SARA JABLONSKI· BURGAW, NC

Physician group

803 S WALKER ST, BURGAW, NC 28425

Procedures offered

880 total

ProcedureMinAvgMax
Zoster vaccine recombinant adjuvanted
CPT 90750 • Preventive Care
$37$37$37
Preventive visit new patient infant
CPT 99381 • Preventive Care
$106$106$106
Preventive visit new patient age 1-4
CPT 99382 • Preventive Care
$111$111$111
Preventive visit new patient age 5-11
CPT 99383 • Preventive Care
$115$115$116
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$113$113$113
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$127$127$127
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$115$131$148
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$159$159$159
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$102$102$102
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$102$102$102
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$71$82$92
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$93$93$93
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$80$92$103
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$99$115$131
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$5$22$38
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$54$119$184
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$180$217$254
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$180$180$180
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$163$163$163
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$163$163$163
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$127$127$127
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$30$30$30
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$30$30$30
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$98$115$131
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$30$30$30
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$17$17$17
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$1,278$1,278$1,278
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$91$91$91
Spirometry
CPT 94010 • Pulmonology
$30$30$30
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$30$34$37
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$59$59$59
Respiratory flow volume loop
CPT 94375 • Pulmonology
$30$30$30
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$30$90$150
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$10$10$10
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$30$30$30
Plethysmography lung volumes
CPT 94726 • Pulmonology
$52$52$52
Gas dilution lung volumes
CPT 94727 • Pulmonology
$21$32$42
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$47$47$47
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$13$19$25
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$69$69$69
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$164$164$165
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$51$154$257
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$457$457$457
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$31$47$63
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$1,747$1,747$1,747
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$24$24$24
Radiation physics consultation
CPT 77336 • Radiation Therapy
$77$77$78
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,058$1,058$1,059
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$964$964$964
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$172$172$172