| Abdomen 2 views (74019) |
$114.50 |
$229 |
1.1× |
| Ankle 2 views (73600) |
$64.50 |
$129 |
0.8× |
| Cervical spine 2 or 3 views (72040) |
$132.50 |
$265 |
1.6× |
| Chest 1 view (71045) |
$80 |
$160 |
1.0× |
| Clavicle complete (73000) |
$73.50 |
$147 |
0.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,166 |
$2,332 |
3.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,112.50 |
$2,225 |
4.9× |
| CT abdomen w contrast (74160) |
$847 |
$1,694 |
5.1× |
| CT abdomen w wo contrast (74170) |
$958 |
$1,916 |
5.7× |
| CT abdomen w/o contrast (74150) |
$652 |
$1,304 |
6.5× |
| CT c-spine w/o contrast (72125) |
$677.50 |
$1,355 |
6.8× |
| CT chest w/wo contrast (71270) |
$1,032 |
$2,064 |
6.2× |
| CT chest with contrast (71260) |
$776.50 |
$1,553 |
4.6× |
| CT head/brain without and with contrast (70470) |
$795 |
$1,590 |
4.7× |
| CT lower ext w/o (73700) |
$725 |
$1,450 |
7.3× |
| CT lower extremity w wo contrast (73702) |
$757.50 |
$1,515 |
4.5× |
| CT lumbar spine w/o contrast (72131) |
$688 |
$1,376 |
6.9× |
| CT maxillofacial w contrast (70487) |
$725 |
$1,450 |
4.3× |
| CT maxillofacial w/o contrast (70486) |
$688 |
$1,376 |
6.9× |
| CT neck soft tissue w contrast (70491) |
$847 |
$1,694 |
5.1× |
| CT pelvis w/o contrast (72192) |
$688 |
$1,376 |
6.9× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$208.50 |
$417 |
2.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$887 |
$1,774 |
5.3× |
| CT soft tissue neck w/o contrast (70490) |
$749 |
$1,498 |
7.5× |
| CT thoracic spine w/o contrast (72128) |
$638 |
$1,276 |
6.4× |
| CT thorax w/o contrast (71250) |
$643 |
$1,286 |
6.4× |
| CT upper extremity w/o contrast rt (73200) |
$596 |
$1,192 |
6.0× |
| CTA chest (71275) |
$1,019.50 |
$2,039 |
6.1× |
| Forearm 2 views (73090) |
$76 |
$152 |
0.9× |
| Hand 2 views (73120) |
$73.50 |
$147 |
0.7× |
| Hand 3 views (73130) |
$104 |
$208 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$73 |
$146 |
0.9× |
| Knee 3 views (73562) |
$80 |
$160 |
1.0× |
| Neck soft tissue (70360) |
$81.50 |
$163 |
1.0× |
| Pelvis 1 or 2 views (72170) |
$73 |
$146 |
0.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$113.25 |
$226.50 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$200.50 |
$401 |
2.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$80.50 |
$161 |
1.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$95 |
$190 |
1.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$79 |
$158 |
1.0× |
| Ribs bilateral 3 views (71110) |
$264.50 |
$529 |
2.7× |
| Scapula complete (73010) |
$73 |
$146 |
0.7× |
| Ultrasound, abdomen limited (76705) |
$211.50 |
$423 |
2.1× |
| Us abdl aorta screen aaa (76706) |
$211.50 |
$423 |
2.1× |
| Us compl joint r-t w/image documentation (76881) |
$215 |
$430 |
2.2× |
| Us pelvic non ob complete (76856) |
$191.50 |
$383 |
1.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$134 |
$268 |
1.3× |
| Us retroperitoneal limited (76775) |
$211.50 |
$423 |
2.1× |
| Us scrotum and contents (76870) |
$212.50 |
$425 |
2.1× |
| Us soft tissue head/neck (76536) |
$273 |
$546 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$215 |
$430 |
2.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$132.50 |
$265 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$96.50 |
$193 |
1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$65.50 |
$131 |
0.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$80.50 |
$161 |
1.0× |
| X-ray exam hip uni 1 view (73501) |
$40.50 |
$81 |
0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$101 |
$202 |
1.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$83 |
$166 |
0.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$112 |
$224 |
1.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$65.50 |
$131 |
0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$76 |
$152 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$86.50 |
$173 |
0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$101.50 |
$203 |
1.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$66 |
$132 |
0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$87 |
$174 |
0.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$132.50 |
$265 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$73.50 |
$147 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$79 |
$158 |
1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$81.50 |
$163 |
1.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$79 |
$158 |
0.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$73 |
$146 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$81.50 |
$163 |
0.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$58 |
$116 |
0.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$121.50 |
$243 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$58 |
$116 |
0.7× |
| Xr spine cervical 4 or 5 views (72050) |
$182.50 |
$365 |
1.8× |
| Xr tibia/fibula 2 views (73590) |
$73.50 |
$147 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$73.50 |
$147 |
0.9× |