DOMINIQUEA EDMISTON· STATESVILLE, NC

Physician group

806 PHILLIPS LN, STATESVILLE, NC 28625

Procedures offered

947 total

ProcedureMinAvgMax
CT chest without contrast
CPT 71250 • Imaging
$109$109$109
CT chest with contrast
CPT 71260 • Imaging
$86$86$86
CT chest without then with contrast
CPT 71270 • Imaging
$86$86$86
CT angiography chest
CPT 71275 • Imaging
$51$51$51
CT cervical spine without contrast
CPT 72125 • Imaging
$51$51$51
CT thoracic spine without contrast
CPT 72128 • Imaging
$171$171$171
CT lumbar spine without contrast
CPT 72131 • Imaging
$52$52$52
MRI cervical spine without contrast
CPT 72141 • Imaging
$45$45$45
MRI thoracic spine without contrast
CPT 72146 • Imaging
$425$425$425
MRI lumbar spine without contrast
CPT 72148 • Imaging
$425$425$425
CT pelvis without contrast
CPT 72192 • Imaging
$216$216$216
CT pelvis with contrast
CPT 72193 • Imaging
$264$264$264
X-ray shoulder complete
CPT 73030 • Imaging
$26$26$26
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$249$249$249
X-ray knee 1-2 views
CPT 73560 • Imaging
$45$45$45
X-ray ankle complete
CPT 73610 • Imaging
$12$12$12
MRI lower extremity without contrast
CPT 73718 • Imaging
$425$425$425
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$126$126$126
CT abdomen without contrast
CPT 74150 • Imaging
$33$33$33
CT abdomen with contrast
CPT 74160 • Imaging
$315$315$315
CT abdomen without then with contrast
CPT 74170 • Imaging
$300$300$300
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$67$67$67
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$171$171$171
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$307$307$307
Ultrasound abdominal complete
CPT 76700 • Imaging
$24$24$24
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$22$22$22
Ultrasound transvaginal
CPT 76830 • Imaging
$34$34$34
Ultrasound pelvic complete
CPT 76856 • Imaging
$35$35$35
Diagnostic mammography unilateral
CPT 77065 • Imaging
$42$42$42
Diagnostic mammography bilateral
CPT 77066 • Imaging
$46$46$46
Screening mammography bilateral
CPT 77067 • Imaging
$103$103$103
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$31$31$31
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$50$50$50
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$1$1$1
Basic metabolic panel
CPT 80048 • Laboratory
$6$6$6
Comprehensive metabolic panel
CPT 80053 • Laboratory
$9$9$9
Lipid panel
CPT 80061 • Laboratory
$2$6$10
Hepatic function panel
CPT 80076 • Laboratory
$3$3$3
Urinalysis with microscopy
CPT 81001 • Laboratory
$0$0$0
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$0$0$0
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$1$1
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$5$5$5
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$26$26$26
Creatine kinase (CK) total
CPT 82550 • Laboratory
$3$3$3
Creatinine urine
CPT 82570 • Laboratory
$2$2$2
Ferritin
CPT 82728 • Laboratory
$12$12$12
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$8$8$8
Glucose quantitative blood
CPT 82947 • Laboratory
$3$3$3
Hemoglobin A1c
CPT 83036 • Laboratory
$1$1$1
Iron serum
CPT 83540 • Laboratory
$3$3$3