COVENANT EYE CARE, PA· GASTONIA, NC

Physician group

2555 COURT DRIVE, SUITE 150, GASTONIA, NC 28054

Procedures offered

953 total

Procedure	Min	Avg	Max
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$224	$226	$228
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$1,610	$1,623	$1,636
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$667	$686	$706
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$327	$760	$985
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$594	$599	$604
Excision chalazion single CPT 67800 • Ophthalmology	$130	$131	$132
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$581	$655	$772
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$155	$157	$158
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$21	$28	$35
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$40	$65	$93
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$17	$24	$32
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$43	$45	$47
Visual field examination CPT 92083 • Ophthalmology	$13	$36	$60
Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology	$8	$24	$39
Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology	$13	$27	$41
Fundus photography CPT 92250 • Ophthalmology	$11	$22	$36
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$44	$47	$51
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$53	$60	$64
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$30	$53	$63
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$1,654	$1,920	$2,221
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$1,678	$1,706	$1,734
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$1,801	$2,171	$2,394
Total shoulder replacement CPT 23472 • Orthopedics	$1,620	$1,647	$1,674
Reverse total shoulder replacement CPT 23473 • Orthopedics	$2,065	$2,099	$2,133
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$412	$447	$473
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$30	$208	$301
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$312	$527	$687
Total hip replacement CPT 27130 • Orthopedics	$1,254	$1,462	$1,592
Hip replacement conversion to total CPT 27132 • Orthopedics	$1,808	$1,838	$1,868
Open treatment femoral fracture CPT 27236 • Orthopedics	$1,256	$1,277	$1,298
Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics	$1,246	$1,267	$1,287
Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics	$1,530	$1,555	$1,580
Partial knee replacement medial or lateral CPT 27446 • Orthopedics	$1,209	$1,229	$1,249
Total knee replacement CPT 27447 • Orthopedics	$1,253	$1,426	$1,713
Open treatment tibial shaft fracture CPT 27756 • Orthopedics	$568	$597	$622
Closed treatment distal fibula fracture CPT 27786 • Orthopedics	$318	$323	$328
Bunionectomy with osteotomy CPT 28296 • Orthopedics	$779	$816	$865
Arthroscopy shoulder decompression CPT 29826 • Orthopedics	$169	$452	$747
Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics	$1,045	$1,148	$1,219
Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics	$550	$676	$752
Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics	$529	$593	$700
Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics	$732	$744	$756
Arthroscopy knee ACL repair CPT 29888 • Orthopedics	$956	$1,020	$1,101
Discectomy lumbar single level CPT 63030 • Orthopedics	$1,016	$1,106	$1,195
Laminectomy lumbar single level CPT 63047 • Orthopedics	$1,173	$1,276	$1,379
Carpal tunnel release CPT 64721 • Orthopedics	$433	$464	$535
Sacroiliac joint injection CPT 27096 • Pain Management	$76	$154	$224
Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management	$26	$178	$367
Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management	$114	$124	$134
Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management	$130	$179	$254