
DIAGNOSTIC ULTRASOUND
SERVICES

COMING SOON
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• Expanded diagnostic services to include additional Obstetric, Fertility, and Vascular Ultrasounds and additional preventive wellness options including vascular screening.
For Referring Providers We make collaboration seamless. Note: A physician referral/order is required for all diagnostic exams. Breast wellness screening is the only service currently available without a referral.
Breast Screening / Complete
76641
Unilateral; no referral needed for wellness screening
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Breast Diagnostic (Unilateral)
76642
Limited/targeted; referral required
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Breast Diagnostic (Bilateral)
76642-50
Bilateral with modifier 50 (or RT/LT); referral required
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Thyroid / Soft Tissue Neck
76536
Referral required
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Pelvic (Non-OB, Transabdominal)
76856 / 76857
Complete or limited; referral required
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Limited Abdomen
76705
Referral required
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Renal / Retroperitoneal (Complete)
76770
Referral required
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Prenatal Biophysical Profile (not high risk)
76818 / 76819
Referral required
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Fax: 866-560-2801
