INDRANI ACOSTA· WINSTON SALEM, NC
Physician group
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $5 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $11 | $16 |
| Iron serum CPT 83540 • Laboratory | $6 | $8 | $9 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $8 | $12 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $12 | $13 | $15 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $9 | $10 | $12 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $11 | $19 | $28 |
| Complete blood count with differential CPT 85025 • Laboratory | $8 | $9 | $10 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $6 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $5 | $6 | $7 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $3 | $4 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $5 | $6 | $6 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $7 | $12 | $17 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $9 | $9 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $6 | $9 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $10 | $15 |
| Blood typing ABO CPT 86900 • Laboratory | $3 | $3 | $3 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $3 | $4 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $5 | $8 | $11 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $30 | $33 | $35 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $32 | $46 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $55 | $61 | $68 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $14 | $21 | $27 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $11 | $17 | $27 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $45 | $120 | $195 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $45 | $194 | $492 |
| Chorionic villus sampling CPT 59015 • Maternity | $121 | $188 | $256 |
| Fetal non-stress test CPT 59025 • Maternity | $42 | $44 | $48 |
| Insertion cervical dilator CPT 59200 • Maternity | $80 | $80 | $80 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $45 | $2,103 | $4,161 |
| Vaginal delivery only CPT 59409 • Maternity | $1,362 | $1,657 | $1,952 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $45 | $916 | $1,751 |
| External cephalic version CPT 59412 • Maternity | $185 | $217 | $248 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $2,015 | $2,249 | $2,482 |
| Postpartum care only CPT 59430 • Maternity | $369 | $507 | $645 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $4,606 | $5,513 | $6,420 |
| Cesarean delivery only CPT 59514 • Maternity | $1,800 | $2,001 | $2,203 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $2,131 | $2,650 | $3,169 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $45 | $1,486 | $4,369 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $100 | $100 | $100 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $45 | $128 | $211 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $52 | $121 | $190 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $32 | $97 | $163 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $24 | $47 | $86 |
| Interactive complexity add-on CPT 90785 • Mental Health | $15 | $26 | $37 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $119 | $149 | $207 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $157 | $194 | $268 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $68 | $93 | $118 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $71 | $96 | $121 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $68 | $105 | $142 |