SAMANTHA BLANK· HICKORY, NC

Physician group

1899 TATE BLVD SE STE 2101, HICKORY, NC 28602

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$55	$90	$124
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$5	$9
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$5	$31	$63
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$162	$162	$162
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$244	$244	$244
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$363	$363	$363
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$257	$303	$348
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$680	$680	$680
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$2,680	$2,680	$2,680
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$175	$175	$175
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,747	$2,193	$3,085
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$392	$392	$392
Radiation physics consultation CPT 77336 • Radiation Therapy	$78	$154	$231
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,506	$2,402
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$2,183	$3,402
IMRT delivery simple CPT 77385 • Radiation Therapy	$884	$884	$884
IMRT delivery complex CPT 77386 • Radiation Therapy	$885	$885	$885
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$162	$167	$172
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$181	$181	$181
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$186	$280	$374
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$157	$211
Proton beam treatment simple CPT 77520 • Radiation Therapy	$186	$509	$831
Proton beam treatment complex CPT 77523 • Radiation Therapy	$209	$209	$209
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$104	$1,269	$2,433
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$2,597	$2,597	$2,597
Sleep study unattended CPT 95800 • Sleep Medicine	$34	$258	$481
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$40	$134	$228
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$291	$423	$639
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$495	$882	$1,655
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$516	$1,108	$1,700
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$120	$137	$153
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,137	$1,178	$1,219
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$50	$348	$498
Laparoscopic partial nephrectomy CPT 50543 • Urology	$3,003	$3,003	$3,003
Laparoscopic radical nephrectomy CPT 50545 • Urology	$2,822	$2,822	$2,822
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,631	$1,631	$1,631
Complex uroflowmetry CPT 51741 • Urology	$30	$141	$251
Post-void residual urine measurement CPT 51798 • Urology	$49	$49	$49
Cystourethroscopy diagnostic CPT 52000 • Urology	$30	$238	$445
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$529	$529	$529
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$622	$622	$622
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$30	$236	$441
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$398	$1,066	$1,734
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$895	$895	$895
TURP transurethral resection of prostate CPT 52601 • Urology	$1,704	$1,704	$1,704
Laser vaporization of prostate CPT 52648 • Urology	$1,563	$1,563	$1,563
Circumcision CPT 54150 • Urology	$636	$636	$636
Orchiectomy simple CPT 54520 • Urology	$745	$745	$745
Orchiectomy radical inguinal CPT 54530 • Urology	$1,167	$1,167	$1,167
Vasectomy CPT 55250 • Urology	$246	$649	$1,052