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All Services Radiology Services

CPT 76010

X-ray of child for foreign body

$117.60 Standard Charge

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CPT 73223

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

$267.54 Standard Charge

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CPT 70548

MRA scan of neck with contrast

$4,818.45 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$329.70 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$584.85 Standard Charge

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CPT 70540

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

$267.54 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$3,123.75 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$103.74 Standard Charge

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CPT 74230

X-ray, swallowing function study

$30.03 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$374.85 Standard Charge

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CPT 72132

CT scan of lumbar spine with contrast

$3,087.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$488.25 Standard Charge

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CPT 70481

CT scan of eye with contrast

$2,798.25 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$294.00 Standard Charge

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CPT 71552

MRI scan of chest with and without contrast

$267.54 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$382.20 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$518.18 Standard Charge

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CPT 73040

X-ray shoulder (arthrogram) with dye

$30.03 Standard Charge

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CPT 70210

X-ray of paranasal sinus, less than 3 views

$411.60 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$551.25 Standard Charge

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CPT 71110

X-ray ribs, bilateral, 3 or more views

$657.30 Standard Charge

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CPT 72114

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

$712.95 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$4,935.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$2,588.25 Standard Charge

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CPT 77073

Bone length scanogram

$207.48 Standard Charge

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CPT 70100

X-ray jaw, less than 4 views

$340.20 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$282.45 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$336.53 Standard Charge

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CPT 73220

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

$267.54 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$573.30 Standard Charge

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CPT 70150

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

$360.15 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$103.74 Standard Charge

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CPT 70551

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

$267.54 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$313.95 Standard Charge

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CPT 70547

MRA scan of neck without contrast

$267.54 Standard Charge

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CPT 76870

Ultrasound, testical

$103.74 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$342.30 Standard Charge

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CPT 74280

X-ray colon, with contrast

$30.03 Standard Charge

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CPT 74174

CTA scan of abdomen

$4,200.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$453.60 Standard Charge

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CPT 70030

X-ray eye, foreign body

$310.80 Standard Charge

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CPT 73723

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

$267.54 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$207.48 Standard Charge

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CPT 74150

CT of abdomen without dye

$2,336.25 Standard Charge

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CPT 73630

X-ray exam of foot

$462.00 Standard Charge

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CPT 74450

X-ray, urethra (retrograde urethrogram)

$673.05 Standard Charge

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CPT 72126

CT scan of cervical spine with contrast

$3,255.00 Standard Charge

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CPT 76604

Ultrasound of chest

$98.80 Standard Charge

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CPT 76000

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

$30.03 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$267.54 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$4,200.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$242.55 Standard Charge

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CPT 72194

CT scan of pelvis with and without contrast

$2,625.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$267.54 Standard Charge

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CPT 72127

CT scan of cervical spine with and without contrast

$2,651.25 Standard Charge

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CPT 73092

X-ray upper extremities for infant

$254.10 Standard Charge

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CPT 70140

X-ray facial bones, 1-2 views

$259.35 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$739.20 Standard Charge

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CPT 72130

CT scan of thoracic spine with and without contrast

$2,966.25 Standard Charge

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CPT 70543

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

$267.54 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$465.15 Standard Charge

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CPT 73706

CTA scan of hip, knee, ankle, or foot

$207.48 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$103.74 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$349.65 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$3,045.00 Standard Charge

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CPT 74430

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

$30.03 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$267.54 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$3,150.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$30.03 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$103.74 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$30.03 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$267.54 Standard Charge

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CPT 71045

X-ray of chest; Single View

$302.40 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$493.50 Standard Charge

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CPT 70330

X-ray jaw joint, bilateral

$302.40 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$141.96 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$267.54 Standard Charge

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CPT 77066

Mammography of both breasts

$218.40 Standard Charge

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CPT 77076

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

$30.03 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$420.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$30.03 Standard Charge

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CPT 73222

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

$267.54 Standard Charge

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CPT 73700

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

$2,093.70 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$30.03 Standard Charge

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CPT 70549

MRA scan of neck with and without contrast

$267.54 Standard Charge

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CPT 73115

X-ray wriste (arthrogram) with dye

$858.90 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$103.74 Standard Charge

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CPT 72082

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

$30.03 Standard Charge

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CPT 71120

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

$362.25 Standard Charge

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CPT 77067

Mammogram Screening

$367.50 Standard Charge

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CPT 72142

MRI scan of cervical spine with contrast

$267.54 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$30.03 Standard Charge

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CPT 71111

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

$606.90 Standard Charge

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CPT 70460

CT scan of head with contrast

$2,388.75 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$580.65 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$267.54 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$103.74 Standard Charge

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CPT 73525

X-ray hip (arthrogram) with dye

$30.03 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$103.74 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$447.30 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$2,258.55 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$383.25 Standard Charge

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CPT 74300

X-ray bile ducts, with contrast (cholangiogram)

$30.03 Standard Charge

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CPT 78014

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

$141.96 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$2,362.50 Standard Charge

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CPT 72195

MRI scan of pelvis without contrast

$267.54 Standard Charge

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CPT 70260

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

$481.95 Standard Charge

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CPT 70480

CT scan of eye without contrast

$2,080.05 Standard Charge

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CPT 74250

X-ray small bowel

$30.03 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$103.74 Standard Charge

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CPT 73719

MRI scan of leg with contrast

$267.54 Standard Charge

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CPT 72149

MRI scan of lumbar spine with contrast

$267.54 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$218.40 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$470.40 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$103.74 Standard Charge

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CPT 72074

X-ray thoracic spine, 4 or more views

$429.45 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$103.74 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,341.50 Standard Charge

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CPT 73580

X-ray knee (arthrogram) with dye

$30.03 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$362.25 Standard Charge

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CPT 74240

X-ray upper GI tract

$30.03 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$508.20 Standard Charge

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CPT 72129

CT scan of thoracic spine with contrast

$2,887.50 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$103.74 Standard Charge

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CPT 70200

X-ray orbits, 4 or more views

$366.45 Standard Charge

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CPT 70487

CT scan of face with contrast

$2,984.10 Standard Charge

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CPT 70130

X-ray of breast bone, minimum of 2 views

$30.03 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$2,486.40 Standard Charge

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CPT 73592

X-ray lower extremities for infant

$106.05 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$577.50 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$267.54 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$357.00 Standard Charge

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CPT 70160

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

$316.05 Standard Charge

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CPT 72133

CT scan of lumbar spine with and without contrast

$2,651.25 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$523.95 Standard Charge

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CPT 70488

CT scan of face without contrast

$3,621.45 Standard Charge

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CPT 72196

MRI scan of pelvis with contrast

$267.54 Standard Charge

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CPT 70336

MRI scan of the jaw joint

$267.54 Standard Charge

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CPT 74182

MRI scan of abdomen with contrast

$3,902.85 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$267.54 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$528.15 Standard Charge

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CPT 73702

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

$2,054.85 Standard Charge

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CPT 71550

MRI scan of chest without contrast

$267.54 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$103.74 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$267.54 Standard Charge

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CPT 78815

Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation

$341.25 Standard Charge

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CPT 70492

CT scan of neck with contrast

$2,467.50 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$103.74 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$103.74 Standard Charge

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CPT 72202

X-ray Sacroiliac Joints, 3 or More Views

$265.65 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$2,903.25 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

$141.96 Standard Charge

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CPT 70542

MRI scan of orbits, face, or soft tissue of the neck with contrast

$3,363.71 Standard Charge

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CPT 73701

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

$2,108.40 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$270.90 Standard Charge

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CPT 70470

CT scan of head without contrast

$2,730.00 Standard Charge

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CPT 70545

MRA scan of head with contrast

$3,789.45 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$431.55 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$103.74 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$2,677.50 Standard Charge

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CPT 70544

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

$267.54 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$2,588.25 Standard Charge

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CPT 72147

MRI scan of thoracic spine with contrast

$3,565.80 Standard Charge

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CPT 70490

CT scan of neck without contrast

$2,021.25 Standard Charge

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CPT 73050

X-ray shoulder (AC joint)

$309.75 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$57.75 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$103.74 Standard Charge

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CPT 73218

MRI scan of shoulder, arm, or hand without contrast

$267.54 Standard Charge

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CPT 70491

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

$2,404.50 Standard Charge

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CPT 76872

Transrectal ultrasound

$103.74 Standard Charge

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CPT 73722

MRI scan of hip, knee, ankle, or foot joints with contrast

$267.54 Standard Charge

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CPT 71130

X-ray chest joints (sternoclavicular), 3 or more views

$30.03 Standard Charge

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CPT 70546

MRA scan of head with and without contrast

$267.54 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$267.54 Standard Charge

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CPT 74270

X-ray colon, with or without contrast

$30.03 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$4,410.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,467.50 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$735.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$509.25 Standard Charge

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CPT 73206

CTA scan of shoulder, arm, or hand

$207.48 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$30.03 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$267.54 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$465.15 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$30.03 Standard Charge

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CPT 71048

X-ray chest, 4 or more views

$420.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,243.85 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$267.54 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$103.74 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,530.50 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$510.30 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$465.15 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$267.54 Standard Charge

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CPT 70496

CTA scan of head

$3,648.75 Standard Charge

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CPT 77080

Scan to measure bone mineral density (BMD) at the spine and hip

$30.03 Standard Charge

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CPT 70498

CTA scan of neck

$3,532.20 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$644.70 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$502.95 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$3,214.58 Standard Charge

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CPT 71047

X-ray chest, 2 views

$439.95 Standard Charge

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CPT 72080

X-ray thoracic-lumbar spine, 2 views

$484.05 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$474.60 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$226.38 Standard Charge

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CPT 73202

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

$207.48 Standard Charge

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CPT 70552

MRI scan of brain with contrast

$3,276.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$267.54 Standard Charge

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