CT SCAN
SERVICE CHARGE CODE	SERVICE DESCRIPTION	SERVICE CHARGE PRICE
2000000	CT-CYST ASPIRATION	504.82
2000043	CT-MAXILLO/FACIAL, WITH CONTRAST	265.11
2000071	CT-AORTA, CONTRAST	533.27
2000086	CT-LOWER EXTREMITY	482.94
2000091	CT-LUMBAR SPINE	523.74
2000093	CT-LOWER EXTREMITY, W/ CONTRAST	539.63
2000106	CT-MAXILLO/FACIAL, W/O CONTRAST	205.20
2000138	CT-NECK, SOFT TISSUE	230.29
2000140	CT-THORACIC SPINE	523.74
2000144	CT-NECK, SOFT TISSUE, CONTRAST	265.11
2000151	CT-NEEDLE BIOPSY	488.98
2004990	CT-HEAD, COMBINED	820.11
2005005	CT-HEAD, W/O CONTRAST	501.71
2005013	CT-HEAD, W/ CONTRAST	540.31
2005039	CT-ABDOMEN, COMBINED	771.87
2005047	CT-ABDOMEN, W/O CONTRAST	482.42
2005054	CT-ABDOMEN, W/ CONTRAST	530.66
2005153	CT-SPINE, COMBINED	771.87
2005161	CT-CERVICAL SPINE	482.42
2005179	CT-SPINE, W/ CONTRAST	530.66
2005195	CT-PELVIS, COMBINED	771.87
2005203	CT-PELVIS, W/O CONTRAST	482.42
2005211	CT-PELVIS, W/ CONTRAST	530.66
2005237	CT-CHEST, COMBINED	771.87
2005245	CT-CHEST, W/O CONTRAST	482.42
2005252	CT-CHEST, W/ CONTRAST	530.66
2005278	CT-EXTREMITY, COMBINED	771.87
2005286	CT-EXTREMITY, W/O CONTRAST	482.42
2005294	CT-EXTREMITY, W/ CONTRAST	530.66
2005302	CT-EXTREMITY, LIMITED	289.45
2097001	CT-3-D RECONSTRUCTION	459.37
2098001	CT-BONE DENSITY STUDY	173.41