PLATTE VALLEY ORAL & MAXILLOFACIAL SURGERY LLC· SCOTTSBLUFF, NC
Provider
416 VALLEY VIEW DRIVE, SCOTTSBLUFF, NC 69361
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT chest with contrast CPT 71260 • Imaging | $45 | $45 | $45 |
| CT chest without then with contrast CPT 71270 • Imaging | $165 | $177 | $190 |
| CT angiography chest CPT 71275 • Imaging | $150 | $150 | $150 |
| CT cervical spine without contrast CPT 72125 • Imaging | $75 | $75 | $75 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $111 | $111 | $111 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $36 | $36 | $36 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $154 | $170 | $185 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $101 | $101 | $101 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $101 | $101 | $101 |
| CT pelvis without contrast CPT 72192 • Imaging | $64 | $64 | $64 |
| CT pelvis with contrast CPT 72193 • Imaging | $172 | $195 | $219 |
| X-ray shoulder complete CPT 73030 • Imaging | $23 | $28 | $32 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $163 | $163 | $163 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $24 | $24 | $24 |
| X-ray ankle complete CPT 73610 • Imaging | $6 | $20 | $34 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $48 | $48 | $48 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $49 | $123 | $197 |
| CT abdomen without contrast CPT 74150 • Imaging | $43 | $43 | $43 |
| CT abdomen with contrast CPT 74160 • Imaging | $46 | $46 | $46 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $148 | $148 | $148 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $80 | $80 | $80 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $233 | $262 | $292 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $261 | $294 | $327 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $58 | $58 | $58 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $26 | $26 | $26 |
| Ultrasound transvaginal CPT 76830 • Imaging | $25 | $25 | $25 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $54 | $54 | $54 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $95 | $107 | $118 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $84 | $84 | $84 |
| Screening mammography bilateral CPT 77067 • Imaging | $70 | $95 | $121 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $28 | $28 | $28 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $57 | $57 | $57 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $2 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $5 | $5 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $6 | $6 |
| Lipid panel CPT 80061 • Laboratory | $8 | $8 | $9 |
| Hepatic function panel CPT 80076 • Laboratory | $5 | $5 | $5 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $2 | $2 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $2 | $2 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $11 | $11 | $11 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $18 | $19 | $20 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $4 | $4 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $3 | $3 |
| Ferritin CPT 82728 • Laboratory | $5 | $6 | $8 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $6 | $6 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $3 | $3 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $6 | $6 |
| Iron serum CPT 83540 • Laboratory | $4 | $4 | $4 |
| Iron binding capacity CPT 83550 • Laboratory | $5 | $6 | $6 |