LUIS BETANCOURT· CHARLOTTE, NC

Physician group

1900 RANDOLPH RD STE 800, CHARLOTTE, NC 28207

Procedures offered

868 total

Procedure	Min	Avg	Max
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$184	$184	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$119	$231	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$195	$195	$195
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$126	$153	$179
Annual wellness visit initial HCPCS G0438 • Preventive Care	$130	$144	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$88	$106	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$45	$174	$302
Bronchoscopy with brushing CPT 31623 • Pulmonology	$45	$45	$45
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$30	$63	$95
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$38	$45
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$84	$139
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$312	$795	$1,278
Ventilation assist and management initiation CPT 94002 • Pulmonology	$73	$73	$73
Spirometry CPT 94010 • Pulmonology	$19	$31	$45
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$44	$57
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$45	$45	$45
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$30	$30
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$45	$45	$45
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$10	$10	$10
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$13	$19	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$11	$35	$55
Gas dilution lung volumes CPT 94727 • Pulmonology	$44	$44	$44
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$46	$46
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$24	$26
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$46	$46	$46
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$71	$71	$71
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$110	$137	$165
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$178	$218	$257
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$145	$145	$145
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$62	$62	$63
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,774	$1,774	$1,774
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$24	$32	$41
Radiation physics consultation CPT 77336 • Radiation Therapy	$51	$64	$78
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$733	$915	$1,096
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$717	$841	$964
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$45	$45	$45
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$186	$186	$186
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$69	$87	$104
Proton beam treatment simple CPT 77520 • Radiation Therapy	$416	$482	$548
Proton beam treatment complex CPT 77523 • Radiation Therapy	$638	$803	$968
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$768	$768	$768
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$813	$838	$863
Sleep study unattended CPT 95800 • Sleep Medicine	$109	$116	$124
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$36	$55	$75
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$339	$380	$421
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$395	$545	$631
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$581	$588	$594
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$84	$151	$215