JEANETTE DEFELICE· BURLINGTON, NC

Physician group

1240 HUFFMAN MILL ROAD, BURLINGTON, NC 27215

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$3	$3
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$26	$26	$26
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$65	$115	$165
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$97	$172	$246
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$145	$252	$360
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$167	$379	$592
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$70	$123	$177
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$1,065	$1,077	$1,089
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$52	$57	$62
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,447	$2,390	$3,334
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$127	$182	$237
Radiation physics consultation CPT 77336 • Radiation Therapy	$116	$116	$116
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,136	$1,136	$1,136
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,608	$1,608	$1,608
IMRT delivery simple CPT 77385 • Radiation Therapy	$1,029	$1,029	$1,029
IMRT delivery complex CPT 77386 • Radiation Therapy	$418	$418	$418
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$82	$82	$82
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$91	$91	$91
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$148	$250	$351
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$85	$139	$193
Proton beam treatment simple CPT 77520 • Radiation Therapy	$63	$63	$63
Proton beam treatment complex CPT 77523 • Radiation Therapy	$74	$74	$74
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$157	$1,192	$2,228
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$1,357	$1,846	$2,336
Sleep study unattended CPT 95800 • Sleep Medicine	$205	$205	$205
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$127	$127	$127
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$801	$864	$928
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$991	$1,162	$1,332
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$866	$1,144	$1,422
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$187	$187	$187
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,844	$1,844	$1,844
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$1,071	$1,071	$1,071
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,714	$3,659	$5,604
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,592	$2,359	$3,125
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$62	$566	$1,070
Complex uroflowmetry CPT 51741 • Urology	$19	$46	$73
Post-void residual urine measurement CPT 51798 • Urology	$21	$31	$41
Cystourethroscopy diagnostic CPT 52000 • Urology	$133	$304	$475
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$301	$438	$574
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$354	$513	$672
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$256	$525	$794
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$186	$623	$1,059
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$519	$717	$914
TURP transurethral resection of prostate CPT 52601 • Urology	$839	$1,352	$1,864
Laser vaporization of prostate CPT 52648 • Urology	$4,383	$5,513	$6,643
Circumcision CPT 54150 • Urology	$122	$245	$369
Orchiectomy simple CPT 54520 • Urology	$393	$807	$1,222
Orchiectomy radical inguinal CPT 54530 • Urology	$621	$900	$1,179
Vasectomy CPT 55250 • Urology	$753	$1,078	$1,404
Prostate biopsy needle or punch CPT 55700 • Urology	$347	$347	$347