| Abdomen 2 views (74019) |
$391.95 |
$402 |
3.6× |
| Ankle 2 views (73600) |
$270.08 |
$277 |
2.9× |
| Bone age studies (77072) |
$323.70 |
$332 |
2.9× |
| Bone survey complete (77075) |
$959.89 |
$984.50 |
8.7× |
| Cervical spine 2 or 3 views (72040) |
$396.83 |
$407 |
4.3× |
| Chest 1 view (71045) |
$288.12 |
$295.50 |
3.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$878.48 |
$901 |
4.7× |
| Clavicle complete (73000) |
$298.84 |
$306.50 |
3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$322.73 |
$331 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,828.55 |
$5,978 |
15.8× |
| CT abdomen and pelvis without contrast (74176) |
$3,117.08 |
$3,197 |
12.4× |
| CT abdomen w contrast (74160) |
$2,676.38 |
$2,745 |
14.5× |
| CT abdomen w wo contrast (74170) |
$3,030.30 |
$3,108 |
16.4× |
| CT abdomen w/o contrast (74150) |
$2,249.33 |
$2,307 |
20.4× |
| CT c-spine w/o contrast (72125) |
$2,807.03 |
$2,879 |
25.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,320.50 |
$2,380 |
12.5× |
| CT cervical spine with contrast (72126) |
$2,235.68 |
$2,293 |
6.1× |
| CT chest w/wo contrast (71270) |
$3,296.48 |
$3,381 |
17.8× |
| CT chest with contrast (71260) |
$2,913.30 |
$2,988 |
15.7× |
| CT head/brain with contrast (70460) |
$2,904.53 |
$2,979 |
15.7× |
| CT head/brain without and with contrast (70470) |
$2,320.50 |
$2,380 |
12.5× |
| CT lower ext w/o (73700) |
$2,507.70 |
$2,572 |
22.7× |
| CT lower extremity w wo contrast (73702) |
$2,320.50 |
$2,380 |
12.5× |
| CT lower extremity with contrast (73701) |
$2,235.68 |
$2,293 |
12.1× |
| CT lumbar spine w & w/o contrast (72133) |
$2,320.50 |
$2,380 |
12.5× |
| CT lumbar spine w/o contrast (72131) |
$2,730 |
$2,800 |
24.8× |
| CT lumbar spine with contrast (72132) |
$2,235.68 |
$2,293 |
6.1× |
| CT maxillofacial w contrast (70487) |
$2,533.05 |
$2,598 |
13.7× |
| CT maxillofacial w/o contrast (70486) |
$2,221.05 |
$2,278 |
20.1× |
| CT maxillofacial w/wo contrast (70488) |
$2,320.50 |
$2,380 |
12.5× |
| CT neck soft tissue w contrast (70491) |
$2,732.93 |
$2,803 |
14.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,265.90 |
$2,324 |
12.2× |
| CT orbits w/o contrast (70480) |
$2,151.83 |
$2,207 |
19.5× |
| CT pelvis w & w/o contrast (72194) |
$2,979.60 |
$3,056 |
16.1× |
| CT pelvis w/o contrast (72192) |
$2,561.33 |
$2,627 |
23.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,180.45 |
$3,262 |
17.2× |
| CT soft tissue neck w/o contrast (70490) |
$2,319.53 |
$2,379 |
21.0× |
| CT thoracic spine w/contrast (72129) |
$2,235.68 |
$2,293 |
12.1× |
| CT thoracic spine w/o contrast (72128) |
$2,700.75 |
$2,770 |
24.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,320.50 |
$2,380 |
12.5× |
| CT thorax w/o contrast (71250) |
$2,655.90 |
$2,724 |
24.1× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,320.50 |
$2,380 |
12.5× |
| CT upper extremity w/o contrast rt (73200) |
$2,151.83 |
$2,207 |
19.5× |
| CT upper extremity with contrast (73201) |
$2,170.35 |
$2,226 |
5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,545.10 |
$3,636 |
19.2× |
| Cta Abdomen (74175) |
$3,717.68 |
$3,813 |
20.1× |
| CTA abdomen pelvis (74174) |
$3,545.10 |
$3,636 |
9.6× |
| CTA chest (71275) |
$3,653.33 |
$3,747 |
19.7× |
| Cta Head (70496) |
$3,448.58 |
$3,537 |
18.6× |
| Cta Neck (70498) |
$2,988.38 |
$3,065 |
16.2× |
| Cta Pelvis (72191) |
$2,474.55 |
$2,538 |
13.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$593.78 |
$609 |
5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$269.10 |
$276 |
2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$630.83 |
$647 |
5.7× |
| Foot 2 views (73620) |
$257.40 |
$264 |
2.8× |
| Forearm 2 views (73090) |
$301.76 |
$309.50 |
3.3× |
| Hand 2 views (73120) |
$266.18 |
$273 |
2.4× |
| Hand 3 views (73130) |
$323.70 |
$332 |
3.5× |
| Humerus Min 2 Views Left (73060) |
$332.48 |
$341 |
3.6× |
| Knee 3 views (73562) |
$399.75 |
$410 |
4.4× |
| MRA head w & w/o contrast (70546) |
$3,179.48 |
$3,261 |
8.6× |
| MRA head w/o contrast (70544) |
$3,130.73 |
$3,211 |
12.4× |
| MRA neck w contrast (70548) |
$3,441.75 |
$3,530 |
9.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,918.18 |
$2,993 |
7.9× |
| MRA neck w/o contrast (70547) |
$3,074.18 |
$3,153 |
12.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,889.28 |
$3,989 |
10.6× |
| MRI abdomen w/o contrast (74181) |
$3,142.43 |
$3,223 |
12.5× |
| MRI cervical spine w/o contrast (72141) |
$3,306.23 |
$3,391 |
13.1× |
| MRI chest w/o contrast (71550) |
$2,952.30 |
$3,028 |
11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,064.43 |
$3,143 |
12.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,855.78 |
$2,929 |
11.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,971.80 |
$3,048 |
8.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,667.95 |
$3,762 |
10.0× |
| MRI pelvis w/o contrast (72195) |
$2,910.38 |
$2,985 |
11.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,636.75 |
$3,730 |
9.9× |
| MRI scan of leg joint before and after contrast (73723) |
$3,978.98 |
$4,081 |
10.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,824.93 |
$3,923 |
10.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,322.18 |
$4,433 |
11.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,114.50 |
$4,220 |
11.2× |
| MRI thoracic spine w/o contrast (72146) |
$3,432.98 |
$3,521 |
13.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,267.23 |
$3,351 |
13.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,068.68 |
$4,173 |
11.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,156.08 |
$3,237 |
12.5× |
| Neck soft tissue (70360) |
$313.96 |
$322 |
3.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$723.45 |
$742 |
6.6× |
| Osseous survey infant (77076) |
$455.32 |
$467 |
4.1× |
| Pelvis 1 or 2 views (72170) |
$354.42 |
$363.50 |
3.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,889.28 |
$3,989 |
10.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$388.05 |
$398 |
4.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$507.49 |
$520.50 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$405.60 |
$416 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$293.96 |
$301.50 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$370.99 |
$380.50 |
4.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$386.10 |
$396 |
4.2× |
| Ribs bilateral 3 views (71110) |
$314.93 |
$323 |
2.9× |
| Sacroiliac Joints < 3 Views (72200) |
$360.26 |
$369.50 |
3.3× |
| Scapula complete (73010) |
$312.49 |
$320.50 |
2.8× |
| Speech evaluation complex (70371) |
$702.98 |
$721 |
2.8× |
| Spine thoracic 3 views (72072) |
$548.44 |
$562.50 |
5.0× |
| Ultrasound, abdomen limited (76705) |
$770.25 |
$790 |
7.0× |
| Upper Extremity Infant (73092) |
$332.48 |
$341 |
3.0× |
| Us abdl aorta screen aaa (76706) |
$463.62 |
$475.50 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$799.50 |
$820 |
7.2× |
| Us ob transvaginal (76817) |
$755.63 |
$775 |
6.9× |
| Us pelvic non ob complete (76856) |
$863.85 |
$886 |
7.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$728.33 |
$747 |
6.6× |
| Us pregnancy ltd (76815) |
$638.63 |
$655 |
5.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$666.90 |
$684 |
6.0× |
| Us retroperitoneal complete (76770) |
$838.50 |
$860 |
7.6× |
| Us retroperitoneal limited (76775) |
$715.65 |
$734 |
6.5× |
| Us scrotum and contents (76870) |
$842.40 |
$864 |
7.6× |
| Us soft tissue head/neck (76536) |
$799.50 |
$820 |
7.2× |
| Us xtr non-vasc lmtd (76882) |
$718.58 |
$737 |
6.5× |
| Wrist 2 views (73100) |
$276.90 |
$284 |
3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$513.83 |
$527 |
4.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$434.36 |
$445.50 |
4.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$348.56 |
$357.50 |
3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$314.92 |
$323 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$341.26 |
$350 |
3.7× |
| X-ray exam hip uni 1 view (73501) |
$315.90 |
$324 |
3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$439.24 |
$450.50 |
4.8× |
| X-ray exam of femur 1 (73551) |
$274.95 |
$282 |
3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$402.68 |
$413 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$322.72 |
$331 |
3.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$343.20 |
$352 |
3.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$284.22 |
$291.50 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$447.52 |
$459 |
4.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$319.80 |
$328 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$477.76 |
$490 |
4.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$747.34 |
$766.50 |
6.8× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$420.72 |
$431.50 |
3.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$294.94 |
$302.50 |
3.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$265.20 |
$272 |
2.9× |
| X-ray of voice box or throat (70370) |
$278.36 |
$285.50 |
3.0× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$428.52 |
$439.50 |
3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$257.40 |
$264 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$310.54 |
$318.50 |
2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$551.36 |
$565.50 |
5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$422.66 |
$433.50 |
4.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$323.70 |
$332 |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$402.68 |
$413 |
4.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$264.23 |
$271 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$499.69 |
$512.50 |
4.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$386.10 |
$396 |
3.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$326.62 |
$335 |
3.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$337.36 |
$346 |
3.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$435.34 |
$446.50 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$286.16 |
$293.50 |
3.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$317.86 |
$326 |
3.5× |
| Xr finger(s) 2+ views (73140) |
$273 |
$280 |
3.0× |
| Xr shoulder 1 view (73020) |
$239.36 |
$245.50 |
2.6× |
| Xr spine cervical 4 or 5 views (72050) |
$632.29 |
$648.50 |
5.7× |
| Xr tibia/fibula 2 views (73590) |
$344.18 |
$353 |
3.7× |
| Xray knee 1 or 2 views rt (73560) |
$350.52 |
$359.50 |
3.8× |