| Abdomen 2 views (74019) |
$786.75 |
$786.75 |
8.3× |
| Ankle 2 views (73600) |
$698.25 |
$698.25 |
8.8× |
| Bone age studies (77072) |
$1,260 |
$1,260 |
13.2× |
| Cervical spine 2 or 3 views (72040) |
$822.25 |
$822.25 |
10.4× |
| Chest 1 view (71045) |
$640 |
$640 |
8.1× |
| Chest 3 views (71047) |
$735 |
$735 |
9.3× |
| Clavicle complete (73000) |
$639 |
$639 |
8.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,500 |
$3,500 |
11.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,278.12 |
$3,278.12 |
15.1× |
| CT abdomen w contrast (74160) |
$3,358.50 |
$3,358.50 |
21.0× |
| CT abdomen w wo contrast (74170) |
$3,409.88 |
$3,409.88 |
21.4× |
| CT abdomen w/o contrast (74150) |
$3,398.62 |
$3,398.62 |
35.7× |
| CT c-spine w/o contrast (72125) |
$1,703.12 |
$1,703.12 |
17.9× |
| CT cervical spine w&w/o contrast (72127) |
$1,858.50 |
$1,858.50 |
11.6× |
| CT cervical spine with contrast (72126) |
$1,943.50 |
$1,943.50 |
6.1× |
| CT chest w/wo contrast (71270) |
$1,839.38 |
$1,839.38 |
11.5× |
| CT chest with contrast (71260) |
$1,745.62 |
$1,745.62 |
10.9× |
| CT head/brain with contrast (70460) |
$2,619.50 |
$2,619.50 |
16.4× |
| CT head/brain without and with contrast (70470) |
$2,509.75 |
$2,509.75 |
15.7× |
| CT lower ext w/o (73700) |
$1,645.38 |
$1,645.38 |
17.3× |
| CT lower extremity w wo contrast (73702) |
$1,739.12 |
$1,739.12 |
10.9× |
| CT lower extremity with contrast (73701) |
$1,725.88 |
$1,725.88 |
10.8× |
| CT lumbar spine w & w/o contrast (72133) |
$1,840.12 |
$1,840.12 |
11.5× |
| CT lumbar spine w/o contrast (72131) |
$1,825.62 |
$1,825.62 |
19.2× |
| CT lumbar spine with contrast (72132) |
$1,856 |
$1,856 |
5.8× |
| CT maxillofacial w contrast (70487) |
$1,767.25 |
$1,767.25 |
11.1× |
| CT maxillofacial w/o contrast (70486) |
$3,183.25 |
$3,183.25 |
33.4× |
| CT maxillofacial w/wo contrast (70488) |
$3,347.75 |
$3,347.75 |
21.0× |
| CT neck soft tissue w contrast (70491) |
$1,471 |
$1,471 |
9.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,742.12 |
$1,742.12 |
10.9× |
| CT orbits w/o contrast (70480) |
$1,775.50 |
$1,775.50 |
18.7× |
| CT pelvis w & w/o contrast (72194) |
$3,400.38 |
$3,400.38 |
21.3× |
| CT pelvis w/o contrast (72192) |
$1,535.75 |
$1,535.75 |
16.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,609.50 |
$1,609.50 |
10.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,138.50 |
$1,138.50 |
12.0× |
| CT thoracic spine w/contrast (72129) |
$1,856.25 |
$1,856.25 |
11.6× |
| CT thoracic spine w/o contrast (72128) |
$1,825.62 |
$1,825.62 |
19.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,858.75 |
$1,858.75 |
11.6× |
| CT thorax w/o contrast (71250) |
$1,603.50 |
$1,603.50 |
16.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,727.75 |
$1,727.75 |
10.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,760 |
$1,760 |
18.5× |
| CT upper extremity with contrast (73201) |
$1,768.75 |
$1,768.75 |
5.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,928.75 |
$2,928.75 |
18.3× |
| Cta Abdomen (74175) |
$2,262.75 |
$2,262.75 |
14.2× |
| CTA chest (71275) |
$4,741.50 |
$4,741.50 |
29.7× |
| Cta Head (70496) |
$3,957.25 |
$3,957.25 |
24.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,316 |
$2,316 |
7.3× |
| CTA lwr ext w&w/o contrast (73706) |
$1,117 |
$1,117 |
7.0× |
| Cta Neck (70498) |
$2,928.75 |
$2,928.75 |
18.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$640.75 |
$640.75 |
6.7× |
| Foot 2 views (73620) |
$698 |
$698 |
8.8× |
| Forearm 2 views (73090) |
$638.75 |
$638.75 |
8.1× |
| Hand 2 views (73120) |
$1,379 |
$1,379 |
14.5× |
| Hand 3 views (73130) |
$1,620 |
$1,620 |
20.4× |
| Humerus Min 2 Views Left (73060) |
$1,260 |
$1,260 |
15.9× |
| Knee 3 views (73562) |
$1,620 |
$1,620 |
20.4× |
| Neck soft tissue (70360) |
$699.50 |
$699.50 |
8.8× |
| Pelvis 1 or 2 views (72170) |
$729.50 |
$729.50 |
7.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$703.75 |
$703.75 |
8.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$827 |
$827 |
8.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$885.25 |
$885.25 |
9.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$733.75 |
$733.75 |
7.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$640 |
$640 |
8.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$642 |
$642 |
8.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$640 |
$640 |
8.1× |
| Scapula complete (73010) |
$699.50 |
$699.50 |
7.3× |
| Spine thoracic 3 views (72072) |
$822.25 |
$822.25 |
8.6× |
| Thoracolumbar 2 views (72080) |
$731.50 |
$731.50 |
9.2× |
| Ultrasound, abdomen limited (76705) |
$63.50 |
$63.50 |
0.7× |
| Upper Extremity Infant (73092) |
$698.25 |
$698.25 |
7.3× |
| Us abdl aorta screen aaa (76706) |
$507.12 |
$507.12 |
5.3× |
| Us breast unilateral complete (76641) |
$486.50 |
$486.50 |
5.1× |
| Us breast unilateral limited (76642) |
$443.25 |
$443.25 |
5.6× |
| Us compl joint r-t w/image documentation (76881) |
$526.62 |
$526.62 |
5.5× |
| Us ob detailed single fetus (76811) |
$705.88 |
$705.88 |
3.2× |
| Us ob transvaginal (76817) |
$260.75 |
$260.75 |
2.7× |
| Us pelvic non ob complete (76856) |
$514.88 |
$514.88 |
5.4× |
| Us pregnancy ltd (76815) |
$441.38 |
$441.38 |
4.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$533.75 |
$533.75 |
5.6× |
| Us retroperitoneal complete (76770) |
$79.50 |
$79.50 |
0.8× |
| Us retroperitoneal limited (76775) |
$509.12 |
$509.12 |
5.3× |
| Us scrotum and contents (76870) |
$429 |
$429 |
4.5× |
| Us soft tissue head/neck (76536) |
$61 |
$61 |
0.6× |
| Us xtr non-vasc lmtd (76882) |
$75 |
$75 |
0.8× |
| Wrist 2 views (73100) |
$1,379 |
$1,379 |
17.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$827.50 |
$827.50 |
8.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,458 |
$1,458 |
18.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,620 |
$1,620 |
20.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$639 |
$639 |
8.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,440 |
$1,440 |
18.2× |
| X-ray exam hip uni 1 view (73501) |
$640.25 |
$640.25 |
8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$642.25 |
$642.25 |
8.1× |
| X-ray exam of femur 1 (73551) |
$639 |
$639 |
8.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$914.25 |
$914.25 |
9.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$731 |
$731 |
9.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,620 |
$1,620 |
20.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$698.25 |
$698.25 |
8.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$699.50 |
$699.50 |
8.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$975.50 |
$975.50 |
10.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$728.75 |
$728.75 |
9.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$822.25 |
$822.25 |
8.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,096.75 |
$1,096.75 |
11.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$729.50 |
$729.50 |
9.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$825.25 |
$825.25 |
8.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$823.75 |
$823.75 |
8.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,260 |
$1,260 |
15.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$824.50 |
$824.50 |
8.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$863.50 |
$863.50 |
9.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$732.25 |
$732.25 |
7.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$699 |
$699 |
8.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,620 |
$1,620 |
20.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$642 |
$642 |
8.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$888.25 |
$888.25 |
9.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$699.50 |
$699.50 |
7.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$1,379 |
$1,379 |
17.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$700.25 |
$700.25 |
8.8× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$976.50 |
$976.50 |
10.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$697.25 |
$697.25 |
8.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,620 |
$1,620 |
20.4× |
| Xr c-spine 6 or more views (72052) |
$1,096.50 |
$1,096.50 |
11.5× |
| Xr chest 4+ views (71048) |
$782 |
$782 |
8.2× |
| Xr finger(s) 2+ views (73140) |
$1,260 |
$1,260 |
15.9× |
| XR Mastoids < 3 Views Bilateral (70120) |
$730 |
$730 |
7.7× |
| Xr shoulder 1 view (73020) |
$698 |
$698 |
8.8× |
| Xr spine cervical 4 or 5 views (72050) |
$978 |
$978 |
10.3× |
| Xr tibia/fibula 2 views (73590) |
$638.75 |
$638.75 |
8.1× |
| Xr tmj bilateral (70330) |
$702.50 |
$702.50 |
8.9× |
| Xray knee 1 or 2 views rt (73560) |
$1,440 |
$1,440 |
18.2× |