| Abdomen 2 views (74019) |
$415 |
$415 |
3.8× |
| Acute gastrointestinal blood loss imaging (78278) |
$948 |
$948 |
2.3× |
| Ankle 2 views (73600) |
$246.58 |
$246.58 |
2.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,132 |
$1,132 |
2.7× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,177 |
$1,177 |
2.8× |
| Bone &/joint imaging whole body (78306) |
$1,605 |
$1,605 |
3.9× |
| Bone age studies (77072) |
$202 |
$202 |
1.9× |
| Bone Imaging 3 Phase (78315) |
$2,302.98 |
$2,302.98 |
5.5× |
| Bone survey complete (77075) |
$1,662.05 |
$1,662.05 |
15.3× |
| Cervical spine 2 or 3 views (72040) |
$392.70 |
$392.70 |
4.3× |
| Chest 1 view (71045) |
$213.74 |
$213.74 |
2.4× |
| Clavicle complete (73000) |
$344.15 |
$344.15 |
3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$622 |
$622 |
5.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,521.59 |
$5,521.59 |
15.2× |
| CT abdomen and pelvis without contrast (74176) |
$4,179 |
$4,179 |
16.9× |
| CT abdomen w contrast (74160) |
$2,856.55 |
$2,856.55 |
15.7× |
| CT abdomen w wo contrast (74170) |
$3,211.25 |
$3,211.25 |
17.6× |
| CT abdomen w/o contrast (74150) |
$2,385.81 |
$2,385.81 |
22.0× |
| CT angiography upper extremity lt (73206) |
$1,944 |
$1,944 |
10.7× |
| CT c-spine w/o contrast (72125) |
$2,597.99 |
$2,597.99 |
23.9× |
| CT cervical spine w&w/o contrast (72127) |
$2,758 |
$2,758 |
15.1× |
| CT cervical spine with contrast (72126) |
$2,571.03 |
$2,571.03 |
7.1× |
| CT chest w/wo contrast (71270) |
$2,496 |
$2,496 |
13.7× |
| CT chest with contrast (71260) |
$2,731.37 |
$2,731.37 |
15.0× |
| CT head/brain with contrast (70460) |
$2,404 |
$2,404 |
13.2× |
| CT head/brain without and with contrast (70470) |
$2,543.31 |
$2,543.31 |
14.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$165 |
$165 |
1.8× |
| CT iac w contrast (70481) |
$2,069 |
$2,069 |
11.4× |
| CT lower ext w/o (73700) |
$2,165.93 |
$2,165.93 |
20.0× |
| CT lower extremity w wo contrast (73702) |
$2,799.32 |
$2,799.32 |
15.4× |
| CT lower extremity with contrast (73701) |
$2,487.48 |
$2,487.48 |
13.7× |
| CT lumbar spine w & w/o contrast (72133) |
$2,758 |
$2,758 |
15.1× |
| CT lumbar spine w/o contrast (72131) |
$2,577.48 |
$2,577.48 |
23.7× |
| CT lumbar spine with contrast (72132) |
$2,490.18 |
$2,490.18 |
6.9× |
| CT maxillofacial w contrast (70487) |
$2,740.42 |
$2,740.42 |
15.0× |
| CT maxillofacial w/o contrast (70486) |
$2,097.35 |
$2,097.35 |
19.3× |
| CT maxillofacial w/wo contrast (70488) |
$2,163 |
$2,163 |
11.9× |
| CT neck soft tissue w contrast (70491) |
$2,647.63 |
$2,647.63 |
14.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,362 |
$2,362 |
13.0× |
| CT orbits w/o contrast (70480) |
$2,329.82 |
$2,329.82 |
21.5× |
| CT pelvis w & w/o contrast (72194) |
$2,569 |
$2,569 |
14.1× |
| CT pelvis w/o contrast (72192) |
$2,428 |
$2,428 |
22.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,415 |
$2,415 |
13.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,282.50 |
$2,282.50 |
21.0× |
| CT thoracic spine w/contrast (72129) |
$2,645 |
$2,645 |
14.5× |
| CT thoracic spine w/o contrast (72128) |
$2,577.50 |
$2,577.50 |
23.7× |
| CT thoracic spine w/wo contrast (72130) |
$2,758 |
$2,758 |
15.1× |
| CT thorax w/o contrast (71250) |
$2,423.86 |
$2,423.86 |
22.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,144 |
$2,144 |
11.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,083.07 |
$2,083.07 |
19.2× |
| CT upper extremity with contrast (73201) |
$2,567.79 |
$2,567.79 |
7.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,641.95 |
$3,641.95 |
20.0× |
| Cta Abdomen (74175) |
$3,224.90 |
$3,224.90 |
17.7× |
| CTA abdomen pelvis (74174) |
$5,890.60 |
$5,890.60 |
16.3× |
| CTA chest (71275) |
$3,139.64 |
$3,139.64 |
17.2× |
| Cta Head (70496) |
$3,053.97 |
$3,053.97 |
16.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,944 |
$1,944 |
10.7× |
| Cta Neck (70498) |
$2,907.33 |
$2,907.33 |
16.0× |
| Cta Pelvis (72191) |
$2,424 |
$2,424 |
13.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$608 |
$608 |
5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$50 |
$50 |
0.6× |
| Foot 2 views (73620) |
$298.86 |
$298.86 |
3.3× |
| Forearm 2 views (73090) |
$332.16 |
$332.16 |
3.7× |
| Hand 2 views (73120) |
$305 |
$305 |
2.8× |
| Hand 3 views (73130) |
$375.38 |
$375.38 |
4.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,159.85 |
$2,159.85 |
3.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,643.25 |
$1,643.25 |
4.0× |
| Humerus Min 2 Views Left (73060) |
$335 |
$335 |
3.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,041 |
$2,041 |
3.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,200 |
$1,200 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,573 |
$2,573 |
4.6× |
| Knee 3 views (73562) |
$423 |
$423 |
4.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$1,237.50 |
$1,237.50 |
3.0× |
| MRA head w & w/o contrast (70546) |
$4,042.50 |
$4,042.50 |
11.2× |
| MRA head w/o contrast (70544) |
$3,497.11 |
$3,497.11 |
14.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,647.44 |
$4,647.44 |
12.8× |
| MRA neck w/o contrast (70547) |
$4,073.65 |
$4,073.65 |
16.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,249.87 |
$4,249.87 |
11.7× |
| MRI abdomen w/o contrast (74181) |
$3,382.34 |
$3,382.34 |
13.7× |
| MRI c-spine with contrast (72142) |
$3,724.88 |
$3,724.88 |
10.3× |
| MRI cervical spine w/o contrast (72141) |
$3,397.50 |
$3,397.50 |
13.7× |
| MRI chest w/o & w/contrast material (71552) |
$3,045 |
$3,045 |
8.4× |
| MRI chest w/o contrast (71550) |
$2,520 |
$2,520 |
10.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,859.56 |
$2,859.56 |
11.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,331.25 |
$4,331.25 |
17.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,412.24 |
$4,412.24 |
12.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,313.68 |
$4,313.68 |
11.9× |
| MRI pelvis w/o contrast (72195) |
$3,140.16 |
$3,140.16 |
12.7× |
| MRI scan of arm joint before and after contrast (73223) |
$3,696 |
$3,696 |
10.2× |
| MRI scan of leg joint before and after contrast (73723) |
$3,816.94 |
$3,816.94 |
10.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,665.19 |
$4,665.19 |
12.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,636.19 |
$3,636.19 |
10.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,302.38 |
$4,302.38 |
11.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,017.09 |
$4,017.09 |
11.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,302.38 |
$4,302.38 |
11.9× |
| MRI thoracic spine w/o contrast (72146) |
$3,604.07 |
$3,604.07 |
14.5× |
| MRI tmj (70336) |
$2,128 |
$2,128 |
8.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,751.82 |
$2,751.82 |
11.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,070.10 |
$4,070.10 |
11.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,636.45 |
$2,636.45 |
10.6× |
| Myocardial Spect Multiple Studies (78452) |
$5,527 |
$5,527 |
4.1× |
| Neck soft tissue (70360) |
$330 |
$330 |
3.7× |
| Nm gastric emptying study (78264) |
$1,585 |
$1,585 |
3.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$512.82 |
$512.82 |
4.7× |
| Osseous survey infant (77076) |
$455 |
$455 |
4.2× |
| Parathyroid imaging (78070) |
$1,348 |
$1,348 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$339.10 |
$339.10 |
3.1× |
| PET image w/CT, skull-thigh (78815) |
$4,471 |
$4,471 |
3.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,752.69 |
$3,752.69 |
10.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,943.80 |
$3,943.80 |
7.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$605.15 |
$605.15 |
5.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$455.63 |
$455.63 |
4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$422.73 |
$422.73 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$331.49 |
$331.49 |
3.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$375.17 |
$375.17 |
4.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$422.73 |
$422.73 |
4.7× |
| Ribs bilateral 3 views (71110) |
$392.70 |
$392.70 |
3.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,033 |
$2,033 |
3.6× |
| Scapula complete (73010) |
$353.75 |
$353.75 |
3.3× |
| Screening digital breast tomosynthesis (77063) |
$138 |
$138 |
5.9× |
| Spine thoracic 3 views (72072) |
$490.69 |
$490.69 |
4.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,229 |
$1,229 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$751.43 |
$751.43 |
6.9× |
| Unlisted fluoroscopic procedure (76496) |
$652 |
$652 |
7.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$782.46 |
$782.46 |
4.3× |
| Us abdl aorta screen aaa (76706) |
$529.67 |
$529.67 |
4.9× |
| Us breast unilateral complete (76641) |
$243 |
$243 |
2.2× |
| Us breast unilateral limited (76642) |
$206 |
$206 |
2.3× |
| Us chest (76604) |
$498.96 |
$498.96 |
4.6× |
| Us compl joint r-t w/image documentation (76881) |
$679.26 |
$679.26 |
6.3× |
| Us ob transvaginal (76817) |
$473.55 |
$473.55 |
4.4× |
| Us pelvic non ob complete (76856) |
$652.58 |
$652.58 |
6.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$489.72 |
$489.72 |
4.5× |
| Us pregnancy ltd (76815) |
$537.08 |
$537.08 |
4.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$658.35 |
$658.35 |
6.1× |
| Us retroperitoneal complete (76770) |
$731.12 |
$731.12 |
6.7× |
| Us retroperitoneal limited (76775) |
$529.67 |
$529.67 |
4.9× |
| Us scrotum and contents (76870) |
$680.41 |
$680.41 |
6.3× |
| Us soft tissue head/neck (76536) |
$652.58 |
$652.58 |
6.0× |
| Us xtr non-vasc lmtd (76882) |
$636.27 |
$636.27 |
5.9× |
| Wrist 2 views (73100) |
$303.74 |
$303.74 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$606.11 |
$606.11 |
5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$259 |
$259 |
2.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$375.09 |
$375.09 |
4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$305 |
$305 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$382.07 |
$382.07 |
4.2× |
| X-ray exam hip uni 1 view (73501) |
$282.62 |
$282.62 |
3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$351.67 |
$351.67 |
3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$538 |
$538 |
5.0× |
| X-ray eye for foreign body (70030) |
$241.59 |
$241.59 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$430.50 |
$430.50 |
4.0× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$253 |
$253 |
2.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$349.69 |
$349.69 |
3.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$298.86 |
$298.86 |
3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$375.38 |
$375.38 |
4.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$474 |
$474 |
4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$206 |
$206 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$467.05 |
$467.05 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$397.33 |
$397.33 |
4.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$342.50 |
$342.50 |
3.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$410 |
$410 |
3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$369.01 |
$369.01 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$367.26 |
$367.26 |
4.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$389.08 |
$389.08 |
4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$477.50 |
$477.50 |
5.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$343.04 |
$343.04 |
3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$401 |
$401 |
3.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$332.64 |
$332.64 |
3.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$230 |
$230 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$276 |
$276 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$379.05 |
$379.05 |
4.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$387.59 |
$387.59 |
3.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$234 |
$234 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$372.82 |
$372.82 |
4.1× |
| Xr c-spine 6 or more views (72052) |
$625 |
$625 |
5.8× |
| Xr finger(s) 2+ views (73140) |
$246.94 |
$246.94 |
2.7× |
| Xr shoulder 1 view (73020) |
$281.54 |
$281.54 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$534.10 |
$534.10 |
4.9× |
| Xr tibia/fibula 2 views (73590) |
$330 |
$330 |
3.7× |
| Xr tmj bilateral (70330) |
$362 |
$362 |
4.0× |
| Xray knee 1 or 2 views rt (73560) |
$257.68 |
$257.68 |
2.9× |