| Abdomen 2 views (74019) |
$428 |
$428 |
3.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$2,023 |
$2,023 |
4.9× |
| Ankle 2 views (73600) |
$287 |
$287 |
3.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,473 |
$1,473 |
3.5× |
| Bone &/joint imaging whole body (78306) |
$2,491 |
$2,491 |
6.0× |
| Bone age studies (77072) |
$421 |
$421 |
3.9× |
| Bone Imaging 3 Phase (78315) |
$2,833 |
$2,833 |
6.8× |
| Bone survey complete (77075) |
$1,000 |
$1,000 |
9.2× |
| Cervical spine 2 or 3 views (72040) |
$385 |
$385 |
4.3× |
| Chest 1 view (71045) |
$308 |
$308 |
3.4× |
| Chest 3 views (71047) |
$485 |
$485 |
5.4× |
| Clavicle complete (73000) |
$339 |
$339 |
3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$762 |
$762 |
7.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,065 |
$4,065 |
11.2× |
| CT abdomen and pelvis without contrast (74176) |
$3,405 |
$3,405 |
13.7× |
| CT abdomen w contrast (74160) |
$3,172 |
$3,172 |
17.4× |
| CT abdomen w wo contrast (74170) |
$3,392 |
$3,392 |
18.6× |
| CT abdomen w/o contrast (74150) |
$2,742 |
$2,742 |
25.3× |
| CT c-spine w/o contrast (72125) |
$3,070 |
$3,070 |
28.3× |
| CT chest w/wo contrast (71270) |
$2,660 |
$2,660 |
14.6× |
| CT chest with contrast (71260) |
$2,430 |
$2,430 |
13.3× |
| CT head/brain with contrast (70460) |
$2,449 |
$2,449 |
13.4× |
| CT head/brain without and with contrast (70470) |
$2,655 |
$2,655 |
14.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$125 |
$125 |
1.4× |
| CT iac w contrast (70481) |
$3,438 |
$3,438 |
18.9× |
| CT lower ext w/o (73700) |
$2,731 |
$2,731 |
25.2× |
| CT lower extremity w wo contrast (73702) |
$3,381 |
$3,381 |
18.6× |
| CT lower extremity with contrast (73701) |
$3,166 |
$3,166 |
17.4× |
| CT lumbar spine w/o contrast (72131) |
$2,970 |
$2,970 |
27.4× |
| CT maxillofacial w contrast (70487) |
$2,764 |
$2,764 |
15.2× |
| CT maxillofacial w/o contrast (70486) |
$2,329 |
$2,329 |
21.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,979 |
$2,979 |
16.4× |
| CT neck soft tissue w contrast (70491) |
$3,249 |
$3,249 |
17.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,653 |
$3,653 |
20.1× |
| CT orbits w/o contrast (70480) |
$3,003 |
$3,003 |
27.7× |
| CT pelvis w & w/o contrast (72194) |
$3,537 |
$3,537 |
19.4× |
| CT pelvis w/o contrast (72192) |
$2,887 |
$2,887 |
26.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,464 |
$3,464 |
19.0× |
| CT soft tissue neck w/o contrast (70490) |
$2,814 |
$2,814 |
25.9× |
| CT thoracic spine w/o contrast (72128) |
$3,094 |
$3,094 |
28.5× |
| CT thorax w/o contrast (71250) |
$1,998 |
$1,998 |
18.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,321 |
$3,321 |
18.2× |
| CT upper extremity w/o contrast rt (73200) |
$2,671 |
$2,671 |
24.6× |
| CT upper extremity with contrast (73201) |
$3,106 |
$3,106 |
8.6× |
| Cta Abdomen (74175) |
$4,083 |
$4,083 |
22.4× |
| CTA abdomen pelvis (74174) |
$3,964 |
$3,964 |
10.9× |
| CTA chest (71275) |
$4,466 |
$4,466 |
24.5× |
| Cta Head (70496) |
$2,742 |
$2,742 |
15.1× |
| Cta Neck (70498) |
$2,923 |
$2,923 |
16.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$526 |
$526 |
4.8× |
| Esophagus (74220) |
$766 |
$766 |
4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$434.50 |
$434.50 |
4.0× |
| Fluoroscopy up to 1 hr (76000) |
$772 |
$772 |
3.1× |
| Foot 2 views (73620) |
$281 |
$281 |
3.1× |
| Forearm 2 views (73090) |
$332 |
$332 |
3.7× |
| Gated Heart Planar Single (78472) |
$2,321 |
$2,321 |
5.6× |
| Hand 2 views (73120) |
$267 |
$267 |
2.5× |
| Hand 3 views (73130) |
$367 |
$367 |
4.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,331 |
$2,331 |
4.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,980 |
$1,980 |
4.8× |
| Ht muscle image spect sing (78451) |
$5,116 |
$5,116 |
3.8× |
| Humerus Min 2 Views Left (73060) |
$367 |
$367 |
4.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,924 |
$1,924 |
3.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,452 |
$2,452 |
4.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,656 |
$2,656 |
4.7× |
| Knee 3 views (73562) |
$415 |
$415 |
4.6× |
| Liver & spleen imaging static only (78215) |
$1,733 |
$1,733 |
4.2× |
| Lung perf&ventilat diferentl (78598) |
$2,517 |
$2,517 |
4.5× |
| Lung perfusion differential (78597) |
$2,025 |
$2,025 |
4.9× |
| Lymphoscintigraphy (78195) |
$2,508 |
$2,508 |
4.4× |
| Meckels Diverticulum (78290) |
$2,043 |
$2,043 |
4.9× |
| MRA head w & w/o contrast (70546) |
$5,187 |
$5,187 |
14.3× |
| MRA head w/o contrast (70544) |
$4,337 |
$4,337 |
17.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,789 |
$4,789 |
13.2× |
| MRI abdomen w contrast (74182) |
$4,732 |
$4,732 |
13.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,227 |
$5,227 |
14.4× |
| MRI abdomen w/o contrast (74181) |
$4,332 |
$4,332 |
17.5× |
| MRI any jnt lwr ext with con lt (73722) |
$2,955 |
$2,955 |
3.6× |
| MRI c-spine with contrast (72142) |
$4,536 |
$4,536 |
12.5× |
| MRI cervical spine w/o contrast (72141) |
$4,136 |
$4,136 |
16.7× |
| MRI chest w/o & w/contrast material (71552) |
$5,255 |
$5,255 |
14.5× |
| MRI chest w/o contrast (71550) |
$4,360 |
$4,360 |
17.6× |
| MRI chest with contrast (71551) |
$4,760 |
$4,760 |
5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,522 |
$3,522 |
14.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,180 |
$4,180 |
16.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$5,075 |
$5,075 |
14.0× |
| MRI orbit/face/neck w/contrast (70542) |
$4,580 |
$4,580 |
12.6× |
| MRI pelvis w contrast (72196) |
$4,269 |
$4,269 |
11.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,764 |
$4,764 |
13.2× |
| MRI pelvis w/o contrast (72195) |
$3,869 |
$3,869 |
15.6× |
| MRI scan of arm joint before and after contrast (73223) |
$4,425 |
$4,425 |
12.2× |
| MRI scan of leg joint before and after contrast (73723) |
$3,560 |
$3,560 |
9.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$5,031 |
$5,031 |
13.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,450 |
$3,450 |
9.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,945 |
$3,945 |
10.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,672 |
$4,672 |
12.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$5,167 |
$5,167 |
14.3× |
| MRI thoracic spine w/o contrast (72146) |
$4,272 |
$4,272 |
17.2× |
| MRI upper ext joint w/o contrast (73221) |
$3,580 |
$3,580 |
14.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,118 |
$4,118 |
11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,273 |
$3,273 |
13.2× |
| Myocardial Spect Multiple Studies (78452) |
$3,786 |
$3,786 |
2.8× |
| Neck soft tissue (70360) |
$380 |
$380 |
4.2× |
| Nm gastric emptying study (78264) |
$2,360 |
$2,360 |
5.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$379 |
$379 |
3.5× |
| Osseous survey infant (77076) |
$738 |
$738 |
6.8× |
| Osseous survey limited (77074) |
$1,081 |
$1,081 |
10.0× |
| Parathyrd planar w/wo subtrj (78071) |
$1,918 |
$1,918 |
4.6× |
| Parathyroid imaging (78070) |
$1,677 |
$1,677 |
4.0× |
| Pelvis 1 or 2 views (72170) |
$332 |
$332 |
3.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,357 |
$4,357 |
12.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,716 |
$1,716 |
4.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,698 |
$2,698 |
4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$477 |
$477 |
4.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$504 |
$504 |
4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$466 |
$466 |
4.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$344 |
$344 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$521 |
$521 |
4.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$351 |
$351 |
3.9× |
| Radiologic exam colon single contrast study (74270) |
$1,040 |
$1,040 |
5.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$783 |
$783 |
4.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$837 |
$837 |
4.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$802 |
$802 |
4.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$385 |
$385 |
4.3× |
| Radiological examination surgical specimen (76098) |
$648 |
$648 |
1.1× |
| Ribs bilateral 3 views (71110) |
$487 |
$487 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,865 |
$2,865 |
5.1× |
| Sacroiliac Joints < 3 Views (72200) |
$356 |
$356 |
3.3× |
| Scapula complete (73010) |
$362 |
$362 |
3.3× |
| Screening digital breast tomosynthesis (77063) |
$63 |
$63 |
2.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$791 |
$791 |
7.3× |
| Small bowel series (74250) |
$783 |
$783 |
4.3× |
| Spine thoracic 3 views (72072) |
$553 |
$553 |
5.1× |
| Thoracolumbar 2 views (72080) |
$388 |
$388 |
4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,639 |
$1,639 |
3.9× |
| Ultrasound, abdomen limited (76705) |
$772 |
$772 |
7.1× |
| Unlisted Ultrasound Procedure (76999) |
$610 |
$610 |
6.8× |
| Upper Extremity Infant (73092) |
$256 |
$256 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,444 |
$1,444 |
7.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,651 |
$1,651 |
9.1× |
| Us abdl aorta screen aaa (76706) |
$629 |
$629 |
5.8× |
| Us breast unilateral complete (76641) |
$618 |
$618 |
5.7× |
| Us breast unilateral limited (76642) |
$505 |
$505 |
5.6× |
| Us chest (76604) |
$642 |
$642 |
5.9× |
| Us infant hips dynamic (76885) |
$728 |
$728 |
8.1× |
| Us kidney transplant (76776) |
$951 |
$951 |
8.8× |
| Us ob detailed single fetus (76811) |
$903 |
$903 |
3.6× |
| Us ob transvaginal (76817) |
$575 |
$575 |
5.3× |
| Us pelvic non ob complete (76856) |
$959 |
$959 |
8.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$406 |
$406 |
3.7× |
| Us pregnancy ltd (76815) |
$417.50 |
$417.50 |
3.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$647 |
$647 |
6.0× |
| Us retroperitoneal complete (76770) |
$1,086 |
$1,086 |
10.0× |
| Us retroperitoneal limited (76775) |
$693 |
$693 |
6.4× |
| Us scrotum and contents (76870) |
$867 |
$867 |
8.0× |
| Us soft tissue head/neck (76536) |
$737 |
$737 |
6.8× |
| Us xtr non-vasc lmtd (76882) |
$648 |
$648 |
6.0× |
| Wrist 2 views (73100) |
$256 |
$256 |
2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$392 |
$392 |
4.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$362 |
$362 |
4.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,366 |
$1,366 |
7.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$310 |
$310 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$391 |
$391 |
4.3× |
| X-ray exam hip uni 1 view (73501) |
$264 |
$264 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$428 |
$428 |
4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$582 |
$582 |
5.4× |
| X-ray exam of femur 1 (73551) |
$306 |
$306 |
3.4× |
| X-ray eye for foreign body (70030) |
$272 |
$272 |
3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$533 |
$533 |
4.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$301 |
$301 |
3.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$374 |
$374 |
4.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$257 |
$257 |
2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$334 |
$334 |
3.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$445 |
$445 |
4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$291 |
$291 |
3.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$231 |
$231 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$497 |
$497 |
4.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$746 |
$746 |
6.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$497 |
$497 |
4.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$374 |
$374 |
4.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$416 |
$416 |
4.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$606 |
$606 |
5.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$380 |
$380 |
3.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$392 |
$392 |
4.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$469 |
$469 |
4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$624 |
$624 |
5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$423 |
$423 |
3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$350 |
$350 |
3.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$404 |
$404 |
4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$538 |
$538 |
6.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$378 |
$378 |
4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$716 |
$716 |
6.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$344 |
$344 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$271 |
$271 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$341 |
$341 |
3.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$345 |
$345 |
3.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$287 |
$287 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$362 |
$362 |
4.0× |
| Xr c-spine 6 or more views (72052) |
$756 |
$756 |
7.0× |
| Xr chest 4+ views (71048) |
$538 |
$538 |
5.0× |
| Xr finger(s) 2+ views (73140) |
$269 |
$269 |
3.0× |
| Xr shoulder 1 view (73020) |
$290 |
$290 |
3.2× |
| Xr spine cervical 4 or 5 views (72050) |
$577 |
$577 |
5.3× |
| Xr tibia/fibula 2 views (73590) |
$356 |
$356 |
3.9× |
| Xray knee 1 or 2 views rt (73560) |
$385 |
$385 |
4.3× |