| Abdomen 1 View (74018) |
$545 |
$545 |
5.9× |
| Abdomen 2 views (74019) |
$646 |
$646 |
5.8× |
| Ankle 2 views (73600) |
$485 |
$485 |
5.3× |
| Bone age studies (77072) |
$219 |
$219 |
2.0× |
| Bone survey infant (77076) |
$380 |
$380 |
3.4× |
Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$8,197–$8,720 |
$8,197–$8,720 |
varies |
| Cardiac MRI w/w/o contrast & further seq (75561) |
$5,468 |
$5,468 |
14.8× |
| Chest 1 view (71045) |
$590 |
$590 |
6.4× |
| Chest 2 views (71046) |
$684 |
$684 |
7.4× |
| Chest 4 or more views (71048) |
$783 |
$783 |
7.1× |
| Clavicle complete (73000) |
$540 |
$540 |
5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$2,224 |
$2,224 |
20.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$7,558 |
$7,558 |
20.4× |
| CT abdomen and pelvis without contrast (74176) |
$5,182 |
$5,182 |
20.5× |
| CT abdomen w contrast (74160) |
$3,043 |
$3,043 |
16.4× |
| CT abdomen w wo contrast (74170) |
$3,819 |
$3,819 |
20.5× |
| CT abdomen w/o contrast (74150) |
$2,606 |
$2,606 |
23.5× |
| CT Angio Abdomen and Pelvis (74174) |
$5,237 |
$5,237 |
14.2× |
| CT Angio Chest (71275) |
$3,939 |
$3,939 |
21.2× |
| CT Angio Head (70496) |
$2,856 |
$2,856 |
15.4× |
| CT angio hrt w/3d image (75574) |
$2,288 |
$2,288 |
6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$3,035 |
$3,035 |
16.3× |
| CT Angio Neck (70498) |
$3,547 |
$3,547 |
19.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$4,282 |
$4,282 |
23.0× |
| CT cervical spine w/o contrast (72125) |
$2,928 |
$2,928 |
26.4× |
| CT cervical spine w/wo cont (72127) |
$5,126 |
$5,126 |
27.6× |
| CT chest w contrast (71260) |
$3,033 |
$3,033 |
16.3× |
| CT chest w/wo contrast (71270) |
$2,979 |
$2,979 |
16.0× |
| CT head/brain with contrast (70460) |
$2,872 |
$2,872 |
15.4× |
| CT head/brain without and with contrast (70470) |
$3,541 |
$3,541 |
19.0× |
| CT heart contrast eval cardiac structure&morph (75572) |
$2,304 |
$2,304 |
6.2× |
| CT heart no contrast quant eval coronry calcium (75571) |
$90 |
$90 |
1.0× |
| CT hrt w/3d image congen (75573) |
$958 |
$958 |
2.6× |
| CT iac w contrast (70481) |
$2,706 |
$2,706 |
14.5× |
| CT lower ext w/o (73700) |
$2,444 |
$2,444 |
22.0× |
| CT lower extremity w/contrast material (73701) |
$2,531 |
$2,531 |
13.6× |
| CT lumbar spine w contrast (72132) |
$3,032 |
$3,032 |
8.2× |
| CT lumbar spine w/o contrast (72131) |
$2,935 |
$2,935 |
26.5× |
| CT maxillofacial w contrast (70487) |
$2,488 |
$2,488 |
13.4× |
| CT maxillofacial wo contrast (70486) |
$2,420 |
$2,420 |
21.8× |
| CT neck tissue combo (70492) |
$3,683 |
$3,683 |
19.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,863 |
$2,863 |
15.4× |
| CT orbits w/o contrast (70480) |
$2,601 |
$2,601 |
23.5× |
| CT pelvis w/o contrast (72192) |
$2,290 |
$2,290 |
20.7× |
| CT scan of leg combo (73702) |
$3,237 |
$3,237 |
17.4× |
| CT scans face/jaw combo (70488) |
$3,057 |
$3,057 |
16.4× |
| CT soft tissue neck w contrast (70491) |
$2,937 |
$2,937 |
15.8× |
| CT soft tissue neck w/o contrast (70490) |
$2,450 |
$2,450 |
22.1× |
| CT thoracic spine w contrast (72129) |
$3,036 |
$3,036 |
16.3× |
| CT thoracic spine w/o contrast (72128) |
$2,917 |
$2,917 |
26.3× |
| CT thoracic spine w/wo cont (72130) |
$5,294 |
$5,294 |
28.5× |
| CT thorax w/o contrast (71250) |
$2,424 |
$2,424 |
21.9× |
| CT upper ext wo (73200) |
$2,470 |
$2,470 |
22.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,694 |
$3,694 |
19.9× |
| CT upper extremity with contrast (73201) |
$2,496 |
$2,496 |
6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,424 |
$3,424 |
18.4× |
| Cta Abdomen (74175) |
$3,238 |
$3,238 |
17.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$5,449 |
$5,449 |
14.7× |
| CTA pelvis (72191) |
$3,319 |
$3,319 |
17.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$277 |
$277 |
2.5× |
| Echo exam of fetal heart (76825) |
$1,181 |
$1,181 |
2.0× |
| Fluoroscopy up to 1 hr (76000) |
$1,414 |
$1,414 |
5.6× |
| Foot 2 views (73620) |
$465 |
$465 |
5.0× |
| Forearm 2 views (73090) |
$578 |
$578 |
6.3× |
| Hand 2 views (73120) |
$405 |
$405 |
3.7× |
| Infant hip ultrasound, limited static exam (76886) |
$851 |
$851 |
9.2× |
| Knee 3 Views (73562) |
$722 |
$722 |
7.8× |
| Magnetic Image Jaw Joint (70336) |
$3,709 |
$3,709 |
14.7× |
| Magnetic Resonance Elastography (76391) |
$6,150 |
$6,150 |
24.3× |
| Mra Head W/O & W/Contrast Material (70546) |
$4,762 |
$4,762 |
12.9× |
| MRA head w/o contrast (70544) |
$3,830 |
$3,830 |
15.1× |
| MRA head with contrast (70545) |
$3,376 |
$3,376 |
9.1× |
| MRA neck w contrast (70548) |
$3,703 |
$3,703 |
10.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,346 |
$5,346 |
14.4× |
| MRA neck w/o contrast (70547) |
$3,834 |
$3,834 |
15.1× |
| MRI abdomen w/o contrast (74181) |
$4,052 |
$4,052 |
16.0× |
| MRI any jt lower extrem w/contrast material (73722) |
$4,853 |
$4,853 |
5.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,542 |
$5,542 |
15.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$4,510 |
$4,510 |
5.4× |
| MRI Breast W/O Contrast Bilateral (77047) |
$5,454 |
$5,454 |
21.6× |
| MRI cervical spine w/o cont (72141) |
$4,630 |
$4,630 |
18.3× |
| MRI chest w/o contrast (71550) |
$4,795 |
$4,795 |
18.9× |
| MRI chest wo w contrast (71552) |
$4,442 |
$4,442 |
12.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$5,662 |
$5,662 |
15.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,941 |
$3,941 |
15.6× |
| MRI lumbar spine w contrast (72149) |
$4,758 |
$4,758 |
12.9× |
| Mri Neck Spine W/O & W/Dye (72156) |
$6,827 |
$6,827 |
18.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$4,016 |
$4,016 |
15.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$6,063 |
$6,063 |
16.4× |
| MRI pelvis w/o & w contrast (72197) |
$5,754 |
$5,754 |
15.6× |
| MRI pelvis w/o contrast (72195) |
$4,163 |
$4,163 |
16.4× |
| MRI thoracic spine w/o contrast (72146) |
$4,717 |
$4,717 |
18.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$3,819 |
$3,819 |
15.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$5,686 |
$5,686 |
15.4× |
| MRI, abdomen, combo (74183) |
$6,432 |
$6,432 |
17.4× |
| MRI, dorsal spine combo (72157) |
$6,922 |
$6,922 |
18.7× |
| MRI, joint upper extrem (73221) |
$4,307 |
$4,307 |
17.0× |
| MRI, joint upper extrem combo (73223) |
$5,313 |
$5,313 |
14.4× |
| MRI, lumbar spine combo (72158) |
$6,679 |
$6,679 |
18.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$5,519 |
$5,519 |
4.0× |
| N-invas est c ffr sw aly CTA (75580) |
$2,459 |
$2,459 |
2.7× |
| Neck soft tissue (70360) |
$561 |
$561 |
6.1× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) |
$200 |
$200 |
2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$717 |
$717 |
6.5× |
| Pelvis 1 or 2 views (72170) |
$541 |
$541 |
4.9× |
| Pet Image W/Ct Lmtd (78814) |
$9,140 |
$9,140 |
6.0× |
| PET image w/CT, full body (78816) |
$9,140 |
$9,140 |
6.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) |
$9,615 |
$9,615 |
6.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) |
$5,519 |
$5,519 |
4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$884 |
$884 |
8.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$543 |
$543 |
5.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$506 |
$506 |
5.5× |
| Radex elbow complete minimum 3 views (73080) |
$600 |
$600 |
6.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$959 |
$959 |
8.6× |
| Radex fingr minimum 2 views (73140) |
$436 |
$436 |
4.7× |
| Radex foot complete minimum 3 views (73630) |
$607 |
$607 |
6.6× |
| Radex Hand Minimum 3 Views (73130) |
$600 |
$600 |
6.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$510 |
$510 |
5.5× |
| Radex shoulder complete minimum 2 views (73030) |
$783 |
$783 |
8.5× |
| Radex Sternum Minimum 2 Views (71120) |
$514 |
$514 |
5.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$658 |
$658 |
7.1× |
| Radex Toe Minimum 2 Views (73660) |
$453 |
$453 |
4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$584 |
$584 |
6.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$692 |
$692 |
6.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$884 |
$884 |
8.0× |
| Radiologic exam knee complete 4/more views (73564) |
$741 |
$741 |
6.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$756 |
$756 |
6.8× |
| Radiologic examination femur 1 view (73551) |
$549 |
$549 |
5.9× |
| Radiologic examination femur minimum 2 views (73552) |
$127 |
$127 |
1.4× |
| Radiologic examination knee 1/2 views (73560) |
$673 |
$673 |
7.3× |
| Radiologic Examination Osseous Survey Limited (77074) |
$1,167 |
$1,167 |
10.5× |
| Radiologic examination tibia & fibula 2 views (73590) |
$650 |
$650 |
7.0× |
| Ribs bilateral 3 views (71110) |
$704 |
$704 |
6.3× |
| Scapula (73010) |
$581 |
$581 |
5.2× |
| Shoulder 1 view (73020) |
$416 |
$416 |
4.5× |
| Skull less than 4 views (70250) |
$562 |
$562 |
5.1× |
| Thoracic spine 2 views (72070) |
$555 |
$555 |
5.0× |
| Thoracic spine 3 views (72072) |
$723 |
$723 |
6.5× |
| Thoracolumbar 2 views (72080) |
$582 |
$582 |
6.3× |
| Ultrasound Breast Limited (76642) |
$972 |
$972 |
10.5× |
| Ultrasound Exam Aaa Screen (76706) |
$240 |
$240 |
2.2× |
| Ultrasound, abdomen limited (76705) |
$1,524 |
$1,524 |
13.7× |
| Unlisted magnetic resonance procedure (76498) |
$1,355 |
$1,355 |
14.7× |
| Us breast unilateral complete (76641) |
$972 |
$972 |
8.8× |
| Us chest (76604) |
$1,029 |
$1,029 |
9.3× |
| Us complete joint (76881) |
$1,423 |
$1,423 |
12.8× |
| Us exam, pelvic, limited (76857) |
$1,078 |
$1,078 |
9.7× |
| Us head (76506) |
$868 |
$868 |
7.8× |
| Us kidney transplant (76776) |
$1,221 |
$1,221 |
11.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$1,371 |
$1,371 |
12.4× |
| Us ob limited 1 or more fetuses (76815) |
$832 |
$832 |
7.5× |
| Us ob transvaginal (76817) |
$905 |
$905 |
8.2× |
| Us pelvic non ob complete (76856) |
$1,589 |
$1,589 |
14.3× |
| Us retroperitoneal complete (76770) |
$1,609 |
$1,609 |
14.5× |
| Us retroperitoneal limited (76775) |
$1,616 |
$1,616 |
14.6× |
| Us scrotum and contents (76870) |
$1,328 |
$1,328 |
12.0× |
| Us thyroid (76536) |
$1,375 |
$1,375 |
12.4× |
| Wrist 2 views (73100) |
$562 |
$562 |
6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$769 |
$769 |
8.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$457 |
$457 |
5.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) |
$127 |
$127 |
1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$207 |
$207 |
1.9× |
| X-Ray Exam Hip Uni 1 View (73501) |
$337 |
$337 |
3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$207 |
$207 |
2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$711 |
$711 |
6.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$207 |
$207 |
1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$392 |
$392 |
3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$661 |
$661 |
7.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$998 |
$998 |
9.0× |
| X-ray humerus (73060) |
$600 |
$600 |
6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$284 |
$284 |
3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$744 |
$744 |
6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$590 |
$590 |
5.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$497 |
$497 |
4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$600 |
$600 |
6.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$710 |
$710 |
7.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$784 |
$784 |
7.1× |
| X-Ray Stress View (77071) |
$851 |
$851 |
9.2× |
| X-Rays Bone Length Studies (77073) |
$663 |
$663 |
6.0× |
| X-Rays Bone Survey Complete (77075) |
$1,312 |
$1,312 |
11.8× |
| Xr c-spine 4 or 5 views (72050) |
$931 |
$931 |
8.4× |
| Xr facial bones less than 3 views (70140) |
$563 |
$563 |
6.1× |