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All Services Radiology Services

CPT 74018

X-ray abdomen, 1 view

$592.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$1,565.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$675.00 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$1,034.00 Standard Charge

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CPT 70481

CT scan of eye with contrast

$6,674.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$911.00 Standard Charge

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CPT 76604

Ultrasound of chest

$1,736.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$759.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$617.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$169.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$2,000.00 Standard Charge

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CPT 76506

Ultrasound Blood Flow Outside the Brain

$1,859.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$600.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$646.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$7,207.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$1,830.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$5,719.00 Standard Charge

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CPT 76811

Ultrasound of single fetus

$2,154.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$741.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$4,809.00 Standard Charge

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CPT 70551

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

$6,092.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$2,535.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$736.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$2,548.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$1,779.00 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$825.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$2,134.00 Standard Charge

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CPT 77067

Mammogram Screening

$598.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$186.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$1,137.00 Standard Charge

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CPT 72081

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

$751.00 Standard Charge

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CPT 76870

Ultrasound, testical

$2,256.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$461.00 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$1,319.00 Standard Charge

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CPT 72082

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

$1,112.00 Standard Charge

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CPT 73700

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

$4,525.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$778.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$6,129.00 Standard Charge

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CPT 76010

X-ray of child for foreign body

$270.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$796.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$713.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$5,480.00 Standard Charge

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CPT 73630

X-ray exam of foot

$773.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$1,950.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$520.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$2,193.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$778.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$790.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$4,918.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$646.00 Standard Charge

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CPT 76800

Ultrasound, spinal canal

$2,360.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$6,684.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$5,151.00 Standard Charge

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CPT 74240

X-ray upper GI tract

$1,228.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$560.00 Standard Charge

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CPT 76813

Evaluation through measurement of fetal nuchal translucency

$847.00 Standard Charge

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CPT 74270

X-ray colon, with or without contrast

$1,582.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$1,125.00 Standard Charge

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CPT 70160

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

$825.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$875.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$756.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$708.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$1,640.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$1,569.00 Standard Charge

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CPT 70498

CTA scan of neck

$7,722.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$660.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$2,821.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$870.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$4,785.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$615.00 Standard Charge

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CPT 76000

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

$1,349.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$796.00 Standard Charge

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CPT 77066

Mammography of both breasts

$850.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$574.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$620.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$723.00 Standard Charge

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CPT 70480

CT scan of eye without contrast

$5,982.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$2,360.00 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$1,538.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$812.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$518.00 Standard Charge

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CPT 70491

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

$6,175.00 Standard Charge

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CPT 77076

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

$318.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$706.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$6,046.00 Standard Charge

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CPT 73592

X-ray lower extremities for infant

$462.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$7,401.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$713.00 Standard Charge

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