Fee Schedule for PI Liens

 

MRI (without contrast)                           $2,000.00

 

MRI (with contrast)                                 $2,400.00

 

MRI Arthrogram                                      $2,950.00

 

CT (without contrast)                             $1,500.00

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CT (without contrast and                      $2,000.00
      with 3D Reconstruction)

 

CT (with contrast)                                   $1,900.00

 

CT Myelogram (any region)                  $4,025.00

 

Ultrasound (any region)                        $500.00

 

X-ray (any region)                                   $250.00

 

ESI                                                             $1,585.00

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PET                                                           $5,000.00