| Abdomen 2 views (74019) |
$1,587 |
$1,587 |
15.6× |
| Ankle 2 views (73600) |
$1,159 |
$1,159 |
13.6× |
| Arthrogram shoulder (73040) |
$2,526 |
$2,526 |
7.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$995 |
$995 |
2.6× |
| Bone &/joint imaging whole body (78306) |
$4,866 |
$4,866 |
12.5× |
| Bone Imaging 3 Phase (78315) |
$3,660 |
$3,660 |
9.4× |
| Bone survey complete (77075) |
$1,184 |
$1,184 |
11.6× |
| Bone survey infant (77076) |
$679 |
$679 |
6.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$4,117 |
$4,117 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$1,078 |
$1,078 |
12.7× |
| Chest 1 view (71045) |
$1,063 |
$1,063 |
12.5× |
| Clavicle complete (73000) |
$951 |
$951 |
11.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$545 |
$545 |
5.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$12,372 |
$12,372 |
36.3× |
| CT abdomen and pelvis without contrast (74176) |
$10,162 |
$10,162 |
43.7× |
| CT abdomen w contrast (74160) |
$5,970 |
$5,970 |
34.9× |
| CT abdomen w wo contrast (74170) |
$6,723 |
$6,723 |
39.3× |
| CT abdomen w/o contrast (74150) |
$5,311 |
$5,311 |
52.1× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,575 |
$3,575 |
20.9× |
| CT angiography upper extremity lt (73206) |
$3,576 |
$3,576 |
20.9× |
| CT c-spine w/contrast (72126) |
$4,225 |
$4,225 |
12.4× |
| CT c-spine w/o contrast (72125) |
$6,281 |
$6,281 |
61.6× |
| CT cere prfu aly c+wo CT/CTA (70473) |
$3,563 |
$3,563 |
20.8× |
| CT chest w contrast (71260) |
$6,995 |
$6,995 |
40.9× |
| CT chest w/wo contrast (71270) |
$7,325 |
$7,325 |
42.8× |
| CT head/brain with contrast (70460) |
$6,789 |
$6,789 |
39.7× |
| CT head/brain without and with contrast (70470) |
$7,793 |
$7,793 |
45.5× |
| CT iac w contrast (70481) |
$4,798 |
$4,798 |
28.0× |
| CT limited/localized follow up study (76380) |
$2,482 |
$2,482 |
29.2× |
| CT lower ext w/o (73700) |
$5,921 |
$5,921 |
58.0× |
| CT lower extremity w wo contrast (73702) |
$6,789 |
$6,789 |
39.7× |
| CT lower extremity w/contrast material (73701) |
$6,049 |
$6,049 |
35.3× |
| CT lumbar spine w & w/o contrast (72133) |
$8,737 |
$8,737 |
51.1× |
| CT lumbar spine w/contrast (72132) |
$4,999 |
$4,999 |
14.7× |
| CT lumbar spine w/o contrast (72131) |
$7,559 |
$7,559 |
74.1× |
| CT maxillofacial w contrast (70487) |
$9,256 |
$9,256 |
54.1× |
| CT maxillofacial w/wo contrast (70488) |
$4,040.28 |
$4,040.28 |
23.6× |
| CT maxillofacial wo contrast (70486) |
$5,793 |
$5,793 |
56.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$5,441 |
$5,441 |
31.8× |
| CT orbits w/o contrast (70480) |
$4,891 |
$4,891 |
48.0× |
| CT pelvis w/o contrast (72192) |
$4,849 |
$4,849 |
47.5× |
| CT pelvis w/wo contrast (72194) |
$5,654 |
$5,654 |
33.0× |
| CT scan of arm combo (73202) |
$6,330 |
$6,330 |
37.0× |
| CT soft tissue neck w contrast (70491) |
$5,979 |
$5,979 |
34.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$6,129 |
$6,129 |
35.8× |
| CT soft tissue neck w/o contrast (70490) |
$5,075 |
$5,075 |
49.8× |
| CT thoracic spine w/contrast (72129) |
$7,559 |
$7,559 |
44.2× |
| CT thoracic spine w/o contrast (72128) |
$6,856 |
$6,856 |
67.2× |
| CT thorax w/o contrast (71250) |
$6,248 |
$6,248 |
61.3× |
| CT upper ext wo (73200) |
$5,537 |
$5,537 |
54.3× |
| CT upper extremity with contrast (73201) |
$5,670 |
$5,670 |
16.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$5,819 |
$5,819 |
34.0× |
| Cta Abdomen (74175) |
$4,697 |
$4,697 |
27.4× |
| CTA abdomen pelvis (74174) |
$3,000 |
$3,000 |
8.8× |
| CTA chest (71275) |
$6,049 |
$6,049 |
35.3× |
| Cta Head (70496) |
$4,981 |
$4,981 |
29.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$9,962 |
$9,962 |
29.3× |
| Cta Neck (70498) |
$4,981 |
$4,981 |
29.1× |
| Cystography minimum 3 views rs&i (74430) |
$1,703 |
$1,703 |
5.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,918 |
$1,918 |
18.8× |
| Esophagus (74220) |
$1,063 |
$1,063 |
6.2× |
| Facial bones min 3 views (70150) |
$1,132 |
$1,132 |
11.1× |
| Fluoroscopy up to 1 hr (76000) |
$2,310 |
$2,310 |
9.9× |
| Foot 2 views (73620) |
$1,229 |
$1,229 |
14.5× |
| Forearm 2 views (73090) |
$1,509 |
$1,509 |
17.8× |
| Hand 2 views (73120) |
$1,274 |
$1,274 |
12.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$6,940 |
$6,940 |
13.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$6,940 |
$6,940 |
17.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$6,250 |
$6,250 |
11.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,284 |
$5,284 |
10.0× |
| Knee 3 views (73562) |
$1,746 |
$1,746 |
20.6× |
| Lung perf&ventilat diferentl (78598) |
$13,284 |
$13,284 |
25.1× |
| Lymphoscintigraphy (78195) |
$4,866 |
$4,866 |
9.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$10,848 |
$10,848 |
14.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$11,491 |
$11,491 |
33.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$67 |
$67 |
2.4× |
| MRA head w & w/o contrast (70546) |
$15,247 |
$15,247 |
44.8× |
| MRA head w/o contrast (70544) |
$7,791 |
$7,791 |
33.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$15,247 |
$15,247 |
44.8× |
| MRA neck w/o contrast (70547) |
$7,791 |
$7,791 |
33.5× |
| MRI abdomen w contrast (74182) |
$12,825 |
$12,825 |
37.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$17,073 |
$17,073 |
50.2× |
| MRI abdomen w/o contrast (74181) |
$11,289 |
$11,289 |
48.5× |
| MRI any jt lower extrem w/contrast material (73722) |
$2,134 |
$2,134 |
2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$17,024 |
$17,024 |
50.0× |
| MRI c-spine with contrast (72142) |
$12,034 |
$12,034 |
35.4× |
| MRI cervical spine w/o contrast (72141) |
$11,241 |
$11,241 |
48.3× |
| MRI chest w/o & w/contrast material (71552) |
$16,929 |
$16,929 |
49.7× |
| MRI chest w/o contrast (71550) |
$8,001 |
$8,001 |
34.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$11,491 |
$11,491 |
33.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$10,363 |
$10,363 |
44.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$11,182 |
$11,182 |
48.0× |
| MRI orbit face neck w contrast (70542) |
$9,198 |
$9,198 |
27.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$17,024 |
$17,024 |
50.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$17,073 |
$17,073 |
50.2× |
| MRI pelvis w/o contrast (72195) |
$7,710 |
$7,710 |
33.1× |
| MRI spectroscopy (76390) |
$4,004 |
$4,004 |
47.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$17,753 |
$17,753 |
52.2× |
| MRI spinal canal lumbar w/contrast material (72149) |
$12,309 |
$12,309 |
36.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$17,753 |
$17,753 |
52.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$17,753 |
$17,753 |
52.2× |
| MRI temporomandibular joint (70336) |
$8,001 |
$8,001 |
34.4× |
| MRI thoracic spine w/o contrast (72146) |
$11,850 |
$11,850 |
50.9× |
| MRI up ext w/o contrast (73218) |
$10,363 |
$10,363 |
44.5× |
| MRI upper ext joint w/o contrast (73221) |
$10,363 |
$10,363 |
44.5× |
| MRI, joint upper extrem combo (73223) |
$17,024 |
$17,024 |
50.0× |
| Myelogram Lumbar (72265) |
$1,911 |
$1,911 |
2.5× |
| Myocardial Spect Multiple Studies (78452) |
$12,867 |
$12,867 |
10.2× |
| Myocardial spect single study at rest or stress (78451) |
$5,141 |
$5,141 |
4.1× |
| Neck soft tissue (70360) |
$903 |
$903 |
10.6× |
| Nm gastric emptying study (78264) |
$3,919 |
$3,919 |
10.0× |
| Nuclear Rx Oral Admin (79005) |
$1,751 |
$1,751 |
7.7× |
| Parathyrd planar w/spect&CT (78072) |
$4,949 |
$4,949 |
9.3× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$1,085 |
$1,085 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$984 |
$984 |
9.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$2,902 |
$2,902 |
7.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$4,113 |
$4,113 |
7.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,304 |
$1,304 |
15.4× |
| Radex Calcaneus Minimum 2 Views (73650) |
$637 |
$637 |
7.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$865.08 |
$865.08 |
10.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,493 |
$1,493 |
17.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$2,112 |
$2,112 |
20.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) |
$2,783 |
$2,783 |
27.3× |
| Radex fingr minimum 2 views (73140) |
$645 |
$645 |
7.6× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,419 |
$1,419 |
16.7× |
| Radex Hand Minimum 3 Views (73130) |
$680 |
$680 |
8.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$475 |
$475 |
5.6× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$728 |
$728 |
7.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$728 |
$728 |
7.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$728 |
$728 |
7.1× |
| Radex Humerus Minimum 2 Views (73060) |
$940 |
$940 |
11.1× |
| Radex Kne 1/2 Views (73560) |
$1,421 |
$1,421 |
16.7× |
| Radex Kne Compl 4/More Views (73564) |
$1,911 |
$1,911 |
18.7× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$903 |
$903 |
8.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$640 |
$640 |
7.5× |
| Radex Sho Compl Minimum 2 Views (73030) |
$829 |
$829 |
9.8× |
| Radex Sinuses Paransl < 3 Views (70210) |
$759 |
$759 |
8.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,271 |
$1,271 |
15.0× |
| Radex Toe Minimum 2 Views (73660) |
$637 |
$637 |
7.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,419 |
$1,419 |
16.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$2,783 |
$2,783 |
27.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,383 |
$1,383 |
16.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,984 |
$1,984 |
19.5× |
| Radiologic exam chest 2 views (71046) |
$1,294 |
$1,294 |
15.2× |
| Radiologic exam colon single contrast study (74270) |
$1,245 |
$1,245 |
7.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,754 |
$3,754 |
21.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,632 |
$3,632 |
21.2× |
| Radiologic examination femur 1 view (73551) |
$732 |
$732 |
8.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,419 |
$1,419 |
16.7× |
| Radiological examination surgical specimen (76098) |
$1,598 |
$1,598 |
3.0× |
| Ribs bilateral 3 views (71110) |
$1,112 |
$1,112 |
10.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$4,743 |
$4,743 |
9.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,035 |
$4,035 |
7.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$5,532 |
$5,532 |
10.4× |
| Rp Therapy Intravenous Administration (79101) |
$1,362 |
$1,362 |
6.0× |
| Scapula (73010) |
$592 |
$592 |
5.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$82 |
$82 |
3.5× |
| Shoulder 1 view (73020) |
$475 |
$475 |
5.6× |
| Small bowel series (74250) |
$2,928 |
$2,928 |
17.1× |
| Spine thoracic 3 views (72072) |
$1,257 |
$1,257 |
12.3× |
| Thoracolumbar 2 views (72080) |
$747 |
$747 |
8.8× |
| Thyroid uptake measurement (78012) |
$5,184 |
$5,184 |
13.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,081 |
$4,081 |
10.5× |
| Ultrasound breast complete (76641) |
$1,382 |
$1,382 |
13.5× |
| Ultrasound Exam Aaa Screen (76706) |
$576 |
$576 |
5.6× |
| Ultrasound, abdomen limited (76705) |
$1,545.08 |
$1,545.08 |
15.1× |
| Urethrocystogram voiding (74455) |
$1,170 |
$1,170 |
5.0× |
| Us breast unilateral limited (76642) |
$692 |
$692 |
8.1× |
| Us chest (76604) |
$1,737.68 |
$1,737.68 |
17.0× |
| Us compl joint r-t w/image documentation (76881) |
$1,573 |
$1,573 |
15.4× |
| Us elastography parenchyma (76981) |
$600 |
$600 |
5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$256 |
$256 |
2.5× |
| Us ob limited (76815) |
$1,545 |
$1,545 |
15.1× |
| Us pelvic non ob complete (76856) |
$2,501 |
$2,501 |
24.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,545 |
$1,545 |
15.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,483 |
$1,483 |
14.5× |
| Us retroperitoneal complete (76770) |
$2,561 |
$2,561 |
25.1× |
| Us retroperitoneal limited (76775) |
$1,944 |
$1,944 |
19.1× |
| Us scrotum and contents (76870) |
$1,997 |
$1,997 |
19.6× |
| Us soft tissue head/neck (76536) |
$1,812 |
$1,812 |
17.8× |
| Venogram Extremity Unilateral (75820) |
$2,849.50 |
$2,849.50 |
1.9× |
| Venography caval inferior serialography rs&i (75825) |
$9,077 |
$9,077 |
2.9× |
| Wrist 2 views (73100) |
$1,274 |
$1,274 |
15.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$297 |
$297 |
2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$985 |
$985 |
11.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,964 |
$3,964 |
23.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$660 |
$660 |
7.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$943 |
$943 |
11.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$728 |
$728 |
7.1× |
| X-ray exam of femur 2/> (73552) |
$1,466 |
$1,466 |
17.3× |
| X-ray eye for foreign body (70030) |
$442 |
$442 |
5.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$843 |
$843 |
9.9× |
| X-ray IV pyelogram (ivp) (74400) |
$1,229 |
$1,229 |
7.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$792 |
$792 |
9.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,041 |
$1,041 |
10.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,634 |
$1,634 |
16.0× |
| X-ray nose-rectum child f.b. (76010) |
$352 |
$352 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,064 |
$1,064 |
10.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$951 |
$951 |
11.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,319 |
$1,319 |
12.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,547 |
$1,547 |
15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$865 |
$865 |
8.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,023 |
$1,023 |
12.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,327 |
$1,327 |
15.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$1,089 |
$1,089 |
10.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,089 |
$1,089 |
10.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$912 |
$912 |
10.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$701 |
$701 |
8.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,063 |
$1,063 |
12.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,069 |
$1,069 |
10.5× |
| Xr bone length studies (77073) |
$1,346 |
$1,346 |
13.2× |
| Xr c-spine 4 or 5 views (72050) |
$1,339 |
$1,339 |
13.1× |
| Xr c-spine 6 or more views (72052) |
$1,803 |
$1,803 |
17.7× |
| Xr chest 4+ views (71048) |
$2,136 |
$2,136 |
20.9× |
| Xr urogram antegrade (74425) |
$1,170 |
$1,170 |
3.4× |