| MRI lumbar spine without contrast | CPT | 72148 | 18 | $3,682.03 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 18 | $4,378.76 |
| MRI thoracic spine without contrast | CPT | 72146 | 18 | $3,736.94 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 18 | $4,296.58 |
| MRI cervical spine with and without contrast | CPT | 72156 | 18 | $5,729.14 |
| MRI lumbar spine with contrast | CPT | 72158 | 18 | $5,859.73 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 18 | $4,866.97 |
| MRI abdomen without contrast | CPT | 74181 | 18 | $3,905.41 |
| CT head without contrast | CPT | 70450 | 18 | $2,409.51 |
| CT head with contrast | CPT | 70460 | 18 | $3,170.61 |
| CT head with and without contrast | CPT | 70470 | 18 | $3,852.92 |
| CT chest without contrast | CPT | 71250 | 18 | $3,058 |
| CT chest with contrast | CPT | 71260 | 18 | $3,700.56 |
| CT chest with and without contrast | CPT | 71270 | 18 | $4,176.48 |
| CT cervical spine without contrast | CPT | 72125 | 18 | $2,795.86 |
| CT thoracic spine without contrast | CPT | 72128 | 18 | $2,822.28 |
| CT lumbar spine without contrast | CPT | 72131 | 18 | $2,678.99 |
| CT pelvis without contrast | CPT | 72192 | 18 | $2,090.02 |
| CT pelvis with contrast | CPT | 72193 | 18 | $2,905.63 |
| CT abdomen without contrast | CPT | 74150 | 18 | $2,987.75 |
| CT abdomen with contrast | CPT | 74160 | 18 | $3,837.53 |
| CT abdomen with and without contrast | CPT | 74170 | 18 | $4,660.55 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 18 | $5,869.27 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 18 | $7,322.88 |
| Chest X-ray single view | CPT | 71045 | 18 | $296.07 |
| Chest X-ray 2 views | CPT | 71046 | 18 | $683.79 |
| Lumbosacral spine X-ray | CPT | 72100 | 18 | $559.99 |
| Shoulder X-ray | CPT | 73030 | 18 | $470.41 |
| Knee X-ray 1-2 views | CPT | 73560 | 18 | $636.1 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 18 | $3,973.83 |