| Abdomen 1 View (74018) |
$146 |
$146 |
1.6× |
| Abdomen 2 views (74019) |
$175 |
$175 |
1.6× |
| Ankle 2 views (73600) |
$171 |
$171 |
1.9× |
| Clavicle complete (73000) |
$158 |
$158 |
1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$978 |
$978 |
9.2× |
| CT Angio Abdomen and Pelvis (74174) |
$3,534 |
$3,534 |
9.9× |
| CT Angio Chest (71275) |
$2,699 |
$2,699 |
15.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,840 |
$1,840 |
10.3× |
| CT lumbar spine w contrast (72132) |
$1,166 |
$1,166 |
3.3× |
| CT thoracic spine w contrast (72129) |
$1,542.45 |
$1,542.45 |
8.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,779 |
$3,779 |
21.1× |
| Dxa Bone Density Axial (77080) |
$307 |
$307 |
2.9× |
| Dxa bone density study (77085) |
$348 |
$348 |
3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$359 |
$359 |
3.4× |
| Foot 2 views (73620) |
$146 |
$146 |
1.6× |
| Forearm 2 views (73090) |
$150 |
$150 |
1.7× |
| Hand 2 views (73120) |
$158 |
$158 |
1.5× |
| Knee 3 Views (73562) |
$210 |
$210 |
2.4× |
| MRA head w/o contrast (70544) |
$3,565 |
$3,565 |
14.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,492 |
$5,492 |
15.4× |
| MRI abdomen w/o contrast (74181) |
$2,783 |
$2,783 |
11.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$4,899 |
$4,899 |
13.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$3,898 |
$3,898 |
16.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$3,874 |
$3,874 |
10.9× |
| MRI pelvis w/o & w contrast (72197) |
$4,200 |
$4,200 |
11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,045 |
$4,045 |
16.6× |
| MRI, joint upper extrem (73221) |
$2,475 |
$2,475 |
10.2× |
| Pelvis 1 or 2 views (72170) |
$184 |
$184 |
1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$186 |
$186 |
2.1× |
| Radex Calcaneus Minimum 2 Views (73650) |
$210 |
$210 |
2.4× |
| Radex elbow complete minimum 3 views (73080) |
$158 |
$158 |
1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$229 |
$229 |
2.1× |
| Radex fingr minimum 2 views (73140) |
$202 |
$202 |
2.3× |
| Radex foot complete minimum 3 views (73630) |
$171 |
$171 |
1.9× |
| Radex Hand Minimum 3 Views (73130) |
$186 |
$186 |
2.1× |
| Radex shoulder complete minimum 2 views (73030) |
$158 |
$158 |
1.8× |
| Radex Toe Minimum 2 Views (73660) |
$167 |
$167 |
1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$210 |
$210 |
2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$560 |
$560 |
5.2× |
| Radiologic exam knee complete 4/more views (73564) |
$229 |
$229 |
2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$218 |
$218 |
2.0× |
| Radiologic examination femur minimum 2 views (73552) |
$184 |
$184 |
2.1× |
| Radiologic examination knee 1/2 views (73560) |
$181 |
$181 |
2.0× |
| Radiologic examination tibia & fibula 2 views (73590) |
$162 |
$162 |
1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$157 |
$157 |
6.7× |
| Shoulder 1 view (73020) |
$121 |
$121 |
1.4× |
| Thoracic spine 2 views (72070) |
$174 |
$174 |
1.6× |
| Ultrasound Breast Limited (76642) |
$483 |
$483 |
5.4× |
| Ultrasound elastography first target lesion (76982) |
$483 |
$483 |
4.5× |
| Ultrasound Exam Aaa Screen (76706) |
$653 |
$653 |
6.1× |
Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$366.66–$466 |
$366.66–$466 |
varies |
Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$66.80–$136.60 |
$66.80–$136.60 |
varies |
| Us breast unilateral complete (76641) |
$525 |
$525 |
4.9× |
| Us exam, pelvic, limited (76857) |
$471 |
$471 |
4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$263 |
$263 |
2.5× |
Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$238.67–$427 |
$238.67–$427 |
varies |
| Us ob transvaginal (76817) |
$445 |
$445 |
4.2× |
| Us pelvic non ob complete (76856) |
$569 |
$569 |
5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$551 |
$551 |
5.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$536 |
$536 |
5.0× |
| Us retroperitoneal complete (76770) |
$630 |
$630 |
5.9× |
| Us retroperitoneal limited (76775) |
$520 |
$520 |
4.9× |
| Us scrotum and contents (76870) |
$554 |
$554 |
5.2× |
| Us thyroid (76536) |
$664 |
$664 |
6.2× |
| Wrist 2 views (73100) |
$178 |
$178 |
2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$143 |
$143 |
1.6× |
| X-Ray Exam Hip Uni 1 View (73501) |
$162 |
$162 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$241 |
$241 |
2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$233 |
$233 |
2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$193 |
$193 |
2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) |
$315 |
$315 |
2.9× |
| X-ray eye for foreign body (70030) |
$159 |
$159 |
1.8× |
| X-ray humerus (73060) |
$165 |
$165 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$193 |
$193 |
1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$193 |
$193 |
1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$165 |
$165 |
1.9× |