| Abdomen 2 views (74019) |
$273.19 |
$364.25 |
2.8× |
| Cervical spine 2 or 3 views (72040) |
$220.50 |
$294 |
2.8× |
| Chest 1 view (71045) |
$120 |
$160 |
1.5× |
| Clavicle complete (73000) |
$179.81 |
$239.75 |
2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$482.81 |
$643.75 |
5.0× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,251 |
$1,668 |
3.9× |
| CT abdomen and pelvis without contrast (74176) |
$1,052.44 |
$1,403.25 |
4.8× |
| CT abdomen w contrast (74160) |
$1,072.88 |
$1,430.50 |
6.7× |
| CT abdomen w/o contrast (74150) |
$1,052.44 |
$1,403.25 |
10.9× |
| CT c-spine w/o contrast (72125) |
$912.94 |
$1,217.25 |
9.5× |
| CT chest with contrast (71260) |
$1,226.06 |
$1,634.75 |
7.6× |
| CT lower ext w/o (73700) |
$1,253.25 |
$1,671 |
13.0× |
| CT lumbar spine w/o contrast (72131) |
$932.06 |
$1,242.75 |
9.7× |
| CT maxillofacial w contrast (70487) |
$983.06 |
$1,310.75 |
6.1× |
| CT maxillofacial w/o contrast (70486) |
$795.56 |
$1,060.75 |
8.3× |
| CT neck soft tissue w contrast (70491) |
$1,013.25 |
$1,351 |
6.3× |
| CT orbits w/o contrast (70480) |
$780.19 |
$1,040.25 |
8.1× |
| CT pelvis w/o contrast (72192) |
$1,052.44 |
$1,403.25 |
10.9× |
| CT soft tissue neck w/o contrast (70490) |
$801 |
$1,068 |
8.3× |
| CT thoracic spine w/o contrast (72128) |
$932.06 |
$1,242.75 |
9.7× |
| CT thorax w/o contrast (71250) |
$1,052.44 |
$1,403.25 |
10.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,253.25 |
$1,671 |
13.0× |
| CTA abdomen pelvis (74174) |
$1,594.48 |
$2,125.97 |
5.0× |
| CTA chest (71275) |
$1,939.50 |
$2,586 |
12.0× |
| Cta Head (70496) |
$2,437.50 |
$3,250 |
15.1× |
| Cta Neck (70498) |
$2,418.75 |
$3,225 |
15.0× |
| Forearm 2 views (73090) |
$160.88 |
$214.50 |
2.0× |
| Hand 3 views (73130) |
$195 |
$260 |
2.4× |
| Humerus Min 2 Views Left (73060) |
$180.94 |
$241.25 |
2.3× |
| Knee 3 views (73562) |
$223.50 |
$298 |
2.8× |
| Pelvis 1 or 2 views (72170) |
$166.50 |
$222 |
1.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$155.62 |
$207.50 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$189.66 |
$252.88 |
2.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$172.88 |
$230.50 |
2.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$153.84 |
$205.12 |
1.9× |
| Ribs bilateral 3 views (71110) |
$225 |
$300 |
2.3× |
| Spine thoracic 3 views (72072) |
$187.50 |
$250 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$262.10 |
$349.46 |
2.7× |
| Us pelvic non ob complete (76856) |
$262.10 |
$349.46 |
2.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$262.10 |
$349.46 |
2.7× |
| Us retroperitoneal complete (76770) |
$262.10 |
$349.46 |
2.7× |
| Us retroperitoneal limited (76775) |
$161.25 |
$215 |
1.7× |
| Us soft tissue head/neck (76536) |
$262.10 |
$349.46 |
2.7× |
| Us xtr non-vasc lmtd (76882) |
$139.18 |
$185.57 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$187.50 |
$250 |
2.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$187.31 |
$249.75 |
2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$146.25 |
$195 |
1.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$162.19 |
$216.25 |
2.0× |
| X-ray exam entire spi 4/5 vw (72083) |
$180 |
$240 |
1.9× |
| X-ray exam hip uni 1 view (73501) |
$93.38 |
$124.50 |
1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$144.84 |
$193.12 |
1.8× |
| X-ray exam of femur 1 (73551) |
$141.38 |
$188.50 |
1.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$187.31 |
$249.75 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$214.13 |
$285.50 |
2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$45 |
$60 |
0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$220.50 |
$294 |
2.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$275.63 |
$367.50 |
2.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$126.75 |
$169 |
1.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$225 |
$300 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$113.44 |
$151.25 |
1.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$180.19 |
$240.25 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$130.31 |
$173.75 |
1.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$150 |
$200 |
1.6× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$148.88 |
$198.50 |
1.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$165 |
$220 |
2.1× |
| Xr finger(s) 2+ views (73140) |
$178.31 |
$237.75 |
2.2× |
| Xr shoulder 1 view (73020) |
$135.19 |
$180.25 |
1.7× |
| Xray knee 1 or 2 views rt (73560) |
$148.88 |
$198.50 |
1.9× |