| Abdomen 2 views (74019) |
$361.05 |
$481.40 |
3.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$828.46 |
$1,104.61 |
2.0× |
| Ankle 2 views (73600) |
$177.56 |
$236.75 |
1.9× |
| Arthrogram shoulder (73040) |
$582.26 |
$776.35 |
1.6× |
| Bone &/Joint Imaging Limited Area (78300) |
$778.73 |
$1,038.31 |
1.8× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$872.53 |
$1,163.37 |
2.1× |
| Bone &/joint imaging whole body (78306) |
$915.14 |
$1,220.18 |
2.2× |
| Bone Imaging 3 Phase (78315) |
$956.47 |
$1,275.30 |
2.3× |
| Bone survey complete (77075) |
$739.79 |
$986.39 |
6.7× |
| Cervical spine 2 or 3 views (72040) |
$296.59 |
$395.45 |
3.2× |
| Chest 1 view (71045) |
$222.98 |
$297.31 |
2.4× |
| Chest 3 views (71047) |
$273.58 |
$364.78 |
3.0× |
| Clavicle complete (73000) |
$209.63 |
$279.51 |
2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$1,170.11 |
$1,560.15 |
10.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,061.42 |
$4,081.90 |
8.3× |
| CT abdomen and pelvis without contrast (74176) |
$2,210.15 |
$2,946.87 |
8.8× |
| CT abdomen w contrast (74160) |
$1,495.15 |
$1,993.53 |
8.1× |
| CT abdomen w wo contrast (74170) |
$1,496.16 |
$1,994.88 |
8.1× |
| CT abdomen w/o contrast (74150) |
$1,300.12 |
$1,733.50 |
11.8× |
| CT c-spine w/o contrast (72125) |
$1,495.15 |
$1,993.53 |
13.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,025.58 |
$2,700.78 |
10.9× |
| CT cervical spine with contrast (72126) |
$1,495.15 |
$1,993.53 |
4.1× |
| CT chest w/wo contrast (71270) |
$1,760.36 |
$2,347.16 |
9.5× |
| CT chest with contrast (71260) |
$1,495.15 |
$1,993.53 |
8.1× |
| CT head/brain with contrast (70460) |
$1,495.15 |
$1,993.53 |
8.1× |
| CT head/brain without and with contrast (70470) |
$1,761.38 |
$2,348.50 |
9.5× |
| CT iac w contrast (70481) |
$1,105.11 |
$1,473.48 |
6.0× |
| CT lower ext w/o (73700) |
$1,105.11 |
$1,473.48 |
10.0× |
| CT lower extremity w wo contrast (73702) |
$1,497.17 |
$1,996.23 |
8.1× |
| CT lower extremity with contrast (73701) |
$1,300.12 |
$1,733.50 |
7.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,497.17 |
$1,996.23 |
8.1× |
| CT lumbar spine w/o contrast (72131) |
$1,495.15 |
$1,993.53 |
13.6× |
| CT lumbar spine with contrast (72132) |
$1,495.15 |
$1,993.53 |
4.1× |
| CT maxillofacial w contrast (70487) |
$1,495.15 |
$1,993.53 |
8.1× |
| CT maxillofacial w/o contrast (70486) |
$1,105.11 |
$1,473.48 |
10.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,497.17 |
$1,996.23 |
8.1× |
| CT neck soft tissue w contrast (70491) |
$1,350.55 |
$1,800.73 |
7.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,497.17 |
$1,996.23 |
8.1× |
| CT orbits w/o contrast (70480) |
$1,300.12 |
$1,733.50 |
11.8× |
| CT pelvis w & w/o contrast (72194) |
$1,760.36 |
$2,347.16 |
9.5× |
| CT pelvis w/o contrast (72192) |
$1,495.15 |
$1,993.53 |
13.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,761.38 |
$2,348.50 |
9.5× |
| CT soft tissue neck w/o contrast (70490) |
$1,300.12 |
$1,733.50 |
11.8× |
| CT thoracic spine w/contrast (72129) |
$1,495.15 |
$1,993.53 |
8.1× |
| CT thoracic spine w/o contrast (72128) |
$1,495.15 |
$1,993.53 |
13.6× |
| CT thoracic spine w/wo contrast (72130) |
$1,585.24 |
$2,113.65 |
8.6× |
| CT thorax w/o contrast (71250) |
$1,495.15 |
$1,993.53 |
13.6× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,585.24 |
$2,113.65 |
8.6× |
| CT upper extremity w/o contrast rt (73200) |
$1,300.12 |
$1,733.50 |
11.8× |
| CT upper extremity with contrast (73201) |
$1,495.15 |
$1,993.53 |
4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$2,704.27 |
$3,605.70 |
14.6× |
| Cta Abdomen (74175) |
$1,829.36 |
$2,439.15 |
9.9× |
| CTA abdomen pelvis (74174) |
$3,085.85 |
$4,114.47 |
8.4× |
| CTA chest (71275) |
$1,829.36 |
$2,439.15 |
9.9× |
| Cta Head (70496) |
$1,829.36 |
$2,439.15 |
9.9× |
| CTA lwr ext w&w/o contrast (73706) |
$1,510.07 |
$2,013.43 |
8.2× |
| Cta Neck (70498) |
$2,051.93 |
$2,735.90 |
11.1× |
| Cta Pelvis (72191) |
$1,846.73 |
$2,462.31 |
10.0× |
| Cystography minimum 3 views rs&i (74430) |
$532.95 |
$710.60 |
1.4× |
| Fetal biophysical profile non-stress testing (76818) |
$767.40 |
$1,023.20 |
7.0× |
| Fluoroscopy up to 1 hr (76000) |
$622.12 |
$829.50 |
2.5× |
| Foot 2 views (73620) |
$177.56 |
$236.75 |
1.9× |
| Forearm 2 views (73090) |
$209.63 |
$279.51 |
2.3× |
| Gated Heart Planar Single (78472) |
$1,462.50 |
$1,950 |
3.5× |
| Hand 2 views (73120) |
$177.56 |
$236.75 |
1.6× |
| Hand 3 views (73130) |
$209.63 |
$279.51 |
2.3× |
| Heart Infarct Image (78466) |
$684.26 |
$912.34 |
1.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$932.30 |
$1,243.06 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$932.30 |
$1,243.06 |
2.2× |
| Ht muscle image spect sing (78451) |
$1,119.88 |
$1,493.18 |
0.8× |
| Humerus Min 2 Views Left (73060) |
$205.59 |
$274.12 |
2.2× |
| Kidney imaging morphology (78700) |
$804.08 |
$1,072.11 |
1.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,471.18 |
$1,961.57 |
2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,208.03 |
$1,610.70 |
2.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,258.43 |
$1,677.91 |
2.2× |
| Knee 3 views (73562) |
$248.96 |
$331.95 |
2.7× |
| Liver & spleen imaging static only (78215) |
$725.01 |
$966.68 |
1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$881.20 |
$1,174.94 |
2.1× |
| Lymphoscintigraphy (78195) |
$853.61 |
$1,138.15 |
1.5× |
| Meckels Diverticulum (78290) |
$778.15 |
$1,037.53 |
1.8× |
| MRA head w & w/o contrast (70546) |
$1,642.94 |
$2,190.58 |
4.5× |
| MRA head w/o contrast (70544) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRA head with contrast (70545) |
$1,320.11 |
$1,760.15 |
3.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,643.25 |
$2,191 |
4.5× |
| MRI abdomen w contrast (74182) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,643.25 |
$2,191 |
4.5× |
| MRI abdomen w/o contrast (74181) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI any jnt lwr ext with con lt (73722) |
$1,320.38 |
$1,760.50 |
1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,320.38 |
$1,760.50 |
1.6× |
| MRI c-spine with contrast (72142) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI cervical spine w/o contrast (72141) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI chest w/o & w/contrast material (71552) |
$1,643.25 |
$2,191 |
4.5× |
| MRI chest w/o contrast (71550) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI chest with contrast (71551) |
$1,320.38 |
$1,760.50 |
1.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,643.25 |
$2,191 |
4.5× |
| MRI orbit/face/neck w/contrast (70542) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI pelvis w contrast (72196) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$1,643.25 |
$2,191 |
4.5× |
| MRI pelvis w/o contrast (72195) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI scan of arm joint before and after contrast (73223) |
$1,643.25 |
$2,191 |
4.5× |
| MRI scan of leg joint before and after contrast (73723) |
$1,643.25 |
$2,191 |
4.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$1,643.25 |
$2,191 |
4.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$1,643.25 |
$2,191 |
4.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,320.38 |
$1,760.50 |
3.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,643.25 |
$2,191 |
4.5× |
| MRI thoracic spine w/o contrast (72146) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI upper ext joint w/o contrast (73221) |
$1,320.38 |
$1,760.50 |
5.2× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,643.25 |
$2,191 |
4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,320.38 |
$1,760.50 |
5.2× |
| Myocardial Spect Multiple Studies (78452) |
$2,466.65 |
$3,288.87 |
1.8× |
| Neck soft tissue (70360) |
$190.27 |
$253.70 |
2.1× |
| Nm gastric emptying study (78264) |
$1,043.44 |
$1,391.26 |
2.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$932.30 |
$1,243.06 |
2.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$1,197.40 |
$1,596.53 |
2.8× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,197.40 |
$1,596.53 |
2.1× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$487.12 |
$649.50 |
4.4× |
| Osseous survey infant (77076) |
$739.79 |
$986.39 |
6.7× |
| Parathyroid imaging (78070) |
$992.16 |
$1,322.88 |
2.4× |
| Pelvis 1 or 2 views (72170) |
$217.50 |
$290 |
2.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,643.25 |
$2,191 |
4.5× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$838.30 |
$1,117.74 |
2.0× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$1,796.14 |
$2,394.86 |
3.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$370.54 |
$494.06 |
4.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$432.44 |
$576.58 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$221.10 |
$294.80 |
2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$361.05 |
$481.40 |
3.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$273.58 |
$364.78 |
3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$335.72 |
$447.63 |
3.7× |
| Radiological examination surgical specimen (76098) |
$76.24 |
$101.66 |
0.1× |
| Ribs bilateral 3 views (71110) |
$339.92 |
$453.23 |
3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$2,058.32 |
$2,744.43 |
4.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$1,385.67 |
$1,847.56 |
2.4× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$1,026.38 |
$1,368.51 |
1.8× |
| Salivary gland imaging (78230) |
$752.60 |
$1,003.47 |
1.8× |
| Scapula complete (73010) |
$241.10 |
$321.47 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$45.24 |
$60.32 |
1.9× |
| Testicular Imaging With Vascular Flow (78761) |
$736.32 |
$981.76 |
1.7× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,283.10 |
$1,710.80 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$465.64 |
$620.86 |
4.2× |
| Upper Extremity Infant (73092) |
$229.88 |
$306.50 |
2.1× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$1,034.86 |
$1,379.82 |
2.5× |
| Urethrocystography retrograde rs&i (74450) |
$659.85 |
$879.80 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$659.78 |
$879.70 |
3.6× |
| Us abdl aorta screen aaa (76706) |
$252.88 |
$337.17 |
2.3× |
| Us breast unilateral complete (76641) |
$295.48 |
$393.97 |
2.7× |
| Us breast unilateral limited (76642) |
$353.96 |
$471.95 |
3.9× |
| Us chest (76604) |
$323.49 |
$431.32 |
2.9× |
| Us ob transvaginal (76817) |
$723.97 |
$965.30 |
6.6× |
| Us pelvic non ob complete (76856) |
$503.36 |
$671.15 |
4.6× |
| Us pregnancy ltd (76815) |
$429.90 |
$573.20 |
3.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$233.10 |
$310.80 |
2.1× |
| Us retroperitoneal complete (76770) |
$531.12 |
$708.16 |
4.8× |
| Us retroperitoneal limited (76775) |
$347.17 |
$462.89 |
3.1× |
| Us scrotum and contents (76870) |
$453.86 |
$605.14 |
4.1× |
| Us soft tissue head/neck (76536) |
$519.79 |
$693.05 |
4.7× |
| Us transrectal (76872) |
$767.40 |
$1,023.20 |
7.0× |
| Us xtr non-vasc lmtd (76882) |
$330.53 |
$440.71 |
3.0× |
| Wrist 2 views (73100) |
$177.56 |
$236.75 |
1.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$361.05 |
$481.40 |
3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$231.10 |
$308.13 |
2.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$201.54 |
$268.72 |
2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$177.56 |
$236.75 |
1.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$300.36 |
$400.48 |
3.3× |
| X-ray exam hip uni 1 view (73501) |
$351.68 |
$468.91 |
3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$328.10 |
$437.47 |
3.6× |
| X-ray exam of femur 1 (73551) |
$244.61 |
$326.15 |
2.7× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$335.72 |
$447.63 |
3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$209.63 |
$279.51 |
2.3× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$209.63 |
$279.51 |
2.3× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$434.78 |
$579.70 |
3.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$229.88 |
$306.50 |
2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$324.04 |
$432.05 |
2.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$651.97 |
$869.29 |
5.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$354.20 |
$472.27 |
3.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$335.72 |
$447.63 |
3.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$268.59 |
$358.12 |
2.4× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$667.58 |
$890.10 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$276.84 |
$369.12 |
3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$451.42 |
$601.90 |
4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$514.51 |
$686.01 |
4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$268.59 |
$358.12 |
2.9× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$205.59 |
$274.12 |
2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$335.72 |
$447.63 |
3.7× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$181.91 |
$242.55 |
2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$434.78 |
$579.70 |
3.9× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$296.32 |
$395.09 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$174.35 |
$232.47 |
1.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$268.59 |
$358.12 |
2.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$252.94 |
$337.25 |
2.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$158.01 |
$210.68 |
1.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$209.63 |
$279.51 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$651.97 |
$869.29 |
5.9× |
| Xr chest 4+ views (71048) |
$356.95 |
$475.93 |
3.2× |
| Xr finger(s) 2+ views (73140) |
$158.01 |
$210.68 |
1.7× |
| Xr shoulder 1 view (73020) |
$174.66 |
$232.88 |
1.9× |
| Xr spine cervical 4 or 5 views (72050) |
$434.78 |
$579.70 |
3.9× |
| Xr tibia/fibula 2 views (73590) |
$268.59 |
$358.12 |
2.9× |
| Xray knee 1 or 2 views rt (73560) |
$197.57 |
$263.43 |
2.2× |