| Abdomen 2 views (74019) |
$219.24 |
$365.40 |
2.1× |
| Acute gastrointestinal blood loss imaging (78278) |
$930.51 |
$1,550.85 |
2.3× |
| Ankle 2 views (73600) |
$115.92 |
$193.20 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$635.04 |
$1,058.40 |
1.6× |
| Bone &/joint imaging whole body (78306) |
$895.86 |
$1,493.10 |
2.2× |
| Bone age studies (77072) |
$208.53 |
$347.55 |
2.0× |
| Bone Imaging 3 Phase (78315) |
$944.37 |
$1,573.95 |
2.4× |
| Bone survey complete (77075) |
$1,029.42 |
$1,715.70 |
9.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$1,975.68 |
$3,292.80 |
5.6× |
| Cervical spine 2 or 3 views (72040) |
$214.02 |
$356.70 |
2.4× |
| Chest 1 view (71045) |
$174.51 |
$290.85 |
2.0× |
| Chest 3 views (71047) |
$229.32 |
$382.20 |
2.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$850.50 |
$1,417.50 |
4.8× |
| Clavicle complete (73000) |
$200.40 |
$334 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$114.03 |
$190.05 |
1.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,522.14 |
$7,536.90 |
12.9× |
| CT abdomen and pelvis without contrast (74176) |
$2,569.14 |
$4,281.90 |
10.7× |
| CT abdomen w contrast (74160) |
$1,423.80 |
$2,373 |
8.1× |
| CT abdomen w wo contrast (74170) |
$2,915.64 |
$4,859.40 |
16.5× |
| CT abdomen w/o contrast (74150) |
$1,244.88 |
$2,074.80 |
11.9× |
| CT c-spine w/o contrast (72125) |
$1,504.44 |
$2,507.40 |
14.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,629.18 |
$2,715.30 |
9.2× |
| CT cervical spine with contrast (72126) |
$1,572.48 |
$2,620.80 |
4.5× |
| CT chest w/wo contrast (71270) |
$1,626.66 |
$2,711.10 |
9.2× |
| CT chest with contrast (71260) |
$1,451.52 |
$2,419.20 |
8.2× |
| CT head/brain with contrast (70460) |
$1,365.84 |
$2,276.40 |
7.8× |
| CT head/brain without and with contrast (70470) |
$1,715.49 |
$2,859.15 |
9.7× |
| CT iac w contrast (70481) |
$1,423.80 |
$2,373 |
8.1× |
| CT lower ext w/o (73700) |
$1,035.72 |
$1,726.20 |
9.9× |
| CT lower extremity w wo contrast (73702) |
$1,273.23 |
$2,122.05 |
7.2× |
| CT lower extremity with contrast (73701) |
$1,265.67 |
$2,109.45 |
7.2× |
| CT lumbar spine w & w/o contrast (72133) |
$1,563.66 |
$2,606.10 |
8.9× |
| CT lumbar spine w/o contrast (72131) |
$1,504.44 |
$2,507.40 |
14.3× |
| CT lumbar spine with contrast (72132) |
$1,572.48 |
$2,620.80 |
4.5× |
| CT maxillofacial w contrast (70487) |
$1,357.65 |
$2,262.75 |
7.7× |
| CT maxillofacial w/o contrast (70486) |
$1,301.58 |
$2,169.30 |
12.4× |
| CT maxillofacial w/wo contrast (70488) |
$1,559.25 |
$2,598.75 |
8.8× |
| CT neck soft tissue w contrast (70491) |
$1,492.47 |
$2,487.45 |
8.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,544.76 |
$2,574.60 |
8.8× |
| CT orbits w/o contrast (70480) |
$1,253.07 |
$2,088.45 |
11.9× |
| CT pelvis w & w/o contrast (72194) |
$1,687.14 |
$2,811.90 |
9.6× |
| CT pelvis w/o contrast (72192) |
$1,113.21 |
$1,855.35 |
10.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,585.08 |
$2,641.80 |
9.0× |
| CT soft tissue neck w/o contrast (70490) |
$1,367.10 |
$2,278.50 |
13.0× |
| CT thoracic spine w/contrast (72129) |
$1,544.76 |
$2,574.60 |
8.8× |
| CT thoracic spine w/o contrast (72128) |
$1,423.80 |
$2,373 |
13.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,648.08 |
$2,746.80 |
9.4× |
| CT thorax w/o contrast (71250) |
$1,324.26 |
$2,207.10 |
12.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,324.89 |
$2,208.15 |
7.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,129.59 |
$1,882.65 |
10.8× |
| CT upper extremity with contrast (73201) |
$1,207.08 |
$2,011.80 |
3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,152.80 |
$3,588 |
12.2× |
| Cta Abdomen (74175) |
$2,237.76 |
$3,729.60 |
12.7× |
| CTA abdomen pelvis (74174) |
$2,307.06 |
$3,845.10 |
6.6× |
| CTA chest (71275) |
$2,247.84 |
$3,746.40 |
12.8× |
| Cta Head (70496) |
$1,750.14 |
$2,916.90 |
9.9× |
| CTA lwr ext w&w/o contrast (73706) |
$2,252.25 |
$3,753.75 |
12.8× |
| Cta Neck (70498) |
$1,953 |
$3,255 |
11.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$423.36 |
$705.60 |
4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$490.14 |
$816.90 |
5.6× |
| Dxa bone density study axial skeleton (77085) |
$423.36 |
$705.60 |
4.0× |
| Echoencephalography real time imaging (76506) |
$372.96 |
$621.60 |
3.6× |
| Esophagus (74220) |
$350.91 |
$584.85 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$208.53 |
$347.55 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$153 |
$255 |
0.6× |
| Foot 2 views (73620) |
$160.65 |
$267.75 |
1.8× |
| Forearm 2 views (73090) |
$170.73 |
$284.55 |
2.0× |
| Gated Heart Planar Single (78472) |
$921.69 |
$1,536.15 |
2.3× |
| Hand 3 views (73130) |
$189.63 |
$316.05 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,032.57 |
$1,720.95 |
1.9× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$994.77 |
$1,657.95 |
2.5× |
| Ht muscle image spect sing (78451) |
$2,186.10 |
$3,643.50 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$169.47 |
$282.45 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$935.55 |
$1,559.25 |
1.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,181.88 |
$1,969.80 |
2.2× |
| Knee 3 views (73562) |
$202.23 |
$337.05 |
2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$839.16 |
$1,398.60 |
2.1× |
| Lung Ventilation Imaging (78579) |
$759.78 |
$1,266.30 |
1.9× |
| Meckels Diverticulum (78290) |
$766.08 |
$1,276.80 |
1.9× |
| MRA head w & w/o contrast (70546) |
$2,947.77 |
$4,912.95 |
8.4× |
| MRA head w/o contrast (70544) |
$2,092.23 |
$3,487.05 |
8.7× |
| MRA head with contrast (70545) |
$2,390.85 |
$3,984.75 |
6.8× |
| MRA neck w contrast (70548) |
$2,390.85 |
$3,984.75 |
6.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,947.77 |
$4,912.95 |
8.4× |
| MRA neck w/o contrast (70547) |
$2,277.45 |
$3,795.75 |
9.5× |
| MRI abdomen w contrast (74182) |
$2,365.65 |
$3,942.75 |
6.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,352.23 |
$5,587.05 |
9.6× |
| MRI abdomen w/o contrast (74181) |
$2,089.08 |
$3,481.80 |
8.7× |
| MRI any jnt lwr ext with con lt (73722) |
$2,404.71 |
$4,007.85 |
3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,213.82 |
$3,689.70 |
2.8× |
| MRI bone marrow blood supply (77084) |
$1,938.51 |
$3,230.85 |
8.1× |
| MRI c-spine with contrast (72142) |
$2,458.89 |
$4,098.15 |
7.0× |
| MRI cardiac w/o contrast (75557) |
$1,938.51 |
$3,230.85 |
8.1× |
| MRI cervical spine w/o contrast (72141) |
$2,342.97 |
$3,904.95 |
9.8× |
| MRI chest w/o & w/contrast material (71552) |
$3,256.47 |
$5,427.45 |
9.3× |
| MRI chest w/o contrast (71550) |
$2,089.08 |
$3,481.80 |
8.7× |
| MRI chest with contrast (71551) |
$2,449.44 |
$4,082.40 |
3.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,362.50 |
$3,937.50 |
6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,092.23 |
$3,487.05 |
6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,031.12 |
$3,385.20 |
8.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,342.97 |
$3,904.95 |
9.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,323.88 |
$5,539.80 |
9.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,458.89 |
$4,098.15 |
7.0× |
| MRI pelvis w contrast (72196) |
$2,390.85 |
$3,984.75 |
6.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,754.36 |
$4,590.60 |
7.9× |
| MRI pelvis w/o contrast (72195) |
$2,049.39 |
$3,415.65 |
8.6× |
| MRI scan of arm joint before and after contrast (73223) |
$3,419.01 |
$5,698.35 |
9.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,323.88 |
$5,539.80 |
9.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,790.27 |
$4,650.45 |
8.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,595.60 |
$4,326 |
7.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,528 |
$5,880 |
10.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,404.71 |
$4,007.85 |
6.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,702.70 |
$4,504.50 |
7.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,148.93 |
$3,581.55 |
9.0× |
| MRI tmj (70336) |
$2,199.96 |
$3,666.60 |
9.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,109.24 |
$3,515.40 |
8.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,419.01 |
$5,698.35 |
9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,974.42 |
$3,290.70 |
8.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,925.72 |
$4,876.20 |
2.2× |
| Neck soft tissue (70360) |
$176.40 |
$294 |
2.0× |
| Nm gastric emptying study (78264) |
$801.36 |
$1,335.60 |
2.0× |
| Osseous survey infant (77076) |
$317.52 |
$529.20 |
3.0× |
| Parathyrd planar w/wo subtrj (78071) |
$687.33 |
$1,145.55 |
1.7× |
| Pelvis 1 or 2 views (72170) |
$184.59 |
$307.65 |
1.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,258.99 |
$5,431.65 |
9.3× |
| Pr sono bone density measure,peripheral (76977) |
$111.82 |
$186.38 |
1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$723.87 |
$1,206.45 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$823.41 |
$1,372.35 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$189.63 |
$316.05 |
2.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$208.53 |
$347.55 |
2.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$385.56 |
$642.60 |
3.7× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$234.99 |
$391.65 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$241.92 |
$403.20 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$342.09 |
$570.15 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$214.20 |
$357 |
2.5× |
| Radiologic exam colon single contrast study (74270) |
$416.40 |
$694 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$215.46 |
$359.10 |
2.5× |
| Ribs bilateral 3 views (71110) |
$269.01 |
$448.35 |
2.6× |
| Scapula complete (73010) |
$207.90 |
$346.50 |
2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$798.52 |
$1,330.88 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$404.78 |
$674.62 |
3.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$77.20 |
$128.68 |
0.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$460.53 |
$767.55 |
2.6× |
| Us abdl aorta screen aaa (76706) |
$373.59 |
$622.65 |
3.6× |
| Us breast unilateral limited (76642) |
$279.09 |
$465.15 |
3.2× |
| Us chest (76604) |
$216.72 |
$361.20 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$208.53 |
$347.55 |
2.0× |
| Us kidney transplant (76776) |
$350.28 |
$583.80 |
3.3× |
| Us ob transvaginal (76817) |
$432.81 |
$721.35 |
4.1× |
| Us pelvic non ob complete (76856) |
$372.96 |
$621.60 |
3.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$208.53 |
$347.55 |
2.0× |
| Us pregnancy ltd (76815) |
$291.69 |
$486.15 |
2.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$469.98 |
$783.30 |
4.5× |
| Us retroperitoneal complete (76770) |
$439.74 |
$732.90 |
4.2× |
| Us retroperitoneal limited (76775) |
$373.59 |
$622.65 |
3.6× |
| Us scrotum and contents (76870) |
$372.96 |
$621.60 |
3.6× |
| Us soft tissue head/neck (76536) |
$372.96 |
$621.60 |
3.6× |
| Us xtr non-vasc lmtd (76882) |
$372.96 |
$621.60 |
3.6× |
| Vertebral fracture assessment via dxa (77086) |
$194.04 |
$323.40 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$258.93 |
$431.55 |
2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$161.91 |
$269.85 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$202.86 |
$338.10 |
2.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$416.40 |
$694 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$185.22 |
$308.70 |
2.1× |
| X-ray exam hip uni 1 view (73501) |
$160.65 |
$267.75 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$202.86 |
$338.10 |
2.3× |
| X-ray exam of femur 1 (73551) |
$123.60 |
$206 |
1.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$252.63 |
$421.05 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$185.22 |
$308.70 |
2.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$189.63 |
$316.05 |
2.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$160.02 |
$266.70 |
1.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$207.90 |
$346.50 |
2.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$114.03 |
$190.05 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$232.47 |
$387.45 |
2.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$364.14 |
$606.90 |
3.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$277.83 |
$463.05 |
2.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$176.40 |
$294 |
2.0× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$157.50 |
$262.50 |
1.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$219.24 |
$365.40 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$184.59 |
$307.65 |
2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$219.24 |
$365.40 |
2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$209.79 |
$349.65 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$261.45 |
$435.75 |
3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$277.20 |
$462 |
3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$339.57 |
$565.95 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$207.90 |
$346.50 |
2.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$141.12 |
$235.20 |
1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$148.05 |
$246.75 |
1.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$189.63 |
$316.05 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$208.53 |
$347.55 |
2.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$160.65 |
$267.75 |
1.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$252.63 |
$421.05 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$342.09 |
$570.15 |
3.3× |
| Xr finger(s) 2+ views (73140) |
$160.02 |
$266.70 |
1.8× |
| Xr shoulder 1 view (73020) |
$160.65 |
$267.75 |
1.8× |
| Xr spine cervical 4 or 5 views (72050) |
$277.83 |
$463.05 |
2.6× |
| Xr tibia/fibula 2 views (73590) |
$189.63 |
$316.05 |
2.2× |
| Xr tmj bilateral (70330) |
$202.86 |
$338.10 |
2.3× |
| Xray knee 1 or 2 views rt (73560) |
$176.40 |
$294 |
2.0× |