| Abdomen 2 views (74019) |
$302.40 |
$378 |
3.1× |
| Ankle 2 views (73600) |
$320 |
$400 |
4.0× |
| Bone &/joint imaging whole body (78306) |
$1,853.60 |
$2,317 |
5.0× |
| Bone age studies (77072) |
$246.40 |
$308 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$1,847.20 |
$2,309 |
5.0× |
| Bone survey complete (77075) |
$452 |
$565 |
4.6× |
| Cervical spine 2 or 3 views (72040) |
$365.60 |
$457 |
4.5× |
| Chest 1 view (71045) |
$257.60 |
$322 |
3.2× |
| Clavicle complete (73000) |
$300 |
$375 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$356 |
$445 |
3.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,713.60 |
$4,642 |
11.4× |
| CT abdomen and pelvis without contrast (74176) |
$3,280 |
$4,100 |
14.8× |
| CT abdomen w contrast (74160) |
$2,396 |
$2,995 |
14.7× |
| CT abdomen w wo contrast (74170) |
$2,796 |
$3,495 |
17.1× |
| CT abdomen w/o contrast (74150) |
$1,836 |
$2,295 |
18.9× |
| CT c-spine w/o contrast (72125) |
$1,846.40 |
$2,308 |
19.0× |
| CT chest with contrast (71260) |
$2,121.60 |
$2,652 |
13.0× |
| CT head/brain without and with contrast (70470) |
$2,094.40 |
$2,618 |
12.8× |
| CT iac w contrast (70481) |
$2,129.60 |
$2,662 |
13.1× |
| CT lower ext w/o (73700) |
$1,247.20 |
$1,559 |
12.8× |
| CT lumbar spine w/o contrast (72131) |
$1,846.40 |
$2,308 |
19.0× |
| CT maxillofacial w contrast (70487) |
$1,920 |
$2,400 |
11.8× |
| CT maxillofacial w/o contrast (70486) |
$1,690.40 |
$2,113 |
17.4× |
| CT neck soft tissue w contrast (70491) |
$2,160 |
$2,700 |
13.2× |
| CT pelvis w/o contrast (72192) |
$1,777.60 |
$2,222 |
18.3× |
| CT thorax w/o contrast (71250) |
$1,720 |
$2,150 |
17.7× |
| CTA abdomen pelvis (74174) |
$3,555.60 |
$4,444.50 |
11.0× |
| CTA chest (71275) |
$2,672 |
$3,340 |
16.4× |
| Cta Head (70496) |
$1,891.20 |
$2,364 |
11.6× |
| Cta Neck (70498) |
$2,376.80 |
$2,971 |
14.6× |
| Dxa bone density study 1/> sites axial skel (77080) |
$441.60 |
$552 |
4.5× |
| Esophagus (74220) |
$505.60 |
$632 |
3.1× |
| Fluoroscopy up to 1 hr (76000) |
$414.40 |
$518 |
1.9× |
| Foot 2 views (73620) |
$257.60 |
$322 |
3.2× |
| Forearm 2 views (73090) |
$352.80 |
$441 |
4.4× |
| Hand 2 views (73120) |
$232.40 |
$290.50 |
2.4× |
| Hand 3 views (73130) |
$333.60 |
$417 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,096.80 |
$2,621 |
4.2× |
| Ht muscle image spect sing (78451) |
$2,000 |
$2,500 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$342.40 |
$428 |
4.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,391.20 |
$1,739 |
2.8× |
| Knee 3 views (73562) |
$356 |
$445 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,736 |
$3,420 |
8.4× |
| MRI abdomen w contrast (74182) |
$2,789.60 |
$3,487 |
8.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,224.80 |
$4,031 |
9.9× |
| MRI abdomen w/o contrast (74181) |
$2,384 |
$2,980 |
10.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,158.40 |
$3,948 |
4.3× |
| MRI cervical spine w/o contrast (72141) |
$2,469.60 |
$3,087 |
11.1× |
| MRI chest w/o & w/contrast material (71552) |
$3,052 |
$3,815 |
9.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,453.60 |
$3,067 |
11.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,439.20 |
$4,299 |
10.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,879.20 |
$4,849 |
12.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,720 |
$4,650 |
11.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,254.40 |
$5,318 |
13.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,648.80 |
$4,561 |
11.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,721.60 |
$4,652 |
11.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,362.40 |
$2,953 |
10.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,313.60 |
$2,892 |
10.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,720 |
$4,650 |
11.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,313.60 |
$2,892 |
10.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,032 |
$5,040 |
3.3× |
| Neck soft tissue (70360) |
$308 |
$385 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$368.80 |
$461 |
3.8× |
| Pelvis 1 or 2 views (72170) |
$272.80 |
$341 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,360 |
$4,200 |
10.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$441.60 |
$552 |
4.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$399.20 |
$499 |
4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$367.20 |
$459 |
3.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$244.80 |
$306 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$308 |
$385 |
3.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$308.80 |
$386 |
3.8× |
| Scapula complete (73010) |
$408 |
$510 |
4.2× |
| Screening digital breast tomosynthesis (77063) |
$42.40 |
$53 |
1.8× |
| Spine thoracic 3 views (72072) |
$438.40 |
$548 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$690.40 |
$863 |
7.1× |
| Us abdl aorta screen aaa (76706) |
$568 |
$710 |
5.8× |
| Us breast unilateral complete (76641) |
$687.20 |
$859 |
7.1× |
| Us breast unilateral limited (76642) |
$520.80 |
$651 |
6.4× |
| Us chest (76604) |
$292 |
$365 |
3.0× |
| Us ob detailed single fetus (76811) |
$617.60 |
$772 |
2.8× |
| Us ob transvaginal (76817) |
$379.20 |
$474 |
3.9× |
| Us pelvic non ob complete (76856) |
$658.40 |
$823 |
6.8× |
| Us pregnancy ltd (76815) |
$343.20 |
$429 |
3.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$444.80 |
$556 |
4.6× |
| Us retroperitoneal complete (76770) |
$720.80 |
$901 |
7.4× |
| Us scrotum and contents (76870) |
$649.60 |
$812 |
6.7× |
| Us soft tissue head/neck (76536) |
$680 |
$850 |
7.0× |
| Us xtr non-vasc lmtd (76882) |
$331.20 |
$414 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$411.20 |
$514 |
4.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$451.20 |
$564 |
5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$257.60 |
$322 |
3.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$302.40 |
$378 |
3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$336 |
$420 |
4.2× |
| X-ray eye for foreign body (70030) |
$241.60 |
$302 |
3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$429.60 |
$537 |
4.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$355.20 |
$444 |
4.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$404.80 |
$506 |
4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$431.20 |
$539 |
5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$448 |
$560 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$768 |
$960 |
7.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$288 |
$360 |
3.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$396.80 |
$496 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$295.20 |
$369 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$385.60 |
$482 |
4.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$292.80 |
$366 |
3.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$355.20 |
$444 |
3.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$317.60 |
$397 |
3.9× |
| Xr finger(s) 2+ views (73140) |
$298.40 |
$373 |
3.7× |
| Xr tibia/fibula 2 views (73590) |
$314.40 |
$393 |
3.9× |
| Xray knee 1 or 2 views rt (73560) |
$264 |
$330 |
3.3× |