TIA FOX· SOUTHERN PINES, NC

Physician group

200 PAVILION WAY, SOUTHERN PINES, NC 28387

Procedures offered

963 total

ProcedureMinAvgMax
CT head without then with contrast
CPT 70470 • Imaging
$45$70$94
CT maxillofacial without contrast
CPT 70486 • Imaging
$85$133$181
CT maxillofacial with contrast
CPT 70487 • Imaging
$45$201$357
CT soft tissue neck with contrast
CPT 70491 • Imaging
$105$228$350
CT angiography neck
CPT 70498 • Imaging
$129$266$403
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$45$222$559
MRI brain without contrast
CPT 70551 • Imaging
$125$242$350
MRI brain with contrast
CPT 70552 • Imaging
$125$283$475
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$45$219$561
Chest X-ray single view
CPT 71045 • Imaging
$14$16$17
Chest X-ray 2 views
CPT 71046 • Imaging
$16$29$48
CT chest without contrast
CPT 71250 • Imaging
$105$207$275
CT chest with contrast
CPT 71260 • Imaging
$114$178$249
CT chest without then with contrast
CPT 71270 • Imaging
$45$73$102
CT angiography chest
CPT 71275 • Imaging
$138$216$413
CT cervical spine without contrast
CPT 72125 • Imaging
$48$163$279
CT thoracic spine without contrast
CPT 72128 • Imaging
$76$137$199
CT lumbar spine without contrast
CPT 72131 • Imaging
$210$241$272
MRI cervical spine without contrast
CPT 72141 • Imaging
$63$183$250
MRI thoracic spine without contrast
CPT 72146 • Imaging
$45$136$237
MRI lumbar spine without contrast
CPT 72148 • Imaging
$237$246$250
CT pelvis without contrast
CPT 72192 • Imaging
$81$107$133
CT pelvis with contrast
CPT 72193 • Imaging
$45$190$335
X-ray shoulder complete
CPT 73030 • Imaging
$15$36$56
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$45$123$260
X-ray knee 1-2 views
CPT 73560 • Imaging
$23$33$55
X-ray ankle complete
CPT 73610 • Imaging
$12$35$48
MRI lower extremity without contrast
CPT 73718 • Imaging
$63$245$421
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$45$91$125
CT abdomen without contrast
CPT 74150 • Imaging
$34$113$171
CT abdomen with contrast
CPT 74160 • Imaging
$248$308$368
CT abdomen without then with contrast
CPT 74170 • Imaging
$104$216$408
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$171$247$310
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$135$347$627
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$171$478$703
Ultrasound abdominal complete
CPT 76700 • Imaging
$82$153$202
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$75$129$154
Ultrasound transvaginal
CPT 76830 • Imaging
$83$151$240
Ultrasound pelvic complete
CPT 76856 • Imaging
$67$130$177
Diagnostic mammography unilateral
CPT 77065 • Imaging
$41$110$190
Diagnostic mammography bilateral
CPT 77066 • Imaging
$175$197$241
Screening mammography bilateral
CPT 77067 • Imaging
$74$165$263
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$14$55$83
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$516$642$858
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$0$9$19
Basic metabolic panel
CPT 80048 • Laboratory
$6$12$19
Comprehensive metabolic panel
CPT 80053 • Laboratory
$2$12$20
Lipid panel
CPT 80061 • Laboratory
$11$22$30
Hepatic function panel
CPT 80076 • Laboratory
$10$14$18
Urinalysis with microscopy
CPT 81001 • Laboratory
$1$3$7