| Abdomen 2 views (74019) |
$191.59 |
$255.45 |
1.7× |
| Ankle 2 views (73600) |
$170.06 |
$226.74 |
1.9× |
| Cervical spine 2 or 3 views (72040) |
$186.32 |
$248.42 |
2.0× |
| Chest 1 view (71045) |
$103.18 |
$137.58 |
1.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$892.90 |
$1,190.53 |
4.8× |
| Clavicle complete (73000) |
$254.42 |
$339.23 |
2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$844.62 |
$1,126.16 |
7.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,849.94 |
$3,799.92 |
7.7× |
| CT abdomen and pelvis without contrast (74176) |
$1,920.25 |
$2,560.33 |
7.6× |
| CT abdomen w contrast (74160) |
$1,275.19 |
$1,700.25 |
6.9× |
| CT abdomen w wo contrast (74170) |
$2,313.08 |
$3,084.10 |
12.5× |
| CT abdomen w/o contrast (74150) |
$1,107.34 |
$1,476.45 |
10.0× |
| CT angiography upper extremity lt (73206) |
$1,167.08 |
$1,556.11 |
6.3× |
| CT c-spine w/o contrast (72125) |
$1,038.79 |
$1,385.05 |
9.4× |
| CT chest w/wo contrast (71270) |
$1,982.65 |
$2,643.53 |
10.7× |
| CT chest with contrast (71260) |
$1,924.64 |
$2,566.18 |
10.4× |
| CT head/brain with contrast (70460) |
$1,116.13 |
$1,488.17 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,340.22 |
$1,786.96 |
7.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$81.18 |
$108.24 |
0.9× |
| CT iac w contrast (70481) |
$1,214.54 |
$1,619.39 |
6.6× |
| CT lower ext w/o (73700) |
$529.94 |
$706.58 |
4.8× |
| CT lower extremity with contrast (73701) |
$853.34 |
$1,137.79 |
4.6× |
| CT lumbar spine w/o contrast (72131) |
$1,038.79 |
$1,385.05 |
9.4× |
| CT maxillofacial w contrast (70487) |
$1,180.28 |
$1,573.70 |
6.4× |
| CT maxillofacial w/o contrast (70486) |
$1,045.81 |
$1,394.41 |
9.5× |
| CT maxillofacial w/wo contrast (70488) |
$1,415.81 |
$1,887.74 |
7.7× |
| CT neck soft tissue w contrast (70491) |
$1,214.54 |
$1,619.39 |
6.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,137.22 |
$1,516.29 |
6.1× |
| CT orbits w/o contrast (70480) |
$959.69 |
$1,279.58 |
8.7× |
| CT pelvis w/o contrast (72192) |
$871.81 |
$1,162.41 |
7.9× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,454.48 |
$1,939.30 |
7.9× |
| CT soft tissue neck w/o contrast (70490) |
$1,057.24 |
$1,409.65 |
9.6× |
| CT thoracic spine w/o contrast (72128) |
$1,038.79 |
$1,385.05 |
9.4× |
| CT thorax w/o contrast (71250) |
$1,513.91 |
$2,018.54 |
13.7× |
| CT upper extremity w/o contrast rt (73200) |
$744.38 |
$992.50 |
6.7× |
| CT upper extremity with contrast (73201) |
$855.98 |
$1,141.31 |
2.3× |
| Cta Abdomen (74175) |
$1,543.23 |
$2,057.64 |
8.3× |
| CTA abdomen pelvis (74174) |
$803.25 |
$1,071 |
2.2× |
| CTA chest (71275) |
$2,024.80 |
$2,699.74 |
10.9× |
| Cta Head (70496) |
$1,385.91 |
$1,847.88 |
7.5× |
| CTA lwr ext w&w/o contrast (73706) |
$928.05 |
$1,237.40 |
5.0× |
| Cta Neck (70498) |
$1,481.72 |
$1,975.62 |
8.0× |
| Cta Pelvis (72191) |
$1,148.63 |
$1,531.51 |
6.2× |
| Foot 2 views (73620) |
$217.50 |
$290 |
2.4× |
| Forearm 2 views (73090) |
$233.33 |
$311.10 |
2.5× |
| Hand 2 views (73120) |
$187.19 |
$249.59 |
1.7× |
| Hand 3 views (73130) |
$230.69 |
$307.58 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$259.70 |
$346.26 |
2.8× |
| MRA head w/o contrast (70544) |
$2,263.88 |
$3,018.51 |
9.0× |
| MRA head with contrast (70545) |
$2,638.25 |
$3,517.67 |
7.2× |
| MRA neck w contrast (70548) |
$2,460.72 |
$3,280.96 |
6.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,084.68 |
$4,112.91 |
8.4× |
| MRA neck w/o contrast (70547) |
$2,016.92 |
$2,689.22 |
8.0× |
| MRI abdomen w contrast (74182) |
$2,596.07 |
$3,461.43 |
7.1× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,224.45 |
$4,299.26 |
8.8× |
| MRI abdomen w/o contrast (74181) |
$2,418.54 |
$3,224.72 |
9.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,326.09 |
$3,101.45 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,449.92 |
$1,933.23 |
1.8× |
| MRI c-spine with contrast (72142) |
$2,346.47 |
$3,128.63 |
6.4× |
| MRI cervical spine w/o contrast (72141) |
$2,019.55 |
$2,692.73 |
8.0× |
| MRI chest w/o & w/contrast material (71552) |
$3,428.32 |
$4,571.09 |
9.3× |
| MRI chest w/o contrast (71550) |
$1,911.45 |
$2,548.60 |
7.6× |
| MRI chest with contrast (71551) |
$2,132.93 |
$2,843.91 |
2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,973.96 |
$3,965.28 |
11.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,994.07 |
$2,658.76 |
7.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,443.25 |
$4,591 |
9.4× |
| MRI orbit/face/neck w/contrast (70542) |
$2,218.16 |
$2,957.54 |
6.0× |
| MRI pelvis w contrast (72196) |
$2,310.44 |
$3,080.59 |
6.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,452.05 |
$4,602.73 |
9.4× |
| MRI pelvis w/o contrast (72195) |
$2,001.98 |
$2,669.31 |
8.0× |
| MRI scan of arm joint before and after contrast (73223) |
$1,550.72 |
$2,067.63 |
4.2× |
| MRI scan of leg joint before and after contrast (73723) |
$2,412.25 |
$3,216.33 |
6.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,495.12 |
$4,660.16 |
9.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,400.96 |
$3,201.28 |
6.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$4,391.96 |
$5,855.94 |
11.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,417.67 |
$3,223.56 |
6.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,495.12 |
$4,660.16 |
9.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,011.64 |
$2,682.19 |
8.0× |
| MRI tmj (70336) |
$1,573.12 |
$2,097.49 |
6.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,175.11 |
$2,900.14 |
8.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,518.73 |
$3,358.30 |
6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,175.11 |
$2,900.14 |
8.6× |
| Neck soft tissue (70360) |
$124.79 |
$166.39 |
1.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$318.14 |
$424.18 |
2.9× |
| Osseous survey limited (77074) |
$278.59 |
$371.45 |
2.5× |
| Pelvis 1 or 2 views (72170) |
$169.62 |
$226.16 |
1.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,218.29 |
$4,291.05 |
8.7× |
| Pr sono bone density measure,peripheral (76977) |
$108.97 |
$145.29 |
1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$3,724.49 |
$4,965.99 |
8.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,182.83 |
$1,577.10 |
2.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$168.81 |
$225.08 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$174.02 |
$232.03 |
1.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$255.76 |
$341.01 |
2.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$241.67 |
$322.23 |
2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$241.67 |
$322.23 |
2.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$149.41 |
$199.21 |
1.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$109.80 |
$146.40 |
1.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$253.21 |
$337.61 |
2.8× |
| Ribs bilateral 3 views (71110) |
$238.16 |
$317.55 |
2.2× |
| Scapula complete (73010) |
$239.93 |
$319.90 |
2.2× |
| Spine thoracic 3 views (72072) |
$255.76 |
$341.01 |
2.3× |
| Thoracolumbar 2 views (72080) |
$203 |
$270.67 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$181.91 |
$242.55 |
1.6× |
| Upper Extremity Infant (73092) |
$118.65 |
$158.20 |
1.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$312 |
$416 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$350.37 |
$467.16 |
3.2× |
| Us breast unilateral complete (76641) |
$354.17 |
$472.23 |
3.2× |
| Us chest (76604) |
$209.96 |
$279.95 |
1.9× |
| Us ob detailed single fetus (76811) |
$402.50 |
$536.67 |
1.6× |
| Us ob transvaginal (76817) |
$335.72 |
$447.62 |
3.0× |
| Us pelvic non ob complete (76856) |
$406.03 |
$541.37 |
3.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$257.49 |
$343.32 |
2.3× |
| Us pregnancy ltd (76815) |
$285.62 |
$380.83 |
2.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$394.59 |
$526.12 |
3.6× |
| Us retroperitoneal complete (76770) |
$428.88 |
$571.84 |
3.9× |
| Us retroperitoneal limited (76775) |
$181.04 |
$241.38 |
1.6× |
| Us scrotum and contents (76870) |
$299.24 |
$398.99 |
2.7× |
| Us soft tissue head/neck (76536) |
$298.82 |
$398.42 |
2.7× |
| Us transrectal prostate volume (76873) |
$443.81 |
$591.74 |
4.0× |
| Us xtr non-vasc lmtd (76882) |
$340.11 |
$453.48 |
3.1× |
| Wrist 2 views (73100) |
$214.88 |
$286.50 |
2.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$258.38 |
$344.51 |
2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$174.88 |
$233.17 |
1.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$255.74 |
$340.99 |
2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$212.24 |
$282.98 |
2.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$230.69 |
$307.58 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$147.92 |
$197.22 |
1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$189.84 |
$253.12 |
2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$304.55 |
$406.06 |
2.8× |
| X-ray exam of femur 1 (73551) |
$182.72 |
$243.62 |
2.0× |
| X-ray eye for foreign body (70030) |
$51.86 |
$69.14 |
0.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$247.84 |
$330.45 |
2.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$184.56 |
$246.08 |
2.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$253.10 |
$337.48 |
2.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$89.64 |
$119.51 |
1.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$297.92 |
$397.23 |
2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$149.41 |
$199.21 |
1.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$121.27 |
$161.70 |
1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$207.40 |
$276.53 |
1.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$326.05 |
$434.73 |
3.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$175.78 |
$234.37 |
1.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$241.67 |
$322.23 |
2.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$202.13 |
$269.50 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$198.61 |
$264.81 |
2.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$241.67 |
$322.23 |
2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$321.65 |
$428.87 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$203 |
$270.67 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$195.10 |
$260.13 |
2.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$199.50 |
$265.99 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$215.31 |
$287.08 |
2.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$146.33 |
$195.10 |
1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$275.95 |
$367.93 |
2.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$212.68 |
$283.57 |
1.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$161.70 |
$215.60 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$173.14 |
$230.85 |
1.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$203 |
$270.67 |
1.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$137.10 |
$182.80 |
1.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$242.56 |
$323.42 |
2.6× |
| Xr c-spine 6 or more views (72052) |
$275.95 |
$367.93 |
2.5× |
| Xr finger(s) 2+ views (73140) |
$230.69 |
$307.58 |
2.5× |
| Xr shoulder 1 view (73020) |
$187.19 |
$249.59 |
2.0× |
| Xr spine cervical 4 or 5 views (72050) |
$244.32 |
$325.76 |
2.2× |
| Xr tibia/fibula 2 views (73590) |
$254.42 |
$339.23 |
2.8× |
| Xr tmj bilateral (70330) |
$227.62 |
$303.49 |
2.5× |
| Xray knee 1 or 2 views rt (73560) |
$230.69 |
$307.58 |
2.5× |