Skip to main content
Login
Cost Estimator
Coulee Medical Center
|
Cash Pricing
|
Imaging
|
Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
MG Breast Tomo 3D Digital Diag Bilateral
MG Breast Tomo 3D Digital Diag Left
MG Breast Tomo 3D Digital Diag Right
70030
XR Foreign Body Localization Eye
70100
XR Mandible Complete 4+ Views
70110
XR Mandible Less Than 4 Views
70140
XR Facial Bones < 3 Views
70150
XR Facial Bones 3+ Views
70160
XR Nasal Bones 3+ Views
70200
XR Orbits Complete
70210
XR Sinuses Paranasal < 3 Views
70220
XR Sinuses Paranasal Complete
70250
XR Skull < 4 Views
70260
XR Skull Complete
70328
XR TMJ Open and Closed Left
70328
XR TMJ Open and Closed Right
70330
XR TMJ Open and Closed Bilateral
70336
MRI TMJ
70360
XR Neck Soft Tissue
70450
CT Head w/o Contrast
70460
CT Head w/ Contrast
70470
CT Head w/ + w/o Contrast
70480
CT Mastoids w/o Contrast
70480
CT Orbits Sella w/o Contrast
70481
CT Mastoids w/ Contrast
Page 1 of 20