| Abdomen 2 views (74019) |
$117.12 |
$130.12 |
1.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$463.96 |
$515.50 |
1.3× |
| Ankle 2 views (73600) |
$99.34 |
$110.38 |
1.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$790.43 |
$878.25 |
2.3× |
| Bone &/joint imaging whole body (78306) |
$915.64 |
$1,017.38 |
2.7× |
| Bone age studies (77072) |
$61.54 |
$68.38 |
0.7× |
| Bone Imaging 3 Phase (78315) |
$913.16 |
$1,014.62 |
2.7× |
| Bone survey complete (77075) |
$537.53 |
$597.25 |
6.0× |
| Cervical spine 2 or 3 views (72040) |
$155.82 |
$173.12 |
2.1× |
| Chest 1 view (71045) |
$61.54 |
$68.38 |
0.8× |
| Chest 3 views (71047) |
$166.96 |
$185.50 |
2.2× |
| Clavicle complete (73000) |
$102.82 |
$114.25 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$550.02 |
$611.12 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,068.76 |
$2,298.62 |
6.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,596.04 |
$1,773.38 |
7.8× |
| CT abdomen w contrast (74160) |
$991.36 |
$1,101.50 |
6.6× |
| CT abdomen w wo contrast (74170) |
$1,352.70 |
$1,503 |
8.9× |
| CT abdomen w/o contrast (74150) |
$861.53 |
$957.25 |
9.6× |
| CT c-spine w/o contrast (72125) |
$936.12 |
$1,040.12 |
10.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,384.78 |
$2,649.75 |
15.8× |
| CT cervical spine with contrast (72126) |
$1,751.63 |
$1,946.25 |
5.8× |
| CT chest w/wo contrast (71270) |
$1,289.70 |
$1,433 |
8.5× |
| CT chest with contrast (71260) |
$754.09 |
$837.88 |
5.0× |
| CT head/brain with contrast (70460) |
$805.05 |
$894.50 |
5.3× |
| CT head/brain without and with contrast (70470) |
$1,278.68 |
$1,420.75 |
8.5× |
| CT iac w contrast (70481) |
$1,143.90 |
$1,271 |
7.6× |
| CT lower ext w/o (73700) |
$966.38 |
$1,073.75 |
10.7× |
| CT lower extremity w wo contrast (73702) |
$1,287.90 |
$1,431 |
8.5× |
| CT lower extremity with contrast (73701) |
$648.22 |
$720.25 |
4.3× |
| CT lumbar spine w & w/o contrast (72133) |
$2,384.78 |
$2,649.75 |
15.8× |
| CT lumbar spine w/o contrast (72131) |
$848.14 |
$942.38 |
9.4× |
| CT lumbar spine with contrast (72132) |
$1,769.85 |
$1,966.50 |
5.9× |
| CT maxillofacial w contrast (70487) |
$1,143.90 |
$1,271 |
7.6× |
| CT maxillofacial w/o contrast (70486) |
$986.18 |
$1,095.75 |
10.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,287.90 |
$1,431 |
8.5× |
| CT neck soft tissue w contrast (70491) |
$887.74 |
$986.38 |
5.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,287.90 |
$1,431 |
8.5× |
| CT orbits w/o contrast (70480) |
$986.18 |
$1,095.75 |
10.9× |
| CT pelvis w & w/o contrast (72194) |
$1,059.30 |
$1,177 |
7.0× |
| CT pelvis w/o contrast (72192) |
$772.32 |
$858.12 |
8.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,301.63 |
$1,446.25 |
8.6× |
| CT soft tissue neck w/o contrast (70490) |
$720.22 |
$800.25 |
8.0× |
| CT thoracic spine w/contrast (72129) |
$1,560.83 |
$1,734.25 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$936.12 |
$1,040.12 |
10.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,193.98 |
$2,437.75 |
14.5× |
| CT thorax w/o contrast (71250) |
$510.53 |
$567.25 |
5.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,287.90 |
$1,431 |
8.5× |
| CT upper extremity w/o contrast rt (73200) |
$479.25 |
$532.50 |
5.3× |
| CT upper extremity with contrast (73201) |
$651.15 |
$723.50 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,947.95 |
$3,275.50 |
19.5× |
| Cta Abdomen (74175) |
$1,314.56 |
$1,460.62 |
8.7× |
| CTA abdomen pelvis (74174) |
$1,621.35 |
$1,801.50 |
5.4× |
| CTA chest (71275) |
$1,596.60 |
$1,774 |
10.6× |
| Cta Head (70496) |
$1,310.29 |
$1,455.88 |
8.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,648.58 |
$1,831.75 |
10.9× |
| Cta Neck (70498) |
$1,310.29 |
$1,455.88 |
8.7× |
| Cystography minimum 3 views rs&i (74430) |
$346.95 |
$385.50 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$97.99 |
$108.88 |
1.1× |
| Esophagus (74220) |
$135.45 |
$150.50 |
0.9× |
| Fluoroscopy up to 1 hr (76000) |
$105.75 |
$117.50 |
0.5× |
| Foot 2 views (73620) |
$95.40 |
$106 |
1.3× |
| Forearm 2 views (73090) |
$95.96 |
$106.62 |
1.3× |
| Gated Heart Planar Single (78472) |
$1,253.48 |
$1,392.75 |
3.6× |
| Hand 2 views (73120) |
$96.42 |
$107.12 |
1.1× |
| Hand 3 views (73130) |
$106.88 |
$118.75 |
1.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$634.50 |
$705 |
1.4× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$542.70 |
$603 |
1.6× |
| Ht muscle image spect sing (78451) |
$2,180.93 |
$2,423.25 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$102.38 |
$113.75 |
1.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,103.85 |
$1,226.50 |
2.4× |
| Knee 3 views (73562) |
$25.65 |
$28.50 |
0.3× |
| Liver & spleen imaging static only (78215) |
$626.85 |
$696.50 |
1.8× |
| Lung Ventilation Imaging (78579) |
$1,234.35 |
$1,371.50 |
3.6× |
| Meckels Diverticulum (78290) |
$639.68 |
$710.75 |
1.9× |
| Myocardial Spect Multiple Studies (78452) |
$3,448.13 |
$3,831.25 |
3.1× |
| Neck soft tissue (70360) |
$48.49 |
$53.88 |
0.6× |
| Nm gastric emptying study (78264) |
$494.10 |
$549 |
1.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$339.53 |
$377.25 |
3.8× |
| Osseous survey infant (77076) |
$301.05 |
$334.50 |
3.3× |
| Osseous survey limited (77074) |
$450.90 |
$501 |
5.0× |
| Parathyroid imaging (78070) |
$487.46 |
$541.62 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$119.82 |
$133.12 |
1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$484.09 |
$537.88 |
1.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,234.35 |
$1,371.50 |
2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$159.30 |
$177 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$722.70 |
$803 |
8.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$361.58 |
$401.75 |
4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$160.20 |
$178 |
1.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$144 |
$160 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$161.78 |
$179.75 |
2.2× |
| Radiologic exam colon single contrast study (74270) |
$253.02 |
$281.12 |
1.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$243.45 |
$270.50 |
1.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$308.93 |
$343.25 |
2.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$117.22 |
$130.25 |
1.6× |
| Radiological examination surgical specimen (76098) |
$68.06 |
$75.62 |
0.1× |
| Ribs bilateral 3 views (71110) |
$166.62 |
$185.12 |
1.8× |
| Scapula complete (73010) |
$103.72 |
$115.25 |
1.2× |
| Screening digital breast tomosynthesis (77063) |
$195.75 |
$217.50 |
8.4× |
| Small bowel series (74250) |
$170.32 |
$189.25 |
1.1× |
| Thoracolumbar 2 views (72080) |
$228.38 |
$253.75 |
3.0× |
| Thyroid Imaging With Vascular Flow (78013) |
$442.12 |
$491.25 |
1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$561.72 |
$624.12 |
1.6× |
| Tmj unilateral (70328) |
$209.25 |
$232.50 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$190.58 |
$211.75 |
2.1× |
| Urethrocystography retrograde rs&i (74450) |
$346.95 |
$385.50 |
1.7× |
| Urethrocystography voiding (74455) |
$633.60 |
$704 |
3.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$306.68 |
$340.75 |
2.0× |
| Us abdl aorta screen aaa (76706) |
$192.94 |
$214.38 |
2.1× |
| Us breast unilateral complete (76641) |
$99.23 |
$110.25 |
1.1× |
| Us breast unilateral limited (76642) |
$92.48 |
$102.75 |
1.2× |
| Us chest (76604) |
$157.28 |
$174.75 |
1.7× |
| Us compl joint r-t w/image documentation (76881) |
$250.88 |
$278.75 |
2.8× |
| Us ob transvaginal (76817) |
$295.99 |
$328.88 |
3.3× |
| Us pelvic non ob complete (76856) |
$292.16 |
$324.62 |
3.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$130.96 |
$145.50 |
1.5× |
| Us pregnancy ltd (76815) |
$301.05 |
$334.50 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$230.06 |
$255.62 |
2.6× |
| Us retroperitoneal complete (76770) |
$213.30 |
$237 |
2.4× |
| Us retroperitoneal limited (76775) |
$194.85 |
$216.50 |
2.2× |
| Us scrotum and contents (76870) |
$161.10 |
$179 |
1.8× |
| Us soft tissue head/neck (76536) |
$166.16 |
$184.62 |
1.8× |
| Us xtr non-vasc lmtd (76882) |
$150.08 |
$166.75 |
1.7× |
| Wrist 2 views (73100) |
$96.42 |
$107.12 |
1.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$139.16 |
$154.62 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$182.70 |
$203 |
2.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$109.92 |
$122.12 |
1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$96.42 |
$107.12 |
1.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$109.92 |
$122.12 |
1.5× |
| X-ray exam hip uni 1 view (73501) |
$171.68 |
$190.75 |
2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$120.15 |
$133.50 |
1.6× |
| X-ray exam of femur 1 (73551) |
$130.95 |
$145.50 |
1.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$190.80 |
$212 |
2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$163.58 |
$181.75 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$112.84 |
$125.38 |
1.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$109.02 |
$121.12 |
1.5× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$155.82 |
$173.12 |
1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$102.82 |
$114.25 |
1.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$169.88 |
$188.75 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$132.98 |
$147.75 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$222.86 |
$247.62 |
2.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$372.38 |
$413.75 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$215.78 |
$239.75 |
2.9× |
| X-ray of voice box or throat (70370) |
$124.09 |
$137.88 |
1.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$191.70 |
$213 |
2.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$134.89 |
$149.88 |
1.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$346.95 |
$385.50 |
1.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$142.88 |
$158.75 |
1.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$193.96 |
$215.50 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$326.48 |
$362.75 |
3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$103.62 |
$115.12 |
1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$119.82 |
$133.12 |
1.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$120.72 |
$134.12 |
1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$187.88 |
$208.75 |
2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$192.26 |
$213.62 |
2.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$113.74 |
$126.38 |
1.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$22.05 |
$24.50 |
0.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$271.35 |
$301.50 |
3.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$85.39 |
$94.88 |
1.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$128.26 |
$142.50 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$81.12 |
$90.12 |
1.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$109.92 |
$122.12 |
1.5× |
| Xr c-spine 6 or more views (72052) |
$362.93 |
$403.25 |
4.0× |
| Xr chest 4+ views (71048) |
$588.60 |
$654 |
6.5× |
| Xr finger(s) 2+ views (73140) |
$19.13 |
$21.25 |
0.3× |
| Xr shoulder 1 view (73020) |
$66.16 |
$73.50 |
0.9× |
| Xr spine cervical 4 or 5 views (72050) |
$191.70 |
$213 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$95.96 |
$106.62 |
1.3× |
| Xr tmj bilateral (70330) |
$136.69 |
$151.88 |
1.8× |
| Xray knee 1 or 2 views rt (73560) |
$119.36 |
$132.62 |
1.6× |