| MRI brain without contrast | CPT | 70551 | 4 | $1,871.78 |
| MRI brain with and without contrast | CPT | 70553 | 4 | $2,207.97 |
| MRI lumbar spine without contrast | CPT | 72148 | 4 | $1,871.78 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 4 | $1,953.38 |
| MRI cervical spine without contrast | CPT | 72141 | 4 | $1,871.78 |
| MRI thoracic spine without contrast | CPT | 72146 | 4 | $1,871.78 |
| MRI cervical spine with and without contrast | CPT | 72156 | 4 | $2,225.95 |
| MRI lumbar spine with contrast | CPT | 72158 | 4 | $2,225.95 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 4 | $2,207.97 |
| CT head without contrast | CPT | 70450 | 4 | $1,255.99 |
| CT chest without contrast | CPT | 71250 | 4 | $1,255.99 |
| CT chest with contrast | CPT | 71260 | 4 | $1,987.03 |
| CT cervical spine without contrast | CPT | 72125 | 4 | $1,255.99 |
| CT thoracic spine without contrast | CPT | 72128 | 4 | $1,255.99 |
| CT lumbar spine without contrast | CPT | 72131 | 4 | $1,255.99 |
| CT pelvis without contrast | CPT | 72192 | 4 | $1,255.99 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 4 | $2,561.75 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 4 | $2,692.29 |
| Abdominal ultrasound complete | CPT | 76700 | 4 | $1,358.21 |
| Abdominal ultrasound limited | CPT | 76705 | 4 | $949.59 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 4 | $943.25 |
| Scrotal ultrasound | CPT | 76870 | 4 | $665.31 |
| Chest X-ray single view | CPT | 71045 | 4 | $307.9 |
| Chest X-ray 2 views | CPT | 71046 | 4 | $339.02 |
| Lumbosacral spine X-ray | CPT | 72100 | 4 | $382.95 |
| Shoulder X-ray | CPT | 73030 | 4 | $362.42 |
| Humerus X-ray | CPT | 73060 | 4 | $296.18 |
| Hand X-ray 3 views | CPT | 73130 | 4 | $328.14 |
| Knee X-ray 1-2 views | CPT | 73560 | 4 | $289.68 |
| Ankle X-ray 3 views | CPT | 73610 | 4 | $329.83 |
