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All Services Radiology Services

CPT 73721

MRI scan of leg joint

$195.00 Standard Charge

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CPT 70496

CTA scan of head

$3,137.41 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$436.00 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$2,819.72 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$3,193.48 Standard Charge

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CPT 77066

Mammography of both breasts

$683.99 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$477.71 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,390.61 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$413.60 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$311.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,461.81 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$529.41 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$440.48 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$880.97 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$469.44 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$4,238.37 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,723.47 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$439.45 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$449.79 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$485.98 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$411.27 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$4,077.84 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$459.10 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$597.65 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$164.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$621.43 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$65.76 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$451.86 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$685.54 Standard Charge

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CPT 76000

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

$459.10 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$459.10 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$596.62 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$3,083.39 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$663.86 Standard Charge

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CPT 76857

Ultrasound of pelvis

$638.24 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$248.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,697.83 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$2,055.59 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$779.64 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$359.45 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$3,284.24 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$562.75 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$3,156.80 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$4,680.92 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$4,472.05 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$473.57 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$440.48 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$4,490.66 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$362.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$597.38 Standard Charge

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CPT 77080

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

$738.28 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$656.59 Standard Charge

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CPT 73701

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

$167.00 Standard Charge

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CPT 73090

X-ray Forearm, 2 Views

$440.48 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$440.48 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$453.93 Standard Charge

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CPT 76872

Transrectal ultrasound

$411.40 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$764.13 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$1.00 Standard Charge

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CPT 73522

X-ray Both Hips and Pelvis, 3-4 Views

$578.01 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$497.35 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$2,156.92 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$3,222.98 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$557.33 Standard Charge

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CPT 70030

X-ray eye, foreign body

$440.48 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$259.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,020.44 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$718.63 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$3,137.16 Standard Charge

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CPT 70549

MRA scan of neck with and without contrast

$4,720.21 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$446.69 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$311.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$694.67 Standard Charge

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CPT 76870

Ultrasound, testical

$1,009.44 Standard Charge

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CPT 73630

X-ray exam of foot

$513.90 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$899.58 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$440.48 Standard Charge

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CPT 70491

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

$2,260.32 Standard Charge

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CPT 73700

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

$1,855.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$391.89 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,896.11 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$426.01 Standard Charge

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CPT 70551

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

$3,245.73 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,556.05 Standard Charge

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CPT 77067

Mammogram Screening

$523.20 Standard Charge

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CPT 71045

X-ray of chest; Single View

$341.22 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$643.71 Standard Charge

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CPT 73218

MRI scan of shoulder, arm, or hand without contrast

$2,742.17 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$606.96 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$4,237.33 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,927.01 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,985.28 Standard Charge

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CPT 70546

MRA scan of head with and without contrast

$3,312.94 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$514.93 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$493.19 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$4,586.31 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,273.64 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$432.21 Standard Charge

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CPT 70498

CTA scan of neck

$2,939.66 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$779.64 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,040.08 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$3,383.51 Standard Charge

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