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All Services Radiology Services

CPT 70553

MRI scan of brain before and after contrast

$4,795.00 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

$4,547.00 Standard Charge

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CPT 70450

CT scan head or brain without dye

$1,664.00 Standard Charge

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CPT 72157

MRI of chest and spine with and without dye

$2,363.00 Standard Charge

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CPT 76856

Complete ultrasound of the pelvis

$1,294.00 Standard Charge

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CPT 72040

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

$556.00 Standard Charge

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CPT 73650

Radiologic examination of the heel

$465.00 Standard Charge

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CPT 72158

MRI of lower back with and without dye

$4,570.00 Standard Charge

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CPT 74160

CT of abdomen with dye

$3,176.00 Standard Charge

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CPT 76857

Limited ultrasound of the pelvis

$394.00 Standard Charge

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CPT 72131

CT scan of lower spine without dye

$1,986.00 Standard Charge

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CPT 71045

Single view X-Ray, Chest

$335.00 Standard Charge

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CPT 72146

MRI of chest and spine without dye

$2,990.00 Standard Charge

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CPT 70486

CT Scan of the face and jaw without dye

$1,968.00 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

$2,996.00 Standard Charge

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CPT 76817

Transvaginal ultrasound of uterus

$718.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$845.00 Standard Charge

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CPT 72192

CT of pelvis without dye

$1,958.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$120.00 Standard Charge

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CPT 71275

Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest

$4,176.00 Standard Charge

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CPT 71046

2 views, front and back

$465.00 Standard Charge

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CPT 76830

Ultrasound of the pelvis through vagina

$839.00 Standard Charge

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CPT 76536

Ultrasound of head and neck

$1,294.00 Standard Charge

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CPT 70551

MRI of brain stem without dye

$3,034.00 Standard Charge

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CPT 76700

Ultrasound of abdomen with all areas scanned

$1,478.00 Standard Charge

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CPT 70260

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

$1,110.00 Standard Charge

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CPT 74183

MRI of abdomen without and with dye

$4,880.00 Standard Charge

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CPT 76770

Ultrasound of back wall of the abdomen with all areas viewed

$789.00 Standard Charge

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CPT 77066

Mammography of both breasts

$1,071.00 Standard Charge

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CPT 72072

Radiologic examination of the middle spine, 3 views

$465.00 Standard Charge

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CPT 72170

Radiologic examination of the pelvis

$340.00 Standard Charge

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CPT 76801

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

$1,039.00 Standard Charge

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CPT 72197

MRI of pelvis before and after dye

$4,874.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$386.00 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

$1,478.00 Standard Charge

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CPT 74176

CT of abdomen and pelvis without dye

$4,547.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$1,478.00 Standard Charge

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CPT 71250

CT scan of the thorax without dye

$1,955.00 Standard Charge

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CPT 70544

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

$1,801.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$2,401.00 Standard Charge

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CPT 70491

CT scan of neck with dye

$2,685.00 Standard Charge

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CPT 76642

Limited ultrasound of the breast

$680.00 Standard Charge

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CPT 74022

Serial radiologic examination of the abdomen

$926.00 Standard Charge

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CPT 70150

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

$648.00 Standard Charge

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CPT 72110

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

$845.00 Standard Charge

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CPT 74170

CT of abdomen with and without dye

$3,678.00 Standard Charge

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CPT 76881

Ultrasound Joint Soft Tissue - Complete

$742.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$926.00 Standard Charge

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CPT 72050

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

$1,110.00 Standard Charge

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CPT 71260

CT scan of the thorax with dye

$2,272.00 Standard Charge

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CPT 72100

X-ray of the lower spine 2-3 views

$926.00 Standard Charge

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CPT 74181

MRI of abdomen without dye

$2,923.00 Standard Charge

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CPT 74177

CT scan of abdomen and pelvis with contrast

$4,200.00 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$465.00 Standard Charge

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CPT 77067

Mammography of both breasts-2 or more views

$872.00 Standard Charge

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CPT 72141

MRI of the neck or spine without dye

$2,993.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,895.00 Standard Charge

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CPT 77080

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

$741.00 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

$693.00 Standard Charge

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CPT 72156

MRI of neck/spine with and without dye

$4,579.00 Standard Charge

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CPT 76870

Ultrasound of the scrotum

$1,035.00 Standard Charge

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