| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 220 | $70 | $15K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 160 | $70 | $11.2K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 210 | $50 | $10.9K |
| 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. | 230 | $40 | $8.8K |
| 72192 | In this procedure, the provider performs computer tomographic (CT) imaging of the pelvis without using contrast. | 160 | $40 | $6.8K |
| 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… | 120 | $50 | $6.3K |
| 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. | 90 | $50 | $4.5K |
| 73200 | In this procedure, the provider performs computer tomographic imaging of the upper extremity without using contrast. | 70 | $40 | $2.8K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 70 | $40 | $2.7K |
| 76377 | In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with… | 80 | $30 | $2.4K |