| Abdomen 1 View (74018) |
$46 |
$46 |
0.4× |
| Abdomen 2 views (74019) |
$92 |
$92 |
0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) |
$17,457 |
$17,457 |
35.0× |
| Ankle 2 views (73600) |
$12,998 |
$12,998 |
119.7× |
Artery X-Rays Abdomen (75726)
likely a partial charge, not the full procedure |
$120 |
$120 |
0.0× |
Artery X-Rays Pelvis (75736)
likely a partial charge, not the full procedure |
$360 |
$360 |
0.1× |
| Bone age studies (77072) |
$320 |
$320 |
2.5× |
| Bone Imaging 3 Phase (78315) |
$347 |
$347 |
0.7× |
| Bone Imaging Whole Body (78306) |
$810 |
$810 |
1.6× |
| Bone survey infant (77076) |
$16,448 |
$16,448 |
126.0× |
| Chest 1 view (71045) |
$49 |
$49 |
0.5× |
| Chest 2 views (71046) |
$142 |
$142 |
1.3× |
| Chest 3 views (71047) |
$187 |
$187 |
1.7× |
| Chest 4 or more views (71048) |
$405 |
$405 |
3.1× |
| Clavicle complete (73000) |
$13,867 |
$13,867 |
127.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$12,277 |
$12,277 |
94.1× |
| Contrast Exam Abdominl Aorta (75625) |
$172 |
$172 |
0.0× |
| Contrast X-Ray Bladder (74430) |
$209 |
$209 |
0.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,040 |
$3,040 |
7.0× |
| CT abdomen and pelvis without contrast (74176) |
$1,193 |
$1,193 |
4.0× |
| CT abdomen w contrast (74160) |
$2,142 |
$2,142 |
9.8× |
| CT abdomen w wo contrast (74170) |
$2,961 |
$2,961 |
13.5× |
| CT abdomen w/o contrast (74150) |
$1,224 |
$1,224 |
9.4× |
| CT Angio Abdomen and Pelvis (74174) |
$2,183 |
$2,183 |
5.0× |
| CT Angio Chest (71275) |
$3,000 |
$3,000 |
13.7× |
| CT Angio Head (70496) |
$2,570 |
$2,570 |
11.7× |
| CT angio hrt w/3d image (75574) |
$1,407 |
$1,407 |
3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$1,792 |
$1,792 |
8.2× |
| CT Angio Neck (70498) |
$2,191 |
$2,191 |
10.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$2,107 |
$2,107 |
9.6× |
| CT cervical spine w/ contrast (72126) |
$1,296 |
$1,296 |
3.0× |
| CT cervical spine w/o contrast (72125) |
$1,204 |
$1,204 |
9.2× |
| CT chest w contrast (71260) |
$1,695 |
$1,695 |
7.7× |
| CT chest w/wo contrast (71270) |
$1,865 |
$1,865 |
8.5× |
| CT colonography screening (74263) |
$21,814 |
$21,814 |
73.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) |
$1,747 |
$1,747 |
8.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) |
$1,493 |
$1,493 |
11.4× |
| CT head/brain with contrast (70460) |
$1,851 |
$1,851 |
8.5× |
| CT head/brain without and with contrast (70470) |
$2,036 |
$2,036 |
9.3× |
| CT heart contrast eval cardiac structure&morph (75572) |
$1,479 |
$1,479 |
3.4× |
| CT hrt w/3d image congen (75573) |
$1,479 |
$1,479 |
3.4× |
| CT iac w contrast (70481) |
$2,204 |
$2,204 |
10.1× |
| CT l-spine w&w/o contrast (72133) |
$22,489 |
$22,489 |
102.7× |
| CT lower ext w/o (73700) |
$14,285 |
$14,285 |
109.5× |
| CT lower extremity w/contrast material (73701) |
$16,882 |
$16,882 |
77.1× |
| CT lumbar spine w contrast (72132) |
$2,210 |
$2,210 |
5.1× |
| CT lumbar spine w/o contrast (72131) |
$1,423 |
$1,423 |
10.9× |
| CT maxillofacial w contrast (70487) |
$1,962 |
$1,962 |
9.0× |
| CT maxillofacial wo contrast (70486) |
$1,675 |
$1,675 |
12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$2,275 |
$2,275 |
10.4× |
| CT orbits w/o contrast (70480) |
$1,965 |
$1,965 |
15.1× |
| CT pelvis w&w/o contrast (72194) |
$2,069 |
$2,069 |
9.4× |
| CT pelvis w/o contrast (72192) |
$1,709 |
$1,709 |
13.1× |
| CT scans face/jaw combo (70488) |
$1,994 |
$1,994 |
9.1× |
| CT soft tissue neck w contrast (70491) |
$2,290 |
$2,290 |
10.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,941 |
$1,941 |
14.9× |
| CT thoracic spine w contrast (72129) |
$2,225 |
$2,225 |
10.2× |
| CT thoracic spine w/o contrast (72128) |
$1,423 |
$1,423 |
10.9× |
| CT thorax w/o contrast (71250) |
$1,540 |
$1,540 |
11.8× |
| CT upper ext wo (73200) |
$15,129 |
$15,129 |
115.9× |
| CT upper extremity with contrast (73201) |
$20,441 |
$20,441 |
46.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,965 |
$2,965 |
13.5× |
| Cta Abdomen (74175) |
$2,455 |
$2,455 |
11.2× |
| CTA pelvis (72191) |
$2,033 |
$2,033 |
9.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$1,281 |
$1,281 |
9.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$294 |
$294 |
2.3× |
| Dxa Bone Density Axial (77080) |
$310 |
$310 |
2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$32 |
$32 |
0.3× |
| Echo exam of fetal heart (76825) |
$452 |
$452 |
0.7× |
| Echo exam uterus (76831) |
$1,233 |
$1,233 |
4.1× |
| Esophagram (74220) |
$138 |
$138 |
0.6× |
| Fetal Biophys Profile W/Nst (76818) |
$107 |
$107 |
0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$566 |
$566 |
4.3× |
| Fluoroscopy up to 1 hr (76000) |
$42 |
$42 |
0.1× |
| Foot 2 views (73620) |
$23,938 |
$23,938 |
220.4× |
| Forearm 2 views (73090) |
$13,483 |
$13,483 |
124.1× |
| Gastric emptying imaging study (78264) |
$400 |
$400 |
0.8× |
| Gated Heart Planar Single (78472) |
$27,013 |
$27,013 |
54.1× |
| Hand 2 views (73120) |
$28,382 |
$28,382 |
217.5× |
| Hepatobiliary System Imaging (78226) |
$258 |
$258 |
0.5× |
| Ht Muscle Image Spect Sing (78451) |
$1,619 |
$1,619 |
1.0× |
| Hysterosalpingogram (74740) |
$176 |
$176 |
0.6× |
| K Flow/Funct Image W/Drug (78708) |
$630 |
$630 |
0.9× |
| K Flow/Funct Image W/O Drug (78707) |
$251 |
$251 |
0.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) |
$182 |
$182 |
0.4× |
| Knee 3 Views (73562) |
$13,314 |
$13,314 |
122.6× |
| Lung Ventilat&Perfus Imaging (78582) |
$803 |
$803 |
1.2× |
| Lymph System Imaging (78195) |
$6,519 |
$6,519 |
9.6× |
| MRA head w/o contrast (70544) |
$2,352 |
$2,352 |
7.9× |
| MRA neck w/o contrast (70547) |
$2,352 |
$2,352 |
7.9× |
| MRI abdomen w contrast (74182) |
$2,851 |
$2,851 |
6.5× |
| MRI abdomen w/o contrast (74181) |
$5,549 |
$5,549 |
18.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$5,290 |
$5,290 |
12.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,952 |
$3,952 |
4.0× |
| MRI cervical spine w/o cont (72141) |
$3,545 |
$3,545 |
11.9× |
| MRI chest w/o contrast (71550) |
$398 |
$398 |
1.3× |
| MRI chest wo w contrast (71552) |
$5,270 |
$5,270 |
12.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$33,779 |
$33,779 |
77.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$17,627 |
$17,627 |
59.2× |
| Mri Neck Spine W/O & W/Dye (72156) |
$3,899 |
$3,899 |
9.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$748 |
$748 |
2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$1,416 |
$1,416 |
3.3× |
| MRI pelvis w/o & w contrast (72197) |
$3,495 |
$3,495 |
8.0× |
| MRI pelvis w/o contrast (72195) |
$2,996 |
$2,996 |
10.1× |
| MRI thoracic spine w/o contrast (72146) |
$3,545 |
$3,545 |
11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$16,189 |
$16,189 |
54.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) |
$9,496 |
$9,496 |
21.8× |
| MRI, abdomen, combo (74183) |
$5,496 |
$5,496 |
12.6× |
| MRI, dorsal spine combo (72157) |
$3,899 |
$3,899 |
9.0× |
| MRI, joint upper extrem (73221) |
$23,024 |
$23,024 |
77.3× |
| MRI, joint upper extrem combo (73223) |
$28,913 |
$28,913 |
66.4× |
| MRI, lumbar spine combo (72158) |
$3,899 |
$3,899 |
9.0× |
| Myelogram Lumbar (72265) |
$124 |
$124 |
0.1× |
| Myocardial Spect Multiple Studies (78452) |
$204 |
$204 |
0.1× |
| Neck soft tissue (70360) |
$48 |
$48 |
0.4× |
| Nonvascular Shunt X-Ray (75809) |
$133 |
$133 |
1.0× |
| Nuclear Rx Oral Admin (79005) |
$217 |
$217 |
0.7× |
| Ob us nuchal meas 1 gest (76813) |
$14 |
$14 |
0.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) |
$75 |
$75 |
0.6× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) |
$25,522 |
$25,522 |
195.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) |
$1,283 |
$1,283 |
9.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) |
$113 |
$113 |
3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) |
$380 |
$380 |
0.6× |
| Parathyroid Planar Imaging (78070) |
$22,065 |
$22,065 |
44.2× |
| Pelvis 1 or 2 views (72170) |
$69 |
$69 |
0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$131 |
$131 |
1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$10,927 |
$10,927 |
100.6× |
| Radex Calcaneus Minimum 2 Views (73650) |
$8,554 |
$8,554 |
78.7× |
| Radex elbow complete minimum 3 views (73080) |
$10,662 |
$10,662 |
98.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$67 |
$67 |
0.5× |
| Radex fingr minimum 2 views (73140) |
$12,204 |
$12,204 |
112.3× |
| Radex foot complete minimum 3 views (73630) |
$162,984 |
$162,984 |
1500.4× |
| Radex Hand Minimum 3 Views (73130) |
$12,408 |
$12,408 |
114.2× |
| Radex lower extremity infant minimum 2 views (73592) |
$11,784 |
$11,784 |
108.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) |
$64 |
$64 |
0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$75 |
$75 |
0.7× |
| Radex Ribs Unilateral 2 Views (71100) |
$21,016 |
$21,016 |
193.5× |
| Radex shoulder complete minimum 2 views (73030) |
$11,638 |
$11,638 |
107.1× |
| Radex Sternum Minimum 2 Views (71120) |
$83 |
$83 |
0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) |
$211 |
$211 |
1.9× |
| Radex Toe Minimum 2 Views (73660) |
$14,339 |
$14,339 |
132.0× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$12,371 |
$12,371 |
113.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$98 |
$98 |
0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$57 |
$57 |
0.4× |
| Radiologic exam colon single contrast study (74270) |
$427 |
$427 |
2.0× |
| Radiologic exam knee complete 4/more views (73564) |
$39,181 |
$39,181 |
300.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$139 |
$139 |
1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) |
$84 |
$84 |
0.4× |
| Radiologic examination femur 1 view (73551) |
$75 |
$75 |
0.7× |
| Radiologic examination femur minimum 2 views (73552) |
$49 |
$49 |
0.5× |
| Radiologic examination knee 1/2 views (73560) |
$14,913 |
$14,913 |
137.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$11,280 |
$11,280 |
103.8× |
| Ribs bilateral 3 views (71110) |
$313 |
$313 |
2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) |
$366 |
$366 |
0.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) |
$22,952 |
$22,952 |
14.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) |
$33,662 |
$33,662 |
18.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) |
$23,278 |
$23,278 |
14.4× |
| Scapula (73010) |
$18,538 |
$18,538 |
142.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$230 |
$230 |
9.8× |
| Shoulder 1 view (73020) |
$17,197 |
$17,197 |
158.3× |
| Skull less than 4 views (70250) |
$77 |
$77 |
0.6× |
| Sternoclavicular joints (71130) |
$277 |
$277 |
2.5× |
| Thoracic spine 2 views (72070) |
$348 |
$348 |
2.7× |
| Thyroid Met Imaging Body (78018) |
$362 |
$362 |
0.5× |
| Thyroid Uptake Measurement (78012) |
$21,141 |
$21,141 |
42.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$220 |
$220 |
0.4× |
| Ultrasound Breast Limited (76642) |
$15,065 |
$15,065 |
138.7× |
| Ultrasound Elastography Parenchyma (76981) |
$18,077 |
$18,077 |
138.5× |
| Ultrasound Exam Aaa Screen (76706) |
$216 |
$216 |
1.7× |
| Ultrasound, abdomen limited (76705) |
$346 |
$346 |
2.7× |
| Umbilical-artery Doppler (OB) (76820) |
$750 |
$750 |
5.7× |
| Unlisted fluoroscopic procedure (76496) |
$14,305 |
$14,305 |
131.7× |
| Upper gi w/o kub (74240) |
$1,012 |
$1,012 |
4.6× |
| Urethrocystogram voiding (74455) |
$110 |
$110 |
0.4× |
| Us breast unilateral complete (76641) |
$527 |
$527 |
4.0× |
| Us chest (76604) |
$87 |
$87 |
0.7× |
| Us complete joint (76881) |
$582 |
$582 |
4.5× |
| Us exam, pelvic, limited (76857) |
$222 |
$222 |
1.7× |
| Us head (76506) |
$856 |
$856 |
6.6× |
| Us kidney transplant (76776) |
$97 |
$97 |
0.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$134 |
$134 |
1.0× |
| Us ob limited 1 or more fetuses (76815) |
$217 |
$217 |
1.7× |
| Us ob transvaginal (76817) |
$292 |
$292 |
2.2× |
| Us pelvic non ob complete (76856) |
$625 |
$625 |
4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$633 |
$633 |
4.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) |
$1,128 |
$1,128 |
8.6× |
| Us retroperitoneal complete (76770) |
$201 |
$201 |
1.5× |
| Us retroperitoneal limited (76775) |
$116 |
$116 |
0.9× |
| Us scrotum and contents (76870) |
$206 |
$206 |
1.6× |
| Us thyroid (76536) |
$126 |
$126 |
1.0× |
| Us transrectal (76872) |
$147 |
$147 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$502 |
$502 |
0.1× |
| Venography Renal Bilateral (75833) |
$48,043 |
$48,043 |
12.2× |
| Wrist 2 views (73100) |
$16,383 |
$16,383 |
150.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$98 |
$98 |
0.9× |
| X-ray antegrade pyelogram tube (74425) |
$97 |
$97 |
0.2× |
| X-Ray Bend Only L-S Spine (72120) |
$223 |
$223 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$12,013 |
$12,013 |
110.6× |
| X-Ray Exam Breast Specimen (76098) |
$98 |
$98 |
0.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) |
$81 |
$81 |
0.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) |
$404 |
$404 |
3.1× |
| X-Ray Exam Hip Uni 1 View (73501) |
$74 |
$74 |
0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$316 |
$316 |
2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$49 |
$49 |
0.4× |
| X-Ray Exam Hips Bi 2 Views (73521) |
$155 |
$155 |
1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$119 |
$119 |
0.9× |
| X-Ray Exam L-S Spine Bending (72114) |
$112 |
$112 |
0.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$70 |
$70 |
0.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$12,251 |
$12,251 |
93.9× |
| X-ray humerus (73060) |
$14,550 |
$14,550 |
133.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$50 |
$50 |
0.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$86 |
$86 |
0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$49 |
$49 |
0.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$216 |
$216 |
1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) |
$81 |
$81 |
0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$65 |
$65 |
0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$81 |
$81 |
0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$116 |
$116 |
0.9× |
| X-Rays Bone Length Studies (77073) |
$107 |
$107 |
0.8× |
| X-Rays Bone Survey Complete (77075) |
$80 |
$80 |
0.6× |
| Xr c-spine 4 or 5 views (72050) |
$103 |
$103 |
0.8× |
| Xr facial bones less than 3 views (70140) |
$122 |
$122 |
1.1× |
| Xr orbits complete 4 views (70200) |
$79 |
$79 |
0.6× |