THERESA MOORE· WINSTON SALEM, NC
Physician group
1615 POLO RD, WINSTON SALEM, NC 27106
Procedures offered
881 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Parathyroidectomy CPT 60500 • General Surgery | $1,030 | $1,030 | $1,030 |
| CT head without contrast CPT 70450 • Imaging | $107 | $107 | $107 |
| CT head with contrast CPT 70460 • Imaging | $150 | $150 | $150 |
| CT maxillofacial without contrast CPT 70486 • Imaging | $129 | $129 | $129 |
| CT soft tissue neck with contrast CPT 70491 • Imaging | $262 | $262 | $262 |
| CT angiography neck CPT 70498 • Imaging | $252 | $252 | $252 |
| MRI orbits face neck with and without contrast CPT 70543 • Imaging | $140 | $244 | $348 |
| MRI brain without contrast CPT 70551 • Imaging | $40 | $339 | $638 |
| MRI brain with contrast CPT 70552 • Imaging | $638 | $638 | $638 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $327 | $401 | $475 |
| Chest X-ray single view CPT 71045 • Imaging | $23 | $25 | $28 |
| Chest X-ray 2 views CPT 71046 • Imaging | $29 | $29 | $29 |
| CT chest without contrast CPT 71250 • Imaging | $188 | $188 | $188 |
| CT chest without then with contrast CPT 71270 • Imaging | $200 | $200 | $200 |
| CT angiography chest CPT 71275 • Imaging | $357 | $357 | $357 |
| CT cervical spine without contrast CPT 72125 • Imaging | $132 | $132 | $132 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $131 | $131 | $131 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $131 | $131 | $131 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $638 | $638 | $638 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $195 | $380 | $565 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $196 | $417 | $638 |
| CT pelvis with contrast CPT 72193 • Imaging | $314 | $314 | $314 |
| X-ray shoulder complete CPT 73030 • Imaging | $30 | $34 | $38 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $206 | $206 | $206 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $23 | $30 | $38 |
| X-ray ankle complete CPT 73610 • Imaging | $41 | $41 | $41 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $64 | $64 | $64 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $638 | $638 | $638 |
| CT abdomen without contrast CPT 74150 • Imaging | $139 | $167 | $194 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $236 | $236 | $236 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $258 | $258 | $258 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $438 | $438 | $439 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $490 | $490 | $491 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $131 | $131 | $131 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $96 | $109 | $121 |
| Ultrasound transvaginal CPT 76830 • Imaging | $134 | $134 | $134 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $110 | $110 | $110 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $176 | $176 | $176 |
| Screening mammography bilateral CPT 77067 • Imaging | $34 | $73 | $112 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $391 | $445 | $499 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $2 |
| Basic metabolic panel CPT 80048 • Laboratory | $7 | $8 | $9 |
| Lipid panel CPT 80061 • Laboratory | $11 | $13 | $16 |
| Hepatic function panel CPT 80076 • Laboratory | $6 | $6 | $7 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $3 | $3 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $4 | $4 | $4 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $18 | $18 | $18 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $7 | $20 | $34 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $5 | $5 |