| MRI brain without contrast | CPT | 70551 | 23 | $655.36 |
| MRI brain with and without contrast | CPT | 70553 | 23 | $724.52 |
| MRI lumbar spine without contrast | CPT | 72148 | 23 | $512.16 |
| Colonoscopy diagnostic | CPT | 45378 | 23 | $1,033.55 |
| Colonoscopy with biopsy | CPT | 45380 | 23 | $1,041.92 |
| Colonoscopy with polyp removal | CPT | 45385 | 23 | $1,108.64 |
| Fetal non-stress test | CPT | 59025 | 23 | $78.76 |
| MRI brain with contrast | CPT | 70552 | 23 | $681.23 |
| MRI chest without contrast | CPT | 71550 | 23 | $653.63 |
| MRI chest with contrast | CPT | 71551 | 23 | $846.56 |
| MRI chest with and without contrast | CPT | 71552 | 23 | $1,141 |
| MRI cervical spine without contrast | CPT | 72141 | 23 | $657.09 |
| MRI thoracic spine without contrast | CPT | 72146 | 23 | $513.62 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 23 | $681.23 |
| MRI cervical spine with and without contrast | CPT | 72156 | 23 | $716.74 |
| MRI lumbar spine with contrast | CPT | 72158 | 23 | $708.01 |
| MRI upper extremity joint without contrast | CPT | 73221 | 23 | $763.16 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 23 | $1,087.77 |
| CT head without contrast | CPT | 70450 | 23 | $231.29 |
| CT head with contrast | CPT | 70460 | 23 | $271.55 |
| CT head with and without contrast | CPT | 70470 | 23 | $319.48 |
| CT neck with contrast | CPT | 70491 | 23 | $279.13 |
| CT chest without contrast | CPT | 71250 | 23 | $255.41 |
| CT chest with contrast | CPT | 71260 | 23 | $299.81 |
| CT chest with and without contrast | CPT | 71270 | 23 | $331.84 |
| CT cervical spine without contrast | CPT | 72125 | 23 | $255.41 |
| CT thoracic spine without contrast | CPT | 72128 | 23 | $269.04 |
| CT lumbar spine without contrast | CPT | 72131 | 23 | $264.5 |
| CT pelvis without contrast | CPT | 72192 | 23 | $220.26 |
| CT pelvis with contrast | CPT | 72193 | 23 | $280.15 |