FANOUS CLINIC MEDICAL GROUP PC· CHARLOTTE, NC
Physician group
10926 S TRYON ST STE D, CHARLOTTE, NC 28273
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $3 | $4 |
| Hemoglobin A1c CPT 83036 • Laboratory | $4 | $6 | $7 |
| Iron serum CPT 83540 • Laboratory | $1 | $2 | $4 |
| Iron binding capacity CPT 83550 • Laboratory | $5 | $6 | $7 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $11 | $13 | $14 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $5 | $5 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $2 | $6 | $10 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $5 | $6 |
| Complete blood count automated CPT 85027 • Laboratory | $1 | $3 | $4 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $2 | $3 | $4 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $2 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $4 | $4 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $8 | $10 | $10 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $7 | $11 | $14 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $2 | $4 | $5 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $7 | $9 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $2 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $2 | $2 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $5 | $5 | $5 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $15 | $23 | $28 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $19 | $21 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $28 | $44 | $51 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $13 | $17 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $7 | $11 | $17 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $118 | $118 | $118 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $30 | $115 | $200 |
| Chorionic villus sampling CPT 59015 • Maternity | $153 | $153 | $153 |
| Fetal non-stress test CPT 59025 • Maternity | $18 | $28 | $38 |
| Insertion cervical dilator CPT 59200 • Maternity | $30 | $37 | $44 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $30 | $1,329 | $2,096 |
| Vaginal delivery only CPT 59409 • Maternity | $30 | $494 | $804 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $836 | $935 | $1,034 |
| External cephalic version CPT 59412 • Maternity | $102 | $102 | $102 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $622 | $622 | $622 |
| Postpartum care only CPT 59430 • Maternity | $138 | $177 | $216 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,212 | $2,370 | $2,578 |
| Cesarean delivery only CPT 59514 • Maternity | $906 | $906 | $906 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $30 | $439 | $1,256 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $30 | $1,557 | $2,441 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $50 | $72 | $95 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $50 | $80 | $110 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $78 | $139 | $170 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $27 | $45 | $71 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $37 | $68 | $82 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $8 | $15 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $106 | $158 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $156 | $177 | $191 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $63 | $85 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $59 | $86 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $68 | $108 | $130 |