| Abdomen 2 views (74019) |
$296.45 |
$539 |
2.4× |
| Ankle 2 views (73600) |
$209.55 |
$381 |
2.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$708.95 |
$1,289 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$827.20 |
$1,504 |
1.7× |
| Bone age studies (77072) |
$145.75 |
$265 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$882.20 |
$1,604 |
1.8× |
| Bone survey complete (77075) |
$386.10 |
$702 |
3.1× |
| Cervical spine 2 or 3 views (72040) |
$198.55 |
$361 |
1.9× |
| Chest 1 view (71045) |
$13,741.89 |
— |
131.7× |
| Chest 3 views (71047) |
$234.85 |
$427 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$326.15 |
$593 |
1.6× |
| Clavicle complete (73000) |
$197.45 |
$359 |
1.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,001.55 |
$1,821 |
2.4× |
| CT abdomen and pelvis without contrast (74176) |
$719.40 |
$1,308 |
2.5× |
| CT abdomen w contrast (74160) |
$838.75 |
$1,525 |
4.0× |
| CT abdomen w wo contrast (74170) |
$967.45 |
$1,759 |
4.6× |
| CT abdomen w/o contrast (74150) |
$658.35 |
$1,197 |
5.3× |
| CT angiography upper extremity lt (73206) |
$1,393.15 |
$2,533 |
6.6× |
| CT c-spine w/o contrast (72125) |
$741.95 |
— |
5.9× |
| CT cervical spine with contrast (72126) |
$930.05 |
$1,691 |
2.2× |
| CT chest w/wo contrast (71270) |
$1,147.30 |
$2,086 |
5.5× |
| CT chest with contrast (71260) |
$1,047.20 |
$1,904 |
5.0× |
| CT head/brain with contrast (70460) |
$865.70 |
$1,574 |
4.1× |
| CT head/brain without and with contrast (70470) |
$948.20 |
$1,724 |
4.5× |
| CT iac w contrast (70481) |
$946 |
$1,720 |
4.5× |
| CT lower ext w/o (73700) |
$672.65 |
$1,223 |
5.4× |
| CT lower extremity w wo contrast (73702) |
$1,134.10 |
$2,062 |
5.4× |
| CT lower extremity with contrast (73701) |
$905.85 |
$1,647 |
4.3× |
| CT lumbar spine w & w/o contrast (72133) |
$347.05 |
$631 |
1.7× |
| CT lumbar spine w/o contrast (72131) |
$741.95 |
$1,349 |
5.9× |
| CT lumbar spine with contrast (72132) |
$930.05 |
$1,691 |
2.2× |
| CT maxillofacial w contrast (70487) |
$905.85 |
$1,647 |
4.3× |
| CT maxillofacial w/o contrast (70486) |
$669.35 |
$1,217 |
5.3× |
| CT maxillofacial w/wo contrast (70488) |
$996.60 |
$1,812 |
4.7× |
| CT neck soft tissue w contrast (70491) |
$996.60 |
$1,812 |
4.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,026.30 |
$1,866 |
4.9× |
| CT orbits w/o contrast (70480) |
$787.05 |
— |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$1,015.30 |
$1,846 |
4.8× |
| CT pelvis w/o contrast (72192) |
$673.75 |
$1,225 |
5.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,080.20 |
$1,964 |
5.1× |
| CT soft tissue neck w/o contrast (70490) |
$699.60 |
$1,272 |
5.6× |
| CT thoracic spine w/contrast (72129) |
$930.05 |
$1,691 |
4.4× |
| CT thoracic spine w/o contrast (72128) |
$741.95 |
$1,349 |
5.9× |
| CT thorax w/o contrast (71250) |
$675.95 |
$1,229 |
5.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,624.70 |
$2,954 |
7.7× |
| CT upper extremity w/o contrast rt (73200) |
$634.70 |
$1,154 |
5.1× |
| CT upper extremity with contrast (73201) |
$865.70 |
$1,574 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$996.05 |
$1,811 |
4.7× |
| Cta Abdomen (74175) |
$955.90 |
$1,738 |
4.5× |
| CTA abdomen pelvis (74174) |
$1,053.80 |
$1,916 |
2.5× |
| CTA chest (71275) |
$1,098.90 |
$1,998 |
5.2× |
| Cta Head (70496) |
$1,268.30 |
$2,306 |
6.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,379.85 |
$4,327 |
5.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,311.75 |
$2,385 |
6.2× |
| Cta Neck (70498) |
$1,206.70 |
$2,194 |
5.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$254.10 |
$462 |
2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$156.75 |
$285 |
1.5× |
| Esophagus (74220) |
$303.60 |
$552 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$306.35 |
$557 |
1.1× |
| Foot 2 views (73620) |
$167.75 |
$305 |
1.6× |
| Forearm 2 views (73090) |
$417.45 |
— |
4.0× |
| Hand 2 views (73120) |
$167.75 |
$305 |
1.3× |
| Hand 3 views (73130) |
$232.10 |
$422 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,093.40 |
$1,988 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$920.70 |
$1,674 |
1.9× |
| Ht muscle image spect sing (78451) |
$2,006.95 |
$3,649 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$185.35 |
$337 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,345.85 |
$2,447 |
2.1× |
| Knee 3 views (73562) |
$408.10 |
— |
3.9× |
| Liver & spleen imaging static only (78215) |
$755.15 |
$1,373 |
1.6× |
| Lung perfusion differential (78597) |
$490.60 |
$892 |
1.0× |
| MRA head w & w/o contrast (70546) |
$1,719.30 |
$3,126 |
4.1× |
| MRA head w/o contrast (70544) |
$1,080.20 |
$1,964 |
3.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,814.45 |
$3,299 |
4.3× |
| MRA neck w/o contrast (70547) |
$1,330.45 |
$2,419 |
4.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,031.15 |
$3,693 |
4.9× |
| MRI abdomen w/o contrast (74181) |
$1,040.05 |
$1,891 |
3.6× |
| MRI any jnt lwr ext with con lt (73722) |
$1,783.10 |
$3,242 |
1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,526.25 |
$2,775 |
1.6× |
| MRI cervical spine w/o contrast (72141) |
$1,157.20 |
$2,104 |
4.0× |
| MRI chest w/o & w/contrast material (71552) |
$1,711.05 |
$3,111 |
4.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$770.55 |
$1,401 |
1.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,134.65 |
$2,063 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,048.30 |
$1,906 |
3.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,934.90 |
$3,518 |
4.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,976.70 |
$3,594 |
4.7× |
| MRI pelvis w/o contrast (72195) |
$1,080.20 |
$1,964 |
3.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,843.05 |
$3,351 |
4.4× |
| MRI scan of leg joint before and after contrast (73723) |
$2,351.25 |
$4,275 |
5.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,965.70 |
$3,574 |
4.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,965.70 |
$3,574 |
4.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,965.70 |
$3,574 |
4.7× |
| MRI thoracic spine w/o contrast (72146) |
$1,157.20 |
$2,104 |
4.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,272.15 |
$2,313 |
4.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,097.15 |
$3,813 |
5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,080.20 |
$1,964 |
3.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,886.95 |
$5,249 |
1.9× |
| Neck soft tissue (70360) |
$162.25 |
$295 |
1.6× |
| Nm gastric emptying study (78264) |
$820.05 |
$1,491 |
1.7× |
| Parathyrd planar w/spect&CT (78072) |
$1,020.80 |
$1,856 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$172.70 |
$314 |
1.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,972.30 |
$3,586 |
4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$790.90 |
$1,438 |
1.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,057.10 |
$1,922 |
1.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$176.55 |
$321 |
1.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$194.15 |
$353 |
1.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$237.60 |
$432 |
1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$209.55 |
$381 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$232.10 |
$422 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$232.10 |
— |
2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$210.10 |
$382 |
1.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$230.45 |
$419 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$388.85 |
$707 |
1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$325.05 |
$591 |
1.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$459.80 |
$836 |
2.2× |
| Radiologic exam upr gi trc single contrast study (74240) |
$459.80 |
$836 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$185.35 |
$337 |
1.8× |
| Radiological examination surgical specimen (76098) |
$483.45 |
$879 |
0.7× |
| Ribs bilateral 3 views (71110) |
$269.50 |
$490 |
2.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,575.10 |
$4,682 |
4.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$3,017.85 |
$5,487 |
1.8× |
| Scanogram (77073) |
$232.10 |
$422 |
1.9× |
| Scapula complete (73010) |
$197.45 |
$359 |
1.6× |
| Screening digital breast tomosynthesis (77063) |
$51.70 |
$94 |
2.2× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$220 |
$400 |
1.8× |
| Spine thoracic 3 views (72072) |
$220 |
$400 |
1.8× |
| Thoracolumbar 2 views (72080) |
$173.80 |
$316 |
1.7× |
| Thyroid uptake measurement (78012) |
$824.45 |
$1,499 |
1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$746.90 |
$1,358 |
1.6× |
| Tmj unilateral (70328) |
$173.25 |
$315 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$512.05 |
$931 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$393.80 |
$716 |
3.1× |
| Upper Extremity Infant (73092) |
$218.35 |
$397 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$341.55 |
$621 |
2.7× |
| Us breast unilateral complete (76641) |
$214.50 |
$390 |
1.7× |
| Us breast unilateral limited (76642) |
$1,067 |
— |
10.2× |
| Us chest (76604) |
$244.20 |
$444 |
1.9× |
| Us compl joint r-t w/image documentation (76881) |
$309.65 |
$563 |
2.5× |
| Us ob detailed single fetus (76811) |
$713.35 |
$1,297 |
2.5× |
| Us ob transvaginal (76817) |
$298.10 |
$542 |
2.4× |
| Us pelvic non ob complete (76856) |
$574.75 |
$1,045 |
4.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$250.80 |
$456 |
2.0× |
| Us pregnancy ltd (76815) |
$206.25 |
$375 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$328.90 |
$598 |
2.6× |
| Us retroperitoneal complete (76770) |
$417.45 |
$759 |
3.3× |
| Us retroperitoneal limited (76775) |
$341.55 |
$621 |
2.7× |
| Us scrotum and contents (76870) |
$423.50 |
$770 |
3.4× |
| Us soft tissue head/neck (76536) |
$309.65 |
$563 |
2.5× |
| Us xtr non-vasc lmtd (76882) |
$183.70 |
$334 |
1.5× |
| Us, eye b-scan (76512) |
$220 |
$400 |
1.8× |
| Wrist 2 views (73100) |
$898.70 |
— |
8.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$261.80 |
$476 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$232.10 |
— |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$155.10 |
$282 |
1.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$209.55 |
$381 |
2.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$217.80 |
$396 |
1.7× |
| X-ray exam hip uni 1 view (73501) |
$147.95 |
$269 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$185.35 |
$337 |
1.8× |
| X-ray exam hip uni 4/> views (73503) |
$206.80 |
$376 |
1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$287.10 |
$522 |
2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$206.80 |
$376 |
1.7× |
| X-ray exam of femur 1 (73551) |
$167.75 |
$305 |
1.6× |
| X-ray eye for foreign body (70030) |
$232.10 |
$422 |
2.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$232.10 |
$422 |
1.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$209.55 |
$381 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$217.80 |
$396 |
2.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$185.35 |
$337 |
1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$143 |
$260 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$252.45 |
$459 |
2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$232.10 |
$422 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$232.10 |
$422 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$327.80 |
$596 |
2.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$217.80 |
$396 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$185.35 |
$337 |
1.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$180.40 |
$328 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$177.65 |
$323 |
1.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$198.55 |
$361 |
1.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$203.50 |
$370 |
2.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$221.10 |
$402 |
1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$240.90 |
$438 |
1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$172.70 |
$314 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$232.10 |
$422 |
2.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$361.08 |
— |
3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$232.10 |
$422 |
2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$261.80 |
$476 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$232.10 |
$422 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$197.45 |
$359 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$219.45 |
$399 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$185.35 |
— |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$382.80 |
— |
3.7× |
| Xr c-spine 6 or more views (72052) |
$285.45 |
$519 |
2.3× |
| Xr chest 4+ views (71048) |
$237.60 |
$432 |
1.9× |
| Xr finger(s) 2+ views (73140) |
$347.88 |
— |
3.3× |
| Xr shoulder 1 view (73020) |
$133.10 |
$242 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$256.85 |
$467 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$185.35 |
$337 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$231.82 |
— |
2.2× |