| Abdomen 2 views (74019) |
$293.90 |
$294 |
2.8× |
| Ankle 2 views (73600) |
$251.90 |
$252 |
2.9× |
| Bone survey complete (77075) |
$593.90 |
$594 |
5.7× |
| Cervical spine 2 or 3 views (72040) |
$300.90 |
$301 |
3.5× |
| Chest 1 view (71045) |
$267.90 |
$268 |
3.1× |
| Clavicle complete (73000) |
$213.90 |
$214 |
2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,397.90 |
$1,398 |
13.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,486.90 |
$2,487 |
7.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,645.90 |
$1,646 |
7.0× |
| CT abdomen w contrast (74160) |
$1,794.90 |
$1,795 |
10.4× |
| CT abdomen w wo contrast (74170) |
$2,333.90 |
$2,334 |
13.5× |
| CT abdomen w/o contrast (74150) |
$1,319.90 |
$1,320 |
12.8× |
| CT c-spine w/contrast (72126) |
$1,924.90 |
$1,925 |
5.6× |
| CT c-spine w/o contrast (72125) |
$1,479.90 |
$1,480 |
14.3× |
| CT chest w contrast (71260) |
$2,064.90 |
$2,065 |
11.9× |
| CT chest w/wo contrast (71270) |
$2,423.90 |
$2,424 |
14.0× |
| CT head/brain with contrast (70460) |
$1,684.90 |
$1,685 |
9.7× |
| CT head/brain without and with contrast (70470) |
$2,333.90 |
$2,334 |
13.5× |
| CT lower ext w/o (73700) |
$1,393.90 |
$1,394 |
13.5× |
| CT lower extremity w/contrast material (73701) |
$2,064.90 |
$2,065 |
11.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,419.90 |
$2,420 |
14.0× |
| CT lumbar spine w/contrast (72132) |
$2,064.90 |
$2,065 |
6.0× |
| CT lumbar spine w/o contrast (72131) |
$1,479.90 |
$1,480 |
14.3× |
| CT maxillofacial w contrast (70487) |
$2,064.90 |
$2,065 |
11.9× |
| CT maxillofacial wo contrast (70486) |
$1,393.90 |
$1,394 |
13.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,333.90 |
$2,334 |
13.5× |
| CT orbits w/o contrast (70480) |
$1,393.90 |
$1,394 |
13.5× |
| CT pelvis w/o contrast (72192) |
$1,393.90 |
$1,394 |
13.5× |
| CT soft tissue neck w contrast (70491) |
$2,064.90 |
$2,065 |
11.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,479.90 |
$1,480 |
14.3× |
| CT thoracic spine w/o contrast (72128) |
$1,479.90 |
$1,480 |
14.3× |
| CT thorax w/o contrast (71250) |
$1,393.90 |
$1,394 |
13.5× |
| CT upper ext wo (73200) |
$1,393.90 |
$1,394 |
13.5× |
| CT upper extremity with contrast (73201) |
$1,594.90 |
$1,595 |
4.6× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$2,333.90 |
$2,334 |
13.5× |
| CTA abdomen pelvis (74174) |
$2,506.90 |
$2,507 |
7.3× |
| CTA chest (71275) |
$2,562.90 |
$2,563 |
14.8× |
| Cta Head (70496) |
$2,419.90 |
$2,420 |
14.0× |
| Cta Neck (70498) |
$2,419.90 |
$2,420 |
14.0× |
| Facial bones min 3 views (70150) |
$310.90 |
$311 |
3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$459.90 |
$460 |
4.5× |
| Foot 2 views (73620) |
$173.90 |
$174 |
2.0× |
| Forearm 2 views (73090) |
$250.40 |
$250.50 |
2.9× |
| Hand 2 views (73120) |
$202.90 |
$203 |
2.0× |
| Knee 3 views (73562) |
$355.90 |
$356 |
4.1× |
| Neck soft tissue (70360) |
$197.90 |
$198 |
2.3× |
| Pelvis 1 or 2 views (72170) |
$274.90 |
$275 |
2.7× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$278.90 |
$279 |
3.2× |
| Radex Calcaneus Minimum 2 Views (73650) |
$253.90 |
$254 |
3.0× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$293.90 |
$294 |
3.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$366.90 |
$367 |
4.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$418.90 |
$419 |
4.1× |
| Radex fingr minimum 2 views (73140) |
$201.90 |
$202 |
2.3× |
| Radex Foot Compl Minimum 3 Views (73630) |
$226.90 |
$227 |
2.6× |
| Radex Hand Minimum 3 Views (73130) |
$225.90 |
$226 |
2.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$252.90 |
$253 |
2.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) |
$378.90 |
$379 |
3.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$368.90 |
$369 |
3.6× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$499.90 |
$500 |
4.8× |
| Radex Humerus Minimum 2 Views (73060) |
$254.90 |
$255 |
3.0× |
| Radex Kne 1/2 Views (73560) |
$232.90 |
$233 |
2.7× |
| Radex Kne Compl 4/More Views (73564) |
$359.90 |
$360 |
3.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$299.90 |
$300 |
2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$293.90 |
$294 |
3.4× |
| Radex Sho Compl Minimum 2 Views (73030) |
$270.90 |
$271 |
3.2× |
| Radex Toe Minimum 2 Views (73660) |
$228.90 |
$229 |
2.7× |
| Radex upper extremity infant minimum 2 views (73092) |
$201.90 |
$202 |
2.0× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$284.40 |
$284.50 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$274.90 |
$275 |
3.2× |
| Radiologic exam chest 2 views (71046) |
$321.90 |
$322 |
3.7× |
| Radiologic examination femur 1 view (73551) |
$236.40 |
$236.50 |
2.7× |
| Radiologic examination tibia & fibula 2 views (73590) |
$259.90 |
$260 |
3.0× |
| Ribs bilateral 3 views (71110) |
$406.90 |
$407 |
3.9× |
| Sacroiliac Joints < 3 Views (72200) |
$192.90 |
$193 |
1.9× |
| Scapula (73010) |
$220.90 |
$221 |
2.1× |
| Shoulder 1 view (73020) |
$214.90 |
$215 |
2.5× |
| Spine thoracic 3 views (72072) |
$407.90 |
$408 |
3.9× |
| Ultrasound Exam Aaa Screen (76706) |
$417.90 |
$418 |
4.0× |
| Ultrasound, abdomen limited (76705) |
$602.90 |
$603 |
5.8× |
| Umbilical-artery Doppler (OB) (76820) |
$198.90 |
$199 |
1.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$123.90 |
$124 |
1.4× |
| Us chest (76604) |
$407.90 |
$408 |
3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$209.90 |
$210 |
2.0× |
| Us ob limited (76815) |
$483.90 |
$484 |
4.7× |
| Us ob transvaginal (76817) |
$484.90 |
$485 |
4.7× |
| Us pelvic non ob complete (76856) |
$669.90 |
$670 |
6.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$403.90 |
$404 |
3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$679.90 |
$680 |
6.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$297.90 |
$298 |
2.9× |
| Us retroperitoneal complete (76770) |
$984.90 |
$985 |
9.5× |
| Us retroperitoneal limited (76775) |
$494.90 |
$495 |
4.8× |
| Us scrotum and contents (76870) |
$618.90 |
$619 |
6.0× |
| Us soft tissue head/neck (76536) |
$577.90 |
$578 |
5.6× |
| Us,transplanted kidney, real time/ doppler (76776) |
$241.90 |
$242 |
2.3× |
| Wrist 2 views (73100) |
$269.90 |
$270 |
3.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$362.90 |
$363 |
3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$246.90 |
$247 |
2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$191.90 |
$192 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$321.90 |
$322 |
3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$420.90 |
$421 |
4.1× |
| X-ray exam of femur 2/> (73552) |
$287.90 |
$288 |
3.3× |
| X-ray eye for foreign body (70030) |
$251.90 |
$252 |
2.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$267.90 |
$268 |
3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$294.90 |
$295 |
3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$243.90 |
$244 |
2.8× |
| X-ray leg, infant (73592) |
$201.90 |
$202 |
2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$366.90 |
$367 |
3.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$437.90 |
$438 |
4.2× |
| X-ray nose-rectum child f.b. (76010) |
$310.90 |
$311 |
3.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$266.90 |
$267 |
3.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$407.90 |
$408 |
3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$494.90 |
$495 |
4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$236.90 |
$237 |
2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$387.90 |
$388 |
4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$367.90 |
$368 |
3.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$238.90 |
$239 |
2.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$218.90 |
$219 |
2.5× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$239.90 |
$240 |
2.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$245.90 |
$246 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$381.90 |
$382 |
3.7× |
| Xr c-spine 4 or 5 views (72050) |
$427.90 |
$428 |
4.1× |
| Xr c-spine 6 or more views (72052) |
$514.90 |
$515 |
5.0× |
| Xr chest 4+ views (71048) |
$327.90 |
$328 |
3.2× |