| Abdomen 2 views (74019) |
$122.32 |
$188.18 |
1.2× |
| Ankle 2 views (73600) |
$103.34 |
$158.98 |
1.2× |
| Arthrogram shoulder (73040) |
$718.44 |
$1,105.29 |
2.1× |
| Bone age studies (77072) |
$175.75 |
$270.38 |
1.7× |
| Bone survey complete (77075) |
$175.75 |
$270.38 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$103.08 |
$158.58 |
1.2× |
| Chest 1 view (71045) |
$96.31 |
$148.17 |
1.2× |
| Chest 3 views (71047) |
$168.83 |
$259.74 |
2.0× |
| Clavicle complete (73000) |
$191.21 |
$294.17 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$130 |
$200 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,728.62 |
$2,659.41 |
5.2× |
| CT abdomen and pelvis without contrast (74176) |
$1,521.94 |
$2,341.45 |
6.6× |
| CT abdomen w contrast (74160) |
$1,546.54 |
$2,379.30 |
9.2× |
| CT abdomen w wo contrast (74170) |
$1,728.62 |
$2,659.41 |
10.2× |
| CT abdomen w/o contrast (74150) |
$1,521.94 |
$2,341.45 |
15.1× |
| CT c-spine w/o contrast (72125) |
$204.26 |
$314.25 |
2.0× |
| CT cervical spine w&w/o contrast (72127) |
$341.37 |
$525.18 |
2.0× |
| CT cervical spine with contrast (72126) |
$714.52 |
$1,099.26 |
2.1× |
| CT chest w/wo contrast (71270) |
$1,265.36 |
$1,946.70 |
7.5× |
| CT chest with contrast (71260) |
$1,123.71 |
$1,728.78 |
6.7× |
| CT head/brain with contrast (70460) |
$1,358.15 |
$2,089.46 |
8.1× |
| CT head/brain without and with contrast (70470) |
$1,577.48 |
$2,426.89 |
9.4× |
| CT heart no contrast quant eval coronry calcium (75571) |
$48.75 |
$75 |
0.6× |
| CT iac w contrast (70481) |
$1,747.60 |
$2,688.61 |
10.4× |
| CT lower ext w/o (73700) |
$1,048.84 |
$1,613.60 |
10.4× |
| CT lower extremity w wo contrast (73702) |
$1,601.38 |
$2,463.66 |
9.5× |
| CT lower extremity with contrast (73701) |
$1,256.92 |
$1,933.72 |
7.5× |
| CT lumbar spine w & w/o contrast (72133) |
$341.37 |
$525.18 |
2.0× |
| CT lumbar spine w/o contrast (72131) |
$204.26 |
$314.25 |
2.0× |
| CT lumbar spine with contrast (72132) |
$714.52 |
$1,099.26 |
2.1× |
| CT maxillofacial w contrast (70487) |
$1,422.82 |
$2,188.96 |
8.4× |
| CT maxillofacial w/o contrast (70486) |
$1,189.44 |
$1,829.90 |
11.8× |
| CT maxillofacial w/wo contrast (70488) |
$1,634.42 |
$2,514.49 |
9.7× |
| CT neck soft tissue w contrast (70491) |
$1,483.28 |
$2,281.97 |
8.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,007.79 |
$3,088.90 |
11.9× |
| CT orbits w/o contrast (70480) |
$1,175.38 |
$1,808.27 |
11.7× |
| CT pelvis w & w/o contrast (72194) |
$1,156.04 |
$1,778.53 |
6.9× |
| CT pelvis w/o contrast (72192) |
$789.22 |
$1,214.18 |
7.8× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$277.67 |
$427.19 |
3.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,569.74 |
$2,414.99 |
9.3× |
| CT soft tissue neck w/o contrast (70490) |
$1,219.66 |
$1,876.40 |
12.1× |
| CT thoracic spine w/contrast (72129) |
$1,430 |
$2,200 |
8.5× |
| CT thoracic spine w/o contrast (72128) |
$1,305.43 |
$2,008.35 |
13.0× |
| CT thoracic spine w/wo contrast (72130) |
$2,080 |
$3,200 |
12.3× |
| CT thorax w/o contrast (71250) |
$760.62 |
$1,170.18 |
7.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,151.48 |
$1,771.50 |
6.8× |
| CT upper extremity w/o contrast rt (73200) |
$996.12 |
$1,532.49 |
9.9× |
| CT upper extremity with contrast (73201) |
$1,141.63 |
$1,756.36 |
3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,470 |
$3,800 |
14.6× |
| Cta Abdomen (74175) |
$1,407.25 |
$2,165 |
8.3× |
| CTA chest (71275) |
$1,215.50 |
$1,870 |
7.2× |
| Cta Head (70496) |
$1,342.25 |
$2,065 |
8.0× |
| Cta Neck (70498) |
$1,326 |
$2,040 |
7.9× |
| Cta Pelvis (72191) |
$1,407.25 |
$2,165 |
8.3× |
| Foot 2 views (73620) |
$103.34 |
$158.98 |
1.2× |
| Forearm 2 views (73090) |
$191.21 |
$294.17 |
2.3× |
| Hand 2 views (73120) |
$175.75 |
$270.38 |
1.7× |
| Hand 3 views (73130) |
$205.97 |
$316.88 |
2.5× |
| Humerus Min 2 Views Left (73060) |
$201.05 |
$309.31 |
2.4× |
| Knee 3 views (73562) |
$104.04 |
$160.06 |
1.2× |
| MRA head w & w/o contrast (70546) |
$1,750.41 |
$2,692.94 |
5.2× |
| MRA head w/o contrast (70544) |
$1,469.92 |
$2,261.42 |
6.4× |
| MRA head with contrast (70545) |
$1,888.19 |
$2,904.91 |
5.6× |
| MRA neck w contrast (70548) |
$1,855.15 |
$2,854.08 |
5.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,846.01 |
$2,840.02 |
5.5× |
| MRA neck w/o contrast (70547) |
$1,712.44 |
$2,634.53 |
7.5× |
| MRI abdomen w contrast (74182) |
$1,071.42 |
$1,648.34 |
3.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,795.47 |
$2,762.26 |
5.4× |
| MRI abdomen w/o contrast (74181) |
$1,082.88 |
$1,665.98 |
4.7× |
| MRI any jnt lwr ext with con lt (73722) |
$1,489.61 |
$2,291.70 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,616.14 |
$2,486.37 |
2.1× |
| MRI c-spine with contrast (72142) |
$1,684.33 |
$2,591.27 |
5.0× |
| MRI cervical spine w/o contrast (72141) |
$1,614.03 |
$2,483.12 |
7.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,338.80 |
$3,598.15 |
7.0× |
| MRI chest w/o contrast (71550) |
$1,673.78 |
$2,575.05 |
7.3× |
| MRI chest with contrast (71551) |
$1,068.52 |
$1,643.88 |
1.4× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,616.14 |
$2,486.37 |
4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,377.35 |
$2,119 |
4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,474.84 |
$2,268.99 |
6.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,712.44 |
$2,634.53 |
7.5× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,972.43 |
$3,034.50 |
5.9× |
| MRI orbit/face/neck w/contrast (70542) |
$1,842.43 |
$2,834.50 |
5.5× |
| MRI pelvis w contrast (72196) |
$1,646.37 |
$2,532.87 |
4.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,560.23 |
$3,938.82 |
7.6× |
| MRI pelvis w/o contrast (72195) |
$1,497.34 |
$2,303.60 |
6.5× |
| MRI scan of arm joint before and after contrast (73223) |
$1,936.69 |
$2,979.53 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$2,037.22 |
$3,134.19 |
6.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,238.28 |
$3,443.50 |
6.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,787.66 |
$2,750.25 |
5.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,262.88 |
$3,481.35 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,100.49 |
$3,231.52 |
6.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,100.49 |
$3,231.52 |
6.3× |
| MRI thoracic spine w/o contrast (72146) |
$1,838.98 |
$2,829.20 |
8.0× |
| MRI tmj (70336) |
$1,296.99 |
$1,995.37 |
5.7× |
| MRI upper ext joint w/o contrast (73221) |
$1,519.83 |
$2,338.20 |
6.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,936.69 |
$2,979.53 |
5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,519.83 |
$2,338.20 |
6.6× |
| Neck soft tissue (70360) |
$203.16 |
$312.55 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$66.72 |
$102.65 |
0.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,883.70 |
$2,898 |
5.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$169.42 |
$260.64 |
2.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$76.10 |
$117.06 |
0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$208.42 |
$320.64 |
2.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$108.52 |
$166.95 |
1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$204.26 |
$314.25 |
2.0× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$126.54 |
$194.67 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$243.93 |
$375.28 |
2.9× |
| Scapula complete (73010) |
$208.79 |
$321.21 |
2.1× |
| Screening digital breast tomosynthesis (77063) |
$92.78 |
$142.74 |
4.0× |
| Spine thoracic 3 views (72072) |
$288.22 |
$443.42 |
2.9× |
| Thoracolumbar 2 views (72080) |
$169.42 |
$260.64 |
2.0× |
| Ultrasound, abdomen limited (76705) |
$397.88 |
$612.13 |
4.0× |
| Upper Extremity Infant (73092) |
$87.75 |
$135 |
0.9× |
| Us abdl aorta screen aaa (76706) |
$325 |
$500 |
3.2× |
| Us chest (76604) |
$279.01 |
$429.25 |
2.8× |
| Us pelvic non ob complete (76856) |
$456.23 |
$701.89 |
4.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$279.79 |
$430.44 |
2.8× |
| Us pregnancy ltd (76815) |
$328.29 |
$505.06 |
3.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$328.29 |
$505.06 |
3.3× |
| Us retroperitoneal complete (76770) |
$216.82 |
$333.57 |
2.2× |
| Us retroperitoneal limited (76775) |
$372.58 |
$573.20 |
3.7× |
| Us scrotum and contents (76870) |
$401.40 |
$617.54 |
4.0× |
| Us soft tissue head/neck (76536) |
$754.99 |
$1,161.53 |
7.5× |
| Us xtr non-vasc lmtd (76882) |
$208.42 |
$320.64 |
2.1× |
| Wrist 2 views (73100) |
$98.42 |
$151.41 |
1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$130.05 |
$200.08 |
1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$172.23 |
$264.97 |
2.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$151.14 |
$232.52 |
1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$103.34 |
$158.98 |
1.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$205.97 |
$316.88 |
2.5× |
| X-ray exam hip uni 1 view (73501) |
$106.15 |
$163.31 |
1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$106.15 |
$163.31 |
1.3× |
| X-ray eye for foreign body (70030) |
$175.75 |
$270.38 |
2.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$237.61 |
$365.55 |
2.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$216.52 |
$333.10 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$101.23 |
$155.74 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$196.83 |
$302.82 |
2.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$120.21 |
$184.94 |
1.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$161.09 |
$247.83 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$175.75 |
$270.38 |
1.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$204.26 |
$314.25 |
2.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$213 |
$327.69 |
2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$273.46 |
$420.70 |
2.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$113.88 |
$175.20 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$319.85 |
$492.08 |
3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$312 |
$480 |
3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$160.98 |
$247.66 |
1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$201.05 |
$309.31 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$151.14 |
$232.52 |
1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$262.21 |
$403.40 |
3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$286.11 |
$440.17 |
2.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$216.52 |
$333.10 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$186.29 |
$286.60 |
2.2× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$241.12 |
$370.95 |
2.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$173.63 |
$267.13 |
2.1× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$101.23 |
$155.74 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$351.49 |
$540.75 |
3.5× |
| Xr finger(s) 2+ views (73140) |
$174.34 |
$268.21 |
2.1× |
| Xr shoulder 1 view (73020) |
$103.34 |
$158.98 |
1.2× |
| Xr spine cervical 4 or 5 views (72050) |
$207.32 |
$318.94 |
2.1× |
| Xr tibia/fibula 2 views (73590) |
$210.19 |
$323.37 |
2.5× |
| Xr tmj bilateral (70330) |
$258.69 |
$397.99 |
3.1× |
| Xray knee 1 or 2 views rt (73560) |
$97.01 |
$149.25 |
1.2× |