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All Services Radiology Services

CPT 76830

Ultrasound, transvaginal

$758.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$763.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$758.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$440.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$145.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,555.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$325.00 Standard Charge

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CPT 74250

X-ray small bowel

$925.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$576.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$307.00 Standard Charge

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CPT 77067

Mammogram Screening

$464.00 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$524.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$440.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,470.00 Standard Charge

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CPT 76000

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

$794.00 Standard Charge

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CPT 73701

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

$1,869.00 Standard Charge

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CPT 73630

X-ray exam of foot

$440.00 Standard Charge

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CPT 72081

X-ray entire spine (scoliosis evaluation), 1 view

$461.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$758.00 Standard Charge

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CPT 70496

CTA scan of head

$1,791.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$591.00 Standard Charge

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CPT 73700

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

$1,651.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$415.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$578.00 Standard Charge

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CPT 72082

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

$545.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,244.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,728.00 Standard Charge

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CPT 76010

X-ray of child for foreign body

$461.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$363.00 Standard Charge

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CPT 76831

A diagnostic procedure that allows a provider to see the uterus

$968.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$230.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,332.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$487.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$2,730.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$859.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$525.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$515.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$376.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$2,739.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$438.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,470.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$440.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$580.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$406.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$525.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$758.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$443.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$565.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$4,657.00 Standard Charge

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CPT 70491

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

$2,164.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$440.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$874.00 Standard Charge

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CPT 70481

CT scan of eye with contrast

$2,074.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$1,120.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$525.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$669.00 Standard Charge

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CPT 76811

Ultrasound of single fetus

$1,111.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$385.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$2,065.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$611.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$758.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$635.00 Standard Charge

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CPT 76870

Ultrasound, testical

$758.00 Standard Charge

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CPT 70260

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

$625.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$327.00 Standard Charge

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CPT 71111

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

$667.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$3,675.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,610.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$416.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,601.00 Standard Charge

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CPT 70200

X-ray orbits, 4 or more views

$488.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$525.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$708.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$431.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$525.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$758.00 Standard Charge

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CPT 70498

CTA scan of neck

$1,767.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$1,741.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$367.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$573.00 Standard Charge

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CPT 77066

Mammography of both breasts

$802.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$386.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$761.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$430.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$708.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$932.00 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$454.00 Standard Charge

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CPT 70470

CT scan of head without contrast

$2,118.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,103.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$75.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,518.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$280.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$525.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$758.00 Standard Charge

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CPT 70480

CT scan of eye without contrast

$1,528.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$481.00 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$758.00 Standard Charge

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CPT 70330

X-ray jaw joint, bilateral

$461.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

N/A

CPT 72148

MRI scan of lower spinal canal

N/A