| Abdomen 2 views (74019) |
$130 |
$260 |
1.4× |
| Acute gastrointestinal blood loss imaging (78278) |
$396.50 |
$793 |
1.1× |
| Ankle 2 views (73600) |
$71 |
$142 |
0.9× |
| Antegrade urography radiological supvj & interpj (74425) |
$286.50 |
$573 |
0.9× |
| Arthrogram hip (73525) |
$517.50 |
$1,035 |
1.7× |
| Arthrogram shoulder (73040) |
$517.50 |
$1,035 |
1.7× |
| Arthrogram wrist (73115) |
$517.50 |
$1,035 |
1.7× |
| Arthrography knee lt (73580) |
$517.50 |
$1,035 |
1.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$396.50 |
$793 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$396.50 |
$793 |
1.1× |
| Bone age studies (77072) |
$130 |
$260 |
1.4× |
| Bone Imaging 3 Phase (78315) |
$396.50 |
$793 |
1.1× |
| Bone survey complete (77075) |
$130 |
$260 |
1.4× |
| Brain image w/flow 4 + views (78606) |
$514 |
$1,028 |
1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,095.50 |
$4,191 |
1.7× |
| Cervical spine 2 or 3 views (72040) |
$71 |
$142 |
0.9× |
| Chest 1 view (71045) |
$71 |
$142 |
0.9× |
| Chest 3 views (71047) |
$71 |
$142 |
0.9× |
| Clavicle complete (73000) |
$71 |
$142 |
0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$146.50 |
$293 |
1.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,400.50 |
$2,801 |
4.6× |
| CT abdomen and pelvis without contrast (74176) |
$1,131.50 |
$2,263 |
5.4× |
| CT abdomen w contrast (74160) |
$970 |
$1,940 |
6.3× |
| CT abdomen w wo contrast (74170) |
$1,131.50 |
$2,263 |
7.4× |
| CT abdomen w/o contrast (74150) |
$862 |
$1,724 |
9.4× |
| CT angio hrt w/3d image (75574) |
$712.50 |
$1,425 |
2.3× |
| CT angiography upper extremity lt (73206) |
$1,223.50 |
$2,447 |
8.0× |
| CT c-spine w/o contrast (72125) |
$862 |
$1,724 |
9.4× |
| CT cervical spine w&w/o contrast (72127) |
$1,131.50 |
$2,263 |
7.4× |
| CT cervical spine with contrast (72126) |
$970 |
$1,940 |
3.2× |
| CT chest w/wo contrast (71270) |
$1,134 |
$2,268 |
7.4× |
| CT chest with contrast (71260) |
$862 |
$1,724 |
5.6× |
| CT head/brain with contrast (70460) |
$929.50 |
$1,859 |
6.0× |
| CT head/brain without and with contrast (70470) |
$1,055.50 |
$2,111 |
6.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$80.50 |
$161 |
1.1× |
| CT iac w contrast (70481) |
$1,049 |
$2,098 |
6.8× |
| CT limited/localized follow up study (76380) |
$135 |
$270 |
1.8× |
| CT lower ext w/o (73700) |
$710 |
$1,420 |
7.7× |
| CT lower extremity w wo contrast (73702) |
$1,131.50 |
$2,263 |
7.4× |
| CT lower extremity with contrast (73701) |
$970 |
$1,940 |
6.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,239 |
$2,478 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$970 |
$1,940 |
10.6× |
| CT lumbar spine with contrast (72132) |
$1,102 |
$2,204 |
3.6× |
| CT maxillofacial w contrast (70487) |
$1,023.50 |
$2,047 |
6.7× |
| CT maxillofacial w/o contrast (70486) |
$796.50 |
$1,593 |
8.7× |
| CT maxillofacial w/wo contrast (70488) |
$1,182 |
$2,364 |
7.7× |
| CT neck soft tissue w contrast (70491) |
$1,045.50 |
$2,091 |
6.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,131.50 |
$2,263 |
7.4× |
| CT orbits w/o contrast (70480) |
$816.50 |
$1,633 |
8.9× |
| CT pelvis w & w/o contrast (72194) |
$1,110 |
$2,220 |
7.2× |
| CT pelvis w/o contrast (72192) |
$834.50 |
$1,669 |
9.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,131.50 |
$2,263 |
7.4× |
| CT soft tissue neck w/o contrast (70490) |
$786.50 |
$1,573 |
8.6× |
| CT thoracic spine w/contrast (72129) |
$970 |
$1,940 |
6.3× |
| CT thoracic spine w/o contrast (72128) |
$816.50 |
$1,633 |
8.9× |
| CT thoracic spine w/wo contrast (72130) |
$1,062.50 |
$2,125 |
6.9× |
| CT thorax w/o contrast (71250) |
$795 |
$1,590 |
8.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,064 |
$2,128 |
6.9× |
| CT upper extremity w/o contrast rt (73200) |
$727.50 |
$1,455 |
7.9× |
| CT upper extremity with contrast (73201) |
$1,003 |
$2,006 |
3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,131.50 |
$2,263 |
7.4× |
| Cta Abdomen (74175) |
$970 |
$1,940 |
6.3× |
| CTA abdomen pelvis (74174) |
$1,201.50 |
$2,403 |
3.9× |
| CTA chest (71275) |
$970 |
$1,940 |
6.3× |
| Cta Head (70496) |
$1,102 |
$2,204 |
7.2× |
| CTA lwr ext w&w/o contrast (73706) |
$1,120.50 |
$2,241 |
7.3× |
| Cta Neck (70498) |
$1,102 |
$2,204 |
7.2× |
| Cta Pelvis (72191) |
$1,104 |
$2,208 |
7.2× |
| Cystography minimum 3 views rs&i (74430) |
$286.50 |
$573 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$130 |
$260 |
1.4× |
| Echoencephalography real time imaging (76506) |
$130 |
$260 |
1.4× |
| Esophagus (74220) |
$286.50 |
$573 |
1.9× |
| Fetal biophysical profile non-stress testing (76818) |
$130 |
$260 |
1.4× |
| Fluoroscopy up to 1 hr (76000) |
$308.50 |
$617 |
1.5× |
| Foot 2 views (73620) |
$71 |
$142 |
0.9× |
| Forearm 2 views (73090) |
$71 |
$142 |
0.9× |
| Gated Heart Planar Single (78472) |
$817 |
$1,634 |
2.3× |
| Hand 2 views (73120) |
$130 |
$260 |
1.4× |
| Hand 3 views (73130) |
$71 |
$142 |
0.9× |
| Heart Infarct Image (78466) |
$396.50 |
$793 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$514 |
$1,028 |
1.1× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$396.50 |
$793 |
1.1× |
| Ht muscle image spect sing (78451) |
$1,362.50 |
$2,725 |
1.2× |
| Humerus Min 2 Views Left (73060) |
$71 |
$142 |
0.9× |
| Hysterosalpingogram (74740) |
$263.50 |
$527 |
1.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$514 |
$1,028 |
1.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$514 |
$1,028 |
1.1× |
| Liver & spleen imaging static only (78215) |
$396.50 |
$793 |
1.1× |
| Lung Ventilation Imaging (78579) |
$396.50 |
$793 |
1.1× |
| Lymphoscintigraphy (78195) |
$514 |
$1,028 |
1.1× |
| Meckels Diverticulum (78290) |
$396.50 |
$793 |
1.1× |
| MRA head w & w/o contrast (70546) |
$1,898.50 |
$3,797 |
6.2× |
| MRA head w/o contrast (70544) |
$1,110 |
$2,220 |
5.3× |
| MRA head with contrast (70545) |
$1,350.50 |
$2,701 |
4.4× |
| MRA neck w contrast (70548) |
$1,350.50 |
$2,701 |
4.4× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,764 |
$3,528 |
5.8× |
| MRA neck w/o contrast (70547) |
$1,080 |
$2,160 |
5.2× |
| MRI abdomen w contrast (74182) |
$1,602 |
$3,204 |
5.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,764 |
$3,528 |
5.8× |
| MRI abdomen w/o contrast (74181) |
$1,276.50 |
$2,553 |
6.1× |
| MRI any jnt lwr ext with con lt (73722) |
$1,375.50 |
$2,751 |
2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,398.50 |
$2,797 |
2.0× |
| MRI breast w/o contrast bilateral (77047) |
$1,276.50 |
$2,553 |
6.1× |
| MRI breast w/o contrast unilat (77046) |
$1,129.50 |
$2,259 |
5.4× |
| MRI c-spine with contrast (72142) |
$1,602 |
$3,204 |
5.2× |
| MRI cervical spine w/o contrast (72141) |
$1,239 |
$2,478 |
5.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,350.50 |
$2,701 |
4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,293 |
$2,586 |
4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,023.50 |
$2,047 |
4.9× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,219 |
$2,438 |
5.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,764 |
$3,528 |
5.8× |
| MRI orbit/face/neck w/contrast (70542) |
$1,350.50 |
$2,701 |
4.4× |
| MRI pelvis w contrast (72196) |
$1,313.50 |
$2,627 |
4.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,764 |
$3,528 |
5.8× |
| MRI pelvis w/o contrast (72195) |
$1,212 |
$2,424 |
5.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,764 |
$3,528 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$1,764 |
$3,528 |
5.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,764 |
$3,528 |
5.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,602 |
$3,204 |
5.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,764 |
$3,528 |
5.8× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,602 |
$3,204 |
5.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,764 |
$3,528 |
5.8× |
| MRI thoracic spine w/o contrast (72146) |
$1,239 |
$2,478 |
5.9× |
| MRI tmj (70336) |
$1,314 |
$2,628 |
6.3× |
| MRI upper ext joint w/o contrast (73221) |
$1,112 |
$2,224 |
5.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,764 |
$3,528 |
5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,201.50 |
$2,403 |
5.7× |
| Myelogram Lumbar (72265) |
$772.50 |
$1,545 |
1.1× |
| Myocardial Spect Multiple Studies (78452) |
$1,362.50 |
$2,725 |
1.2× |
| Neck soft tissue (70360) |
$71 |
$142 |
0.9× |
| Nm gastric emptying study (78264) |
$396.50 |
$793 |
1.1× |
| Osseous survey infant (77076) |
$130 |
$260 |
1.4× |
| Osseous survey limited (77074) |
$130 |
$260 |
1.4× |
| Parathyrd planar w/wo subtrj (78071) |
$396.50 |
$793 |
1.1× |
| Pelvis 1 or 2 views (72170) |
$130 |
$260 |
1.4× |
| PET image w/CT, skull-thigh (78815) |
$2,095.50 |
$4,191 |
1.7× |
| PET imaging CT for attenuation limited area (78814) |
$2,095.50 |
$4,191 |
1.7× |
| PET imaging for CT attenuation whole body (78816) |
$2,095.50 |
$4,191 |
1.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,764 |
$3,528 |
5.8× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$396.50 |
$793 |
1.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$514 |
$1,028 |
1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$263.50 |
$527 |
0.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$130 |
$260 |
1.4× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$130 |
$260 |
1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$130 |
$260 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$71 |
$142 |
0.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$71 |
$142 |
0.9× |
| Radiologic exam colon single contrast study (74270) |
$286.50 |
$573 |
1.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$286.50 |
$573 |
1.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$286.50 |
$573 |
1.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$71 |
$142 |
0.9× |
| Radiological examination surgical specimen (76098) |
$551.50 |
$1,103 |
1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,362.50 |
$2,725 |
3.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,362.50 |
$2,725 |
2.9× |
| Sacroiliac Joints < 3 Views (72200) |
$130 |
$260 |
1.4× |
| Scanogram (77073) |
$130 |
$260 |
1.4× |
| Scapula complete (73010) |
$130 |
$260 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$74 |
$148 |
3.2× |
| Sella turcica (70240) |
$71 |
$142 |
0.9× |
| Small bowel series (74250) |
$130 |
$260 |
0.8× |
| Spine thoracic 3 views (72072) |
$130 |
$260 |
1.4× |
| Testicular Imaging With Vascular Flow (78761) |
$396.50 |
$793 |
1.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$514 |
$1,028 |
1.1× |
| Thyroid Imaging With Vascular Flow (78013) |
$396.50 |
$793 |
1.1× |
| Thyroid uptake measurement (78012) |
$396.50 |
$793 |
1.1× |
| Tomogram (76100) |
$130 |
$260 |
1.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,362.50 |
$2,725 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$130 |
$260 |
1.4× |
| Umbilical-artery Doppler (OB) (76820) |
$130 |
$260 |
1.4× |
| Unlisted fluoroscopic procedure (76496) |
$71 |
$142 |
0.9× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$396.50 |
$793 |
1.1× |
| Urethrocystography retrograde rs&i (74450) |
$263.50 |
$527 |
1.3× |
| Urethrocystography voiding (74455) |
$263.50 |
$527 |
1.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$286.50 |
$573 |
1.9× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$286.50 |
$573 |
1.9× |
| Us breast unilateral complete (76641) |
$120 |
$240 |
1.3× |
| Us breast unilateral limited (76642) |
$120 |
$240 |
1.6× |
| Us chest (76604) |
$142 |
$284 |
1.5× |
| Us compl joint r-t w/image documentation (76881) |
$130 |
$260 |
1.4× |
| Us pelvic non ob complete (76856) |
$130 |
$260 |
1.4× |
| Us pregnancy ltd (76815) |
$130 |
$260 |
1.4× |
| Us retroperitoneal limited (76775) |
$130 |
$260 |
1.4× |
| Us scrotum and contents (76870) |
$130 |
$260 |
1.4× |
| Us soft tissue head/neck (76536) |
$130 |
$260 |
1.4× |
| Us xtr non-vasc lmtd (76882) |
$130 |
$260 |
1.4× |
| Venogram extremity bilateral (75822) |
$1,114 |
$2,228 |
0.8× |
| Venography extremity unilateral rs&i (75820) |
$694 |
$1,388 |
0.5× |
| Wrist 2 views (73100) |
$71 |
$142 |
0.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$130 |
$260 |
1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$71 |
$142 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$71 |
$142 |
0.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$286.50 |
$573 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$71 |
$142 |
0.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$71 |
$142 |
0.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$130 |
$260 |
1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$71 |
$142 |
0.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$130 |
$260 |
1.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$71 |
$142 |
0.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$71 |
$142 |
0.9× |
| X-ray IV pyelogram+drip infusn (74410) |
$286.50 |
$573 |
1.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$130 |
$260 |
1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$130 |
$260 |
1.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$130 |
$260 |
1.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$71 |
$142 |
0.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$130 |
$260 |
1.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$517.50 |
$1,035 |
1.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$130 |
$260 |
1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$130 |
$260 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$71 |
$142 |
0.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$71 |
$142 |
0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$71 |
$142 |
0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$130 |
$260 |
1.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$130 |
$260 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$71 |
$142 |
0.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$71 |
$142 |
0.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$71 |
$142 |
0.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$71 |
$142 |
0.9× |
| Xr c-spine 6 or more views (72052) |
$130 |
$260 |
1.4× |
| Xr chest 4+ views (71048) |
$130 |
$260 |
1.4× |
| Xr finger(s) 2+ views (73140) |
$71 |
$142 |
0.9× |
| Xr internal auditory meati complete (70134) |
$263.50 |
$527 |
0.6× |
| Xr spine cervical 4 or 5 views (72050) |
$130 |
$260 |
1.4× |
| Xr tibia/fibula 2 views (73590) |
$71 |
$142 |
0.9× |
| Xr tmj bilateral (70330) |
$71 |
$142 |
0.9× |
| Xray knee 1 or 2 views rt (73560) |
$71 |
$142 |
0.9× |