| Abdomen 2 views (74019) |
$620.10 |
$689 |
5.7× |
| Ankle 2 views (73600) |
$363.60 |
$404 |
4.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,593 |
$1,770 |
3.9× |
| Bone &/joint imaging whole body (78306) |
$1,906.20 |
$2,118 |
4.6× |
| Bone Imaging 3 Phase (78315) |
$1,868.40 |
$2,076 |
4.5× |
| Bone survey complete (77075) |
$943.20 |
$1,048 |
8.7× |
| Bone survey infant (77076) |
$684 |
$760 |
6.3× |
| Cervical spine 2 or 3 views (72040) |
$387 |
$430 |
4.3× |
| Chest 1 view (71045) |
$351.90 |
$391 |
3.9× |
| Chest xray 3 views (71047) |
$455.40 |
$506 |
5.1× |
| Clavicle complete (73000) |
$360 |
$400 |
4.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$675 |
$750 |
6.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,037.30 |
$5,597 |
14.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,643.20 |
$4,048 |
14.8× |
| CT abdomen w contrast (74160) |
$2,281.50 |
$2,535 |
12.6× |
| CT abdomen w wo contrast (74170) |
$2,498.40 |
$2,776 |
13.8× |
| CT abdomen w/o contrast (74150) |
$1,886.40 |
$2,096 |
17.5× |
| CT angio lwr extr w/o&w/dye (73706) |
$3,755.70 |
$4,173 |
20.7× |
| CT c-spine w/contrast (72126) |
$2,401.20 |
$2,668 |
6.7× |
| CT c-spine w/o contrast (72125) |
$2,187.90 |
$2,431 |
20.3× |
| CT chest w contrast (71260) |
$2,990.70 |
$3,323 |
16.5× |
| CT chest w/wo contrast (71270) |
$2,998.80 |
$3,332 |
16.6× |
| CT head/brain with contrast (70460) |
$2,265.30 |
$2,517 |
12.5× |
| CT head/brain without and with contrast (70470) |
$2,933.10 |
$3,259 |
16.2× |
| CT iac w contrast (70481) |
$2,502.90 |
$2,781 |
13.8× |
| CT lower ext w/o (73700) |
$2,030.40 |
$2,256 |
18.8× |
| CT lower extremity w wo contrast (73702) |
$4,335.30 |
$4,817 |
23.9× |
| CT lower extremity w/contrast material (73701) |
$2,956.50 |
$3,285 |
16.3× |
| CT lumbar spine w/contrast (72132) |
$2,700 |
$3,000 |
7.5× |
| CT lumbar spine w/o contrast (72131) |
$2,401.20 |
$2,668 |
22.3× |
| CT maxillofacial w contrast (70487) |
$2,071.80 |
$2,302 |
11.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,961 |
$3,290 |
16.4× |
| CT maxillofacial wo contrast (70486) |
$2,071.80 |
$2,302 |
19.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,498.40 |
$2,776 |
13.8× |
| CT orbits w/o contrast (70480) |
$2,186.10 |
$2,429 |
20.3× |
| CT pelvis w/o contrast (72192) |
$2,130.30 |
$2,367 |
19.7× |
| CT pelvis w/wo contrast (72194) |
$5,850 |
$6,500 |
32.3× |
| CT soft tissue neck w contrast (70491) |
$2,450.70 |
$2,723 |
13.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,564.90 |
$3,961 |
19.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,187.90 |
$2,431 |
20.3× |
| CT thoracic spine w/contrast (72129) |
$2,626.20 |
$2,918 |
14.5× |
| CT thoracic spine w/o contrast (72128) |
$2,211.30 |
$2,457 |
20.5× |
| CT thorax w/o contrast (71250) |
$2,466 |
$2,740 |
22.9× |
| CT upper ext wo (73200) |
$2,030.40 |
$2,256 |
18.8× |
| CT upper extremity with contrast (73201) |
$2,157.30 |
$2,397 |
6.0× |
| Cta Abdomen (74175) |
$3,630.60 |
$4,034 |
20.1× |
| CTA abdomen pelvis (74174) |
$4,459.50 |
$4,955 |
12.4× |
| CTA chest (71275) |
$3,216.60 |
$3,574 |
17.8× |
| Cta Head (70496) |
$3,294 |
$3,660 |
18.2× |
| Cta Neck (70498) |
$3,236.40 |
$3,596 |
17.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$641.70 |
$713 |
5.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$344.70 |
$383 |
3.8× |
| Facial bones min 3 views (70150) |
$338.40 |
$376 |
3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$482.40 |
$536 |
4.5× |
| Foot 2 views (73620) |
$348.30 |
$387 |
3.9× |
| Forearm 2 views (73090) |
$357.30 |
$397 |
4.0× |
| Hand 2 views (73120) |
$349.20 |
$388 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,892.70 |
$2,103 |
3.4× |
| Knee 3 views (73562) |
$431.10 |
$479 |
4.8× |
| MRA head w/o contrast (70544) |
$3,280.50 |
$3,645 |
13.3× |
| MRA neck w contrast (70548) |
$4,378.50 |
$4,865 |
12.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,458.60 |
$4,954 |
12.4× |
| MRA neck w/o contrast (70547) |
$1,243.80 |
$1,382 |
5.1× |
| MRI abdomen w contrast (74182) |
$4,198.50 |
$4,665 |
11.7× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,151.70 |
$4,613 |
11.5× |
| MRI abdomen w/o contrast (74181) |
$3,837.60 |
$4,264 |
15.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$3,401.10 |
$3,779 |
4.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$3,486.60 |
$3,874 |
9.7× |
| MRI cervical spine w/o contrast (72141) |
$3,463.20 |
$3,848 |
14.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,651.40 |
$2,946 |
7.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,170.60 |
$4,634 |
11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,072.60 |
$3,414 |
12.5× |
| MRI orbit face neck w contrast (70542) |
$3,406.50 |
$3,785 |
9.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,406.50 |
$3,785 |
9.5× |
| MRI pelvis w/contrast (72196) |
$4,211.10 |
$4,679 |
11.7× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,253.40 |
$4,726 |
11.8× |
| MRI pelvis w/o contrast (72195) |
$3,211.20 |
$3,568 |
13.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,023.80 |
$5,582 |
14.0× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,675.50 |
$5,195 |
13.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,109.30 |
$5,677 |
14.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,023.80 |
$5,582 |
14.0× |
| MRI thoracic spine w/o contrast (72146) |
$3,515.40 |
$3,906 |
14.3× |
| MRI up ext w/o contrast (73218) |
$3,400.20 |
$3,778 |
13.8× |
| MRI upper ext joint w/o contrast (73221) |
$3,486.60 |
$3,874 |
14.2× |
| MRI, joint upper extrem combo (73223) |
$3,400.20 |
$3,778 |
9.4× |
| Neck soft tissue (70360) |
$369 |
$410 |
4.1× |
| Pelvis 1 or 2 views (72170) |
$453.60 |
$504 |
4.2× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$430.20 |
$478 |
4.8× |
| Radex Calcaneus Minimum 2 Views (73650) |
$344.70 |
$383 |
3.8× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$431.10 |
$479 |
4.8× |
| Radex fingr minimum 2 views (73140) |
$348.30 |
$387 |
3.9× |
| Radex Foot Compl Minimum 3 Views (73630) |
$402.30 |
$447 |
4.5× |
| Radex Hand Minimum 3 Views (73130) |
$381.60 |
$424 |
4.2× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$340.20 |
$378 |
3.8× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$476.10 |
$529 |
4.4× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$476.10 |
$529 |
4.4× |
| Radex Humerus Minimum 2 Views (73060) |
$414 |
$460 |
4.6× |
| Radex Kne 1/2 Views (73560) |
$399.60 |
$444 |
4.4× |
| Radex Kne Compl 4/More Views (73564) |
$565.20 |
$628 |
5.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$504.90 |
$561 |
4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$368.10 |
$409 |
4.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$332.10 |
$369 |
3.1× |
| Radex Sho Compl Minimum 2 Views (73030) |
$509.40 |
$566 |
5.7× |
| Radex Sinuses Paransl < 3 Views (70210) |
$261 |
$290 |
2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$292.50 |
$325 |
2.7× |
| Radex Toe Minimum 2 Views (73660) |
$369.90 |
$411 |
4.1× |
| Radex upper extremity infant minimum 2 views (73092) |
$270.90 |
$301 |
2.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$435.60 |
$484 |
4.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$921.60 |
$1,024 |
8.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$620.10 |
$689 |
6.9× |
| Radiologic exam chest 2 views (71046) |
$412.20 |
$458 |
4.6× |
| Radiologic examination femur 1 view (73551) |
$409.50 |
$455 |
4.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$394.20 |
$438 |
4.4× |
| Ribs bilateral 3 views (71110) |
$787.50 |
$875 |
7.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,436.10 |
$4,929 |
7.9× |
| Scapula (73010) |
$388.80 |
$432 |
3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$104.40 |
$116 |
4.5× |
| Shoulder 1 view (73020) |
$339.30 |
$377 |
3.8× |
| Spine thoracic 3 views (72072) |
$603 |
$670 |
5.6× |
| Thoracolumbar 2 views (72080) |
$511.20 |
$568 |
5.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,890 |
$2,100 |
4.6× |
| Tmj unilateral (70328) |
$288 |
$320 |
3.2× |
| Ultrasound Exam Aaa Screen (76706) |
$495.90 |
$551 |
4.6× |
| Ultrasound, abdomen limited (76705) |
$442.80 |
$492 |
4.1× |
| Umbilical-artery Doppler (OB) (76820) |
$198.90 |
$221 |
1.8× |
| Us chest (76604) |
$682.20 |
$758 |
6.3× |
| Us compl joint r-t w/image documentation (76881) |
$508.50 |
$565 |
4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$569.70 |
$633 |
5.3× |
| Us ob limited (76815) |
$409.50 |
$455 |
3.8× |
| Us ob transvaginal (76817) |
$592.20 |
$658 |
5.5× |
| Us pelvic non ob complete (76856) |
$531.90 |
$591 |
4.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$422.10 |
$469 |
3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$620.10 |
$689 |
5.7× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$418.50 |
$465 |
3.9× |
| Us retroperitoneal complete (76770) |
$594 |
$660 |
5.5× |
| Us retroperitoneal limited (76775) |
$594 |
$660 |
5.5× |
| Us scrotum and contents (76870) |
$569.70 |
$633 |
5.3× |
| Us soft tissue head/neck (76536) |
$490.50 |
$545 |
4.5× |
| Wrist 2 views (73100) |
$376.20 |
$418 |
4.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$796.50 |
$885 |
7.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$539.10 |
$599 |
6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$361.80 |
$402 |
4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$408.60 |
$454 |
4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$408.60 |
$454 |
3.8× |
| X-ray exam of femur 2/> (73552) |
$520.20 |
$578 |
5.8× |
| X-ray eye for foreign body (70030) |
$260.10 |
$289 |
2.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$338.40 |
$376 |
3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$112.50 |
$125 |
1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$376.20 |
$418 |
4.2× |
| X-ray leg, infant (73592) |
$257.40 |
$286 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$435.60 |
$484 |
4.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$882 |
$980 |
8.2× |
| X-ray nose-rectum child f.b. (76010) |
$388.80 |
$432 |
4.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$333.90 |
$371 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$363.60 |
$404 |
4.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$468.90 |
$521 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$774.90 |
$861 |
7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$274.50 |
$305 |
2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$387 |
$430 |
4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$769.50 |
$855 |
8.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$560.70 |
$623 |
5.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$321.30 |
$357 |
3.0× |
| X-Ray Spine One View - Xr Spine (72020) |
$242.10 |
$269 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$453.60 |
$504 |
5.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$504 |
$560 |
4.7× |
| Xr c-spine 4 or 5 views (72050) |
$572.40 |
$636 |
5.3× |
| Xr c-spine 6 or more views (72052) |
$684 |
$760 |
6.3× |