| Abdomen 2 views (74019) |
$219 |
$219 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$1,100 |
$1,100 |
3.0× |
| Bone Imaging 3 Phase (78315) |
$803 |
$803 |
2.2× |
| Bone survey complete (77075) |
$813.21 |
$813.21 |
8.5× |
| Cervical spine 2 or 3 views (72040) |
$205.32 |
$205.32 |
2.6× |
| Chest 1 view (71045) |
$198.45 |
$198.45 |
2.5× |
| Clavicle complete (73000) |
$183.53 |
$183.53 |
2.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,475 |
$2,475 |
7.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,100 |
$1,100 |
5.0× |
| CT abdomen w contrast (74160) |
$1,375 |
$1,375 |
8.5× |
| CT abdomen w/o contrast (74150) |
$1,100 |
$1,100 |
11.4× |
| CT c-spine w/o contrast (72125) |
$1,100 |
$1,100 |
11.4× |
| CT chest w/wo contrast (71270) |
$2,475 |
$2,475 |
15.3× |
| CT chest with contrast (71260) |
$1,375 |
$1,375 |
8.5× |
| CT head/brain with contrast (70460) |
$1,375 |
$1,375 |
8.5× |
| CT head/brain without and with contrast (70470) |
$2,475 |
$2,475 |
15.3× |
| CT lower ext w/o (73700) |
$1,100 |
$1,100 |
11.4× |
| CT lumbar spine w/o contrast (72131) |
$1,100 |
$1,100 |
11.4× |
| CT maxillofacial w/o contrast (70486) |
$1,100 |
$1,100 |
11.4× |
| CT neck soft tissue w contrast (70491) |
$1,375 |
$1,375 |
8.5× |
| CT orbits w/o contrast (70480) |
$1,100 |
$1,100 |
11.4× |
| CT pelvis w/o contrast (72192) |
$1,100 |
$1,100 |
11.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,475 |
$2,475 |
15.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,100 |
$1,100 |
11.4× |
| CT thoracic spine w/o contrast (72128) |
$1,100 |
$1,100 |
11.4× |
| CT thorax w/o contrast (71250) |
$1,100 |
$1,100 |
11.4× |
| CT upper extremity w/o contrast rt (73200) |
$1,100 |
$1,100 |
11.4× |
| CTA abdomen pelvis (74174) |
$2,736.56 |
$2,736.56 |
8.5× |
| CTA chest (71275) |
$1,375 |
$1,375 |
8.5× |
| Dxa bone density study 1/> sites axial skel (77080) |
$266.50 |
$266.50 |
2.8× |
| Fluoroscopy up to 1 hr (76000) |
$376.02 |
$376.02 |
1.7× |
| Forearm 2 views (73090) |
$199.94 |
$199.94 |
2.5× |
| Hand 3 views (73130) |
$219.34 |
$219.34 |
2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,770 |
$1,770 |
3.5× |
| Humerus Min 2 Views Left (73060) |
$220.83 |
$220.83 |
2.8× |
| Knee 3 views (73562) |
$240.23 |
$240.23 |
3.0× |
| MRA head w/o contrast (70544) |
$1,770 |
$1,770 |
8.1× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,300 |
$3,300 |
10.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,200 |
$2,200 |
3.1× |
| MRI cervical spine w/o contrast (72141) |
$2,535 |
$2,535 |
11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,770 |
$1,770 |
8.1× |
| MRI pelvis w/o contrast (72195) |
$1,770 |
$1,770 |
8.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,300 |
$3,300 |
10.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,770 |
$1,770 |
8.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,770 |
$1,770 |
8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,770 |
$1,770 |
8.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,000 |
$2,000 |
1.7× |
| Neck soft tissue (70360) |
$207.41 |
$207.41 |
2.6× |
| Nm gastric emptying study (78264) |
$812 |
$812 |
2.2× |
| Parathyrd planar w/wo subtrj (78071) |
$1,250 |
$1,250 |
3.4× |
| Pelvis 1 or 2 views (72170) |
$202.93 |
$202.93 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$216.36 |
$216.36 |
2.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$189.29 |
$189.29 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$528.21 |
$528.21 |
6.6× |
| Ultrasound, abdomen limited (76705) |
$422 |
$422 |
4.4× |
| Us abdl aorta screen aaa (76706) |
$422 |
$422 |
4.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$165.43 |
$165.43 |
1.7× |
| Us retroperitoneal complete (76770) |
$412 |
$412 |
4.3× |
| Us retroperitoneal limited (76775) |
$375 |
$375 |
3.9× |
| Us scrotum and contents (76870) |
$265 |
$265 |
2.8× |
| Us soft tissue head/neck (76536) |
$772.01 |
$772.01 |
8.0× |
| Us xtr non-vasc lmtd (76882) |
$210 |
$210 |
2.2× |
| Wrist 2 views (73100) |
$155.18 |
$155.18 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$223.82 |
$223.82 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$182.04 |
$182.04 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$247 |
$247 |
3.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$305 |
$305 |
3.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$216.36 |
$216.36 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$183.53 |
$183.53 |
2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$361 |
$361 |
4.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$347.67 |
$347.67 |
3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$224.42 |
$224.42 |
2.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$237.25 |
$237.25 |
3.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$265 |
$265 |
2.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$256.65 |
$256.65 |
2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$229.79 |
$229.79 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$225.31 |
$225.31 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$311.85 |
$311.85 |
3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$338.71 |
$338.71 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$229.79 |
$229.79 |
2.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$373.92 |
$373.92 |
4.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$232.77 |
$232.77 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$219 |
$219 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$173.09 |
$173.09 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$229.79 |
$229.79 |
2.9× |
| Xr c-spine 6 or more views (72052) |
$435.70 |
$435.70 |
4.5× |
| Xr finger(s) 2+ views (73140) |
$170.10 |
$170.10 |
2.1× |
| Xr shoulder 1 view (73020) |
$170.10 |
$170.10 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$677.83 |
$677.83 |
7.0× |
| Xr tibia/fibula 2 views (73590) |
$228.30 |
$228.30 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$173.09 |
$173.09 |
2.2× |