| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 200 | $1,890 | $376.3K |
| 78803 | The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.… | 200 | $240 | $48.4K |
| 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. | 120 | $170 | $20K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 190 | $100 | $17.8K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 110 | $110 | $11.8K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 60 | $150 | $9.2K |
| 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… | 80 | $110 | $8.4K |
| 78227 | The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;… | 20 | $300 | $6.2K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 80 | $70 | $5.1K |
| 74183 | The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast. | 30 | $190 | $5K |