| Abdomen 2 views (74019) |
$234.75 |
$1,565 |
2.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,251 |
$8,340 |
3.5× |
| Ankle 2 views (73600) |
$274.20 |
$924.60 |
3.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$394.96 |
$2,633.06 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$393.64 |
$2,624.24 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$485.07 |
$3,233.81 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$330.90 |
$1,115.46 |
4.2× |
| Chest 1 view (71045) |
$156.75 |
$529.94 |
2.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$153.66 |
$1,024.40 |
1.0× |
| Clavicle complete (73000) |
$255.60 |
$862.46 |
3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$69.45 |
$463 |
0.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$284.08 |
$1,893.82 |
0.9× |
| CT abdomen and pelvis without contrast (74176) |
$193.43 |
$1,289.52 |
0.9× |
| CT abdomen w contrast (74160) |
$785.50 |
$5,236.68 |
5.0× |
| CT abdomen w wo contrast (74170) |
$931.42 |
$6,209.51 |
5.9× |
| CT abdomen w/o contrast (74150) |
$699.04 |
$4,660.22 |
7.4× |
| CT angiography upper extremity lt (73206) |
$154 |
$1,026.64 |
1.0× |
| CT c-spine w/o contrast (72125) |
$1,145.94 |
$7,639.58 |
12.1× |
| CT cervical spine w&w/o contrast (72127) |
$1,014.21 |
$6,761.38 |
6.4× |
| CT cervical spine with contrast (72126) |
$1,719.15 |
$5,780.98 |
5.5× |
| CT chest w/wo contrast (71270) |
$587.38 |
$3,915.88 |
3.7× |
| CT chest with contrast (71260) |
$624.69 |
$4,164.62 |
3.9× |
| CT head/brain with contrast (70460) |
$1,260.60 |
$8,404 |
8.0× |
| CT head/brain without and with contrast (70470) |
$668.50 |
$4,456.62 |
4.2× |
| CT lower ext w/o (73700) |
$685.05 |
$4,567 |
7.3× |
| CT lower extremity w wo contrast (73702) |
$1,083.60 |
$7,224 |
6.8× |
| CT lower extremity with contrast (73701) |
$1,036.05 |
$6,907 |
6.5× |
| CT lumbar spine w & w/o contrast (72133) |
$149.03 |
$993.53 |
0.9× |
| CT lumbar spine w/o contrast (72131) |
$1,120.54 |
$7,470.29 |
11.9× |
| CT lumbar spine with contrast (72132) |
$2,367.15 |
$7,941.12 |
7.5× |
| CT maxillofacial w contrast (70487) |
$498.26 |
$3,321.76 |
3.1× |
| CT maxillofacial w/o contrast (70486) |
$431.36 |
$2,875.73 |
4.6× |
| CT maxillofacial w/wo contrast (70488) |
$643.65 |
$4,291 |
4.1× |
| CT neck soft tissue w contrast (70491) |
$1,017.70 |
$6,784.70 |
6.4× |
| CT orbits w/o contrast (70480) |
$496.94 |
$3,312.97 |
5.3× |
| CT pelvis w & w/o contrast (72194) |
$1,453.95 |
$9,693 |
9.2× |
| CT pelvis w/o contrast (72192) |
$527.88 |
$3,519.15 |
5.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,083.60 |
$7,224 |
6.8× |
| CT soft tissue neck w/o contrast (70490) |
$498.64 |
$3,324.24 |
5.3× |
| CT thoracic spine w/contrast (72129) |
$1,013.08 |
$6,753.90 |
6.4× |
| CT thoracic spine w/o contrast (72128) |
$1,259.94 |
$8,399.58 |
13.3× |
| CT thoracic spine w/wo contrast (72130) |
$1,439.34 |
$9,595.60 |
9.1× |
| CT thorax w/o contrast (71250) |
$563.90 |
$3,759.29 |
6.0× |
| CT upper extremity w/o contrast rt (73200) |
$519.16 |
$3,461.08 |
5.5× |
| CT upper extremity with contrast (73201) |
$479.10 |
$3,194.04 |
1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$531.57 |
$3,543.82 |
3.4× |
| Cta Abdomen (74175) |
$1,341.15 |
$8,941 |
8.5× |
| CTA abdomen pelvis (74174) |
$256.62 |
$1,710.78 |
0.8× |
| CTA chest (71275) |
$308.70 |
$2,058 |
1.9× |
| Cta Head (70496) |
$460.06 |
$3,067.10 |
2.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,378.65 |
$9,191 |
4.4× |
| CTA lwr ext w&w/o contrast (73706) |
$155.46 |
$1,036.40 |
1.0× |
| Cta Neck (70498) |
$255.52 |
$1,703.46 |
1.6× |
| Cystography minimum 3 views rs&i (74430) |
$405.15 |
$2,701 |
1.3× |
| Esophagus (74220) |
$195.90 |
$1,306.04 |
1.2× |
| Foot 2 views (73620) |
$198.30 |
$670.02 |
2.5× |
| Forearm 2 views (73090) |
$212.85 |
$718.80 |
2.7× |
| Gated Heart Planar Single (78472) |
$1,440.45 |
$9,603 |
4.0× |
| Hand 2 views (73120) |
$162.15 |
$550.52 |
1.7× |
| Hand 3 views (73130) |
$253.50 |
$857.32 |
3.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$172.40 |
$1,149.35 |
0.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$150.94 |
$1,006.30 |
0.4× |
| Ht muscle image spect sing (78451) |
$17,007.30 |
$113,382 |
14.5× |
| Humerus Min 2 Views Left (73060) |
$180.75 |
$612.96 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$663.15 |
$4,421 |
1.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$608.40 |
$4,056 |
1.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$833.25 |
$5,555 |
1.7× |
| Knee 3 views (73562) |
$223.05 |
$757.11 |
2.8× |
| Liver & spleen imaging static only (78215) |
$480.45 |
$3,203 |
1.3× |
| Liver imaging w/vascular flow (78202) |
$1,470.75 |
$9,805 |
3.0× |
| Lung perf&ventilat diferentl (78598) |
$563.70 |
$3,758 |
1.1× |
| Lung Ventilation Imaging (78579) |
$439.35 |
$2,929 |
1.2× |
| Lymphoscintigraphy (78195) |
$880.95 |
$5,873 |
1.8× |
| Meckels Diverticulum (78290) |
$897.45 |
$5,983 |
2.5× |
| MRA head w/o contrast (70544) |
$874.20 |
$5,828 |
4.1× |
| MRA neck w/o contrast (70547) |
$730.52 |
$4,870.14 |
3.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,428.75 |
$9,525 |
4.5× |
| MRI abdomen w/o contrast (74181) |
$1,365.15 |
$9,101 |
6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$498.75 |
$1,770.52 |
0.7× |
| MRI cervical spine w/o contrast (72141) |
$770.18 |
$5,134.56 |
3.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$804.46 |
$5,363.06 |
2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$652.95 |
$4,353 |
3.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$799.50 |
$5,330 |
3.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,177.65 |
$7,851 |
3.7× |
| MRI orbit/face/neck w/contrast (70542) |
$1,132.65 |
$7,551 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,722.75 |
$11,485 |
5.5× |
| MRI pelvis w/o contrast (72195) |
$662.65 |
$4,417.65 |
3.1× |
| MRI scan of arm joint before and after contrast (73223) |
$1,341.60 |
$8,944 |
4.3× |
| MRI scan of leg joint before and after contrast (73723) |
$439.26 |
$2,928.36 |
1.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,662.08 |
$11,080.57 |
5.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,221.72 |
$8,144.78 |
3.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,030.86 |
$6,872.36 |
3.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,016.56 |
$6,777.06 |
4.7× |
| MRI upper ext joint w/o contrast (73221) |
$468.15 |
$3,121 |
2.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,141.39 |
$7,609.28 |
3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$452.01 |
$3,013.42 |
2.1× |
| Myocardial Spect Multiple Studies (78452) |
$2,155.65 |
$7,341.34 |
1.8× |
| Neck soft tissue (70360) |
$296.40 |
$997.88 |
3.8× |
| Nm gastric emptying study (78264) |
$510.66 |
$3,404.44 |
1.4× |
| Parathyrd planar w/wo subtrj (78071) |
$597.90 |
$3,986 |
1.7× |
| Parathyroid imaging (78070) |
$679.95 |
$4,533 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$193.35 |
$652.94 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$514.44 |
$3,429.62 |
1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$460.52 |
$3,070.14 |
1.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$160.90 |
$1,072.71 |
0.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$56.14 |
$374.30 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$161.10 |
$550.18 |
1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$314.70 |
$1,062.61 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$170.55 |
$577.66 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$266.55 |
$898.52 |
3.4× |
| Radiologic exam colon single contrast study (74270) |
$459.45 |
$3,063 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$282.90 |
$1,886 |
1.8× |
| Radiologic exam upr gi trc single contrast study (74240) |
$655.20 |
$4,368 |
4.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$256.50 |
$866.60 |
3.3× |
| Ribs bilateral 3 views (71110) |
$416.70 |
$2,778 |
4.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,032.30 |
$6,882 |
2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$826.35 |
$5,509 |
1.7× |
| Sacroiliac Joints < 3 Views (72200) |
$177.30 |
$601.74 |
1.9× |
| Scapula complete (73010) |
$223.65 |
$751.94 |
2.4× |
| Small bowel series (74250) |
$253.35 |
$1,689 |
1.6× |
| Thyroid uptake measurement (78012) |
$381 |
$2,540 |
1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,060.95 |
$7,073 |
2.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,023.15 |
$6,821 |
2.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$386.40 |
$2,576 |
1.1× |
| Ultrasound, abdomen limited (76705) |
$223.94 |
$1,492.96 |
2.4× |
| Unlisted Ultrasound Procedure (76999) |
$151.88 |
$1,012.50 |
1.9× |
| Us chest (76604) |
$234.30 |
$1,562 |
2.5× |
| Us ob detailed single fetus (76811) |
$813.90 |
$2,750.08 |
3.8× |
| Us ob transvaginal (76817) |
$251.72 |
$1,678.16 |
2.7× |
| Us pelvic non ob complete (76856) |
$557.10 |
$3,714 |
5.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$450.30 |
$1,511.88 |
4.8× |
| Us pregnancy ltd (76815) |
$118.77 |
$791.80 |
1.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$299.20 |
$1,994.69 |
3.2× |
| Us retroperitoneal complete (76770) |
$328.50 |
$2,189.98 |
3.5× |
| Us retroperitoneal limited (76775) |
$326.85 |
$2,179 |
3.5× |
| Us scrotum and contents (76870) |
$221.63 |
$1,477.54 |
2.3× |
| Us soft tissue head/neck (76536) |
$277.49 |
$1,849.93 |
2.9× |
| Us xtr non-vasc lmtd (76882) |
$112.35 |
$378.50 |
1.2× |
| Wrist 2 views (73100) |
$196.65 |
$1,311 |
2.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$354.15 |
$1,195.40 |
3.8× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$298.50 |
$1,007.32 |
3.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$478.05 |
$3,187 |
3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$234 |
$789.16 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$409.80 |
$1,376.46 |
5.2× |
| X-ray exam entire spi 4/5 vw (72083) |
$123.55 |
$823.67 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$56.70 |
$378 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$77.27 |
$515.12 |
1.0× |
| X-ray exam hip uni 4/> views (73503) |
$115.34 |
$768.92 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$161.10 |
$554.06 |
1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$163.98 |
$1,093.22 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$278.25 |
$942.40 |
2.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$232.80 |
$785.74 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$279 |
$941.32 |
3.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$196.65 |
$664.52 |
2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$183.30 |
$624.61 |
2.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$121.95 |
$416.81 |
1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$288.75 |
$975.11 |
3.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$158.83 |
$1,058.86 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$264.75 |
$895.40 |
3.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$255.60 |
$863.32 |
3.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$497.55 |
$1,671.25 |
5.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$416.70 |
$1,405.05 |
4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$256.05 |
$1,707 |
3.3× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$269.70 |
$910.03 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$358.50 |
$1,206.74 |
4.6× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$284.85 |
$959.81 |
3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$462.45 |
$1,554.97 |
4.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$212.25 |
$719.24 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$217.80 |
$736.46 |
2.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$230.85 |
$1,539 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$131.85 |
$449.38 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$277.05 |
$937.54 |
3.5× |
| Xr c-spine 6 or more views (72052) |
$115.44 |
$769.64 |
1.2× |
| Xr finger(s) 2+ views (73140) |
$140.70 |
$482.47 |
1.8× |
| Xr shoulder 1 view (73020) |
$228.15 |
$766.65 |
2.9× |
| Xr spine cervical 4 or 5 views (72050) |
$430.50 |
$1,452.34 |
4.6× |
| Xr tibia/fibula 2 views (73590) |
$263.85 |
$889.81 |
3.4× |
| Xray knee 1 or 2 views rt (73560) |
$222.90 |
$754.32 |
2.8× |