| 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 | $60 | $7K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 100 | $50 | $4.9K |
| 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. | 80 | $60 | $4.7K |
| 73200 | In this procedure, the provider performs computer tomographic imaging of the upper extremity without using contrast. | 90 | $40 | $3.2K |
| 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… | 70 | $50 | $3.1K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 80 | $40 | $3K |
| 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. | 60 | $40 | $2.4K |
| 71271 | The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer. | 40 | $50 | $2K |
| 72192 | In this procedure, the provider performs computer tomographic (CT) imaging of the pelvis without using contrast. | 40 | $40 | $1.6K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 200 | $10 | $1.4K |