| Abdomen 2 views (74019) |
$356 |
$395 |
3.3× |
| Ankle 2 views (73600) |
$239 |
$265 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,835 |
$2,039 |
4.4× |
| Bone &/joint imaging whole body (78306) |
$1,771 |
$1,968 |
4.3× |
| Bone age studies (77072) |
$246 |
$273 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,084 |
$2,316 |
5.0× |
| Bone survey complete (77075) |
$809 |
$899 |
7.5× |
| Cervical spine 2 or 3 views (72040) |
$334 |
$371 |
3.7× |
| Chest 1 view (71045) |
$261 |
$290 |
2.9× |
| Chest 3 views (71047) |
$392 |
$436 |
4.3× |
| Clavicle complete (73000) |
$272 |
$302 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$983.50 |
$1,093 |
9.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,136 |
$5,707 |
14.2× |
| CT abdomen and pelvis without contrast (74176) |
$3,775 |
$4,194 |
15.2× |
| CT abdomen w contrast (74160) |
$2,550 |
$2,833 |
14.0× |
| CT abdomen w wo contrast (74170) |
$3,012 |
$3,347 |
16.5× |
| CT abdomen w/o contrast (74150) |
$2,196 |
$2,440 |
20.2× |
| CT c-spine w/o contrast (72125) |
$2,343 |
$2,603 |
21.6× |
| CT cervical spine with contrast (72126) |
$2,748 |
$3,053 |
7.6× |
| CT chest w/wo contrast (71270) |
$2,927 |
$3,252 |
16.1× |
| CT chest with contrast (71260) |
$2,510 |
$2,789 |
13.8× |
| CT head/brain with contrast (70460) |
$2,225 |
$2,472 |
12.2× |
| CT head/brain without and with contrast (70470) |
$2,547 |
$2,830 |
14.0× |
| CT iac w contrast (70481) |
$2,378 |
$2,642 |
13.1× |
| CT lower ext w/o (73700) |
$2,083 |
$2,314 |
19.2× |
| CT lower extremity w wo contrast (73702) |
$2,777 |
$3,086 |
15.2× |
| CT lower extremity with contrast (73701) |
$2,291 |
$2,545 |
12.6× |
| CT lumbar spine w & w/o contrast (72133) |
$3,069 |
$3,410 |
16.8× |
| CT lumbar spine w/o contrast (72131) |
$2,321 |
$2,579 |
21.4× |
| CT lumbar spine with contrast (72132) |
$2,933 |
$3,259 |
8.1× |
| CT maxillofacial w contrast (70487) |
$2,168 |
$2,409 |
11.9× |
| CT maxillofacial w/o contrast (70486) |
$1,820 |
$2,022 |
16.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,434 |
$2,704 |
13.4× |
| CT neck soft tissue w contrast (70491) |
$2,363 |
$2,626 |
13.0× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,458 |
$2,731 |
13.5× |
| CT orbits w/o contrast (70480) |
$2,146 |
$2,384 |
19.8× |
| CT pelvis w & w/o contrast (72194) |
$2,929 |
$3,254 |
16.1× |
| CT pelvis w/o contrast (72192) |
$2,213 |
$2,459 |
20.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,701 |
$3,001 |
14.8× |
| CT soft tissue neck w/o contrast (70490) |
$2,046 |
$2,273 |
18.8× |
| CT thoracic spine w/contrast (72129) |
$2,383 |
$2,648 |
13.1× |
| CT thoracic spine w/o contrast (72128) |
$2,327 |
$2,586 |
21.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,544 |
$2,827 |
14.0× |
| CT thorax w/o contrast (71250) |
$2,251 |
$2,501 |
20.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,902 |
$3,224 |
15.9× |
| CT upper extremity w/o contrast rt (73200) |
$2,004 |
$2,227 |
18.5× |
| CT upper extremity with contrast (73201) |
$2,244 |
$2,493 |
6.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,259 |
$3,621 |
17.9× |
| Cta Abdomen (74175) |
$3,497 |
$3,885 |
19.2× |
| CTA abdomen pelvis (74174) |
$5,163 |
$5,737 |
14.3× |
| CTA chest (71275) |
$3,224 |
$3,582 |
17.7× |
| Cta Head (70496) |
$2,919 |
$3,243 |
16.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$5,859 |
$6,510 |
16.2× |
| CTA lwr ext w&w/o contrast (73706) |
$4,056 |
$4,507 |
22.3× |
| Cta Neck (70498) |
$2,918 |
$3,242 |
16.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$449 |
$499 |
4.1× |
| Esophagus (74220) |
$627 |
$697 |
3.4× |
| Foot 2 views (73620) |
$240 |
$267 |
2.7× |
| Forearm 2 views (73090) |
$257 |
$285 |
2.8× |
| Functional MRI brain by tech (70554) |
$1,966 |
$2,184 |
7.9× |
| Gated Heart Planar Single (78472) |
$1,996 |
$2,218 |
4.8× |
| Hand 2 views (73120) |
$248 |
$276 |
2.3× |
| Hand 3 views (73130) |
$297 |
$330 |
3.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,835 |
$2,039 |
3.3× |
| Ht muscle image spect sing (78451) |
$2,707 |
$3,008 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$297 |
$330 |
3.3× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$207 |
$230 |
1.9× |
| Knee 3 views (73562) |
$359 |
$399 |
4.0× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$204 |
$227 |
2.3× |
| MRA head w & w/o contrast (70546) |
$3,517 |
$3,908 |
9.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,077 |
$4,530 |
11.3× |
| MRI cervical spine w/o contrast (72141) |
$3,283 |
$3,648 |
13.3× |
| MRI chest w/o & w/contrast material (71552) |
$3,656 |
$4,062 |
10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,623 |
$2,914 |
10.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,226 |
$3,584 |
13.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,561 |
$3,957 |
9.8× |
| MRI orbit/face/neck w/contrast (70542) |
$3,147 |
$3,497 |
8.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,991 |
$4,434 |
11.0× |
| MRI pelvis w/o contrast (72195) |
$3,063 |
$3,403 |
12.4× |
| MRI scan of arm joint before and after contrast (73223) |
$3,549 |
$3,943 |
9.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,404 |
$3,782 |
9.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,108 |
$4,564 |
11.3× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,420 |
$3,800 |
9.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,956 |
$4,396 |
10.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,051 |
$4,501 |
11.2× |
| MRI thoracic spine w/o contrast (72146) |
$3,391 |
$3,768 |
13.7× |
| MRI tmj (70336) |
$2,537 |
$2,819 |
10.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,457 |
$2,730 |
9.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,291 |
$3,657 |
9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,573 |
$2,859 |
10.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,052 |
$4,502 |
3.0× |
| Neck soft tissue (70360) |
$298 |
$331 |
3.3× |
| Nm whole blood volume (78122) |
$5 |
$5 |
0.0× |
| Osseous survey limited (77074) |
$631 |
$701 |
5.8× |
| Pelvis 1 or 2 views (72170) |
$298 |
$331 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,266 |
$3,629 |
9.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$398 |
$442 |
4.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$477 |
$530 |
4.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$435 |
$483 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$418 |
$464 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$284 |
$315 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$324 |
$360 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$913 |
$1,014 |
5.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$320 |
$356 |
3.5× |
| Ribs bilateral 3 views (71110) |
$430 |
$478 |
4.0× |
| Sacroiliac Joints < 3 Views (72200) |
$351 |
$390 |
3.2× |
| Scapula complete (73010) |
$334 |
$371 |
3.1× |
| Small bowel series (74250) |
$645 |
$717 |
3.5× |
| Thoracolumbar 2 views (72080) |
$323 |
$359 |
3.6× |
| Ultrasound, abdomen limited (76705) |
$646 |
$718 |
6.0× |
| Unlisted Ultrasound Procedure (76999) |
$532 |
$591 |
5.9× |
| Upper Extremity Infant (73092) |
$240 |
$267 |
2.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$845 |
$939 |
4.6× |
| Us breast unilateral complete (76641) |
$559 |
$621 |
5.1× |
| Us breast unilateral limited (76642) |
$395 |
$439 |
4.4× |
| Us chest (76604) |
$531 |
$590 |
4.9× |
| Us compl joint r-t w/image documentation (76881) |
$611 |
$679 |
5.6× |
| Us pelvic non ob complete (76856) |
$773 |
$859 |
7.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$422 |
$469 |
3.9× |
| Us retroperitoneal complete (76770) |
$770 |
$856 |
7.1× |
| Us retroperitoneal limited (76775) |
$378 |
$420 |
3.5× |
| Us scrotum and contents (76870) |
$644 |
$716 |
5.9× |
| Us soft tissue head/neck (76536) |
$597 |
$663 |
5.5× |
| Us xtr non-vasc lmtd (76882) |
$518 |
$575 |
4.8× |
| Wrist 2 views (73100) |
$238 |
$264 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$506 |
$562 |
4.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$273 |
$303 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$306 |
$340 |
3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$297 |
$330 |
3.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$318 |
$353 |
3.5× |
| X-ray exam hip uni 1 view (73501) |
$277 |
$308 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$309 |
$343 |
3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$564 |
$627 |
5.2× |
| X-ray exam of femur 1 (73551) |
$272 |
$302 |
3.0× |
| X-ray eye for foreign body (70030) |
$234 |
$260 |
2.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$416 |
$462 |
3.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$275 |
$305 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$304 |
$338 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$235 |
$261 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$275 |
$305 |
3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$409 |
$454 |
3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$232 |
$258 |
2.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$289 |
$321 |
3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$402 |
$447 |
3.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$314 |
$349 |
3.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$428 |
$475 |
3.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$439 |
$488 |
4.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$300 |
$333 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$388 |
$431 |
3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$517 |
$574 |
4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$356 |
$395 |
3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$299 |
$332 |
3.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$327 |
$363 |
3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$382 |
$424 |
4.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$266 |
$296 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$419 |
$466 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$273 |
$303 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$252 |
$280 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$303 |
$337 |
3.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$337 |
$374 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$221 |
$246 |
2.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$291 |
$323 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$611 |
$679 |
5.6× |
| Xr chest 4+ views (71048) |
$324 |
$360 |
3.0× |
| Xr Cholecystography Oral Contrast (74290) |
$142 |
$158 |
0.8× |
| Xr finger(s) 2+ views (73140) |
$222 |
$247 |
2.5× |
| Xr shoulder 1 view (73020) |
$243 |
$270 |
2.7× |
| Xr spine cervical 4 or 5 views (72050) |
$491 |
$546 |
4.5× |
| Xr tibia/fibula 2 views (73590) |
$286 |
$318 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$295 |
$328 |
3.3× |