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All Services Radiology Services

CPT 77067

Mammography of both breasts-2 or more views

$828.00 Standard Charge

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CPT 71250

CT scan of the thorax without dye

$1,950.00 Standard Charge

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CPT 73600

Radiologic examination of the ankle with 2 views

$464.00 Standard Charge

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CPT 70486

CT Scan of the face and jaw without dye

$1,963.00 Standard Charge

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CPT 70450

CT scan head or brain without dye

$302.24 Standard Charge

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CPT 76801

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

$1,036.00 Standard Charge

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CPT 71045

Single view X-Ray, Chest

$334.00 Standard Charge

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CPT 73721

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

$2,481.00 Standard Charge

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CPT 70551

MRI of brain stem without dye

$3,027.00 Standard Charge

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CPT 76770

Ultrasound of back wall of the abdomen with all areas viewed

$828.00 Standard Charge

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CPT 73700

CT scan of leg without dye

$1,918.00 Standard Charge

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CPT 72170

Radiologic examination of the pelvis

$339.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$843.00 Standard Charge

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CPT 72050

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

$1,108.00 Standard Charge

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CPT 76817

Transvaginal ultrasound of uterus

$716.00 Standard Charge

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CPT 76700

Ultrasound of abdomen with all areas scanned

$525.00 Standard Charge

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CPT 71260

CT scan of the thorax with dye

$2,385.00 Standard Charge

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CPT 74176

CT of abdomen and pelvis without dye

$4,535.00 Standard Charge

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CPT 71275

Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest

$4,175.00 Standard Charge

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CPT 72141

MRI of the neck or spine without dye

$2,986.00 Standard Charge

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CPT 70150

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

$680.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$2,363.00 Standard Charge

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CPT 73070

Radiologic examination, elbow; 2 views

$363.00 Standard Charge

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CPT 72146

MRI of chest and spine without dye

$2,983.00 Standard Charge

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CPT 74022

Serial radiologic examination of the abdomen

$923.00 Standard Charge

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CPT 76830

Ultrasound of the pelvis through vagina

$964.00 Standard Charge

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CPT 70491

CT scan of neck with dye

$2,678.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$577.00 Standard Charge

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CPT 72131

CT scan of lower spine without dye

$1,981.00 Standard Charge

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CPT 73140

Radiologic examination of the finger(s)

$494.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$421.00 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

$5,174.00 Standard Charge

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CPT 74160

CT of abdomen with dye

$3,627.00 Standard Charge

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CPT 73120

X-ray of the hand with 2 views

$464.00 Standard Charge

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CPT 73718

MRI of leg without dye

$2,481.00 Standard Charge

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CPT 74183

MRI of abdomen without and with dye

$5,086.00 Standard Charge

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CPT 72040

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

$551.00 Standard Charge

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CPT 72157

MRI of chest and spine with and without dye

$4,617.00 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$464.00 Standard Charge

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CPT 73080

Radiologic examination, elbow; 3 or more views

$555.00 Standard Charge

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CPT 73610

Radiologic examination of the ankle with 3 views

$460.00 Standard Charge

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CPT 72100

X-ray of the lower spine 2-3 views

$918.00 Standard Charge

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CPT 76857

Limited ultrasound of the pelvis

$393.00 Standard Charge

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CPT 73660

Radiologic examination of the toe(s)

$464.00 Standard Charge

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CPT 72156

MRI of neck/spine with and without dye

$4,603.00 Standard Charge

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CPT 70544

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

$1,891.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$170.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$1,474.00 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

$692.00 Standard Charge

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CPT 73000

Radiologic examination of the collar bone

$482.00 Standard Charge

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CPT 76642

Limited ultrasound of the breast

$714.00 Standard Charge

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CPT 72197

MRI of pelvis before and after dye

$5,057.00 Standard Charge

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CPT 73565

Radiologic examination of both knees

$494.00 Standard Charge

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CPT 77065

Mammography of one breast

$861.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$2,395.00 Standard Charge

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CPT 74170

CT of abdomen with and without dye

$4,113.00 Standard Charge

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CPT 74181

MRI of abdomen without dye

$2,916.00 Standard Charge

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CPT 73620

Radiologic examination, foot; 2 views

$464.00 Standard Charge

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CPT 73090

Radiologic examination of the forearm

$464.00 Standard Charge

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CPT 73564

Radiologic examination of the kne with 4 or more views

$48.00 Standard Charge

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CPT 71046

2 views, front and back

$72.00 Standard Charge

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CPT 73630

Radiologic examination of the foot with 3 or more views

$462.00 Standard Charge

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CPT 77080

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

$739.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$464.00 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

$1,474.00 Standard Charge

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CPT 76881

Ultrasound Joint Soft Tissue - Complete

$740.00 Standard Charge

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CPT 73650

Radiologic examination of the heel

$464.00 Standard Charge

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CPT 76870

Ultrasound of the scrotum

$1,011.00 Standard Charge

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CPT 72072

Radiologic examination of the middle spine, 3 views

$460.00 Standard Charge

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CPT 73130

X-ray of the hand with 3 or more views

$462.00 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

$2,989.00 Standard Charge

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CPT 73590

Radiologic examination of the lower leg

$537.00 Standard Charge

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CPT 73221

MRI of upper extremity without dye

$2,481.00 Standard Charge

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CPT 71101

Radiologic examination of one side of the chest/ribs

$464.00 Standard Charge

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CPT 72110

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

$843.00 Standard Charge

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CPT 70260

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

$1,108.00 Standard Charge

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CPT 71111

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

$591.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$854.00 Standard Charge

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CPT 73100

3 or more views

$464.00 Standard Charge

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CPT 72192

CT of pelvis without dye

$1,953.00 Standard Charge

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CPT 73030

Radiologic examination of the shoulder

$555.00 Standard Charge

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CPT 73110

Up to 3 views

$555.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$3,655.00 Standard Charge

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CPT 74177

CT scan of abdomen and pelvis with contrast

$4,585.00 Standard Charge

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CPT 76856

Complete ultrasound of the pelvis

$1,291.00 Standard Charge

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CPT 76536

Ultrasound of head and neck

$938.00 Standard Charge

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CPT 72158

MRI of lower back with and without dye

$4,589.00 Standard Charge

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CPT 73560

Radiologic examination of the kne with 1 or 2 views

$537.00 Standard Charge

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CPT 77066

Mammography of both breasts

$1,069.00 Standard Charge

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