| MRI lumbar spine without contrast | CPT | 72148 | 3 | $4,100.71 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 3 | $2,944.75 |
| MRI thoracic spine without contrast | CPT | 72146 | 3 | $4,101.32 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 3 | $4,194.48 |
| MRI cervical spine with and without contrast | CPT | 72156 | 3 | $6,223.48 |
| MRI lumbar spine with contrast | CPT | 72158 | 3 | $6,225.58 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 3 | $3,051.87 |
| MRI abdomen without contrast | CPT | 74181 | 3 | $4,004.26 |
| CT head with contrast | CPT | 70460 | 3 | $2,973.12 |
| CT chest without contrast | CPT | 71250 | 3 | $2,381.27 |
| CT chest with contrast | CPT | 71260 | 3 | $3,268.89 |
| CT chest with and without contrast | CPT | 71270 | 3 | $3,976.34 |
| CT cervical spine without contrast | CPT | 72125 | 3 | $2,499.69 |
| CT thoracic spine without contrast | CPT | 72128 | 3 | $2,468.41 |
| CT abdomen without contrast | CPT | 74150 | 3 | $2,441.3 |
| CT abdomen with contrast | CPT | 74160 | 3 | $3,548.32 |
| CT abdomen with and without contrast | CPT | 74170 | 3 | $3,773.41 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 3 | $5,835.91 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 3 | $5,051.18 |
| Abdominal ultrasound complete | CPT | 76700 | 3 | $829.37 |
| Abdominal ultrasound limited | CPT | 76705 | 3 | $722.31 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 3 | $887.17 |
| Chest X-ray single view | CPT | 71045 | 3 | $232.13 |
| Chest X-ray 2 views | CPT | 71046 | 3 | $362.77 |
| Lumbosacral spine X-ray | CPT | 72100 | 3 | $363.33 |
| Shoulder X-ray | CPT | 73030 | 3 | $483.31 |
| Humerus X-ray | CPT | 73060 | 3 | $289.21 |
| Hand X-ray 3 views | CPT | 73130 | 3 | $283.38 |
| Knee X-ray 1-2 views | CPT | 73560 | 3 | $268.64 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $2,055.26 |
