| Abdomen 2 views (74019) |
— |
$346 |
— |
| Ankle 2 views (73600) |
— |
$295 |
— |
| Bone &/joint imaging whole body (78306) |
— |
$775 |
— |
| Cervical spine 2 or 3 views (72040) |
— |
$290 |
— |
| Chest 1 view (71045) |
— |
$300 |
— |
| Clavicle complete (73000) |
— |
$159.50 |
— |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
— |
$1,100 |
— |
| CT abdomen and pelvis without and with contrast (74178) |
— |
$4,555.84 |
— |
| CT abdomen and pelvis without contrast (74176) |
— |
$3,256.61 |
— |
| CT abdomen w contrast (74160) |
— |
$2,281 |
— |
| CT abdomen w wo contrast (74170) |
— |
$2,662 |
— |
| CT abdomen w/o contrast (74150) |
— |
$1,945 |
— |
| CT c-spine w/o contrast (72125) |
— |
$2,186 |
— |
| CT chest w/wo contrast (71270) |
— |
$2,446 |
— |
| CT chest with contrast (71260) |
— |
$2,239 |
— |
| CT head/brain with contrast (70460) |
— |
$2,025 |
— |
| CT head/brain without and with contrast (70470) |
— |
$2,163 |
— |
| CT iac w contrast (70481) |
— |
$1,300 |
— |
| CT lower ext w/o (73700) |
— |
$1,981 |
— |
| CT lower extremity with contrast (73701) |
— |
$2,144 |
— |
| CT lumbar spine w/o contrast (72131) |
— |
$2,159 |
— |
| CT lumbar spine with contrast (72132) |
— |
$1,948 |
— |
| CT maxillofacial w contrast (70487) |
— |
$2,042 |
— |
| CT maxillofacial w/o contrast (70486) |
— |
$1,829 |
— |
| CT maxillofacial w/wo contrast (70488) |
— |
$2,080 |
— |
| CT neck soft tissue w contrast (70491) |
— |
$2,083 |
— |
| CT orbits w/o contrast (70480) |
— |
$1,955 |
— |
| CT pelvis w & w/o contrast (72194) |
— |
$2,520 |
— |
| CT pelvis w/o contrast (72192) |
— |
$1,956 |
— |
| CT soft tissue neck w/o & w/contrast material (70492) |
— |
$2,415 |
— |
| CT soft tissue neck w/o contrast (70490) |
— |
$1,826 |
— |
| CT thoracic spine w/contrast (72129) |
— |
$988 |
— |
| CT thoracic spine w/o contrast (72128) |
— |
$2,074 |
— |
| CT thorax w/o contrast (71250) |
— |
$2,075 |
— |
| CT upper extremity w/o & w/contrast material (73202) |
— |
$2,162 |
— |
| CT upper extremity w/o contrast rt (73200) |
— |
$1,802 |
— |
| CT upper extremity with contrast (73201) |
— |
$2,016 |
— |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
— |
$2,665 |
— |
| Cta Abdomen (74175) |
— |
$2,795 |
— |
| CTA abdomen pelvis (74174) |
— |
$2,805 |
— |
| CTA chest (71275) |
— |
$2,778 |
— |
| Cta Head (70496) |
— |
$2,792.35 |
— |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
— |
$1,955 |
— |
| Cta Neck (70498) |
— |
$2,738.14 |
— |
| Fluoroscopy up to 1 hr (76000) |
— |
$150 |
— |
| Foot 2 views (73620) |
— |
$130 |
— |
| Forearm 2 views (73090) |
— |
$244 |
— |
| Hand 2 views (73120) |
— |
$109 |
— |
| Hand 3 views (73130) |
— |
$322 |
— |
| Humerus Min 2 Views Left (73060) |
— |
$426 |
— |
| Hysterosalpingogram (74740) |
— |
$150 |
— |
| Knee 3 views (73562) |
— |
$356 |
— |
| MRA head w & w/o contrast (70546) |
— |
$1,250 |
— |
| MRA head w/o contrast (70544) |
— |
$1,200 |
— |
| MRA head with contrast (70545) |
— |
$1,250 |
— |
| MRA neck w contrast (70548) |
— |
$1,250 |
— |
| Mra Neck W/O &W/Contrast Material (70549) |
— |
$1,350 |
— |
| MRA neck w/o contrast (70547) |
— |
$1,250 |
— |
| MRI abdomen w contrast (74182) |
— |
$1,250 |
— |
| MRI abdomen w/o & w/contrast material (74183) |
— |
$1,350 |
— |
| MRI abdomen w/o contrast (74181) |
— |
$1,250 |
— |
| MRI any jnt lwr ext with con lt (73722) |
— |
$1,250 |
— |
| MRI any jt upper extremity w/contrast matrl (73222) |
— |
$1,250 |
— |
| MRI c-spine with contrast (72142) |
— |
$1,250 |
— |
| MRI cervical spine w/o contrast (72141) |
— |
$2,250 |
— |
| MRI chest w/o & w/contrast material (71552) |
— |
$1,350 |
— |
| MRI chest w/o contrast (71550) |
— |
$1,250 |
— |
| MRI chest with contrast (71551) |
— |
$1,250 |
— |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
— |
$1,250 |
— |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
— |
$1,250 |
— |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
— |
$1,350 |
— |
| MRI orbit face &/neck w/o contrast (70540) |
— |
$1,250 |
— |
| MRI orbit/face/neck w&w/o cont (70543) |
— |
$1,250 |
— |
| MRI orbit/face/neck w/contrast (70542) |
— |
$1,250 |
— |
| MRI pelvis w/o & w/contrast material (72197) |
— |
$1,350 |
— |
| MRI pelvis w/o contrast (72195) |
— |
$1,250 |
— |
| MRI scan of arm joint before and after contrast (73223) |
— |
$1,350 |
— |
| MRI scan of leg joint before and after contrast (73723) |
— |
$1,350 |
— |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
— |
$1,350 |
— |
| MRI spinal canal lumbar w/contrast material (72149) |
— |
$1,250 |
— |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
— |
$1,250 |
— |
| MRI spinal canal thoracic w/contrast matrl (72147) |
— |
$1,250 |
— |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
— |
$1,350 |
— |
| MRI thoracic spine w/o contrast (72146) |
— |
$2,250 |
— |
| MRI upper ext joint w/o contrast (73221) |
— |
$2,250 |
— |
| MRI upper extrem other than jt w/o & w/contras (73220) |
— |
$1,250 |
— |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
— |
$1,300 |
— |
| Neck soft tissue (70360) |
— |
$290 |
— |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
— |
$205 |
— |
| Pelvis 1 or 2 views (72170) |
— |
$327 |
— |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
— |
$1,250 |
— |
| Pulmonary Perfusion Imaging Particulate (78580) |
— |
$919 |
— |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
— |
$350 |
— |
| Radex hips bilateral with pelvis 2 views (73521) |
— |
$375 |
— |
| Radiolog exam mandible compl minimum 4 views (70110) |
— |
$220 |
— |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
— |
$300 |
— |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
— |
$310 |
— |
| Radiologic exam colon single contrast study (74270) |
— |
$628 |
— |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
— |
$125 |
— |
| Radiological examination surgical specimen (76098) |
— |
$40 |
— |
| Ribs bilateral 3 views (71110) |
— |
$135 |
— |
| Scapula complete (73010) |
— |
$100 |
— |
| Ultrasound, abdomen limited (76705) |
— |
$800 |
— |
| Umbilical-artery Doppler (OB) (76820) |
— |
$50 |
— |
| Upper Extremity Infant (73092) |
— |
$100 |
— |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
— |
$400 |
— |
| Us abdl aorta screen aaa (76706) |
— |
$850 |
— |
| Us breast unilateral complete (76641) |
— |
$779 |
— |
| Us breast unilateral limited (76642) |
— |
$360 |
— |
| Us compl joint r-t w/image documentation (76881) |
— |
$495 |
— |
| Us pelvic non ob complete (76856) |
— |
$875 |
— |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
— |
$800 |
— |
| Us pregnancy ltd (76815) |
— |
$205 |
— |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
— |
$600 |
— |
| Us retroperitoneal complete (76770) |
— |
$800 |
— |
| Us retroperitoneal limited (76775) |
— |
$438 |
— |
| Us scrotum and contents (76870) |
— |
$525 |
— |
| Us soft tissue head/neck (76536) |
— |
$850 |
— |
| Us xtr non-vasc lmtd (76882) |
— |
$495 |
— |
| Wrist 2 views (73100) |
— |
$100 |
— |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
— |
$127 |
— |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
— |
$345 |
— |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
— |
$1,449 |
— |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
— |
$232 |
— |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
— |
$295 |
— |
| X-ray exam hip uni 1 view (73501) |
— |
$195 |
— |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
— |
$372 |
— |
| X-Ray Exam Hips Bi 5/> Views (73523) |
— |
$395 |
— |
| X-ray exam of femur 1 (73551) |
— |
$100 |
— |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
— |
$236 |
— |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
— |
$185 |
— |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
— |
$333 |
— |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
— |
$165 |
— |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
— |
$150 |
— |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
— |
$306.24 |
— |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
— |
$175 |
— |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
— |
$175 |
— |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
— |
$402 |
— |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
— |
$92 |
— |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
— |
$398 |
— |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
— |
$121 |
— |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
— |
$425 |
— |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
— |
$495.50 |
— |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
— |
$315.40 |
— |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
— |
$100 |
— |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
— |
$338 |
— |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
— |
$245 |
— |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
— |
$147 |
— |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
— |
$113 |
— |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
— |
$145 |
— |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
— |
$155 |
— |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
— |
$218 |
— |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
— |
$220 |
— |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
— |
$175 |
— |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
— |
$325 |
— |
| Xr c-spine 6 or more views (72052) |
— |
$153 |
— |
| Xr Cholecystography Oral Contrast (74290) |
— |
$104 |
— |
| Xr finger(s) 2+ views (73140) |
— |
$149 |
— |
| Xr shoulder 1 view (73020) |
— |
$110 |
— |
| Xr spine cervical 4 or 5 views (72050) |
— |
$335 |
— |
| Xr tibia/fibula 2 views (73590) |
— |
$173 |
— |
| Xr tmj bilateral (70330) |
— |
$450 |
— |
| Xray knee 1 or 2 views rt (73560) |
— |
$143 |
— |