| Abdomen 2 views (74019) |
$232.55 |
$419 |
2.1× |
| Ankle 2 views (73600) |
$228.66 |
$412 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$236.43 |
$426 |
2.5× |
| Chest 1 view (71045) |
$153.74 |
$277 |
1.7× |
| Clavicle complete (73000) |
$223.67 |
$403 |
2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$630.48 |
$1,136 |
5.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,804.42 |
$5,053 |
7.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,462.54 |
$4,437 |
9.7× |
| CT abdomen w contrast (74160) |
$1,467.42 |
$2,644 |
7.8× |
| CT c-spine w/o contrast (72125) |
$1,296.48 |
$2,336 |
11.6× |
| CT chest w contrast (71260) |
$1,467.42 |
$2,644 |
7.8× |
| CT head/brain with contrast (70460) |
$1,467.42 |
$2,644 |
7.8× |
| CT head/brain without and with contrast (70470) |
$1,638.36 |
$2,952 |
8.7× |
| CT lower ext w/o (73700) |
$1,296.48 |
$2,336 |
11.6× |
| CT lumbar spine w/o contrast (72131) |
$1,296.48 |
$2,336 |
11.6× |
| CT maxillofacial w contrast (70487) |
$1,467.42 |
$2,644 |
7.8× |
| CT maxillofacial wo contrast (70486) |
$1,296.48 |
$2,336 |
11.6× |
| CT soft tissue neck w contrast (70491) |
$1,467.42 |
$2,644 |
7.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,296.48 |
$2,336 |
11.6× |
| CT thorax w/o contrast (71250) |
$1,296.48 |
$2,336 |
11.6× |
| CT upper ext wo (73200) |
$1,296.48 |
$2,336 |
11.6× |
| CTA abdomen pelvis (74174) |
$2,193.36 |
$3,952 |
5.9× |
| CTA chest (71275) |
$2,091.80 |
$3,769 |
11.2× |
| Cta Head (70496) |
$1,929.74 |
$3,477 |
10.3× |
| Cta Neck (70498) |
$1,929.74 |
$3,477 |
10.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$415.14 |
$748 |
3.7× |
| Fluoroscopy up to 1 hr (76000) |
$439.01 |
$791 |
1.7× |
| Forearm 2 views (73090) |
$215.90 |
$389 |
2.3× |
| Knee 3 views (73562) |
$342.99 |
$618 |
3.7× |
| MRA head w & w/o contrast (70546) |
$2,541.90 |
$4,580 |
6.8× |
| MRA head w/o contrast (70544) |
$1,944.17 |
$3,503 |
7.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,398.82 |
$6,124 |
9.1× |
| MRI cervical spine w/o contrast (72141) |
$2,425.91 |
$4,371 |
9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,064.60 |
$3,720 |
8.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,054.17 |
$5,503 |
8.2× |
| MRI pelvis w/o contrast (72195) |
$2,471.97 |
$4,454 |
9.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$3,058.61 |
$5,511 |
8.2× |
| MRI thoracic spine w/o contrast (72146) |
$2,425.91 |
$4,371 |
9.5× |
| MRI up ext w/o contrast (73218) |
$1,944.17 |
$3,503 |
7.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,944.17 |
$3,503 |
7.6× |
| MRI, joint upper extrem combo (73223) |
$2,834.38 |
$5,107 |
7.6× |
| Radex Ankle Compl Minimum 3 Views (73610) |
$244.76 |
$441 |
2.6× |
| Radex Elbw Compl Minimum 3 Views (73080) |
$244.76 |
$441 |
2.6× |
| Radex fingr minimum 2 views (73140) |
$205.35 |
$370 |
2.2× |
| Radex Foot Compl Minimum 3 Views (73630) |
$277.50 |
$500 |
3.0× |
| Radex Hand Minimum 3 Views (73130) |
$248.09 |
$447 |
2.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) |
$332.45 |
$599 |
3.0× |
| Radex Humerus Minimum 2 Views (73060) |
$221.45 |
$399 |
2.4× |
| Radex Kne 1/2 Views (73560) |
$244.76 |
$441 |
2.6× |
| Radex Kne Compl 4/More Views (73564) |
$305.81 |
$551 |
2.7× |
| Radex Sho Compl Minimum 2 Views (73030) |
$229.22 |
$413 |
2.5× |
| Radex Toe Minimum 2 Views (73660) |
$232.55 |
$419 |
2.5× |
| Radex Wrst Compl Minimum 3 Views (73110) |
$221.45 |
$399 |
2.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$194.81 |
$351 |
2.1× |
| Radiologic exam chest 2 views (71046) |
$209.79 |
$378 |
2.3× |
| Radiologic examination tibia & fibula 2 views (73590) |
$218.12 |
$393 |
2.3× |
| Scapula (73010) |
$228.66 |
$412 |
2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) |
$42.74 |
$77 |
1.8× |
| Spine thoracic 3 views (72072) |
$255.86 |
$461 |
2.3× |
| Ultrasound breast complete (76641) |
$450.11 |
$811 |
4.0× |
| Ultrasound Exam Aaa Screen (76706) |
$498.95 |
$899 |
4.5× |
| Ultrasound, abdomen limited (76705) |
$420.69 |
$758 |
3.8× |
| Us breast unilateral limited (76642) |
$320.79 |
$578 |
3.5× |
| Us chest (76604) |
$396.27 |
$714 |
3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$263.63 |
$475 |
2.4× |
| Us ob transvaginal (76817) |
$400.71 |
$722 |
3.6× |
| Us pelvic non ob complete (76856) |
$450.11 |
$811 |
4.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$315.80 |
$569 |
2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$437.90 |
$789 |
3.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) |
$427.35 |
$770 |
3.8× |
| Us retroperitoneal complete (76770) |
$454.55 |
$819 |
4.1× |
| Us retroperitoneal limited (76775) |
$407.93 |
$735 |
3.7× |
| Us scrotum and contents (76870) |
$407.93 |
$735 |
3.7× |
| Us soft tissue head/neck (76536) |
$475.64 |
$857 |
4.3× |
| Wrist 2 views (73100) |
$224.22 |
$404 |
2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$324.12 |
$584 |
3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$255.86 |
$461 |
2.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$483.96 |
$872 |
4.3× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$236.43 |
$426 |
2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$251.42 |
$453 |
2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$209.79 |
$378 |
2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$266.40 |
$480 |
2.9× |
| Xr c-spine 4 or 5 views (72050) |
$316.35 |
$570 |
2.8× |
| Xr c-spine 6 or more views (72052) |
$403.49 |
$727 |
3.6× |