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All Services Radiology Services

CPT 76705

Ultrasound of abdomen, limited

$979.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,429.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$2,242.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$475.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$3,128.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$604.00 Standard Charge

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CPT 77066

Mammography of both breasts

$601.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$295.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$3,999.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$4,891.00 Standard Charge

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CPT 77080

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

$520.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$3,429.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$2,242.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$2,429.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$737.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$2,242.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$402.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$402.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$510.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$2,242.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$807.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$355.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$962.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$1,182.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$402.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$440.00 Standard Charge

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CPT 77386

Radiation therapy delivery

$1,640.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$4,845.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$335.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$4,486.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$777.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$3,429.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$332.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$260.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$82.00 Standard Charge

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CPT 73630

X-ray exam of foot

$402.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$402.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$260.00 Standard Charge

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CPT 77067

Mammogram Screening

$418.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$367.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$740.00 Standard Charge

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