SHAKETHA GRAY· WINSTON SALEM, NC

Physician group

1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101

Procedures offered

953 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$234	$372	$570
Adenoidectomy primary under age 12 CPT 42830 • ENT	$129	$240	$358
Removal impacted cerumen unilateral CPT 69210 • ENT	$35	$72	$109
Tympanostomy tube insertion CPT 69436 • ENT	$142	$293	$376
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$45	$1,180	$1,985
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$928	$1,592	$2,448
Comprehensive audiometry evaluation CPT 92557 • ENT	$30	$42	$50
Incision and drainage abscess simple CPT 10060 • Emergency	$99	$142	$199
Incision and drainage abscess complicated CPT 10061 • Emergency	$224	$280	$351
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$47	$162	$225
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$62	$105	$147
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$58	$93	$126
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$44	$247	$550
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$107	$316	$598
Initial treatment first degree burn CPT 16000 • Emergency	$61	$81	$118
Emergency department visit self-limited problem CPT 99281 • Emergency	$26	$44	$74
Emergency department visit low severity CPT 99282 • Emergency	$44	$64	$86
Emergency department visit moderate severity CPT 99283 • Emergency	$57	$80	$107
Emergency department visit high severity CPT 99284 • Emergency	$147	$192	$279
Emergency department visit highest severity CPT 99285 • Emergency	$161	$216	$300
Critical care first 30-74 minutes CPT 99291 • Emergency	$232	$331	$470
Critical care each additional 30 minutes CPT 99292 • Emergency	$139	$212	$290
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$145	$192	$269
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$156	$345	$594
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$88	$462	$874
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$226	$531	$812
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$196	$445	$903
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$251	$315	$397
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$223	$329	$435
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$215	$367	$551
ERCP diagnostic CPT 43260 • Gastroenterology	$469	$628	$786
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$341	$611	$855
ERCP with removal of stones CPT 43264 • Gastroenterology	$233	$614	$872
ERCP with stent placement CPT 43274 • Gastroenterology	$593	$729	$869
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$198	$317	$379
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$535	$587	$640
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$71	$179	$281
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$236	$382	$528
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$192	$489	$1,018
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$128	$470	$656
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$291	$356	$408
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$325	$598	$760
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$362	$444	$526
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$346	$2,054	$5,359
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$318	$447	$594
Esophageal motility study CPT 91010 • Gastroenterology	$85	$190	$297
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$105	$452	$802
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$72	$74	$75
Auto-added CPT 00102 • General	$45	$265	$609
Auto-added CPT 00104 • General	$45	$210	$435