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All Services Radiology Services

CPT 70553

MRI scan of brain before and after contrast

$6,280.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$1,709.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$5,795.00 Standard Charge

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CPT 70498

CTA scan of neck

$4,075.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$1,472.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$550.00 Standard Charge

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CPT 73630

X-ray exam of foot

$516.00 Standard Charge

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CPT 77067

Mammogram Screening

$405.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$4,644.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$2,362.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$1,709.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$3,260.00 Standard Charge

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CPT 72170

X-ray Pelvis, 2 Views

$535.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$530.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$9,122.00 Standard Charge

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CPT 76872

Transrectal ultrasound

$1,455.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$940.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$5,281.00 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$934.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$535.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$4,627.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$6,641.00 Standard Charge

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CPT 78815

Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation

$9,448.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$760.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$630.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$1,427.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$515.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$909.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$959.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$3,299.00 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$1,043.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,918.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,612.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$1,121.00 Standard Charge

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CPT 70551

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

$4,359.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$1,104.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$3,338.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$1,000.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$7,922.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$621.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$1,240.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$526.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$511.00 Standard Charge

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CPT 77385

Radiation therapy delivery

$6,079.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$3,198.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$1,123.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$615.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$4,633.00 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

$2,878.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$6,235.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$3,162.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$678.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$782.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$506.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$7,893.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$1,513.00 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$9,142.00 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$610.00 Standard Charge

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CPT 70496

CTA scan of head

$5,029.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$7,470.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$1,043.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$729.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$593.00 Standard Charge

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CPT 77412

Radiation treatment delivery

$1,602.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$1,030.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$4,524.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$2,828.00 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$6,235.00 Standard Charge

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CPT 73700

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

$5,171.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$1,170.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$6,089.00 Standard Charge

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CPT 77080

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

$732.00 Standard Charge

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CPT 77066

Mammography of both breasts

$445.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$391.00 Standard Charge

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CPT 73701

CT scan of hip, knee, ankle, or foot with contrast

$5,737.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$1,190.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$964.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$552.00 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$1,221.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$737.00 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$959.00 Standard Charge

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CPT 76870

Ultrasound, testical

$1,285.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$3,353.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$1,853.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$399.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$1,571.00 Standard Charge

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CPT 74230

X-ray, swallowing function study

$992.00 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$4,446.00 Standard Charge

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CPT 70491

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

$3,314.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$5,204.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$3,148.00 Standard Charge

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CPT 77386

Radiation therapy delivery

$5,709.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$3,344.00 Standard Charge

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CPT 76000

Flouroscopy, or x-ray "movie" that takes less than an hour

$1,060.00 Standard Charge

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