| Abdomen 2 views (74019) |
$465 |
$465 |
4.4× |
| Ankle 2 views (73600) |
$298 |
$298 |
3.4× |
| Cervical spine 2 or 3 views (72040) |
$436 |
$436 |
5.0× |
| Chest 1 view (71045) |
$236 |
$236 |
2.7× |
| Clavicle complete (73000) |
$259 |
$259 |
3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$577.50 |
$577.50 |
5.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,544 |
$4,544 |
13.0× |
| CT abdomen and pelvis without contrast (74176) |
$3,915 |
$3,915 |
16.4× |
| CT abdomen w contrast (74160) |
$2,028 |
$2,028 |
11.5× |
| CT abdomen w/o contrast (74150) |
$1,958 |
$1,958 |
18.7× |
| CT c-spine w/o contrast (72125) |
$1,958 |
$1,958 |
18.7× |
| CT chest w/wo contrast (71270) |
$2,158 |
$2,158 |
12.3× |
| CT chest with contrast (71260) |
$2,028 |
$2,028 |
11.5× |
| CT head/brain with contrast (70460) |
$1,898 |
$1,898 |
10.8× |
| CT head/brain without and with contrast (70470) |
$2,272 |
$2,272 |
12.9× |
| CT lower ext w/o (73700) |
$1,701 |
$1,701 |
16.2× |
| CT lower extremity w wo contrast (73702) |
$1,993 |
$1,993 |
11.3× |
| CT lower extremity with contrast (73701) |
$1,764 |
$1,764 |
10.0× |
| CT lumbar spine w/o contrast (72131) |
$1,764 |
$1,764 |
16.8× |
| CT maxillofacial w/o contrast (70486) |
$1,898 |
$1,898 |
18.1× |
| CT neck soft tissue w contrast (70491) |
$2,028 |
$2,028 |
11.5× |
| CT pelvis w/o contrast (72192) |
$1,958 |
$1,958 |
18.7× |
| CT soft tissue neck w/o contrast (70490) |
$2,028 |
$2,028 |
19.4× |
| CT thoracic spine w/o contrast (72128) |
$1,617 |
$1,617 |
15.4× |
| CT thorax w/o contrast (71250) |
$1,665 |
$1,665 |
15.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,701 |
$1,701 |
16.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,638 |
$2,638 |
15.0× |
| CTA chest (71275) |
$2,711 |
$2,711 |
15.4× |
| Cta Head (70496) |
$3,761 |
$3,761 |
21.4× |
| Cta Neck (70498) |
$2,507 |
$2,507 |
14.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$503 |
$503 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$772 |
$772 |
3.2× |
| Foot 2 views (73620) |
$312 |
$312 |
3.6× |
| Forearm 2 views (73090) |
$315 |
$315 |
3.6× |
| Hand 2 views (73120) |
$204 |
$204 |
1.9× |
| Hand 3 views (73130) |
$277 |
$277 |
3.2× |
| Humerus Min 2 Views Left (73060) |
$277 |
$277 |
3.2× |
| Knee 3 views (73562) |
$344 |
$344 |
3.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,069 |
$3,069 |
8.8× |
| MRI cervical spine w/o contrast (72141) |
$2,301 |
$2,301 |
9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,379 |
$2,379 |
10.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,763 |
$2,763 |
7.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,612 |
$3,612 |
10.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,036 |
$3,036 |
8.7× |
| MRI thoracic spine w/o contrast (72146) |
$2,379 |
$2,379 |
10.0× |
| MRI upper ext joint w/o contrast (73221) |
$2,379 |
$2,379 |
10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,689 |
$2,689 |
11.3× |
| Neck soft tissue (70360) |
$286 |
$286 |
3.3× |
| Pelvis 1 or 2 views (72170) |
$227 |
$227 |
2.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,818 |
$2,818 |
8.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$258 |
$258 |
3.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$437 |
$437 |
5.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$312 |
$312 |
3.6× |
| Ribs bilateral 3 views (71110) |
$589 |
$589 |
5.6× |
| Spine thoracic 3 views (72072) |
$371 |
$371 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$726 |
$726 |
6.9× |
| Us abdl aorta screen aaa (76706) |
$726 |
$726 |
6.9× |
| Us breast unilateral complete (76641) |
$530 |
$530 |
5.1× |
| Us breast unilateral limited (76642) |
$486 |
$486 |
5.6× |
| Us ob transvaginal (76817) |
$726 |
$726 |
6.9× |
| Us pelvic non ob complete (76856) |
$780 |
$780 |
7.4× |
| Us pregnancy ltd (76815) |
$551 |
$551 |
5.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,139 |
$1,139 |
10.9× |
| Us retroperitoneal complete (76770) |
$726 |
$726 |
6.9× |
| Us scrotum and contents (76870) |
$780 |
$780 |
7.4× |
| Us soft tissue head/neck (76536) |
$623 |
$623 |
5.9× |
| Us xtr non-vasc lmtd (76882) |
$551 |
$551 |
5.3× |
| Wrist 2 views (73100) |
$298 |
$298 |
3.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$699 |
$699 |
6.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$358 |
$358 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$298 |
$298 |
3.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$358 |
$358 |
4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$254 |
$254 |
2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$398 |
$398 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$369 |
$369 |
4.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$223 |
$223 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$374 |
$374 |
3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$437 |
$437 |
4.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$310 |
$310 |
3.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$295 |
$295 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$322 |
$322 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$276 |
$276 |
3.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$227 |
$227 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$316 |
$316 |
3.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$290 |
$290 |
3.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$358 |
$358 |
4.1× |
| Xr finger(s) 2+ views (73140) |
$233 |
$233 |
2.7× |
| Xr spine cervical 4 or 5 views (72050) |
$502 |
$502 |
4.8× |
| Xr tibia/fibula 2 views (73590) |
$239 |
$239 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$315 |
$315 |
3.6× |