Service Description CPT Code Charge Type Surgical Practice Price
MRI,LOWER EXTREMITY,ANY JOINT,W/WO CONTRAST PG 73723 Prof $1377.12
MRI,LOWER EXTREMITY,ANY JOINT,WO CONTRAST PG 73721 Prof $709.08
MRI,LOWER EXTREMITY,NON-JOINT,W/WO CONTRAST PG 73720 Prof $1470.60
MRI,LOWER EXTREMITY,NON-JOINT,WO CONTRAST PG 73718 Prof $1061.34
MRI,ORBIT/FACE/NECK,W CONTRAST PG 70542 Prof $1171.92
MRI,ORBIT/FACE/NECK,W/WO CONTRAST PG 70543 Prof $1438.68
MRI,ORBIT/FACE/NECK,WO CONTRAST PG 70540 Prof $164.16
MRI,PELVIS,W CONTRAST,LIMITED PG 72196 Prof $210.90
MRI,PELVIS,W/WO CONTRAST PG 72197 Prof $273.60
MRI,PELVIS,WO CONTRAST PG 72195 Prof $180.12
MRI,SPINAL CANAL/CONTENTS,CERVICAL,W CONTRAST PG 72142 Prof $217.74
MRI,SPINAL CANAL/CONTENTS,CERVICAL,W/WO CONTRAST PG 72156 Prof $279.30
MRI,SPINAL CANAL/CONTENTS,CERVICAL,WO CONTRAST PG 72141 Prof $181.26
MRI,SPINAL CANAL/CONTENTS,LUMBAR,W CONTRAST PG 72149 Prof $217.74
MRI,SPINAL CANAL/CONTENTS,LUMBAR,W/WO CONTRAST PG 72158 Prof $280.44
MRI,SPINAL CANAL/CONTENTS,LUMBAR,WO CONTRAST PG 72148 Prof $182.40
MRI,SPINAL CANAL/CONTENTS,THORACIC,W CONTRAST PG 72147 Prof $217.74
MRI,SPINAL CANAL/CONTENTS,THORACIC,W/WO CONTRAST PG 72157 Prof $279.30
MRI,SPINAL CANAL/CONTENTS,THORACIC,WO CONTRAST PG 72146 Prof $181.26
MRI,UPGER EXTREMITY,JOINT,W CONTRAST PG 73222 Prof $198.36
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