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All Services Radiology Services

CPT 70360

X-ray of neck soft tissue

$248.98 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$339.45 Standard Charge

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CPT 77080

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

$339.45 Standard Charge

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CPT 76514

A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen

$69.63 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$241.73 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$241.73 Standard Charge

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CPT 76857

Ultrasound of pelvis

$339.45 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$241.73 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$241.73 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$1,156.53 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$241.73 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$241.73 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$551.90 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$339.45 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$241.73 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$241.73 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$339.45 Standard Charge

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CPT 73630

X-ray exam of foot

$241.73 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$335.13 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$705.83 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$241.73 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$551.90 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$339.45 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$339.45 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$241.73 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$327.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$339.45 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$241.73 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$327.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$1,156.53 Standard Charge

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CPT 76512

Ultrasound of the eye

$339.45 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$339.45 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$339.45 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$339.45 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$335.13 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$551.90 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$551.90 Standard Charge

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CPT 77066

Mammography of both breasts

$502.90 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$339.45 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$327.00 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$1,156.53 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$241.73 Standard Charge

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CPT 73700

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

$339.45 Standard Charge

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CPT 73522

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

$339.45 Standard Charge

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CPT 77067

Mammogram Screening

$402.90 Standard Charge

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CPT 70487

CT scan of face with contrast

$551.90 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$339.45 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$327.00 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$241.73 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$339.45 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$3,853.15 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$339.45 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$705.83 Standard Charge

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CPT 70498

CTA scan of neck

$551.90 Standard Charge

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CPT 76604

Ultrasound of chest

$339.45 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$327.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$241.73 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$241.73 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$241.73 Standard Charge

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CPT 76000

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

$705.83 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$339.45 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$241.73 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$551.90 Standard Charge

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CPT 70551

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

$705.83 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$1,156.53 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$339.45 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$339.45 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$339.45 Standard Charge

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CPT 70496

CTA scan of head

$551.90 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$339.45 Standard Charge

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CPT 70491

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

$551.90 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$1,156.53 Standard Charge

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CPT 76870

Ultrasound, testical

$339.45 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$705.83 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$241.73 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$241.73 Standard Charge

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CPT 71045

X-ray of chest; Single View

$241.73 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$339.45 Standard Charge

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CPT 72191

CTA scan of pelvis

$551.90 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$339.45 Standard Charge

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CPT 73721

MRI scan of leg joint

$705.83 Standard Charge

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CPT 76881

Ultrasound Joint Soft Tissue - Complete

$339.45 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$399.85 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$241.73 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$551.90 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$241.73 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$248.98 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$160.93 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$339.45 Standard Charge

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CPT 73090

X-ray Forearm, 2 Views

$241.73 Standard Charge

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CPT 78815

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

$4,370.75 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$705.83 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$1,144.39 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$327.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$241.73 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$339.45 Standard Charge

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