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MRI with and without Contrast

Has your doctor recommended an MRI with and without contrast or an arthrogram?
This package includes an MRI of the spine or any extremity both with and without contrast. The price includes imaging and profession interpretation.

$1,050.00

Patient Name

DOB (mm/dd/yyyy)

Order Policy

I certify I have an order for this imaging service. If not, please schedule an appointment with our office.

Direct Pay Service

I acknowledge this direct pay service will not be filed with my insurance and cannot be filed at a later date.

Refund Policy

I will not be refunded if services are rendered. However, I acknowledge I will be refunded if my provider does not agree with the plan of care and services are not rendered.

Business Day Delay

If payment made after hours, on the weekend or holiday, your payment may not be posted to your account until the next business day. Please show your emailed receipt at your upcoming appointment.