| Abdomen 2 views (74019) |
$108.04 |
$270.12 |
1.1× |
| Ankle 2 views (73600) |
$9.26 |
$23.16 |
0.1× |
| Bone age studies (77072) |
$106.87 |
$267.18 |
1.1× |
| Cervical spine 2 or 3 views (72040) |
$90.98 |
$227.44 |
1.2× |
| Chest 1 view (71045) |
$68.30 |
$170.75 |
0.9× |
| Chest 3 views (71047) |
$152.08 |
$380.20 |
1.9× |
| Clavicle complete (73000) |
$78.76 |
$196.92 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$105.36 |
$263.40 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$496.32 |
$1,240.81 |
1.6× |
| CT abdomen and pelvis without contrast (74176) |
$310.82 |
$777.06 |
1.4× |
| CT abdomen w contrast (74160) |
$154.86 |
$387.16 |
1.0× |
| CT abdomen w wo contrast (74170) |
$239.89 |
$599.73 |
1.5× |
| CT abdomen w/o contrast (74150) |
$147.30 |
$368.25 |
1.6× |
| CT angio hrt w/3d image (75574) |
$239.89 |
$599.73 |
0.8× |
| CT c-spine w/o contrast (72125) |
$147.30 |
$368.25 |
1.6× |
| CT chest w/wo contrast (71270) |
$154.18 |
$385.44 |
1.0× |
| CT chest with contrast (71260) |
$239.89 |
$599.73 |
1.5× |
| CT head/brain with contrast (70460) |
$151 |
$377.52 |
0.9× |
| CT head/brain without and with contrast (70470) |
$154.86 |
$387.16 |
1.0× |
| CT lower ext w/o (73700) |
$100.95 |
$252.38 |
1.1× |
| CT lumbar spine w/o contrast (72131) |
$100.95 |
$252.38 |
1.1× |
| CT lumbar spine with contrast (72132) |
$281.60 |
$704 |
0.9× |
| CT maxillofacial w contrast (70487) |
$239.89 |
$599.73 |
1.5× |
| CT maxillofacial w/o contrast (70486) |
$147.30 |
$368.25 |
1.6× |
| CT neck soft tissue w contrast (70491) |
$158.01 |
$395.02 |
1.0× |
| CT orbits w/o contrast (70480) |
$147.30 |
$368.25 |
1.6× |
| CT pelvis w/o contrast (72192) |
$147.30 |
$368.25 |
1.6× |
| CT soft tissue neck w/o contrast (70490) |
$70.61 |
$176.52 |
0.7× |
| CT thoracic spine w/contrast (72129) |
$67.08 |
$167.70 |
0.4× |
| CT thoracic spine w/o contrast (72128) |
$100.95 |
$252.38 |
1.1× |
| CT thoracic spine w/wo contrast (72130) |
$69.84 |
$174.60 |
0.4× |
| CT thorax w/o contrast (71250) |
$103.33 |
$258.33 |
1.1× |
| CT upper extremity w/o contrast rt (73200) |
$54.60 |
$136.50 |
0.6× |
| CTA abdomen pelvis (74174) |
$308.16 |
$770.39 |
1.0× |
| CTA chest (71275) |
$169.82 |
$424.54 |
1.1× |
| Cta Head (70496) |
$269.14 |
$672.86 |
1.7× |
| CTA lwr ext w&w/o contrast (73706) |
$103.37 |
$258.42 |
0.6× |
| Cta Neck (70498) |
$239.89 |
$599.73 |
1.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$150.07 |
$375.18 |
1.6× |
| Esophagus (74220) |
$210.07 |
$525.18 |
1.3× |
| Foot 2 views (73620) |
$8.53 |
$21.33 |
0.1× |
| Forearm 2 views (73090) |
$78.58 |
$196.46 |
1.0× |
| Hand 2 views (73120) |
$9.26 |
$23.16 |
0.1× |
| Hand 3 views (73130) |
$78.97 |
$197.42 |
1.0× |
| Humerus Min 2 Views Left (73060) |
$78.76 |
$196.92 |
1.0× |
| Knee 3 views (73562) |
$93.42 |
$233.54 |
1.2× |
| Neck soft tissue (70360) |
$79.18 |
$197.94 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$85.56 |
$213.90 |
0.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$102.81 |
$257.02 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$111.49 |
$278.73 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$13.64 |
$34.11 |
0.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$86.84 |
$217.10 |
1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$14.83 |
$37.08 |
0.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$86.54 |
$216.36 |
1.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$210.07 |
$525.18 |
1.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$79.18 |
$197.94 |
1.0× |
| Ribs bilateral 3 views (71110) |
$108.99 |
$272.47 |
1.1× |
| Sacroiliac Joints < 3 Views (72200) |
$9.30 |
$23.25 |
0.1× |
| Scapula complete (73010) |
$247.11 |
$617.78 |
2.6× |
| Small bowel series (74250) |
$210.07 |
$525.18 |
1.3× |
| Spine thoracic 3 views (72072) |
$104 |
$260 |
1.1× |
| Thoracolumbar 2 views (72080) |
$11.66 |
$29.16 |
0.1× |
| Ultrasound, abdomen limited (76705) |
$179.96 |
$449.89 |
1.9× |
| Us abdl aorta screen aaa (76706) |
$327.23 |
$818.08 |
3.4× |
| Us breast unilateral complete (76641) |
$233.90 |
$584.74 |
2.5× |
| Us breast unilateral limited (76642) |
$140.34 |
$350.85 |
1.8× |
| Us chest (76604) |
$327.44 |
$818.60 |
3.5× |
| Us compl joint r-t w/image documentation (76881) |
$49.80 |
$124.50 |
0.5× |
| Us pelvic non ob complete (76856) |
$182.72 |
$456.79 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$140.17 |
$350.42 |
1.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$193.72 |
$484.30 |
2.0× |
| Us retroperitoneal complete (76770) |
$183.92 |
$459.79 |
1.9× |
| Us scrotum and contents (76870) |
$181.34 |
$453.34 |
1.9× |
| Us soft tissue head/neck (76536) |
$179.34 |
$448.36 |
1.9× |
| Us xtr non-vasc lmtd (76882) |
$155.56 |
$388.90 |
1.6× |
| Wrist 2 views (73100) |
$9.26 |
$23.16 |
0.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$135.20 |
$338 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$78.97 |
$197.42 |
1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$78.76 |
$196.92 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$78.97 |
$197.42 |
1.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$19.90 |
$49.74 |
0.2× |
| X-ray exam hip uni 1 view (73501) |
$81.91 |
$204.78 |
1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$178.19 |
$445.48 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$113.46 |
$283.65 |
1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$135.02 |
$337.56 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$130.76 |
$326.92 |
1.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$148.27 |
$370.67 |
1.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$78.78 |
$196.96 |
1.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$148.27 |
$370.67 |
1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$9.62 |
$24.06 |
0.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$96.94 |
$242.36 |
1.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$203.25 |
$508.13 |
2.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$78.97 |
$197.42 |
1.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$152.96 |
$382.39 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$119.47 |
$298.68 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$104.64 |
$261.60 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$90.88 |
$227.21 |
1.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$79.36 |
$198.38 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$80.16 |
$200.41 |
1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$112.73 |
$281.83 |
1.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$128.60 |
$321.49 |
1.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$85.52 |
$213.82 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$94.47 |
$236.16 |
1.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$77.80 |
$194.48 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$78.97 |
$197.42 |
1.0× |
| Xr finger(s) 2+ views (73140) |
$77.98 |
$194.94 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$10.08 |
$25.20 |
0.1× |
| Xr shoulder 1 view (73020) |
$8.50 |
$21.24 |
0.1× |
| Xr spine cervical 4 or 5 views (72050) |
$131.15 |
$327.88 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$78.58 |
$196.46 |
1.0× |
| Xray knee 1 or 2 views rt (73560) |
$85.36 |
$213.40 |
1.1× |