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All Services Radiology Services

CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$421.47 Standard Charge

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CPT 77080

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

$754.39 Standard Charge

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CPT 72110

X-ray of lower and sacral spine, minimum of 4 views

$841.50 Standard Charge

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CPT 70150

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

$622.16 Standard Charge

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CPT 73600

Radiologic examination of the ankle with 2 views

$468.37 Standard Charge

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CPT 73090

Radiologic examination of the forearm

$398.48 Standard Charge

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CPT 76700

Ultrasound of abdomen with all areas scanned

$1,292.16 Standard Charge

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CPT 71275

Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest

$2,805.00 Standard Charge

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CPT 77067

Mammography of both breasts-2 or more views

$268.52 Standard Charge

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CPT 74176

CT of abdomen and pelvis without dye

$2,448.00 Standard Charge

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CPT 70544

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

$2,958.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$476.79 Standard Charge

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CPT 73000

Radiologic examination of the collar bone

$417.18 Standard Charge

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CPT 73120

X-ray of the hand with 2 views

$461.21 Standard Charge

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CPT 74170

CT of abdomen with and without dye

$3,009.00 Standard Charge

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CPT 73620

Radiologic examination, foot; 2 views

$491.19 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

$2,275.67 Standard Charge

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CPT 73610

Radiologic examination of the ankle with 3 views

$510.40 Standard Charge

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CPT 76642

Limited ultrasound of the breast

$649.77 Standard Charge

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CPT 71046

2 views, front and back

$414.38 Standard Charge

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CPT 73221

MRI of upper extremity without dye

$2,038.98 Standard Charge

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CPT 73140

Radiologic examination of the finger(s)

$333.58 Standard Charge

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CPT 76815

Ultrasound of fetus with limited views

$877.61 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$1,051.36 Standard Charge

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CPT 74178

Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions

$3,774.00 Standard Charge

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CPT 76881

Ultrasound Joint Soft Tissue - Complete

$840.70 Standard Charge

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CPT 72100

X-ray of the lower spine 2-3 views

$610.98 Standard Charge

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CPT 72040

Radiologic examination of the neck/spine, 2-3 views

$442.43 Standard Charge

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CPT 73564

Radiologic examination of the kne with 4 or more views

$594.86 Standard Charge

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CPT 70486

CT Scan of the face and jaw without dye

$1,734.00 Standard Charge

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CPT 77412

Radiation treatment delivery

$1,166.88 Standard Charge

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CPT 73100

3 or more views

$370.79 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$976.18 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,038.98 Standard Charge

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CPT 76770

Ultrasound of back wall of the abdomen with all areas viewed

$1,215.70 Standard Charge

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CPT 74022

Serial radiologic examination of the abdomen

$989.71 Standard Charge

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CPT 76830

Ultrasound of the pelvis through vagina

$902.12 Standard Charge

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CPT 72131

CT scan of lower spine without dye

$1,734.00 Standard Charge

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CPT 72072

Radiologic examination of the middle spine, 3 views

$550.70 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$655.62 Standard Charge

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CPT 70450

CT scan head or brain without dye

$1,734.00 Standard Charge

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CPT 73110

Up to 3 views

$390.93 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$6,352.10 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$698.57 Standard Charge

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CPT 72158

MRI of lower back with and without dye

$2,652.00 Standard Charge

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CPT 73721

MRI of lower extremity joint (knee/ankle) without dye

$2,038.98 Standard Charge

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CPT 73565

Radiologic examination of both knees

$423.98 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$1,038.99 Standard Charge

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CPT 77066

Mammography of both breasts

$381.48 Standard Charge

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CPT 72170

Radiologic examination of the pelvis

$507.77 Standard Charge

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CPT 73700

CT scan of leg without dye

$1,734.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$1,734.00 Standard Charge

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CPT 72050

Radiologic examination of the neck/spine, 4-5 views

$640.38 Standard Charge

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CPT 76857

Limited ultrasound of the pelvis

$886.43 Standard Charge

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CPT 73070

Radiologic examination, elbow; 2 views

$468.81 Standard Charge

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CPT 73718

MRI of leg without dye

$2,038.98 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$442.43 Standard Charge

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CPT 76000

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

$1,166.01 Standard Charge

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CPT 73560

Radiologic examination of the kne with 1 or 2 views

$458.79 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$2,652.00 Standard Charge

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CPT 73650

Radiologic examination of the heel

$362.07 Standard Charge

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CPT 74177

CT scan of abdomen and pelvis with contrast

$3,264.00 Standard Charge

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CPT 77065

Mammography of one breast

$319.92 Standard Charge

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CPT 76705

A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen

$1,280.04 Standard Charge

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CPT 74181

MRI of abdomen without dye

$2,038.98 Standard Charge

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CPT 71260

CT scan of the thorax with dye

$2,038.98 Standard Charge

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CPT 72197

MRI of pelvis before and after dye

$2,652.00 Standard Charge

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CPT 71111

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

$685.28 Standard Charge

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CPT 74183

MRI of abdomen without and with dye

$2,652.00 Standard Charge

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CPT 73660

Radiologic examination of the toe(s)

$284.07 Standard Charge

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CPT 76801

Abdominal ultrasound of pregnant uterus (less than 14 weeks) single or first fetus

$1,025.50 Standard Charge

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CPT 72157

MRI of chest and spine with and without dye

$2,652.00 Standard Charge

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CPT 72146

MRI of chest and spine without dye

$2,038.98 Standard Charge

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CPT 70260

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

$823.84 Standard Charge

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CPT 73030

Radiologic examination of the shoulder

$519.75 Standard Charge

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CPT 76817

Transvaginal ultrasound of uterus

$898.49 Standard Charge

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CPT 76882

Diagnostic ultrasound of an extremity excluding the bone, joints or vessels

$704.31 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

$2,038.98 Standard Charge

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CPT 76536

Ultrasound of head and neck

$1,193.19 Standard Charge

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CPT 73130

X-ray of the hand with 3 or more views

$449.48 Standard Charge

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CPT 70551

MRI of brain stem without dye

$2,038.98 Standard Charge

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CPT 73590

Radiologic examination of the lower leg

$415.42 Standard Charge

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CPT 70491

CT scan of neck with dye

$2,038.98 Standard Charge

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CPT 73630

Radiologic examination of the foot with 3 or more views

$512.45 Standard Charge

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CPT 72141

MRI of the neck or spine without dye

$2,038.98 Standard Charge

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CPT 76870

Ultrasound of the scrotum

$1,282.30 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$848.64 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus

$1,025.50 Standard Charge

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CPT 71045

Single view X-Ray, Chest

$360.33 Standard Charge

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CPT 71250

CT scan of the thorax without dye

$1,734.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$479.68 Standard Charge

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CPT 73080

Radiologic examination, elbow; 3 or more views

$507.77 Standard Charge

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CPT 74160

CT of abdomen with dye

$2,038.98 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$384.95 Standard Charge

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CPT 76856

Complete ultrasound of the pelvis

$1,011.25 Standard Charge

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CPT 72156

MRI of neck/spine with and without dye

$2,652.00 Standard Charge

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CPT 73562

Radiologic examination of the kne with 3 views

$544.03 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$849.82 Standard Charge

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CPT 71101

Radiologic examination of one side of the chest/ribs

$743.03 Standard Charge

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CPT 72192

CT of pelvis without dye

$1,734.00 Standard Charge

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