| Chest X-ray 2 views | CPT | 71046 | 41 | $194.74 |
| Abdominal ultrasound limited | CPT | 76705 | 41 | $416.08 |
| Transvaginal ultrasound | CPT | 76830 | 41 | $484.66 |
| Pelvic ultrasound complete | CPT | 76856 | 41 | $473.03 |
| MRI brain with and without contrast | CPT | 70553 | 41 | $1,355.71 |
| MRI brain with contrast | CPT | 70552 | 39 | $1,242.97 |
| MRI chest without contrast | CPT | 71550 | 39 | $1,071.44 |
| MRI chest with and without contrast | CPT | 71552 | 39 | $1,604.99 |
| MRI cervical spine without contrast | CPT | 72141 | 39 | $1,196.57 |
| MRI thoracic spine without contrast | CPT | 72146 | 39 | $1,234.74 |
| MRI cervical spine with and without contrast | CPT | 72156 | 39 | $1,429.54 |
| CT head without contrast | CPT | 70450 | 39 | $705.91 |
| CT head with contrast | CPT | 70460 | 39 | $837.63 |
| CT head with and without contrast | CPT | 70470 | 39 | $899.37 |
| CT neck with contrast | CPT | 70491 | 39 | $950.34 |
| CT chest with contrast | CPT | 71260 | 39 | $946.41 |
| CT chest with and without contrast | CPT | 71270 | 39 | $1,048.63 |
| CT cervical spine without contrast | CPT | 72125 | 39 | $836.85 |
| CT thoracic spine without contrast | CPT | 72128 | 39 | $771.53 |
| CT lumbar spine without contrast | CPT | 72131 | 39 | $931.17 |
| Chest X-ray single view | CPT | 71045 | 39 | $156.74 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 39 | $1,421.7 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 39 | $1,452.62 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 39 | $870.69 |
| MRI brain without contrast | CPT | 70551 | 39 | $1,148.9 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 39 | $1,107.6 |
| MRI lumbar spine without contrast | CPT | 72148 | 39 | $1,232.81 |
| Colonoscopy diagnostic | CPT | 45378 | 39 | $1,428.34 |
| Colonoscopy with biopsy | CPT | 45380 | 39 | $1,426.55 |
| Colonoscopy with polyp removal | CPT | 45385 | 39 | $1,400.92 |