| Abdomen 2 views (74019) |
$423 |
$470 |
3.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,078 |
$3,420 |
0.9× |
| Angiography extremity unilateral rs&i (75710) |
$2,754.45 |
$3,060.50 |
0.8× |
| Ankle 2 views (73600) |
$279 |
$310 |
3.1× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,691.15 |
$6,323.50 |
1.7× |
| Aortography abdominal serialography rs&i (75625) |
$2,410.65 |
$2,678.50 |
0.7× |
| Arthrogram elbow (73085) |
$78.30 |
$87 |
0.2× |
| Arthrogram hip (73525) |
$927.90 |
$1,031 |
2.6× |
| Arthrogram wrist (73115) |
$822.60 |
$914 |
2.3× |
| Arthrography knee lt (73580) |
$1,276.20 |
$1,418 |
3.5× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,749.60 |
$1,944 |
4.2× |
| Bone &/joint imaging whole body (78306) |
$2,052 |
$2,280 |
4.9× |
| Bone age studies (77072) |
$284.40 |
$316 |
2.6× |
| Bone Imaging 3 Phase (78315) |
$2,327.40 |
$2,586 |
5.6× |
| Bone survey complete (77075) |
$878.40 |
$976 |
8.1× |
| Cervical spine 2 or 3 views (72040) |
$414 |
$460 |
4.6× |
| Chest 1 view (71045) |
$172.80 |
$192 |
1.9× |
| Chest 3 views (71047) |
$436.50 |
$485 |
4.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$657 |
$730 |
3.6× |
| Clavicle complete (73000) |
$335.70 |
$373 |
3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,986.30 |
$2,207 |
18.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$6,330.60 |
$7,034 |
17.5× |
| CT abdomen and pelvis without contrast (74176) |
$6,084 |
$6,760 |
24.6× |
| CT abdomen w contrast (74160) |
$2,652.30 |
$2,947 |
14.6× |
| CT abdomen w wo contrast (74170) |
$3,415.50 |
$3,795 |
18.8× |
| CT abdomen w/o contrast (74150) |
$2,620.80 |
$2,912 |
24.1× |
| CT angio hrt w/3d image (75574) |
$2,432.70 |
$2,703 |
6.7× |
| CT angiography upper extremity lt (73206) |
$3,008.70 |
$3,343 |
16.5× |
| CT c-spine w/o contrast (72125) |
$2,583 |
$2,870 |
23.8× |
| CT cervical spine w&w/o contrast (72127) |
$2,928.60 |
$3,254 |
16.1× |
| CT cervical spine with contrast (72126) |
$2,844 |
$3,160 |
7.9× |
| CT chest w/wo contrast (71270) |
$2,908.80 |
$3,232 |
16.0× |
| CT chest with contrast (71260) |
$2,763 |
$3,070 |
15.2× |
| CT head/brain with contrast (70460) |
$2,463.30 |
$2,737 |
13.5× |
| CT head/brain without and with contrast (70470) |
$2,890.80 |
$3,212 |
15.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$111.60 |
$124 |
1.2× |
| CT iac w contrast (70481) |
$2,506.50 |
$2,785 |
13.8× |
| CT lower ext w/o (73700) |
$3,690.45 |
$4,100.50 |
34.0× |
| CT lower extremity w wo contrast (73702) |
$3,015 |
$3,350 |
16.6× |
| CT lower extremity with contrast (73701) |
$2,569.50 |
$2,855 |
14.1× |
| CT lumbar spine w & w/o contrast (72133) |
$3,380.40 |
$3,756 |
18.6× |
| CT lumbar spine w/o contrast (72131) |
$2,543.40 |
$2,826 |
23.4× |
| CT lumbar spine with contrast (72132) |
$2,688.30 |
$2,987 |
7.4× |
| CT maxillofacial w contrast (70487) |
$2,608.20 |
$2,898 |
14.3× |
| CT maxillofacial w/o contrast (70486) |
$2,085.30 |
$2,317 |
19.2× |
| CT maxillofacial w/wo contrast (70488) |
$2,619.90 |
$2,911 |
14.4× |
| CT neck soft tissue w contrast (70491) |
$2,582.10 |
$2,869 |
14.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,494.80 |
$2,772 |
13.7× |
| CT orbits w/o contrast (70480) |
$2,375.10 |
$2,639 |
21.9× |
| CT pelvis w & w/o contrast (72194) |
$3,365.10 |
$3,739 |
18.5× |
| CT pelvis w/o contrast (72192) |
$2,554.20 |
$2,838 |
23.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$3,159 |
$3,510 |
17.3× |
| CT soft tissue neck w/o contrast (70490) |
$2,322 |
$2,580 |
21.4× |
| CT thoracic spine w/contrast (72129) |
$2,907 |
$3,230 |
16.0× |
| CT thoracic spine w/o contrast (72128) |
$2,537.10 |
$2,819 |
23.4× |
| CT thoracic spine w/wo contrast (72130) |
$2,593.80 |
$2,882 |
14.2× |
| CT thorax w/o contrast (71250) |
$2,553.30 |
$2,837 |
23.5× |
| CT unlisted procedure (76497) |
$2,699.10 |
$2,999 |
29.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,909.60 |
$4,344 |
21.5× |
| CT upper extremity w/o contrast rt (73200) |
$2,379.60 |
$2,644 |
21.9× |
| CT upper extremity with contrast (73201) |
$2,521.80 |
$2,802 |
7.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,522.60 |
$3,914 |
19.3× |
| Cta Abdomen (74175) |
$3,584.70 |
$3,983 |
19.7× |
| CTA abdomen pelvis (74174) |
$6,702.30 |
$7,447 |
18.5× |
| CTA chest (71275) |
$3,363.30 |
$3,737 |
18.5× |
| Cta Head (70496) |
$3,348 |
$3,720 |
18.4× |
| CTA lwr ext w&w/o contrast (73706) |
$2,761.20 |
$3,068 |
15.2× |
| Cta Neck (70498) |
$3,227.40 |
$3,586 |
17.7× |
| Cta Pelvis (72191) |
$3,839.40 |
$4,266 |
21.1× |
| Cystography minimum 3 views rs&i (74430) |
$845.10 |
$939 |
2.3× |
| Diskography lumbar (72295) |
$205.20 |
$228 |
0.1× |
| Esophagus (74220) |
$714.60 |
$794 |
3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$516.60 |
$574 |
4.8× |
| Fluoroscopy up to 1 hr (76000) |
$82.80 |
$92 |
0.3× |
| Foot 2 views (73620) |
$296.10 |
$329 |
3.3× |
| Forearm 2 views (73090) |
$310.50 |
$345 |
3.4× |
| Gated Heart Planar Single (78472) |
$2,185.20 |
$2,428 |
5.3× |
| Hand 2 views (73120) |
$427.50 |
$475 |
3.9× |
| Hand 3 views (73130) |
$419.40 |
$466 |
4.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,053.80 |
$2,282 |
3.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,852.20 |
$2,058 |
4.5× |
| Ht muscle image spect sing (78451) |
$4,224.60 |
$4,694 |
3.1× |
| Humerus Min 2 Views Left (73060) |
$426.60 |
$474 |
4.7× |
| Hysterosalpingogram (74740) |
$738 |
$820 |
3.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,812.60 |
$2,014 |
3.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,762.20 |
$1,958 |
3.1× |
| Knee 3 views (73562) |
$459.90 |
$511 |
5.1× |
| Lung perfusion differential (78597) |
$3,074.40 |
$3,416 |
7.4× |
| Lymphoscintigraphy (78195) |
$2,069.10 |
$2,299 |
3.7× |
| MRA head w & w/o contrast (70546) |
$3,339 |
$3,710 |
9.2× |
| MRA head w/o contrast (70544) |
$3,598.20 |
$3,998 |
14.5× |
| MRA neck w contrast (70548) |
$4,069.80 |
$4,522 |
11.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,984.30 |
$4,427 |
11.0× |
| MRA neck w/o contrast (70547) |
$3,165.30 |
$3,517 |
12.8× |
| MRI abdomen w contrast (74182) |
$3,470.40 |
$3,856 |
9.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,529.70 |
$5,033 |
12.5× |
| MRI abdomen w/o contrast (74181) |
$3,483 |
$3,870 |
14.1× |
| MRI any jnt lwr ext with con lt (73722) |
$3,474 |
$3,860 |
4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,242.70 |
$3,603 |
4.0× |
| MRI breast w/o contrast bilateral (77047) |
$2,442.60 |
$2,714 |
9.9× |
| MRI breast w/o contrast unilat (77046) |
$2,241 |
$2,490 |
9.0× |
| MRI c-spine with contrast (72142) |
$4,255.20 |
$4,728 |
11.7× |
| MRI cervical spine w/o contrast (72141) |
$4,079.70 |
$4,533 |
16.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,982.50 |
$4,425 |
11.0× |
| MRI chest w/o contrast (71550) |
$3,598.20 |
$3,998 |
14.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,309.40 |
$2,566 |
6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,882.70 |
$3,203 |
11.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,249 |
$3,610 |
13.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,027.50 |
$4,475 |
11.1× |
| MRI pelvis w contrast (72196) |
$3,344.40 |
$3,716 |
9.2× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,113 |
$4,570 |
11.4× |
| MRI pelvis w/o contrast (72195) |
$3,402 |
$3,780 |
13.7× |
| MRI scan of arm joint before and after contrast (73223) |
$4,233.60 |
$4,704 |
11.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,734.10 |
$4,149 |
10.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,486.50 |
$4,985 |
12.4× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,463.20 |
$3,848 |
9.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$5,095.80 |
$5,662 |
14.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,629.70 |
$4,033 |
10.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,592.70 |
$5,103 |
12.7× |
| MRI thoracic spine w/o contrast (72146) |
$4,079.70 |
$4,533 |
16.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,669.40 |
$2,966 |
10.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,734.10 |
$4,149 |
10.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,112.20 |
$3,458 |
12.6× |
| Myocardial Spect Multiple Studies (78452) |
$4,773.60 |
$5,304 |
3.6× |
| Neck soft tissue (70360) |
$344.70 |
$383 |
3.8× |
| Nm gastric emptying study (78264) |
$1,915.20 |
$2,128 |
4.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$435.60 |
$484 |
4.0× |
| Osseous survey infant (77076) |
$635.40 |
$706 |
5.9× |
| Parathyrd planar w/wo subtrj (78071) |
$1,613.70 |
$1,793 |
3.9× |
| Parathyroid imaging (78070) |
$1,278 |
$1,420 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$348.30 |
$387 |
3.2× |
| PET image w/CT, skull-thigh (78815) |
$5,844.60 |
$6,494 |
3.9× |
| PET imaging for CT attenuation whole body (78816) |
$9,347.40 |
$10,386 |
6.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,149.10 |
$3,499 |
8.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,750.50 |
$1,945 |
4.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,538.90 |
$2,821 |
4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,389.50 |
$2,655 |
4.2× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$342 |
$380 |
3.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$582.30 |
$647 |
5.4× |
| Radex hips bilateral with pelvis 2 views (73521) |
$551.70 |
$613 |
5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$438.30 |
$487 |
4.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$342 |
$380 |
3.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$374.40 |
$416 |
4.1× |
| Radiologic exam colon single contrast study (74270) |
$859.50 |
$955 |
4.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,201.50 |
$1,335 |
6.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$956.25 |
$1,062.50 |
5.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$392.40 |
$436 |
4.3× |
| Radiological examination surgical specimen (76098) |
$308.70 |
$343 |
0.5× |
| Ribs bilateral 3 views (71110) |
$574.20 |
$638 |
5.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,042 |
$3,380 |
5.4× |
| Sacroiliac Joints < 3 Views (72200) |
$395.10 |
$439 |
3.6× |
| Scanogram (77073) |
$378.90 |
$421 |
3.5× |
| Scapula complete (73010) |
$345.60 |
$384 |
3.2× |
| Screening digital breast tomosynthesis (77063) |
$78.75 |
$87.50 |
3.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$852.30 |
$947 |
7.9× |
| Small bowel series (74250) |
$737.10 |
$819 |
4.0× |
| Spine thoracic 3 views (72072) |
$541.80 |
$602 |
5.0× |
| Thoracolumbar 2 views (72080) |
$358.20 |
$398 |
4.0× |
| Thyroid uptake measurement (78012) |
$1,182.60 |
$1,314 |
2.8× |
| Ultrasound, abdomen limited (76705) |
$794.70 |
$883 |
7.3× |
| Upper Extremity Infant (73092) |
$283.50 |
$315 |
2.6× |
| Urethrocystography retrograde rs&i (74450) |
$49.50 |
$55 |
0.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,566.90 |
$1,741 |
8.6× |
| Us abdl aorta screen aaa (76706) |
$673.20 |
$748 |
6.2× |
| Us breast unilateral complete (76641) |
$1,095.75 |
$1,217.50 |
10.1× |
| Us breast unilateral limited (76642) |
$795.15 |
$883.50 |
8.8× |
| Us chest (76604) |
$604.80 |
$672 |
5.6× |
| Us compl joint r-t w/image documentation (76881) |
$724.50 |
$805 |
6.7× |
| Us kidney transplant (76776) |
$862.20 |
$958 |
7.9× |
| Us ob transvaginal (76817) |
$590.40 |
$656 |
5.4× |
| Us pelvic non ob complete (76856) |
$876.60 |
$974 |
8.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$77.40 |
$86 |
0.7× |
| Us pregnancy ltd (76815) |
$151.20 |
$168 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$691.20 |
$768 |
6.4× |
| Us retroperitoneal complete (76770) |
$893.70 |
$993 |
8.2× |
| Us scrotum and contents (76870) |
$789.30 |
$877 |
7.3× |
| Us soft tissue head/neck (76536) |
$666 |
$740 |
6.1× |
| Us spinal canal and contents (76800) |
$961.20 |
$1,068 |
8.9× |
| Us transrectal (76872) |
$648.45 |
$720.50 |
6.0× |
| Us xtr non-vasc lmtd (76882) |
$610.20 |
$678 |
5.6× |
| Venogram extremity bilateral (75822) |
$2,323.80 |
$2,582 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$723.60 |
$804 |
0.4× |
| Wrist 2 views (73100) |
$285.30 |
$317 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$400.50 |
$445 |
3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$412.20 |
$458 |
4.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$546.30 |
$607 |
6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$331.20 |
$368 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$433.80 |
$482 |
4.8× |
| X-ray exam hip uni 1 view (73501) |
$326.70 |
$363 |
3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$411.30 |
$457 |
4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$618.30 |
$687 |
5.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$525.60 |
$584 |
4.8× |
| X-ray exam of femur 1 (73551) |
$330.30 |
$367 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$468 |
$520 |
4.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$578.70 |
$643 |
6.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$288 |
$320 |
3.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$232.65 |
$258.50 |
2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$270 |
$300 |
3.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$268.20 |
$298 |
3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$270.45 |
$300.50 |
2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$658.80 |
$732 |
6.1× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$461.70 |
$513 |
4.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$382.50 |
$425 |
4.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$343.80 |
$382 |
3.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$572.40 |
$636 |
5.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$446.40 |
$496 |
4.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$395.10 |
$439 |
4.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$568.80 |
$632 |
5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$535.50 |
$595 |
4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$408.60 |
$454 |
3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$360 |
$400 |
4.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$335.70 |
$373 |
3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$474.30 |
$527 |
5.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$298.80 |
$332 |
3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$480.60 |
$534 |
4.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$353.70 |
$393 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$271.80 |
$302 |
3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$344.70 |
$383 |
3.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$351 |
$390 |
3.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$420.30 |
$467 |
3.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$267.30 |
$297 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$421.20 |
$468 |
4.7× |
| Xr arthrogram ankle (73615) |
$384.30 |
$427 |
1.1× |
| Xr c-spine 6 or more views (72052) |
$662.40 |
$736 |
6.1× |
| Xr finger(s) 2+ views (73140) |
$316.80 |
$352 |
3.5× |
| Xr shoulder 1 view (73020) |
$279 |
$310 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$307.35 |
$341.50 |
2.8× |
| Xr tibia/fibula 2 views (73590) |
$667.35 |
$741.50 |
7.4× |
| Xr tmj bilateral (70330) |
$423.90 |
$471 |
4.7× |
| Xray knee 1 or 2 views rt (73560) |
$601.65 |
$668.50 |
6.7× |