DOMINION DIAGNOSTICS LLC· GREENSBORO, NC

Lab

706 GREEN VALLEY RD, GREENSBORO, NC 27408

Procedures offered

920 total

ProcedureMinAvgMax
MRI lower extremity without contrast
CPT 73718 • Imaging
$86$86$86
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$75$141$206
CT abdomen without contrast
CPT 74150 • Imaging
$29$84$139
CT abdomen without then with contrast
CPT 74170 • Imaging
$236$236$236
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$146$146$146
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$44$179$313
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$133$242$351
Ultrasound abdominal complete
CPT 76700 • Imaging
$20$20$20
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$38$67$96
Ultrasound transvaginal
CPT 76830 • Imaging
$17$17$17
Ultrasound pelvic complete
CPT 76856 • Imaging
$17$17$17
Diagnostic mammography unilateral
CPT 77065 • Imaging
$98$104$110
Diagnostic mammography bilateral
CPT 77066 • Imaging
$82$82$82
Screening mammography bilateral
CPT 77067 • Imaging
$100$106$112
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$39$215$391
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$1$2$2
Basic metabolic panel
CPT 80048 • Laboratory
$4$6$7
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$6$7
Lipid panel
CPT 80061 • Laboratory
$9$10$11
Hepatic function panel
CPT 80076 • Laboratory
$4$5$7
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$2$3
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$1$2$3
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$2$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$10$13
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$20$21
Creatine kinase (CK) total
CPT 82550 • Laboratory
$3$4$5
Creatinine urine
CPT 82570 • Laboratory
$3$3$3
Ferritin
CPT 82728 • Laboratory
$7$9$10
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$6$7
Glucose quantitative blood
CPT 82947 • Laboratory
$2$2$2
Hemoglobin A1c
CPT 83036 • Laboratory
$5$6$7
Iron serum
CPT 83540 • Laboratory
$1$3$5
Iron binding capacity
CPT 83550 • Laboratory
$4$5$6
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$12$13
Free thyroxine (T4)
CPT 84439 • Laboratory
$4$5$5
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$7$10$12
Complete blood count with differential
CPT 85025 • Laboratory
$4$5$6
Complete blood count automated
CPT 85027 • Laboratory
$1$3$5
Prothrombin time (PT)
CPT 85610 • Laboratory
$2$3$3
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$1$2$2
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$4$5
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$8$10
Nuclear antigen antibody
CPT 86235 • Laboratory
$7$10$13
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$3$3
TB skin test intradermal
CPT 86580 • Laboratory
$3$6$8
Blood typing ABO
CPT 86900 • Laboratory
$1$1$1
Blood typing Rh
CPT 86901 • Laboratory
$1$2$2
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$5$6
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$17$23$28
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$17$21$25