| Abdomen 2 views (74019) |
$156.98 |
$275.41 |
1.4× |
| Ankle 2 views (73600) |
$132.20 |
$231.94 |
1.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$581.54 |
$1,020.25 |
1.4× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$627.68 |
$1,101.20 |
1.5× |
| Bone &/joint imaging whole body (78306) |
$818.20 |
$1,435.44 |
1.9× |
| Bone age studies (77072) |
$121.37 |
$212.93 |
1.1× |
| Bone Imaging 3 Phase (78315) |
$901.58 |
$1,581.72 |
2.1× |
| Bone survey complete (77075) |
$332.96 |
$584.14 |
3.0× |
| Cervical spine 2 or 3 views (72040) |
$159.15 |
$279.21 |
1.7× |
| Chest 1 view (71045) |
$162.23 |
$284.61 |
1.7× |
| Clavicle complete (73000) |
$134.35 |
$235.70 |
1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$148.33 |
$260.23 |
1.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$1,688.30 |
$2,961.92 |
4.5× |
| CT abdomen and pelvis without contrast (74176) |
$1,147.75 |
$2,013.60 |
4.5× |
| CT abdomen w contrast (74160) |
$929.43 |
$1,630.58 |
5.0× |
| CT abdomen w wo contrast (74170) |
$1,084.76 |
$1,903.08 |
5.8× |
| CT abdomen w/o contrast (74150) |
$709.38 |
$1,244.52 |
6.4× |
| CT angiography upper extremity lt (73206) |
$1,020.86 |
$1,790.98 |
5.5× |
| CT c-spine w/o contrast (72125) |
$759.62 |
$1,332.66 |
6.8× |
| CT cervical spine w&w/o contrast (72127) |
$1,052.52 |
$1,846.53 |
5.6× |
| CT cervical spine with contrast (72126) |
$857.12 |
$1,503.71 |
2.3× |
| CT chest w/wo contrast (71270) |
$1,031.46 |
$1,809.58 |
5.5× |
| CT chest with contrast (71260) |
$873.92 |
$1,533.19 |
4.7× |
| CT head/brain with contrast (70460) |
$748.68 |
$1,313.48 |
4.0× |
| CT head/brain without and with contrast (70470) |
$904.88 |
$1,587.52 |
4.8× |
| CT iac w contrast (70481) |
$835.96 |
$1,466.60 |
4.5× |
| CT lower ext w/o (73700) |
$1,122.33 |
$1,969 |
10.1× |
| CT lower extremity w wo contrast (73702) |
$945.42 |
$1,658.62 |
5.1× |
| CT lower extremity with contrast (73701) |
$806.10 |
$1,414.21 |
4.3× |
| CT lumbar spine w & w/o contrast (72133) |
$1,076.74 |
$1,889.02 |
5.8× |
| CT lumbar spine w/o contrast (72131) |
$753.34 |
$1,321.66 |
6.8× |
| CT lumbar spine with contrast (72132) |
$891.02 |
$1,563.19 |
2.4× |
| CT maxillofacial w contrast (70487) |
$834.50 |
$1,464.03 |
4.5× |
| CT maxillofacial w/o contrast (70486) |
$682.83 |
$1,197.94 |
6.1× |
| CT maxillofacial w/wo contrast (70488) |
$949.76 |
$1,666.25 |
5.1× |
| CT neck soft tissue w contrast (70491) |
$852.56 |
$1,495.72 |
4.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$912.85 |
$1,601.50 |
4.9× |
| CT orbits w/o contrast (70480) |
$705.07 |
$1,236.96 |
6.3× |
| CT pelvis w & w/o contrast (72194) |
$1,027.38 |
$1,802.42 |
5.5× |
| CT pelvis w/o contrast (72192) |
$700.63 |
$1,229.18 |
6.3× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$207.69 |
$364.36 |
2.2× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$961.28 |
$1,686.46 |
5.1× |
| CT soft tissue neck w/o contrast (70490) |
$5,701.74 |
$10,003.04 |
51.1× |
| CT thoracic spine w/contrast (72129) |
$851.92 |
$1,494.58 |
4.6× |
| CT thoracic spine w/o contrast (72128) |
$736.97 |
$1,292.93 |
6.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,011.50 |
$1,774.55 |
5.4× |
| CT thorax w/o contrast (71250) |
$1,156.53 |
$2,029 |
10.4× |
| CT upper extremity w/o & w/contrast material (73202) |
$994.90 |
$1,745.45 |
5.3× |
| CT upper extremity w/o contrast rt (73200) |
$694.59 |
$1,218.58 |
6.2× |
| CT upper extremity with contrast (73201) |
$818.78 |
$1,436.46 |
2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,219.66 |
$2,139.76 |
6.5× |
| Cta Abdomen (74175) |
$1,108.50 |
$1,944.74 |
5.9× |
| CTA abdomen pelvis (74174) |
$651.92 |
$1,143.72 |
1.8× |
| CTA chest (71275) |
$1,112.12 |
$1,951.08 |
5.9× |
| Cta Head (70496) |
$1,077.40 |
$1,890.18 |
5.8× |
| CTA lwr ext w&w/o contrast (73706) |
$1,121.15 |
$1,966.93 |
6.0× |
| Cta Neck (70498) |
$1,066.06 |
$1,870.28 |
5.7× |
| Cta Pelvis (72191) |
$1,063.30 |
$1,865.45 |
5.7× |
| Dx ophthalmic us ant segment immersion uni/bi (76513) |
$156.08 |
$273.82 |
1.4× |
| Echoencephalography real time imaging (76506) |
$184.10 |
$322.98 |
1.7× |
| Fetal biophysical profile non-stress testing (76818) |
$268.58 |
$471.20 |
2.4× |
| Fluoroscopy up to 1 hr (76000) |
$244.36 |
$428.70 |
1.0× |
| Foot 2 views (73620) |
$127.55 |
$223.78 |
1.4× |
| Forearm 2 views (73090) |
$118.66 |
$208.18 |
1.3× |
| Gated Heart Planar Single (78472) |
$761.20 |
$1,335.44 |
1.8× |
| Hand 2 views (73120) |
$140.92 |
$247.22 |
1.3× |
| Hand 3 views (73130) |
$156.92 |
$275.30 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$969.42 |
$1,700.73 |
1.7× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$803.80 |
$1,410.16 |
1.9× |
| Ht muscle image spect sing (78451) |
$1,294.62 |
$2,271.25 |
0.9× |
| Humerus Min 2 Views Left (73060) |
$138.62 |
$243.20 |
1.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$109.56 |
$192.21 |
0.2× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$727.31 |
$1,275.98 |
1.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$906.41 |
$1,590.19 |
1.6× |
| Knee 3 views (73562) |
$166.78 |
$292.58 |
1.8× |
| Liver & spleen imaging static only (78215) |
$627.88 |
$1,101.56 |
1.5× |
| Lung perf&ventilat diferentl (78598) |
$849.42 |
$1,490.20 |
1.5× |
| Lung perfusion differential (78597) |
$597.54 |
$1,048.32 |
1.4× |
| Lung Ventilation Imaging (78579) |
$287.28 |
$504 |
0.7× |
| Meckels Diverticulum (78290) |
$644.36 |
$1,130.44 |
1.5× |
| MRA head w/o contrast (70544) |
$1,017.80 |
$1,785.60 |
4.0× |
| MRA neck w contrast (70548) |
$852.84 |
$1,496.21 |
2.3× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,401.37 |
$2,458.55 |
3.8× |
| MRA neck w/o contrast (70547) |
$963.40 |
$1,690.18 |
3.8× |
| MRI abdomen w contrast (74182) |
$1,120.58 |
$1,965.94 |
3.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,539.90 |
$2,701.58 |
4.1× |
| MRI abdomen w/o contrast (74181) |
$1,058.67 |
$1,857.32 |
4.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,856.70 |
$3,257.36 |
2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,899.75 |
$3,332.90 |
2.3× |
| MRI c-spine with contrast (72142) |
$1,254.62 |
$2,201.10 |
3.4× |
| MRI cervical spine w/o contrast (72141) |
$1,057.02 |
$1,854.42 |
4.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,587.28 |
$2,784.69 |
4.3× |
| MRI chest w/o contrast (71550) |
$1,078.18 |
$1,891.54 |
4.2× |
| MRI chest with contrast (71551) |
$1,000.75 |
$1,755.70 |
1.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,199.21 |
$2,103.88 |
3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,212.48 |
$2,127.16 |
3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,016.50 |
$1,783.32 |
4.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,000.04 |
$1,754.45 |
3.9× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,473.78 |
$2,585.57 |
4.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,248.56 |
$2,190.46 |
3.4× |
| MRI pelvis w contrast (72196) |
$1,213.55 |
$2,129.04 |
3.3× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,500.24 |
$2,632 |
4.0× |
| MRI pelvis w/o contrast (72195) |
$1,084.46 |
$1,902.57 |
4.3× |
| MRI scan of arm joint before and after contrast (73223) |
$2,345.82 |
$4,115.46 |
6.3× |
| MRI scan of leg joint before and after contrast (73723) |
$2,382.80 |
$4,180.35 |
6.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,536.41 |
$2,695.46 |
4.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,204.80 |
$2,113.69 |
3.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,541.98 |
$2,705.24 |
4.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,281.46 |
$2,248.18 |
3.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,515.30 |
$2,658.42 |
4.1× |
| MRI thoracic spine w/o contrast (72146) |
$1,051.18 |
$1,844.18 |
4.1× |
| MRI tmj (70336) |
$973.85 |
$1,708.51 |
3.8× |
| MRI upper ext joint w/o contrast (73221) |
$1,737.99 |
$3,049.10 |
6.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,483.73 |
$2,603.04 |
4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,095.40 |
$1,921.74 |
4.3× |
| Myocardial Spect Multiple Studies (78452) |
$722.27 |
$1,267.14 |
0.5× |
| Neck soft tissue (70360) |
$124.64 |
$218.66 |
1.3× |
| Nm gastric emptying study (78264) |
$817.59 |
$1,434.37 |
1.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,429.05 |
$2,507.10 |
1.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$444.31 |
$779.49 |
0.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$196.52 |
$344.77 |
1.8× |
| Parathyrd planar w/wo subtrj (78071) |
$777.01 |
$1,363.18 |
1.8× |
| Parathyroid imaging (78070) |
$689.30 |
$1,209.31 |
1.6× |
| Pelvis 1 or 2 views (72170) |
$138.04 |
$242.18 |
1.2× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,481.25 |
$2,598.68 |
4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$765.10 |
$1,342.28 |
1.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$873.66 |
$1,532.74 |
1.5× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$139.38 |
$244.52 |
1.5× |
| Radex hips bilateral with pelvis 2 views (73521) |
$116.37 |
$204.15 |
1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$177.96 |
$312.20 |
1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$121.90 |
$213.86 |
1.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$138.42 |
$242.83 |
1.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$204.63 |
$359 |
2.2× |
| Ribs bilateral 3 views (71110) |
$189.98 |
$333.31 |
1.7× |
| Scanogram (77073) |
$146.31 |
$256.68 |
1.3× |
| Scapula complete (73010) |
$134.17 |
$235.38 |
1.2× |
| Small bowel series (74250) |
$342.06 |
$600.12 |
1.8× |
| Spine thoracic 3 views (72072) |
$179.98 |
$315.74 |
1.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$865.76 |
$1,518.86 |
1.5× |
| Thyroid Imaging With Vascular Flow (78013) |
$378.34 |
$663.74 |
0.9× |
| Thyroid uptake measurement (78012) |
$322.10 |
$565.09 |
0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$600.30 |
$1,053.16 |
1.4× |
| Tmj unilateral (70328) |
$123.52 |
$216.70 |
1.3× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$1,562.80 |
$2,741.76 |
2.7× |
| Ultrasound, abdomen limited (76705) |
$315.26 |
$553.08 |
2.8× |
| Upper Extremity Infant (73092) |
$76.82 |
$134.78 |
0.7× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$225.12 |
$394.95 |
1.2× |
| Us chest (76604) |
$224.72 |
$394.24 |
2.0× |
| Us compl joint r-t w/image documentation (76881) |
$152.86 |
$268.18 |
1.4× |
| Us infant hips dynamic (76885) |
$301.18 |
$528.40 |
3.2× |
| Us kidney transplant (76776) |
$375.51 |
$658.79 |
3.4× |
| Us ob transvaginal (76817) |
$213.04 |
$373.76 |
1.9× |
| Us pelvic non ob complete (76856) |
$275.96 |
$484.14 |
2.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$159.40 |
$279.66 |
1.4× |
| Us pregnancy ltd (76815) |
$182.40 |
$320.01 |
1.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$316.88 |
$555.92 |
2.8× |
| Us retroperitoneal complete (76770) |
$353.72 |
$620.56 |
3.2× |
| Us retroperitoneal limited (76775) |
$257.45 |
$451.66 |
2.3× |
| Us scrotum and contents (76870) |
$257.13 |
$451.10 |
2.3× |
| Us soft tissue head/neck (76536) |
$328.64 |
$576.55 |
2.9× |
| Us xtr non-vasc lmtd (76882) |
$110.92 |
$194.60 |
1.0× |
| Wrist 2 views (73100) |
$133.76 |
$234.68 |
1.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$216.18 |
$379.26 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$125.92 |
$220.90 |
1.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$156.54 |
$274.63 |
1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$96.72 |
$169.68 |
1.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$151.75 |
$266.22 |
1.6× |
| X-ray exam hip uni 1 view (73501) |
$155.31 |
$272.47 |
1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$152.31 |
$267.21 |
1.6× |
| X-ray exam of femur 1 (73551) |
$45.62 |
$80.04 |
0.5× |
| X-ray eye for foreign body (70030) |
$93.43 |
$163.92 |
1.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$183.92 |
$322.66 |
1.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$154 |
$270.18 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$122.57 |
$215.04 |
1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$128.06 |
$224.66 |
1.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$194.76 |
$341.68 |
1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$155.52 |
$272.82 |
1.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$73.62 |
$129.16 |
0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$173.32 |
$304.07 |
1.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$267.54 |
$469.38 |
2.4× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$149.12 |
$261.61 |
1.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$135.26 |
$237.30 |
1.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$185.70 |
$325.78 |
1.7× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$167.05 |
$293.07 |
1.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$136.34 |
$239.19 |
1.5× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$184.42 |
$323.56 |
1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$232.43 |
$407.77 |
2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$154.04 |
$270.24 |
1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$143.48 |
$251.72 |
1.5× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$155.80 |
$273.34 |
1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$171.94 |
$301.66 |
1.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$111.28 |
$195.22 |
1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$196.73 |
$345.14 |
1.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$45.82 |
$80.38 |
0.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$167.40 |
$293.68 |
1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$141.51 |
$248.26 |
1.5× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$154.92 |
$271.80 |
1.4× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$117.52 |
$206.18 |
1.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$156.12 |
$273.88 |
1.7× |
| Xr c-spine 6 or more views (72052) |
$253.36 |
$444.50 |
2.3× |
| Xr finger(s) 2+ views (73140) |
$125.63 |
$220.40 |
1.4× |
| Xr shoulder 1 view (73020) |
$111.47 |
$195.56 |
1.2× |
| Xr spine cervical 4 or 5 views (72050) |
$220.35 |
$386.58 |
2.0× |
| Xr tibia/fibula 2 views (73590) |
$144.33 |
$253.21 |
1.6× |
| Xr tmj bilateral (70330) |
$176.14 |
$309.02 |
1.9× |
| Xray knee 1 or 2 views rt (73560) |
$138.60 |
$243.16 |
1.5× |