| Abdomen 2 views (74019) |
$217.62 |
$1,209 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$419.08 |
$2,328.24 |
1.2× |
| Angiography extremity bilateral rs&i (75716) |
$4,159.35 |
$23,107.50 |
1.5× |
| Angiography extremity unilateral rs&i (75710) |
$3,604.32 |
$20,024 |
1.3× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$746.64 |
$4,148 |
0.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$6,363.54 |
$35,353 |
1.3× |
| Ankle 2 views (73600) |
$159.12 |
$452.60 |
2.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$3,675.60 |
$20,420 |
1.3× |
| Aortography abdominal serialography rs&i (75625) |
$3,619.62 |
$20,109 |
1.3× |
| Arthrogram elbow (73085) |
$970.02 |
$3,428 |
3.1× |
| Arthrogram hip (73525) |
$1,086.57 |
$3,078 |
3.4× |
| Arthrogram shoulder (73040) |
$629.82 |
$3,499 |
2.0× |
| Arthrogram wrist (73115) |
$333.90 |
$1,855 |
1.1× |
| Arthrography knee lt (73580) |
$450 |
$2,500 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$531.16 |
$2,950.92 |
1.5× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$460.72 |
$2,559.56 |
1.3× |
| Bone &/joint imaging whole body (78306) |
$543.73 |
$3,020.74 |
1.5× |
| Bone Imaging 3 Phase (78315) |
$643.46 |
$3,574.81 |
1.8× |
| Bone survey complete (77075) |
$132.30 |
$735 |
1.4× |
| Cervical spine 2 or 3 views (72040) |
$100.44 |
$557.96 |
1.3× |
| Chest 1 view (71045) |
$140.76 |
$398.44 |
1.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$329.38 |
$1,829.90 |
2.1× |
| Clavicle complete (73000) |
$296.82 |
$834.96 |
3.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,728.69 |
$9,603.82 |
5.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,134.90 |
$6,305.02 |
5.3× |
| CT abdomen w contrast (74160) |
$735.96 |
$4,088.68 |
4.6× |
| CT abdomen w wo contrast (74170) |
$861.93 |
$4,788.51 |
5.4× |
| CT abdomen w/o contrast (74150) |
$564.34 |
$3,135.22 |
6.0× |
| CT angiography upper extremity lt (73206) |
$1,317.08 |
$7,317.14 |
8.3× |
| CT c-spine w/o contrast (72125) |
$636.50 |
$3,536.08 |
6.7× |
| CT cervical spine w&w/o contrast (72127) |
$962.71 |
$5,348.38 |
6.1× |
| CT cervical spine with contrast (72126) |
$562.94 |
$3,127.48 |
1.8× |
| CT chest w/wo contrast (71270) |
$760.48 |
$4,224.88 |
4.8× |
| CT chest with contrast (71260) |
$772.40 |
$4,291.12 |
4.9× |
| CT head/brain with contrast (70460) |
$518.56 |
$2,880.89 |
3.3× |
| CT head/brain without and with contrast (70470) |
$525.26 |
$2,918.12 |
3.3× |
| CT heart no contrast quant eval coronry calcium (75571) |
$20.50 |
$113.92 |
0.3× |
| CT iac w contrast (70481) |
$175.52 |
$975.15 |
1.1× |
| CT lower ext w/o (73700) |
$1,114.38 |
$6,191 |
11.8× |
| CT lower extremity w wo contrast (73702) |
$197.20 |
$1,095.53 |
1.2× |
| CT lower extremity with contrast (73701) |
$633.74 |
$3,520.76 |
4.0× |
| CT lumbar spine w & w/o contrast (72133) |
$849.34 |
$4,718.53 |
5.4× |
| CT lumbar spine w/o contrast (72131) |
$636.35 |
$3,535.29 |
6.7× |
| CT lumbar spine with contrast (72132) |
$727.94 |
$4,044.12 |
2.3× |
| CT maxillofacial w contrast (70487) |
$465.52 |
$2,586.26 |
2.9× |
| CT maxillofacial w/o contrast (70486) |
$372.37 |
$2,068.73 |
3.9× |
| CT maxillofacial w/wo contrast (70488) |
$834.12 |
$4,634 |
5.3× |
| CT neck soft tissue w contrast (70491) |
$556.42 |
$3,091.20 |
3.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,075.86 |
$5,977 |
6.8× |
| CT orbits w/o contrast (70480) |
$359.36 |
$1,996.47 |
3.8× |
| CT pelvis w & w/o contrast (72194) |
$861.86 |
$4,788.08 |
5.4× |
| CT pelvis w/o contrast (72192) |
$564.42 |
$3,135.65 |
6.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$662.08 |
$3,678.26 |
4.2× |
| CT soft tissue neck w/o contrast (70490) |
$345.19 |
$1,917.74 |
3.7× |
| CT thoracic spine w/o contrast (72128) |
$453.62 |
$2,520.08 |
4.8× |
| CT thoracic spine w/wo contrast (72130) |
$1,095.86 |
$6,088.10 |
6.9× |
| CT thorax w/o contrast (71250) |
$539.24 |
$2,995.79 |
5.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$201.62 |
$1,120.07 |
1.3× |
| CT upper extremity w/o contrast rt (73200) |
$603.28 |
$3,351.58 |
6.4× |
| CT upper extremity with contrast (73201) |
$466.12 |
$2,589.54 |
1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$667.94 |
$3,710.82 |
4.2× |
| Cta Abdomen (74175) |
$822.76 |
$4,570.88 |
5.2× |
| CTA abdomen pelvis (74174) |
$4,966.02 |
$27,589 |
15.8× |
| CTA chest (71275) |
$618.68 |
$3,437.10 |
3.9× |
| Cta Head (70496) |
$896.24 |
$4,979.10 |
5.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,950.56 |
$16,392 |
9.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,318.84 |
$7,326.90 |
8.3× |
| Cta Neck (70498) |
$610.55 |
$3,391.96 |
3.9× |
| Cystography minimum 3 views rs&i (74430) |
$486.18 |
$1,361.82 |
1.5× |
| Echoencephalography real time imaging (76506) |
$256.05 |
$1,422.50 |
2.7× |
| Esophagus (74220) |
$324.46 |
$1,802.54 |
2.0× |
| Fetal biophysical profile non-stress testing (76818) |
$353.73 |
$1,965.16 |
3.7× |
| Foot 2 views (73620) |
$168.84 |
$478.02 |
2.1× |
| Forearm 2 views (73090) |
$165.78 |
$469.80 |
2.1× |
| Gated Heart Planar Single (78472) |
$679.31 |
$3,773.96 |
1.9× |
| Hand 2 views (73120) |
$106.38 |
$591 |
1.1× |
| Hand 3 views (73130) |
$222.30 |
$629.82 |
2.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$275.28 |
$1,529.35 |
0.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$267.80 |
$1,487.80 |
0.7× |
| Humerus Min 2 Views Left (73060) |
$171.72 |
$487.46 |
2.2× |
| Hysterosalpingogram (74740) |
$511.74 |
$2,769 |
2.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$795.78 |
$2,285.47 |
1.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$418.50 |
$2,325 |
0.9× |
| Knee 3 views (73562) |
$107.48 |
$597.11 |
1.4× |
| Lymphoscintigraphy (78195) |
$549.79 |
$3,054.38 |
1.1× |
| Meckels Diverticulum (78290) |
$559.79 |
$3,109.96 |
1.6× |
| MRA head w/o contrast (70544) |
$1,182.60 |
$6,570 |
5.5× |
| MRA neck w/o contrast (70547) |
$1,191.36 |
$6,618.64 |
5.5× |
| MRI abdomen w/o contrast (74181) |
$1,348.15 |
$7,489.72 |
6.3× |
| MRI any jnt lwr ext with con lt (73722) |
$1,883.16 |
$5,339.16 |
2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,525.68 |
$4,346.02 |
2.2× |
| MRI c-spine with contrast (72142) |
$1,105.48 |
$6,141.57 |
3.5× |
| MRI cervical spine w/o contrast (72141) |
$1,232.47 |
$6,847.06 |
5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,317.16 |
$7,317.56 |
4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,252.35 |
$6,957.50 |
5.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$845.24 |
$4,695.80 |
3.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,850.10 |
$10,278.34 |
5.9× |
| MRI pelvis w contrast (72196) |
$1,057.14 |
$5,872.99 |
3.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,420.49 |
$7,891.62 |
4.5× |
| MRI pelvis w/o contrast (72195) |
$971.66 |
$5,398.15 |
4.5× |
| MRI scan of arm joint before and after contrast (73223) |
$1,219.10 |
$6,772.80 |
3.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,269.34 |
$7,051.86 |
4.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,707.86 |
$9,488.07 |
5.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,317.34 |
$7,318.56 |
4.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,114.51 |
$11,747.28 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$754.74 |
$4,193 |
2.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,027.50 |
$11,263.86 |
6.4× |
| MRI thoracic spine w/o contrast (72146) |
$1,362.61 |
$7,570.06 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,037.34 |
$5,762.96 |
4.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$946.40 |
$5,257.78 |
3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$900.88 |
$5,004.92 |
4.2× |
| Myelogram thoracic (72255) |
$1,012.68 |
$5,626 |
1.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,556.72 |
$7,257.84 |
2.2× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) |
$1,890.54 |
$10,503 |
1.0× |
| Neck soft tissue (70360) |
$157.50 |
$447.38 |
2.0× |
| Nm gastric emptying study (78264) |
$611.72 |
$3,398.44 |
1.7× |
| Nuclear medicine study of kidney and blood flow (78701) |
$402.07 |
$2,233.71 |
1.1× |
| Nuclear Rx Oral Admin (79005) |
$351.36 |
$997.92 |
1.7× |
| Parathyroid imaging (78070) |
$426.24 |
$2,368.02 |
1.2× |
| Pelvis 1 or 2 views (72170) |
$200.16 |
$564.44 |
2.1× |
| PET image w/CT, skull-thigh (78815) |
$3,396.60 |
$18,870 |
2.6× |
| PET imaging for CT attenuation whole body (78816) |
$4,310.64 |
$23,948 |
3.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,434.08 |
$7,967.12 |
4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$324.20 |
$1,801.14 |
0.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$305.86 |
$1,699.21 |
0.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$94.86 |
$527.04 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$104.18 |
$578.80 |
1.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$459 |
$1,288.18 |
4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$288.72 |
$815.61 |
3.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$151.74 |
$430.66 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$216.90 |
$612.52 |
2.8× |
| Radiologic exam colon single contrast study (74270) |
$348.04 |
$1,933.54 |
2.2× |
| Radiologic exam upr gi trc double contrast study (74246) |
$339.48 |
$1,886 |
2.1× |
| Radiologic exam upr gi trc single contrast study (74240) |
$261 |
$1,450 |
1.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$142.74 |
$408.10 |
1.8× |
| Ribs bilateral 3 views (71110) |
$345.96 |
$974.04 |
3.7× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$638.84 |
$3,549.12 |
1.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$519.43 |
$2,885.73 |
1.1× |
| Sacroiliac Joints < 3 Views (72200) |
$147.42 |
$420.24 |
1.6× |
| Scapula complete (73010) |
$141.30 |
$398.94 |
1.5× |
| Small bowel series (74250) |
$306.90 |
$1,705 |
1.9× |
| Thoracolumbar 2 views (72080) |
$215.64 |
$609.60 |
2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$205.66 |
$1,142.59 |
0.6× |
| Ultrasound, abdomen limited (76705) |
$311.66 |
$1,731.46 |
3.3× |
| Unlisted Ultrasound Procedure (76999) |
$171.72 |
$954 |
2.2× |
| Urethrocystography voiding (74455) |
$212.40 |
$1,180 |
1.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$283.54 |
$1,575.25 |
1.8× |
| Us breast unilateral limited (76642) |
$132.44 |
$735.80 |
1.7× |
| Us chest (76604) |
$361.62 |
$2,009 |
3.8× |
| Us compl joint r-t w/image documentation (76881) |
$713.16 |
$3,962 |
7.6× |
| Us ob transvaginal (76817) |
$393.15 |
$2,184.16 |
4.2× |
| Us pelvic non ob complete (76856) |
$543.60 |
$3,020 |
5.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$526.86 |
$1,474.38 |
5.6× |
| Us pregnancy ltd (76815) |
$181.40 |
$1,007.80 |
1.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$271.56 |
$1,508.69 |
2.9× |
| Us retroperitoneal complete (76770) |
$273.32 |
$1,518.48 |
2.9× |
| Us scrotum and contents (76870) |
$310.78 |
$1,726.54 |
3.3× |
| Us soft tissue head/neck (76536) |
$272.78 |
$1,515.43 |
2.9× |
| Us spinal canal and contents (76800) |
$295.84 |
$1,643.60 |
3.1× |
| Us xtr non-vasc lmtd (76882) |
$713.16 |
$1,985 |
7.6× |
| Venogram extremity bilateral (75822) |
$61.38 |
$341 |
0.0× |
| Venography caval inferior serialography rs&i (75825) |
$587.16 |
$3,262 |
0.2× |
| Venography caval superior serialography rs&i (75827) |
$1,157.76 |
$6,432 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$1,096.56 |
$6,092 |
0.8× |
| Venography venous sinus/jugular cath rs&i (75860) |
$2,601.09 |
$14,450.50 |
0.9× |
| Wrist 2 views (73100) |
$120.24 |
$345.18 |
1.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$230.22 |
$651.82 |
2.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$384.21 |
$2,134.50 |
2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$159.12 |
$451.16 |
2.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$191.52 |
$542.46 |
2.4× |
| X-ray exam hip uni 1 view (73501) |
$109.80 |
$315.31 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$118.01 |
$655.62 |
1.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$110.32 |
$612.90 |
1.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$217.26 |
$614.82 |
2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$170.64 |
$483.02 |
2.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$123 |
$683.34 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$223.20 |
$632.61 |
2.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$256.66 |
$1,425.86 |
2.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$88.99 |
$494.40 |
1.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$350.10 |
$985.54 |
3.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$662.40 |
$1,862.80 |
2.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$208.98 |
$591.82 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$120.42 |
$347.25 |
1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$63.10 |
$350.55 |
0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$193.68 |
$548.46 |
2.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$246.60 |
$696.03 |
3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$257.22 |
$726.24 |
3.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$112.32 |
$322.31 |
1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$275.22 |
$777.97 |
2.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$194.22 |
$551.24 |
2.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$208.98 |
$587.80 |
2.7× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$219.96 |
$621.02 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$160.20 |
$454.88 |
2.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$128.89 |
$716.04 |
1.6× |
| Xr c-spine 6 or more views (72052) |
$195.50 |
$1,086.14 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$86.58 |
$480.97 |
1.1× |
| Xr shoulder 1 view (73020) |
$161.28 |
$454.15 |
2.1× |
| Xr spine cervical 4 or 5 views (72050) |
$125.52 |
$697.34 |
1.3× |
| Xr tibia/fibula 2 views (73590) |
$162.72 |
$462.31 |
2.1× |
| Xray knee 1 or 2 views rt (73560) |
$158.58 |
$451.82 |
2.0× |