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All Services Radiology Services

CPT 73562

X-ray exam of knee, 3 views

$652.00 Standard Charge

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CPT 78306

A procedure most commonly ordered to detect areas of abnormal bone growth due to fractures, tumors, infection, or other bone issues

$2,872.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$7,023.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$5,576.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$2,453.00 Standard Charge

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CPT 77067

Mammogram Screening

$475.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$321.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$597.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$3,531.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$595.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$3,063.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$3,446.40 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$4,100.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$911.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$4,372.30 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$542.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$527.00 Standard Charge

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CPT 70491

CT scan, soft tissue neck; with contrast material(s)

$3,391.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$4,378.60 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$268.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$466.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$6,520.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$2,899.90 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$4,105.00 Standard Charge

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CPT 73551

X-ray femur, 1 view

$102.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$365.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$1,130.00 Standard Charge

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CPT 73700

CT scan of hip, knee, ankle, or foot without contrast

$2,739.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$405.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$596.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$324.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$4,422.40 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,790.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$482.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$545.00 Standard Charge

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CPT 73630

X-ray exam of foot

$438.00 Standard Charge

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CPT 70498

CTA scan of neck

$4,147.60 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$319.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$322.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$340.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$6,549.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$406.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$3,016.90 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$1,224.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$983.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$312.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$1,553.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$686.00 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$4,139.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$3,303.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$2,689.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$495.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$229.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$463.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$127.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$5,907.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$1,185.00 Standard Charge

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CPT 71111

X-ray of Both Sides of Ribs, Including Chest, Minimum of 4 Views

$962.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$6,000.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$413.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$401.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$299.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$102.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$650.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$6,568.90 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$721.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$1,072.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$3,240.00 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$2,486.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$127.00 Standard Charge

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CPT 70551

MRI scan of brain (including brain stem); without contrast material

$4,331.50 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$424.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$3,265.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$3,901.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$1,292.00 Standard Charge

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CPT 73090

X-ray Forearm, 2 Views

$410.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$433.00 Standard Charge

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CPT 77080

Scan to measure bone mineral density (BMD) at the spine and hip

$760.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$2,190.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$3,136.00 Standard Charge

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CPT 70496

CTA scan of head

$4,087.00 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$4,248.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$323.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$674.00 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$702.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$481.00 Standard Charge

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CPT 76870

Ultrasound, testical

$1,054.00 Standard Charge

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CPT 73565

X-ray Both Knees

$468.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$3,513.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,887.00 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$3,910.00 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$701.00 Standard Charge

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CPT 73522

X-ray Both Hips and Pelvis, 3-4 Views

$406.00 Standard Charge

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CPT 74150

CT scan Abdomen without Contrast

$2,964.00 Standard Charge

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CPT 77066

Mammography of both breasts

$694.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$442.00 Standard Charge

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