EXAM NAME

COST

CPT/HCPCS CODE

Abdomen, complete $404.00 76700
Abdomen, limited $404.00 76705
Abdominal aorta $404.00 76775
Ankle brachial index (ABI) $211.00 93922
Arterial duplex scan, lower extremity, bilateral $573.00 93925
Arterial duplex scan, lower extremity, unilateral $404.00 93926
Arterial duplex scan, upper extremity, bilateral $573.00 93930
Arterial duplex scan, upper extremity, unilateral $404.00 93931
Arteries, noninvasive physiologic study, lower extremity, bilateral $393.00 93923
Breast, unilateral, complete $270.00 76641
Breast, unilateral, limited $270.00 76642
Common bile duct $404.00 76705
Extremity, nonvascular, complete $404.00 76881
Extremity, nonvascular, limited $270.00 76882
Fetal follow-up, transabdominal approach, per fetus $270.00 76816
Fetal, after first trimester, additional gestation, transabdominal approach $404.00 76810
Fetal, after first trimester, first gestation, transabdominal approach $404.00 76805
Fetal, first trimester, additional gestation, transabdominal approach $404.00 76802
Fetal, first trimester, first gestation, transabdominal approach $404.00 76801
Fetal, limited examination, transabdominal approach $404.00 78615
Fetal, transvaginal $404.00 76817
Gallbladder $404.00 76705
Kidney $404.00 76775
Liver $404.00 76705
Pancreas $404.00 76705
Pelvis, non-obstetric, complete $404.00 76856
Pelvis, non-obstetric, limited $270.00 76857
Scrotum and contents $404.00 76870
Soft tissue head/neck $404.00 76536
Thyroid $404.00 76536
Transvaginal ultrasound, non-obstetric $404.00 76830
Venous duplex scan, lower extremity, bilateral $573.00 93970
Venous duplex scan, lower extremity, unilateral $404.00 93971
Venous duplex scan, upper extremity, bilateral $573.00 93970
Venous duplex scan, upper extremity, unilateral $404.00 93971