| Abdomen 2 views (74019) |
$320 |
$400 |
2.9× |
| Ankle 2 views (73600) |
$186 |
$233 |
2.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$978 |
$1,222 |
2.4× |
| Bone &/joint imaging whole body (78306) |
$1,385 |
$1,731 |
3.3× |
| Bone Imaging 3 Phase (78315) |
$1,644 |
$2,055 |
4.0× |
| Bone survey complete (77075) |
$692 |
$865 |
6.4× |
| Cervical spine 2 or 3 views (72040) |
$294 |
$368 |
3.3× |
| Chest 1 view (71045) |
$234 |
$292 |
2.6× |
| Clavicle complete (73000) |
$247 |
$309 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$606 |
$757 |
5.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,326 |
$5,408 |
11.9× |
| CT abdomen and pelvis without contrast (74176) |
$3,202 |
$4,002 |
12.9× |
| CT abdomen w contrast (74160) |
$2,163 |
$2,704 |
11.9× |
| CT abdomen w wo contrast (74170) |
$2,510 |
$3,137 |
13.8× |
| CT abdomen w/o contrast (74150) |
$1,817 |
$2,271 |
16.7× |
| CT c-spine w/o contrast (72125) |
$1,990 |
$2,488 |
18.3× |
| CT chest w/wo contrast (71270) |
$2,596 |
$3,245 |
14.3× |
| CT chest with contrast (71260) |
$2,077 |
$2,596 |
11.4× |
| CT head/brain with contrast (70460) |
$1,769 |
$2,211 |
9.7× |
| CT head/brain without and with contrast (70470) |
$2,163 |
$2,704 |
11.9× |
| CT iac w contrast (70481) |
$1,862 |
$2,328 |
10.2× |
| CT lower ext w/o (73700) |
$1,817 |
$2,271 |
16.7× |
| CT lower extremity w wo contrast (73702) |
$2,413 |
$3,016 |
13.2× |
| CT lower extremity with contrast (73701) |
$2,000 |
$2,500 |
11.0× |
| CT lumbar spine w/o contrast (72131) |
$1,990 |
$2,488 |
18.3× |
| CT maxillofacial w contrast (70487) |
$1,714 |
$2,143 |
9.4× |
| CT maxillofacial w/o contrast (70486) |
$1,514 |
$1,893 |
13.9× |
| CT maxillofacial w/wo contrast (70488) |
$1,723 |
$2,154 |
9.5× |
| CT neck soft tissue w contrast (70491) |
$1,990 |
$2,488 |
10.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,077 |
$2,596 |
11.4× |
| CT orbits w/o contrast (70480) |
$1,690 |
$2,112 |
15.6× |
| CT pelvis w & w/o contrast (72194) |
$2,336 |
$2,920 |
12.8× |
| CT pelvis w/o contrast (72192) |
$1,817 |
$2,271 |
16.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,250 |
$2,812 |
12.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,636 |
$2,045 |
15.1× |
| CT thoracic spine w/o contrast (72128) |
$1,990 |
$2,488 |
18.3× |
| CT thoracic spine w/wo contrast (72130) |
$2,246 |
$2,808 |
12.3× |
| CT thorax w/o contrast (71250) |
$1,904 |
$2,380 |
17.5× |
| CT upper extremity w/o contrast rt (73200) |
$1,774 |
$2,217 |
16.3× |
| CTA abdomen pelvis (74174) |
$4,560 |
$5,700 |
12.6× |
| CTA chest (71275) |
$2,726 |
$3,407 |
15.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$380 |
$475 |
3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$359 |
$449 |
3.3× |
| Foot 2 views (73620) |
$216 |
$270 |
2.4× |
| Forearm 2 views (73090) |
$242 |
$303 |
2.7× |
| Hand 3 views (73130) |
$275 |
$344 |
3.0× |
| Heart Infarct Image (78466) |
$2,431 |
$3,039 |
5.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,558 |
$1,947 |
2.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,260 |
$1,575 |
3.0× |
| Ht muscle image spect sing (78451) |
$2,840 |
$3,550 |
2.1× |
| Humerus Min 2 Views Left (73060) |
$251 |
$314 |
2.8× |
| Kidney imaging morphology (78700) |
$861 |
$1,076 |
2.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,101 |
$1,376 |
2.0× |
| Knee 3 views (73562) |
$298 |
$373 |
3.3× |
| Liver & spleen imaging static only (78215) |
$887 |
$1,109 |
2.1× |
| Lung Ventilation Imaging (78579) |
$816 |
$1,020 |
2.0× |
| Meckels Diverticulum (78290) |
$909 |
$1,136 |
2.2× |
| MRA head w/o contrast (70544) |
$2,553 |
$3,191 |
10.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,747 |
$3,434 |
7.6× |
| MRI abdomen w contrast (74182) |
$3,120 |
$3,900 |
8.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,600 |
$4,500 |
9.9× |
| MRI abdomen w/o contrast (74181) |
$2,800 |
$3,500 |
11.3× |
| MRI any jnt lwr ext with con lt (73722) |
$2,770 |
$3,463 |
3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,077 |
$2,596 |
2.6× |
| MRI c-spine with contrast (72142) |
$2,942 |
$3,677 |
8.1× |
| MRI cervical spine w/o contrast (72141) |
$2,655 |
$3,319 |
10.7× |
| MRI chest with contrast (71551) |
$2,314 |
$2,893 |
2.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,336 |
$2,920 |
6.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,250 |
$2,812 |
6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,206 |
$2,758 |
8.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,002 |
$2,503 |
8.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,791 |
$3,489 |
7.7× |
| MRI orbit/face/neck w/contrast (70542) |
$2,034 |
$2,542 |
5.6× |
| MRI pelvis w contrast (72196) |
$2,314 |
$2,893 |
6.4× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,790 |
$3,488 |
7.7× |
| MRI pelvis w/o contrast (72195) |
$2,279 |
$2,849 |
9.2× |
| MRI scan of arm joint before and after contrast (73223) |
$2,790 |
$3,488 |
7.7× |
| MRI scan of leg joint before and after contrast (73723) |
$2,985 |
$3,731 |
8.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,461 |
$4,326 |
9.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,769 |
$3,461 |
7.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,461 |
$4,326 |
9.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,942 |
$3,677 |
8.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,461 |
$4,326 |
9.6× |
| MRI thoracic spine w/o contrast (72146) |
$2,655 |
$3,319 |
10.7× |
| MRI tmj (70336) |
$1,980 |
$2,475 |
8.0× |
| MRI upper ext joint w/o contrast (73221) |
$1,783 |
$2,229 |
7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,250 |
$2,812 |
9.1× |
| Myocardial Spect Multiple Studies (78452) |
$3,374 |
$4,218 |
2.5× |
| Neck soft tissue (70360) |
$259 |
$324 |
2.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,431 |
$3,039 |
1.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$294 |
$368 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$259 |
$324 |
2.4× |
| PET image w/CT, skull-thigh (78815) |
$4,992 |
$6,240 |
3.4× |
| PET imaging for CT attenuation whole body (78816) |
$6,240 |
$7,800 |
4.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,314 |
$2,893 |
6.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$861 |
$1,076 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$415 |
$519 |
3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$278 |
$348 |
2.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$259 |
$324 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$282 |
$352 |
3.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$294 |
$368 |
3.3× |
| Scapula complete (73010) |
$250 |
$312 |
2.3× |
| Screening digital breast tomosynthesis (77063) |
$69 |
$86 |
3.0× |
| Spine thoracic 3 views (72072) |
$415 |
$519 |
3.8× |
| Testicular Imaging With Vascular Flow (78761) |
$765 |
$956 |
1.8× |
| Thoracolumbar 2 views (72080) |
$261 |
$326 |
2.9× |
| Thyroid Imaging With Vascular Flow (78013) |
$854 |
$1,067 |
2.1× |
| Thyroid uptake measurement (78012) |
$866 |
$1,082 |
2.1× |
| Ultrasound, abdomen limited (76705) |
$562 |
$703 |
5.2× |
| Us abdl aorta screen aaa (76706) |
$502 |
$627 |
4.6× |
| Us breast unilateral complete (76641) |
$465.50 |
$581.50 |
4.3× |
| Us breast unilateral limited (76642) |
$329 |
$411 |
3.6× |
| Us chest (76604) |
$415 |
$519 |
3.8× |
| Us ob transvaginal (76817) |
$467 |
$584 |
4.3× |
| Us pelvic non ob complete (76856) |
$606 |
$757 |
5.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$331 |
$414 |
3.0× |
| Us pregnancy ltd (76815) |
$336 |
$420 |
3.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$519 |
$649 |
4.8× |
| Us retroperitoneal complete (76770) |
$606 |
$757 |
5.6× |
| Us retroperitoneal limited (76775) |
$519 |
$649 |
4.8× |
| Us scrotum and contents (76870) |
$588 |
$735 |
5.4× |
| Us soft tissue head/neck (76536) |
$519 |
$649 |
4.8× |
| Us xtr non-vasc lmtd (76882) |
$411 |
$514 |
3.8× |
| Vertebral fracture assessment via dxa (77086) |
$417 |
$521 |
4.6× |
| Wrist 2 views (73100) |
$208 |
$260 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$442 |
$553 |
4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$234 |
$292 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$277 |
$346 |
3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$225 |
$281 |
2.5× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$259 |
$324 |
2.9× |
| X-ray exam hip uni 1 view (73501) |
$202 |
$253 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$294 |
$368 |
3.3× |
| X-ray exam of femur 1 (73551) |
$254 |
$317 |
2.8× |
| X-ray eye for foreign body (70030) |
$187 |
$234 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$337 |
$421 |
3.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$259 |
$324 |
2.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$277 |
$346 |
3.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$208 |
$260 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$311 |
$389 |
2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$363 |
$454 |
3.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$567 |
$709 |
5.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$252 |
$315 |
2.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$290 |
$362 |
3.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$359 |
$449 |
3.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$245 |
$306 |
2.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$346 |
$433 |
3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$396 |
$495 |
3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$277 |
$346 |
2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$259 |
$324 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$295 |
$369 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$278 |
$348 |
3.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$238 |
$297 |
2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$330 |
$412 |
3.0× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$212 |
$265 |
2.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$219 |
$274 |
2.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$259 |
$324 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$303 |
$379 |
2.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$259 |
$324 |
2.9× |
| Xr shoulder 1 view (73020) |
$210 |
$262 |
2.3× |
| Xr spine cervical 4 or 5 views (72050) |
$429 |
$536 |
4.0× |
| Xr tibia/fibula 2 views (73590) |
$259 |
$324 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$259 |
$324 |
2.9× |