DIANA SARMIENTO· LOUISBURG, NC

Physician group

100 HOSPITAL DR, LOUISBURG, NC 27549

Procedures offered

488 total

Procedure	Min	Avg	Max
Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment	$306	$306	$306
Foot insert removable molded HCPCS L3000 • Durable Medical Equipment	$170	$170	$170
Submucous resection inferior turbinate CPT 30140 • ENT	$343	$343	$343
Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT	$203	$203	$203
Incision and drainage peritonsillar abscess CPT 42700 • ENT	$200	$200	$200
Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT	$49	$49	$49
Tympanostomy tube insertion CPT 69436 • ENT	$174	$174	$174
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,049	$1,049	$1,049
Incision and drainage abscess simple CPT 10060 • Emergency	$251	$251	$251
Incision and drainage abscess complicated CPT 10061 • Emergency	$49	$278	$508
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$158	$158	$158
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$200	$219	$238
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$256	$256	$256
Initial treatment first degree burn CPT 16000 • Emergency	$68	$68	$68
Emergency department visit low severity CPT 99282 • Emergency	$120	$120	$120
Emergency department visit moderate severity CPT 99283 • Emergency	$206	$206	$206
Emergency department visit high severity CPT 99284 • Emergency	$101	$186	$350
Emergency department visit highest severity CPT 99285 • Emergency	$432	$432	$432
Critical care first 30-74 minutes CPT 99291 • Emergency	$593	$593	$593
Critical care each additional 30 minutes CPT 99292 • Emergency	$101	$101	$101
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$316	$316	$316
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$405	$405	$405
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$409	$409	$409
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$237	$237	$237
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$229	$229	$229
ERCP diagnostic CPT 43260 • Gastroenterology	$312	$319	$327
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$363	$363	$363
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$79	$79	$79
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$472	$472	$472
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$261	$261	$261
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$337	$337	$337
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$328	$328	$328
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$303	$303	$303
Auto-added CPT 00102 • General	$42	$42	$42
Auto-added CPT 00104 • General	$42	$42	$42
Auto-added CPT 00120 • General	$42	$42	$42
Auto-added CPT 00124 • General	$42	$42	$42
Auto-added CPT 00160 • General	$42	$46	$49
Auto-added CPT 00170 • General	$49	$49	$49
Auto-added CPT 00190 • General	$42	$42	$42
Auto-added CPT 00320 • General	$42	$317	$592
Auto-added CPT 00350 • General	$42	$42	$42
Auto-added CPT 00540 • General	$42	$42	$42
Auto-added CPT 00600 • General	$42	$42	$42
Auto-added CPT 00620 • General	$42	$42	$42
Auto-added CPT 10120 • General	$135	$135	$135
Auto-added CPT 12020 • General	$270	$270	$270
Auto-added CPT 14060 • General	$680	$680	$680
Auto-added CPT 19083 • General	$469	$469	$469
Auto-added CPT 19084 • General	$360	$360	$360