| MRI brain without contrast | CPT | 70551 | 2 | $1,246.15 |
| MRI brain with and without contrast | CPT | 70553 | 2 | $2,183.76 |
| MRI lumbar spine without contrast | CPT | 72148 | 2 | $1,246.15 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $12,856 |
| Cataract surgery with lens implant | CPT | 66984 | 2 | $14,791 |
| MRI brain with contrast | CPT | 70552 | 2 | $2,183.76 |
| MRI chest without contrast | CPT | 71550 | 2 | $1,246.15 |
| MRI chest with and without contrast | CPT | 71552 | 2 | $2,183.76 |
| MRI cervical spine without contrast | CPT | 72141 | 2 | $1,246.15 |
| MRI thoracic spine without contrast | CPT | 72146 | 2 | $1,246.15 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 2 | $2,183.76 |
| CT head without contrast | CPT | 70450 | 2 | $1,546.5 |
| CT head with contrast | CPT | 70460 | 2 | $1,546.5 |
| CT head with and without contrast | CPT | 70470 | 2 | $1,546.5 |
| CT neck with contrast | CPT | 70491 | 2 | $1,546.5 |
| CT chest without contrast | CPT | 71250 | 2 | $570.87 |
| CT chest with contrast | CPT | 71260 | 2 | $1,546.5 |
| CT chest with and without contrast | CPT | 71270 | 2 | $1,546.5 |
| CT cervical spine without contrast | CPT | 72125 | 2 | $570.87 |
| CT thoracic spine without contrast | CPT | 72128 | 2 | $570.87 |
| CT lumbar spine without contrast | CPT | 72131 | 2 | $570.87 |
| Chest X-ray single view | CPT | 71045 | 2 | $280.17 |
| Chest X-ray 2 views | CPT | 71046 | 2 | $280.17 |
| Lumbosacral spine X-ray | CPT | 72100 | 2 | $280.17 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $4,955.21 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $2,808.62 |
| ACL reconstruction | CPT | 29888 | 2 | $27,085 |
| Complex cataract surgery | CPT | 66982 | 2 | $13,802 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | $7,978.83 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | $9,283.55 |