| Abdomen 2 views (74019) |
$370.20 |
$617 |
3.8× |
| Ankle 2 views (73600) |
$253.20 |
$422 |
3.1× |
| Bone age studies (77072) |
$235.80 |
$393 |
2.4× |
| Bone Imaging 3 Phase (78315) |
$1,114.20 |
$1,857 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$317.40 |
$529 |
3.9× |
| Chest 1 view (71045) |
$203.40 |
$339 |
2.5× |
| Clavicle complete (73000) |
$280.20 |
$467 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,688.40 |
$2,814 |
17.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,019.60 |
$8,366 |
15.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,077.40 |
$5,129 |
13.7× |
| CT abdomen w contrast (74160) |
$1,802.40 |
$3,004 |
11.0× |
| CT abdomen w wo contrast (74170) |
$2,149.20 |
$3,582 |
13.1× |
| CT abdomen w/o contrast (74150) |
$1,459.80 |
$2,433 |
14.9× |
| CT c-spine w/o contrast (72125) |
$2,416.80 |
$4,028 |
24.6× |
| CT cervical spine with contrast (72126) |
$2,344.80 |
$3,908 |
7.2× |
| CT chest w/wo contrast (71270) |
$2,761.80 |
$4,603 |
16.8× |
| CT chest with contrast (71260) |
$2,307.60 |
$3,846 |
14.0× |
| CT head/brain with contrast (70460) |
$1,502.40 |
$2,504 |
9.1× |
| CT head/brain without and with contrast (70470) |
$2,133.60 |
$3,556 |
13.0× |
| CT iac w contrast (70481) |
$1,969.20 |
$3,282 |
12.0× |
| CT lower ext w/o (73700) |
$1,512 |
$2,520 |
15.4× |
| CT lower extremity with contrast (73701) |
$1,969.20 |
$3,282 |
12.0× |
| CT lumbar spine w/o contrast (72131) |
$1,989 |
$3,315 |
20.3× |
| CT lumbar spine with contrast (72132) |
$2,344.80 |
$3,908 |
7.2× |
| CT maxillofacial w contrast (70487) |
$1,904.40 |
$3,174 |
11.6× |
| CT maxillofacial w/o contrast (70486) |
$1,512 |
$2,520 |
15.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,235 |
$3,725 |
13.6× |
| CT neck soft tissue w contrast (70491) |
$1,969.20 |
$3,282 |
12.0× |
| CT orbits w/o contrast (70480) |
$1,558.20 |
$2,597 |
15.9× |
| CT pelvis w/o contrast (72192) |
$1,619.40 |
$2,699 |
16.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,235 |
$3,725 |
13.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,558.20 |
$2,597 |
15.9× |
| CT thoracic spine w/contrast (72129) |
$2,344.80 |
$3,908 |
14.2× |
| CT thoracic spine w/o contrast (72128) |
$2,140.20 |
$3,567 |
21.8× |
| CT thorax w/o contrast (71250) |
$1,688.40 |
$2,814 |
17.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,235 |
$3,725 |
13.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,558.20 |
$2,597 |
15.9× |
| Cta Abdomen (74175) |
$1,998 |
$3,330 |
12.1× |
| CTA abdomen pelvis (74174) |
$3,995.40 |
$6,659 |
12.2× |
| CTA chest (71275) |
$2,565 |
$4,275 |
15.6× |
| Cta Head (70496) |
$1,998 |
$3,330 |
12.1× |
| Cta Neck (70498) |
$1,998 |
$3,330 |
12.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$387 |
$645 |
3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$367.20 |
$612 |
4.5× |
| Dxa bone density study axial skeleton (77085) |
$266.40 |
$444 |
2.7× |
| Foot 2 views (73620) |
$220.80 |
$368 |
2.7× |
| Forearm 2 views (73090) |
$271.80 |
$453 |
3.3× |
| Hand 2 views (73120) |
$443.40 |
$739 |
4.5× |
| Hand 3 views (73130) |
$286.20 |
$477 |
3.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,207.80 |
$2,013 |
2.4× |
| Ht muscle image spect sing (78451) |
$1,723.80 |
$2,873 |
1.4× |
| Humerus Min 2 Views Left (73060) |
$280.20 |
$467 |
3.4× |
| Knee 3 views (73562) |
$252 |
$420 |
3.1× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$179.40 |
$299 |
2.2× |
| MRA head w & w/o contrast (70546) |
$2,646.60 |
$4,411 |
8.1× |
| MRA head w/o contrast (70544) |
$2,520.60 |
$4,201 |
11.3× |
| MRA neck w/o contrast (70547) |
$2,520.60 |
$4,201 |
11.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,539.80 |
$4,233 |
7.8× |
| MRI abdomen w/o contrast (74181) |
$2,063.40 |
$3,439 |
9.2× |
| MRI cervical spine w/o contrast (72141) |
$2,907 |
$4,845 |
13.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,907 |
$4,845 |
13.0× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,873.20 |
$8,122 |
14.9× |
| MRI pelvis w/o contrast (72195) |
$2,907 |
$4,845 |
13.0× |
| MRI scan of arm joint before and after contrast (73223) |
$3,052.80 |
$5,088 |
9.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,633.20 |
$7,722 |
14.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,576 |
$5,960 |
10.9× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,633.20 |
$7,722 |
14.2× |
| MRI thoracic spine w/o contrast (72146) |
$3,052.80 |
$5,088 |
13.6× |
| MRI upper ext joint w/o contrast (73221) |
$3,052.80 |
$5,088 |
13.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,052.80 |
$5,088 |
9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,196.60 |
$3,661 |
9.8× |
| Myocardial Spect Multiple Studies (78452) |
$2,353.20 |
$3,922 |
1.9× |
| Neck soft tissue (70360) |
$253.20 |
$422 |
3.1× |
| Nm gastric emptying study (78264) |
$1,228.80 |
$2,048 |
3.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$771 |
$1,285 |
7.9× |
| Osseous survey infant (77076) |
$322.80 |
$538 |
3.3× |
| Parathyroid imaging (78070) |
$726.60 |
$1,211 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$280.20 |
$467 |
2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,052.80 |
$5,088 |
9.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,339.20 |
$2,232 |
2.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$455.40 |
$759 |
4.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$546.60 |
$911 |
5.6× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$454.80 |
$758 |
4.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$280.20 |
$467 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$378.60 |
$631 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$239.40 |
$399 |
2.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$280.20 |
$467 |
3.4× |
| Ribs bilateral 3 views (71110) |
$553.80 |
$923 |
5.6× |
| Sacroiliac Joints < 3 Views (72200) |
$153.60 |
$256 |
1.6× |
| Scapula complete (73010) |
$280.20 |
$467 |
2.9× |
| Spine thoracic 3 views (72072) |
$427.80 |
$713 |
4.4× |
| Thoracolumbar 2 views (72080) |
$300 |
$500 |
3.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$601.20 |
$1,002 |
1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$827.40 |
$1,379 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$547.20 |
$912 |
5.6× |
| Upper Extremity Infant (73092) |
$177.60 |
$296 |
1.8× |
| Us abdl aorta screen aaa (76706) |
$385.80 |
$643 |
3.9× |
| Us breast unilateral complete (76641) |
$440.40 |
$734 |
4.5× |
| Us breast unilateral limited (76642) |
$220.80 |
$368 |
2.7× |
| Us chest (76604) |
$816.60 |
$1,361 |
8.3× |
| Us compl joint r-t w/image documentation (76881) |
$219.60 |
$366 |
2.2× |
| Us pelvic non ob complete (76856) |
$874.80 |
$1,458 |
8.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$547.20 |
$912 |
5.6× |
| Us pregnancy ltd (76815) |
$612.60 |
$1,021 |
6.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$771 |
$1,285 |
7.9× |
| Us retroperitoneal limited (76775) |
$408.60 |
$681 |
4.2× |
| Us scrotum and contents (76870) |
$864 |
$1,440 |
8.8× |
| Us soft tissue head/neck (76536) |
$689.40 |
$1,149 |
7.0× |
| Us xtr non-vasc lmtd (76882) |
$142.20 |
$237 |
1.4× |
| Wrist 2 views (73100) |
$271.80 |
$453 |
3.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$652.20 |
$1,087 |
6.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$322.80 |
$538 |
4.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$302.40 |
$504 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$243 |
$405 |
3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$317.40 |
$529 |
3.9× |
| X-ray exam hip uni 1 view (73501) |
$232.20 |
$387 |
2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$235.80 |
$393 |
2.9× |
| X-ray exam hip uni 4/> views (73503) |
$243.60 |
$406 |
2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$544.80 |
$908 |
5.6× |
| X-ray exam of femur 1 (73551) |
$133.80 |
$223 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$412.20 |
$687 |
4.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$247.20 |
$412 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$286.80 |
$478 |
3.5× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$271.80 |
$453 |
3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$219.60 |
$366 |
2.7× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$347.40 |
$579 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$172.20 |
$287 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$331.20 |
$552 |
3.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$617.40 |
$1,029 |
6.3× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$348.60 |
$581 |
3.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$280.20 |
$467 |
3.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$471.60 |
$786 |
4.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$289.80 |
$483 |
3.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$365.40 |
$609 |
4.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$446.40 |
$744 |
4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$632.40 |
$1,054 |
6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$301.20 |
$502 |
3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$317.40 |
$529 |
3.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$280.20 |
$467 |
3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$454.20 |
$757 |
5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$454.80 |
$758 |
4.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$247.20 |
$412 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$280.20 |
$467 |
3.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$235.80 |
$393 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$300 |
$500 |
3.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$423 |
$705 |
4.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$180 |
$300 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$315.60 |
$526 |
3.9× |
| Xr c-spine 6 or more views (72052) |
$468.60 |
$781 |
4.8× |
| Xr finger(s) 2+ views (73140) |
$226.80 |
$378 |
2.8× |
| Xr shoulder 1 view (73020) |
$181.20 |
$302 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$349.80 |
$583 |
3.6× |
| Xr tibia/fibula 2 views (73590) |
$286.80 |
$478 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$226.80 |
$378 |
2.8× |