| Abdomen 2 views (74019) |
$227.16 |
$567.88 |
2.4× |
| Ankle 2 views (73600) |
$104.26 |
$260.64 |
1.3× |
| Bone age studies (77072) |
$69.11 |
$172.77 |
0.7× |
| Bone survey complete (77075) |
$78.51 |
$196.28 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$104.26 |
$260.64 |
1.3× |
| Chest 1 view (71045) |
$104.26 |
$260.64 |
1.3× |
| Chest 3 views (71047) |
$59.34 |
$148.34 |
0.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$122.03 |
$305.07 |
0.8× |
| Clavicle complete (73000) |
$104.26 |
$260.64 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$273.32 |
$683.31 |
0.9× |
| CT abdomen and pelvis without contrast (74176) |
$185.40 |
$463.50 |
0.9× |
| CT abdomen w contrast (74160) |
$141.28 |
$353.20 |
0.9× |
| CT abdomen w wo contrast (74170) |
$144.48 |
$361.20 |
0.9× |
| CT abdomen w/o contrast (74150) |
$95.04 |
$237.58 |
1.0× |
| CT angio hrt w/3d image (75574) |
$171.86 |
$429.64 |
0.6× |
| CT angiography upper extremity lt (73206) |
$216.41 |
$541.02 |
1.4× |
| CT c-spine w/o contrast (72125) |
$90.06 |
$225.14 |
1.0× |
| CT cervical spine w&w/o contrast (72127) |
$141.12 |
$352.78 |
0.9× |
| CT chest w/wo contrast (71270) |
$140.72 |
$351.81 |
0.9× |
| CT chest with contrast (71260) |
$138.53 |
$346.32 |
0.9× |
| CT head/brain with contrast (70460) |
$134.13 |
$335.32 |
0.9× |
| CT head/brain without and with contrast (70470) |
$141.28 |
$353.20 |
0.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$64.73 |
$161.83 |
0.8× |
| CT iac w contrast (70481) |
$137.61 |
$344.02 |
0.9× |
| CT lower ext w/o (73700) |
$128.26 |
$320.64 |
1.4× |
| CT lower extremity w wo contrast (73702) |
$216.41 |
$541.02 |
1.4× |
| CT lower extremity with contrast (73701) |
$216.41 |
$541.02 |
1.4× |
| CT lumbar spine w & w/o contrast (72133) |
$141.12 |
$352.78 |
0.9× |
| CT lumbar spine w/o contrast (72131) |
$90.06 |
$225.14 |
1.0× |
| CT maxillofacial w contrast (70487) |
$137.61 |
$344.02 |
0.9× |
| CT maxillofacial w/o contrast (70486) |
$128.26 |
$320.64 |
1.4× |
| CT maxillofacial w/wo contrast (70488) |
$141.12 |
$352.78 |
0.9× |
| CT neck soft tissue w contrast (70491) |
$144.09 |
$360.22 |
0.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$216.41 |
$541.02 |
1.4× |
| CT orbits w/o contrast (70480) |
$128.26 |
$320.64 |
1.4× |
| CT pelvis w & w/o contrast (72194) |
$139.86 |
$349.65 |
0.9× |
| CT pelvis w/o contrast (72192) |
$92.42 |
$231.04 |
1.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$150.21 |
$375.52 |
1.0× |
| CT soft tissue neck w/o contrast (70490) |
$97.57 |
$243.92 |
1.0× |
| CT thoracic spine w/o contrast (72128) |
$90.06 |
$225.14 |
1.0× |
| CT thoracic spine w/wo contrast (72130) |
$141.28 |
$353.20 |
0.9× |
| CT thorax w/o contrast (71250) |
$92.23 |
$230.56 |
1.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$216.41 |
$541.02 |
1.4× |
| CT upper extremity w/o contrast rt (73200) |
$128.26 |
$320.64 |
1.4× |
| CT upper extremity with contrast (73201) |
$442.12 |
$1,105.29 |
1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$169.90 |
$424.74 |
1.1× |
| Cta Abdomen (74175) |
$155.44 |
$388.59 |
1.0× |
| CTA abdomen pelvis (74174) |
$278.19 |
$695.48 |
0.9× |
| CTA chest (71275) |
$155.60 |
$389.01 |
1.0× |
| Cta Head (70496) |
$153.68 |
$384.21 |
1.0× |
| CTA lwr ext w&w/o contrast (73706) |
$216.41 |
$541.02 |
1.4× |
| Cta Neck (70498) |
$153.68 |
$384.21 |
1.0× |
| Cta Pelvis (72191) |
$154.90 |
$387.26 |
1.0× |
| Cystography minimum 3 views rs&i (74430) |
$16.57 |
$41.43 |
0.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$69.30 |
$173.25 |
0.7× |
| Esophagus (74220) |
$123.90 |
$309.74 |
0.8× |
| Fluoroscopy up to 1 hr (76000) |
$280.22 |
$700.56 |
1.3× |
| Foot 2 views (73620) |
$104.26 |
$260.64 |
1.3× |
| Forearm 2 views (73090) |
$104.26 |
$260.64 |
1.3× |
| Hand 2 views (73120) |
$128.26 |
$320.64 |
1.4× |
| Hand 3 views (73130) |
$104.26 |
$260.64 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$104.26 |
$260.64 |
1.3× |
| Knee 3 views (73562) |
$104.26 |
$260.64 |
1.3× |
| MRA head w/o contrast (70544) |
$171.21 |
$428.02 |
0.8× |
| MRA neck w/o contrast (70547) |
$171.38 |
$428.44 |
0.8× |
| MRI abdomen w contrast (74182) |
$265.99 |
$664.96 |
0.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$278.42 |
$696.04 |
0.9× |
| MRI abdomen w/o contrast (74181) |
$178 |
$444.99 |
0.8× |
| MRI any jnt lwr ext with con lt (73722) |
$888.90 |
$2,222.25 |
1.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$888.90 |
$2,222.25 |
1.3× |
| MRI cervical spine w/o contrast (72141) |
$178.72 |
$446.80 |
0.8× |
| MRI chest w/o & w/contrast material (71552) |
$278.82 |
$697.06 |
0.9× |
| MRI chest w/o contrast (71550) |
$259.12 |
$647.79 |
1.2× |
| MRI chest with contrast (71551) |
$489.38 |
$1,223.44 |
0.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$84.35 |
$210.87 |
0.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$263.24 |
$658.08 |
0.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$280.22 |
$700.56 |
1.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$428.56 |
$1,071.39 |
1.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$278.42 |
$696.04 |
0.9× |
| MRI pelvis w/o contrast (72195) |
$178.17 |
$445.42 |
0.8× |
| MRI scan of arm joint before and after contrast (73223) |
$277.28 |
$693.20 |
0.9× |
| MRI scan of leg joint before and after contrast (73723) |
$442.12 |
$1,105.29 |
1.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$280.95 |
$702.38 |
0.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$267.68 |
$669.21 |
0.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$280.95 |
$702.38 |
0.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$267.46 |
$668.66 |
0.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$280.95 |
$702.38 |
0.9× |
| MRI thoracic spine w/o contrast (72146) |
$178.72 |
$446.80 |
0.8× |
| MRI upper ext joint w/o contrast (73221) |
$280.22 |
$700.56 |
1.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$442.12 |
$1,105.29 |
1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$280.22 |
$700.56 |
1.3× |
| Neck soft tissue (70360) |
$56.92 |
$142.29 |
0.7× |
| Pelvis 1 or 2 views (72170) |
$68.72 |
$171.80 |
0.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$442.12 |
$1,105.29 |
1.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$104.26 |
$260.64 |
1.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$70.03 |
$175.06 |
0.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$73.14 |
$182.85 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$70.78 |
$176.94 |
0.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$144.90 |
$362.25 |
1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$280.22 |
$700.56 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$104.26 |
$260.64 |
1.3× |
| Radiologic exam colon single contrast study (74270) |
$216.41 |
$541.02 |
1.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$92.82 |
$232.05 |
0.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$129.24 |
$323.08 |
0.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$104.26 |
$260.64 |
1.3× |
| Radiological examination surgical specimen (76098) |
$603.76 |
$775.35 |
1.2× |
| Scapula complete (73010) |
$128.26 |
$320.64 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$45.28 |
$113.19 |
1.9× |
| Small bowel series (74250) |
$129.26 |
$323.16 |
0.8× |
| Spine thoracic 3 views (72072) |
$70.05 |
$175.12 |
0.8× |
| Thyroid uptake measurement (78012) |
$301.60 |
$754 |
0.8× |
| Ultrasound elastography first target lesion (76982) |
$128.26 |
$320.64 |
1.4× |
| Ultrasound, abdomen limited (76705) |
$128.26 |
$320.64 |
1.4× |
| Upper Extremity Infant (73092) |
$128.26 |
$320.64 |
1.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$216.41 |
$541.02 |
1.4× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$120.92 |
$302.30 |
0.8× |
| Us breast unilateral complete (76641) |
$83.30 |
$208.24 |
0.9× |
| Us breast unilateral limited (76642) |
$104.26 |
$260.64 |
1.3× |
| Us chest (76604) |
$79.12 |
$197.79 |
0.8× |
| Us compl joint r-t w/image documentation (76881) |
$87.78 |
$219.44 |
0.9× |
| Us pelvic non ob complete (76856) |
$82.07 |
$205.17 |
0.9× |
| Us pregnancy ltd (76815) |
$81.13 |
$202.82 |
0.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$90.03 |
$225.08 |
1.0× |
| Us retroperitoneal complete (76770) |
$83.32 |
$208.30 |
0.9× |
| Us retroperitoneal limited (76775) |
$79.26 |
$198.15 |
0.8× |
| Us scrotum and contents (76870) |
$80.76 |
$201.90 |
0.9× |
| Us soft tissue head/neck (76536) |
$78.87 |
$197.18 |
0.8× |
| Us spinal canal and contents (76800) |
$97.52 |
$243.78 |
1.0× |
| Us transrectal (76872) |
$128.26 |
$320.64 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$82.18 |
$205.46 |
0.9× |
| Vertebral fracture assessment via dxa (77086) |
$8.84 |
$22.11 |
0.1× |
| Wrist 2 views (73100) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$72.26 |
$180.66 |
0.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$140.92 |
$352.29 |
0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$104.26 |
$260.64 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$104.26 |
$260.64 |
1.3× |
| X-ray exam of femur 1 (73551) |
$8.80 |
$21.99 |
0.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$70.98 |
$177.44 |
0.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$128.26 |
$320.64 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$70.03 |
$175.06 |
0.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$56.72 |
$141.80 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$71.54 |
$178.83 |
0.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$70.78 |
$176.94 |
0.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$128.26 |
$320.64 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$72.59 |
$181.47 |
0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$70.05 |
$175.12 |
0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$56.72 |
$141.80 |
0.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$57.86 |
$144.64 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$71.54 |
$178.83 |
0.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$68.92 |
$172.29 |
0.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$57.86 |
$144.64 |
0.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$57.30 |
$143.25 |
0.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$104.26 |
$260.64 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$104.26 |
$260.64 |
1.3× |
| Xr chest 4+ views (71048) |
$72.28 |
$180.70 |
0.8× |
| Xr Cholecystography Oral Contrast (74290) |
$116.66 |
$291.66 |
0.7× |
| Xr finger(s) 2+ views (73140) |
$104.26 |
$260.64 |
1.3× |
| Xr internal auditory meati complete (70134) |
$603.76 |
$778.17 |
1.2× |
| Xr shoulder 1 view (73020) |
$104.26 |
$260.64 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$128.26 |
$320.64 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$104.26 |
$260.64 |
1.3× |
| Xr tmj bilateral (70330) |
$58.42 |
$146.04 |
0.8× |
| Xray knee 1 or 2 views rt (73560) |
$104.26 |
$260.64 |
1.3× |