CT Fees
The CT Fee Schedule is a guide only, fees may differ from those indicated below.
If your patient will claim from medical insurance, approval from the insurance company must be sought before referral.
Please use the appropriate CT referral form. Hard copies can be obtained from Dunedin Reception.
CT
|
Standard
|
ACC Hi Tech
|
|
Head & Neck CT Brain, single view CT Brain, two views CT Face CT Internal Auditory Meati CT Neck CT Sinuses CT Petrous Bones CT Cerebral Angiography CT Carotid Angiography (neck vessels)
|
$430.00 $590.00 $590.00 $590.00 $590.00 $430.00 $590.00 $925.00 $925.00
|
Free Free Free Free Free Free Free Free Free
|
|
Spine CT Spine, one region (C, T or L) CT Myelogram
|
$700.00 $1,235.00
|
Free Free
|
|
Chest CT Chest, standard CT Pulmonary Angiography CT Chest, Hi Res or non contrast
|
$810.00 $810.00 $645.00
|
Free Free Free
|
|
Abdomen & Pelvis CT Abdomen, +/- Pelvis CT KUB (non contrast) CTU, 2 or 3 phase CT Colonography CT Abdominal Angiography
|
$810.00 $485.00 $810.00 $705.00 $925.00
|
Free Free Free - Free
|
|
Extremity CT Extremity CT Arthrography CT Leg Length CT Peripheral Angiography
|
$705.00 $925.00 $460.00 $925.00
|
Free Free Free Free
|
|
Other CT Additional region CT FNA or Injection CT Drainage
|
$430.00 $1,115.00 $1,555.00
|
Free Free Free
|
Effective 08/04/2013.