JESSICA HICKS· STATESVILLE, NC

Physician group

632 SPRINGDALE RD, STATESVILLE, NC 28677

Procedures offered

954 total

ProcedureMinAvgMax
MRI brain with contrast
CPT 70552 • Imaging
$72$155$238
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$30$64$99
Chest X-ray single view
CPT 71045 • Imaging
$9$14$19
Chest X-ray 2 views
CPT 71046 • Imaging
$10$20$29
CT chest without contrast
CPT 71250 • Imaging
$99$105$108
CT chest with contrast
CPT 71260 • Imaging
$131$131$131
CT chest without then with contrast
CPT 71270 • Imaging
$161$194$227
CT angiography chest
CPT 71275 • Imaging
$93$153$213
CT cervical spine without contrast
CPT 72125 • Imaging
$48$48$48
CT thoracic spine without contrast
CPT 72128 • Imaging
$152$152$152
CT lumbar spine without contrast
CPT 72131 • Imaging
$151$151$151
MRI cervical spine without contrast
CPT 72141 • Imaging
$76$143$199
MRI thoracic spine without contrast
CPT 72146 • Imaging
$144$144$144
MRI lumbar spine without contrast
CPT 72148 • Imaging
$145$150$155
CT pelvis without contrast
CPT 72192 • Imaging
$118$118$118
CT pelvis with contrast
CPT 72193 • Imaging
$181$193$204
X-ray shoulder complete
CPT 73030 • Imaging
$20$27$39
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$55$103$150
X-ray knee 1-2 views
CPT 73560 • Imaging
$7$23$38
X-ray ankle complete
CPT 73610 • Imaging
$12$28$43
MRI lower extremity without contrast
CPT 73718 • Imaging
$262$299$336
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$163$187$210
CT abdomen without contrast
CPT 74150 • Imaging
$72$73$73
CT abdomen with contrast
CPT 74160 • Imaging
$60$60$60
CT abdomen without then with contrast
CPT 74170 • Imaging
$206$206$206
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$111$119$128
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$79$203$278
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$283$341$436
Ultrasound abdominal complete
CPT 76700 • Imaging
$42$87$133
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$100$112$124
Ultrasound transvaginal
CPT 76830 • Imaging
$33$85$136
Ultrasound pelvic complete
CPT 76856 • Imaging
$67$113$158
Diagnostic mammography unilateral
CPT 77065 • Imaging
$39$80$102
Diagnostic mammography bilateral
CPT 77066 • Imaging
$41$82$123
Screening mammography bilateral
CPT 77067 • Imaging
$39$112$192
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$24$24$24
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$69$71$73
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$2$2$2
Basic metabolic panel
CPT 80048 • Laboratory
$4$6$8
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$8$10
Lipid panel
CPT 80061 • Laboratory
$8$11$16
Hepatic function panel
CPT 80076 • Laboratory
$3$5$6
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$2$3
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$3$3$3
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$2$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$12$13$14
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$18$23$28
Creatine kinase (CK) total
CPT 82550 • Laboratory
$1$2$4
Creatinine urine
CPT 82570 • Laboratory
$2$3$4
Ferritin
CPT 82728 • Laboratory
$2$4$6