DON JABLONSKI DO PA· ETOWAH, NC
Provider
2 ETOWAH SCHOOL ROAD, ETOWAH, NC 28729
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT pelvis with contrast CPT 72193 • Imaging | $224 | $224 | $224 |
| X-ray shoulder complete CPT 73030 • Imaging | $23 | $28 | $30 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $141 | $288 | $517 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $10 | $23 | $29 |
| X-ray ankle complete CPT 73610 • Imaging | $6 | $23 | $32 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $75 | $152 | $229 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $65 | $230 | $442 |
| CT abdomen without contrast CPT 74150 • Imaging | $139 | $190 | $292 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $150 | $173 | $185 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $285 | $306 | $313 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $350 | $386 | $493 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $79 | $95 | $103 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $79 | $90 | $96 |
| Ultrasound transvaginal CPT 76830 • Imaging | $38 | $83 | $105 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $93 | $96 | $100 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $34 | $89 | $110 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $139 | $155 | $186 |
| Screening mammography bilateral CPT 77067 • Imaging | $32 | $91 | $112 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $386 | $389 | $391 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $3 |
| Basic metabolic panel CPT 80048 • Laboratory | $9 | $9 | $9 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $7 | $8 | $8 |
| Lipid panel CPT 80061 • Laboratory | $5 | $9 | $11 |
| Hepatic function panel CPT 80076 • Laboratory | $5 | $5 | $5 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $2 | $3 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $3 | $5 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $1 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $5 | $10 | $13 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $5 | $19 | $24 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $5 | $5 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $4 | $5 |
| Ferritin CPT 82728 • Laboratory | $9 | $10 | $11 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $7 | $7 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $3 | $4 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $7 | $7 |
| Iron serum CPT 83540 • Laboratory | $4 | $5 | $5 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $6 | $7 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $12 | $13 | $14 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $6 | $7 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $5 | $9 | $13 |
| Complete blood count with differential CPT 85025 • Laboratory | $8 | $8 | $8 |
| Complete blood count automated CPT 85027 • Laboratory | $5 | $5 | $5 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $2 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $1 | $3 | $4 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $5 | $8 | $10 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $5 | $11 | $14 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $4 | $5 |
| TB skin test intradermal CPT 86580 • Laboratory | $7 | $7 | $8 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $2 |