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All Services Radiology Services

CPT 76870

Ultrasound of the scrotum

$1,257.16 Standard Charge

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CPT 74150

CT of abdomen without dye

$1,700.00 Standard Charge

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CPT 74183

MRI of abdomen without and with dye

$2,600.00 Standard Charge

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CPT 70544

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

$2,900.00 Standard Charge

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CPT 76000

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

$1,143.15 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$413.21 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

$1,254.94 Standard Charge

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CPT 76536

Ultrasound of head and neck

$1,248.17 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$6,227.55 Standard Charge

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CPT 77066

Mammography of both breasts

$374.00 Standard Charge

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CPT 71046

2 views, front and back

$406.25 Standard Charge

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CPT 71045

Single view X-Ray, Chest

$353.26 Standard Charge

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CPT 72192

CT of pelvis without dye

$1,700.00 Standard Charge

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CPT 77412

Radiation treatment delivery

$1,144.00 Standard Charge

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CPT 70491

CT scan of neck with dye

$1,999.00 Standard Charge

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CPT 72157

MRI of chest and spine with and without dye

$2,600.00 Standard Charge

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CPT 74170

CT of abdomen with and without dye

$2,950.00 Standard Charge

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CPT 72050

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

$627.82 Standard Charge

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CPT 72146

MRI of chest and spine without dye

$1,999.00 Standard Charge

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CPT 72141

MRI of the neck or spine without dye

$1,999.00 Standard Charge

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CPT 70150

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

$609.96 Standard Charge

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CPT 76770

Ultrasound of back wall of the abdomen with all areas viewed

$1,191.86 Standard Charge

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CPT 72040

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

$433.75 Standard Charge

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CPT 74022

Serial radiologic examination of the abdomen

$970.30 Standard Charge

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CPT 71275

Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest

$2,750.00 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

$1,005.39 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$642.76 Standard Charge

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CPT 70450

CT scan head or brain without dye

$1,700.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$1,330.14 Standard Charge

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CPT 70260

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

$807.69 Standard Charge

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CPT 72197

MRI of pelvis before and after dye

$2,600.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$2,600.00 Standard Charge

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CPT 76700

Ultrasound of abdomen with all areas scanned

$1,266.82 Standard Charge

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CPT 74176

CT of abdomen and pelvis without dye

$2,400.00 Standard Charge

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CPT 71111

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

$671.84 Standard Charge

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CPT 76817

Transvaginal ultrasound of uterus

$880.87 Standard Charge

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CPT 74181

MRI of abdomen without dye

$1,999.00 Standard Charge

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CPT 76857

Limited ultrasound of the pelvis

$869.05 Standard Charge

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CPT 76856

Complete ultrasound of the pelvis

$991.42 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

$3,700.00 Standard Charge

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CPT 73620

Radiologic examination, foot; 2 views

$481.56 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$832.00 Standard Charge

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CPT 73565

Radiologic examination of both knees

$415.67 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$957.04 Standard Charge

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CPT 72131

CT scan of lower spine without dye

$1,700.00 Standard Charge

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CPT 74160

CT of abdomen with dye

$1,999.00 Standard Charge

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CPT 72156

MRI of neck/spine with and without dye

$2,600.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$1,018.62 Standard Charge

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CPT 73120

X-ray of the hand with 2 views

$452.17 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$377.40 Standard Charge

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CPT 71250

CT scan of the thorax without dye

$1,700.00 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

$2,231.05 Standard Charge

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CPT 73600

Radiologic examination of the ankle with 2 views

$459.19 Standard Charge

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CPT 72100

X-ray of the lower spine 2-3 views

$599.00 Standard Charge

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CPT 76801

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

$1,005.39 Standard Charge

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CPT 77067

Mammography of both breasts-2 or more views

$263.25 Standard Charge

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CPT 77065

Mammography of one breast

$313.65 Standard Charge

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CPT 72072

Radiologic examination of the middle spine, 3 views

$539.90 Standard Charge

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CPT 76830

Ultrasound of the pelvis through vagina

$884.43 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$684.87 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,999.00 Standard Charge

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CPT 76815

Ultrasound of fetus with limited views

$860.40 Standard Charge

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CPT 74177

CT scan of abdomen and pelvis with contrast

$3,200.00 Standard Charge

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CPT 77080

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

$739.60 Standard Charge

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CPT 72170

Radiologic examination of the pelvis

$497.81 Standard Charge

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CPT 70551

MRI of brain stem without dye

$1,999.00 Standard Charge

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CPT 72158

MRI of lower back with and without dye

$2,600.00 Standard Charge

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CPT 71260

CT scan of the thorax with dye

$1,999.00 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

$1,999.00 Standard Charge

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CPT 72110

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

$825.00 Standard Charge

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CPT 70486

CT Scan of the face and jaw without dye

$1,700.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$833.16 Standard Charge

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