| Abdomen 2 views (74019) |
$1,460 |
$1,460 |
14.3× |
| Acute gi blood loss imaging (78278) |
$1,890 |
$1,890 |
4.8× |
| Ankle 2 views (73600) |
$995 |
$995 |
11.7× |
| Arthrogram elbow (73085) |
$1,833 |
$1,833 |
5.4× |
| Arthrogram hip (73525) |
$2,247 |
$2,247 |
6.6× |
| Arthrogram knee (73580) |
$2,346 |
$2,346 |
6.9× |
| Arthrogram shoulder (73040) |
$2,349 |
$2,349 |
6.9× |
| Arthrogram wrist (73115) |
$2,109 |
$2,109 |
6.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$2,879 |
$2,879 |
7.4× |
| Bone &/joint imaging whole body (78306) |
$4,488 |
$4,488 |
11.5× |
| Bone age studies (77072) |
$1,058 |
$1,058 |
10.4× |
| Bone Imaging 3 Phase (78315) |
$4,620 |
$4,620 |
11.8× |
| Bone survey complete (77075) |
$3,075 |
$3,075 |
30.1× |
| Bone survey infant (77076) |
$1,213 |
$1,213 |
11.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$3,594 |
$3,594 |
6.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$10,851 |
$10,851 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$1,337 |
$1,337 |
15.7× |
| Chest 1 view (71045) |
$842 |
$842 |
9.9× |
| Chest xray 3 views (71047) |
$1,438 |
$1,438 |
16.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,648 |
$1,648 |
9.6× |
| Clavicle complete (73000) |
$1,337 |
$1,337 |
15.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$281 |
$281 |
2.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$20,098 |
$20,098 |
59.0× |
| CT abdomen and pelvis without contrast (74176) |
$11,436 |
$11,436 |
49.1× |
| CT abdomen w contrast (74160) |
$8,436 |
$8,436 |
49.3× |
| CT abdomen w wo contrast (74170) |
$9,052 |
$9,052 |
52.9× |
| CT abdomen w/o contrast (74150) |
$4,962 |
$4,962 |
48.6× |
| CT angio lwr extr w/o&w/dye (73706) |
$7,904 |
$7,904 |
46.2× |
| CT angiography upper extremity lt (73206) |
$6,800 |
$6,800 |
39.7× |
| CT c-spine w/contrast (72126) |
$6,764 |
$6,764 |
19.9× |
| CT c-spine w/o contrast (72125) |
$6,632 |
$6,632 |
65.0× |
| CT cervical spine w&w/o contrast (72127) |
$6,182 |
$6,182 |
36.1× |
| CT chest w contrast (71260) |
$8,531 |
$8,531 |
49.8× |
| CT chest w/wo contrast (71270) |
$8,531 |
$8,531 |
49.8× |
| CT head/brain with contrast (70460) |
$7,344 |
$7,344 |
42.9× |
| CT head/brain without and with contrast (70470) |
$8,262 |
$8,262 |
48.3× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$1,534 |
$1,534 |
18.1× |
| CT iac w contrast (70481) |
$8,262 |
$8,262 |
48.3× |
| CT lower ext w/o (73700) |
$6,104 |
$6,104 |
59.8× |
| CT lower extremity w wo contrast (73702) |
$7,470 |
$7,470 |
43.6× |
| CT lower extremity w/contrast material (73701) |
$7,644 |
$7,644 |
44.7× |
| CT lumbar spine w & w/o contrast (72133) |
$6,900 |
$6,900 |
40.3× |
| CT lumbar spine w/contrast (72132) |
$7,028 |
$7,028 |
20.6× |
| CT lumbar spine w/o contrast (72131) |
$6,632 |
$6,632 |
65.0× |
| CT maxillofacial w contrast (70487) |
$8,789 |
$8,789 |
51.4× |
| CT maxillofacial w/wo contrast (70488) |
$8,789 |
$8,789 |
51.4× |
| CT maxillofacial wo contrast (70486) |
$7,156 |
$7,156 |
70.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$9,844 |
$9,844 |
57.5× |
| CT orbits w/o contrast (70480) |
$4,972 |
$4,972 |
48.7× |
| CT pelvis w/o contrast (72192) |
$6,479 |
$6,479 |
63.5× |
| CT pelvis w/wo contrast (72194) |
$11,047 |
$11,047 |
64.5× |
| CT scan of arm combo (73202) |
$6,360 |
$6,360 |
37.2× |
| CT soft tissue neck w contrast (70491) |
$8,137 |
$8,137 |
47.5× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$8,789 |
$8,789 |
51.4× |
| CT soft tissue neck w/o contrast (70490) |
$5,843 |
$5,843 |
57.3× |
| CT thoracic spine w/contrast (72129) |
$6,104 |
$6,104 |
35.7× |
| CT thoracic spine w/o contrast (72128) |
$6,632 |
$6,632 |
65.0× |
| CT thoracic spine w/wo contrast (72130) |
$6,498 |
$6,498 |
38.0× |
| CT thorax w/o contrast (71250) |
$8,531 |
$8,531 |
83.6× |
| CT upper ext wo (73200) |
$5,446 |
$5,446 |
53.4× |
| CT upper extremity with contrast (73201) |
$6,360 |
$6,360 |
18.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) |
$11,512 |
$11,512 |
67.3× |
| Cta Abdomen (74175) |
$9,498 |
$9,498 |
55.5× |
| CTA abdomen pelvis (74174) |
$16,786 |
$16,786 |
49.3× |
| CTA chest (71275) |
$9,406 |
$9,406 |
55.0× |
| Cta Head (70496) |
$8,705 |
$8,705 |
50.9× |
| Cta Neck (70498) |
$9,235 |
$9,235 |
54.0× |
| Cta Pelvis (72191) |
$11,488 |
$11,488 |
67.1× |
| Dxa bone density study 1/> sites axial skel (77080) |
$2,456 |
$2,456 |
24.1× |
| Esophagus (74220) |
$1,648 |
$1,648 |
9.6× |
| Facial bones min 3 views (70150) |
$1,278 |
$1,278 |
12.5× |
| Fluoroscopy up to 1 hr (76000) |
$2,993 |
$2,993 |
12.9× |
| Foot 2 views (73620) |
$1,033 |
$1,033 |
12.2× |
| Forearm 2 views (73090) |
$1,058 |
$1,058 |
12.5× |
| Hand 2 views (73120) |
$1,033 |
$1,033 |
10.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$3,087 |
$3,087 |
5.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$3,087 |
$3,087 |
7.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$901 |
$901 |
8.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,977 |
$3,977 |
7.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$3,977 |
$3,977 |
7.5× |
| Knee 3 views (73562) |
$1,119 |
$1,119 |
13.2× |
| Lymphoscintigraphy (78195) |
$3,731 |
$3,731 |
7.0× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) |
$7,584 |
$7,584 |
9.9× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) |
$8,679.50 |
$8,679.50 |
25.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) |
$7,824 |
$7,824 |
23.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$63 |
$63 |
2.2× |
| MRA head w/o contrast (70544) |
$3,914 |
$3,914 |
16.8× |
| MRA neck w contrast (70548) |
$3,914 |
$3,914 |
11.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$4,044 |
$4,044 |
11.9× |
| MRA neck w/o contrast (70547) |
$3,914 |
$3,914 |
16.8× |
| MRI abdomen w contrast (74182) |
$7,584 |
$7,584 |
22.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,824 |
$7,824 |
23.0× |
| MRI abdomen w/o contrast (74181) |
$7,584 |
$7,584 |
32.6× |
| MRI any jt lower extrem w/contrast material (73722) |
$7,584 |
$7,584 |
9.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$7,824 |
$7,824 |
23.0× |
| MRI c-spine with contrast (72142) |
$7,811 |
$7,811 |
22.9× |
| MRI cervical spine w/o contrast (72141) |
$7,811 |
$7,811 |
33.6× |
| MRI chest w/o & w/contrast material (71552) |
$7,824 |
$7,824 |
23.0× |
| MRI chest w/o contrast (71550) |
$7,584 |
$7,584 |
32.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$7,584 |
$7,584 |
22.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$7,824 |
$7,824 |
23.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$7,584 |
$7,584 |
32.6× |
| MRI orbit face &/neck w/o contrast (70540) |
$7,584 |
$7,584 |
32.6× |
| MRI orbit face neck w contrast (70542) |
$7,584 |
$7,584 |
22.3× |
| MRI orbit/face/neck w&w/o cont (70543) |
$7,824 |
$7,824 |
23.0× |
| MRI pelvis w/o & w/contrast material (72197) |
$7,824 |
$7,824 |
23.0× |
| MRI pelvis w/o contrast (72195) |
$7,584 |
$7,584 |
32.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$8,058 |
$8,058 |
23.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,811 |
$7,811 |
22.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$8,058 |
$8,058 |
23.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$8,058 |
$8,058 |
23.7× |
| MRI temporomandibular joint (70336) |
$7,584 |
$7,584 |
32.6× |
| MRI thoracic spine w/o contrast (72146) |
$7,811 |
$7,811 |
33.6× |
| MRI up ext w/o contrast (73218) |
$7,584 |
$7,584 |
32.6× |
| MRI upper ext joint w/o contrast (73221) |
$7,584 |
$7,584 |
32.6× |
| MRI, joint upper extrem combo (73223) |
$7,824 |
$7,824 |
23.0× |
| Myocardial Spect Multiple Studies (78452) |
$11,632 |
$11,632 |
9.2× |
| Myocardial spect single study at rest or stress (78451) |
$7,174 |
$7,174 |
5.7× |
| Neck soft tissue (70360) |
$1,058 |
$1,058 |
12.5× |
| Nm gastric emptying study (78264) |
$3,087 |
$3,087 |
7.9× |
| Nonvascular shunt X-ray (75809) |
$1,600 |
$1,600 |
15.7× |
| Osseous survey limited (77074) |
$3,074 |
$3,074 |
30.1× |
| Parathyroid planar imaging w/wo subtraction (78071) |
$7,765 |
$7,765 |
19.9× |
| Pelvis 1 or 2 views (72170) |
$1,337 |
$1,337 |
13.1× |
| PET image w/CT, skull-thigh (78815) |
$11,795 |
$11,795 |
8.5× |
| PET imaging for CT attenuation whole body (78816) |
$11,795 |
$11,795 |
8.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,162 |
$4,162 |
10.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$6,261 |
$6,261 |
11.8× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$1,278 |
$1,278 |
15.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$1,058 |
$1,058 |
12.5× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$1,083 |
$1,083 |
12.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$380 |
$380 |
4.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$624 |
$624 |
6.1× |
| Radex fingr minimum 2 views (73140) |
$1,119 |
$1,119 |
13.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$1,119 |
$1,119 |
13.2× |
| Radex Hand Minimum 3 Views (73130) |
$1,187 |
$1,187 |
14.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) |
$877 |
$877 |
10.3× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$1,749 |
$1,749 |
17.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) |
$5,157 |
$5,157 |
50.6× |
| Radex Humerus Minimum 2 Views (73060) |
$1,329 |
$1,329 |
15.7× |
| Radex Kne 1/2 Views (73560) |
$995 |
$995 |
11.7× |
| Radex Kne Compl 4/More Views (73564) |
$1,278 |
$1,278 |
12.5× |
| Radex Mndbl Compl Minimum 4 Views (70110) |
$1,596 |
$1,596 |
15.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$1,278 |
$1,278 |
15.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) |
$1,438 |
$1,438 |
14.1× |
| Radex Sho Compl Minimum 2 Views (73030) |
$1,900 |
$1,900 |
22.4× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) |
$1,521 |
$1,521 |
14.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$1,721 |
$1,721 |
20.3× |
| Radex Toe Minimum 2 Views (73660) |
$1,058 |
$1,058 |
12.5× |
| Radex upper extremity infant minimum 2 views (73092) |
$1,083 |
$1,083 |
10.6× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$1,083 |
$1,083 |
12.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$1,337 |
$1,337 |
15.7× |
| Radiologic exam chest 2 views (71046) |
$1,119 |
$1,119 |
13.2× |
| Radiologic exam colon single contrast study (74270) |
$3,299 |
$3,299 |
19.3× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,840 |
$3,840 |
22.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,840 |
$3,840 |
22.4× |
| Radiologic examination femur 1 view (73551) |
$706 |
$706 |
8.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$1,083 |
$1,083 |
12.8× |
| Radiological examination surgical specimen (76098) |
$1,002 |
$1,002 |
1.9× |
| Ribs bilateral 3 views (71110) |
$1,460 |
$1,460 |
14.3× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) |
$1,562 |
$1,562 |
4.0× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$4,869 |
$4,869 |
9.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$4,751 |
$4,751 |
9.0× |
| Sacroiliac Joints < 3 Views (72200) |
$967 |
$967 |
9.5× |
| Scapula (73010) |
$1,337 |
$1,337 |
13.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$43 |
$43 |
1.8× |
| Shoulder 1 view (73020) |
$1,033 |
$1,033 |
12.2× |
| Small bowel series (74250) |
$2,364 |
$2,364 |
13.8× |
| Spine thoracic 3 views (72072) |
$1,900 |
$1,900 |
18.6× |
| Thoracolumbar 2 views (72080) |
$1,738 |
$1,738 |
20.5× |
| Thyroid uptake measurement (78012) |
$3,884 |
$3,884 |
10.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$5,348 |
$5,348 |
13.7× |
| Tmj unilateral (70328) |
$1,058 |
$1,058 |
12.5× |
| Ultrasound breast complete (76641) |
$1,880 |
$1,880 |
18.4× |
| Ultrasound Exam Aaa Screen (76706) |
$968 |
$968 |
9.5× |
| Ultrasound, abdomen limited (76705) |
$1,606 |
$1,606 |
15.7× |
| Us breast unilateral limited (76642) |
$1,880 |
$1,880 |
22.1× |
| Us chest (76604) |
$1,612 |
$1,612 |
15.8× |
| Us compl joint r-t w/image documentation (76881) |
$1,377 |
$1,377 |
13.5× |
| Us elastography parenchyma (76981) |
$1,011 |
$1,011 |
9.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,183 |
$1,183 |
11.6× |
| Us ob limited (76815) |
$2,557 |
$2,557 |
25.1× |
| Us ob transvaginal (76817) |
$1,838 |
$1,838 |
18.0× |
| Us pelvic non ob complete (76856) |
$2,198 |
$2,198 |
21.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,578 |
$1,578 |
15.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$1,633 |
$1,633 |
16.0× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$1,715 |
$1,715 |
16.8× |
| Us retroperitoneal complete (76770) |
$2,437 |
$2,437 |
23.9× |
| Us retroperitoneal limited (76775) |
$1,474 |
$1,474 |
14.5× |
| Us scrotum and contents (76870) |
$1,775 |
$1,775 |
17.4× |
| Us soft tissue head/neck (76536) |
$1,339 |
$1,339 |
13.1× |
| Us,transplanted kidney, real time/ doppler (76776) |
$764 |
$764 |
7.5× |
| Venogram extremity bilateral (75822) |
$3,405 |
$3,405 |
2.2× |
| Venogram Extremity Unilateral (75820) |
$3,874 |
$3,874 |
2.5× |
| Venography caval inferior serialography rs&i (75825) |
$6,799 |
$6,799 |
2.2× |
| Wrist 2 views (73100) |
$995 |
$995 |
11.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,648 |
$1,648 |
16.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,768 |
$3,768 |
22.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$1,033 |
$1,033 |
12.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$1,278 |
$1,278 |
15.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$2,550 |
$2,550 |
25.0× |
| X-ray exam of femur 2/> (73552) |
$1,408 |
$1,408 |
16.6× |
| X-ray eye for foreign body (70030) |
$1,119 |
$1,119 |
13.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$842 |
$842 |
9.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$1,337 |
$1,337 |
15.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$1,083 |
$1,083 |
12.8× |
| X-ray leg, infant (73592) |
$1,083 |
$1,083 |
12.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,648 |
$1,648 |
16.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$2,264 |
$2,264 |
22.2× |
| X-ray nose-rectum child f.b. (76010) |
$995 |
$995 |
11.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$1,438 |
$1,438 |
14.1× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,377 |
$1,377 |
16.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,460 |
$1,460 |
14.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,596 |
$1,596 |
15.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,377 |
$1,377 |
13.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,377 |
$1,377 |
16.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$1,563 |
$1,563 |
18.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,065 |
$2,065 |
20.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,337 |
$1,337 |
13.1× |
| X-Ray Spine One View - Xr Spine (72020) |
$930 |
$930 |
11.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$1,438 |
$1,438 |
16.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,596 |
$1,596 |
15.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,964 |
$1,964 |
19.3× |
| Xr bone length studies (77073) |
$1,594 |
$1,594 |
15.6× |
| Xr c-spine 4 or 5 views (72050) |
$1,721 |
$1,721 |
16.9× |
| Xr c-spine 6 or more views (72052) |
$1,862 |
$1,862 |
18.3× |
| Xr chest 4+ views (71048) |
$1,500 |
$1,500 |
14.7× |