| Abdomen 2 views (74019) |
$295.85 |
$456 |
2.7× |
| Cervical spine 2 or 3 views (72040) |
$228.98 |
$345 |
2.5× |
| Chest 1 view (71045) |
$222.48 |
$332 |
2.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$398.84 |
$570 |
2.2× |
| CT abdomen and pelvis without contrast (74176) |
$2,699.85 |
$5,090 |
10.9× |
| CT c-spine w/o contrast (72125) |
$1,471.35 |
$2,807 |
13.6× |
| CT cervical spine w&w/o contrast (72127) |
$1,656.34 |
$3,085 |
9.1× |
| CT chest with contrast (71260) |
$1,486.84 |
$2,746 |
8.2× |
| CT limited/localized follow up study (76380) |
$718.98 |
$1,325 |
8.0× |
| CT lumbar spine w & w/o contrast (72133) |
$2,162.34 |
$4,097 |
11.9× |
| CT lumbar spine w/o contrast (72131) |
$1,491.94 |
$2,848.17 |
13.7× |
| CT pelvis w/o contrast (72192) |
$1,311.35 |
$2,487 |
12.1× |
| CT thoracic spine w/contrast (72129) |
$1,493.34 |
$2,759 |
8.2× |
| CT thoracic spine w/o contrast (72128) |
$1,302.85 |
$2,470 |
12.0× |
| CT thorax w/o contrast (71250) |
$1,368.85 |
$2,602 |
12.6× |
| CTA chest (71275) |
$1,995.34 |
$3,763 |
11.0× |
| Cta Head (70496) |
$1,784.84 |
$3,342 |
9.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$3,153.92 |
$5,855 |
8.7× |
| Cta Neck (70498) |
$1,887.84 |
$3,548 |
10.4× |
| Esophagus (74220) |
$442.84 |
$658 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$398.75 |
$487.80 |
1.6× |
| MRI cervical spine w/o contrast (72141) |
$2,098.35 |
$3,887 |
8.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,307.92 |
$4,163 |
6.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,686.42 |
$4,920 |
7.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,305.42 |
$4,158 |
6.4× |
| MRI thoracic spine w/o contrast (72146) |
$2,196.35 |
$4,083 |
8.9× |
| Myelogram thoracic (72255) |
$1,499.76 |
$1,982 |
1.8× |
| Pelvis 1 or 2 views (72170) |
$221.85 |
$308 |
2.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$228.48 |
$344 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$406.85 |
$678 |
3.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$201.98 |
$291 |
2.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$292.48 |
$472 |
3.2× |
| Thoracolumbar 2 views (72080) |
$222.48 |
$332 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$408.85 |
$682 |
3.8× |
| Us retroperitoneal complete (76770) |
$615.35 |
$1,095 |
5.7× |
| X-ray exam entire spi 4/5 vw (72083) |
$517.85 |
$900 |
4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$116.48 |
$120 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$312.35 |
$489 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$283.85 |
$432 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$272.48 |
$432 |
3.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$286.48 |
$460 |
3.2× |
| X-Ray Spine One View - Xr Spine (72020) |
$189.48 |
$266 |
2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$215.85 |
$296 |
2.0× |
| Xr finger(s) 2+ views (73140) |
$190.48 |
$268 |
2.1× |