Primary Care Practices

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Service Description	CPT Code	Charge Type	PrimaryCare Practice Price
MRI,LOWER EXTREMITY,ANY JOINT,W/WO CONTRAST PG	73723	Prof	$1208.00
MRI,LOWER EXTREMITY,ANY JOINT,WO CONTRAST PG	73721	Prof	$622.00
MRI,LOWER EXTREMITY,NON-JOINT,W/WO CONTRAST PG	73720	Prof	$1290.00
MRI,LOWER EXTREMITY,NON-JOINT,WO CONTRAST PG	73718	Prof	$931.00
MRI,ORBIT/FACE/NECK,W CONTRAST PG	70542	Prof	$1028.00
MRI,ORBIT/FACE/NECK,W/WO CONTRAST PG	70543	Prof	$1262.00
MRI,ORBIT/FACE/NECK,WO CONTRAST PG	70540	Prof	$144.00
MRI,PELVIS,W CONTRAST,LIMITED PG	72196	Prof	$185.00
MRI,PELVIS,W/WO CONTRAST PG	72197	Prof	$240.00
MRI,PELVIS,WO CONTRAST PG	72195	Prof	$158.00
MRI,SPINAL CANAL/CONTENTS,CERVICAL,W CONTRAST PG	72142	Prof	$191.00
MRI,SPINAL CANAL/CONTENTS,CERVICAL,W/WO CONTRAST PG	72156	Prof	$245.00
MRI,SPINAL CANAL/CONTENTS,CERVICAL,WO CONTRAST PG	72141	Prof	$159.00
MRI,SPINAL CANAL/CONTENTS,LUMBAR,W CONTRAST PG	72149	Prof	$191.00
MRI,SPINAL CANAL/CONTENTS,LUMBAR,W/WO CONTRAST PG	72158	Prof	$246.00
MRI,SPINAL CANAL/CONTENTS,LUMBAR,WO CONTRAST PG	72148	Prof	$160.00
MRI,SPINAL CANAL/CONTENTS,THORACIC,W CONTRAST PG	72147	Prof	$191.00
MRI,SPINAL CANAL/CONTENTS,THORACIC,W/WO CONTRAST PG	72157	Prof	$245.00
MRI,SPINAL CANAL/CONTENTS,THORACIC,WO CONTRAST PG	72146	Prof	$159.00
MRI,UPGER EXTREMITY,JOINT,W CONTRAST PG	73222	Prof	$174.00