| Abdomen 2 views (74019) |
$404 |
$404 |
3.9× |
| Ankle 2 views (73600) |
$208 |
$208 |
2.4× |
| Arthrogram hip (73525) |
$246 |
$246 |
0.7× |
| Cervical spine 2 or 3 views (72040) |
$302 |
$302 |
3.5× |
| Chest 1 view (71045) |
$244 |
$244 |
2.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$480 |
$480 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,272 |
$1,272 |
12.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,565 |
$3,565 |
10.3× |
| CT abdomen and pelvis without contrast (74176) |
$1,594.50 |
$1,594.50 |
6.8× |
| CT abdomen w wo contrast (74170) |
$1,868 |
$1,868 |
10.8× |
| CT abdomen w/o contrast (74150) |
$1,330 |
$1,330 |
12.9× |
| CT angiography upper extremity lt (73206) |
$1,195 |
$1,195 |
6.9× |
| CT c-spine w/o contrast (72125) |
$1,452 |
$1,452 |
14.1× |
| CT chest w contrast (71260) |
$1,896 |
$1,896 |
10.9× |
| CT chest w/wo contrast (71270) |
$2,085 |
$2,085 |
12.0× |
| CT head/brain with contrast (70460) |
$1,173 |
$1,173 |
6.8× |
| CT lower ext w/o (73700) |
$1,223 |
$1,223 |
11.8× |
| CT lower extremity w/contrast material (73701) |
$931 |
$931 |
5.4× |
| CT lumbar spine w/o contrast (72131) |
$1,452 |
$1,452 |
14.1× |
| CT maxillofacial wo contrast (70486) |
$1,126 |
$1,126 |
10.9× |
| CT orbits w/o contrast (70480) |
$1,057 |
$1,057 |
10.2× |
| CT pelvis w/o contrast (72192) |
$1,351 |
$1,351 |
13.1× |
| CT soft tissue neck w contrast (70491) |
$1,534 |
$1,534 |
8.9× |
| CT thoracic spine w/o contrast (72128) |
$1,330 |
$1,330 |
12.9× |
| CT thorax w/o contrast (71250) |
$1,363 |
$1,363 |
13.2× |
| CT upper ext wo (73200) |
$807 |
$807 |
7.8× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,100 |
$2,100 |
12.1× |
| CTA abdomen pelvis (74174) |
$2,328 |
$2,328 |
6.8× |
| CTA chest (71275) |
$1,877 |
$1,877 |
10.8× |
| Cta Head (70496) |
$1,540 |
$1,540 |
8.9× |
| Cta Neck (70498) |
$1,826 |
$1,826 |
10.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$371 |
$371 |
3.6× |
| Facial bones min 3 views (70150) |
$364 |
$364 |
3.5× |
| Fetal biophysical profile non-stress testing (76818) |
$262 |
$262 |
2.5× |
| Fluoroscopy up to 1 hr (76000) |
$645 |
$645 |
2.7× |
| Foot 2 views (73620) |
$203 |
$203 |
2.4× |
| Forearm 2 views (73090) |
$268 |
$268 |
3.1× |
| Hand 2 views (73120) |
$223 |
$223 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,669 |
$1,669 |
3.1× |
| Knee 3 views (73562) |
$320 |
$320 |
3.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,845 |
$1,845 |
5.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,711 |
$2,711 |
7.9× |
| MRI abdomen w/o contrast (74181) |
$1,492 |
$1,492 |
6.3× |
| MRI any jt lower extrem w/contrast material (73722) |
$1,817 |
$1,817 |
2.3× |
| MRI cervical spine w/o contrast (72141) |
$2,387 |
$2,387 |
10.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,928 |
$1,928 |
5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,932 |
$1,932 |
8.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,872 |
$2,872 |
8.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,501 |
$2,501 |
7.3× |
| MRI pelvis w/o contrast (72195) |
$2,076 |
$2,076 |
8.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,230 |
$3,230 |
9.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,288 |
$3,288 |
9.5× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,969 |
$2,969 |
8.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,197 |
$2,197 |
9.3× |
| MRI up ext w/o contrast (73218) |
$1,600 |
$1,600 |
6.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,762 |
$1,762 |
7.5× |
| Myocardial Spect Multiple Studies (78452) |
$3,326 |
$3,326 |
2.6× |
| Neck soft tissue (70360) |
$245 |
$245 |
2.8× |
| Nm gastric emptying study (78264) |
$1,136 |
$1,136 |
2.9× |
| Pelvis 1 or 2 views (72170) |
$287 |
$287 |
2.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$321 |
$321 |
3.7× |
| Radex Calcaneus Minimum 2 Views (73650) |
$234 |
$234 |
2.7× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$317 |
$317 |
3.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$282 |
$282 |
3.3× |
| Radex fingr minimum 2 views (73140) |
$240 |
$240 |
2.8× |
| Radex Foot Compl Minimum 3 Views (73630) |
$322 |
$322 |
3.7× |
| Radex Hand Minimum 3 Views (73130) |
$314 |
$314 |
3.7× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$258 |
$258 |
3.0× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$558 |
$558 |
5.4× |
| Radex Humerus Minimum 2 Views (73060) |
$276 |
$276 |
3.2× |
| Radex Kne 1/2 Views (73560) |
$257 |
$257 |
3.0× |
| Radex Kne Compl 4/More Views (73564) |
$305 |
$305 |
3.0× |
| Radex Sho Compl Minimum 2 Views (73030) |
$324 |
$324 |
3.8× |
| Radex Toe Minimum 2 Views (73660) |
$249 |
$249 |
2.9× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$314 |
$314 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$256 |
$256 |
3.0× |
| Radiologic exam chest 2 views (71046) |
$273 |
$273 |
3.2× |
| Radiologic examination tibia & fibula 2 views (73590) |
$269 |
$269 |
3.1× |
| Ribs bilateral 3 views (71110) |
$317 |
$317 |
3.1× |
| Scapula (73010) |
$279 |
$279 |
2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$81.50 |
$81.50 |
3.5× |
| Shoulder 1 view (73020) |
$230 |
$230 |
2.7× |
| Thoracolumbar 2 views (72080) |
$302 |
$302 |
3.5× |
| Ultrasound breast complete (76641) |
$265 |
$265 |
2.6× |
| Ultrasound, abdomen limited (76705) |
$550 |
$550 |
5.3× |
| Us breast unilateral limited (76642) |
$413 |
$413 |
4.8× |
| Us compl joint r-t w/image documentation (76881) |
$528 |
$528 |
5.1× |
| Us pelvic non ob complete (76856) |
$569 |
$569 |
5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$426 |
$426 |
4.1× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$194 |
$194 |
1.9× |
| Us retroperitoneal complete (76770) |
$562 |
$562 |
5.4× |
| Us scrotum and contents (76870) |
$528 |
$528 |
5.1× |
| Us soft tissue head/neck (76536) |
$532 |
$532 |
5.2× |
| Wrist 2 views (73100) |
$203 |
$203 |
2.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$438 |
$438 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$230 |
$230 |
2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$484 |
$484 |
5.6× |
| X-ray exam of femur 2/> (73552) |
$271 |
$271 |
3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$203 |
$203 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$322 |
$322 |
3.1× |
| X-ray nose-rectum child f.b. (76010) |
$239 |
$239 |
2.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$259 |
$259 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$355 |
$355 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$355 |
$355 |
3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$269 |
$269 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$299 |
$299 |
3.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$302 |
$302 |
2.9× |
| Xr bone length studies (77073) |
$250 |
$250 |
2.4× |
| Xr c-spine 4 or 5 views (72050) |
$374 |
$374 |
3.6× |