| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 80 | $50 | $4K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 290 | $10 | $2K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 220 | $10 | $1.5K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 250 | $10 | $1.5K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 30 | $50 | $1.5K |
| 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. | 170 | $10 | $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 |
| 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. | 40 | $40 | $1.3K |
| 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… | 30 | $50 | $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 | $80 | $1.2K |