| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 80 | $50 | $4K |
| 72110 | In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer. | 310 | $10 | $3K |
| 72197 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material. | 30 | $80 | $2.3K |
| 73221 | In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or… | 40 | $50 | $1.9K |
| 72050 | In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions… | 160 | $10 | $1.6K |
| 73720 | In this diagnostic procedure, the provider performs magnetic resonance imaging imaging of a patient’s lower extremity for other than a joint without contrast material initially, and then after… | 20 | $90 | $1.4K |
| 73718 | In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material. | 30 | $50 | $1.4K |
| 73700 | In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity. | 30 | $40 | $1.2K |
| 76882 | The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the… | 50 | $30 | $1.1K |
| 72082 | In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the… | 100 | $10 | $1.1K |