| Abdomen 2 views (74019) |
$137.90 |
$197 |
1.3× |
| Ankle 2 views (73600) |
$109.90 |
$157 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$115.50 |
$165 |
1.3× |
| Chest 1 view (71045) |
$104.30 |
$149 |
1.2× |
| Clavicle complete (73000) |
$109.90 |
$157 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,190.30 |
$3,129 |
6.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,746.50 |
$2,495 |
7.3× |
| CT c-spine w/o contrast (72125) |
$873.60 |
$1,248 |
8.3× |
| CT chest with contrast (71260) |
$946.40 |
$1,352 |
5.4× |
| CT lower ext w/o (73700) |
$873.60 |
$1,248 |
8.3× |
| CT lower extremity with contrast (73701) |
$946.40 |
$1,352 |
5.4× |
| CT lumbar spine w/o contrast (72131) |
$873.60 |
$1,248 |
8.3× |
| CT maxillofacial w/o contrast (70486) |
$845.95 |
$1,208.50 |
8.1× |
| CT neck soft tissue w contrast (70491) |
$946.40 |
$1,352 |
5.4× |
| CT pelvis w/o contrast (72192) |
$873.60 |
$1,248 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$873.60 |
$1,248 |
8.3× |
| CT thorax w/o contrast (71250) |
$873.60 |
$1,248 |
8.3× |
| CTA chest (71275) |
$1,097.60 |
$1,568 |
6.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$201.60 |
$288 |
1.9× |
| Foot 2 views (73620) |
$109.90 |
$157 |
1.3× |
| Forearm 2 views (73090) |
$109.90 |
$157 |
1.3× |
| Hand 2 views (73120) |
$119.70 |
$171 |
1.1× |
| Hand 3 views (73130) |
$109.90 |
$157 |
1.3× |
| Humerus Min 2 Views Left (73060) |
$109.90 |
$157 |
1.3× |
| Knee 3 views (73562) |
$118.30 |
$169 |
1.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,575.70 |
$2,251 |
4.5× |
| MRI cervical spine w/o contrast (72141) |
$1,235.50 |
$1,765 |
5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,235.50 |
$1,765 |
5.2× |
| MRI thoracic spine w/o contrast (72146) |
$1,235.50 |
$1,765 |
5.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,235.50 |
$1,765 |
5.2× |
| Neck soft tissue (70360) |
$109.90 |
$157 |
1.3× |
| Pelvis 1 or 2 views (72170) |
$171.50 |
$245 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$201.60 |
$288 |
1.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$109.90 |
$157 |
1.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$126.70 |
$181 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$104.30 |
$149 |
1.2× |
| Us pelvic non ob complete (76856) |
$314.30 |
$449 |
3.0× |
| Us retroperitoneal complete (76770) |
$304.15 |
$434.50 |
2.9× |
| Us soft tissue head/neck (76536) |
$204.75 |
$292.50 |
1.9× |
| Wrist 2 views (73100) |
$109.90 |
$157 |
1.3× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$109.90 |
$157 |
1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$109.90 |
$157 |
1.3× |
| X-ray exam hip uni 1 view (73501) |
$109.90 |
$157 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$118.30 |
$169 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$109.90 |
$157 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$201.60 |
$288 |
1.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$201.60 |
$288 |
1.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$118.30 |
$169 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$115.50 |
$165 |
1.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$201.60 |
$288 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$109.90 |
$157 |
1.3× |
| Xr finger(s) 2+ views (73140) |
$109.90 |
$157 |
1.3× |
| Xr spine cervical 4 or 5 views (72050) |
$201.60 |
$288 |
1.9× |
| Xr tibia/fibula 2 views (73590) |
$109.90 |
$157 |
1.3× |
| Xray knee 1 or 2 views rt (73560) |
$109.90 |
$157 |
1.3× |