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All Services Radiology Services

CPT 72156

MRI neck spine without & with contrast material

$3,381.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$708.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$2,141.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$426.00 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$570.00 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$2,103.00 Standard Charge

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CPT 77387

Guidance for localization of target delivery of radiation treatment delivery

$1,074.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$3,442.00 Standard Charge

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CPT 70460

CT scan of head with contrast

$2,173.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$549.00 Standard Charge

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CPT 74300

X-ray bile ducts, with contrast (cholangiogram)

$680.00 Standard Charge

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CPT 70540

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

$1,946.00 Standard Charge

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CPT 74280

X-ray colon, with contrast

$1,195.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,160.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$598.00 Standard Charge

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CPT 77076

X-ray of jaw joints on both sides of the face

$589.00 Standard Charge

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CPT 71550

MRI scan of chest without contrast

$1,946.00 Standard Charge

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CPT 77385

Radiation therapy delivery

$3,038.00 Standard Charge

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CPT 72126

CT scan of cervical spine with contrast

$2,261.00 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$758.00 Standard Charge

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CPT 70470

CT scan of head without contrast

$2,420.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$475.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$3,826.00 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$2,141.00 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$494.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$533.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$476.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$708.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$2,261.00 Standard Charge

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CPT 73706

CTA scan of hip, knee, ankle, or foot

$2,279.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$710.00 Standard Charge

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CPT 72040

X-ray Neck Spine, 2-3 Views

$572.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$609.00 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

$2,256.00 Standard Charge

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CPT 77386

Radiation therapy delivery

$3,210.00 Standard Charge

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CPT 70544

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

$2,334.00 Standard Charge

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CPT 77412

Radiation treatment delivery

$1,151.00 Standard Charge

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CPT 78014

Scan using a radioactive medication (radiopharmaceutical) to take pictures or images of the thyroid gland.

$1,408.00 Standard Charge

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CPT 70490

CT scan of neck without contrast

$1,811.00 Standard Charge

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CPT 76870

Ultrasound, testical

$758.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$758.00 Standard Charge

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CPT 76800

Ultrasound, spinal canal

$708.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$511.00 Standard Charge

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CPT 76000

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

$869.00 Standard Charge

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CPT 70551

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

$2,376.00 Standard Charge

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CPT 70488

CT scan of face without contrast

$1,811.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$411.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$573.00 Standard Charge

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CPT 73630

X-ray exam of foot

$476.00 Standard Charge

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CPT 74270

X-ray colon, with or without contrast

$1,050.00 Standard Charge

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CPT 70481

CT scan of eye with contrast

$1,975.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,173.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$708.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$3,102.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$476.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$2,342.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$758.00 Standard Charge

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CPT 73522

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

$664.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$573.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$749.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$744.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$3,032.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,568.00 Standard Charge

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CPT 70543

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

$3,102.00 Standard Charge

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CPT 73580

X-ray knee (arthrogram) with dye

$2,034.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$441.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$573.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$2,342.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,730.00 Standard Charge

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CPT 74250

X-ray small bowel

$1,116.00 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$476.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$570.00 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$570.00 Standard Charge

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CPT 72127

CT scan of cervical spine with and without contrast

$1,958.00 Standard Charge

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CPT 73592

X-ray lower extremities for infant

$414.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$758.00 Standard Charge

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CPT 77066

Mammography of both breasts

$565.00 Standard Charge

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CPT 72129

CT scan of thoracic spine with contrast

$1,811.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$5,931.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$798.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,539.00 Standard Charge

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CPT 76010

X-ray of child for foreign body

$381.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$573.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$454.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$758.00 Standard Charge

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CPT 70549

MRA scan of neck with and without contrast

$3,381.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$476.00 Standard Charge

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CPT 70496

CTA scan of head

$2,477.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$609.00 Standard Charge

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CPT 70545

MRA scan of head with contrast

$2,279.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,138.00 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$3,381.00 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$708.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$426.00 Standard Charge

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CPT 72020

X-ray cervical spine, 1 view

$414.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$708.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$570.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$476.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$3,806.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$476.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$2,180.00 Standard Charge

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CPT 73206

CTA scan of shoulder, arm, or hand

$2,071.00 Standard Charge

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CPT 73551

X-ray femur, 1 view

$431.00 Standard Charge

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CPT 74230

X-ray, swallowing function study

$856.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$758.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,539.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$476.00 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$518.00 Standard Charge

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CPT 70498

CTA scan of neck

$2,477.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,264.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$581.00 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$963.00 Standard Charge

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CPT 73218

MRI scan of shoulder, arm, or hand without contrast

$1,946.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$1,572.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$591.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$581.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$598.00 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$2,506.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$475.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$758.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$573.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$1,763.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$573.00 Standard Charge

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CPT 70491

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

$1,811.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$485.00 Standard Charge

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CPT 72114

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

$750.00 Standard Charge

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CPT 74240

X-ray upper GI tract

$963.00 Standard Charge

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CPT 73223

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

$3,073.00 Standard Charge

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CPT 71552

MRI scan of chest with and without contrast

$2,820.00 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$3,102.00 Standard Charge

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CPT 71111

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

$744.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$2,477.00 Standard Charge

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CPT 70150

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

$685.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$350.00 Standard Charge

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CPT 73040

X-ray shoulder (arthrogram) with dye

$2,034.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$476.00 Standard Charge

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CPT 70160

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

$633.00 Standard Charge

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CPT 77067

Mammogram Screening

$335.00 Standard Charge

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CPT 74430

X-ray, bladder (cystogram), 3 or more views

$1,214.00 Standard Charge

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CPT 73701

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

$1,958.00 Standard Charge

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CPT 72082

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

$708.00 Standard Charge

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CPT 71120

X-ray chest (sternum), 2 or more views

$518.00 Standard Charge

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CPT 73700

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

$1,730.00 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$2,141.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,763.00 Standard Charge

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CPT 70492

CT scan of neck with contrast

$2,350.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$1,539.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$573.00 Standard Charge

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CPT 73565

X-ray Both Knees

$604.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$1,958.00 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$570.00 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$3,102.00 Standard Charge

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CPT 73222

MRI scan of shoulder, elbow, or hand joints with contrast

$3,391.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$2,141.00 Standard Charge

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CPT 70200

X-ray orbits, 4 or more views

$414.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$583.00 Standard Charge

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CPT 76811

Ultrasound of single fetus

$514.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,350.00 Standard Charge

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CPT 70547

MRA scan of neck without contrast

$2,121.00 Standard Charge

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CPT 72191

CTA scan of pelvis

$2,283.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$476.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,539.00 Standard Charge

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CPT 77047

Magnetic resonance imaging, breasts, without contrast material; bilateral

$1,374.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$573.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$758.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$708.00 Standard Charge

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CPT 76604

Ultrasound of chest

$708.00 Standard Charge

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CPT 73220

MRI scan of shoulder, arm, or hand with and without contrast

$3,102.00 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$2,180.00 Standard Charge

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CPT 70480

CT scan of eye without contrast

$1,600.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$441.00 Standard Charge

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CPT 73723

MRI scan of hip, knee, ankle, or foot joints with and without contrast

$3,381.00 Standard Charge

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CPT 72132

CT scan of lumbar spine with contrast

$2,261.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$631.00 Standard Charge

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CPT 70210

X-ray of paranasal sinus, less than 3 views

$364.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$758.00 Standard Charge

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CPT 70330

X-ray jaw joint, bilateral

$572.00 Standard Charge

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