| Abdomen 2 views (74019) |
$439.40 |
$676 |
3.9× |
| Acute gastrointestinal blood loss imaging (78278) |
$5,856.50 |
$9,010 |
13.7× |
| Ankle 2 views (73600) |
$352.30 |
$542 |
3.8× |
| Bone &/joint imaging whole body (78306) |
$4,225 |
$6,500 |
9.9× |
| Bone age studies (77072) |
$252.85 |
$389 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$5,817.50 |
$8,950 |
13.6× |
| Bone survey complete (77075) |
$1,115.40 |
$1,716 |
10.0× |
| Brain Imaging Vascular Flow Only (78610) |
$2,943.20 |
$4,528 |
5.1× |
| Cervical spine 2 or 3 views (72040) |
$414.05 |
$637 |
4.5× |
| Chest 1 view (71045) |
$335.40 |
$516 |
3.6× |
| Chest 3 views (71047) |
$353.60 |
$544 |
3.8× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$606.45 |
$933 |
3.2× |
| Clavicle complete (73000) |
$319.15 |
$491 |
3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,594.45 |
$2,453 |
14.3× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,480.75 |
$5,355 |
9.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,540.85 |
$3,909 |
10.0× |
| CT abdomen w contrast (74160) |
$1,278.55 |
$1,967 |
6.8× |
| CT abdomen w wo contrast (74170) |
$1,507.35 |
$2,319 |
8.1× |
| CT abdomen w/o contrast (74150) |
$973.05 |
$1,497 |
8.7× |
| CT angio hrt w/3d image (75574) |
$3,110.90 |
$4,786 |
8.4× |
| CT angiography upper extremity lt (73206) |
$2,338.70 |
$3,598 |
12.5× |
| CT c-spine w/o contrast (72125) |
$1,783.60 |
$2,744 |
16.0× |
| CT cervical spine w&w/o contrast (72127) |
$3,441.10 |
$5,294 |
18.4× |
| CT cervical spine with contrast (72126) |
$1,640.60 |
$2,524 |
4.4× |
| CT chest w/wo contrast (71270) |
$2,035.15 |
$3,131 |
10.9× |
| CT chest with contrast (71260) |
$1,931.15 |
$2,971 |
10.3× |
| CT head/brain with contrast (70460) |
$2,405 |
$3,700 |
12.8× |
| CT head/brain without and with contrast (70470) |
$2,894.45 |
$4,453 |
15.5× |
| CT heart contrast eval cardiac structure&morph (75572) |
$3,177.85 |
$4,889 |
8.5× |
| CT heart no contrast quant eval coronry calcium (75571) |
$248.95 |
$383 |
2.7× |
| CT iac w contrast (70481) |
$1,982.50 |
$3,050 |
10.6× |
| CT lower ext w/o (73700) |
$1,955.85 |
$3,009 |
17.5× |
| CT lower extremity w wo contrast (73702) |
$2,879.50 |
$4,430 |
15.4× |
| CT lower extremity with contrast (73701) |
$2,117.05 |
$3,257 |
11.3× |
| CT lumbar spine w & w/o contrast (72133) |
$3,209.05 |
$4,937 |
17.1× |
| CT lumbar spine w/o contrast (72131) |
$1,783.60 |
$2,744 |
16.0× |
| CT lumbar spine with contrast (72132) |
$3,152.50 |
$4,850 |
8.5× |
| CT maxillofacial w contrast (70487) |
$1,800.50 |
$2,770 |
9.6× |
| CT maxillofacial w/o contrast (70486) |
$1,494.35 |
$2,299 |
13.4× |
| CT maxillofacial w/wo contrast (70488) |
$2,894.45 |
$4,453 |
15.5× |
| CT neck soft tissue w contrast (70491) |
$1,548.95 |
$2,383 |
8.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,037.75 |
$3,135 |
10.9× |
| CT orbits w/o contrast (70480) |
$1,293.50 |
$1,990 |
11.6× |
| CT pelvis w & w/o contrast (72194) |
$1,507.35 |
$2,319 |
8.1× |
| CT pelvis w/o contrast (72192) |
$1,270.75 |
$1,955 |
11.4× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,762.15 |
$2,711 |
9.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,543.75 |
$2,375 |
13.8× |
| CT thoracic spine w/contrast (72129) |
$3,058.90 |
$4,706 |
16.3× |
| CT thoracic spine w/o contrast (72128) |
$1,783.60 |
$2,744 |
16.0× |
| CT thoracic spine w/wo contrast (72130) |
$3,545.75 |
$5,455 |
18.9× |
| CT thorax w/o contrast (71250) |
$1,518.40 |
$2,336 |
13.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$2,775.50 |
$4,270 |
14.8× |
| CT upper extremity w/o contrast rt (73200) |
$1,786.20 |
$2,748 |
16.0× |
| CT upper extremity with contrast (73201) |
$2,117.05 |
$3,257 |
5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,007.20 |
$3,088 |
10.7× |
| Cta Abdomen (74175) |
$1,825.20 |
$2,808 |
9.8× |
| CTA abdomen pelvis (74174) |
$3,110.90 |
$4,786 |
8.4× |
| CTA chest (71275) |
$2,107.95 |
$3,243 |
11.3× |
| Cta Head (70496) |
$1,915.55 |
$2,947 |
10.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) |
$2,873.65 |
$4,421 |
7.7× |
| CTA lwr ext w&w/o contrast (73706) |
$1,825.20 |
$2,808 |
9.8× |
| Cta Neck (70498) |
$1,915.55 |
$2,947 |
10.2× |
| Cta Pelvis (72191) |
$1,825.20 |
$2,808 |
9.8× |
| Diskography lumbar (72295) |
$690.30 |
$1,062 |
0.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$516.10 |
$794 |
4.6× |
| Esophagus (74220) |
$917.15 |
$1,411 |
4.9× |
| Fluoroscopy up to 1 hr (76000) |
$613.60 |
$944 |
2.4× |
| Foot 2 views (73620) |
$317.85 |
$489 |
3.4× |
| Forearm 2 views (73090) |
$312 |
$480 |
3.4× |
| Gated Heart Planar Single (78472) |
$3,838.90 |
$5,906 |
9.0× |
| Hand 2 views (73120) |
$372.45 |
$573 |
3.3× |
| Hand 3 views (73130) |
$464.10 |
$714 |
5.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$7,547.15 |
$11,611 |
13.0× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$5,564 |
$8,560 |
13.0× |
| Ht muscle image spect sing (78451) |
$622.70 |
$958 |
0.5× |
| Humerus Min 2 Views Left (73060) |
$344.50 |
$530 |
3.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$3,907.80 |
$6,012 |
6.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$2,948.40 |
$4,536 |
5.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$5,754.45 |
$8,853 |
9.9× |
| Knee 3 views (73562) |
$453.05 |
$697 |
4.9× |
| Liver & spleen imaging static only (78215) |
$3,263.65 |
$5,021 |
7.7× |
| Lymphoscintigraphy (78195) |
$5,989.75 |
$9,215 |
10.3× |
| Meckels Diverticulum (78290) |
$5,581.55 |
$8,587 |
13.1× |
| MRA head w & w/o contrast (70546) |
$2,470 |
$3,800 |
6.6× |
| MRA head w/o contrast (70544) |
$2,264.60 |
$3,484 |
8.9× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,470 |
$3,800 |
6.6× |
| MRA neck w/o contrast (70547) |
$2,286.70 |
$3,518 |
9.0× |
| MRI abdomen w/o & w/contrast material (74183) |
$3,107 |
$4,780 |
8.3× |
| MRI abdomen w/o contrast (74181) |
$2,217.15 |
$3,411 |
8.7× |
| MRI cervical spine w/o contrast (72141) |
$3,182.40 |
$4,896 |
12.5× |
| MRI chest w/o & w/contrast material (71552) |
$3,107 |
$4,780 |
8.3× |
| MRI chest w/o contrast (71550) |
$2,562.95 |
$3,943 |
10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,955.85 |
$3,009 |
7.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,701.40 |
$4,156 |
10.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,637.40 |
$5,596 |
9.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,487.55 |
$3,827 |
6.7× |
| MRI pelvis w/o contrast (72195) |
$2,487.55 |
$3,827 |
9.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,506.40 |
$3,856 |
6.7× |
| MRI scan of leg joint before and after contrast (73723) |
$3,056.30 |
$4,702 |
8.2× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$4,230.85 |
$6,509 |
11.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,758.30 |
$5,782 |
10.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$3,710.20 |
$5,708 |
10.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,594.15 |
$3,991 |
10.2× |
| MRI upper ext joint w/o contrast (73221) |
$2,035.80 |
$3,132 |
8.0× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,775.50 |
$4,270 |
7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,901.25 |
$2,925 |
7.5× |
| Myocardial Spect Multiple Studies (78452) |
$9,148.75 |
$14,075 |
6.6× |
| Neck soft tissue (70360) |
$375.05 |
$577 |
4.0× |
| Nm adrenal scan (78075) |
$7,368.40 |
$11,336 |
5.3× |
| Nm gastric emptying study (78264) |
$5,656.95 |
$8,703 |
13.3× |
| Parathyrd planar w/wo subtrj (78071) |
$6,926.40 |
$10,656 |
16.2× |
| Parathyroid imaging (78070) |
$5,057.65 |
$7,781 |
11.9× |
| Pelvis 1 or 2 views (72170) |
$308.10 |
$474 |
2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,879.50 |
$4,430 |
7.7× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$4,018.30 |
$6,182 |
9.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$5,626.40 |
$8,656 |
9.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$707.20 |
$1,088 |
6.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$436.80 |
$672 |
3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$460.20 |
$708 |
4.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$328.25 |
$505 |
3.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$396.50 |
$610 |
4.3× |
| Radiologic exam colon single contrast study (74270) |
$781.30 |
$1,202 |
4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$917.15 |
$1,411 |
4.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$917.15 |
$1,411 |
4.9× |
| Radiologic exam upr gi trc single contrast study (74240) |
$800.15 |
$1,231 |
4.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$403 |
$620 |
4.3× |
| Ribs bilateral 3 views (71110) |
$543.40 |
$836 |
4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$6,926.40 |
$10,656 |
16.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$5,603.65 |
$8,621 |
9.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$6,392.10 |
$9,834 |
11.0× |
| Scanogram (77073) |
$368.55 |
$567 |
3.3× |
| Scapula complete (73010) |
$280.80 |
$432 |
2.5× |
| Screening digital breast tomosynthesis (77063) |
$117 |
$180 |
5.0× |
| Small bowel series (74250) |
$681.20 |
$1,048 |
3.6× |
| Speech evaluation complex (70371) |
$631.80 |
$972 |
2.5× |
| Spine thoracic 3 views (72072) |
$534.95 |
$823 |
4.8× |
| Testicular Imaging With Vascular Flow (78761) |
$3,586.05 |
$5,517 |
8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$4,064.45 |
$6,253 |
9.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$10,847.20 |
$16,688 |
18.7× |
| Ultrasound, abdomen limited (76705) |
$709.15 |
$1,091 |
6.4× |
| Unlisted magnetic resonance procedure (76498) |
$115.70 |
$178 |
1.2× |
| Unlisted Ultrasound Procedure (76999) |
$313.95 |
$483 |
3.4× |
| Upper Extremity Infant (73092) |
$248.30 |
$382 |
2.2× |
| Urethrocystography retrograde rs&i (74450) |
$547.30 |
$842 |
2.1× |
| Urethrocystography voiding (74455) |
$547.30 |
$842 |
2.1× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,044.55 |
$1,607 |
5.6× |
| Us abdl aorta screen aaa (76706) |
$644.15 |
$991 |
5.8× |
| Us breast unilateral complete (76641) |
$959.72 |
$1,476.50 |
8.6× |
| Us breast unilateral limited (76642) |
$577.52 |
$888.50 |
6.2× |
| Us chest (76604) |
$332.80 |
$512 |
3.0× |
| Us compl joint r-t w/image documentation (76881) |
$521.95 |
$803 |
4.7× |
| Us kidney transplant (76776) |
$2,873.65 |
$4,421 |
25.8× |
| Us ob transvaginal (76817) |
$685.10 |
$1,054 |
6.1× |
| Us pelvic non ob complete (76856) |
$891.15 |
$1,371 |
8.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$532.35 |
$819 |
4.8× |
| Us pregnancy ltd (76815) |
$563.55 |
$867 |
5.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$768.95 |
$1,183 |
6.9× |
| Us retroperitoneal complete (76770) |
$755.30 |
$1,162 |
6.8× |
| Us retroperitoneal limited (76775) |
$566.80 |
$872 |
5.1× |
| Us scrotum and contents (76870) |
$791.05 |
$1,217 |
7.1× |
| Us soft tissue head/neck (76536) |
$613.60 |
$944 |
5.5× |
| Us transrectal (76872) |
$118.95 |
$183 |
1.1× |
| Us xtr non-vasc lmtd (76882) |
$378.95 |
$583 |
3.4× |
| Wrist 2 views (73100) |
$330.20 |
$508 |
3.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$702 |
$1,080 |
6.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$316.55 |
$487 |
3.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$475.15 |
$731 |
5.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,172.60 |
$1,804 |
6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$332.80 |
$512 |
3.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$456.95 |
$703 |
4.9× |
| X-ray exam hip uni 1 view (73501) |
$171.60 |
$264 |
1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$396.50 |
$610 |
4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$365.30 |
$562 |
3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$410.80 |
$632 |
3.7× |
| X-ray eye for foreign body (70030) |
$498.55 |
$767 |
5.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$456.95 |
$703 |
4.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$443.30 |
$682 |
4.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$436.80 |
$672 |
4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$308.75 |
$475 |
3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$308.75 |
$475 |
3.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$465.40 |
$716 |
4.2× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$248.30 |
$382 |
2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$492.05 |
$757 |
4.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$707.20 |
$1,088 |
6.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$335.40 |
$516 |
3.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$379.60 |
$584 |
4.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$360.10 |
$554 |
3.2× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$323.05 |
$497 |
2.9× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$83.20 |
$128 |
0.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$362.05 |
$557 |
3.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$603.20 |
$928 |
5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$599.95 |
$923 |
5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$532.35 |
$819 |
4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$411.45 |
$633 |
4.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$436.80 |
$672 |
4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$484.90 |
$746 |
5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$531.05 |
$817 |
4.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$365.30 |
$562 |
3.3× |
| X-Ray Spine One View - Xr Spine (72020) |
$304.85 |
$469 |
3.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$431.60 |
$664 |
4.6× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$431.60 |
$664 |
4.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$351 |
$540 |
3.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$282.10 |
$434 |
3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$472.55 |
$727 |
5.1× |
| Xr c-spine 6 or more views (72052) |
$585.65 |
$901 |
5.2× |
| Xr chest 4+ views (71048) |
$375.70 |
$578 |
3.4× |
| Xr finger(s) 2+ views (73140) |
$323.05 |
$497 |
3.5× |
| Xr shoulder 1 view (73020) |
$286.65 |
$441 |
3.1× |
| Xr spine cervical 4 or 5 views (72050) |
$646.75 |
$995 |
5.8× |
| Xr tibia/fibula 2 views (73590) |
$448.50 |
$690 |
4.8× |
| Xr tmj bilateral (70330) |
$447.85 |
$689 |
4.8× |
| Xray knee 1 or 2 views rt (73560) |
$401.70 |
$618 |
4.3× |