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Cost Estimator
Sweetwater Memorial Clinics
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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
71046
XR Chest 2 Views
71100
XR Ribs 2 Views Left
71100
XR Ribs 2 Views Right
71120
XR Sternum 2+ Views
71130
XR Sternoclavicular Joint(s)
72040
XR Spine Cervical 2 or 3 Views
72050
XR Spine Cervical 4 or 5 Views
72070
XR Spine Thoracic 2 Views
72082
XR Spine Scoliosis 2-3 Views
72100
XR Spine Lumbosacral 2 or 3 Views
72110
XR Spine Lumbosacral 4+ Views
72114
XR Spine Lumbosacral w/ Bending 6+ Views
72120
XR Spine Lumbosacral Bending 2-3 Views
72170
XR Pelvis 1 or 2 Views
72190
XR Pelvis Complete 3+ Views
72200
XR Sacroiliac Joints 1 or 2 Views
73000
XR Clavicle Left
73000
XR Clavicle Right
73010
XR Scapula Left
73010
XR Scapula Right
73030
XR Shoulder Complete 2+ Views Left
73030
XR Shoulder Complete 2+ Views Right
73050
XR AC Joints Bilateral
73060
XR Humerus Left
73060
XR Humerus Right
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