| Abdomen 2 views (74019) |
$398 |
$398 |
3.6× |
| Ankle 2 views (73600) |
$413.50 |
$413.50 |
4.5× |
| Bone &/joint imaging whole body (78306) |
$1,709 |
$1,709 |
4.1× |
| Bone age studies (77072) |
$764 |
$764 |
7.0× |
| Cervical spine 2 or 3 views (72040) |
$791 |
$791 |
8.7× |
| Clavicle complete (73000) |
$567.50 |
$567.50 |
6.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,405 |
$4,405 |
12.1× |
| CT abdomen w wo contrast (74170) |
$2,785 |
$2,785 |
15.2× |
| CT abdomen w/o contrast (74150) |
$2,835 |
$2,835 |
26.0× |
| CT angio hrt w/3d image (75574) |
$2,275 |
$2,275 |
6.2× |
| CT angio lwr extr w/o&w/dye (73706) |
$5,667 |
$5,667 |
30.9× |
| CT angiography upper extremity lt (73206) |
$2,897 |
$2,897 |
15.8× |
| CT c-spine w/o contrast (72125) |
$2,785 |
$2,785 |
25.5× |
| CT head/brain without and with contrast (70470) |
$2,295 |
$2,295 |
12.5× |
| CT lower ext w/o (73700) |
$2,373 |
$2,373 |
21.7× |
| CT lower extremity w/contrast material (73701) |
$2,444 |
$2,444 |
13.3× |
| CT lumbar spine w/o contrast (72131) |
$2,785 |
$2,785 |
25.5× |
| CT maxillofacial wo contrast (70486) |
$2,939.50 |
$2,939.50 |
26.9× |
| CT orbits w/o contrast (70480) |
$2,295 |
$2,295 |
21.0× |
| CT pelvis w/o contrast (72192) |
$2,535 |
$2,535 |
23.2× |
| CT thoracic spine w/contrast (72129) |
$2,373 |
$2,373 |
13.0× |
| CT thoracic spine w/o contrast (72128) |
$2,365 |
$2,365 |
21.7× |
| CT upper ext wo (73200) |
$2,517.50 |
$2,517.50 |
23.1× |
| CT upper extremity with contrast (73201) |
$2,373 |
$2,373 |
6.5× |
| Cta Abdomen (74175) |
$2,909 |
$2,909 |
15.9× |
| CTA abdomen pelvis (74174) |
$5,794 |
$5,794 |
15.9× |
| CTA chest (71275) |
$5,032 |
$5,032 |
27.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$770 |
$770 |
7.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$398 |
$398 |
4.4× |
| Facial bones min 3 views (70150) |
$417 |
$417 |
3.8× |
| Fluoroscopy up to 1 hr (76000) |
$787 |
$787 |
3.2× |
| Foot 2 views (73620) |
$408 |
$408 |
4.5× |
| Forearm 2 views (73090) |
$402 |
$402 |
4.4× |
| Hand 2 views (73120) |
$235 |
$235 |
2.2× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,557 |
$1,557 |
3.7× |
| Knee 3 views (73562) |
$876 |
$876 |
9.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,400 |
$4,400 |
12.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,645 |
$3,645 |
10.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,400 |
$4,400 |
12.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$5,759 |
$5,759 |
23.1× |
| MRI up ext w/o contrast (73218) |
$3,458 |
$3,458 |
13.9× |
| MRI upper ext joint w/o contrast (73221) |
$5,759 |
$5,759 |
23.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,192 |
$2,192 |
1.6× |
| Nm gastric emptying study (78264) |
$2,009 |
$2,009 |
4.8× |
| Pelvis 1 or 2 views (72170) |
$530 |
$530 |
4.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,715 |
$1,715 |
3.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$514 |
$514 |
5.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$398 |
$398 |
4.4× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$403 |
$403 |
4.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$909 |
$909 |
10.0× |
| Radex fingr minimum 2 views (73140) |
$480 |
$480 |
5.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$398 |
$398 |
4.4× |
| Radex Hand Minimum 3 Views (73130) |
$398 |
$398 |
4.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$523.50 |
$523.50 |
4.8× |
| Radex Humerus Minimum 2 Views (73060) |
$424 |
$424 |
4.7× |
| Radex Kne 1/2 Views (73560) |
$617.50 |
$617.50 |
6.8× |
| Radex Kne Compl 4/More Views (73564) |
$398 |
$398 |
3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$742 |
$742 |
8.2× |
| Radex Sho Compl Minimum 2 Views (73030) |
$417 |
$417 |
4.6× |
| Radex upper extremity infant minimum 2 views (73092) |
$709.50 |
$709.50 |
6.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$406 |
$406 |
4.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$529 |
$529 |
5.8× |
| Radiologic examination tibia & fibula 2 views (73590) |
$683 |
$683 |
7.5× |
| Sacroiliac Joints < 3 Views (72200) |
$837 |
$837 |
7.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$112 |
$112 |
4.8× |
| Shoulder 1 view (73020) |
$398 |
$398 |
4.4× |
| Thoracolumbar 2 views (72080) |
$398 |
$398 |
4.4× |
| Ultrasound breast complete (76641) |
$1,695 |
$1,695 |
15.5× |
| Ultrasound Exam Aaa Screen (76706) |
$863 |
$863 |
7.9× |
| Ultrasound, abdomen limited (76705) |
$453 |
$453 |
4.1× |
| Us breast unilateral limited (76642) |
$670 |
$670 |
7.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$453 |
$453 |
4.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$453 |
$453 |
4.1× |
| Wrist 2 views (73100) |
$289 |
$289 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$491 |
$491 |
4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$375 |
$375 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$528.50 |
$528.50 |
5.8× |
| X-ray exam of femur 2/> (73552) |
$514 |
$514 |
5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$439 |
$439 |
4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$500 |
$500 |
4.6× |
| X-ray nose-rectum child f.b. (76010) |
$627 |
$627 |
6.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$398 |
$398 |
3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$884 |
$884 |
9.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$477 |
$477 |
4.4× |
| Xr c-spine 4 or 5 views (72050) |
$994 |
$994 |
9.1× |