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OB/GYN & ABDOMINAL ULTRASOUNDS

Most insurance companies will reimburse the costs for medical diagnostic procedures and apply your payment towards your deductible. Contact your insurance provider for requirements.

If needed, we can provide you a receipt with documentation of the most common criteria needed for insurance reimbursement including: 

 1. CPT code

 2. ICD-10 code 

 3. Patient name, date of birth 

 4. Ordering provider signature, printed name, credentials and facility contact info

 5. Final report from a board certified radiologist

 6. Itemized statement of charges 

 

Share this form with your provider to be completed or they can provide you with their own.  Once received, we will reach out to get you scheduled. Please contact us if you need assistance with getting the provider to complete the order. 

Pay for your diagnostic
scan over time-

6 months interest free
with CareCredit
special financing. Prequalify 
here. 

No effect to your credit score.

Pay in-full by our other accepted payments:
 

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We also accept: flexible spending account (FSA), health savings account (HSA), health reimbursement account (HRA) cards

Diagnostic Exams

We will confirm your request within 24 hours. DO NOT SHOW UP unless you get a CONFIRMATION EMAIL that your booking was APPROVED. Same day appointments are not always available due to short notice. NO walk-ins.
**Returning customers never pay full priced ultrasounds. Discount automatically applied in office during appointment. 

Krystal Klear Imaging LLC © 2025

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Daetwyler Plaza          

13420 Reese Blvd. W.

Huntersville NC 28078

 
Phone: 980-600-BABY (2229) 
Email: Krystal@KlearImaging.com
Fax: 980-206-1603
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