| Ankle-brachial index (ABI), blood pressure test for leg arteries
CPT 93922
DOP ART 1-2 LEVELS BIL |
$4,421.41 |
$4,421.41 |
$207.81–$4,067.70 |
377% above |
— |
| Barium swallow (esophagus X-ray with contrast)
CPT 74220
Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Other Diagnostic Radiology FS |
$2,059.88 |
$2,059.88 |
$401.74 |
106% above |
— |
| Barium swallow (esophagus X-ray with contrast)
CPT 74220
Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study |
$2,059.88 |
$2,059.88 |
— |
106% above |
— |
| Barium swallow (esophagus X-ray with contrast)
CPT 74220
XR ESOPHAGUS |
$2,059.88 |
$2,059.88 |
$96.81–$1,895.09 |
106% above |
— |
| Barium swallow (esophagus X-ray with contrast)
CPT 74220
Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED |
$2,059.88 |
$2,059.88 |
$798.28–$815.08 |
106% above |
— |
| Bone scan, whole body (nuclear medicine)
CPT 78306
NM BONE WHOLE BODY |
$10,419.64 |
$10,419.64 |
$489.72–$9,586.07 |
256% above |
— |
| Bone scan, whole body (nuclear medicine)
CPT 78306
Bone and/or joint imaging; whole body |
$10,419.64 |
$10,419.64 |
$848.52 |
256% above |
— |
| Bone scan, whole body (nuclear medicine)
CPT 78306
Bone and/or joint imaging; whole body UNSCHEDULED |
$10,419.64 |
$10,419.64 |
$528.29–$539.41 |
256% above |
— |
| Breast ultrasound, complete, one breast
CPT 76641
US BRST UNI W AX COMP |
$3,037.55 |
$3,037.55 |
$142.76–$2,794.55 |
425% above |
— |
| Breast ultrasound, limited (one breast or one area)
CPT 76642
US BRST UNI W AX LTD |
$2,777.39 |
$2,777.39 |
$130.54–$2,555.20 |
503% above |
— |
| CT angiography of the chest (CTA), for blood clots in the lungs
CPT 71275
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED |
$13,140.56 |
$13,140.56 |
$3,061.54–$3,125.99 |
178% above |
— |
| CT angiography of the chest (CTA), for blood clots in the lungs
CPT 71275
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing |
$13,140.56 |
$13,140.56 |
$401.74–$1,975.00 |
178% above |
— |
| CT angiography of the chest (CTA), for blood clots in the lungs
CPT 71275
CTA CHEST |
$13,140.56 |
$13,140.56 |
$617.61–$12,089.32 |
178% above |
— |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score
CPT 75574
Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo UNSCHEDULED |
$15,446.33 |
$15,446.33 |
$2,159.94–$2,205.41 |
672% above |
— |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score
CPT 75574
Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo |
$15,446.33 |
$15,446.33 |
$401.74–$1,975.00 |
672% above |
— |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score
CPT 75574
CT HEART W CN ART/GRAFTS |
$15,446.33 |
$15,446.33 |
$725.98–$14,210.62 |
672% above |
— |
| CT of the heart without contrast dye to measure coronary calcium
CPT 75571
CT HEART WO CN W QUAN CA |
$15,116.56 |
$15,116.56 |
$710.48–$13,907.24 |
2866% above |
— |
| CT of the heart without contrast dye to measure coronary calcium
CPT 75571
Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium UNSCHEDULED |
$15,116.56 |
$15,116.56 |
$110.14–$112.46 |
2866% above |
— |
| CT of the heart without contrast dye to measure coronary calcium
CPT 75571
Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium |
$15,116.56 |
$15,116.56 |
$1,478.00–$13,822.00 |
2866% above |
— |
| CT scan of abdomen and pelvis, no contrast dye
CPT 74176
Computed tomography, abdomen and pelvis; without contrast material |
$16,321.89 |
$16,321.89 |
$517.79–$1,975.00 |
145% above |
— |
| CT scan of abdomen and pelvis, no contrast dye
CPT 74176
CT ABD&PELVIS W/O CONT |
$16,321.89 |
$16,321.89 |
$767.13–$15,016.14 |
145% above |
— |
| CT scan of abdomen and pelvis, no contrast dye
CPT 74176
Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED |
$16,321.89 |
$16,321.89 |
$3,956.30–$4,039.59 |
145% above |
— |
| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
CT ABD&PELVIS W/CONT |
$17,783.09 |
$17,783.09 |
$835.81–$16,360.44 |
139% above |
— |
| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
Computed tomography, abdomen and pelvis; with contrast material(s) |
$17,783.09 |
$17,783.09 |
$767.00–$1,975.00 |
139% above |
— |
| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED |
$17,783.09 |
$17,783.09 |
$4,598.64–$4,695.45 |
139% above |
— |
| CT scan of abdomen and pelvis, without and then with contrast dye
CPT 74178
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions UNSCHEDULED |
$20,840.35 |
$20,840.35 |
$4,969.02–$5,073.63 |
149% above |
— |
| CT scan of abdomen and pelvis, without and then with contrast dye
CPT 74178
CT ABD&PELVIS W&WO CONT |
$20,840.35 |
$20,840.35 |
$979.50–$19,173.12 |
149% above |
— |
| CT scan of abdomen and pelvis, without and then with contrast dye
CPT 74178
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions |
$20,840.35 |
$20,840.35 |
$767.00–$1,975.00 |
149% above |
— |
| CT scan of the abdomen with contrast
CPT 74160
CT ABDOMEN W/CONT |
$10,883.16 |
$10,883.16 |
$511.51–$10,012.51 |
142% above |
— |
| CT scan of the abdomen with contrast
CPT 74160
Computed tomography, abdomen; with contrast material(s) |
$10,883.16 |
$10,883.16 |
$1,478.00 |
142% above |
— |
| CT scan of the abdomen with contrast
CPT 74160
Computed tomography, abdomen; with contrast material(s) UNSCHEDULED |
$10,883.16 |
$10,883.16 |
$2,844.18–$2,904.05 |
142% above |
— |
| CT scan of the abdomen without contrast
CPT 74150
Computed tomography, abdomen; without contrast material |
$10,009.59 |
$10,009.59 |
$245.18–$1,975.00 |
142% above |
— |
| CT scan of the abdomen without contrast
CPT 74150
CT ABDOMEN W/O CONT |
$10,009.59 |
$10,009.59 |
$470.45–$9,208.82 |
142% above |
— |
| CT scan of the abdomen without contrast
CPT 74150
Computed tomography, abdomen; without contrast material UNSCHEDULED |
$10,009.59 |
$10,009.59 |
$2,868.54–$2,928.93 |
142% above |
— |
| CT scan of the face and sinuses, no contrast dye
CPT 70486
Computed tomography, maxillofacial area; without contrast material |
$9,020.77 |
$9,020.77 |
$1,478.00 |
194% above |
— |
| CT scan of the face and sinuses, no contrast dye
CPT 70486
Computed tomography, maxillofacial area; without contrast material UNSCHEDULED |
$9,020.77 |
$9,020.77 |
$2,014.70–$2,057.12 |
194% above |
— |
| CT scan of the face and sinuses, no contrast dye
CPT 70486
CT MAXIFAC W/O CNT |
$9,020.77 |
$9,020.77 |
$423.98–$8,299.11 |
194% above |
— |
| CT scan of the head or brain, no contrast dye
CPT 70450
CT HEAD/BRAIN W/O CONT |
$8,971.78 |
$8,971.78 |
$421.67–$8,254.04 |
169% above |
— |
| CT scan of the head or brain, no contrast dye
CPT 70450
Computed tomography, head or brain; without contrast material |
$8,971.78 |
$8,971.78 |
$245.18–$1,975.00 |
169% above |
— |
| CT scan of the head or brain, no contrast dye
CPT 70450
Computed tomography, head or brain; without contrast material UNSCHEDULED |
$8,971.78 |
$8,971.78 |
$2,074.16–$2,117.83 |
169% above |
— |
| CT scan of the head with contrast
CPT 70460
Computed tomography, head or brain; with contrast material(s) |
$10,589.87 |
$10,589.87 |
$401.74–$1,975.00 |
176% above |
— |
| CT scan of the head with contrast
CPT 70460
CT HEAD/BRAIN W/CONT |
$10,589.87 |
$10,589.87 |
$497.72–$9,742.68 |
176% above |
— |
| CT scan of the head with contrast
CPT 70460
Computed tomography, head or brain; with contrast material(s) UNSCHEDULED |
$10,589.87 |
$10,589.87 |
$3,342.24–$3,412.61 |
176% above |
— |
| CT scan of the head without and with contrast
CPT 70470
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED |
$12,003.63 |
$12,003.63 |
$2,827.61–$2,887.14 |
172% above |
— |
| CT scan of the head without and with contrast
CPT 70470
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections |
$12,003.63 |
$12,003.63 |
$401.74–$1,975.00 |
172% above |
— |
| CT scan of the head without and with contrast
CPT 70470
CT HD/BR W&W/O CONT |
$12,003.63 |
$12,003.63 |
$564.17–$11,043.34 |
172% above |
— |
| CT scan of the lower back (lumbar spine) without contrast
CPT 72131
Computed tomography, lumbar spine; without contrast material |
$9,148.55 |
$9,148.55 |
$245.18–$1,975.00 |
152% above |
— |
| CT scan of the lower back (lumbar spine) without contrast
CPT 72131
Computed tomography, lumbar spine; without contrast material UNSCHEDULED |
$9,148.55 |
$9,148.55 |
$2,345.13–$2,394.50 |
152% above |
— |
| CT scan of the lower back (lumbar spine) without contrast
CPT 72131
CT L-SPINE W/O CONTRAST |
$9,148.55 |
$9,148.55 |
$429.98–$8,416.67 |
152% above |
— |
| CT scan of the neck (cervical spine), no contrast dye
CPT 72125
Computed tomography, cervical spine; without contrast material |
$9,148.55 |
$9,148.55 |
$1,478.00 |
134% above |
— |
| CT scan of the neck (cervical spine), no contrast dye
CPT 72125
CT C-SPINE W/O CONTRAST |
$9,148.55 |
$9,148.55 |
$429.98–$8,416.67 |
134% above |
— |
| CT scan of the neck (cervical spine), no contrast dye
CPT 72125
Computed tomography, cervical spine; without contrast material UNSCHEDULED |
$9,148.55 |
$9,148.55 |
$2,336.35–$2,385.54 |
134% above |
— |
| CT scan of the pelvis, with contrast dye
CPT 72193
CT PELVIS W/CONTRAST |
$3,909.46 |
$3,909.46 |
$183.74–$3,596.70 |
7% below |
— |
| Carotid artery ultrasound (duplex), both sides of the neck
CPT 93880
DUP EXTRACRANIAL BIL |
$6,693.71 |
$6,693.71 |
$314.60–$6,158.21 |
144% above |
— |
| Chest X-ray, 2 views
CPT 71046
Radiologic examination, chest; 2 views Other Diagnostic Radiology FS |
$1,960.56 |
$1,960.56 |
$182.03 |
283% above |
— |
| Chest X-ray, 2 views
CPT 71046
CHEST XRAY 2 V |
$1,960.56 |
$1,960.56 |
$92.15–$1,803.72 |
283% above |
— |
| Chest X-ray, 2 views
CPT 71046
Radiologic examination, chest; 2 views |
$1,960.56 |
$1,960.56 |
— |
283% above |
— |
| Chest X-ray, 2 views
CPT 71046
Radiologic examination, chest; 2 views UNSCHEDULED |
$1,960.56 |
$1,960.56 |
$446.41–$455.81 |
283% above |
— |
| Chest X-ray, single view
CPT 71045
CHEST XRAY 1 V |
$1,544.91 |
$1,544.91 |
$72.61–$1,421.32 |
232% above |
— |
| Chest X-ray, single view
CPT 71045
Radiologic examination, chest; single view UNSCHEDULED |
$1,544.91 |
$1,544.91 |
$375.26–$383.16 |
232% above |
— |
| Chest X-ray, single view
CPT 71045
Radiologic examination, chest; single view Other Diagnostic Radiology FS |
$1,544.91 |
$1,544.91 |
$182.03 |
232% above |
— |
| Chest X-ray, single view
CPT 71045
Radiologic examination, chest; single view |
$1,544.91 |
$1,544.91 |
— |
232% above |
— |
| Complete ultrasound of the back of the abdomen, such as both kidneys
CPT 76770
US RETROPERITONEAL COM |
$4,911.38 |
$4,911.38 |
$230.83–$4,518.47 |
276% above |
— |
| Complete ultrasound of the back of the abdomen, such as both kidneys
CPT 76770
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete UNSCHEDULED |
$4,911.38 |
$4,911.38 |
$1,028.31–$1,049.96 |
276% above |
— |
| Complete ultrasound of the back of the abdomen, such as both kidneys
CPT 76770
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete |
$4,911.38 |
$4,911.38 |
$245.18 |
276% above |
— |
| DEXA bone density scan of the hip, pelvis or spine
CPT 77080
Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Other Diagnostic Radiology FS |
$2,544.72 |
$2,544.72 |
$245.18 |
263% above |
— |
| DEXA bone density scan of the hip, pelvis or spine
CPT 77080
Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) UNSCHEDULED |
$2,544.72 |
$2,544.72 |
$213.46–$217.95 |
263% above |
— |
| DEXA bone density scan of the hip, pelvis or spine
CPT 77080
DXA BONE DENSITY AXIAL |
$2,544.72 |
$2,544.72 |
$119.60–$2,341.14 |
263% above |
— |
| DEXA bone density scan of the hip, pelvis or spine
CPT 77080
Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) |
$2,544.72 |
$2,544.72 |
— |
263% above |
— |
| Diagnostic CT scan of the chest, no contrast dye
CPT 71250
Computed tomography, thorax, diagnostic; without contrast material |
$10,009.59 |
$10,009.59 |
$245.18–$1,975.00 |
162% above |
— |
| Diagnostic CT scan of the chest, no contrast dye
CPT 71250
CT CHEST W/O CONTRAST |
$10,009.59 |
$10,009.59 |
$470.45–$9,208.82 |
162% above |
— |
| Diagnostic CT scan of the chest, no contrast dye
CPT 71250
Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED |
$10,009.59 |
$10,009.59 |
$2,138.49–$2,183.51 |
162% above |
— |
| Diagnostic CT scan of the chest, with contrast dye
CPT 71260
Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED |
$10,883.16 |
$10,883.16 |
$2,431.88–$2,483.07 |
141% above |
— |
| Diagnostic CT scan of the chest, with contrast dye
CPT 71260
CT CHEST W/CONTRAST |
$10,883.16 |
$10,883.16 |
$511.51–$10,012.51 |
141% above |
— |
| Diagnostic CT scan of the chest, with contrast dye
CPT 71260
Computed tomography, thorax, diagnostic; with contrast material(s) |
$10,883.16 |
$10,883.16 |
$401.74–$1,975.00 |
141% above |
— |
| Diagnostic mammogram, both breasts both sides
CPT 77066
MAMMO DIAG CAD BI |
$1,806.98 |
$1,806.98 |
$84.93–$1,662.42 |
— |
— |
| Diagnostic mammogram, both breasts both sides
CPT 77066
Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral |
$1,806.98 |
$1,806.98 |
$102.87–$143.18 |
— |
— |
| Diagnostic mammogram, one breast
CPT 77065
MAMMO DIAG CAD UNI |
$1,657.55 |
$1,657.55 |
$77.90–$1,524.95 |
283% above |
— |
| Duplex ultrasound of the leg arteries, both legs
CPT 93925
DUP LE ART BIL |
$10,623.20 |
$10,623.20 |
$499.29–$9,773.34 |
352% above |
— |
| Duplex ultrasound of the leg veins, both legs
CPT 93970
DUP VEIN BIL |
$9,950.83 |
$9,950.83 |
$467.69–$9,154.76 |
159% above |
— |
| Echocardiogram through the chest wall, complete, with Doppler
CPT 93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc SCHEDULED |
$8,156.45 |
$8,156.45 |
$134.90–$137.74 |
124% above |
— |
| Echocardiogram through the chest wall, complete, with Doppler
CPT 93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc UNSCHEDULED |
$8,156.45 |
$8,156.45 |
$1,813.92–$1,852.11 |
124% above |
— |
| Echocardiogram through the chest wall, complete, with Doppler
CPT 93306
ECHO2D COMP W CF DOP |
$8,156.45 |
$8,156.45 |
$383.35–$7,503.93 |
124% above |
— |
| Echocardiogram through the chest wall, complete, with Doppler
CPT 93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc |
$8,156.45 |
$8,156.45 |
— |
124% above |
— |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder
CPT 78226
Hepatobiliary system imaging, including gallbladder when present; |
$11,014.28 |
$11,014.28 |
$848.52 |
429% above |
— |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder
CPT 78226
HEPA IMAG INCL GB |
$11,014.28 |
$11,014.28 |
$517.67–$10,133.14 |
429% above |
— |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder
CPT 78226
Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED |
$11,014.28 |
$11,014.28 |
$1,771.03–$1,808.31 |
429% above |
— |
| Home sleep apnea test, unattended, recording breathing and oxygen
CPT 95806
SLEEP UA HR OS RSP AF/EF |
$1,358.84 |
$1,358.84 |
$63.87–$1,250.13 |
149% above |
— |
| Home sleep apnea test, unattended, recording breathing and oxygen
CPT 95806
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) |
$1,358.84 |
$1,358.84 |
$1,992.00 |
149% above |
— |
| Home sleep apnea test, unattended, recording breathing and oxygen
CPT 95806
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) SCHEDULED |
$1,358.84 |
$1,358.84 |
$130.15–$132.89 |
149% above |
— |
| Home sleep apnea test, unattended, recording breathing and oxygen
CPT 95806
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) UNSCHEDULED |
$1,358.84 |
$1,358.84 |
$1,249.56–$1,275.87 |
149% above |
— |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
POLY >4 PAR W/CPAP OR BV |
$14,963.95 |
$14,963.95 |
$703.31–$13,766.83 |
149% above |
— |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a |
$14,963.95 |
$14,963.95 |
$1,992.00 |
149% above |
— |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a UNSCHEDULED |
$14,963.95 |
$14,963.95 |
$5,954.44–$6,079.80 |
149% above |
— |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older
CPT 95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a SCHEDULED |
$14,963.95 |
$14,963.95 |
$515.85–$526.71 |
149% above |
— |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder
CPT 76705
Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) |
$4,440.13 |
$4,440.13 |
$245.18 |
232% above |
— |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder
CPT 76705
Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) UNSCHEDULED |
$4,440.13 |
$4,440.13 |
$570.20–$582.20 |
232% above |
— |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder
CPT 76705
US ABDOMEN LTD |
$4,440.13 |
$4,440.13 |
$208.69–$4,084.92 |
232% above |
— |
| Low-dose CT of the chest for lung cancer screening, no contrast dye
CPT 71271
Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) |
$10,883.16 |
$10,883.16 |
$182.03 |
1086% above |
— |
| Low-dose CT of the chest for lung cancer screening, no contrast dye
CPT 71271
Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) UNSCHEDULED |
$10,883.16 |
$10,883.16 |
$625.76–$638.93 |
1086% above |
— |
| Low-dose CT of the chest for lung cancer screening, no contrast dye
CPT 71271
LUNG CA SCREEN WO CON |
$10,883.16 |
$10,883.16 |
$511.51–$10,012.51 |
1086% above |
— |
| MRI of the abdomen without contrast
CPT 74181
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED |
$18,023.51 |
$18,023.51 |
$3,268.17–$3,336.97 |
394% above |
— |
| MRI of the abdomen without contrast
CPT 74181
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) |
$18,023.51 |
$18,023.51 |
$517.79–$3,623.00 |
394% above |
— |
| MRI of the abdomen without contrast
CPT 74181
MRI ABDOMEN W/O CONT |
$18,023.51 |
$18,023.51 |
$847.10–$16,581.63 |
394% above |
— |
| MRI of the abdomen, without and then with contrast dye
CPT 74183
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences |
$22,864.20 |
$22,864.20 |
$1,922.00 |
335% above |
— |
| MRI of the abdomen, without and then with contrast dye
CPT 74183
MRI ABDOMEN W&WO CONT |
$22,864.20 |
$22,864.20 |
$1,074.62–$21,035.06 |
335% above |
— |
| MRI of the abdomen, without and then with contrast dye
CPT 74183
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences UNSCHEDULED |
$22,864.20 |
$22,864.20 |
$4,130.78–$4,217.74 |
335% above |
— |
| MRI of the brain, no contrast dye
CPT 70551
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED |
$15,754.61 |
$15,754.61 |
$2,487.43–$2,539.80 |
316% above |
— |
| MRI of the brain, no contrast dye
CPT 70551
MRI BRAIN W/O CONTRAST |
$15,754.61 |
$15,754.61 |
$740.47–$14,494.24 |
316% above |
— |
| MRI of the brain, no contrast dye
CPT 70551
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material |
$15,754.61 |
$15,754.61 |
$517.79–$3,623.00 |
316% above |
— |
| MRI of the brain, with and without contrast dye
CPT 70553
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences UNSCHEDULED |
$25,894.84 |
$25,894.84 |
$3,632.70–$3,709.18 |
383% above |
— |
| MRI of the brain, with and without contrast dye
CPT 70553
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences |
$25,894.84 |
$25,894.84 |
$828.27–$3,623.00 |
383% above |
— |
| MRI of the brain, with and without contrast dye
CPT 70553
MRI BRAIN W&WO CONT |
$25,894.84 |
$25,894.84 |
$1,217.06–$23,823.25 |
383% above |
— |
| MRI of the lower back, no contrast dye
CPT 72148
MRI L-SPINE W/O CONT |
$15,710.54 |
$15,710.54 |
$738.40–$14,453.70 |
315% above |
— |
| MRI of the lower back, no contrast dye
CPT 72148
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material |
$15,710.54 |
$15,710.54 |
$517.79–$3,623.00 |
315% above |
— |
| MRI of the lower back, no contrast dye
CPT 72148
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material UNSCHEDULED |
$15,710.54 |
$15,710.54 |
$2,529.35–$2,582.60 |
315% above |
— |
| MRI of the lower back, without and then with contrast dye
CPT 72158
MRI L-SPINE W&W/O CONT |
$25,822.15 |
$25,822.15 |
$1,213.64–$23,756.38 |
301% above |
— |
| MRI of the lower back, without and then with contrast dye
CPT 72158
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar |
$25,822.15 |
$25,822.15 |
$828.27–$3,623.00 |
301% above |
— |
| MRI of the lower back, without and then with contrast dye
CPT 72158
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar UNSCHEDULED |
$25,822.15 |
$25,822.15 |
$3,501.12–$3,574.83 |
301% above |
— |
| MRI of the mid back (thoracic spine), no contrast dye
CPT 72146
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material |
$16,674.04 |
$16,674.04 |
$517.79–$3,623.00 |
325% above |
— |
| MRI of the mid back (thoracic spine), no contrast dye
CPT 72146
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material UNSCHEDULED |
$16,674.04 |
$16,674.04 |
$2,509.85–$2,562.69 |
325% above |
— |
| MRI of the mid back (thoracic spine), no contrast dye
CPT 72146
MRI T-SPINE W/O CONT |
$16,674.04 |
$16,674.04 |
$783.68–$15,340.12 |
325% above |
— |
| MRI of the neck (cervical spine) without and with contrast
CPT 72156
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical UNSCHEDULED |
$27,342.37 |
$27,342.37 |
$4,053.77–$4,139.12 |
389% above |
— |
| MRI of the neck (cervical spine) without and with contrast
CPT 72156
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical |
$27,342.37 |
$27,342.37 |
$828.27–$3,623.00 |
389% above |
— |
| MRI of the neck (cervical spine) without and with contrast
CPT 72156
MRI C-SPINE W&W/O CONT |
$27,342.37 |
$27,342.37 |
$1,285.09–$25,154.98 |
389% above |
— |
| MRI of the neck (cervical spine), no contrast dye
CPT 72141
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material |
$16,635.48 |
$16,635.48 |
$1,922.00 |
334% above |
— |
| MRI of the neck (cervical spine), no contrast dye
CPT 72141
MRI C-SPINE W/O CONT |
$16,635.48 |
$16,635.48 |
$781.87–$15,304.64 |
334% above |
— |
| MRI of the neck (cervical spine), no contrast dye
CPT 72141
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material UNSCHEDULED |
$16,635.48 |
$16,635.48 |
$2,374.37–$2,424.36 |
334% above |
— |
| MRI of the pelvis without and with contrast
CPT 72197
MRI PELVIS W&WO CONT |
$23,856.80 |
$23,856.80 |
$1,121.27–$21,948.26 |
390% above |
— |
| MRI of the pelvis without and with contrast
CPT 72197
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED |
$23,856.80 |
$23,856.80 |
$3,229.18–$3,297.17 |
390% above |
— |
| MRI of the pelvis without and with contrast
CPT 72197
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences |
$23,856.80 |
$23,856.80 |
$828.27–$3,623.00 |
390% above |
— |
| MRI of the pelvis, no contrast dye
CPT 72195
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED |
$18,417.45 |
$18,417.45 |
$2,782.77–$2,841.35 |
447% above |
— |
| MRI of the pelvis, no contrast dye
CPT 72195
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) |
$18,417.45 |
$18,417.45 |
$517.79–$3,623.00 |
447% above |
— |
| MRI of the pelvis, no contrast dye
CPT 72195
MRI PELVIS W/O CONT |
$18,417.45 |
$18,417.45 |
$865.62–$16,944.05 |
447% above |
— |
| Nuclear stress test imaging (SPECT), rest and stress studies
CPT 78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat |
$23,662.20 |
$23,662.20 |
$2,938.37 |
257% above |
— |
| Nuclear stress test imaging (SPECT), rest and stress studies
CPT 78452
NM MYOCRD SPECT R/S MULT |
$23,662.20 |
$23,662.20 |
$1,112.12–$21,769.22 |
257% above |
— |
| Nuclear stress test imaging (SPECT), rest and stress studies
CPT 78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat UNSCHEDULED |
$23,662.20 |
$23,662.20 |
$3,623.94–$3,700.23 |
257% above |
— |
| PET/CT scan from the base of the skull to mid-thigh
CPT 78815
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh |
$23,425.88 |
$23,425.88 |
$2,059.00–$5,512.00 |
257% above |
— |
| PET/CT scan from the base of the skull to mid-thigh
CPT 78815
PET/CT TUMOR SK BS MIDTH |
$23,425.88 |
$23,425.88 |
$1,101.02–$21,551.81 |
257% above |
— |
| PET/CT scan from the base of the skull to mid-thigh
CPT 78815
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh UNSCHEDULED |
$23,425.88 |
$23,425.88 |
$2,056.62–$2,099.91 |
257% above |
— |
| Pelvic ultrasound (not pregnancy), limited or follow-up
CPT 76857
Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) |
$4,647.81 |
$4,647.81 |
$245.18 |
376% above |
— |
| Pelvic ultrasound (not pregnancy), limited or follow-up
CPT 76857
US PELVIC LTD OR FU |
$4,647.81 |
$4,647.81 |
$218.45–$4,275.99 |
376% above |
— |
| Pelvic ultrasound (not pregnancy), limited or follow-up
CPT 76857
Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) UNSCHEDULED |
$4,647.81 |
$4,647.81 |
$418.14–$426.95 |
376% above |
— |
| Pelvic ultrasound through the belly, complete (not pregnancy)
CPT 76856
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED |
$5,418.75 |
$5,418.75 |
$1,050.73–$1,072.85 |
282% above |
— |
| Pelvic ultrasound through the belly, complete (not pregnancy)
CPT 76856
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
$5,418.75 |
$5,418.75 |
$245.18 |
282% above |
— |
| Pelvic ultrasound through the belly, complete (not pregnancy)
CPT 76856
US PELVIC COMPLETE |
$5,418.75 |
$5,418.75 |
$254.68–$4,985.25 |
282% above |
— |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
US PREG AFTER 1ST TRI |
$5,459.51 |
$5,459.51 |
$256.60–$5,022.75 |
344% above |
— |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation |
$5,459.51 |
$5,459.51 |
$245.18 |
344% above |
— |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED |
$5,459.51 |
$5,459.51 |
$917.20–$936.51 |
344% above |
— |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby
CPT 76801
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation |
$5,587.34 |
$5,587.34 |
$245.18 |
533% above |
— |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby
CPT 76801
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED |
$5,587.34 |
$5,587.34 |
$616.01–$628.98 |
533% above |
— |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby
CPT 76801
US PREG 1ST TRIMTR |
$5,587.34 |
$5,587.34 |
$262.60–$5,140.35 |
533% above |
— |
| Pregnancy ultrasound, limited (heartbeat, position, fluid)
CPT 76815
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses |
$3,797.59 |
$3,797.59 |
$245.18 |
464% above |
— |
| Pregnancy ultrasound, limited (heartbeat, position, fluid)
CPT 76815
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses UNSCHEDULED |
$3,797.59 |
$3,797.59 |
$436.67–$445.86 |
464% above |
— |
| Pregnancy ultrasound, limited (heartbeat, position, fluid)
CPT 76815
US PREGNANCY LTD |
$3,797.59 |
$3,797.59 |
$178.49–$3,493.78 |
464% above |
— |
| Screening mammogram, both breasts both sides
CPT 77067
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed |
$722.14 |
$722.14 |
$217.46 |
— |
— |
| Screening mammogram, both breasts both sides
CPT 77067
MAMMO SCR CAD BI |
$722.14 |
$722.14 |
$33.94–$664.37 |
— |
— |
| Sleep study in a lab (polysomnography)
CPT 95810
POLYSOMNOGRAPHY >4 PAR |
$16,226.78 |
$16,226.78 |
$762.66–$14,928.64 |
183% above |
— |
| Stress echocardiogram, complete, including the stress test and supervision
CPT 93351
ECHO STRESS W CONT ECG |
$8,170.03 |
$8,170.03 |
$383.99–$7,516.43 |
221% above |
— |
| Swallow study (modified barium swallow, video X-ray)
CPT 74230
Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Other Diagnostic Radiology FS |
$3,362.76 |
$3,362.76 |
$401.74 |
196% above |
— |
| Swallow study (modified barium swallow, video X-ray)
CPT 74230
XR SWLW FUNC W/C&V |
$3,362.76 |
$3,362.76 |
$158.05–$3,093.74 |
196% above |
— |
| Swallow study (modified barium swallow, video X-ray)
CPT 74230
Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study |
$3,362.76 |
$3,362.76 |
— |
196% above |
— |
| Swallow study (modified barium swallow, video X-ray)
CPT 74230
Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED |
$3,362.76 |
$3,362.76 |
$575.07–$587.18 |
196% above |
— |
| Transvaginal pelvic ultrasound
CPT 76830
Ultrasound, transvaginal |
$4,477.15 |
$4,477.15 |
$245.18 |
301% above |
— |
| Transvaginal pelvic ultrasound
CPT 76830
US TRANSVAGINAL |
$4,477.15 |
$4,477.15 |
$210.43–$4,118.98 |
301% above |
— |
| Transvaginal pelvic ultrasound
CPT 76830
Ultrasound, transvaginal UNSCHEDULED |
$4,477.15 |
$4,477.15 |
$943.51–$963.37 |
301% above |
— |
| Transvaginal ultrasound during pregnancy
CPT 76817
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
$4,477.15 |
$4,477.15 |
$245.18 |
343% above |
— |
| Transvaginal ultrasound during pregnancy
CPT 76817
Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED |
$4,477.15 |
$4,477.15 |
$456.16–$465.76 |
343% above |
— |
| Transvaginal ultrasound during pregnancy
CPT 76817
US PREG UT TRANSVAGINAL |
$4,477.15 |
$4,477.15 |
$210.43–$4,118.98 |
343% above |
— |
| Ultrasound of the abdomen, complete
CPT 76700
US ABDOMEN COMPLETE |
$12,921.84 |
$12,921.84 |
$607.33–$11,888.09 |
505% above |
— |
| Ultrasound of the abdomen, complete
CPT 76700
Ultrasound, abdominal, real time with image documentation; complete |
$12,921.84 |
$12,921.84 |
$245.18 |
505% above |
— |
| Ultrasound of the abdomen, complete
CPT 76700
Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED |
$12,921.84 |
$12,921.84 |
$1,387.97–$1,417.19 |
505% above |
— |
| Ultrasound of the scrotum and testicles
CPT 76870
Ultrasound, scrotum and contents |
$4,656.10 |
$4,656.10 |
$245.18 |
302% above |
— |
| Ultrasound of the scrotum and testicles
CPT 76870
Ultrasound, scrotum and contents UNSCHEDULED |
$4,656.10 |
$4,656.10 |
$710.55–$725.51 |
302% above |
— |
| Ultrasound of the scrotum and testicles
CPT 76870
US SCROTUM AND CNTS |
$4,656.10 |
$4,656.10 |
$218.84–$4,283.61 |
302% above |
— |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid
CPT 76536
US HEAD AND NECK |
$4,473.26 |
$4,473.26 |
$210.24–$4,115.40 |
301% above |
— |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid
CPT 76536
Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation UNSCHEDULED |
$4,473.26 |
$4,473.26 |
$936.69–$956.41 |
301% above |
— |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid
CPT 76536
Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation |
$4,473.26 |
$4,473.26 |
$245.18 |
301% above |
— |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast)
CPT 74240
XR UGI SNGL CONTRAST |
$3,906.93 |
$3,906.93 |
$183.63–$3,594.38 |
231% above |
— |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast)
CPT 74240
Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study |
$3,906.93 |
$3,906.93 |
— |
231% above |
— |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast)
CPT 74240
Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Other Diagnostic Radiology FS |
$3,906.93 |
$3,906.93 |
$401.74 |
231% above |
— |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast)
CPT 74240
Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED |
$3,906.93 |
$3,906.93 |
$2,061.49–$2,104.89 |
231% above |
— |
| X-ray of one hip, 2 or 3 views, with the pelvis when included
CPT 73502
XR HIP W PEL UN 2-3 VIEW |
$1,915.83 |
$1,915.83 |
$90.04–$1,762.56 |
244% above |
— |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side
CPT 73502
Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views |
$1,915.83 |
$1,915.83 |
— |
244% above |
— |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side
CPT 73502
Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views UNSCHEDULED |
$1,915.83 |
$1,915.83 |
$440.56–$449.84 |
244% above |
— |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side
CPT 73502
Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views Other Diagnostic Radiology FS |
$1,915.83 |
$1,915.83 |
$182.03 |
244% above |
— |
| X-ray of the abdomen, 1 view
CPT 74018
Radiologic examination, abdomen; 1 view |
$1,678.36 |
$1,678.36 |
— |
191% above |
— |
| X-ray of the abdomen, 1 view
CPT 74018
Radiologic examination, abdomen; 1 view Other Diagnostic Radiology FS |
$1,678.36 |
$1,678.36 |
$182.03 |
191% above |
— |
| X-ray of the abdomen, 1 view
CPT 74018
Radiologic examination, abdomen; 1 view UNSCHEDULED |
$1,678.36 |
$1,678.36 |
$472.73–$482.68 |
191% above |
— |
| X-ray of the abdomen, 1 view
CPT 74018
ABD XR 1V |
$1,678.36 |
$1,678.36 |
$78.88–$1,544.09 |
191% above |
— |
| X-ray of the lower back (lumbar spine), 2 or 3 views
CPT 72100
Radiologic examination, spine, lumbosacral; 2 or 3 views |
$1,606.12 |
$1,606.12 |
— |
86% above |
— |
| X-ray of the lower back (lumbar spine), 2 or 3 views
CPT 72100
Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED |
$1,606.12 |
$1,606.12 |
$477.60–$487.66 |
86% above |
— |
| X-ray of the lower back (lumbar spine), 2 or 3 views
CPT 72100
Radiologic examination, spine, lumbosacral; 2 or 3 views Other Diagnostic Radiology FS |
$1,606.12 |
$1,606.12 |
$245.18 |
86% above |
— |
| X-ray of the lower back (lumbar spine), 2 or 3 views
CPT 72100
XR L-SPINE 2/3 VIEWS |
$1,606.12 |
$1,606.12 |
$75.49–$1,477.63 |
86% above |
— |
| X-ray of the lower back, 4 or more views
CPT 72110
XR L-SPINE 4 + VIEWS |
$2,576.23 |
$2,576.23 |
$121.08–$2,370.13 |
100% above |
— |
| X-ray of the lower back, 4 or more views
CPT 72110
Radiologic examination, spine, lumbosacral; minimum of 4 views Other Diagnostic Radiology FS |
$2,576.23 |
$2,576.23 |
$245.18 |
100% above |
— |
| X-ray of the lower back, 4 or more views
CPT 72110
Radiologic examination, spine, lumbosacral; minimum of 4 views |
$2,576.23 |
$2,576.23 |
— |
100% above |
— |
| X-ray of the lower back, 4 or more views
CPT 72110
Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED |
$2,576.23 |
$2,576.23 |
$785.61–$802.15 |
100% above |
— |
| X-ray of the mid back (thoracic spine), 2 views
CPT 72070
Radiologic examination, spine; thoracic, 2 views |
$1,607.08 |
$1,607.08 |
— |
122% above |
— |
| X-ray of the mid back (thoracic spine), 2 views
CPT 72070
XR T-SPINE 2 VIEWS |
$1,607.08 |
$1,607.08 |
$75.53–$1,478.51 |
122% above |
— |
| X-ray of the mid back (thoracic spine), 2 views
CPT 72070
Radiologic examination, spine; thoracic, 2 views Other Diagnostic Radiology FS |
$1,607.08 |
$1,607.08 |
$245.18 |
122% above |
— |
| X-ray of the mid back (thoracic spine), 2 views
CPT 72070
Radiologic examination, spine; thoracic, 2 views UNSCHEDULED |
$1,607.08 |
$1,607.08 |
$498.08–$508.56 |
122% above |
— |
| X-ray of the nasal bones, 3 or more views
CPT 70160
Radiologic examination, nasal bones, complete, minimum of 3 views Other Diagnostic Radiology FS |
$1,585.65 |
$1,585.65 |
$182.03 |
110% above |
— |
| X-ray of the nasal bones, 3 or more views
CPT 70160
Radiologic examination, nasal bones, complete, minimum of 3 views |
$1,585.65 |
$1,585.65 |
— |
110% above |
— |
| X-ray of the nasal bones, 3 or more views
CPT 70160
XR NASAL BONES COMP |
$1,585.65 |
$1,585.65 |
$74.53–$1,458.80 |
110% above |
— |
| X-ray of the nasal bones, 3 or more views
CPT 70160
Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED |
$1,585.65 |
$1,585.65 |
$387.93–$396.10 |
110% above |
— |
| X-ray of the neck (cervical spine), 2 or 3 views
CPT 72040
XR C-SPINE 2-3 VIEWS |
$2,713.76 |
$2,713.76 |
$127.55–$2,496.66 |
260% above |
— |
| X-ray of the neck (cervical spine), 2 or 3 views
CPT 72040
Radiologic examination, spine, cervical; 2 or 3 views Other Diagnostic Radiology FS |
$2,713.76 |
$2,713.76 |
$182.03 |
260% above |
— |
| X-ray of the neck (cervical spine), 2 or 3 views
CPT 72040
Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED |
$2,713.76 |
$2,713.76 |
$422.05–$430.93 |
260% above |
— |
| X-ray of the neck (cervical spine), 2 or 3 views
CPT 72040
Radiologic examination, spine, cervical; 2 or 3 views |
$2,713.76 |
$2,713.76 |
— |
260% above |
— |
| X-ray of the pelvis, 1 or 2 views
CPT 72170
Radiologic examination, pelvis; 1 or 2 views |
$1,678.36 |
$1,678.36 |
— |
122% above |
— |
| X-ray of the pelvis, 1 or 2 views
CPT 72170
Radiologic examination, pelvis; 1 or 2 views Other Diagnostic Radiology FS |
$1,678.36 |
$1,678.36 |
$245.18 |
122% above |
— |
| X-ray of the pelvis, 1 or 2 views
CPT 72170
Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED |
$1,678.36 |
$1,678.36 |
$390.86–$399.09 |
122% above |
— |
| X-ray of the pelvis, 1 or 2 views
CPT 72170
XR PELVIS 1/2 VIEWS |
$1,678.36 |
$1,678.36 |
$78.88–$1,544.09 |
122% above |
— |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views
CPT 72220
Radiologic examination, sacrum and coccyx, minimum of 2 views |
$1,671.60 |
$1,671.60 |
— |
120% above |
— |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views
CPT 72220
Radiologic examination, sacrum and coccyx, minimum of 2 views Other Diagnostic Radiology FS |
$1,671.60 |
$1,671.60 |
$182.03 |
120% above |
— |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views
CPT 72220
Radiologic examination, sacrum and coccyx, minimum of 2 views UNSCHEDULED |
$1,671.60 |
$1,671.60 |
$450.31–$459.79 |
120% above |
— |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views
CPT 72220
XR SACRUM/COCCYX 2 + V |
$1,671.60 |
$1,671.60 |
$78.57–$1,537.87 |
120% above |
— |