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All Services Radiology Services

CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,346.70 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$400.20 Standard Charge

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CPT 76870

Ultrasound, testical

$700.61 Standard Charge

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CPT 73522

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

$472.31 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$365.48 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$900.70 Standard Charge

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CPT 70551

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

$2,032.25 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$101.19 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,383.22 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$770.55 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$219.40 Standard Charge

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CPT 70498

CTA scan of neck

$1,071.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$2,243.18 Standard Charge

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CPT 78815

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

$4,243.20 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$2,858.04 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$5,027.66 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$300.42 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$332.01 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,047.14 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$310.28 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,484.45 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$300.42 Standard Charge

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CPT 73700

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

$1,349.46 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,103.66 Standard Charge

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CPT 73721

MRI scan of leg joint

$1,932.90 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$190.24 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$800.65 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$299.88 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$460.41 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$2,453.20 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$383.75 Standard Charge

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CPT 77080

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

$531.00 Standard Charge

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CPT 74230

X-ray, swallowing function study

$570.58 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,025.12 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$932.27 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$476.47 Standard Charge

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CPT 70491

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

$1,602.22 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$190.24 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$2,989.37 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$350.37 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$360.36 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$1,995.22 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$256.22 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,484.40 Standard Charge

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CPT 73630

X-ray exam of foot

$350.37 Standard Charge

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CPT 71045

X-ray of chest; Single View

$265.61 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$300.42 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$400.20 Standard Charge

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CPT 70496

CTA scan of head

$1,071.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$476.58 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$476.47 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$2,405.52 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$400.20 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$550.58 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$1,703.09 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$370.48 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$350.37 Standard Charge

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CPT 77386

Radiation therapy delivery

$3,223.53 Standard Charge

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CPT 77412

Radiation treatment delivery

$687.48 Standard Charge

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CPT 73565

X-ray Both Knees

$400.20 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$245.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$400.20 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,586.20 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$300.42 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$673.54 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$400.20 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$350.37 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$350.37 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$400.20 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$400.20 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$290.53 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$750.70 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$570.45 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,636.90 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$429.05 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$673.54 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$295.20 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,027.45 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$390.46 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$297.74 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$3,029.71 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,898.80 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$570.58 Standard Charge

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CPT 77385

Radiation therapy delivery

$3,223.53 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,586.20 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$370.48 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,191.36 Standard Charge

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