JEROME BUTLER· GASTONIA, NC

Imaging center

2525 COURT DR, GASTONIA, NC 28054

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$17	$32
Immunization admin each additional component CPT 90461 • Preventive Care	$5	$16	$27
Immunization admin injection single CPT 90471 • Preventive Care	$10	$21	$32
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$12	$16
HPV vaccine 9-valent CPT 90651 • Preventive Care	$329	$329	$329
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$340	$560
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$10	$110	$214
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$21	$22
MMR vaccine CPT 90707 • Preventive Care	$52	$83	$100
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$44	$50
Varicella vaccine CPT 90716 • Preventive Care	$29	$207	$397
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$20	$136	$254
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$24	$120	$216
Preventive visit new patient infant CPT 99381 • Preventive Care	$106	$143	$216
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$111	$149	$225
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$115	$140	$188
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$130	$176	$266
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$126	$161	$196
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$146	$160	$188
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$159	$185	$212
Preventive visit established patient infant CPT 99391 • Preventive Care	$155	$155	$155
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$73	$114	$166
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$102	$112	$121
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$112	$130	$148
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$114	$173	$232
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$121	$163	$247
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$97	$134	$174
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$39	$57	$93
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$55	$110	$185
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$34	$723	$1,413
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$185	$215	$244
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$168	$219	$322
Annual wellness visit initial HCPCS G0438 • Preventive Care	$167	$201	$269
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$130	$137	$149
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$294	$321	$374
Bronchoscopy with brushing CPT 31623 • Pulmonology	$214	$270	$326
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$303	$398	$493
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$413	$634	$1,074
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$442	$496	$549
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$355	$1,103	$1,477
Ventilation assist and management initiation CPT 94002 • Pulmonology	$94	$107	$120
Spirometry CPT 94010 • Pulmonology	$26	$39	$66
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$38	$51	$76
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$61	$67	$73
Respiratory flow volume loop CPT 94375 • Pulmonology	$38	$67	$96
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$154	$205	$256
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$23	$23	$23
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$17	$19	$21
Plethysmography lung volumes CPT 94726 • Pulmonology	$54	$79	$128
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$37	$56