| Abdomen 2 views (74019) |
$255.77 |
$426.29 |
2.7× |
| Ankle 2 views (73600) |
$217.24 |
$362.07 |
2.8× |
| Arthrogram elbow (73085) |
$377.85 |
$629.75 |
1.2× |
| Bone &/joint imaging whole body (78306) |
$1,205.74 |
$2,009.57 |
3.3× |
| Bone age studies (77072) |
$184.50 |
$307.50 |
1.9× |
| Bone survey complete (77075) |
$477.76 |
$796.27 |
5.0× |
| Cervical spine 2 or 3 views (72040) |
$257.82 |
$429.70 |
3.3× |
| Chest 1 view (71045) |
$209.84 |
$349.73 |
2.7× |
| Chest 3 views (71047) |
$323.24 |
$538.74 |
4.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$438.76 |
$731.26 |
2.8× |
| Clavicle complete (73000) |
$209.78 |
$349.64 |
2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$372.58 |
$620.96 |
3.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$279.50 |
$465.83 |
1.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,998.69 |
$4,997.81 |
9.5× |
| CT abdomen and pelvis without contrast (74176) |
$2,256.59 |
$3,760.99 |
10.4× |
| CT abdomen w contrast (74160) |
$1,668.72 |
$2,781.20 |
10.5× |
| CT abdomen w wo contrast (74170) |
$1,928.54 |
$3,214.23 |
12.1× |
| CT abdomen w/o contrast (74150) |
$1,440.56 |
$2,400.94 |
15.2× |
| CT angiography upper extremity lt (73206) |
$1,303.74 |
$2,172.90 |
8.2× |
| CT c-spine w/o contrast (72125) |
$1,563.66 |
$2,606.10 |
16.5× |
| CT cervical spine w&w/o contrast (72127) |
$2,019.36 |
$3,365.60 |
12.7× |
| CT cervical spine with contrast (72126) |
$1,675.46 |
$2,792.44 |
5.3× |
| CT chest w/wo contrast (71270) |
$1,702.88 |
$2,838.13 |
10.7× |
| CT chest with contrast (71260) |
$1,670.51 |
$2,784.18 |
10.5× |
| CT head/brain with contrast (70460) |
$1,216.61 |
$2,027.68 |
7.7× |
| CT head/brain without and with contrast (70470) |
$1,600.04 |
$2,666.73 |
10.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$219.86 |
$366.43 |
2.8× |
| CT iac w contrast (70481) |
$1,375.88 |
$2,293.13 |
8.7× |
| CT lower ext w/o (73700) |
$1,137.42 |
$1,895.70 |
12.0× |
| CT lower extremity w wo contrast (73702) |
$1,467.05 |
$2,445.08 |
9.2× |
| CT lower extremity with contrast (73701) |
$1,444.85 |
$2,408.09 |
9.1× |
| CT lumbar spine w & w/o contrast (72133) |
$1,817.54 |
$3,029.23 |
11.4× |
| CT lumbar spine w/o contrast (72131) |
$1,445.47 |
$2,409.12 |
15.3× |
| CT lumbar spine with contrast (72132) |
$1,828.97 |
$3,048.29 |
5.8× |
| CT maxillofacial w contrast (70487) |
$1,342.72 |
$2,237.87 |
8.5× |
| CT maxillofacial w/o contrast (70486) |
$1,243.39 |
$2,072.32 |
13.1× |
| CT maxillofacial w/wo contrast (70488) |
$1,399.84 |
$2,333.07 |
8.8× |
| CT neck soft tissue w contrast (70491) |
$1,409.38 |
$2,348.97 |
8.9× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,598.40 |
$2,664 |
10.1× |
| CT orbits w/o contrast (70480) |
$1,277.65 |
$2,129.42 |
13.5× |
| CT pelvis w & w/o contrast (72194) |
$1,770.08 |
$2,950.14 |
11.1× |
| CT pelvis w/o contrast (72192) |
$1,142.80 |
$1,904.66 |
12.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,541.05 |
$2,568.42 |
9.7× |
| CT soft tissue neck w/o contrast (70490) |
$1,150.14 |
$1,916.90 |
12.1× |
| CT thoracic spine w/contrast (72129) |
$1,639.36 |
$2,732.26 |
10.3× |
| CT thoracic spine w/o contrast (72128) |
$1,345.87 |
$2,243.12 |
14.2× |
| CT thoracic spine w/wo contrast (72130) |
$1,694.33 |
$2,823.88 |
10.7× |
| CT thorax w/o contrast (71250) |
$1,321.55 |
$2,202.58 |
14.0× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,207.22 |
$2,012.04 |
7.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,089.45 |
$1,815.75 |
11.5× |
| CT upper extremity with contrast (73201) |
$1,338.79 |
$2,231.32 |
4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,082.16 |
$3,470.26 |
13.1× |
| Cta Abdomen (74175) |
$1,505.44 |
$2,509.06 |
9.5× |
| CTA abdomen pelvis (74174) |
$2,456.99 |
$4,094.98 |
7.8× |
| CTA chest (71275) |
$1,645.46 |
$2,742.43 |
10.4× |
| Cta Head (70496) |
$1,535.25 |
$2,558.75 |
9.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$1,535.25 |
$2,558.75 |
4.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,694.65 |
$2,824.41 |
10.7× |
| Cta Neck (70498) |
$1,560.62 |
$2,601.04 |
9.8× |
| Cta Pelvis (72191) |
$1,146.30 |
$1,910.50 |
7.2× |
| Diskogram cervical (72285) |
$1,019.70 |
$1,699.50 |
0.6× |
| Diskography lumbar (72295) |
$1,257.80 |
$2,096.33 |
0.7× |
| Dxa bone density study 1/> sites axial skel (77080) |
$333.97 |
$556.62 |
3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$148.48 |
$247.46 |
1.9× |
| Dxa bone density study axial skeleton (77085) |
$257.94 |
$429.90 |
2.7× |
| Echoencephalography real time imaging (76506) |
$306.42 |
$510.70 |
3.2× |
| Esophagus (74220) |
$376.14 |
$626.90 |
2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$283.12 |
$471.86 |
3.0× |
| Foot 2 views (73620) |
$229.87 |
$383.11 |
2.9× |
| Forearm 2 views (73090) |
$223.75 |
$372.91 |
2.8× |
| Functional MRI brain by tech (70554) |
$2,416.76 |
$4,027.93 |
11.2× |
| Hand 2 views (73120) |
$251.10 |
$418.50 |
2.7× |
| Hand 3 views (73130) |
$233.05 |
$388.42 |
3.0× |
| Humerus Min 2 Views Left (73060) |
$230.10 |
$383.50 |
2.9× |
| Knee 3 views (73562) |
$250.17 |
$416.95 |
3.2× |
| MRA head w & w/o contrast (70546) |
$2,438.98 |
$4,064.96 |
7.7× |
| MRA head w/o contrast (70544) |
$1,906.34 |
$3,177.24 |
8.8× |
| MRA head with contrast (70545) |
$1,715.40 |
$2,859 |
5.4× |
| MRA neck w contrast (70548) |
$2,624.57 |
$4,374.28 |
8.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,589.02 |
$4,315.03 |
8.2× |
| MRA neck w/o contrast (70547) |
$1,952.58 |
$3,254.30 |
9.0× |
| MRI abdomen w contrast (74182) |
$2,289.51 |
$3,815.85 |
7.2× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,905.73 |
$4,842.88 |
9.2× |
| MRI abdomen w/o contrast (74181) |
$1,846.39 |
$3,077.31 |
8.5× |
| MRI any jnt lwr ext with con lt (73722) |
$1,999.65 |
$3,332.75 |
2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,276.92 |
$3,794.86 |
3.2× |
| MRI c-spine with contrast (72142) |
$1,172.80 |
$1,954.67 |
3.7× |
| MRI cervical spine w/o contrast (72141) |
$1,942.75 |
$3,237.91 |
9.0× |
| MRI chest w/o & w/contrast material (71552) |
$2,407.31 |
$4,012.18 |
7.6× |
| MRI chest w/o contrast (71550) |
$2,193.84 |
$3,656.40 |
10.2× |
| MRI chest with contrast (71551) |
$1,360.80 |
$2,268 |
1.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,591.21 |
$4,318.69 |
8.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,310.40 |
$2,184 |
4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,968.09 |
$3,280.15 |
9.1× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,678.70 |
$2,797.83 |
7.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,604.06 |
$4,340.10 |
8.2× |
| MRI orbit/face/neck w/contrast (70542) |
$1,431.13 |
$2,385.22 |
4.5× |
| MRI pelvis w contrast (72196) |
$1,772.81 |
$2,954.69 |
5.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,530.81 |
$4,218.02 |
8.0× |
| MRI pelvis w/o contrast (72195) |
$1,925.20 |
$3,208.66 |
8.9× |
| MRI scan of arm joint before and after contrast (73223) |
$2,386.73 |
$3,977.88 |
7.6× |
| MRI scan of leg joint before and after contrast (73723) |
$2,482.79 |
$4,137.99 |
7.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,796.39 |
$4,660.65 |
8.9× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,541.99 |
$2,569.98 |
4.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,795.92 |
$4,659.86 |
8.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,584.43 |
$4,307.38 |
8.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,845.03 |
$4,741.72 |
9.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,868.53 |
$3,114.21 |
8.6× |
| MRI upper ext joint w/o contrast (73221) |
$1,845.03 |
$3,075.05 |
8.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,436.53 |
$4,060.88 |
7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,702.76 |
$2,837.94 |
7.9× |
| Neck soft tissue (70360) |
$192.99 |
$321.65 |
2.4× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$345.46 |
$575.77 |
3.6× |
| Osseous survey infant (77076) |
$189 |
$315 |
2.0× |
| Pelvis 1 or 2 views (72170) |
$242.09 |
$403.48 |
2.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,490.92 |
$4,151.54 |
7.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$162.60 |
$271 |
2.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$363.41 |
$605.69 |
3.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$212.85 |
$354.75 |
2.2× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$288.60 |
$481 |
3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$276.51 |
$460.85 |
2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$231.99 |
$386.65 |
2.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$228.10 |
$380.16 |
2.9× |
| Radiologic exam colon single contrast study (74270) |
$677.59 |
$1,129.32 |
4.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$573.43 |
$955.71 |
3.6× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$228.99 |
$381.65 |
2.9× |
| Ribs bilateral 3 views (71110) |
$259.56 |
$432.60 |
2.7× |
| Scapula complete (73010) |
$233.10 |
$388.50 |
2.5× |
| Sella turcica (70240) |
$153.43 |
$255.71 |
1.9× |
| Small bowel series (74250) |
$499.20 |
$832 |
3.1× |
| Spine thoracic 3 views (72072) |
$316.81 |
$528.02 |
3.3× |
| Thoracolumbar 2 views (72080) |
$228.26 |
$380.43 |
2.9× |
| Ultrasound, abdomen limited (76705) |
$428.53 |
$714.22 |
4.5× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$334.20 |
$557 |
4.2× |
| Unlisted Ultrasound Procedure (76999) |
$439.23 |
$732.05 |
5.6× |
| Upper Extremity Infant (73092) |
$173.25 |
$288.75 |
1.8× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$446.45 |
$744.09 |
2.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$669.07 |
$1,115.12 |
4.2× |
| Us abdl aorta screen aaa (76706) |
$363.85 |
$606.42 |
3.8× |
| Us breast unilateral complete (76641) |
$520.02 |
$866.70 |
5.5× |
| Us chest (76604) |
$429.55 |
$715.91 |
4.5× |
| Us compl joint r-t w/image documentation (76881) |
$353.13 |
$588.55 |
3.7× |
| Us infant hips dynamic (76885) |
$283.50 |
$472.50 |
3.6× |
| Us kidney transplant (76776) |
$560.65 |
$934.42 |
5.9× |
| Us ob detailed single fetus (76811) |
$729.08 |
$1,215.13 |
3.4× |
| Us ob transvaginal (76817) |
$440.57 |
$734.29 |
4.7× |
| Us pelvic non ob complete (76856) |
$505.62 |
$842.70 |
5.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$325.48 |
$542.46 |
3.4× |
| Us pregnancy ltd (76815) |
$253.15 |
$421.92 |
2.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$440.61 |
$734.35 |
4.7× |
| Us retroperitoneal complete (76770) |
$491.66 |
$819.44 |
5.2× |
| Us retroperitoneal limited (76775) |
$516.71 |
$861.19 |
5.5× |
| Us scrotum and contents (76870) |
$441.55 |
$735.91 |
4.7× |
| Us soft tissue head/neck (76536) |
$494.32 |
$823.87 |
5.2× |
| Vertebral fracture assessment via dxa (77086) |
$132.85 |
$221.42 |
1.7× |
| Wrist 2 views (73100) |
$206.40 |
$344 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$367.61 |
$612.68 |
3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$189 |
$315 |
2.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$218.78 |
$364.63 |
2.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$847.64 |
$1,412.73 |
5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$223.84 |
$373.06 |
2.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$226.48 |
$377.47 |
2.9× |
| X-ray exam hip uni 1 view (73501) |
$226.04 |
$376.74 |
2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$238.10 |
$396.83 |
3.0× |
| X-ray exam of femur 1 (73551) |
$250.56 |
$417.60 |
3.2× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$238.59 |
$397.65 |
2.5× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$215.23 |
$358.72 |
2.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$157.42 |
$262.37 |
2.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$377.03 |
$628.39 |
2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$388.95 |
$648.25 |
4.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$282.98 |
$471.64 |
3.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$520.67 |
$867.79 |
6.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$285.49 |
$475.81 |
3.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$196.21 |
$327.01 |
2.5× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$189 |
$315 |
2.4× |
| X-ray of voice box or throat (70370) |
$221.08 |
$368.46 |
2.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$234.77 |
$391.28 |
2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$228.08 |
$380.14 |
2.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$196.60 |
$327.67 |
2.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$325.57 |
$542.61 |
3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$398.53 |
$664.22 |
4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$230.99 |
$384.99 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$226.05 |
$376.75 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$262.82 |
$438.04 |
3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$233.12 |
$388.53 |
3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$264.49 |
$440.82 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$339.71 |
$566.18 |
3.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$243.73 |
$406.21 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$180.97 |
$301.62 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$286.68 |
$477.80 |
3.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$236.57 |
$394.29 |
3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$255.69 |
$426.15 |
2.7× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$173.86 |
$289.76 |
2.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$213.67 |
$356.12 |
2.7× |
| Xr c-spine 6 or more views (72052) |
$348.63 |
$581.05 |
3.7× |
| Xr Cholecystography Oral Contrast (74290) |
$276 |
$460 |
1.7× |
| Xr finger(s) 2+ views (73140) |
$156.71 |
$261.19 |
2.0× |
| Xr shoulder 1 view (73020) |
$257.02 |
$428.36 |
3.3× |
| Xr spine cervical 4 or 5 views (72050) |
$337.82 |
$563.03 |
3.6× |
| Xr tibia/fibula 2 views (73590) |
$228.31 |
$380.51 |
2.9× |
| Xr tmj bilateral (70330) |
$231.84 |
$386.40 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$213.67 |
$356.12 |
2.7× |