| MRI brain without contrast | CPT | 70551 | 27 | $240.67 |
| MRI brain with and without contrast | CPT | 70553 | 27 | $351.9 |
| MRI lumbar spine without contrast | CPT | 72148 | 27 | $240.67 |
| MRI lower extremity joint without contrast | CPT | 73721 | 27 | $240.67 |
| MRI brain with contrast | CPT | 70552 | 27 | $351.9 |
| MRI chest without contrast | CPT | 71550 | 27 | $240.67 |
| MRI chest with contrast | CPT | 71551 | 27 | $790.72 |
| MRI chest with and without contrast | CPT | 71552 | 27 | $351.9 |
| MRI cervical spine without contrast | CPT | 72141 | 27 | $240.67 |
| MRI thoracic spine without contrast | CPT | 72146 | 27 | $240.67 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 27 | $351.9 |
| MRI cervical spine with and without contrast | CPT | 72156 | 27 | $351.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 27 | $351.9 |
| MRI upper extremity joint without contrast | CPT | 73221 | 27 | $240.67 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 27 | $351.9 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 27 | $351.9 |
| CT head without contrast | CPT | 70450 | 27 | $105.46 |
| CT head with contrast | CPT | 70460 | 27 | $176.92 |
| CT head with and without contrast | CPT | 70470 | 27 | $176.92 |
| CT neck with contrast | CPT | 70491 | 27 | $176.92 |
| CT chest without contrast | CPT | 71250 | 27 | $105.46 |
| CT chest with contrast | CPT | 71260 | 27 | $176.92 |
| CT chest with and without contrast | CPT | 71270 | 27 | $176.92 |
| CT cervical spine without contrast | CPT | 72125 | 27 | $105.46 |
| CT thoracic spine without contrast | CPT | 72128 | 27 | $105.46 |
| CT lumbar spine without contrast | CPT | 72131 | 27 | $105.46 |
| CT pelvis without contrast | CPT | 72192 | 27 | $105.46 |
| CT pelvis with contrast | CPT | 72193 | 27 | $176.92 |
| CT abdomen without contrast | CPT | 74150 | 27 | $105.46 |
| CT abdomen with contrast | CPT | 74160 | 27 | $176.92 |