| Abdomen 2 views (74019) |
$363.20 |
$454 |
3.8× |
| Ankle 2 views (73600) |
$332 |
$415 |
4.1× |
| Bone &/Joint Imaging Limited Area (78300) |
$950.40 |
$1,188 |
2.6× |
| Bone &/joint imaging whole body (78306) |
$1,580.80 |
$1,976 |
4.3× |
| Bone Imaging 3 Phase (78315) |
$1,279.20 |
$1,599 |
3.5× |
| Cervical spine 2 or 3 views (72040) |
$412 |
$515 |
5.1× |
| Chest 1 view (71045) |
$248 |
$310 |
3.1× |
| Chest 3 views (71047) |
$320.80 |
$401 |
4.0× |
| Clavicle complete (73000) |
$350.40 |
$438 |
4.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,339.20 |
$5,424 |
13.5× |
| CT abdomen and pelvis without contrast (74176) |
$3,199.20 |
$3,999 |
14.6× |
| CT abdomen w contrast (74160) |
$2,280 |
$2,850 |
14.1× |
| CT abdomen w wo contrast (74170) |
$2,388.80 |
$2,986 |
14.8× |
| CT abdomen w/o contrast (74150) |
$1,861.60 |
$2,327 |
19.4× |
| CT c-spine w/o contrast (72125) |
$2,008 |
$2,510 |
20.9× |
| CT cervical spine with contrast (72126) |
$2,336 |
$2,920 |
7.3× |
| CT chest w/wo contrast (71270) |
$2,620 |
$3,275 |
16.2× |
| CT chest with contrast (71260) |
$2,232 |
$2,790 |
13.8× |
| CT head/brain with contrast (70460) |
$2,002.40 |
$2,503 |
12.4× |
| CT head/brain without and with contrast (70470) |
$2,391.20 |
$2,989 |
14.8× |
| CT lower ext w/o (73700) |
$1,769.60 |
$2,212 |
18.4× |
| CT lower extremity with contrast (73701) |
$2,046.40 |
$2,558 |
12.7× |
| CT lumbar spine w/o contrast (72131) |
$1,982.40 |
$2,478 |
20.6× |
| CT lumbar spine with contrast (72132) |
$2,240 |
$2,800 |
7.0× |
| CT maxillofacial w/o contrast (70486) |
$1,684 |
$2,105 |
17.5× |
| CT neck soft tissue w contrast (70491) |
$2,105.60 |
$2,632 |
13.1× |
| CT orbits w/o contrast (70480) |
$1,760 |
$2,200 |
18.3× |
| CT pelvis w/o contrast (72192) |
$1,820 |
$2,275 |
18.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,378.40 |
$2,973 |
14.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,709.60 |
$2,137 |
17.8× |
| CT thoracic spine w/contrast (72129) |
$2,234.40 |
$2,793 |
13.9× |
| CT thoracic spine w/o contrast (72128) |
$1,935.20 |
$2,419 |
20.1× |
| CT thorax w/o contrast (71250) |
$1,798.40 |
$2,248 |
18.7× |
| CT upper extremity w/o contrast rt (73200) |
$1,752 |
$2,190 |
18.2× |
| CT upper extremity with contrast (73201) |
$1,976 |
$2,470 |
6.2× |
| CTA abdomen pelvis (74174) |
$3,889.60 |
$4,862 |
12.1× |
| CTA chest (71275) |
$5,115.20 |
$6,394 |
31.7× |
| Cta Neck (70498) |
$2,454.40 |
$3,068 |
15.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$540.80 |
$676 |
5.6× |
| Foot 2 views (73620) |
$323.20 |
$404 |
4.0× |
| Forearm 2 views (73090) |
$348.80 |
$436 |
4.4× |
| Hand 2 views (73120) |
$292.80 |
$366 |
3.0× |
| Hand 3 views (73130) |
$400 |
$500 |
5.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,216 |
$1,520 |
2.4× |
| Humerus Min 2 Views Left (73060) |
$352.80 |
$441 |
4.4× |
| Knee 3 views (73562) |
$413.60 |
$517 |
5.2× |
| MRA head w & w/o contrast (70546) |
$3,440.80 |
$4,301 |
10.7× |
| MRA head w/o contrast (70544) |
$2,508 |
$3,135 |
11.4× |
| MRA neck w contrast (70548) |
$2,572 |
$3,215 |
8.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,651.20 |
$3,314 |
8.3× |
| MRA neck w/o contrast (70547) |
$2,492.80 |
$3,116 |
11.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,727.20 |
$4,659 |
11.6× |
| MRI abdomen w/o contrast (74181) |
$2,658.40 |
$3,323 |
12.1× |
| MRI any jnt lwr ext with con lt (73722) |
$2,817.60 |
$3,522 |
3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,838.40 |
$3,548 |
3.9× |
| MRI c-spine with contrast (72142) |
$3,121.60 |
$3,902 |
9.7× |
| MRI cervical spine w/o contrast (72141) |
$2,788 |
$3,485 |
12.7× |
| MRI chest w/o & w/contrast material (71552) |
$2,000 |
$2,500 |
6.2× |
| MRI chest w/o contrast (71550) |
$1,600 |
$2,000 |
7.3× |
| MRI chest with contrast (71551) |
$1,830.91 |
$2,288.64 |
2.5× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$3,278.40 |
$4,098 |
10.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,550.40 |
$4,438 |
11.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,201.60 |
$4,002 |
14.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,663.20 |
$4,579 |
11.4× |
| MRI pelvis w contrast (72196) |
$1,942.40 |
$2,428 |
6.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,713.60 |
$4,642 |
11.6× |
| MRI pelvis w/o contrast (72195) |
$760 |
$950 |
3.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,960 |
$3,700 |
9.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,400 |
$3,000 |
7.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,921.60 |
$4,902 |
12.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,084.80 |
$5,106 |
12.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,552.80 |
$1,941 |
4.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,000 |
$2,500 |
6.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,751.20 |
$3,439 |
12.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,746.40 |
$3,433 |
12.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,268.80 |
$5,336 |
13.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,112.80 |
$3,891 |
14.2× |
| Myocardial Spect Multiple Studies (78452) |
$3,668.80 |
$4,586 |
3.1× |
| Neck soft tissue (70360) |
$358.72 |
$448.40 |
4.5× |
| Nm gastric emptying study (78264) |
$1,863.20 |
$2,329 |
5.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$562.40 |
$703 |
5.8× |
| Parathyroid imaging (78070) |
$1,469.76 |
$1,837.20 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$336 |
$420 |
3.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,272.80 |
$5,341 |
13.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$464 |
$580 |
4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$484.80 |
$606 |
5.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$277.60 |
$347 |
3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$524.80 |
$656 |
5.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$339.20 |
$424 |
4.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$344 |
$430 |
4.3× |
| Scapula complete (73010) |
$356.80 |
$446 |
3.7× |
| Screening digital breast tomosynthesis (77063) |
$142.80 |
$178.50 |
6.1× |
| Ultrasound, abdomen limited (76705) |
$816.80 |
$1,021 |
8.5× |
| Us abdl aorta screen aaa (76706) |
$320.80 |
$401 |
3.3× |
| Us breast unilateral limited (76642) |
$459.20 |
$574 |
5.7× |
| Us compl joint r-t w/image documentation (76881) |
$675.20 |
$844 |
7.0× |
| Us ob transvaginal (76817) |
$665.60 |
$832 |
6.9× |
| Us pelvic non ob complete (76856) |
$917.60 |
$1,147 |
9.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$459.20 |
$574 |
4.8× |
| Us pregnancy ltd (76815) |
$607.20 |
$759 |
6.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$417.60 |
$522 |
4.3× |
| Us retroperitoneal limited (76775) |
$716.98 |
$896.23 |
7.5× |
| Us scrotum and contents (76870) |
$722.40 |
$903 |
7.5× |
| Us soft tissue head/neck (76536) |
$600.80 |
$751 |
6.2× |
| Us xtr non-vasc lmtd (76882) |
$526.24 |
$657.80 |
5.5× |
| Wrist 2 views (73100) |
$324 |
$405 |
4.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$404.80 |
$506 |
5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$323.20 |
$404 |
4.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$389.60 |
$487 |
4.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$376.80 |
$471 |
4.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$484.80 |
$606 |
5.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$399.20 |
$499 |
5.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$317.60 |
$397 |
4.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$508 |
$635 |
5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$313.60 |
$392 |
3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$440 |
$550 |
4.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$459.20 |
$574 |
4.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$373.60 |
$467 |
4.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$416.80 |
$521 |
5.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$476.80 |
$596 |
5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$618.40 |
$773 |
6.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$375.20 |
$469 |
4.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$412 |
$515 |
5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$472 |
$590 |
5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$558.40 |
$698 |
5.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$369.60 |
$462 |
4.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$393.60 |
$492 |
4.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$292 |
$365 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$380 |
$475 |
4.7× |
| Xr finger(s) 2+ views (73140) |
$296 |
$370 |
3.7× |
| Xr spine cervical 4 or 5 views (72050) |
$579.20 |
$724 |
6.0× |
| Xr tibia/fibula 2 views (73590) |
$364 |
$455 |
4.5× |
| Xray knee 1 or 2 views rt (73560) |
$341.60 |
$427 |
4.3× |