DOVE HOUSE CHILDREN'S ADVOCACY CENTER· STATESVILLE, NC
Provider
2407 SIMONTON RD, STATESVILLE, NC 28625
Procedures offered
847 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Biopsy or excision lymph node open deep CPT 38525 • General Surgery | $30 | $30 | $30 |
| Laparoscopic lymphadenectomy pelvic CPT 38571 • General Surgery | $30 | $30 | $30 |
| Laparoscopic fundoplasty CPT 43280 • General Surgery | $30 | $30 | $30 |
| Laparoscopic gastric bypass (Roux-en-Y) CPT 43644 • General Surgery | $1,709 | $1,709 | $1,709 |
| Laparoscopic gastric band placement CPT 43770 • General Surgery | $1,110 | $1,110 | $1,110 |
| Laparoscopic sleeve gastrectomy CPT 43775 • General Surgery | $1,092 | $1,092 | $1,092 |
| Open appendectomy CPT 44950 • General Surgery | $30 | $30 | $30 |
| Laparoscopic appendectomy CPT 44970 • General Surgery | $30 | $30 | $30 |
| Hemorrhoidectomy internal by ligation CPT 46221 • General Surgery | $30 | $30 | $30 |
| Laparoscopic cholecystectomy CPT 47562 • General Surgery | $30 | $30 | $30 |
| Laparoscopic cholecystectomy with cholangiography CPT 47563 • General Surgery | $30 | $30 | $30 |
| Inguinal hernia repair initial CPT 49505 • General Surgery | $30 | $30 | $30 |
| Inguinal hernia repair incarcerated CPT 49507 • General Surgery | $30 | $30 | $30 |
| Laparoscopic inguinal hernia repair initial CPT 49650 • General Surgery | $30 | $30 | $30 |
| Thyroid lobectomy with or without isthmusectomy CPT 60220 • General Surgery | $30 | $362 | $694 |
| Thyroidectomy total or subtotal CPT 60240 • General Surgery | $30 | $321 | $902 |
| Parathyroidectomy CPT 60500 • General Surgery | $30 | $30 | $30 |
| CT head without contrast CPT 70450 • Imaging | $30 | $30 | $30 |
| CT head with contrast CPT 70460 • Imaging | $30 | $30 | $30 |
| CT maxillofacial without contrast CPT 70486 • Imaging | $30 | $30 | $30 |
| CT soft tissue neck with contrast CPT 70491 • Imaging | $30 | $30 | $30 |
| CT angiography neck CPT 70498 • Imaging | $30 | $30 | $30 |
| MRI orbits face neck with and without contrast CPT 70543 • Imaging | $30 | $136 | $348 |
| MRI brain without contrast CPT 70551 • Imaging | $40 | $147 | $200 |
| MRI brain with contrast CPT 70552 • Imaging | $30 | $30 | $30 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $30 | $30 | $30 |
| Chest X-ray single view CPT 71045 • Imaging | $22 | $22 | $23 |
| Chest X-ray 2 views CPT 71046 • Imaging | $9 | $19 | $29 |
| CT chest without contrast CPT 71250 • Imaging | $30 | $99 | $134 |
| CT chest with contrast CPT 71260 • Imaging | $30 | $99 | $168 |
| CT chest without then with contrast CPT 71270 • Imaging | $30 | $30 | $30 |
| CT angiography chest CPT 71275 • Imaging | $255 | $255 | $255 |
| CT cervical spine without contrast CPT 72125 • Imaging | $30 | $30 | $30 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $30 | $30 | $30 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $30 | $30 | $30 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $30 | $140 | $195 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $30 | $140 | $195 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $30 | $30 | $30 |
| CT pelvis with contrast CPT 72193 • Imaging | $30 | $30 | $30 |
| X-ray shoulder complete CPT 73030 • Imaging | $30 | $30 | $30 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $206 | $206 | $206 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $29 | $29 | $30 |
| X-ray ankle complete CPT 73610 • Imaging | $30 | $31 | $32 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $30 | $47 | $64 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $206 | $206 | $206 |
| CT abdomen without contrast CPT 74150 • Imaging | $30 | $103 | $139 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $30 | $30 | $30 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $185 | $185 | $185 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $313 | $313 | $313 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $350 | $350 | $351 |