| Abdomen 2 views (74019) |
$269.33 |
$283.50 |
2.8× |
| Ankle 2 views (73600) |
$196.56 |
$206.91 |
2.5× |
| Bone age studies (77072) |
$230.65 |
$242.79 |
2.4× |
| Bone survey complete (77075) |
$897.75 |
$945 |
9.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$870.79 |
$916.62 |
2.7× |
| Cervical spine 2 or 3 views (72040) |
$269.33 |
$283.50 |
3.4× |
| Chest 1 view (71045) |
$204.51 |
$215.27 |
2.6× |
| Clavicle complete (73000) |
$202.52 |
$213.18 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$757.14 |
$796.99 |
7.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$757.14 |
$796.99 |
2.4× |
| CT abdomen and pelvis without contrast (74176) |
$742.72 |
$781.81 |
3.4× |
| CT abdomen w contrast (74160) |
$936.62 |
$985.92 |
5.8× |
| CT abdomen w wo contrast (74170) |
$957.60 |
$1,008 |
5.9× |
| CT abdomen w/o contrast (74150) |
$915.88 |
$964.08 |
9.5× |
| CT angiography upper extremity lt (73206) |
$1,861.96 |
$1,959.95 |
11.5× |
| CT c-spine w/o contrast (72125) |
$945.63 |
$995.40 |
9.8× |
| CT cervical spine w&w/o contrast (72127) |
$987.53 |
$1,039.50 |
6.1× |
| CT cervical spine with contrast (72126) |
$957.60 |
$1,008 |
3.0× |
| CT chest w/wo contrast (71270) |
$957.60 |
$1,008 |
5.9× |
| CT chest with contrast (71260) |
$945.63 |
$995.40 |
5.9× |
| CT head/brain without and with contrast (70470) |
$957.60 |
$1,008 |
5.9× |
| CT iac w contrast (70481) |
$945.63 |
$995.40 |
5.9× |
| CT lower ext w/o (73700) |
$933.66 |
$982.80 |
9.7× |
| CT lower extremity w wo contrast (73702) |
$957.60 |
$1,008 |
5.9× |
| CT lower extremity with contrast (73701) |
$948.48 |
$998.40 |
5.9× |
| CT lumbar spine w & w/o contrast (72133) |
$957.60 |
$1,008 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$933.66 |
$982.80 |
9.7× |
| CT lumbar spine with contrast (72132) |
$945.63 |
$995.40 |
2.9× |
| CT maxillofacial w contrast (70487) |
$945.63 |
$995.40 |
5.9× |
| CT maxillofacial w/o contrast (70486) |
$933.66 |
$982.80 |
9.7× |
| CT maxillofacial w/wo contrast (70488) |
$957.60 |
$1,008 |
5.9× |
| CT neck soft tissue w contrast (70491) |
$945.63 |
$995.40 |
5.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$957.60 |
$1,008 |
5.9× |
| CT orbits w/o contrast (70480) |
$933.66 |
$982.80 |
9.7× |
| CT pelvis w & w/o contrast (72194) |
$957.60 |
$1,008 |
5.9× |
| CT pelvis w/o contrast (72192) |
$933.66 |
$982.80 |
9.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$957.60 |
$1,008 |
5.9× |
| CT soft tissue neck w/o contrast (70490) |
$933.66 |
$982.80 |
9.7× |
| CT thoracic spine w/contrast (72129) |
$945.63 |
$995.40 |
5.9× |
| CT thoracic spine w/o contrast (72128) |
$933.66 |
$982.80 |
9.7× |
| CT thoracic spine w/wo contrast (72130) |
$957.60 |
$1,008 |
5.9× |
| CT thorax w/o contrast (71250) |
$933.66 |
$982.80 |
9.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$957.60 |
$1,008 |
5.9× |
| CT upper extremity w/o contrast rt (73200) |
$889.20 |
$936 |
9.2× |
| CT upper extremity with contrast (73201) |
$897.75 |
$945 |
2.8× |
| Cta Abdomen (74175) |
$1,615.65 |
$1,700.68 |
10.0× |
| CTA abdomen pelvis (74174) |
$2,820.10 |
$2,968.53 |
8.8× |
| CTA chest (71275) |
$1,825.43 |
$1,921.50 |
11.3× |
| Cta Head (70496) |
$1,825.43 |
$1,921.50 |
11.3× |
| Cta Neck (70498) |
$1,825.43 |
$1,921.50 |
11.3× |
| Cta Pelvis (72191) |
$302.98 |
$318.93 |
1.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) |
$180.99 |
$190.52 |
1.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$180.99 |
$190.52 |
1.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$363.89 |
$383.04 |
3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$262.14 |
$275.94 |
3.3× |
| Fetal biophysical profile non-stress testing (76818) |
$215.46 |
$226.80 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$192.66 |
$202.80 |
2.0× |
| Foot 2 views (73620) |
$202.52 |
$213.18 |
2.5× |
| Forearm 2 views (73090) |
$214.44 |
$225.72 |
2.7× |
| Hand 2 views (73120) |
$171.40 |
$180.42 |
1.8× |
| Hand 3 views (73130) |
$224.96 |
$236.80 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$226.49 |
$238.41 |
2.8× |
| Knee 3 views (73562) |
$246.38 |
$259.35 |
3.1× |
| MRA head w & w/o contrast (70546) |
$1,047.95 |
$1,103.11 |
3.3× |
| MRA head w/o contrast (70544) |
$1,028 |
$1,082.10 |
4.7× |
| MRA head with contrast (70545) |
$1,037.98 |
$1,092.61 |
3.2× |
| MRA neck w contrast (70548) |
$1,037.98 |
$1,092.61 |
3.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,047.95 |
$1,103.11 |
3.3× |
| MRA neck w/o contrast (70547) |
$1,028 |
$1,082.10 |
4.7× |
| MRI abdomen w contrast (74182) |
$1,065.33 |
$1,121.40 |
3.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,077.30 |
$1,134 |
3.4× |
| MRI abdomen w/o contrast (74181) |
$870.79 |
$916.62 |
4.0× |
| MRI any jnt lwr ext with con lt (73722) |
$893.48 |
$940.50 |
1.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$953.04 |
$1,003.20 |
1.3× |
| MRI bone marrow blood supply (77084) |
$837.90 |
$882 |
3.8× |
| MRI breast w/o contrast bilateral (77047) |
$752.30 |
$791.89 |
3.4× |
| MRI breast w/o contrast unilat (77046) |
$752.30 |
$791.89 |
3.4× |
| MRI c-spine with contrast (72142) |
$885.78 |
$932.40 |
2.8× |
| MRI cardiac w/o contrast (75557) |
$862.50 |
$907.89 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$873.81 |
$919.80 |
4.0× |
| MRI chest w/o & w/contrast material (71552) |
$861.84 |
$907.20 |
2.7× |
| MRI chest w/o contrast (71550) |
$837.90 |
$882 |
3.8× |
| MRI chest with contrast (71551) |
$853.63 |
$898.56 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$893.48 |
$940.50 |
2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$881.56 |
$927.96 |
2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$869.65 |
$915.42 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$933.66 |
$982.80 |
4.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$957.60 |
$1,008 |
3.0× |
| MRI orbit/face/neck w/contrast (70542) |
$945.63 |
$995.40 |
2.9× |
| MRI pelvis w contrast (72196) |
$945.63 |
$995.40 |
2.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$957.60 |
$1,008 |
3.0× |
| MRI pelvis w/o contrast (72195) |
$933.66 |
$982.80 |
4.3× |
| MRI scan of arm joint before and after contrast (73223) |
$953.04 |
$1,003.20 |
3.0× |
| MRI scan of leg joint before and after contrast (73723) |
$952.87 |
$1,003.02 |
3.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$897.75 |
$945 |
2.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$945.63 |
$995.40 |
2.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$957.60 |
$1,008 |
3.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$945.63 |
$995.40 |
2.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$957.60 |
$1,008 |
3.0× |
| MRI thoracic spine w/o contrast (72146) |
$933.66 |
$982.80 |
4.3× |
| MRI tmj (70336) |
$870.79 |
$916.62 |
4.0× |
| MRI upper ext joint w/o contrast (73221) |
$881.56 |
$927.96 |
4.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$953.04 |
$1,003.20 |
3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$869.65 |
$915.42 |
4.0× |
| Neck soft tissue (70360) |
$213.74 |
$224.99 |
2.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$192.66 |
$202.80 |
2.0× |
| Osseous survey infant (77076) |
$180.99 |
$190.52 |
1.9× |
| Osseous survey limited (77074) |
$180.99 |
$190.52 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$219.34 |
$230.88 |
2.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$948.48 |
$998.40 |
3.0× |
| Pr sono bone density measure,peripheral (76977) |
$180.99 |
$190.52 |
1.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$395.01 |
$415.80 |
4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$287.19 |
$302.31 |
3.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$222.96 |
$234.69 |
2.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$249.50 |
$262.63 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$263.34 |
$277.20 |
3.3× |
| Ribs bilateral 3 views (71110) |
$269.33 |
$283.50 |
2.8× |
| Sacroiliac Joints < 3 Views (72200) |
$238.30 |
$250.84 |
2.5× |
| Saline Infus Sonohysterography W/Color Doppler (76831) |
$654.60 |
$689.05 |
3.0× |
| Scapula complete (73010) |
$180.99 |
$190.52 |
1.9× |
| Screening digital breast tomosynthesis (77063) |
$128.70 |
$135.47 |
5.5× |
| Spine thoracic 3 views (72072) |
$333.68 |
$351.24 |
3.5× |
| Thoracolumbar 2 views (72080) |
$261.88 |
$275.66 |
3.3× |
| Tmj unilateral (70328) |
$149.85 |
$157.74 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$269.33 |
$283.50 |
2.8× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$149.85 |
$157.74 |
1.9× |
| Unlisted Ultrasound Procedure (76999) |
$149.85 |
$157.74 |
1.9× |
| Upper Extremity Infant (73092) |
$180.99 |
$190.52 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$245.94 |
$258.88 |
2.6× |
| Us breast unilateral complete (76641) |
$170.79 |
$179.78 |
1.8× |
| Us breast unilateral limited (76642) |
$157.11 |
$165.38 |
2.0× |
| Us chest (76604) |
$183.84 |
$193.52 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$210.67 |
$221.76 |
2.2× |
| Us fetal nuchal translucency 1st gestation (76813) |
$180.99 |
$190.52 |
1.9× |
| Us infant hips dynamic (76885) |
$654.60 |
$689.05 |
8.2× |
| Us infant hips limited static (76886) |
$149.85 |
$157.74 |
1.9× |
| Us kidney transplant (76776) |
$180.99 |
$190.52 |
1.9× |
| Us ob detailed single fetus (76811) |
$411.40 |
$433.05 |
1.9× |
| Us ob transvaginal (76817) |
$209.48 |
$220.50 |
2.2× |
| Us pelvic non ob complete (76856) |
$269.33 |
$283.50 |
2.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$209.48 |
$220.50 |
2.2× |
| Us pregnancy ltd (76815) |
$209.48 |
$220.50 |
2.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$215.46 |
$226.80 |
2.2× |
| Us retroperitoneal complete (76770) |
$250.71 |
$263.90 |
2.6× |
| Us retroperitoneal limited (76775) |
$209.48 |
$220.50 |
2.2× |
| Us scrotum and contents (76870) |
$209.48 |
$220.50 |
2.2× |
| Us soft tissue head/neck (76536) |
$795.58 |
$837.45 |
8.3× |
| Us spinal canal and contents (76800) |
$180.99 |
$190.52 |
1.9× |
| Us transrectal (76872) |
$191.52 |
$201.60 |
2.0× |
| Us xtr non-vasc lmtd (76882) |
$210.67 |
$221.76 |
2.2× |
| Wrist 2 views (73100) |
$178.70 |
$188.10 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$359.31 |
$378.22 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$269.33 |
$283.50 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$229.55 |
$241.63 |
2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$208.48 |
$219.45 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$249.44 |
$262.58 |
3.1× |
| X-ray exam hip uni 1 view (73501) |
$233.88 |
$246.18 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$285.33 |
$300.35 |
3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$180.99 |
$190.52 |
1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$180.99 |
$190.52 |
1.9× |
| X-ray exam of femur 1 (73551) |
$239.40 |
$252 |
3.0× |
| X-ray eye for foreign body (70030) |
$172.74 |
$181.83 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$313.69 |
$330.20 |
3.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$296.78 |
$312.40 |
3.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$226.34 |
$238.26 |
2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$208.48 |
$219.45 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$356.56 |
$375.32 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$215.46 |
$226.80 |
2.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$187.62 |
$197.49 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$299.25 |
$315 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$407.39 |
$428.83 |
4.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$317.56 |
$334.27 |
3.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$244.48 |
$257.35 |
3.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$247.96 |
$261.01 |
2.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$184.71 |
$194.43 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$245.39 |
$258.30 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$330.61 |
$348.01 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$405.94 |
$427.31 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$197.37 |
$207.76 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$236.81 |
$249.27 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$238.26 |
$250.80 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$321.37 |
$338.28 |
4.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$207.08 |
$217.98 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$349.05 |
$367.42 |
3.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$240.60 |
$253.26 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$149.85 |
$157.74 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$239.88 |
$252.51 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$269.33 |
$283.50 |
2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$178.37 |
$187.76 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$260.89 |
$274.62 |
3.3× |
| Xr c-spine 6 or more views (72052) |
$449.01 |
$472.64 |
4.7× |
| Xr finger(s) 2+ views (73140) |
$179.55 |
$189 |
2.2× |
| Xr optic foramina (70190) |
$149.85 |
$157.74 |
1.9× |
| Xr shoulder 1 view (73020) |
$202.52 |
$213.18 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$381.34 |
$401.41 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$234.15 |
$246.47 |
2.9× |
| Xr tmj bilateral (70330) |
$149.85 |
$157.74 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$214.44 |
$225.72 |
2.7× |