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All Services Radiology Services

CPT 70450

CT scan, head or brain, without contrast

$2,656.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$1,600.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$3,641.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$6,338.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,761.00 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

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