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All Services Radiology Services

CPT 70496

CTA scan of head

$1,114.27 Standard Charge

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CPT 76831

A diagnostic procedure that allows a provider to see the uterus

$364.53 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$364.53 Standard Charge

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CPT 70470

CT scan of head without contrast

$1,862.42 Standard Charge

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CPT 77047

Magnetic resonance imaging, breasts, without contrast material; bilateral

$2,175.58 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,650.28 Standard Charge

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CPT 70491

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

$1,666.95 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$364.53 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$135.42 Standard Charge

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CPT 73630

X-ray exam of foot

$364.53 Standard Charge

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CPT 73551

X-ray femur, 1 view

$254.90 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$380.25 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$307.12 Standard Charge

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CPT 76811

Ultrasound of single fetus

$594.95 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$406.24 Standard Charge

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CPT 70546

MRA scan of head with and without contrast

$3,113.86 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$105.27 Standard Charge

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CPT 70480

CT scan of eye without contrast

$1,464.15 Standard Charge

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CPT 72126

CT scan of cervical spine with contrast

$1,977.38 Standard Charge

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CPT 73525

X-ray hip (arthrogram) with dye

$624.56 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$364.53 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$3,152.11 Standard Charge

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CPT 73702

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

$705.49 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$254.90 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$260.57 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$312.56 Standard Charge

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CPT 70260

X-ray of skull, complete, minimum of 4 views

$416.36 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$416.36 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$593.63 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$1,119.37 Standard Charge

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CPT 70210

X-ray of paranasal sinus, less than 3 views

$208.31 Standard Charge

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CPT 76506

Ultrasound Blood Flow Outside the Brain

$842.88 Standard Charge

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CPT 70540

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

$2,075.82 Standard Charge

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CPT 70547

MRA scan of neck without contrast

$2,044.95 Standard Charge

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CPT 71550

MRI scan of chest without contrast

$2,072.90 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$309.76 Standard Charge

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CPT 72081

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

$153.55 Standard Charge

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CPT 77066

Mammography of both breasts

$438.74 Standard Charge

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CPT 73721

MRI scan of leg joint

$1,971.56 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$906.70 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,147.33 Standard Charge

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CPT 70150

X-ray of bones of face, minimum of 3 views

$353.86 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$416.36 Standard Charge

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CPT 71047

X-ray chest, 2 views

$343.20 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$495.83 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$364.53 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$416.36 Standard Charge

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CPT 71048

X-ray chest, 4 or more views

$376.62 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$593.50 Standard Charge

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CPT 73220

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

$2,336.68 Standard Charge

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CPT 70481

CT scan of eye with contrast

$1,611.23 Standard Charge

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CPT 77386

Radiation therapy delivery

$3,353.76 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$416.36 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$3,110.14 Standard Charge

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CPT 72129

CT scan of thoracic spine with contrast

$2,016.93 Standard Charge

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CPT 70490

CT scan of neck without contrast

$1,410.88 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$801.68 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$364.53 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$479.01 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$700.75 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$416.36 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$266.57 Standard Charge

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CPT 72133

CT scan of lumbar spine with and without contrast

$2,247.16 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,229.04 Standard Charge

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CPT 71130

X-ray chest joints (sternoclavicular), 3 or more views

$312.56 Standard Charge

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CPT 70030

X-ray eye, foreign body

$468.87 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$312.56 Standard Charge

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CPT 72142

MRI scan of cervical spine with contrast

$1,183.98 Standard Charge

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CPT 70460

CT scan of head with contrast

$1,655.16 Standard Charge

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CPT 74250

X-ray small bowel

$624.81 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$5,230.77 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$700.75 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$312.56 Standard Charge

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CPT 73522

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

$491.40 Standard Charge

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CPT 72132

CT scan of lumbar spine with contrast

$2,016.93 Standard Charge

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CPT 70552

MRI scan of brain with contrast

$2,537.03 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,623.54 Standard Charge

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CPT 74230

X-ray, swallowing function study

$593.63 Standard Charge

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CPT 77076

X-ray of jaw joints on both sides of the face

$395.72 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$312.56 Standard Charge

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CPT 73592

X-ray lower extremities for infant

$347.15 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$2,152.66 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$495.72 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$969.94 Standard Charge

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CPT 72127

CT scan of cervical spine with and without contrast

$2,247.16 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$254.90 Standard Charge

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CPT 70544

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

$1,845.38 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$781.02 Standard Charge

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CPT 70330

X-ray jaw joint, bilateral

$416.36 Standard Charge

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CPT 70545

MRA scan of head with contrast

$2,261.31 Standard Charge

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CPT 70488

CT scan of face without contrast

$1,528.66 Standard Charge

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CPT 71110

X-ray ribs, bilateral, 3 or more views

$468.74 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

$1,801.27 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,239.49 Standard Charge

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CPT 72196

MRI scan of pelvis with contrast

$2,288.04 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$378.85 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$364.53 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$385.45 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,129.84 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$937.08 Standard Charge

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CPT 73206

CTA scan of shoulder, arm, or hand

$1,871.98 Standard Charge

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CPT 72080

X-ray thoracic-lumbar spine, 2 views

$390.58 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$572.82 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$446.38 Standard Charge

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CPT 70100

X-ray jaw, less than 4 views

$249.89 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$2,175.58 Standard Charge

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CPT 77080

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

$552.45 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$302.27 Standard Charge

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CPT 70200

X-ray orbits, 4 or more views

$353.86 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$725.33 Standard Charge

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CPT 74300

X-ray bile ducts, with contrast (cholangiogram)

$520.60 Standard Charge

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CPT 73222

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

$2,336.68 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$1,998.95 Standard Charge

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CPT 74270

X-ray colon, with or without contrast

$874.59 Standard Charge

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CPT 71111

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

$468.74 Standard Charge

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CPT 70130

X-ray of breast bone, minimum of 2 views

$141.58 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$2,552.31 Standard Charge

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CPT 72149

MRI scan of lumbar spine with contrast

$834.11 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$312.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$276.34 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$1,771.89 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$2,097.05 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$572.82 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$197.92 Standard Charge

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CPT 72147

MRI scan of thoracic spine with contrast

$1,167.33 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$3,090.29 Standard Charge

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CPT 70492

CT scan of neck with contrast

$1,919.09 Standard Charge

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CPT 76800

Ultrasound, spinal canal

$495.72 Standard Charge

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CPT 72040

X-ray Neck Spine, 2-3 Views

$385.45 Standard Charge

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CPT 73701

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

$1,576.53 Standard Charge

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CPT 72114

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

$574.54 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$2,502.70 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$399.26 Standard Charge

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CPT 78014

Scan using a radioactive medication (radiopharmaceutical) to take pictures or images of the thyroid gland.

$1,250.15 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$197.92 Standard Charge

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CPT 76604

Ultrasound of chest

$572.82 Standard Charge

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CPT 72074

X-ray thoracic spine, 4 or more views

$520.60 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,975.52 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$416.36 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$364.53 Standard Charge

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CPT 72130

CT scan of thoracic spine with and without contrast

$2,247.16 Standard Charge

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CPT 71120

X-ray chest (sternum), 2 or more views

$364.53 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$312.12 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$374.36 Standard Charge

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CPT 72020

X-ray cervical spine, 1 view

$191.46 Standard Charge

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CPT 74240

X-ray upper GI tract

$315.25 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$316.75 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,439.10 Standard Charge

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CPT 73719

MRI scan of leg with contrast

$2,412.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$312.56 Standard Charge

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CPT 77067

Mammogram Screening

$352.12 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$374.92 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,109.36 Standard Charge

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CPT 72191

CTA scan of pelvis

$1,988.20 Standard Charge

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CPT 76857

Ultrasound of pelvis

$520.60 Standard Charge

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CPT 76000

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

$572.82 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$153.55 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$2,073.39 Standard Charge

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CPT 70160

X-ray of bones of nose, minimum of 3 views

$202.79 Standard Charge

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CPT 73202

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

$1,724.67 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,650.28 Standard Charge

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CPT 71552

MRI scan of chest with and without contrast

$3,113.86 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$348.08 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$655.74 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$364.53 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$942.99 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$364.79 Standard Charge

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CPT 73223

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

$2,508.56 Standard Charge

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CPT 76010

X-ray of child for foreign body

$281.49 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$345.42 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$322.82 Standard Charge

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CPT 77412

Radiation treatment delivery

$715.25 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$416.36 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$416.36 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$2,973.50 Standard Charge

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CPT 73565

X-ray Both Knees

$416.36 Standard Charge

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CPT 73722

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

$2,297.10 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,544.37 Standard Charge

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CPT 77073

Bone length scanogram

$297.68 Standard Charge

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CPT 70549

MRA scan of neck with and without contrast

$2,883.04 Standard Charge

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CPT 72194

CT scan of pelvis with and without contrast

$2,249.81 Standard Charge

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CPT 70140

X-ray facial bones, 1-2 views

$138.70 Standard Charge

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CPT 73700

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

$1,376.45 Standard Charge

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CPT 70336

MRI scan of the jaw joint

$2,114.36 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$832.99 Standard Charge

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CPT 75561

Cardiac MRI

$1,010.80 Standard Charge

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CPT 74430

X-ray, bladder (cystogram), 3 or more views

$447.83 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$312.56 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$1,479.33 Standard Charge

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CPT 78815

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

$4,414.62 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$248.07 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$468.74 Standard Charge

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CPT 76872

Transrectal ultrasound

$1,107.77 Standard Charge

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CPT 73218

MRI scan of shoulder, arm, or hand without contrast

$2,035.12 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,650.28 Standard Charge

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CPT 73092

X-ray upper extremities for infant

$312.56 Standard Charge

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CPT 73706

CTA scan of hip, knee, ankle, or foot

$1,942.22 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$495.72 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$1,448.55 Standard Charge

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CPT 70551

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

$2,114.36 Standard Charge

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CPT 73050

X-ray shoulder (AC joint)

$364.53 Standard Charge

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CPT 70498

CTA scan of neck

$1,114.27 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$520.60 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$1,167.33 Standard Charge

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CPT 70543

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

$2,844.51 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,783.83 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$2,035.12 Standard Charge

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CPT 76813

Evaluation through measurement of fetal nuchal translucency

$467.56 Standard Charge

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CPT 74450

X-ray, urethra (retrograde urethrogram)

$576.94 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,522.30 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,544.42 Standard Charge

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CPT 73523

X-ray hip and pelvis, 5 or more views

$552.83 Standard Charge

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CPT 73723

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

$2,584.24 Standard Charge

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CPT 74150

CT of abdomen without dye

$1,639.04 Standard Charge

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CPT 76870

Ultrasound, testical

$728.91 Standard Charge

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CPT 74280

X-ray colon, with contrast

$1,249.37 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$781.02 Standard Charge

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CPT 72082

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

$368.55 Standard Charge

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