| Abdomen 2 views (74019) |
$342.99 |
$428.74 |
3.3× |
| Ankle 2 views (73600) |
$294.21 |
$367.76 |
3.4× |
| Bone age studies (77072) |
$124 |
$155 |
1.2× |
| Bone Imaging 3 Phase (78315) |
$5,414.40 |
$6,768 |
13.5× |
| Bone survey complete (77075) |
$783.76 |
$979.70 |
7.5× |
| Cervical spine 2 or 3 views (72040) |
$323.20 |
$404 |
3.7× |
| Chest 1 view (71045) |
$178.50 |
$223.12 |
2.0× |
| Chest 3 views (71047) |
$329.60 |
$412 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$692.92 |
$866.15 |
3.9× |
| Clavicle complete (73000) |
$321.60 |
$402 |
3.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,616.80 |
$4,521 |
10.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,536.80 |
$3,171 |
10.6× |
| CT abdomen w contrast (74160) |
$2,417.92 |
$3,022.40 |
13.7× |
| CT abdomen w wo contrast (74170) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT abdomen w/o contrast (74150) |
$1,539.35 |
$1,924.19 |
14.7× |
| CT angiography upper extremity lt (73206) |
$3,092.80 |
$3,866 |
17.6× |
| CT c-spine w/o contrast (72125) |
$2,360 |
$2,950 |
22.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT cervical spine with contrast (72126) |
$2,499.28 |
$3,124.10 |
7.1× |
| CT chest w/wo contrast (71270) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT chest with contrast (71260) |
$3,022.40 |
$3,778 |
17.2× |
| CT head/brain with contrast (70460) |
$2,165.12 |
$2,706.40 |
12.3× |
| CT head/brain without and with contrast (70470) |
$2,464 |
$3,080 |
14.0× |
| CT iac w contrast (70481) |
$2,647.68 |
$3,309.60 |
15.0× |
| CT lower ext w/o (73700) |
$2,285.20 |
$2,856.50 |
21.8× |
| CT lower extremity w wo contrast (73702) |
$2,563.20 |
$3,204 |
14.5× |
| CT lower extremity with contrast (73701) |
$2,197.76 |
$2,747.20 |
12.5× |
| CT lumbar spine w & w/o contrast (72133) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT lumbar spine w/o contrast (72131) |
$2,360 |
$2,950 |
22.5× |
| CT lumbar spine with contrast (72132) |
$2,488.96 |
$3,111.20 |
7.1× |
| CT maxillofacial w contrast (70487) |
$2,240 |
$2,800 |
12.7× |
| CT maxillofacial w/o contrast (70486) |
$2,472 |
$3,090 |
23.5× |
| CT maxillofacial w/wo contrast (70488) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT neck soft tissue w contrast (70491) |
$2,488.96 |
$3,111.20 |
14.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,977.28 |
$3,721.60 |
16.9× |
| CT orbits w/o contrast (70480) |
$2,263.68 |
$2,829.60 |
21.6× |
| CT pelvis w & w/o contrast (72194) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT pelvis w/o contrast (72192) |
$2,360 |
$2,950 |
22.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,782.72 |
$3,478.40 |
15.8× |
| CT soft tissue neck w/o contrast (70490) |
$2,838.40 |
$3,548 |
27.0× |
| CT thoracic spine w/contrast (72129) |
$3,111.20 |
$3,889 |
17.7× |
| CT thoracic spine w/o contrast (72128) |
$2,360 |
$2,950 |
22.5× |
| CT thoracic spine w/wo contrast (72130) |
$2,722.56 |
$3,403.20 |
15.5× |
| CT thorax w/o contrast (71250) |
$2,080 |
$2,600 |
19.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,204 |
$4,005 |
18.2× |
| CT upper extremity w/o contrast rt (73200) |
$1,828 |
$2,285 |
17.4× |
| CT upper extremity with contrast (73201) |
$2,197.76 |
$2,747.20 |
6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,635.84 |
$4,544.80 |
20.6× |
| Cta Abdomen (74175) |
$3,380.48 |
$4,225.60 |
19.2× |
| CTA abdomen pelvis (74174) |
$3,577.34 |
$4,471.68 |
10.2× |
| CTA chest (71275) |
$2,612 |
$3,265 |
14.8× |
| Cta Head (70496) |
$2,360 |
$2,950 |
13.4× |
| CTA lwr ext w&w/o contrast (73706) |
$2,505.49 |
$3,131.86 |
14.2× |
| Cta Neck (70498) |
$2,360 |
$2,950 |
13.4× |
| Cta Pelvis (72191) |
$4,271.20 |
$5,339 |
24.2× |
| Cystography minimum 3 views rs&i (74430) |
$858.40 |
$1,073 |
2.4× |
| Dxa bone density study axial skeleton (77085) |
$656.80 |
$821 |
6.3× |
| Esophagus (74220) |
$3,606.40 |
$4,508 |
20.5× |
| Foot 2 views (73620) |
$249.86 |
$312.32 |
2.9× |
| Forearm 2 views (73090) |
$325.76 |
$407.20 |
3.7× |
| Hand 2 views (73120) |
$325.76 |
$407.20 |
3.1× |
| Hand 3 views (73130) |
$404.16 |
$505.20 |
4.6× |
| Humerus Min 2 Views Left (73060) |
$325.76 |
$407.20 |
3.7× |
| Knee 3 views (73562) |
$482.40 |
$603 |
5.5× |
| MRA head w & w/o contrast (70546) |
$3,661.44 |
$4,576.80 |
10.4× |
| MRA head w/o contrast (70544) |
$2,169.60 |
$2,712 |
9.1× |
| MRA head with contrast (70545) |
$3,120 |
$3,900 |
8.9× |
| MRA neck w contrast (70548) |
$3,644.80 |
$4,556 |
10.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,055.04 |
$5,068.80 |
11.6× |
| MRA neck w/o contrast (70547) |
$2,735.36 |
$3,419.20 |
11.4× |
| MRI abdomen w contrast (74182) |
$3,618.16 |
$4,522.70 |
10.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,833.60 |
$4,792 |
10.9× |
| MRI abdomen w/o contrast (74181) |
$3,368.96 |
$4,211.20 |
14.1× |
| MRI any jnt lwr ext with con lt (73722) |
$4,939.20 |
$6,174 |
6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,971.20 |
$4,964 |
5.0× |
| MRI c-spine with contrast (72142) |
$4,560 |
$5,700 |
13.0× |
| MRI cervical spine w/o contrast (72141) |
$3,696 |
$4,620 |
15.4× |
| MRI chest w/o & w/contrast material (71552) |
$4,273.28 |
$5,341.60 |
12.2× |
| MRI chest w/o contrast (71550) |
$3,147.52 |
$3,934.40 |
13.1× |
| MRI chest with contrast (71551) |
$4,760 |
$5,950 |
6.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$4,600 |
$5,750 |
13.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$3,811.20 |
$4,764 |
10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,419.20 |
$4,274 |
14.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,397.76 |
$4,247.20 |
14.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,259.68 |
$5,324.60 |
12.2× |
| MRI orbit/face/neck w/contrast (70542) |
$4,724.80 |
$5,906 |
13.5× |
| MRI pelvis w contrast (72196) |
$3,799 |
$4,748.75 |
10.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,163.84 |
$5,204.80 |
11.9× |
| MRI pelvis w/o contrast (72195) |
$2,482.56 |
$3,103.20 |
10.4× |
| MRI scan of arm joint before and after contrast (73223) |
$5,204.80 |
$6,506 |
14.9× |
| MRI scan of leg joint before and after contrast (73723) |
$5,204.80 |
$6,506 |
14.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,096 |
$5,120 |
11.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$4,785 |
$5,981.25 |
13.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,163.84 |
$5,204.80 |
11.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$4,560 |
$5,700 |
13.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,163.84 |
$5,204.80 |
11.9× |
| MRI thoracic spine w/o contrast (72146) |
$2,956.80 |
$3,696 |
12.3× |
| MRI tmj (70336) |
$3,799 |
$4,748.75 |
15.8× |
| MRI upper ext joint w/o contrast (73221) |
$2,950 |
$3,687.50 |
12.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$4,040 |
$5,050 |
11.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,333.76 |
$4,167.20 |
13.9× |
| Neck soft tissue (70360) |
$233.02 |
$291.28 |
2.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$312.20 |
$390.25 |
3.0× |
| Pelvis 1 or 2 views (72170) |
$260.48 |
$325.60 |
2.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$4,134.96 |
$5,168.70 |
11.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,864 |
$2,330 |
4.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,732 |
$2,165 |
3.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$327.04 |
$408.80 |
3.1× |
| Radex hips bilateral with pelvis 2 views (73521) |
$652.80 |
$816 |
6.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$572.60 |
$715.75 |
5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$379.21 |
$474.01 |
3.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$272 |
$340 |
3.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$315.20 |
$394 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$364.80 |
$456 |
4.2× |
| Ribs bilateral 3 views (71110) |
$462.97 |
$578.71 |
4.4× |
| Sacroiliac Joints < 3 Views (72200) |
$260.48 |
$325.60 |
2.5× |
| Scapula complete (73010) |
$326.04 |
$407.56 |
3.1× |
| Spine thoracic 3 views (72072) |
$401.45 |
$501.81 |
3.8× |
| Tmj unilateral (70328) |
$214.40 |
$268 |
2.5× |
| Ultrasound, abdomen limited (76705) |
$664.80 |
$831 |
6.3× |
| Unlisted Ultrasound Procedure (76999) |
$331.20 |
$414 |
3.8× |
| Upper Extremity Infant (73092) |
$361.90 |
$452.38 |
3.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,071.60 |
$1,339.50 |
6.1× |
| Us abdl aorta screen aaa (76706) |
$501.22 |
$626.52 |
4.8× |
| Us compl joint r-t w/image documentation (76881) |
$732.16 |
$915.20 |
7.0× |
| Us ob transvaginal (76817) |
$617.60 |
$772 |
5.9× |
| Us pelvic non ob complete (76856) |
$723.20 |
$904 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$512 |
$640 |
4.9× |
| Us pregnancy ltd (76815) |
$732 |
$915 |
7.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$732.16 |
$915.20 |
7.0× |
| Us retroperitoneal complete (76770) |
$806.40 |
$1,008 |
7.7× |
| Us retroperitoneal limited (76775) |
$544.12 |
$680.15 |
5.2× |
| Us scrotum and contents (76870) |
$723.20 |
$904 |
6.9× |
| Us soft tissue head/neck (76536) |
$904 |
$1,130 |
8.6× |
| Us xtr non-vasc lmtd (76882) |
$367.68 |
$459.60 |
3.5× |
| Wrist 2 views (73100) |
$325.76 |
$407.20 |
3.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$396.16 |
$495.20 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$296.49 |
$370.61 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$357.88 |
$447.35 |
4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$325.76 |
$407.20 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$404.16 |
$505.20 |
4.6× |
| X-ray exam hip uni 1 view (73501) |
$260.48 |
$325.60 |
3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$327.04 |
$408.80 |
3.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$414.72 |
$518.40 |
3.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$328.22 |
$410.28 |
3.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$505.20 |
$631.50 |
5.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$325.76 |
$407.20 |
3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$321.60 |
$402 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$304.14 |
$380.17 |
3.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$452.60 |
$565.75 |
5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$454.40 |
$568 |
4.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$650.22 |
$812.78 |
6.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$272.62 |
$340.78 |
3.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$357.40 |
$446.75 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$553.60 |
$692 |
5.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$323.20 |
$404 |
3.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$390.40 |
$488 |
4.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$430.72 |
$538.40 |
4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$345.60 |
$432 |
3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$323.20 |
$404 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$407.20 |
$509 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$430.72 |
$538.40 |
4.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$201.60 |
$252 |
2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$515.20 |
$644 |
4.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$391.20 |
$489 |
3.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$202.18 |
$252.72 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$325.60 |
$407 |
3.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$264.58 |
$330.73 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$330.87 |
$413.59 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$276.32 |
$345.40 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$404.16 |
$505.20 |
4.6× |
| Xr c-spine 6 or more views (72052) |
$577.92 |
$722.40 |
5.5× |
| Xr chest 4+ views (71048) |
$457.92 |
$572.40 |
4.4× |
| Xr finger(s) 2+ views (73140) |
$266.56 |
$333.20 |
3.0× |
| Xr shoulder 1 view (73020) |
$252.16 |
$315.20 |
2.9× |
| Xr spine cervical 4 or 5 views (72050) |
$449.28 |
$561.60 |
4.3× |
| Xr tibia/fibula 2 views (73590) |
$306.85 |
$383.56 |
3.5× |
| Xr tmj bilateral (70330) |
$404 |
$505 |
4.6× |
| Xray knee 1 or 2 views rt (73560) |
$404.16 |
$505.20 |
4.6× |