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All Services Radiology Services

CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$486.00 Standard Charge

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CPT 77066

Mammography of both breasts

$430.14 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$486.11 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$2,453.63 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$303.69 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$2,502.26 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$194.04 Standard Charge

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CPT 70498

CTA scan of neck

$1,092.42 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$338.65 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$687.01 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$367.57 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$1,144.44 Standard Charge

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CPT 73721

MRI scan of leg joint

$1,932.90 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$306.43 Standard Charge

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CPT 73630

X-ray exam of foot

$357.38 Standard Charge

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CPT 76870

Ultrasound, testical

$714.62 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$1,737.15 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$581.99 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,215.19 Standard Charge

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CPT 70491

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

$1,634.26 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$408.20 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$301.10 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,433.63 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$765.71 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$3,090.30 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,617.92 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 77385

Radiation therapy delivery

$3,288.00 Standard Charge

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CPT 78815

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

$4,328.06 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$377.89 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$437.63 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$408.20 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 70450

CT scan, head or brain, without contrast

$1,514.14 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,709.64 Standard Charge

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CPT 73565

X-ray Both Knees

$408.20 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$408.20 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,514.09 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$306.43 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$391.43 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$469.62 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$316.49 Standard Charge

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CPT 77080

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

$541.62 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$194.04 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$296.34 Standard Charge

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CPT 77067

Mammogram Screening

$330.35 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,165.73 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$305.88 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$785.96 Standard Charge

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CPT 77386

Radiation therapy delivery

$3,288.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$357.38 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$103.21 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$408.20 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$5,128.21 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$408.20 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$950.92 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$408.20 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$223.79 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,410.88 Standard Charge

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CPT 70496

CTA scan of head

$1,092.42 Standard Charge

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CPT 74230

X-ray, swallowing function study

$581.99 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$261.34 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$561.59 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$408.20 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$306.43 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$377.89 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$3,049.16 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$249.90 Standard Charge

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CPT 71045

X-ray of chest; Single View

$270.92 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$581.86 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$918.71 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,068.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$687.01 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,085.62 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$357.38 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,617.92 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$372.79 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,088.08 Standard Charge

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CPT 70551

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

$2,072.90 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$398.27 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$357.38 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,936.78 Standard Charge

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CPT 73522

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

$481.76 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$816.66 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$357.38 Standard Charge

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CPT 77412

Radiation treatment delivery

$701.23 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$306.43 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$486.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$2,915.20 Standard Charge

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