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Cost Estimator
San Juan Hospital
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Imaging
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Select a service.
You may need to get a specific service code from your provider.
Code
Description
SCREENING MAMMOGRAPHY, PRODUCING DIRECT DIGITAL IMAGE, BILAT
TTE w or w/o contr, cont ECG
US Echo 2D Complete
70100
XR Mandible Partial Less Than 4 Views
70110
XR Mandible Complete Minimum 4 Views
70130
XR Mastoids Complete
70140
XR Facial Bones < 3 Views
70150
XR Facial Bones Minimum 3 Views
70160
XR Nasal Bones Minimum 3 Views
70190
XR Optic Foramina Right
70210
XR Sinuses Paranasal < 3 Views
70250
XR Skull < 4 Views
70328
XR TMJ Open and Closed Left
70328
XR TMJ Open and Closed Right
70336
MRI TMJ
70360
XR NECK SOFT TISSUE
70360
XR NECK SOFT TISSUE
70450
CT Head or Brain w/o Contrast
70460
CT Head or Brain w/ Contrast
70470
CT Head or Brain w/ + w/o Contrast
70480
CT orbit, sella, temporal bones and/or posterior fossa w/o c
70481
CT orbit, sella, temporal bones and/or posterior fossa w/con
70482
CT orbit, sella, or posterior fossa w & w/o contrast
70486
Computed tomography, maxillofacial area; without contrast ma
70486
CT Maxillofacial w/o Contrast
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