| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 60 | $50 | $3K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 70 | $30 | $2.2K |
| 72128 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thoracic spine without using contrast material. | 50 | $30 | $1.5K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 30 | $50 | $1.4K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 30 | $50 | $1.4K |
| 73723 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a patient’s lower extremity joint, without contrast material initially and then after injecting contrast material for… | 20 | $70 | $1.3K |
| 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 | $70 | $1.1K |
| 72158 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material. | 10 | $80 | $980 |
| 73200 | In this procedure, the provider performs computer tomographic imaging of the upper extremity without using contrast. | 30 | $30 | $920 |
| 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… | 20 | $40 | $800 |