| Abdomen 2 views (74019) |
$189.06 |
$236.33 |
1.9× |
| Ankle 2 views (73600) |
$124.62 |
$155.78 |
1.5× |
| Bone survey complete (77075) |
$206.06 |
$257.58 |
2.0× |
| Cervical spine 2 or 3 views (72040) |
$214.23 |
$267.79 |
2.6× |
| Chest 1 view (71045) |
$151.32 |
$189.15 |
1.8× |
| Clavicle complete (73000) |
$140.57 |
$175.71 |
1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$115.52 |
$144.40 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,831.94 |
$2,289.92 |
5.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,141.78 |
$1,427.22 |
5.0× |
| CT abdomen w contrast (74160) |
$1,384.30 |
$1,730.37 |
8.2× |
| CT abdomen w wo contrast (74170) |
$1,677.85 |
$2,097.31 |
9.9× |
| CT abdomen w/o contrast (74150) |
$1,176.66 |
$1,470.82 |
11.7× |
| CT c-spine w/o contrast (72125) |
$1,304.74 |
$1,630.93 |
13.0× |
| CT chest w/wo contrast (71270) |
$1,720.43 |
$2,150.54 |
10.2× |
| CT chest with contrast (71260) |
$1,389.58 |
$1,736.97 |
8.2× |
| CT head/brain with contrast (70460) |
$1,260.84 |
$1,576.05 |
7.5× |
| CT head/brain without and with contrast (70470) |
$1,404.39 |
$1,755.49 |
8.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$81.60 |
$102 |
1.0× |
| CT iac w contrast (70481) |
$1,086.62 |
$1,358.28 |
6.4× |
| CT limited/localized follow up study (76380) |
$816.18 |
$1,020.23 |
9.8× |
| CT lower ext w/o (73700) |
$901.24 |
$1,126.55 |
9.0× |
| CT lower extremity w wo contrast (73702) |
$1,194.17 |
$1,492.71 |
7.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,778.82 |
$2,223.53 |
10.5× |
| CT lumbar spine w/o contrast (72131) |
$1,296.20 |
$1,620.25 |
12.9× |
| CT lumbar spine with contrast (72132) |
$1,304.57 |
$1,630.71 |
3.9× |
| CT maxillofacial w contrast (70487) |
$1,039.62 |
$1,299.53 |
6.2× |
| CT maxillofacial w/o contrast (70486) |
$1,025.70 |
$1,282.12 |
10.2× |
| CT maxillofacial w/wo contrast (70488) |
$1,263.21 |
$1,579.01 |
7.5× |
| CT neck soft tissue w contrast (70491) |
$1,319.86 |
$1,649.82 |
7.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,301.43 |
$1,626.79 |
7.7× |
| CT orbits w/o contrast (70480) |
$985.54 |
$1,231.93 |
9.8× |
| CT pelvis w & w/o contrast (72194) |
$1,576.06 |
$1,970.07 |
9.3× |
| CT pelvis w/o contrast (72192) |
$1,139.50 |
$1,424.38 |
11.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,590.03 |
$1,987.54 |
9.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,195.62 |
$1,494.53 |
11.9× |
| CT thoracic spine w/o contrast (72128) |
$1,301.88 |
$1,627.35 |
12.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,265.60 |
$1,582 |
7.5× |
| CT thorax w/o contrast (71250) |
$1,257.22 |
$1,571.53 |
12.5× |
| CT upper extremity w/o contrast rt (73200) |
$909.24 |
$1,136.55 |
9.0× |
| CT upper extremity with contrast (73201) |
$778.46 |
$973.08 |
2.3× |
| CTA abdomen pelvis (74174) |
$2,188.34 |
$2,735.43 |
6.5× |
| CTA chest (71275) |
$1,834.09 |
$2,292.61 |
10.9× |
| Cta Head (70496) |
$1,434.40 |
$1,793 |
8.5× |
| CTA lwr ext w&w/o contrast (73706) |
$1,214.21 |
$1,517.76 |
7.2× |
| Cta Neck (70498) |
$1,358.40 |
$1,698 |
8.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$431.32 |
$539.15 |
4.3× |
| Foot 2 views (73620) |
$142.34 |
$177.93 |
1.7× |
| Forearm 2 views (73090) |
$109.23 |
$136.54 |
1.3× |
| Hand 2 views (73120) |
$95.19 |
$118.99 |
0.9× |
| Hand 3 views (73130) |
$178.26 |
$222.83 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$142.34 |
$177.93 |
1.7× |
| Knee 3 views (73562) |
$178.26 |
$222.83 |
2.1× |
| Neck soft tissue (70360) |
$136.51 |
$170.64 |
1.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$357.47 |
$446.84 |
3.6× |
| Pelvis 1 or 2 views (72170) |
$214.23 |
$267.79 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$395.81 |
$494.76 |
3.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$214.23 |
$267.79 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$202.41 |
$253.01 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$140.57 |
$175.71 |
1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$189.06 |
$236.33 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$217.84 |
$272.30 |
2.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$142.34 |
$177.93 |
1.7× |
| Ribs bilateral 3 views (71110) |
$240.65 |
$300.81 |
2.4× |
| Scapula complete (73010) |
$126.86 |
$158.57 |
1.3× |
| Spine thoracic 3 views (72072) |
$279.85 |
$349.81 |
2.8× |
| Tmj unilateral (70328) |
$112.58 |
$140.72 |
1.3× |
| Ultrasound, abdomen limited (76705) |
$284.45 |
$355.56 |
2.8× |
| Unlisted Ultrasound Procedure (76999) |
$178.57 |
$223.21 |
2.1× |
| Upper Extremity Infant (73092) |
$160.43 |
$200.54 |
1.6× |
| Us abdl aorta screen aaa (76706) |
$283.77 |
$354.71 |
2.8× |
| Us breast unilateral complete (76641) |
$245.62 |
$307.02 |
2.4× |
| Us breast unilateral limited (76642) |
$235.78 |
$294.72 |
2.8× |
| Us chest (76604) |
$325.98 |
$407.48 |
3.2× |
| Us compl joint r-t w/image documentation (76881) |
$326.84 |
$408.55 |
3.3× |
| Us ob transvaginal (76817) |
$302.95 |
$378.69 |
3.0× |
| Us pelvic non ob complete (76856) |
$274.75 |
$343.44 |
2.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$251.21 |
$314.01 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$357.47 |
$446.84 |
3.6× |
| Us retroperitoneal complete (76770) |
$379.93 |
$474.91 |
3.8× |
| Us retroperitoneal limited (76775) |
$282.46 |
$353.07 |
2.8× |
| Us scrotum and contents (76870) |
$339.10 |
$423.87 |
3.4× |
| Us soft tissue head/neck (76536) |
$267.07 |
$333.84 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$197.90 |
$247.38 |
2.0× |
| Wrist 2 views (73100) |
$178.26 |
$222.83 |
2.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$229.66 |
$287.08 |
2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$228.35 |
$285.44 |
2.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$178.26 |
$222.83 |
2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$109.23 |
$136.54 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$177.86 |
$222.33 |
2.1× |
| X-ray exam entire spi 4/5 vw (72083) |
$214.23 |
$267.79 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$139.85 |
$174.81 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$214.23 |
$267.79 |
2.6× |
| X-ray exam hip uni 4/> views (73503) |
$290.66 |
$363.33 |
2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$290.66 |
$363.33 |
2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$320.23 |
$400.29 |
3.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$171.42 |
$214.27 |
1.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$178.26 |
$222.83 |
2.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$140.57 |
$175.71 |
1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$180.09 |
$225.11 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$200.60 |
$250.75 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$178.26 |
$222.83 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$214.23 |
$267.79 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$140.57 |
$175.71 |
1.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$198.66 |
$248.32 |
2.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$139.66 |
$174.58 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$229.14 |
$286.42 |
2.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$214.23 |
$267.79 |
2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$238.70 |
$298.38 |
2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$238.70 |
$298.38 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$198.05 |
$247.56 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$178.26 |
$222.83 |
2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$194.96 |
$243.70 |
2.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$165.64 |
$207.05 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$226.83 |
$283.54 |
2.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$226.83 |
$283.54 |
2.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$217.84 |
$272.30 |
2.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$210.59 |
$263.24 |
2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$212.01 |
$265.01 |
2.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$129.45 |
$161.81 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$160 |
$200 |
1.9× |
| Xr c-spine 6 or more views (72052) |
$216.09 |
$270.11 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$142.34 |
$177.93 |
1.7× |
| Xr shoulder 1 view (73020) |
$140.57 |
$175.71 |
1.7× |
| Xr spine cervical 4 or 5 views (72050) |
$273.57 |
$341.96 |
2.7× |
| Xr tibia/fibula 2 views (73590) |
$142.34 |
$177.93 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$142.34 |
$177.93 |
1.7× |