| MRI lumbar spine without contrast | CPT | 72148 | 26 | $3,232.37 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 26 | $2,901.19 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $3,437.3 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 26 | $3,447.36 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $5,240.01 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $5,130.29 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 26 | $2,673.59 |
| MRI abdomen without contrast | CPT | 74181 | 26 | $3,628.41 |
| CT head with contrast | CPT | 70460 | 26 | $2,383.97 |
| CT chest without contrast | CPT | 71250 | 26 | $2,146.11 |
| CT chest with contrast | CPT | 71260 | 26 | $2,992.27 |
| CT chest with and without contrast | CPT | 71270 | 26 | $3,129.69 |
| CT cervical spine without contrast | CPT | 72125 | 26 | $2,003.24 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $2,147.89 |
| CT abdomen without contrast | CPT | 74150 | 26 | $2,181.01 |
| CT abdomen with contrast | CPT | 74160 | 26 | $2,954.57 |
| CT abdomen with and without contrast | CPT | 74170 | 26 | $3,433.94 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 26 | $4,007.49 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 26 | $4,740.62 |
| Abdominal ultrasound complete | CPT | 76700 | 26 | $906.76 |
| Abdominal ultrasound limited | CPT | 76705 | 26 | $786.27 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 26 | $902.02 |
| Pelvic ultrasound complete | CPT | 76856 | 26 | $792.48 |
| Chest X-ray single view | CPT | 71045 | 26 | $311.22 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $352.81 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $411.72 |
| Shoulder X-ray | CPT | 73030 | 26 | $512.66 |
| Humerus X-ray | CPT | 73060 | 26 | $296.63 |
| Knee X-ray 1-2 views | CPT | 73560 | 26 | $331.21 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 26 | $1,557.47 |