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All Services Radiology Services

CPT 70360

X-ray of neck soft tissue

$667.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$1,077.00 Standard Charge

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CPT 70460

CT scan of head with contrast

$6,082.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$9,419.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$12,903.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$546.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$7,799.00 Standard Charge

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CPT 73522

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

$794.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$808.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$1,606.00 Standard Charge

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CPT 74021

X-ray abdomen, 3 or more views

$819.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$1,130.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$695.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$3,586.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$530.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$535.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$3,778.00 Standard Charge

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CPT 76819

Fetal biophysical profile without non-stress test

$543.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$5,916.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$685.00 Standard Charge

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CPT 70498

CTA scan of neck

$8,782.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$463.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$3,907.00 Standard Charge

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CPT 70160

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

$387.00 Standard Charge

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CPT 76000

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

$480.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$624.00 Standard Charge

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CPT 73700

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

$3,266.00 Standard Charge

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CPT 76817

Ultrasound, pregnancy, transvaginal

$303.00 Standard Charge

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CPT 71110

X-ray ribs, bilateral, 3 or more views

$900.00 Standard Charge

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CPT 70150

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

$381.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$768.00 Standard Charge

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CPT 70480

CT scan of eye without contrast

$3,273.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$1,654.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$608.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$594.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$506.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$7,920.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$978.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$486.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$537.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$664.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$618.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$537.00 Standard Charge

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CPT 70496

CTA scan of head

$6,952.00 Standard Charge

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CPT 76604

Ultrasound of chest

$471.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$570.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$4,080.00 Standard Charge

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CPT 72020

X-ray cervical spine, 1 view

$364.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$627.00 Standard Charge

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CPT 74175

CT angiography scan of abdomen

$6,558.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$613.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$7,351.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$817.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$742.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$727.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$739.00 Standard Charge

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CPT 71550

MRI scan of chest without contrast

$4,319.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$3,350.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$4,538.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$712.00 Standard Charge

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CPT 70551

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

$5,026.00 Standard Charge

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CPT 72126

CT scan of cervical spine with contrast

$6,442.00 Standard Charge

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CPT 70110

X-ray of mandible, minimum of 4 views

$341.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$890.00 Standard Charge

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CPT 77066

Mammography of both breasts

$672.00 Standard Charge

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CPT 76818

Fetal biophysical profile with non- stress test

$1,012.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$465.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$1,483.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$1,598.00 Standard Charge

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CPT 74181

MRI scan of abdomen without contrast

$6,566.00 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$507.00 Standard Charge

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CPT 73630

X-ray exam of foot

$608.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$5,138.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$344.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$1,551.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$664.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$535.00 Standard Charge

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CPT 76870

Ultrasound, testical

$1,241.00 Standard Charge

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CPT 76815

Ultrasound, pregnancy

$596.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$732.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$4,075.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$813.00 Standard Charge

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CPT 70491

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

$7,076.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$535.00 Standard Charge

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CPT 77067

Mammogram Screening

$512.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$4,495.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$8,961.00 Standard Charge

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CPT 72080

X-ray thoracic-lumbar spine, 2 views

$336.00 Standard Charge

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CPT 72082

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

$535.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$483.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$5,120.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$6,239.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,788.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$4,150.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$845.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$1,236.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$532.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$2,402.00 Standard Charge

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