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All Services Radiology Services

CPT 76830

Ultrasound of the pelvis through vagina

$407.00 Standard Charge

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CPT 73130

Radiologic examination, hand; minimum of 3 views

$270.00 Standard Charge

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CPT 72125

Computed tomography, cervical spine; without contrast material

$1,611.00 Standard Charge

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CPT 73110

Radiologic examination, wrist; complete, minimum of 3 views

$270.00 Standard Charge

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CPT 72141

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material

$2,375.00 Standard Charge

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CPT 71260

Computed tomography, thorax, diagnostic; with contrast material(s)

$1,988.00 Standard Charge

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CPT 73564

Radiologic examination, knee; complete, 4 or more views

$783.00 Standard Charge

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CPT 71045

Radiologic examination, chest; single view

$234.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,966.00 Standard Charge

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CPT 76770

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete

$519.00 Standard Charge

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CPT 74018

Radiologic examination, abdomen; 1 view

$233.00 Standard Charge

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CPT 73140

Radiologic examination, finger(s), minimum of 2 views

$218.00 Standard Charge

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CPT 73502

Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views

$256.00 Standard Charge

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CPT 73610

Radiologic examination, ankle; complete, minimum of 3 views

$276.00 Standard Charge

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CPT 73630

Radiologic examination, foot; complete, minimum of 3 views

$270.00 Standard Charge

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CPT 70551

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

$2,321.00 Standard Charge

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CPT 72110

X-ray of lower and sacral spine, minimum of 4 views

$454.00 Standard Charge

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CPT 76817

Ultrasound, pregnant uterus, real time with image documentation, transvaginal

$328.00 Standard Charge

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CPT 76870

Ultrasound, scrotum and contents

$425.00 Standard Charge

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CPT 71101

Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views

$355.00 Standard Charge

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CPT 76942

Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation

$1,194.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,450.00 Standard Charge

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CPT 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

$2,184.00 Standard Charge

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CPT 72020

Radiologic examination, spine, single view, specify level

$246.00 Standard Charge

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CPT 74183

Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences

$3,320.00 Standard Charge

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CPT 76700

Ultrasound of abdomen with all areas scanned

$563.00 Standard Charge

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CPT 73030

Radiologic examination, shoulder; complete, minimum of 2 views

$641.00 Standard Charge

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CPT 74177

CT scan of abdomen and pelvis with contrast

$3,025.00 Standard Charge

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CPT 70498

Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing

$2,167.00 Standard Charge

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CPT 76705

Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

$318.00 Standard Charge

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CPT 71046

Radiologic examination, chest; 2 views

$300.00 Standard Charge

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CPT 71250

Computed tomography, thorax, diagnostic; without contrast material

$1,507.00 Standard Charge

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CPT 72148

MRI scan of lower spinal canal

$2,375.00 Standard Charge

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CPT 73080

Radiologic examination, elbow; complete, minimum of 3 views

$276.00 Standard Charge

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CPT 73721

MRI of lower extremity joint (knee/ankle) without dye

$2,276.00 Standard Charge

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CPT 72050

Radiologic examination, spine, cervical; 4 or 5 views

$437.00 Standard Charge

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CPT 76642

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited

$491.00 Standard Charge

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CPT 72040

Radiologic examination, spine, cervical; 2 or 3 views

$300.00 Standard Charge

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CPT 73221

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)

$2,249.00 Standard Charge

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CPT 73590

Radiologic examination; tibia and fibula, 2 views

$260.00 Standard Charge

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CPT 74022

Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest

$442.00 Standard Charge

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CPT 70450

CT scan head or brain without dye

$1,432.00 Standard Charge

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CPT 76819

Fetal biophysical profile; without non-stress testing

$635.00 Standard Charge

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CPT 70486

Computed tomography, maxillofacial area; without contrast material

$1,436.00 Standard Charge

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CPT 74176

Computed tomography, abdomen and pelvis; without contrast material

$2,376.00 Standard Charge

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CPT 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

$307.00 Standard Charge

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CPT 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

$2,283.00 Standard Charge

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CPT 71271

Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)

$464.00 Standard Charge

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CPT 76856

Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

$504.00 Standard Charge

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CPT 76536

Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation

$397.00 Standard Charge

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CPT 73560

Radiologic examination, knee; 1 or 2 views

$239.00 Standard Charge

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CPT 73562

Radiologic examination, knee; 3 views

$306.00 Standard Charge

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CPT 72131

Computed tomography, lumbar spine; without contrast material

$1,616.00 Standard Charge

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