| Abdomen 2 views (74019) |
$223.54 |
$399.16 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$1,183.84 |
$2,114 |
2.9× |
| Bone Imaging 3 Phase (78315) |
$408.24 |
$729 |
1.0× |
| Bone survey complete (77075) |
$144.48 |
$258 |
1.3× |
| Cervical spine 2 or 3 views (72040) |
$152.32 |
$272 |
1.7× |
| Chest 1 view (71045) |
$188.16 |
$336 |
2.1× |
| Clavicle complete (73000) |
$89.04 |
$159 |
1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$350.56 |
$625.98 |
3.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,443.34 |
$2,577.40 |
4.0× |
| CT abdomen and pelvis without contrast (74176) |
$898.80 |
$1,605 |
3.6× |
| CT abdomen w wo contrast (74170) |
$478.62 |
$854.66 |
2.6× |
| CT abdomen w/o contrast (74150) |
$392.28 |
$700.50 |
3.6× |
| CT c-spine w/o contrast (72125) |
$1,384.32 |
$2,472 |
12.8× |
| CT chest w contrast (71260) |
$876.40 |
$1,565 |
4.8× |
| CT lower ext w/o (73700) |
$574 |
$1,025 |
5.3× |
| CT lumbar spine w/contrast (72132) |
$668.36 |
$1,193.50 |
1.9× |
| CT lumbar spine w/o contrast (72131) |
$392.28 |
$700.50 |
3.6× |
| CT maxillofacial wo contrast (70486) |
$619.36 |
$1,106 |
5.7× |
| CT orbits w/o contrast (70480) |
$528.92 |
$944.50 |
4.9× |
| CT pelvis w/o contrast (72192) |
$458.64 |
$819 |
4.3× |
| CT soft tissue neck w contrast (70491) |
$1,345.96 |
$2,403.50 |
7.4× |
| CT thorax w/o contrast (71250) |
$441.92 |
$789.14 |
4.1× |
| CT upper ext wo (73200) |
$351.68 |
$628 |
3.3× |
| CTA abdomen pelvis (74174) |
$984.76 |
$1,758.50 |
2.7× |
| CTA chest (71275) |
$1,514.80 |
$2,705 |
8.4× |
| Cta Neck (70498) |
$2,351.72 |
$4,199.50 |
13.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$139.70 |
$249.47 |
1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$368.76 |
$658.50 |
3.4× |
| Foot 2 views (73620) |
$54.88 |
$98 |
0.6× |
| Forearm 2 views (73090) |
$97.44 |
$174 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,238.16 |
$2,211 |
2.2× |
| Knee 3 views (73562) |
$126.11 |
$225.20 |
1.4× |
| MRA head w/o contrast (70544) |
$776.72 |
$1,387 |
3.2× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,441.20 |
$6,145 |
9.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,313.62 |
$2,345.75 |
3.6× |
| MRI abdomen w/o contrast (74181) |
$731.36 |
$1,306 |
3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$2,356.48 |
$4,208 |
6.5× |
| MRI cervical spine w/o contrast (72141) |
$962.08 |
$1,718 |
3.9× |
| MRI chest w/o & w/contrast material (71552) |
$1,720.60 |
$3,072.50 |
4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$1,294.86 |
$2,312.25 |
3.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$770.84 |
$1,376.50 |
3.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,182.40 |
$2,111.42 |
3.3× |
| MRI pelvis w/o contrast (72195) |
$809.20 |
$1,445 |
3.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,191.68 |
$2,128 |
3.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,203.30 |
$2,148.75 |
3.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,916.88 |
$3,423 |
5.3× |
| MRI thoracic spine w/o contrast (72146) |
$832.72 |
$1,487 |
3.4× |
| MRI upper ext joint w/o contrast (73221) |
$726.60 |
$1,297.50 |
3.0× |
| Nm gastric emptying study (78264) |
$473.76 |
$846 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$152.32 |
$272 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$1,484.84 |
$2,651.50 |
1.0× |
| PET imaging for CT attenuation whole body (78816) |
$1,494.64 |
$2,669 |
1.0× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$145.97 |
$260.67 |
1.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$136.64 |
$244 |
1.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$110.71 |
$197.70 |
1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$134.40 |
$240 |
1.2× |
| Radex fingr minimum 2 views (73140) |
$150.78 |
$269.25 |
1.7× |
| Radex Foot Compl Minimum 3 Views (73630) |
$138.32 |
$247 |
1.5× |
| Radex Hand Minimum 3 Views (73130) |
$113.68 |
$203 |
1.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$133.66 |
$238.69 |
1.2× |
| Radex Humerus Minimum 2 Views (73060) |
$130.90 |
$233.75 |
1.5× |
| Radex Kne 1/2 Views (73560) |
$147.84 |
$264 |
1.6× |
| Radex Kne Compl 4/More Views (73564) |
$79.80 |
$142.50 |
0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$170.24 |
$304 |
1.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$166.32 |
$297 |
1.5× |
| Radex Sho Compl Minimum 2 Views (73030) |
$106.96 |
$191 |
1.2× |
| Radex Toe Minimum 2 Views (73660) |
$151.20 |
$270 |
1.7× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$123.65 |
$220.80 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$143.64 |
$256.50 |
1.6× |
| Radiologic exam chest 2 views (71046) |
$129.50 |
$231.25 |
1.4× |
| Radiologic examination tibia & fibula 2 views (73590) |
$106.40 |
$190 |
1.2× |
| Sacroiliac Joints < 3 Views (72200) |
$54.32 |
$97 |
0.5× |
| Spine thoracic 3 views (72072) |
$81.76 |
$146 |
0.8× |
| Thoracolumbar 2 views (72080) |
$89.04 |
$159 |
1.0× |
| Ultrasound Exam Aaa Screen (76706) |
$258.44 |
$461.50 |
2.4× |
| Ultrasound, abdomen limited (76705) |
$153.44 |
$274 |
1.4× |
| Us breast unilateral limited (76642) |
$59.36 |
$106 |
0.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$138.88 |
$248 |
1.3× |
| Us ob limited (76815) |
$395.36 |
$706 |
3.7× |
| Us ob transvaginal (76817) |
$124.32 |
$222 |
1.2× |
| Us pelvic non ob complete (76856) |
$134.62 |
$240.40 |
1.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$427.84 |
$764 |
4.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$212.52 |
$379.50 |
2.0× |
| Us retroperitoneal complete (76770) |
$224.98 |
$401.75 |
2.1× |
| Us retroperitoneal limited (76775) |
$175.84 |
$314 |
1.6× |
| Us scrotum and contents (76870) |
$725.20 |
$1,295 |
6.7× |
| Us soft tissue head/neck (76536) |
$242.76 |
$433.50 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$213.36 |
$381 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$69.72 |
$124.50 |
0.8× |
| X-ray exam of femur 2/> (73552) |
$133.33 |
$238.09 |
1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$156.24 |
$279 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$96.32 |
$172 |
1.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$113.96 |
$203.50 |
1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$81.20 |
$145 |
0.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$280 |
$500 |
2.6× |
| Xr c-spine 4 or 5 views (72050) |
$256.48 |
$458 |
2.4× |