COVENANT EYE CARE, PA· GASTONIA, NC
Physician group
2555 COURT DRIVE, SUITE 150, GASTONIA, NC 28054
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $326 | $652 | $983 |
| Chest X-ray single view CPT 71045 • Imaging | $21 | $22 | $23 |
| Chest X-ray 2 views CPT 71046 • Imaging | $12 | $23 | $29 |
| CT chest without contrast CPT 71250 • Imaging | $134 | $181 | $277 |
| CT chest with contrast CPT 71260 • Imaging | $55 | $86 | $168 |
| CT chest without then with contrast CPT 71270 • Imaging | $200 | $268 | $336 |
| CT angiography chest CPT 71275 • Imaging | $255 | $413 | $541 |
| CT cervical spine without contrast CPT 72125 • Imaging | $277 | $277 | $277 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $56 | $56 | $56 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $56 | $56 | $56 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $195 | $330 | $505 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $195 | $424 | $541 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $72 | $244 | $463 |
| CT pelvis without contrast CPT 72192 • Imaging | $53 | $53 | $53 |
| CT pelvis with contrast CPT 72193 • Imaging | $224 | $269 | $313 |
| X-ray shoulder complete CPT 73030 • Imaging | $21 | $28 | $30 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $206 | $400 | $499 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $20 | $27 | $30 |
| X-ray ankle complete CPT 73610 • Imaging | $6 | $21 | $32 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $435 | $437 | $439 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $30 | $189 | $436 |
| CT abdomen without contrast CPT 74150 • Imaging | $58 | $163 | $268 |
| CT abdomen with contrast CPT 74160 • Imaging | $61 | $61 | $61 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $411 | $411 | $411 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $95 | $140 | $185 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $313 | $336 | $372 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $350 | $375 | $465 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $81 | $99 | $109 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $36 | $79 | $106 |
| Ultrasound transvaginal CPT 76830 • Imaging | $33 | $84 | $105 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $91 | $95 | $101 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $34 | $87 | $140 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $139 | $178 | $255 |
| Screening mammography bilateral CPT 77067 • Imaging | $40 | $116 | $206 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $112 | $112 | $112 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $68 | $348 | $565 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $4 |
| Basic metabolic panel CPT 80048 • Laboratory | $6 | $7 | $9 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $7 | $8 |
| Lipid panel CPT 80061 • Laboratory | $5 | $7 | $9 |
| Hepatic function panel CPT 80076 • Laboratory | $5 | $5 | $6 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $4 | $5 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $3 | $3 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $2 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $12 | $14 | $16 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $5 | $16 | $24 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $5 | $5 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $4 | $5 |
| Ferritin CPT 82728 • Laboratory | $5 | $9 | $11 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $6 | $7 |