| Abdomen 2 views (74019) |
$374 |
$468 |
3.4× |
| Ankle 2 views (73600) |
$262 |
$328 |
2.9× |
| Bone &/joint imaging whole body (78306) |
$1,857 |
$2,321 |
4.5× |
| Bone age studies (77072) |
$246 |
$307 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$2,123 |
$2,654 |
5.1× |
| Bone survey complete (77075) |
$844 |
$1,055 |
7.8× |
| Cervical spine 2 or 3 views (72040) |
$355 |
$444 |
3.9× |
| Chest 1 view (71045) |
$270 |
$337 |
3.0× |
| Chest 3 views (71047) |
$350 |
$438 |
3.9× |
| Clavicle complete (73000) |
$314 |
$392 |
3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$960 |
$1,200 |
8.8× |
| CT abdomen and pelvis without and with contrast (74178) |
$5,253 |
$6,566 |
14.5× |
| CT abdomen and pelvis without contrast (74176) |
$3,774 |
$4,717 |
15.2× |
| CT abdomen w contrast (74160) |
$2,567 |
$3,209 |
14.1× |
| CT abdomen w wo contrast (74170) |
$2,950 |
$3,687 |
16.2× |
| CT abdomen w/o contrast (74150) |
$2,218 |
$2,773 |
20.4× |
| CT angiography upper extremity lt (73206) |
$3,145 |
$3,931 |
17.3× |
| CT c-spine w/o contrast (72125) |
$2,321 |
$2,901 |
21.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,531 |
$3,164 |
13.9× |
| CT cervical spine with contrast (72126) |
$2,414 |
$3,018 |
6.7× |
| CT chest w/wo contrast (71270) |
$2,752 |
$3,440 |
15.1× |
| CT chest with contrast (71260) |
$2,519 |
$3,149 |
13.8× |
| CT head/brain with contrast (70460) |
$2,225 |
$2,781 |
12.2× |
| CT head/brain without and with contrast (70470) |
$2,497 |
$3,121 |
13.7× |
| CT iac w contrast (70481) |
$2,345 |
$2,931 |
12.9× |
| CT lower ext w/o (73700) |
$2,120 |
$2,650 |
19.5× |
| CT lower extremity w wo contrast (73702) |
$2,516 |
$3,145 |
13.8× |
| CT lower extremity with contrast (73701) |
$2,252 |
$2,815 |
12.4× |
| CT lumbar spine w & w/o contrast (72133) |
$2,623 |
$3,279 |
14.4× |
| CT lumbar spine w/o contrast (72131) |
$2,269 |
$2,836 |
20.9× |
| CT lumbar spine with contrast (72132) |
$2,302 |
$2,877 |
6.4× |
| CT maxillofacial w contrast (70487) |
$2,142 |
$2,677 |
11.8× |
| CT maxillofacial w/o contrast (70486) |
$1,784 |
$2,230 |
16.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,326 |
$2,907 |
12.8× |
| CT neck soft tissue w contrast (70491) |
$2,286 |
$2,857 |
12.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,512 |
$3,140 |
13.8× |
| CT orbits w/o contrast (70480) |
$2,080 |
$2,600 |
19.2× |
| CT pelvis w & w/o contrast (72194) |
$2,593 |
$3,241 |
14.2× |
| CT pelvis w/o contrast (72192) |
$2,210 |
$2,763 |
20.4× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$416 |
$520 |
4.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$2,660 |
$3,325 |
14.6× |
| CT soft tissue neck w/o contrast (70490) |
$1,978 |
$2,473 |
18.2× |
| CT thoracic spine w/contrast (72129) |
$2,393 |
$2,991 |
13.1× |
| CT thoracic spine w/o contrast (72128) |
$2,371 |
$2,964 |
21.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,501 |
$3,126 |
13.7× |
| CT thorax w/o contrast (71250) |
$2,253 |
$2,816 |
20.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,341 |
$2,926 |
12.9× |
| CT upper extremity w/o contrast rt (73200) |
$1,999 |
$2,499 |
18.4× |
| CT upper extremity with contrast (73201) |
$2,198 |
$2,748 |
6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$3,302 |
$4,128 |
18.1× |
| Cta Abdomen (74175) |
$3,057 |
$3,821 |
16.8× |
| CTA abdomen pelvis (74174) |
$5,515 |
$6,894 |
15.2× |
| CTA chest (71275) |
$3,207 |
$4,009 |
17.6× |
| Cta Head (70496) |
$2,843 |
$3,554 |
15.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$6,240 |
$7,800 |
17.2× |
| CTA lwr ext w&w/o contrast (73706) |
$3,374 |
$4,217 |
18.5× |
| Cta Neck (70498) |
$3,683 |
$4,604 |
20.2× |
| Cta Pelvis (72191) |
$2,963 |
$3,704 |
16.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$490 |
$613 |
4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$248 |
$310 |
2.7× |
| Echoencephalography real time imaging (76506) |
$497 |
$621 |
4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$458 |
$572 |
4.2× |
| Fluoroscopy up to 1 hr (76000) |
$628 |
$785 |
2.5× |
| Foot 2 views (73620) |
$268 |
$335 |
3.0× |
| Forearm 2 views (73090) |
$293 |
$366 |
3.2× |
| Hand 2 views (73120) |
$289 |
$361 |
2.7× |
| Hand 3 views (73130) |
$342 |
$428 |
3.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$1,883 |
$2,354 |
3.3× |
| Ht muscle image spect sing (78451) |
$3,724 |
$4,655 |
2.8× |
| Humerus Min 2 Views Left (73060) |
$328 |
$410 |
3.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,038 |
$2,548 |
3.6× |
| Knee 3 views (73562) |
$397 |
$496 |
4.4× |
| MRA head w & w/o contrast (70546) |
$3,177 |
$3,971 |
8.8× |
| MRA head w/o contrast (70544) |
$2,618 |
$3,272 |
10.6× |
| MRA head with contrast (70545) |
$2,870 |
$3,588 |
7.9× |
| MRA neck w contrast (70548) |
$3,498 |
$4,372 |
9.7× |
| Mra Neck W/O &W/Contrast Material (70549) |
$3,966 |
$4,958 |
10.9× |
| MRA neck w/o contrast (70547) |
$1,985 |
$2,481 |
8.0× |
| MRI abdomen w contrast (74182) |
$3,210 |
$4,013 |
8.9× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,874 |
$4,843 |
10.7× |
| MRI abdomen w/o contrast (74181) |
$3,112 |
$3,890 |
12.6× |
| MRI any jnt lwr ext with con lt (73722) |
$2,922 |
$3,652 |
3.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,114 |
$3,892 |
3.8× |
| MRI c-spine with contrast (72142) |
$3,334 |
$4,167 |
9.2× |
| MRI cervical spine w/o contrast (72141) |
$2,370 |
$2,962 |
9.6× |
| MRI chest w/o & w/contrast material (71552) |
$2,722 |
$3,403 |
7.5× |
| MRI chest w/o contrast (71550) |
$2,226 |
$2,783 |
9.0× |
| MRI chest with contrast (71551) |
$2,438 |
$3,048 |
3.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,938 |
$3,672 |
8.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,890 |
$3,612 |
8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,552 |
$3,190 |
10.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,131 |
$3,914 |
12.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,749 |
$4,686 |
10.3× |
| MRI orbit/face/neck w/contrast (70542) |
$3,428 |
$4,285 |
9.5× |
| MRI pelvis w contrast (72196) |
$2,867 |
$3,584 |
7.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,613 |
$4,516 |
10.0× |
| MRI pelvis w/o contrast (72195) |
$2,563 |
$3,204 |
10.3× |
| MRI scan of arm joint before and after contrast (73223) |
$3,697 |
$4,621 |
10.2× |
| MRI scan of leg joint before and after contrast (73723) |
$3,229 |
$4,036 |
8.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,038 |
$5,047 |
11.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,344 |
$4,180 |
9.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,869 |
$4,836 |
10.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$3,360 |
$4,200 |
9.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$4,009 |
$5,011 |
11.1× |
| MRI thoracic spine w/o contrast (72146) |
$2,803 |
$3,504 |
11.3× |
| MRI tmj (70336) |
$2,453 |
$3,066 |
9.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,529 |
$3,161 |
10.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$3,286 |
$4,108 |
9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,590 |
$3,238 |
10.5× |
| Myocardial Spect Multiple Studies (78452) |
$4,330 |
$5,412 |
3.2× |
| Neck soft tissue (70360) |
$337 |
$421 |
3.7× |
| Nm gastric emptying study (78264) |
$1,942 |
$2,427 |
4.7× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$360 |
$450 |
3.3× |
| Osseous survey limited (77074) |
$681 |
$851 |
6.3× |
| Parathyroid imaging (78070) |
$1,326 |
$1,657 |
3.2× |
| Pelvis 1 or 2 views (72170) |
$322 |
$402 |
3.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$3,081 |
$3,851 |
8.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$2,793 |
$3,491 |
5.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$265 |
$331 |
2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$426 |
$533 |
3.9× |
| Radex hips bilateral with pelvis 2 views (73521) |
$521 |
$651 |
4.8× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$225 |
$281 |
2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$490 |
$613 |
4.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$304 |
$380 |
3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$410 |
$512 |
3.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$309 |
$386 |
3.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$354 |
$443 |
3.9× |
| Ribs bilateral 3 views (71110) |
$437 |
$546 |
4.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,069 |
$3,836 |
5.4× |
| Scapula complete (73010) |
$330 |
$412 |
3.0× |
| Screening digital breast tomosynthesis (77063) |
$109 |
$136 |
4.7× |
| Small bowel series (74250) |
$533 |
$666 |
2.9× |
| Spine thoracic 3 views (72072) |
$517 |
$646 |
4.8× |
| Thoracolumbar 2 views (72080) |
$288 |
$360 |
3.2× |
| Thyroid uptake measurement (78012) |
$799 |
$999 |
1.9× |
| Tmj unilateral (70328) |
$267 |
$334 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$642 |
$803 |
5.9× |
| Upper Extremity Infant (73092) |
$250 |
$313 |
2.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$694 |
$867 |
3.8× |
| Us abdl aorta screen aaa (76706) |
$704 |
$880 |
6.5× |
| Us breast unilateral complete (76641) |
$466 |
$582 |
4.3× |
| Us breast unilateral limited (76642) |
$372 |
$465 |
4.1× |
| Us chest (76604) |
$507 |
$634 |
4.7× |
| Us compl joint r-t w/image documentation (76881) |
$598 |
$748 |
5.5× |
| Us ob transvaginal (76817) |
$517 |
$646 |
4.8× |
| Us pelvic non ob complete (76856) |
$750 |
$937 |
6.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$357 |
$446 |
3.3× |
| Us pregnancy ltd (76815) |
$458 |
$572 |
4.2× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$614 |
$768 |
5.7× |
| Us retroperitoneal complete (76770) |
$752 |
$940 |
6.9× |
| Us retroperitoneal limited (76775) |
$704 |
$880 |
6.5× |
| Us scrotum and contents (76870) |
$640 |
$800 |
5.9× |
| Us soft tissue head/neck (76536) |
$563 |
$704 |
5.2× |
| Us transrectal (76872) |
$689 |
$861 |
6.3× |
| Us xtr non-vasc lmtd (76882) |
$524 |
$655 |
4.8× |
| Wrist 2 views (73100) |
$289 |
$361 |
3.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$559 |
$699 |
5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$321 |
$401 |
3.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$334 |
$418 |
3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$289 |
$361 |
3.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$336 |
$420 |
3.7× |
| X-ray exam hip uni 1 view (73501) |
$337 |
$421 |
3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$355 |
$444 |
3.9× |
| X-ray exam hip uni 4/> views (73503) |
$425 |
$531 |
3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$521 |
$651 |
4.8× |
| X-ray exam of femur 1 (73551) |
$272 |
$340 |
3.0× |
| X-ray eye for foreign body (70030) |
$255 |
$319 |
2.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$460 |
$575 |
4.2× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$307 |
$384 |
3.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$351 |
$439 |
3.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$234 |
$293 |
2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$278 |
$348 |
3.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$400 |
$500 |
3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$254 |
$317 |
2.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$246 |
$308 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$482 |
$603 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$623 |
$779 |
5.7× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$452 |
$565 |
4.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$345 |
$431 |
3.8× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$366 |
$457 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$446 |
$557 |
4.1× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$414 |
$518 |
3.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$354 |
$442 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$422 |
$527 |
3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$538 |
$672 |
5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$426 |
$532 |
3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$334 |
$417 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$366 |
$457 |
4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$409 |
$511 |
4.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$266 |
$333 |
2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$425 |
$531 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$279 |
$349 |
2.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$298 |
$373 |
3.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$275 |
$344 |
3.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$346 |
$432 |
3.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$382 |
$477 |
3.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$248 |
$310 |
2.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$330 |
$412 |
3.7× |
| Xr c-spine 6 or more views (72052) |
$638 |
$798 |
5.9× |
| Xr chest 4+ views (71048) |
$389 |
$486 |
3.6× |
| Xr finger(s) 2+ views (73140) |
$186 |
$233 |
2.1× |
| XR Mastoids < 3 Views Bilateral (70120) |
$213 |
$266 |
2.0× |
| Xr shoulder 1 view (73020) |
$250 |
$313 |
2.8× |
| Xr spine cervical 4 or 5 views (72050) |
$518 |
$647 |
4.8× |
| Xr tibia/fibula 2 views (73590) |
$317 |
$396 |
3.5× |
| Xr tmj bilateral (70330) |
$330 |
$413 |
3.7× |
| Xray knee 1 or 2 views rt (73560) |
$318 |
$398 |
3.5× |