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,902 |
$2,113 |
3.4× |
| Sacroiliac Joints < 3 Views (72200) |
$437 |
$486 |
4.0× |
| Scanogram (77073) |
$234 |
$260 |
2.2× |
| Scapula complete (73010) |
$348 |
$387 |
3.2× |
| Screening digital breast tomosynthesis (77063) |
$38 |
$42 |
1.6× |
| Sella turcica (70240) |
$340 |
$378 |
3.8× |
| Small bowel series (74250) |
$933 |
$1,037 |
5.1× |
| Spine thoracic 3 views (72072) |
$513 |
$570 |
4.7× |
| Testicular Imaging With Vascular Flow (78761) |
$866 |
$962 |
2.1× |
| Thoracolumbar 2 views (72080) |
$398 |
$442 |
4.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$634 |
$704 |
1.5× |
| Tmj unilateral (70328) |
$267 |
$297 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$1,059 |
$1,177 |
9.8× |
| Unlisted Ultrasound Procedure (76999) |
$635 |
$706 |
7.0× |
| Urethrocystography retrograde rs&i (74450) |
$883 |
$981 |
3.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,183 |
$1,314 |
6.5× |
| Us breast unilateral complete (76641) |
$627 |
$697 |
5.8× |
| Us breast unilateral limited (76642) |
$565.50 |
$628.50 |
6.3× |
| Us chest (76604) |
$1,110 |
$1,233 |
10.2× |
| Us compl joint r-t w/image documentation (76881) |
$792 |
$880 |
7.3× |
| Us ob detailed single fetus (76811) |
$1,582 |
$1,758 |
6.4× |
| Us ob transvaginal (76817) |
$1,110 |
$1,233 |
10.2× |
| Us pelvic non ob complete (76856) |
$959 |
$1,066 |
8.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$590 |
$655 |
5.4× |
| Us pregnancy ltd (76815) |
$703 |
$781 |
6.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$820 |
$911 |
7.6× |
| Us retroperitoneal complete (76770) |
$895 |
$994 |
8.2× |
| Us retroperitoneal limited (76775) |
$792 |
$880 |
7.3× |
| Us scrotum and contents (76870) |
$764 |
$849 |
7.0× |
| Us soft tissue head/neck (76536) |
$931 |
$1,034 |
8.6× |
| Us xtr non-vasc lmtd (76882) |
$581 |
$645 |
5.4× |
| Vertebral fracture assessment via dxa (77086) |
$443 |
$492 |
4.9× |
| Wrist 2 views (73100) |
$291.50 |
$324 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$519 |
$577 |
4.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$478 |
$531 |
5.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$354.50 |
$394 |
3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$331.50 |
$368.50 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$403.50 |
$448.50 |
4.5× |
| X-ray exam hip uni 1 view (73501) |
$266 |
$295 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$348 |
$387 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$658 |
$731 |
6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$646 |
$718 |
6.0× |
| X-ray exam of femur 1 (73551) |
$362 |
$402 |
4.0× |
| X-ray eye for foreign body (70030) |
$284 |
$316 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$455 |
$505 |
4.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$343 |
$381 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$392.50 |
$436.50 |
4.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$291.50 |
$324 |
3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$321 |
$357 |
3.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$446.50 |
$496 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$426 |
$473 |
4.7× |
| 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) |
$747 |
$830 |
6.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$355 |
$394 |
3.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$490 |
$544 |
4.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$618 |
$687 |
5.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$311 |
$346 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$446 |
$496 |
4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$633 |
$703 |
5.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$381 |
$423 |
4.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$363 |
$403.50 |
4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$403 |
$448 |
4.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$301 |
$334 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$501 |
$557 |
4.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$338 |
$376 |
3.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$285 |
$317 |
3.2× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$357 |
$397 |
4.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$381 |
$423 |
4.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$394 |
$438 |
3.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$252 |
$280 |
2.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$313 |
$348 |
3.5× |
| Xr c-spine 6 or more views (72052) |
$603 |
$670 |
5.6× |
| Xr chest 4+ views (71048) |
$357 |
$397 |
3.3× |
| Xr Cholecystography Oral Contrast (74290) |
$513 |
$570 |
2.8× |
| Xr finger(s) 2+ views (73140) |
$264.50 |
$294 |
2.9× |
| Xr shoulder 1 view (73020) |
$227 |
$252 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$603 |
$670 |
5.6× |
| Xr tibia/fibula 2 views (73590) |
$302 |
$335 |
3.3× |
| Xr tmj bilateral (70330) |
$374 |
$415 |
4.1× |
| Xray knee 1 or 2 views rt (73560) |
$334 |
$371 |
3.7× |