| Abdomen 1 View (74018) |
$591 |
$591 |
6.6× |
| Abdomen 2 views (74019) |
$950 |
$950 |
8.9× |
| Ankle 2 views (73600) |
$516 |
$516 |
5.8× |
| Chest 1 view (71045) |
$373 |
$373 |
4.2× |
| Chest 2 views (71046) |
$667 |
$667 |
7.5× |
| Clavicle complete (73000) |
$541 |
$541 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$9,481 |
$9,481 |
26.6× |
| CT abdomen and pelvis without contrast (74176) |
$6,241 |
$6,241 |
25.6× |
| CT abdomen w contrast (74160) |
$3,473 |
$3,473 |
19.4× |
| CT abdomen w wo contrast (74170) |
$3,915 |
$3,915 |
21.8× |
| CT abdomen w/o contrast (74150) |
$3,000 |
$3,000 |
28.1× |
| CT Angio Abdomen and Pelvis (74174) |
$8,249 |
$8,249 |
23.1× |
| CT Angio Chest (71275) |
$4,127 |
$4,127 |
23.0× |
| CT Angio Head (70496) |
$3,915 |
$3,915 |
21.8× |
| CT Angio Neck (70498) |
$3,915 |
$3,915 |
21.8× |
| CT cervical spine w/o contrast (72125) |
$3,497 |
$3,497 |
32.7× |
| CT chest w contrast (71260) |
$3,693 |
$3,693 |
20.6× |
| CT chest w/wo contrast (71270) |
$4,127 |
$4,127 |
23.0× |
| CT head/brain without and with contrast (70470) |
$3,915 |
$3,915 |
21.8× |
| CT lower ext w/o (73700) |
$3,497 |
$3,497 |
32.7× |
| CT lower extremity w/contrast material (73701) |
$3,915 |
$3,915 |
21.8× |
| CT lumbar spine w contrast (72132) |
$4,127 |
$4,127 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$3,747 |
$3,747 |
35.1× |
| CT maxillofacial wo contrast (70486) |
$3,062 |
$3,062 |
28.7× |
| CT orbits w/o contrast (70480) |
$3,497 |
$3,497 |
32.7× |
| CT pelvis w/o contrast (72192) |
$3,497 |
$3,497 |
32.7× |
| CT scans face/jaw combo (70488) |
$3,962 |
$3,962 |
22.1× |
| CT soft tissue neck w contrast (70491) |
$3,473 |
$3,473 |
19.4× |
| CT soft tissue neck w/o contrast (70490) |
$3,000 |
$3,000 |
28.1× |
| CT thoracic spine w contrast (72129) |
$3,587 |
$3,587 |
20.0× |
| CT thoracic spine w/o contrast (72128) |
$3,125 |
$3,125 |
29.3× |
| CT thorax w/o contrast (71250) |
$3,250 |
$3,250 |
30.4× |
| CT upper ext wo (73200) |
$3,000 |
$3,000 |
28.1× |
| CT upper extremity with contrast (73201) |
$3,473 |
$3,473 |
9.7× |
| Cta Abdomen (74175) |
$3,915 |
$3,915 |
21.8× |
| Dxa Bone Density Axial (77080) |
$700 |
$700 |
6.6× |
| Foot 2 views (73620) |
$405 |
$405 |
4.6× |
| Forearm 2 views (73090) |
$783 |
$783 |
8.8× |
| Hand 2 views (73120) |
$343 |
$343 |
3.2× |
| Hepatobil Syst Image W/Drug (78227) |
$3,197 |
$3,197 |
5.8× |
| Hepatobiliary System Imaging (78226) |
$3,197 |
$3,197 |
7.8× |
| Knee 3 Views (73562) |
$629 |
$629 |
7.1× |
| Lung Ventilat&Perfus Imaging (78582) |
$2,200 |
$2,200 |
4.0× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,387 |
$4,387 |
12.3× |
| MRA head w/o contrast (70544) |
$3,844 |
$3,844 |
15.8× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,113 |
$4,113 |
11.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$4,880 |
$4,880 |
13.7× |
| MRI cervical spine w/o cont (72141) |
$4,244 |
$4,244 |
17.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,457 |
$4,457 |
12.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,747 |
$3,747 |
15.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$4,457 |
$4,457 |
12.5× |
| MRI pelvis w/o & w contrast (72197) |
$4,880 |
$4,880 |
13.7× |
| MRI pelvis w/o contrast (72195) |
$4,244 |
$4,244 |
17.4× |
| MRI thoracic spine w/o contrast (72146) |
$4,244 |
$4,244 |
17.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,244 |
$4,244 |
17.4× |
| MRI, abdomen, combo (74183) |
$5,514 |
$5,514 |
15.5× |
| MRI, dorsal spine combo (72157) |
$4,457 |
$4,457 |
12.5× |
| MRI, joint upper extrem (73221) |
$4,867 |
$4,867 |
20.0× |
| MRI, lumbar spine combo (72158) |
$5,125 |
$5,125 |
14.4× |
| Myocardial Spect Multiple Studies (78452) |
$4,500 |
$4,500 |
3.4× |
| Neck soft tissue (70360) |
$275 |
$275 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$533 |
$533 |
5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$1,321 |
$1,321 |
12.4× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$856 |
$856 |
9.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$507 |
$507 |
5.7× |
| Radex elbow complete minimum 3 views (73080) |
$584 |
$584 |
6.6× |
| Radex fingr minimum 2 views (73140) |
$475 |
$475 |
5.3× |
| Radex foot complete minimum 3 views (73630) |
$631 |
$631 |
7.1× |
| Radex Hand Minimum 3 Views (73130) |
$541 |
$541 |
6.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$784 |
$784 |
8.8× |
| Radex Ribs Unilateral 2 Views (71100) |
$787 |
$787 |
8.9× |
| Radex shoulder complete minimum 2 views (73030) |
$660 |
$660 |
7.4× |
| Radex Sinuses Paransl < 3 Views (70210) |
$360 |
$360 |
4.0× |
| Radex Spine 1 View Specify Level (72020) |
$416 |
$416 |
4.7× |
| Radex Toe Minimum 2 Views (73660) |
$442 |
$442 |
5.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$783 |
$783 |
8.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$859 |
$859 |
8.0× |
| Radiologic exam knee complete 4/more views (73564) |
$668 |
$668 |
6.3× |
| Radiologic examination femur 1 view (73551) |
$602 |
$602 |
6.8× |
| Radiologic examination femur minimum 2 views (73552) |
$772 |
$772 |
8.7× |
| Radiologic examination knee 1/2 views (73560) |
$602 |
$602 |
6.8× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,244 |
$1,244 |
11.6× |
| Radiologic examination tibia & fibula 2 views (73590) |
$664 |
$664 |
7.5× |
| Scapula (73010) |
$558 |
$558 |
5.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$75 |
$75 |
3.2× |
| Shoulder 1 view (73020) |
$503 |
$503 |
5.7× |
| Skull less than 4 views (70250) |
$787 |
$787 |
7.4× |
| Thoracic spine 2 views (72070) |
$664 |
$664 |
6.2× |
| Thoracic spine 3 views (72072) |
$783 |
$783 |
7.3× |
Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$442–$884 |
$442–$884 |
varies |
| Ultrasound Exam Aaa Screen (76706) |
$769 |
$769 |
7.2× |
| Ultrasound, abdomen limited (76705) |
$1,333 |
$1,333 |
12.5× |
| Us chest (76604) |
$900 |
$900 |
8.4× |
| Us exam, pelvic, limited (76857) |
$356 |
$356 |
3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$615 |
$615 |
5.8× |
| Us ob transvaginal (76817) |
$737 |
$737 |
6.9× |
| Us pelvic non ob complete (76856) |
$1,205 |
$1,205 |
11.3× |
| Us retroperitoneal complete (76770) |
$1,591 |
$1,591 |
14.9× |
| Us retroperitoneal limited (76775) |
$769 |
$769 |
7.2× |
| Us scrotum and contents (76870) |
$840 |
$840 |
7.9× |
| Us thyroid (76536) |
$964 |
$964 |
9.0× |
| Wrist 2 views (73100) |
$541 |
$541 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$664 |
$664 |
7.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$533 |
$533 |
6.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$664 |
$664 |
6.2× |
X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$658–$1,188 |
$658–$1,188 |
varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$996 |
$996 |
9.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,107 |
$1,107 |
10.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$583 |
$583 |
6.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$924 |
$924 |
8.7× |
| X-ray eye for foreign body (70030) |
$484 |
$484 |
5.4× |
| X-ray humerus (73060) |
$562 |
$562 |
6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$784 |
$784 |
8.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$784 |
$784 |
7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$696 |
$696 |
6.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$598 |
$598 |
6.7× |