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All Services Radiology Services

CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$493.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$604.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$604.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$549.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$564.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$564.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$676.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$604.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$564.00 Standard Charge

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CPT 73630

X-ray exam of foot

$564.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$676.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$604.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$563.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$604.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$564.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$758.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$523.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$505.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$604.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$758.00 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$614.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$564.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$564.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$563.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$604.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$604.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$604.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$564.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$676.00 Standard Charge

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CPT 70210

X-ray of paranasal sinus, less than 3 views

$451.00 Standard Charge

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CPT 73522

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

$726.00 Standard Charge

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CPT 71111

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

$758.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$556.00 Standard Charge

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CPT 70150

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

$749.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$563.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$604.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$604.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$705.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$564.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$708.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

N/A

CPT 70553

MRI scan of brain before and after contrast

N/A

CPT 72148

MRI scan of lower spinal canal

N/A

CPT 72193

CT scan, pelvis, with contrast

N/A

CPT 73721

MRI scan of leg joint

N/A

CPT 74177

CT scan of abdomen and pelvis with contrast

N/A

CPT 76700

Ultrasound of abdomen

N/A

CPT 76805

Abdominal ultrasound of pregnant uterus (≥14 weeks 0 days) single or first fetus

N/A

CPT 76830

Ultrasound pelvis through vagina

N/A

CPT 77065

Mammography of one breast

N/A

CPT 77066

Mammography of both breasts

N/A

CPT 77067

Mammography, screening, bilateral

N/A