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Cost Estimator
Monticello Clinic
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Cash Pricing
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Imaging
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
Echocardiogram - Rad
Echocardiogram - Rad
MA Mammo Screening Implants
MA Mammogram Routine Screening Right.
MA Routine Screening Mammography Medicar
US Echo 2D Complete
US Echo Exercise Stress
70100
XR Mandible Partial Less Than 4 Views
70110
XR Mandible Complete Minimum 4 Views
70130
XR Mastoids Complete Right
70140
XR Facial Bones < 3 Views
70150
XR Facial Bones Minimum 3 Views
70190
XR Optic Foramina Right
70250
XR Skull < 4 Views
70260
XR Skull Complete
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
70470
CT Head or Brain w/ + w/o Contrast
70480
CT Orbit Sella etc. w/o Contrast
70481
CT Orbit Sella etc. w/ Contrast
70482
CT Orbit Sella etc. w/ + w/o Contrast
70486
CT Maxillofacial w/o Contrast
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