| Abdomen 2 views (74019) |
$126.35 |
$252.70 |
1.2× |
| Ankle 2 views (73600) |
$279.34 |
$558.67 |
3.2× |
| Cervical spine 2 or 3 views (72040) |
$126.37 |
$252.73 |
1.4× |
| Chest 1 view (71045) |
$279.34 |
$558.67 |
3.2× |
| Clavicle complete (73000) |
$279.34 |
$558.67 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,761 |
$3,522 |
5.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,461 |
$2,922 |
6.1× |
| CT abdomen w contrast (74160) |
$965 |
$1,930 |
5.5× |
| CT abdomen w wo contrast (74170) |
$1,091 |
$2,182 |
6.2× |
| CT abdomen w/o contrast (74150) |
$955 |
$1,910 |
9.1× |
| CT angiography upper extremity lt (73206) |
$932.91 |
$1,865.82 |
5.3× |
| CT c-spine w/o contrast (72125) |
$569.50 |
$1,139 |
5.4× |
| CT cervical spine with contrast (72126) |
$569.50 |
$1,139 |
1.6× |
| CT chest with contrast (71260) |
$817.17 |
$1,634.33 |
4.6× |
| CT head/brain without and with contrast (70470) |
$905.69 |
$1,811.37 |
5.1× |
| CT lower ext w/o (73700) |
$477.35 |
$954.69 |
4.5× |
| CT lower extremity with contrast (73701) |
$817.17 |
$1,634.33 |
4.6× |
| CT lumbar spine w/o contrast (72131) |
$540 |
$1,080 |
5.1× |
| CT lumbar spine with contrast (72132) |
$540 |
$1,080 |
1.5× |
| CT maxillofacial w contrast (70487) |
$817.17 |
$1,634.33 |
4.6× |
| CT maxillofacial w/o contrast (70486) |
$528.50 |
$1,057 |
5.0× |
| CT neck soft tissue w contrast (70491) |
$817.17 |
$1,634.33 |
4.6× |
| CT orbits w/o contrast (70480) |
$506 |
$1,012 |
4.8× |
| CT pelvis w/o contrast (72192) |
$506 |
$1,012 |
4.8× |
| CT soft tissue neck w/o contrast (70490) |
$526 |
$1,052 |
5.0× |
| CT thoracic spine w/contrast (72129) |
$540 |
$1,080 |
3.1× |
| CT thoracic spine w/o contrast (72128) |
$540 |
$1,080 |
5.1× |
| CT thorax w/o contrast (71250) |
$563.50 |
$1,127 |
5.4× |
| CT upper extremity w/o contrast rt (73200) |
$537.50 |
$1,075 |
5.1× |
| CT upper extremity with contrast (73201) |
$1,336.48 |
$2,672.95 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$932.91 |
$1,865.82 |
5.3× |
| CTA abdomen pelvis (74174) |
$956.23 |
$1,912.46 |
2.7× |
| CTA chest (71275) |
$932.91 |
$1,865.82 |
5.3× |
| Cta Head (70496) |
$103.35 |
$206.70 |
0.6× |
| CTA lwr ext w&w/o contrast (73706) |
$637.77 |
$1,275.54 |
3.6× |
| Cta Neck (70498) |
$932.91 |
$1,865.82 |
5.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$203.15 |
$406.30 |
1.9× |
| Foot 2 views (73620) |
$279.34 |
$558.67 |
3.2× |
| Forearm 2 views (73090) |
$279.34 |
$558.67 |
3.2× |
| Hand 2 views (73120) |
$392.28 |
$784.56 |
3.7× |
| Hand 3 views (73130) |
$279.34 |
$558.67 |
3.2× |
| Humerus Min 2 Views Left (73060) |
$279.34 |
$558.67 |
3.2× |
| Knee 3 views (73562) |
$279.34 |
$558.67 |
3.2× |
| MRA head w/o contrast (70544) |
$930.85 |
$1,861.70 |
3.9× |
| MRA neck w/o contrast (70547) |
$815.64 |
$1,631.28 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,336.48 |
$2,672.95 |
3.8× |
| MRI abdomen w/o contrast (74181) |
$930.85 |
$1,861.70 |
3.9× |
| MRI cervical spine w/o contrast (72141) |
$1,017.50 |
$2,035 |
4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$815.64 |
$1,631.28 |
3.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$930.85 |
$1,861.70 |
3.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,511.05 |
$3,022.09 |
4.3× |
| MRI scan of leg joint before and after contrast (73723) |
$1,511.05 |
$3,022.09 |
4.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,336.48 |
$2,672.95 |
3.8× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,511.05 |
$3,022.09 |
4.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,336.48 |
$2,672.95 |
3.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,012 |
$2,024 |
4.2× |
| MRI upper ext joint w/o contrast (73221) |
$930.85 |
$1,861.70 |
3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$815.64 |
$1,631.28 |
3.4× |
| Neck soft tissue (70360) |
$279.34 |
$558.67 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$392.28 |
$784.56 |
3.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,511.05 |
$3,022.09 |
4.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$279.35 |
$558.70 |
2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$194.81 |
$389.62 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$279.34 |
$558.67 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$279.34 |
$558.67 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$279.34 |
$558.67 |
3.2× |
| Spine thoracic 3 views (72072) |
$392.28 |
$784.56 |
3.7× |
| Ultrasound, abdomen limited (76705) |
$273.15 |
$546.30 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$310 |
$620 |
3.0× |
| Us chest (76604) |
$315 |
$630 |
3.0× |
| Us ob detailed single fetus (76811) |
$392.30 |
$784.60 |
1.6× |
| Us pelvic non ob complete (76856) |
$392.28 |
$784.56 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$293.50 |
$587 |
2.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$273.13 |
$546.26 |
2.6× |
| Us retroperitoneal complete (76770) |
$392.28 |
$784.56 |
3.7× |
| Us scrotum and contents (76870) |
$392.28 |
$784.56 |
3.7× |
| Us soft tissue head/neck (76536) |
$392.28 |
$784.56 |
3.7× |
| Us transrectal (76872) |
$392.28 |
$784.56 |
3.7× |
| Us xtr non-vasc lmtd (76882) |
$392.28 |
$784.56 |
3.7× |
| Wrist 2 views (73100) |
$279.35 |
$558.70 |
3.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$279.34 |
$558.67 |
3.2× |
| X-ray exam hip uni 1 view (73501) |
$126.35 |
$252.70 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$279.34 |
$558.67 |
3.2× |
| X-ray eye for foreign body (70030) |
$126.37 |
$252.73 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$194.80 |
$389.60 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$126.37 |
$252.73 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$378.34 |
$756.68 |
4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$392.30 |
$784.60 |
3.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$392.30 |
$784.60 |
3.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$126.35 |
$252.70 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$126.37 |
$252.73 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$126.37 |
$252.73 |
1.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$279.34 |
$558.67 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$279.34 |
$558.67 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$194.81 |
$389.62 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$279.34 |
$558.67 |
3.2× |
| Xr spine cervical 4 or 5 views (72050) |
$194.81 |
$389.62 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$279.34 |
$558.67 |
3.2× |
| Xray knee 1 or 2 views rt (73560) |
$279.34 |
$558.67 |
3.2× |