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All Services Radiology Services

CPT 70450

CT scan, head or brain, without contrast

$721.00 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$186.00 Standard Charge

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CPT 70498

CTA scan of neck

$1,132.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$395.00 Standard Charge

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CPT 77067

Mammogram Screening

$331.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$268.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$268.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$360.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$1,616.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$154.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$311.00 Standard Charge

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CPT 71270

CT scan of chest with and without contrast

$1,370.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$186.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$881.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$248.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$1,059.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$1,579.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$126.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$395.00 Standard Charge

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CPT 73630

X-ray exam of foot

$186.00 Standard Charge

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CPT 70551

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

$1,616.00 Standard Charge

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CPT 72114

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

$257.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$953.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$395.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$395.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$126.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$126.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$186.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$876.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$2,805.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$1,132.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$154.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$318.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$154.00 Standard Charge

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CPT 73523

X-ray hip and pelvis, 5 or more views

$208.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$1,964.00 Standard Charge

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CPT 77066

Mammography of both breasts

$384.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,069.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$247.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$186.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$1,964.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$186.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$154.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$721.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$186.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$1,024.00 Standard Charge

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CPT 73701

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

$1,059.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,158.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$186.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$325.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$137.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$138.00 Standard Charge

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CPT 73700

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

$721.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$1,616.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$155.00 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$186.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$186.00 Standard Charge

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CPT 76870

Ultrasound, testical

$395.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$395.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$154.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$395.00 Standard Charge

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CPT 70491

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

$1,059.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$311.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$186.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$186.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$3,094.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$186.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$186.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,069.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$126.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$155.00 Standard Charge

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CPT 71120

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

$186.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$149.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$154.00 Standard Charge

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CPT 70496

CTA scan of head

$1,132.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$126.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$186.00 Standard Charge

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CPT 70470

CT scan of head without contrast

$1,370.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$2,309.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,069.00 Standard Charge

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