| Abdomen 2 views (74019) |
$363 |
$382 |
3.3× |
| Ankle 2 views (73600) |
$242 |
$255 |
2.7× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,094 |
$1,152 |
2.6× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$1,550 |
$1,632 |
3.7× |
| Bone &/joint imaging whole body (78306) |
$1,871 |
$1,969 |
4.5× |
| Bone Imaging 3 Phase (78315) |
$2,117 |
$2,228 |
5.1× |
| Cervical spine 2 or 3 views (72040) |
$338 |
$356 |
3.7× |
| Chest 1 view (71045) |
$255 |
$268 |
2.8× |
| Chest 3 views (71047) |
$414 |
$436 |
4.6× |
| Clavicle complete (73000) |
$279 |
$294 |
3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,444 |
$1,520 |
13.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,114 |
$5,383 |
14.1× |
| CT abdomen and pelvis without contrast (74176) |
$3,723 |
$3,919 |
15.0× |
| CT abdomen w contrast (74160) |
$2,516 |
$2,648 |
13.8× |
| CT abdomen w wo contrast (74170) |
$2,853 |
$3,003 |
15.7× |
| CT abdomen w/o contrast (74150) |
$2,209 |
$2,325 |
20.3× |
| CT c-spine w/o contrast (72125) |
$2,230 |
$2,347 |
20.5× |
| CT chest w/wo contrast (71270) |
$2,779 |
$2,925 |
15.3× |
| CT chest with contrast (71260) |
$2,573 |
$2,708 |
14.1× |
| CT head/brain with contrast (70460) |
$2,120 |
$2,232 |
11.6× |
| CT head/brain without and with contrast (70470) |
$2,326 |
$2,448 |
12.8× |
| CT lower ext w/o (73700) |
$2,055 |
$2,163 |
18.9× |
| CT lower extremity with contrast (73701) |
$2,146 |
$2,259 |
11.8× |
| CT lumbar spine w/o contrast (72131) |
$2,269 |
$2,388 |
20.9× |
| CT maxillofacial w contrast (70487) |
$2,115 |
$2,226 |
11.6× |
| CT maxillofacial w/o contrast (70486) |
$1,798 |
$1,893 |
16.6× |
| CT maxillofacial w/wo contrast (70488) |
$2,241 |
$2,359 |
12.3× |
| CT neck soft tissue w contrast (70491) |
$2,336 |
$2,459 |
12.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,396 |
$3,575 |
18.6× |
| CT orbits w/o contrast (70480) |
$2,173 |
$2,287 |
20.0× |
| CT pelvis w & w/o contrast (72194) |
$2,615 |
$2,753 |
14.4× |
| CT pelvis w/o contrast (72192) |
$2,143 |
$2,256 |
19.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,742 |
$2,886 |
15.1× |
| CT soft tissue neck w/o contrast (70490) |
$1,934 |
$2,036 |
17.8× |
| CT thoracic spine w/o contrast (72128) |
$2,282 |
$2,402 |
21.0× |
| CT thorax w/o contrast (71250) |
$2,191 |
$2,306 |
20.2× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,757 |
$2,902 |
15.1× |
| CT upper extremity w/o contrast rt (73200) |
$1,900 |
$2,000 |
17.5× |
| CT upper extremity with contrast (73201) |
$2,263 |
$2,382 |
6.2× |
| Cta Abdomen (74175) |
$3,140 |
$3,305 |
17.2× |
| CTA abdomen pelvis (74174) |
$5,584 |
$5,878 |
15.4× |
| CTA chest (71275) |
$3,046 |
$3,206 |
16.7× |
| Cta Head (70496) |
$3,002 |
$3,160 |
16.5× |
| Cta Neck (70498) |
$2,860 |
$3,011 |
15.7× |
| Cta Pelvis (72191) |
$2,876 |
$3,027 |
15.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$281 |
$296 |
3.1× |
| Foot 2 views (73620) |
$244 |
$257 |
2.7× |
| Forearm 2 views (73090) |
$266 |
$280 |
2.9× |
| Gated Heart Planar Single (78472) |
$1,879 |
$1,978 |
4.5× |
| Hand 2 views (73120) |
$253 |
$266 |
2.3× |
| Hand 3 views (73130) |
$312 |
$328 |
3.5× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,091 |
$2,201 |
3.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,739 |
$1,831 |
4.2× |
| Humerus Min 2 Views Left (73060) |
$284 |
$299 |
3.1× |
| Knee 3 views (73562) |
$361 |
$380 |
4.0× |
| MRA head w & w/o contrast (70546) |
$3,669 |
$3,862 |
10.1× |
| MRA head with contrast (70545) |
$3,391 |
$3,569 |
9.4× |
| MRA neck w contrast (70548) |
$3,211 |
$3,380 |
8.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,740 |
$3,937 |
10.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$4,134 |
$4,352 |
11.4× |
| MRI abdomen w/o contrast (74181) |
$3,122 |
$3,286 |
12.6× |
| MRI any jnt lwr ext with con lt (73722) |
$3,259 |
$3,431 |
4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,024 |
$3,183 |
3.7× |
| MRI cervical spine w/o contrast (72141) |
$3,332 |
$3,507 |
13.4× |
| MRI chest w/o & w/contrast material (71552) |
$3,761 |
$3,959 |
10.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,610 |
$2,747 |
10.5× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,241 |
$3,412 |
13.1× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,740 |
$3,937 |
10.3× |
| MRI orbit/face/neck w/contrast (70542) |
$2,833 |
$2,982 |
7.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$4,052 |
$4,265 |
11.2× |
| MRI pelvis w/o contrast (72195) |
$3,108 |
$3,272 |
12.5× |
| MRI scan of arm joint before and after contrast (73223) |
$3,198 |
$3,366 |
8.8× |
| MRI scan of leg joint before and after contrast (73723) |
$3,198 |
$3,366 |
8.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,170 |
$4,389 |
11.5× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,778 |
$3,977 |
10.4× |
| MRI thoracic spine w/o contrast (72146) |
$3,443 |
$3,624 |
13.9× |
| MRI tmj (70336) |
$2,841 |
$2,991 |
11.5× |
| MRI upper ext joint w/o contrast (73221) |
$2,391 |
$2,517 |
9.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,341 |
$3,517 |
9.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,558 |
$2,693 |
10.3× |
| Myocardial Spect Multiple Studies (78452) |
$3,945 |
$4,153 |
2.9× |
| Neck soft tissue (70360) |
$284 |
$299 |
3.1× |
| Pelvis 1 or 2 views (72170) |
$292 |
$307 |
2.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,068 |
$3,229 |
8.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$306 |
$322 |
3.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$484 |
$509 |
4.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$566 |
$596 |
5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$413 |
$435 |
3.8× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$288 |
$303 |
3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$394 |
$415 |
3.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$324 |
$341 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$339 |
$357 |
3.8× |
| Ribs bilateral 3 views (71110) |
$417 |
$439 |
3.8× |
| Sacroiliac Joints < 3 Views (72200) |
$357 |
$376 |
3.3× |
| Scapula complete (73010) |
$338 |
$356 |
3.1× |
| Sella turcica (70240) |
$250 |
$263 |
2.8× |
| Spine thoracic 3 views (72072) |
$485 |
$510 |
4.5× |
| Thoracolumbar 2 views (72080) |
$308 |
$324 |
3.4× |
| Tmj unilateral (70328) |
$316 |
$333 |
3.5× |
| Ultrasound, abdomen limited (76705) |
$656 |
$691 |
6.0× |
| Upper Extremity Infant (73092) |
$224 |
$236 |
2.1× |
| Us pelvic non ob complete (76856) |
$752 |
$792 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$436 |
$459 |
4.0× |
| Us soft tissue head/neck (76536) |
$579 |
$609 |
5.3× |
| Wrist 2 views (73100) |
$241 |
$254 |
2.7× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$502 |
$528 |
4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$273 |
$287 |
3.0× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$312 |
$328 |
3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$255 |
$268 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$296 |
$312 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$287 |
$302 |
3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$359 |
$378 |
4.0× |
| X-ray exam hip uni 4/> views (73503) |
$433 |
$456 |
4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$674 |
$709 |
6.2× |
| X-ray exam of femur 1 (73551) |
$296 |
$312 |
3.3× |
| X-ray eye for foreign body (70030) |
$234 |
$246 |
2.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$404 |
$425 |
3.7× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$281 |
$296 |
3.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$310 |
$326 |
3.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$238 |
$251 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$295 |
$310 |
3.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$352 |
$371 |
3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$236 |
$248 |
2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$405 |
$426 |
3.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$448 |
$472 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$301 |
$317 |
3.3× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$421 |
$443 |
3.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$396 |
$417 |
3.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$303 |
$319 |
3.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$457 |
$481 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$347 |
$365 |
3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$287 |
$302 |
3.2× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$339 |
$357 |
3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$334 |
$352 |
3.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$251 |
$264 |
2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$412 |
$434 |
3.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$270 |
$284 |
2.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$236 |
$248 |
2.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$283 |
$298 |
3.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$301 |
$317 |
3.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$345 |
$363 |
3.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$225 |
$237 |
2.5× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$291 |
$306 |
3.2× |
| Xr c-spine 6 or more views (72052) |
$626 |
$659 |
5.8× |
| Xr chest 4+ views (71048) |
$336 |
$354 |
3.1× |
| Xr finger(s) 2+ views (73140) |
$219 |
$231 |
2.4× |
| XR Mastoids < 3 Views Bilateral (70120) |
$294 |
$309 |
2.7× |
| Xr optic foramina (70190) |
$299 |
$315 |
3.3× |
| Xr shoulder 1 view (73020) |
$224 |
$236 |
2.5× |
| Xr spine cervical 4 or 5 views (72050) |
$499 |
$525 |
4.6× |
| Xr tibia/fibula 2 views (73590) |
$291 |
$306 |
3.2× |
| Xr tmj bilateral (70330) |
$417 |
$439 |
4.6× |
| Xray knee 1 or 2 views rt (73560) |
$288 |
$303 |
3.2× |