COVENANT EYE CARE, PA· GASTONIA, NC

Physician group

2555 COURT DRIVE, SUITE 150, GASTONIA, NC 28054

Procedures offered

913 total

Procedure	Min	Avg	Max
Auto-added CPT 99496 • General	$244	$244	$244
Breast biopsy with stereotactic guidance CPT 19081 • General Surgery	$230	$230	$230
Excision breast lesion CPT 19120 • General Surgery	$408	$408	$408
Partial mastectomy CPT 19301 • General Surgery	$432	$540	$649
Simple complete mastectomy CPT 19303 • General Surgery	$942	$943	$944
Biopsy or excision lymph node open superficial CPT 38500 • General Surgery	$336	$336	$336
Biopsy or excision lymph node open deep CPT 38525 • General Surgery	$432	$436	$440
Laparoscopic lymphadenectomy pelvic CPT 38571 • General Surgery	$921	$921	$921
Laparoscopic fundoplasty CPT 43280 • General Surgery	$1,146	$1,146	$1,146
Laparoscopic gastric bypass (Roux-en-Y) CPT 43644 • General Surgery	$1,819	$1,819	$1,819
Laparoscopic gastric band placement CPT 43770 • General Surgery	$1,110	$1,135	$1,160
Laparoscopic sleeve gastrectomy CPT 43775 • General Surgery	$1,092	$1,345	$1,599
Open appendectomy CPT 44950 • General Surgery	$673	$673	$673
Laparoscopic appendectomy CPT 44970 • General Surgery	$593	$602	$612
Hemorrhoidectomy internal by ligation CPT 46221 • General Surgery	$184	$184	$184
Laparoscopic cholecystectomy CPT 47562 • General Surgery	$650	$705	$760
Laparoscopic cholecystectomy with cholangiography CPT 47563 • General Surgery	$708	$748	$789
Inguinal hernia repair initial CPT 49505 • General Surgery	$515	$523	$532
Inguinal hernia repair incarcerated CPT 49507 • General Surgery	$658	$658	$658
Laparoscopic inguinal hernia repair initial CPT 49650 • General Surgery	$425	$431	$437
Thyroid lobectomy with or without isthmusectomy CPT 60220 • General Surgery	$823	$823	$823
Thyroidectomy total or subtotal CPT 60240 • General Surgery	$1,061	$1,061	$1,061
Parathyroidectomy CPT 60500 • General Surgery	$1,087	$1,087	$1,087
MRI orbits face neck with and without contrast CPT 70543 • Imaging	$968	$968	$968
MRI brain without contrast CPT 70551 • Imaging	$72	$136	$200
MRI brain with contrast CPT 70552 • Imaging	$518	$518	$518
MRI brain without contrast then with contrast CPT 70553 • Imaging	$326	$654	$983
Chest X-ray single view CPT 71045 • Imaging	$21	$21	$22
Chest X-ray 2 views CPT 71046 • Imaging	$12	$20	$29
CT chest without contrast CPT 71250 • Imaging	$134	$179	$223
CT chest with contrast CPT 71260 • Imaging	$61	$114	$168
CT angiography chest CPT 71275 • Imaging	$255	$398	$541
MRI cervical spine without contrast CPT 72141 • Imaging	$195	$350	$505
MRI thoracic spine without contrast CPT 72146 • Imaging	$541	$541	$541
MRI lumbar spine without contrast CPT 72148 • Imaging	$196	$329	$463
X-ray shoulder complete CPT 73030 • Imaging	$21	$26	$30
MRI joint upper extremity without contrast CPT 73221 • Imaging	$206	$352	$499
X-ray knee 1-2 views CPT 73560 • Imaging	$28	$29	$30
X-ray ankle complete CPT 73610 • Imaging	$29	$31	$32
MRI lower extremity without contrast CPT 73718 • Imaging	$439	$439	$439
MRI joint lower extremity without contrast CPT 73721 • Imaging	$206	$321	$436
CT abdomen without contrast CPT 74150 • Imaging	$58	$58	$58
CT abdomen and pelvis without contrast CPT 74176 • Imaging	$96	$140	$185
CT abdomen and pelvis with contrast CPT 74177 • Imaging	$313	$342	$372
CT abdomen and pelvis without then with contrast CPT 74178 • Imaging	$350	$354	$359
Ultrasound abdominal complete CPT 76700 • Imaging	$81	$92	$103
Ultrasound retroperitoneal complete CPT 76770 • Imaging	$36	$66	$96
Ultrasound transvaginal CPT 76830 • Imaging	$33	$69	$105
Ultrasound pelvic complete CPT 76856 • Imaging	$93	$97	$101
Diagnostic mammography unilateral CPT 77065 • Imaging	$43	$76	$110