ISMA VELEZ-FERNANDEZ· WINSTON SALEM, NC

Physician group

3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$6	$6	$6
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$42	$42	$42
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$136	$136	$136
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$203	$203	$203
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$298	$298	$298
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$412	$412	$412
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$145	$145	$145
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$395	$395	$395
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$60	$60	$60
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$737	$737	$737
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$124	$124	$124
Radiation physics consultation CPT 77336 • Radiation Therapy	$139	$139	$139
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,006	$1,006	$1,006
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$2,367	$2,367	$2,367
IMRT delivery simple CPT 77385 • Radiation Therapy	$594	$594	$594
IMRT delivery complex CPT 77386 • Radiation Therapy	$597	$597	$597
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$343	$343	$343
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$467	$467	$467
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$333	$333	$333
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$183	$183	$183
Proton beam treatment simple CPT 77520 • Radiation Therapy	$1,459	$1,459	$1,459
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,676	$1,676	$1,676
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$1,548	$1,548	$1,548
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$256	$256	$256
Sleep study unattended CPT 95800 • Sleep Medicine	$311	$311	$311
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$72	$72	$72
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$638	$638	$638
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$866	$866	$866
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$912	$912	$912
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$220	$220	$220
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$2,279	$2,279	$2,279
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$75	$75	$75
Laparoscopic partial nephrectomy CPT 50543 • Urology	$2,739	$2,739	$2,739
Laparoscopic radical nephrectomy CPT 50545 • Urology	$2,470	$2,470	$2,470
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,302	$1,302	$1,302
Complex uroflowmetry CPT 51741 • Urology	$13	$13	$13
Post-void residual urine measurement CPT 51798 • Urology	$34	$34	$34
Cystourethroscopy diagnostic CPT 52000 • Urology	$292	$292	$292
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$455	$455	$455
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$533	$533	$533
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$388	$388	$388
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$287	$287	$287
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$724	$724	$724
TURP transurethral resection of prostate CPT 52601 • Urology	$1,555	$1,555	$1,555
Laser vaporization of prostate CPT 52648 • Urology	$3,237	$3,237	$3,237
Circumcision CPT 54150 • Urology	$278	$278	$278
Orchiectomy simple CPT 54520 • Urology	$599	$599	$599
Orchiectomy radical inguinal CPT 54530 • Urology	$926	$926	$926
Vasectomy CPT 55250 • Urology	$688	$688	$688
Prostate biopsy needle or punch CPT 55700 • Urology	$442	$442	$442