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All Services Radiology Services

CPT 72132

CT scan of lumbar spine with contrast

$1,505.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$260.00 Standard Charge

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CPT 70498

CTA scan of neck

$2,588.00 Standard Charge

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CPT 71550

MRI scan of chest without contrast

$2,692.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,692.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$315.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$260.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$315.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$194.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,506.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$315.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$475.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$315.00 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$3,779.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$260.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$260.00 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$3,986.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$260.00 Standard Charge

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CPT 73700

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

$1,449.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$315.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$1,505.00 Standard Charge

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CPT 77066

Mammography of both breasts

$599.00 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$315.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$260.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,779.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$260.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,332.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$601.00 Standard Charge

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CPT 70260

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

$441.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$260.00 Standard Charge

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CPT 71110

X-ray ribs, bilateral, 3 or more views

$315.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,381.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$461.00 Standard Charge

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CPT 73223

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

$4,400.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$260.00 Standard Charge

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CPT 76870

Ultrasound, testical

$653.00 Standard Charge

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CPT 70547

MRA scan of neck without contrast

$2,692.00 Standard Charge

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CPT 70551

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

$2,433.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$315.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$315.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$1,128.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$3,882.00 Standard Charge

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CPT 72114

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

$315.00 Standard Charge

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CPT 70470

CT scan of head without contrast

$1,332.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$4,096.00 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$2,278.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$260.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,505.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$1,413.00 Standard Charge

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CPT 70491

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

$1,505.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$260.00 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

$1,180.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$260.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$1,413.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$315.00 Standard Charge

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CPT 70545

MRA scan of head with contrast

$2,226.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$315.00 Standard Charge

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CPT 71111

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

$315.00 Standard Charge

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CPT 73630

X-ray exam of foot

$260.00 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$2,692.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$260.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$315.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$631.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$260.00 Standard Charge

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CPT 70492

CT scan of neck with contrast

$1,595.00 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$315.00 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$3,882.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$260.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$315.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$260.00 Standard Charge

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CPT 70140

X-ray facial bones, 1-2 views

$260.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$315.00 Standard Charge

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CPT 73551

X-ray femur, 1 view

$260.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$260.00 Standard Charge

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CPT 76000

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

$701.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$315.00 Standard Charge

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CPT 70210

X-ray of paranasal sinus, less than 3 views

$260.00 Standard Charge

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CPT 73565

X-ray Both Knees

$260.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$260.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$260.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$1,413.00 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$1,595.00 Standard Charge

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CPT 76604

Ultrasound of chest

$315.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$315.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$315.00 Standard Charge

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CPT 70030

X-ray eye, foreign body

$260.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$315.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$260.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$1,505.00 Standard Charge

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CPT 77067

Mammogram Screening

$463.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,346.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$260.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$502.00 Standard Charge

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CPT 72082

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

$315.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,151.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$260.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$315.00 Standard Charge

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CPT 70480

CT scan of eye without contrast

$340.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$4,063.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$2,588.00 Standard Charge

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CPT 70490

CT scan of neck without contrast

$1,263.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$260.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$1,595.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,151.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$315.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$260.00 Standard Charge

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CPT 70100

X-ray jaw, less than 4 views

$260.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$621.00 Standard Charge

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CPT 70544

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

$2,620.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$315.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$315.00 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$315.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,242.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,239.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$2,240.00 Standard Charge

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CPT 73523

X-ray hip and pelvis, 5 or more views

$596.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$260.00 Standard Charge

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CPT 70481

CT scan of eye with contrast

$605.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$2,278.00 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$4,005.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$260.00 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$2,692.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,413.00 Standard Charge

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CPT 70150

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

$461.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$2,278.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$260.00 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$2,588.00 Standard Charge

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CPT 70496

CTA scan of head

$2,588.00 Standard Charge

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CPT 70543

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

$3,903.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$494.00 Standard Charge

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CPT 70160

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

$260.00 Standard Charge

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CPT 73525

X-ray hip (arthrogram) with dye

CPT 73218

MRI scan of shoulder, arm, or hand without contrast

$3,427.00 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$315.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$260.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$1,505.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$315.00 Standard Charge

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CPT 76010

X-ray of child for foreign body

$260.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$260.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$1,398.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$315.00 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$2,448.00 Standard Charge

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CPT 73701

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

$1,413.00 Standard Charge

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