| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 80 | $30 | $2.5K |
| 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. | 70 | $30 | $2.3K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 70 | $30 | $2.3K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 30 | $50 | $1.7K |
| 72128 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thoracic spine without using contrast material. | 50 | $30 | $1.6K |
| 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. | 20 | $50 | $1.2K |
| 73200 | In this procedure, the provider performs computer tomographic imaging of the upper extremity without using contrast. | 40 | $30 | $1.2K |
| 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… | 10 | $70 | $1K |
| 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… | 130 | $10 | $920 |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 140 | $10 | $860 |