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All Services Radiology Services

CPT 72157

MRI scan of thoracic spine with and without contrast

$906.37 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$290.53 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$350.37 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$350.37 Standard Charge

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CPT 73222

MRI scan of shoulder, elbow, or hand joints with contrast

$2,290.86 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$770.55 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$300.42 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$900.70 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,560.50 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$400.20 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$476.47 Standard Charge

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CPT 73523

X-ray hip and pelvis, 5 or more views

$531.36 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 74183

MRI of abdomen without & with contrast material

$3,029.71 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$130.16 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$390.46 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$299.88 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 74170

CT scan of abdomen without & with contrast material

$2,405.52 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$476.58 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$147.59 Standard Charge

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CPT 76604

Ultrasound of chest

$550.58 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$370.48 Standard Charge

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CPT 76811

Ultrasound of single fetus

$571.84 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$350.37 Standard Charge

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CPT 72040

X-ray Neck Spine, 2-3 Views

$370.48 Standard Charge

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CPT 73630

X-ray exam of foot

$350.37 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 74021

X-ray abdomen, 3 or more views

$364.14 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$245.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$673.54 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$350.63 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$429.05 Standard Charge

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CPT 72114

X-ray complete lumbar spine (with bending), 6 or more views

$552.23 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$332.01 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 76881

Ultrasound Veins of Both Arms or Legs

$673.54 Standard Charge

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CPT 74240

X-ray upper GI tract

$286.12 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$400.20 Standard Charge

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CPT 76870

Ultrasound, testical

$700.61 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$550.58 Standard Charge

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CPT 75561

Cardiac MRI

$971.55 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$400.20 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$190.24 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$400.20 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$1,992.88 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$190.24 Standard Charge

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CPT 72082

X-ray entire spine (scoliosis evaluation), 2 views

$354.24 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 76801

Ultrasound, pregnancy, 1st trimester

$570.45 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$360.36 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 72100

X-ray Lower Sacral Spine, 2 or 3 views

$400.20 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$300.42 Standard Charge

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CPT 73722

MRI scan of hip, knee, ankle, or foot joints with contrast

$2,252.06 Standard Charge

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CPT 73220

MRI scan of shoulder, arm, or hand with and without contrast

$2,290.86 Standard Charge

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CPT 73723

MRI scan of hip, knee, ankle, or foot joints with and without contrast

$2,533.57 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$932.27 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$750.70 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 72141

MRI neck spine without contrast material

$2,243.18 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 73590

X-ray Lower Leg, 2 Views

$350.37 Standard Charge

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CPT 70549

MRA scan of neck with and without contrast

$2,771.09 Standard Charge

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CPT 70543

MRI scan of orbits, face, or soft tissue of the neck with and without contrast

$2,734.06 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$1,921.32 Standard Charge

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CPT 71111

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

$450.54 Standard Charge

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CPT 70546

MRA scan of head with and without contrast

$2,992.94 Standard Charge

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CPT 70030

X-ray eye, foreign body

$450.67 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 71260

CT Scan of thorax, with contrast material

$1,703.09 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$350.37 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$304.45 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$2,069.07 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$350.37 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 76706

Ultrasound, aortic aneurisum screening

$359.82 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$300.42 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$310.28 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$871.49 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$750.70 Standard Charge

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CPT 72020

X-ray cervical spine, 1 view

$184.03 Standard Charge

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CPT 70498

CTA scan of neck

$1,071.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,586.20 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,025.12 Standard Charge

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CPT 70544

Magnetic resonance angiography, head; without contrast material(s)

$1,773.73 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$297.74 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$3,029.70 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$256.22 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$245.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$697.17 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$400.20 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,047.14 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 71101

X-ray ribs, unilateral, 3 or more views

$400.20 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$383.75 Standard Charge

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CPT 70491

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

$1,602.22 Standard Charge

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CPT 76857

Ultrasound of pelvis

$500.38 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$1,392.30 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$101.19 Standard Charge

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CPT 70496

CTA scan of head

$1,071.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$365.48 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 73600

X-ray Ankle, 2 Views

$238.44 Standard Charge

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CPT 76010

X-ray of child for foreign body

$270.56 Standard Charge

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CPT 77073

Bone length scanogram

$286.12 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

$1,731.32 Standard Charge

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CPT 71045

X-ray of chest; Single View

$265.61 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 76641

Ultrasound of breasts (both)

$550.58 Standard Charge

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CPT 73223

MRI scan of shoulder, elbow, or hand joints with and without contrast

$2,459.37 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,346.70 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$295.20 Standard Charge

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CPT 70480

CT scan of eye without contrast

$1,407.29 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$250.45 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$334.56 Standard Charge

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CPT 74230

X-ray, swallowing function study

$570.58 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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CPT 73721

MRI scan of leg joint

$1,932.90 Standard Charge

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CPT 74300

X-ray bile ducts, with contrast (cholangiogram)

$500.38 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 73610

X-ray Ankle, 3 Views

$350.37 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$800.65 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 73718

MRI scan of leg without contrast

$2,132.92 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 73110

X-ray Wrist, 3+ Views

$400.20 Standard Charge

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CPT 72132

CT scan of lumbar spine with contrast

$1,938.61 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 72081

X-ray entire spine (scoliosis evaluation), 1 view

$147.59 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,898.80 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 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$476.47 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$570.58 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 77080

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

$531.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$300.42 Standard Charge

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